1. Interagency Pharmaceutical Coordination Group Hitesh Hurkchand RMNCH Strategy and Coordination Team Liliane Kandeh and her son picking up their malaria drugs, Freetown, Sierra Leone. © UNICEF/Asselin. Washington DC June 6, 2016

2. Interagency Supply Chain Group Update to the Interagency Pharmaceutical Coordination Group

3. Overall Vision - The global development partners will collaborate in support of countries’ efforts to reach the goals of universal health coverage in part through sustainable access to quality essential health commodities and supplies at the right time, in the right place and at affordable cost for those who need them, through cost-effective and efficient procurement and supply systems. Partnership of 14 major actors involved in providing supply chain support to countries:  The Global Fund, USAID, DFID, The World Bank, GAVI, UNICEF, UNFPA, WHO, The Bill and Melinda Gates Foundation, Norway, Canada, German Development Bank, The Global Drug Facility and World Food Program Informal Group - ISG Secretariat hosted by the RMNCH Trust Fund since 2014 through support from the Norwegian Government. Transitioning to WHO as of July 2016. Interagency Supply-Chain Group comprising policy and funding bodies

4. USAID GHSC Information Systems and Data Visibility Supply Chain Key Performance Indicators Commodity Credit Facility Global Financing Facility ISG Global Collaboration Review Commodity Handling Fee Engagement with the Accessibility Platform Global Response to Medicine Shortages ISG Secretariat Update – Overview from March ISG

5. Quality Assurance (GHSC-QA) Quality assurance of procured commodities; technical assistance FHI36012/31/19 Business Intelligence and Analytics (GHSC-BIA) Collect and integrate data across programs to support GHSC management and coordination Intellicog4/24/19 Procurement and Supply Management (GHSC-PSM) Procurement & shipping of health commodities; supply chain technical assistance Chemonics 11/22/23 Research and Development TBD R&D for health supply chains and related commodity security issues Rapid Test Kits (GHSC-RTK) Procurement & shipping of HIV RTKs Remote Medical International 2/26/18 Technical Assistance (GHSC-TA) Supply chain technical assistance Chemonics Axios LMI PricewaterhouseCoopers 3/1/23 GHSC Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Supply chain and pharmaceutical services technical assistance MSH 9/22/17 Promoting the Quality of Medicines (PQM) Technical assistance for medicines quality assurance mechanisms USP 9/17/19 Supply Chain Management System USAID | DELIVER PROJECT The Coca-Cola Last Mile Project Applying Coke best practices to public health supply chains 06/2019

6. ISG General Impressions on GHSC Red box - risk of any partners in RB not getting sufficient traction with USAID support USAID to extend current mechanism to allow for enough overlap (risk mitigation) and assure a smooth transition of work done both at country and global level under Deliver and PFSCM. Under the TA box, there is risk that IPs deliver conflicting marketing pitches resulting in confusion that might be create at the various levels with stakeholders. TA coordination must be done at a higher level, presumably under leadership of USAID with support of ISG. Update – IPC June 6

7. Info systems and data visibility (interoperability with DHIS2). UNICEF are finalizing a LTA with University of Oslo for DHIS2 support globally. RMNCH Trust Fund has also supported two projects in Senegal and Tanzania WBG supporting interoperability project in DRC. Also clear that the DHIS 2 is not a LMIS, however where there there’s not an electronic system the DHIS2 is quite useful and a maturity model should be put in place (same applies to LMIS implementation) with a focus on people and processes. Update – IPC June 6

8. Info systems and data visibility (interoperability with DHIS2). Also critical to get visibility on demand and the challenges on interoperability. Outcome from the ½ day HMIS / LMIS interoperability meeting is to understand how to manage the demand from countries, and map out current investments. Update – IPC June 6

9. Supply Chain Key Performance Indicators ISG KPI harmonization exercise in 2015. Ask to the ISG was to adopt a uniform set of KPIs for up/down stream reporting on SCM Adoption is slow TGF has been using these in guidelines to countries; USAID have provided KPIs to their partners as standard indicators to include in their PMP Feedback from agencies on operationalizing KPIs at June ISG Disseminate KPIs through the IAHPL, UNCoLSC and other platforms. WHO KPI policy development Update – IPC June 6

10. Commodity Credit facility RMNCH TF through consultative efforts with donors and agencies have put together model of a commodity credit facility to resolve some country bottlenecks and potentially fund a pilot using the USAID pledge guarantee fund RMNCH TF would resource pilot but the question is could this credit facility work in Africa? The use of Pledge Guarantee for Health Fund from USAID is now not available and the pilot was in a holding pattern as of March 2016 Sida loan guarantee made available and RFP launched in May 2016. Update – IPC June 6

11. Global Financing Facility Commodities and supply chain have come up in context of GFF at country level. GFF is prioritizing this issue within their current and new investment cases There will be an agenda item in June 2016 meeting of GFF on commodities with the main entry point as the transition of UN Commodities Commission, which is winding down. Update – IPC June 6

12. ISG Global Collaboration Review Global health leaders meeting has had supply chain on their agenda for 1-1.5 year The SCT prepared a TOR for a review of level of collaboration at the ISG at country level. Country visits (Senegal, Nigeria, Tanzania, Zambia, and Ethiopia) done only in February The ISG should have a deliberate consideration of donor coordination at the ISG global level then decide on how to support country coordination. On learnings and take away from the review, the question is how to communicate recommendations to the countries Update – IPC June 6

13. ISG Global Collaboration Review Differences in models and ideology Political economy of supply-chain reality is often not factored into planning in these SCM investment cases. Communication, Trust, empathy and understanding of what drives better collaboration was perceived as limited between agencies and governments Power balance, competition and positioning Coordination takes time, resources and effort Institutional incentives and ways of working may not be aligned. Update – IPC June 6

14. Commodity Handling Fee The range of fees span from managing, storing and distributing commodities. TGF for example, pay 5% handling fees in some countries. Government are also having to charge more to cover costs. One country review showed management fee to be 8% with 6.5% flat fee and a potential 1.5% extra when achieving agreed upon benchmarks. There are also separate agreements between donors and Government regarding who pays what. The issue on handling fees are relevant to the ISG because it seems that different financiers are having different approaches. Is there a path to a more coherent approach to this harmonizing the handling fees? ISG should generate an output dedicated to country stakeholders for them to determine a fair mark up fee. Consider a position paper with strategic action points to address the challenge of commodity handling fees, that we take to the health leaders at some point Update – IPC June 6

15. Engagement with the Accessibility Platform The Accessibility Platform is an informal group comprised of a 14 pharmaceutical corporations that contracted an NGO in Geneva to understand how they can better support SC coordination. ISG agreement to informally assist AP with guidance and engage accordingly. Update – IPC June 6

16. Global Response to Medicine Shortages ISG Secretariat Decision to host the ISG secretariat in 2016. Update – IPC June 6

17. Thank you