Sourcing through UNICEF Supply Division
UNDP Principal Recipients (PRs) are advised by the UNDP Bureau for Management Services (BMS) and the UNDP Global Fund/Health Implementation Support Team, UNDP Bureau for Policy and Programme Support (BPPS), to procure their pharmaceutical products via Standard Service Agreement (SLA) established with the United Nations Children’s Fund (UNICEF) Supply Division. The rationale for this is the various value-added services provided by UNICEF, such as:
- Technical expertise, management and supply services, including warehousing, quality assurance and quality control in compliance with Global Fund policies on procurement and supply management of health products, the WHO’s Good Manufacturing Practice and WHO Good Distribution Practices;
- value for money, as costs are negotiated based on aggregated procurement volumes and volume discounts are obtained where applicable;
- transparency afforded by competitive processes in line with United Nations procurement procedures; and
- strong logistic services and capability, with contracted deliveries under CIP Incoterms with delivery to main airport/port of entry into country.
The following exceptions apply to the guidance to source pharmaceutical products through UNICEF Supply Division:
- ARVs of Tenofovir + Lamivudine + Efavirenz (300/300/600 mg) (TLE) formulation. In view of the relative large UNDP intake for this ARV formulation, UNDP has developed and manages a system of Long-Term Agreements (LTAs) with all manufacturers that meet the minimum Global Fund quality assurance requirements for this product. Requesting units are advised to source any TLE needs through the UNDP LTAs. The LTAs, together with a set of comprehensive standard operating procedures (SOPs) are available here.
- Emergency procurement of ARVs. UNDP has developed a procurement planning methodology to assist Country Offices (COs), Project Management Units (PMUs) and any other requisitioning units with a proactive planning of procurement actions leading to timely arrival and in-country distribution of required products to avoid any possible stock out risk. Attention to adequate procurement planning is strongly encouraged in order to prevent the need to resource to emergency procurement actions that may lead to sub-optimal value for money propositions.
However, circumstances may arise, when there is a need to resource to activation of emergency procurement actions to avert any possible ARV stock out at country level placing patients at risk. These may include new grant approval processes for which financial disbursements are delayed, ad-hoc requests received from National Counterparts, etc. In such cases, the option of UNDP directly conducting the corresponding ARV procurement processes, instead of sourcing through UNICEF Supply Division can be activated. Since this is an exception to the standard procedures, such action requires prior approval by the UNDP Global Fund/Health Implementation Support Team.
UNDP has developed and manages a system of LTAs with manufacturers that meet the minimum Global Fund quality assurance requirements for first-line TB medicines. Requesting units are advised to source any first-line TB medicine needs through the UNDP LTAs. The LTAs together with a set of comprehensive SOPs are available here.
As a back-up option to the existing UNDP LTAs, requesting units can also source their first-line TB medicines needs through the Procurement Services Unit (PSU)/Global Procurement Unit (GPU). However, since this is an exception to the standard procedures, such action requires prior approval by Cécile Macé with the UNDP Global Fund/Health Implementation Support Team.
All second-line anti-TB medicines shall be procured in adherence to the Global Fund 13th Board Decision of 2006. To limit resistance to second-line TB drugs, and to be consistent with the policies of other international funding sources, all procurement of medicines to treat multi-drug resistant TB (MDR-TB) financed by the Global Fund must be conducted through the Green Light Committee (GLC) of the Stop TB Partnership.
To procure second-line TB drugs, an application must be submitted to the WHO Global Drug Facility (GDF), which is the GLC’s procurement arm. To access the application, please visit this page and click on the "Direct Procurement Request Form Medicines". The GDF facilitates GLC reviews of applications from potential Directly Observed Treatment Short-course (DOTS) Plus pilot projects. The GLC review determines whether applications are in compliance with the Guidelines for Establishing DOTS Plus Pilot Projects for the Management of MDR-TB. The application must be completed in English along with the MDR–TB Procurement Request Form and Technical Agreement (MPTA) and submitted to GDF. The MPTA template can be provided by GDF, and specific instructions will also come from GDF, which works via a procurement service agent to deliver the drugs. Procurement of second-line TB drugs is channelled via the International Dispensary Association (IDA) foundation. GDF might change procurement agents from time to time, based on the outcome of the competitive procurement process. The UNDP Global Fund/Health Implementation Support Team will inform the COs accordingly.
UNDP has developed and manages a LTA with Novartis for the supply of Coartem under several presentations. Requesting units may choose to source this product through the SLA with UNICEF Supply Division, which is often able to offer alternative options to meet the needs based on generic products meeting the minimum quality assurance requirements. However, requesting units shall note that Novartis presently remains the sole WHO prequalified option for the supply of Atemether / Lumefantrine (80/480 mg) 6 tablet based treatment. Therefore requesting units are strongly encouraged to source any needs for this specific formulation through the existing UNDP LTA. The LTA, together with a set of comprehensive SOPs is available here.
Sourcing through Commercial LTAs (back-up) system
In the event that the pharmaceutical products required are not included in the UNICEF Supply Division online catalogue or the UNICEF Supply Division informs the UNDP CO in writing of its inability to provide antiretrovirals (ARVs), antimalarials or other essential medicines, the CO/PMU must provide proof that UNICEF has not responded in a timely manner to its request. The CO, acting as Global Fund PR, must inform the PSM focal points of the Global Fund/Health Implementation Support Team and request clearance to approach commercial long-term agreement (LTA) holders. Further information on current LTA holders and applicable SOPs can be found here.
Upon receiving clearance from the Global Fund/Health Implementation Support Team, COs are obligated to solicit quotes from all commercial LTA contract holders selected for the category of supplies. Within seven working days, the Global Fund/Health Implementation Support Team must evaluate the offers before they can be placed by the CO.
The above-mentioned conditions do not apply to the purchase of Coartem and Coartem Dispersible, produced by Novartis (UNDP COs are to purchase Coartem and Coartem Dispersible directly via the active LTA between UNDP and Novartis).