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Supply Chain Management Capability Assessment of HIV/AIDS Service Providers in Uganda

2009–2012 || U.S. Agency for International Development

Abstract

A critical component of Uganda's ongoing effort to address the HIV epidemic is to provide lifesaving antiretroviral therapy (ART) and other medicines to prevent and treat HIV-related illnesses including opportunistic infections such as tuberculosis. Through the Health Systems 20/20 project, Deloitte assisted the President's Emergency Plan for AIDS Relief (PEPFAR) in Uganda to assess indigenous organizations' capacities in supply chain management. Deloitte applied its strong capabilities in updating supply chains for companies, multinational corporations, and government agencies to carry out an assessment of the technical and organizational capacity of indigenous organizations to quantify, procure, distribute and manage HIV/AIDS medicines and supplies in Uganda.

The Challenge

One of the challenges in adequately preventing and treating HIV-related illnesses is creating an uninterrupted supply of high-quality medicines and supplies, including laboratory materials such as rapid test kits. In Uganda, the client required an assessment of the supply chain management capacity of indigenous organizations providing HIV and AIDS services, in order to identify mechanisms to increase efficiency in getting rapid test kits to their intended destination.

How We Helped

Deloitte analyzed the supply chain management capabilities of indigenous organizations and found that PEPFAR funding over the previous three to five years had greatly contributed toward scaling up and expanding the access to and use of ART and other HIV-related commodities through indigenous organizations. However, this led to the development of several parallel systems for supply chain management outside of the government, likely increasing costs of system maintenance. In addition, Deloitte identified opportunities to increase capacity building related to supply chain management and linkages with the national system including Ministry of Health facilities, staff and clients.

Solution

As PEPFAR transitions from an emergency program to one that integrates HIV/AIDS prevention, treatment, care and support into government public health systems, critical steps should be taken to confirm that these HIV/AIDS programs are as effective and sustainable as possible. With a depth of experience in supply chain management, Deloitte's assessment and recommendations have established the foundation to streamline operations and increase effectiveness for delivering quality HIV/AIDS services.

Deloitte’s work in Uganda under the Health Systems 20/20 project is carried out under a subcontract with Abt Associates Inc., prime contractor for the Health Systems 20/20 cooperative agreement. Health Systems 20/20 is funded through the generous support of the American people through the U.S. Agency for International Development (USAID). Health Systems 20/20 helps USAID-supported countries address health system barriers to the use of life-saving priority health services. In the process, the project works to strengthen health systems through integrated approaches to improving financing, governance, and operations, and building sustainable capacity of local institutions.

As used in this document, “Deloitte” means Deloitte Consulting LLP, which provides strategy, operations, technology, and human capital consulting services, Deloitte Financial Advisory Services LLP, which provides financial advisory services, and Deloitte & Touche LLP which provides governance and risk oversight and reporting advisory services. These entities are separate subsidiaries of Deloitte LLP. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Certain services may not be available to attest clients under the rules and regulations of public accounting.

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