Ten years ago, USAID unveiled the largest contract in its history, aimed at transforming health supply chains in lower-income countries. It has not gone according to plan.
By Michael Igoe, Ben Stockton, Misbah Khan // 09 November 2023
Within its first two years of operation, the largest-ever project funded by the United States Agency for International Development was in crisis.
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The $9.5 billion initiative is led by U.S. contractor Chemonics International. Its aim was to transform global health supply chains — the sprawling system of procurement and transport that delivers lifesaving products including HIV/AIDS drugs, mosquito nets, and contraceptives to millions around the globe.
The supply chain project serves as the backbone for the U.S. government’s most celebrated global health programs, including the HIV/AIDS initiative credited with saving 25 million lives. But this project aimed to go one step further, by improving supply chains in lower-income countries to the point that they could be managed by the countries themselves.
If successful, said one USAID official, the agency would never have to fund another project like it again. But a decade later, that has not come to pass.
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