1. The Challenge of Scale-Up and International Distribution Richard C. Owens, Jr. Director, Supply Chain Management System XVIth International AIDS Conference “Supplying a Lifeline: Delivering Quality, Affordable Medicines and Supplies to People Living with and Affected by HIV/AIDS” Toronto, Canada August 16, 2006 The author’s views expressed in this presentation do not necessarily reflect the views of the United States Agency for International Development or the United States Government

2. Annual Need for Services and Supplies

3. Supply Chains: A Critical Component in the Global Response to HIV/AIDS

4. SCMS Mission We will strengthen or establish secure, reliable, cost-effective and sustainable supply chains to meet the care and treatment needs of people living with or affected by HIV and AIDS. In collaboration with in-country and international partners, we will: Deploy innovative solutions to assist programs to enhance their supply chain capacity Ensure accurate supply chain information is collected, shared, and used; and Provide quality, best-value health care products to those who need them.

5. Procuring and Delivering Commodities

6. Regional warehousing for efficiency and cost Smaller, regular shipments to protect local systems Timely, accurate and safe transport including cold/cool chain Delivery of drugs and commodities door-to-door Physical security measures Shipment tracking from supplier to recipient Rapid response to emergency commodity requests SCMS Freight Forwarding and Inventory Management: Regional Distribution Centers

7. Improving Availability and Use of Information Global supply chain visibility –Requirements estimates –Product registration status –Funds –Production capacity –Procurement status –Shipment and receipt status –Regional distribution center inventory management –Returns Product pedigree

8. In Conclusion: Key SCMS Strategies For more information: www.scms.pfscm.org Email: scmsinfo@pfscm.org Phone: +1.703.341.4999 Fax: +1.703.310.5270 Global quantification of need and coordination of efforts Aggregated procurement across many clients using longer-term supplier contracts Freight forwarding and inventory management using regional distribution centers Improved availability and use of information for supply chain decision making