Cost of storage and distribution of ARVs
In 2013, the National AIDS Committee of Cameroon (CNLS), the Global Fund Round 10 Principal Recipient, requested a technical team from Grant Management Solutions to help evaluate the real cost of procuring, storing, and distributing the first-line antiretrovirals (ARVs) and associated medical commodities being procured with Global Fund money. The Cameroonian medical supply chain normally runs on a cost-recovery basis, but because ARVs purchased through the Global Fund are provided free of charge, CNLS’s logistical partners – the central and regional warehouses – have not been able to realize any income. An IDEAS consultant was one of two logistics/supply chain experts on the team, which also included a health economist and a mathematician.
The team met with key stakeholders; developed data collection tools; collected, analyzed and modeled data; and ultimately suggested possible payment models to reimburse the central and regional warehouses for their contributions. Their work is helping CNLS to continue to make these lifesaving commodities available where and when they are needed.