Supply Chain Management System Project The Partnership for Supply Chain Management March 2006
The President’s Emergency Plan for AIDS Relief (PEPFAR)
Prevent 7 million new HIV infections
Provide treatment for 2 million HIV-infected people
Provide care to 10 million people infected and affected by HIV/AIDS, including orphans and vulnerable children
15 initial focus countries
Up to $15 billion
SCMS Project Purpose To establish and operate a safe, secure, reliable, and sustainable supply chain management system (SCMS) to procure pharmaceuticals and other products needed to provide care and treatment of persons with HIV/AIDS and related infections Around the world, but initially focused on: Botswana Vietnam Côte d’Ivoire Ethiopia Guyana Haiti Kenya Mozambique Namibia Nigeria Rwanda South Africa Tanzania Uganda Zambia
For ARV’s limited number of quality supplier, (innovators/generics, role of local industry??
Qty API sources even more limited( parallel with TB)
Unknown capacity, eg shortages will occur in case short time horizon is used, or when no clear picture exists on where API/starting material is made.
Complicated market, Access prices, rerouting of products, commercial versus other packs, Voluntary licensing, unclear IP issues, unclear local registration status in case of replacement (see FDA replacement,or voluntary licensing)
Not only capacity is sufficient it is the quality is the Chain which should be ensured.