PROCUREMENT SUPPORT SERVICES Voluntary Pooled Procurement & Capacity Building Services Technical Briefing Seminar November 18, 2009 Why Procurement Support? 1. Secretariat monitoring grant performance 4. Board decision to implement VPP/ CBS as a Strategic Initiative Procurement Support Service 2. Major Challenges Procurement and supply management of Health products 3. Discussion on strategies to improve grant performance Voluntary Pooled Procurement & Capacity Building Services • Board Decision 2007 – Strategic Initiative to improve Grant Performance • Objectives – Leverage Global Fund Purchasing Power • Improve Market outcomes – Prices, quality, supply, sustainability • Address Procurement bottlenecks / challenges – procurement process and delivery outcomes – To improve in-country capacity for effective, efficient & sustainable supply chain systems • Model – Pooled Procurement – short-term strategy – Supply Chain Management support – long-term strategy PROCUREMENT SUPPORT SERVICES - A Coordinated Approach to Procurement and Supply Chain Management Support VPP: Simplifies Procurement Process • Reduce timelines for ordering and deliveries • Ensure compliance with Quality assurance policy • Facilitates timely payment • Meet the needs of Principal Recipients CBS/SCMA: Addresses challenges in Supply Chain Management • Through provision of Technical Support • To strengthen existing capacities / systems • Focus- Quantification, Storage, Distribution, Logistics Management Information activities • In collaboration with development partners The Global Fund Procurement Support Service Secretariat ”PQR” Data input Participating PRs Principal Recipients CBS/SCMA Technical support for the management and delivery of health products in country CBS/SCMA Providers Consulting /TA agencies Procurement Agents Suppliers/ Manufacturers TA Services VPP Orders / Information VPP Procurement and Delivery of health products Procurement Support Services • VPP and CBS/SCMA – Voluntary • PRs can access either VPP or CBS or both • Procurement Support Service Team facilitates this process through mails, tele-conference or country visits (if required) • Registration of PRs for participation is through FPMs VPP Model 1. VPP Products • Core products: 1st and 2nd Line ARVs; ACTS; LLINs • Additional products: Drugs for Opportunistic Infections; Lab. Equipment and Reagents; Diagnostic Tests; Condoms; KO Tabs 2. Establishment of pool of suppliers (Negotiation) • Product eligibility (Prequalification) • ARVs / ACTs – Global Fund Quality Assurance Policy • LLINs – WHOPES recommendation • Negotiation outcome – Agreement on prices, terms and conditions (term sheet) • ARVs / ACTs – Maximum / ceiling prices • LLINs – Tender bid / fixed prices VPP – Model And Process 3. Procurement Agents: • Partnership For Supply Chain Management (PFSCM) – ARVs, ACTs & additional products • Population Service International (PSI) – LLINs 4. Operational Process • • • • Aggregate demands, process orders / deliveries Selection of manufacturers – competitive process Process payments to manufacturers / suppliers Input data in Price Quality Reporting system VPP meeting the needs of PRs • Low procurement volumes /unable to obtain competitive pricing • Limited capabilities / service of Procurement Agent required • Procurement challenges - lead time from suppliers, Compliance with the GF Quality Assurance policy, competitive and transparent process • Challenges on scaling up treatment and prevention VPP Simplify Procurement Process – Multiple Steps Eliminated Approval of Country Proposal for TGF Grant PR reconciles needs and funds available PR receives and checks drugs PR prepares PSM Plan specifying health products & quantities Indicate VPP participation PR launches procurement process PR makes payment Suppliers submit bids PR distributes drugs Plan Submission For TGF Assessment and Approval TGF disburses funds to PR VPP Starts PR evaluates bids and awards supply contract PR places order for drugs and monitors order status Patient receives drugs PR collects consumpti on information PR reports results to TGF VPP Services • Operational – Orders being processed • Procurement Service Fees • LLINs – 2.5% FOB for delivery at Port of Entry 3.0% FOB for delivery to State / Regional level • ACTs – 6.5% FOB price • ARVs – 6.2% FOB price • Additional products: – – – – Drugs for Opportunistic Infections 9% Test kits (Malaria; HIV) 6% Laboratory equipment and supplies 8.5% Condoms 9% VPP Participation • Confirmed participation 30 – Number of grants 55 • In discussion – Number of grants 18 31 • Capacity Building Services – 1 concluded with contracts – 12 in discussions • Consultation – confirm areas for intervention • Development of work plans • Facilitation of Contracting with TA Providers Country Participation & Grants Cluster Country HIV EA Uganda EAP Indonesia Congo Lao PDR Guinea Guinea-Bissau Nigeria The Gambia Togo Papua New Guinea Philippines Timor Leste Armenia Macedonia MENA Niger SA Swaziland EECA Zambia SWA Bangladesh Malaria Cluster Country WCA Cameroon LAC HIV Malaria Brazil Dominican Republic Guyana Haiti Nicaragua VPP Procurement of Nets • Orders processed (Individual tenders) • • • • Nigeria 3. million Nets - delivered Indonesia 1,1million – ready for shipment Bangladesh 0.5million – in progress Swaziland 91,000 – in progress (Total 5 million nets) • Orders in the pipeline (consolidated tender issued) • Nigeria 27million • Uganda 7.3million • Indonesia 4.9 million (Total 39.2 million nets) • Orders in the pipeline (consolidated tender issued) • Zambia 215,000 • Timor Este 97,500 • Nicaragua 30,000 (Total 342,500 nets) • Next planned tender– pending confirmation • Estimated 10 million nets (2 countries) Update Status – ARVs and ACTs • ARVs – Macedonia, Haiti, Lao, Armenia, Zambia, Guinea Bissau, Mozambique • ACTs – Bangladesh, Cameroon, Guinea, Indonesia, Lao PDR, Mozambique, Nigeria, Papua New Guinea, Timor Leste, Zambia CBS/SCMA - Model & Process Areas: –Quantification / Forecasting –Procurement Planning –Inventory / Logistics Management Types: –Training (groups / individuals / short-term / long-term) –Technical Support (Short-term / long-term / transfer of skills (I do-you watch/ we do/ you do-I watch scenario) –Developing Systems / Tools Operational Model CBS/ SCMA: Mechanism and Process Identifying needs • PRs identify CBS/SCMA needs (LFA assessments / reports of partners etc) Contracting CBS / SCMA • PRs choose from available services • Global Fund facilitate implementation of services • Global Fund monitor service provided Financing • PR pays for service from grant • Reallocation of funds in existing grants and/or • Inclusion in future grant proposals • Direct Payment to service providers CBS / SCMA Process • Technical Support Services – Framework contracts with Service Provider • John Snow Inc. (JSI) • i+solutions • University Research Co. (URC) – Collaboration with Technical Partners • Access existing pool of service providers • Coordinate activities at country level • Registration and consultative process ongoing Accessing VPP and CBS/SCMA • Indicate during grant proposal / negotiation • Confirm participation through a registration letter (FPM) – Indicate grant, product category, time frame for VPP or CBS • Indicate on PSM Plan – VPP for procurement services – CBS requirements and budget – Ensure PSM Plan approval • Procurement of health products – Submit list of products for procurement • Adequate information on product specifications, quantities and reasonable schedule for delivery – Request for direct disbursement of fund to Procurement Agent Accessing VPP and CBS/SCMA • Capacity building service / Technical Support – Define Scope of work and deliverables – Selection of service provider – Request for direct disbursement of fund to Procurement Agent • Direct communication to Procurement Agent or CBS/SCMA Service Provider is facilitated throughout the process • Procurement Support Service Team monitors the process and performance of the Procurement Agent / Service provider