“…Effective and efficient communication between central, regional, and local health facility levels as well as quantification, secure transport, and quality assurance of medical products are all required parts of a functional supply chain 4 – 7 . Although much is understood about how to measure, monitor, and improve ARV SCM at the central and regional levels of a health system, less has been done to identify and measure facility-level practices and behaviors that can affect SCM 5 , 6 , 8 – 12 . In this article, we define facility-level SCM as activities related to managing and ordering inventory and monitoring the performance of facilities at the point of service delivery carried out by health care providers, managers, and administrators involved in prescribing and dispensing 7 .…”