ARC continues to build the institutional capability of the SA National Department of Health (NDoH) to improve visibility of its supply chain and analytical capability to mitigate stock-outs. Contributions from Unilever, Procter & Gamble, Heineken, Johnson & Johnson, Wits University and the South African Production and Inventory Control Society have transformed a waning donor-funded project into a national programme. ARC started the Wave Governance process to manage activities and resources with the United States Agency for International Development’s (USAID) SA Mission and Affordable Medicines Directorate leadership.