PEPFAR

Cote d’Ivoire in Crisis : How Strong Supply Chain Strategies Averted Treatment

Interruption

Jean Bedel Evi, SCMS CI Deputy Country DirectorAlan Pringle, SCMS Global Program ManagerColleen Sheridan, SCMS Program Officer

AIDS 2012 - Turning the Tide Together

BackgroundCrisis followed the October 2010 presidential election in Côte d’Ivoire with armed combat taking place in and outside of Abidjan

Methods• Supply Chain Management System (SCMS) and the Ministry of

Health (MOH) developed and implemented a contingency plan to keep patients on treatment

– Adjusted supply plans: Delivered TWO months of drugs to patients instead of typical ONE month

– Re-routed deliveries: Held stock at SCMS Ghana Regional Distribution Center (RDC). Allowed SCMS to quickly pulse commodities into CI

– Developed an interim distribution plan: PEPFAR Implementing Partners (IPs) picked up their products and distributed them to sites

– Collaborated and shared: Held weekly information sharing sessions with national counterparts, donors and IPs to share updates on supply and discuss evolving strategies to meet patient needs

Results & Conclusions• Deliveries continued throughout the crisis

– No stockouts of HIV/AIDS related products

– No ARV treatment interruption

Results & ConclusionsPEPFAR’s IP in charge of the delivery

# of deliveries inside

the country

# of deliveri

es in Abidjan

EGPAF 41 55ACONDA 30 13ICAP 35 00HAI 24 00TOTAL 130 68

• SCMS Regional Distribution Center (RDC) in neighboring Ghana provided flexibility to maintain in-country stock levels

• On-the-ground collaboration with the MoH and Implementing Partners ensured medicines were available at health facilities and in the hands of patients.

By creatively leveraging in-country knowledge, regional resources and procurement volumes of supplies, ARVs and other critical products reached patients throughout the crisis