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The USAID/Bangladesh Supply Chain Systems Strengthening Task Order is a Task Order under the Comprehensive Technical Assistance for Health Supply Chain and Pharmaceutical Management (Comprehensive TA) IDIQ award, which is a mechanism within the Next Generation of Supply Chain Suite of Programs (NextGen). The purpose of the Task Order is to improve supply chain systems for commodity security, logistics, and regulation at all levels of the public health system, from national to subnational, to ensure that quality, affordable medicines, and other health commodities are consistently available to healthcare providers and patients when and where they are needed and used appropriately for improved health outcomes, in support of moving toward Universal Health Coverage. Under this intervention area, the Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP) under the Bangladesh Ministry of Health and Family Welfare (MOHFW) will be the main counterparts.

The activity expects to contribute to the overall objective of increased economic competitiveness and inclusive growth in Sri Lanka, focusing on the following two components:

1)Improved Enabling Environment: Provide support to Government of Sri Lanka and other relevant partners to create favorable conditions, including regulatory and policy frameworks and improved economic governance institutions, to facilitate the establishment, growth, and success of businesses in Sri Lanka and increase total Foreign Direct Investment (FDI).

2)Enhanced Export Competitiveness & Growth for Small and Medium Enterprises (SME): Provide support to SMEs to compete in international markets, expand their export capabilities, overcome barriers and take advantage of opportunities in the global marketplace.

Enhance the capacity of sub-national governments to prepare the education systems for current and future shocks, including pandamic and natural disasters, and increase their capacity to limit risks, reduce the impacts on beneficiaries, and maintain service delivery.

RFI # 72036723RFI00001

The goal of INTEGRATE is to contribute to sustaining the gains in the HIV response and enabling pandemic preparedness and resilience in the face of other external threats by integrating current health investments for HIV prevention, care, and treatment services into existing country health systems and PHC platforms, in alignment with country priorities.

The goal of EQUITY is to advance health equity, achieve the 95-95-95 goals, and sustain equitable HIV epidemic control for all key and priority populations in partnership with governments and communities. Targeted populations include adolescents, youth, pregnant and breastfeeding women (PBFW), children, key populations, men, and other priority populations. EQUITY will employ a range of population tailored, evidence-based interventions that address identified gaps through a technical assistance model, direct service delivery or a combination of both. In partnership with governments and stakeholders, EQUITY will support integration into existing health systems, referrals to the private sector, and ensure appropriate, differentiated service delivery is available to key and priority populations.

The overall objective of Task order is to provide health commodity technical assistance to strengthen health supply chain and pharmaceutical management in Tanzania, across all health elements.

Objective 1: Tanzania’s public health supply chain and pharmaceutical management workforce is skilled, motivated, and equipped with the tools necessary to conduct supply chain and pharmaceutical management activities effectively.
The workforce employed to manage and operate the supply chain and pharmaceutical management system is its most important resource. USAID NextGen Ugavi Bora, Afya Bora will conduct workforce development activities, based on the competencies staff need to fulfill assigned duties, depending on their supply chain/pharmaceutical management roles and responsibilities. Working closely with counterparts, USAID NextGen Ugavi Bora, Afya Bora will utilize the appropriate methods for workforce development activities, which may include: on the job training, in/pre service training, coaching/mentoring, supportive supervision, e-learning, curriculum or accreditation program development, and peer to peer learning. USAID NextGen Ugavi Bora, Afya Bora will implement activities that aim to keep supply chain/pharmaceutical staff motivated in their jobs.

Objective 2: Tanzania’s public health supply chain and pharmaceutical management system are characterized by defined and streamlined processes and procedures that encourage adaptability to respond to changing demand and supply requirements, resulting in availability and affordability of quality products at the last mile.
USAID NextGen Ugavi Bora, Afya Bora will work to ensure that health commodities are available when and where people need them; and will implement activities that optimize the flow of commodities and standardize the related business processes. USAID NextGen Ugavi Bora, Afya Bora will need to adapt to changing demand, changing supply, new products, unexpected health crises, and a complex ecosystem of other stakeholders to ensure supply. This may include products that are managed outside of standard/traditional distribution (i.e HIV self-testing). USAID NextGen Ugavi Bora, Afya Bora will utilize innovative approaches that contribute towards problem-solving around long-standing, entrenched supply chain issues. With guidance from the GoT, USAID NextGen Ugavi Bora, Afya Bora is expected to test or pilot novel interventions, with a defined scope and expected outcomes.

Objective 3: Tanzania’s health supply chain and pharmaceutical management governance structures foster stakeholder engagement, effectively manage resources, and utilize public and private partnerships where needed, to improve performance.
Strong governance structures enable supply chains to progress along the maturity spectrum and promote sustainability. These structures have the overall responsibility to ensure the continuous supply of health commodities and are stewards for the public health supply chain - providing vision and guidance for its design, operation, and oversight, and developing and implementing strategies for ensuring adequate financing. USAID NextGen Ugavi Bora, Afya Bora will support and strengthen governance structures, support coordination among supply chain and pharmaceutical management stakeholders, engage in strategic planning for supply chain performance improvement, and explore public and private partnerships. The Contractor is expected to understand the private sector supply chain landscape and identify and develop potential partnerships, including faith-based organizations, private pharmacies, Accredited Drug Dispensing Outlets, and private social enterprise networks.

Objective 4: Supply chain and pharmaceutical management data are visible throughout the relevant systems, and shared with relevant stakeholders, who use technology and analytic capabilities to support and continually improve performance.
A hallmark of supply chain maturity is end-to-end visibility of supply and demand, where data are used to identify performance problems and risks, make decisions, and take effective action. USAID NextGen Ugavi Bora, Afya Bora will build on investments into the information systems for supply chain and pharmaceutical services, promote a culture of data-driven decision making, and improve data quality and its use. USAID NextGen Ugavi Bora, Afya Bora will facilitate the use of data for performance management, continuous improvement, and strategic decision making.

The activity will strengthen Ukraine’s state response to trafficking, prevent trafficking through awareness raising, and provide assistance to reintegrate victims of trafficking.

The Health System Strengthening Flagship scope will build on USAID investments in health financing, health information systems, health workforce, integrated care, and the evidence to policy process to strengthen health system performance and sustain improvements in MCH, TB, HIV, and GHS outcomes

Health Information Systems and Digitization