Int. J Sup. Chain. Mgt Vol. 12, No. 5, October 2023 37 A Facility-Based Study of the Impact of COVID-19 on Supply Chain Performance of HIV/AIDS Commodities in Anambra State, Nigeria Johnson Okwudili Nweke 1,2 , Chana Chapchet Robert 3 , Sunday Odunke Nduka *1,4 1 Logistics and Supply Chain Management Unit, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Nigeria. 2 Diagnostic Laboratory Unit, Medical Centre, Michael Okpara University of Agriculture, Umudike, Abia State, Nigeria. 3 Procurement and Supply Chain Unit, United Nations Development Programme (Global Fund Project), Harare, Zimbabwe. 4 Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Nigeria. 1,2 nwekejj@gmail.com 3 chana_robert@yahoo.co.uk 1,4 so.nduka@unizik.edu.ng Received September 15, 2022, Accepted: October 21, 2023, Published Online: October 31, 2023 Reviewers: Anonymous Peer Review Citation: Nweke, J. O., Robert, C. C., & Nduka, S. O. (2023). A Facility-Based Study of the Impact of COVID-19 on Supply Chain Performance of HIV/AIDS Commodities in Anambra State, Nigeria. International Journal of Supply Chain Management, 12(5), 37-45, https://doi.org/10.59160/ijscm.v12i5.6203 Abstract - The COVID-19 pandemic and its induced lockdown resulted in huge disruptions that affected access to and availability of healthcare commodities at different levels of the supply chain system. An understanding of the pandemic impact in different areas will help in designing strategies to mitigate future disruptions. This study was designed to evaluate the supply chain performance of HIV/AIDS commodities through the review of key performance indicators in health facilities in Anambra State, Nigeria, during the COVID-19 pandemic lockdown. A facility-based cross- sectional study was conducted across 27 selected health facilities in the state. Facilities were selected using a stratified random sampling technique. Data was collected using a combination of a semi-structured questionnaire and observational checklists adapted from a previous study and the Logistics Indicators Assessment Tool (LIAT). Data obtained were analyzed using SPSS software (version 23). A total number of 44 focal personnel managing the HIV/AIDS supply chain in 17 secondary health centres (SHCs) and 10 primary health centres (PHCs) participated in the study. Tenofovir/Lamivudine/Dolutegravir (300/300/50mg) and Nevirapine 10mg/ml oral suspension were the two most available drugs at 85.19% and 78% respectively whereas Determine and Uni-Gold were the most available non- drug commodities at 92.59%, and 81.48% respectively during the lockdown period. The Stat-Pak test kit was stocked out in 30% of the facilities during the lockdown with emergency orders of at least one HIV commodity recorded in 37% of the facilities during this period. Expired products were recorded in 48% of the health facilities and this amounted to a loss of USD 4,027.25. The COVID-19 crisis exposed vulnerabilities in Anambra State's HIV/AIDS commodity supply chain. Instances of emergency orders, stock-outs, and wastage highlight the need for a more resilient system. Investing in an agile supply chain is crucial for ensuring uninterrupted access to essential healthcare commodities during disruptions. Keywords - COVID-19 pandemic, HIV/AIDS, Supply Chain Performance, Health commodities. 1.0 Introduction COVID-19 is a viral respiratory disease caused by the 2019 novel coronavirus (SARS-CoV-2) [1]. It was later reported to the World Health Organization (WHO) with the WHO declaring the outbreak a public health emergency of international concern and a pandemic in early 2020 [2]. As the number of people affected by this virus continued to increase rapidly across the globe, many counties considered and implemented a number of unprecedented responses targeted at reducing the transmission and spread of the virus. These responses ______________________________________________________________ International Journal of Supply Chain Management IJSCM, ISSN: 2050-7399 (Online), 2051-3771 (Print) Copyright © ExcelingTech Pub, UK (http://excelingtech.co.uk/)