The global health supply chain - procurement and supply management project : mid-term review for lessons learned and the way forward

Agency for International Development (USAID) procures and provides health commodities for countries receiving U.S. Government foreign assistance. Concurrently, it provides technical assistance to improve the efficiency, reach, and sustainability of in-country supply chains. This mid-term review looks globally at GHSC-PSM’s work in HIV, malaria, family planning and reproductive health (FP/RH), and maternal, newborn, and child health (MNCH) as it progresses towards meetings project objectives to improve the availability of health commodities, strengthen supply chain systems, and ensure effective global partnerships for the future. The review team found that, after a weak start, GHSC-PSM met difficult targets, including on-time delivery and on-time in-full delivery, and demonstrated declines in total landed cost over the first years of the project that were greater than the savings developed under previous projects. The project is strong in procurement, distribution, and the technical assistance needed to improve in-country systems, as well as key global engagements, especially in FP/RH and MNCH, market research, and innovations, which are all demonstrating encouraging results. Over the project’s second half, continued development of the project’s global supply chain strategy, such as rationalizing like elements of different health areas, would contribute to further success, as would a further, real-time build out of GHSC-PSM’s automated systems focused on reducing bottlenecks and risk. Taking advantage of evaluation and learning opportunities, a clearer theory of change and distinct nomenclatures for technical assistance, and better organization and tracking of global collaboration elements will enhance in-country progress