In Action:
Supply Chain Audit and Evaluation

Background

The Global Fund and GAVI established audit and assessment mechanisms to monitor the use of funds for programs supported by both entities to ensure that they were being used in accordance with established standards and guidelines. These mechanisms have helped to improve transparency, accountability, and the overall effectiveness of health programs supported by these organizations.

Medical Access was engaged to conduct an independent and objective review over the design and effectiveness of controls in place to manage potential risks impacting the Global Fund and GAVI’s programs and operations.

Our Intervention

Cambodia, Democratic Republic of Congo, India, Malawi, Nigeria, Pakistan, Rwanda, Sudan, Tanzania, Uganda, Zambia and Zimbabwe

Medical Access conducted an audit of supply chain management processes in 12 countries in Africa and Asia to assess whether they were adequate and effective in ensuring that products are delivered based on the 6 “rights” of logistics.

We addressed fundamental concepts designed to improve program interventions such as root causes of supply chain challenges at the country level, alignment of GF structures, systems, processes and resources to mitigate in-country supply chain challenges, and GF assurance frameworks adequate and effective to support the identification and mitigation of supply chain related risks.

Ethiopia, Ghana, Indonesia, Kenya, Lesotho, Liberia, Malawi, Mozambique, Nepal, Nigeria, Pakistan, Republic of South Africa and South Sudan

As part of the Office of the Inspector General (OIG) audit of the Global Fund, Medical Access assessed the country procurement and supply chain governance structures of 13 countries in Africa and Asia.

This included grant implementers’ risk management and internal control systems in procurement and supply chain management, as well as systems for procurement, warehousing and distribution, inventory management, quality assurance and Information Technology.

Results

These audits provided valuable insights into the supply chain gaps in the Global Fund and GAVI country programs and operations and enabled clear, evidence-based interventions to address these gaps.

Working with Global Fund and GAVI has provided Medical Access an opportunity to make a significant impact in the global fight against diseases like HIV/AIDS, malaria, and tuberculosis by ensuring that funds are being used effectively and efficiently, which helps to ensure that critical health interventions are reaching the communities that need them most.