As part of the initial response to HIV/AIDS in Uganda, procurement, distribution and storage systems for HIV-related commodities (e.g. antiretroviral [ART] drugs, HIV test kits, etc.) were supported by donor-funded initiatives, greatly improving access to and availability of these commodities for people living with HIV/AIDS (PLHA). However, the setup of separate supply chain systems for these commodities in an effort to rapidly expand access to services created challenges for sustainability. For example, orders for HIV and non-HIV-related commodities were submitted to the central national warehouses separately by different hospital units, hospital pharmacy and stores staff were not aware of ART clinic needs or pharmacy systems and processes for logistics management.
In coordination with the Ugandan Ministry of Health (MOH) Pharmacy Division/AIDS Control Program, National Medical Stores (NMS), Supply Chain Management Systems (SCMS) Joint Medical Store (JMS) and the Securing Ugandans’ Right to Essential Medicines (SURE) project, USAID/SUSTAIN works with the hospital teams to improve the availability of commodities and supplies for quality HIV/AIDS care and treatment by building sustainable systems for effective supply chain management within the public system.
The USAID/SUSTAIN approach aims to strengthen the capacity of hospitals to be self-sustaining in pharmaceutical and laboratory logistics management.
- Routine, accurate and timely reporting and ordering by supported hospitals to central medical store improved from 35.1% in December 2010 to 98% in March 2016 at supported facilities.
- Project-supported hospitals achieved up to 95.9% availability of HIV-related commodities in March 2016 and reduced stock-outs.
- A total of 167 unit managers and other operational staff were trained in HIV logistics and supplies management, 70 laboratory and stores personnel from 22 healthcare facilities acquired skills in laboratory logistics management.
- Eleven project-supported hospital stores have computerized stock management software (RxSolution) fully installed and staff trained to track storage and inventory records electronically.
Learn more in our Supply Chain Management technical brief!