Transcript Slide 1

Securing Reproductive Health
Supplies for All:
Challenges and Initiatives
Steve Kinzett
Reproductive Health Supplies Coalition
Mobilizing for RH/HIV Integration
26-29 February, 2008 – Addis Ababa, Ethiopia
Who are we?
A diverse international partnership with members from:
•Multilateral Organizations:
UNFPA, WHO, World Bank, EC, GFATM
•Bilateral donors: Germany/BMZ/KfW, Netherland
Ministry of Foreign Affairs, DFID, USAID, Spain
•Foundations:
Gates, Hewlett, Packard, United Nations Foundation
•NGOs: IPPF, PPD, PAI, PATH, JSI, DSW …
How do we work?
RHSC
Executive
Secretariat
SSWG
Systems strengthening
MDAWG
Market Development
Approaches
RMAWG
Resources Mobilisation
and Awareness
Examples of workstreams
•Project RMA : An advocacy effort on supplies availability
provided by:
•Global – PAI
•Regional – DSW
•Country – IPPF
•Reproductive Health Interchange: Database of
contraceptives supplied by UNFPA, USAID, IPPF to 144
countries (Crown Agents and PSI joining) – hosted by JSI
•2nd Tier Markets – IPPF (ICON)
•Prequalification of RH supplies (WHO/UNFPA)
What are RH supplies?
Driving the agenda
The future of RH supply security is threatened
by three main factors:
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Available resources are insufficient to meet
increasing demand for supplies
Weak systems at country level, coupled
with a more complex supplies environment
Lack of coordination and information
sharing
Contraceptive use
is increasing…
Graph
Supply is
not meeting
demand…
1000
800
600
400
200
Total Est. Contraceptive Cost
2010
2008
2006
2004
2002
2000
1998
1996
1994
1992
0
Actual donor Support
Available, predictable,
and sustainable financing
• Seek out new resources at global level
• Increase access to existing resources at
country level
• Maximize private sector/total market
20/11/2007
Rabat, Morocco
Supplies environment is
becoming more complex
20/11/2007
Rabat, Morocco
GFATM and HIV/RH
Integration
• Yesterday a list of topics were given that
various countries have already received GF
support for:
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Sexual and Reproductive Health
Condoms
PMTCT+
Ante-natal Care
Councelling
ARV’s/STIs
Gender-based services
GFATM and HIV/RH
Integration
• All these have supplies attached to them
(for example):
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Contraceptives
Condoms
Neviriprine/Cotrimoxazole
Oxytocin
Rapid HIV tests
Drugs to treat STI’s (as well as ARVs)
Emergency Contraception/Pregnancy tests
Putting supplies into
your requests
• There is no point in having a superb integrated
RH/HIV service if there are inadequate supplies
• Often supplies are controlled by government –
GFATM funded supplies can ensure that supplies
are available to all programmes
• Again yesterday it was highlighted that good sound
data was required for applications to be successful.
The careful landscaping of available supplies by
different donors and providers is necessary prior to
quantifying supplies to be requested.
• Forecasting imperative (including lead time)
A last note on systems
• Supplies themselves depend on good
systems to get them out there. Think
about :– Small trucks instead of luxury 4-wheel
drives
– Refurbishing stores at district level (or
adding a room) for good storage
– Information systems
Reproductive Health Commodity Security
Global Programme to Enhance RHCS
Addis Ababa, 27 February 2008
Global Programme to
Enhance RHCS: Summary
Aim to catalyse national action to mainstream RHCS within national development frameworks, budgets policy and
programmes to underpin SRH/FP
Bridge from donor dependency to new aid approaches; guiding principles from Paris Declaration on Aid Effectiveness;
Consistent with One UN
Country-driven approach; Ownership / cooperation requested from key national / international stakeholders
Flexible, multi-year funding source to stimulate commitment and reward measured progress and impact
Strong country focus on enhancement of national capacity and systems
Move towards unitary supply systems/mechanisms for all health commodities
Why the Global Programme
is important?
Reproductive Health Commodity Security underpins work across Sexual and Reproductive Health. SRH, in turn,
crucial to efforts to implement ICPD Programme of Action and to meet the Millennium Development Goals.
Funding shortages hamper the adequate provision of contraceptives, condoms and other RH supplies.
Donor community support: 1995 – 30%; 2005 – 20%.
Challenge for governments and partners to ensure universal access to reproductive health care by 2015.
Without supplies, people cannot exercise their reproductive rights.
Global Programme:
Stream 1 countries
Intensified support currently being provided in small number of stream 1 countries: Ethiopia, Burkina Faso,
Mozambique, Nicaragua, Mongolia
Recommended steps leading to definition and implementation of country-owned and country-driven national RHCS
Plan of Action
[1] Broad situation analysis [RHCS links to FP/RH, STI and HIV prevention, maternal health, etc.];
[2] Broad policy/programme analysis;
[3] Stakeholder workshop to build consensus for RHCS Plan of Action
National coordination mechanism to aid coordination and implementation