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Strengthening the Public Health Supply Chain System in Nigeria

Axios serves as the logistics partner for three major PEPFAR-funded programs in Nigeria

PEPFAR Projects 

Axios has successfully managed a wide range of logistics and supply chain activities for three of Nigeria’s major PEPFAR funded programs: GHAIN / SIDHAS (FHI360), ACTION (UMB / IHVN), and ProACT (MSH) since their inception.

Axios’ responsibilities have encompassed procurement of ARV drugs, RTKs (Rapid Test Kits), laboratory equipment, reagents and consumables, and other supplies, and management of all facets of the supply chain, such as importation, customs clearance, warehousing, distribution, inventory management in health facilities, and forecasting. Axios has helped ensure sustainable systems by focusing heavily on strengthening hospital pharmacy systems, establishing best practices, and building the capacity of pharmacy staff through regular, systematic training programs.

Axios has worked with its primary partners as well as USAID, the Centers for Disease Control and Prevention (CDC), and Nigerian Federal and State governments and their agencies, to improve systems, facilities, and training in Central Medical Stores and health facilities throughout Nigeria. For these programs, Axios has provided procurement and supply chain management services in 352 sites (comprising 232 comprehensive sites and 120 PMTCT stand-alone sites) in 36 states and the Federal Capital Territory. Axios has also established reliable and well-functioning forecasting procedures that feed data into a central procurement system by implementing computerized inventory management systems and training of personnel in health facilities in 12 states. The Axios-managed procurement and supply chain system for these programs has grown to provide uninterrupted supply of drugs to over 200,000 patients on ART since inception in 2004. Axios also ensures reliable and well functioning supply systems for laboratory equipment, reagents, and supplies, as well as OI medicines and other drugs, medical commodities, test kits, and other supplies. 

In addition, Axios is working with Abt Associates in the DFID (UK Department for International Development) funded PATHS2 project to improve supply chain management systems and infrastructure for essential drugs in the primary health sector in Jigawa, Kaduna, Enugu, Kano, and Lagos states. Axios supports and builds capacity of the State Ministries of Health and Central Medical Stores in all components of supply chain management including selection, forecasting, procurement, warehousing, and distribution. Axios has taken the lead in service delivery functions that relate to health commodities and the Drug Revolving Fund (DRF), covering drug availability, accessibility, affordability, sustainability, quality, and financial management.

UNDP Projects 

Under a United Nations Development Programme (UNDP) funded project in northern Sudan, Axios is working closely with the government and stakeholders to strengthen all aspects of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) supported commodity supply chains. Given Sudan’s large size and challenging socio-political environment, substantial investment and support is required to improve the pharmaceutical logistics system, especially following the Government of Sudan’s decision to scale up HIV, TB, and Malaria services at the national level.

Axios' activities encompass assessment, design, and implementation activities intended to improve the existing Government of Sudan supply chain management system. We are using our expertise in a number of focus areas including: 1) Forecasting, quantification, and procurement planning, 2) Logistics system design, implementation (including inventory control management), monitoring, and supervision, 3) Logistics Management Information System (LMIS), 4) Warehousing and in-country distribution optimization, 5) Management and coordination, and 6) Institutionalization of Rational Use of Drugs and pharmacovigilance. Axios’ technical support avoids duplication of efforts by identifying and filling in gaps, and complementing existing systems and services to guarantee consistent and uninterrupted supply of all program commodities.

Axios has designed a two-track strategy that responds to immediate logistics management and coordination support while also developing systems and building capacity to yield long-term, sustainable results. We strongly believe in utilizing existing infrastructure where ever possible and strengthening the capabilities of local stakeholders including government agencies and organizations. To accomplish this, the Axios team works side by side with staff from the Central Medical Supply, a parastatal agency with the responsibility for procurement and distribution of commodities throughout the entire north Sudanese health system. In addition, we collaborate with the Federal Ministry of Health on the HIV/AIDS, tuberculosis, and malaria vertical disease programs.