Transcript Advocacy Issue: - United Nations Population Fund

Final Ideas Exchange
30 May 2014
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Armenia
Belarus
Bulgaria
Georgia
Moldova
Romania
Kyrgyzstan
Azerbaijan
Kazakhstan
Turkmenistan
Tajikistan
Uzbekistan
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Kosovo
Macedonia
BiH
Albania
Ukraine
Turkey
Macedonia
Команда страны: АРМЕНИЯ
Advocacy Issue: Lack of guaranteed modern contraceptives for vulnerable population
Advocacy Goal: Guaranteed providing modern contraceptive for vulnerable populations until the end of 2016
Target Decision-maker(s):
1 - Minister of Health
2 - Minister of Social Welfare and Labour
3 - Finance Minister
4 - Chairman of the Standing Committee of Parliament on
motherhood and childhood
Key Influencers:
1 - Coordinating Committee for RH at MOH Armenia
2 - The main experts and national experts
3 - Deputy Ministers
4 - Head of Department
5 - Reputable and well-known faces at the national level
6 - Members of the media - TV, press, radio
7 - International Organizations and donors (UNFPA, WHO, USAID,
Oxfam, IPPF etc.)
8 - Interested NGOs
9 - Human rights organizations and human rights activist RA
Potential Partner(s):
1 - Pharmaceutical companies and major suppliers of
contraceptives
2 - Division of the MOH on procurement and distribution of
medicines and medical supplies
3 - NGO Coalition and on RH, motherhood and childhood, youth
and others
4 - USAID, UNFPA, IPPF and international organizations
5 - Private Sector
Messengers:
1 - Deputy Ministers
2 - Head of Department
3 - Head Obstetrician-Gynecologist
4 - The First Lady
Country Team: Armenia
Objectives:
1.
Implement guaranteed provision of modern
contraceptive methods for vulnerable population
into the basic package of free medical care and
services before the end of 2014
2.
Increase awareness of vulnerable populations about
the benefits of modern methods of contraception
and the demand for effective contraception before
the end of 2016
Activities:
1.
Meeting Coordinating Committee MoH on
reproductive health work in working groups, drafting
changes project for the basic package, review and
approval of the package by the MOH and the RA
Government. (before the end of 2014)
2.
Develop a strategy and program of action,
implementation of planned activities, monitoring
and evaluation. (before the end of 2016)
3.
Develop strategies and mechanisms for the
centralized purchase and distribution of modern
contraceptives for vulnerable populations before
the end of 2015
3.
Analysis of market segments, the work of the
working groups, together with experts, preparation
and implementation of computer programs and
logistics forms. (before the end of 2015)
4.
Achieve public funding for guaranteed provision of
modern contraceptive means for vulnerable
population before the end of 2015
4.
Budgeting based on an assessment of demand of
vulnerable populations to modern contraceptives.
(before the end of 2015)
Belarus
Country Team: Republic of Belarus
Advocacy Issue:
Insufficient provision of teenagers with contraceptive methods
Advocacy Goal: Upholding the rights of adolescents aged 15-18 alone give consent to
medical intervention in the sexual and reproductive field
Target decision-makers:
Minister of Health,
Chairman of the Council of the Republic;
President of the Chamber of Representatives of
the National Assembly
Potential partners:
RSPC "Mother and Child";
BYPU "Reproductive Health";
UNFPA
Key Influencers:
First Deputy Minister of Health;
Deputy Minister of Health (finance);
Head of Main Division for medical care;
Organization of medical care;
Head of medical care for mothers and children;
The Standing Committee on Health,
Administration of the President, ROC
Messengers:
Director of the RSPC "Mother and Child";
First Deputy Minister of Health;
Deputy Minister of Health (finance);
Chairman of the Standing Commission on LP;
Chairman BYPU "Reproductive Health";
Member of the House of Representatives.
Country Team: Republic of Belarus
Objectives
1. Bill Development on NP by MOH and its
introduction to the Parliament in 2017;
Activities:
1. Collection and analysis of statistical data;
2. Analysis of international experience;
2. Adoption of the bill by the House of
Representatives of the National Assembly
before 2018;
3. Adoption of the Draft by the Council of
the Republic in 2018;
3. Effectiveness analysis;
4. Drafting of documents on the bill;
5. Roundtable on the issue with
representatives of both Houses;
6. Dealing with the media.
Bulgaria
Country Team: Bulgaria
Advocacy Issue:
Low access of vulnerable populations to modern contraceptives and FP serveces
Advocacy Goal:
Adoption of National Program on Sexual and Reproductive Health by the Council of Ministers
through the Ministry of Health (MoH) till 2014
Target Decision-maker(s):
Minister of Health, Chair of Health
Commission of the Bulgarian Parliament,
Minister of Finance
Key Influencers:
of the Cabinet of the Minister of Health
•Director of Department “Medical Services” in
MoH
•President of the Medical Doctors’ Union,
•National Association on Ob./Gyn.
•Department for demographic development in
MLSP
Potential Partner(s):
•Professional
societies
•NNHMs
•International agencies
(WHO, UNICEF)
•Sofia Medical University
•Zdrave.net
•Head
Messengers:
Chief of the cabinet
Prof. Chernev (MU, professional
organizations)
Dr. Stamenkova (BFPA)
Country Team: Bulgaria
Objectives:
1. Ministerial order to create task force
group by the end of July 2014
2. Finalized NP by the end of Sept. 2014
Activities:
1. Common message development
2. Meetings with the minister/ members of
the political cabinet of MoH
3. Meetings with parliamentarians
4. Participation in the process of finalizing
the NP
Georgia
Country Team: Georgia
Advocacy Issue: Private Sector refuses to allow social products in its chains.
Advocacy Goal: Increase access to social products for vulnerable population in the
Country by the end of 2016
Target Decision-maker(s):
Minister of MoH; Health Care committee;
Prime Minister and President
Potential Partner(s): NGO, Donors,
Professional Associations, Mass Media,
NCDC, Youth clubs,
Key Influencers: NGO, Donors, Professional
Associations, Mass Media, MoH
Messengers: 1-at MoH-Head of Healthcare
Department, Deputy of MoH, UNFPA, 2-at
Parl. Minister of MoH, Opposition MPs in
the Committee of HCC , other Parliamnet
Committees.
Country Team: Georgia
Objectives:
1. Increase and define the concept of Social
Product into the National Law on Medicine
and Pharmaceutical Activities by the end of
2016.
Activities:
1. NGOs and donors address the MoH.
2. MoH will review and prepare the project
3. The Project will be sent to the Prime
Minister Office
2. To ensure the continuous supply of the
contraception to the vulnerable and high
risk groups through the pharmacies.
4. The Report will be sent to the Parliament
3.
4.
5.
5. Renewal and logistical strategy to cover
the whole territory of Georgia.
Moldova
Country Team: Moldova
Advocacy Goal:
Limited access of vulnerable groups to contraceptives
Advocacy Goal:
Improving the financial mechanism for the procurement of contraceptives for vulnerable
groups
Changing laws to ensure procurement of contraceptives through AccessRH (procurement
system at the lowest prices UNFPA) by 2016
Target Decision-maker(s):
1. Minister of Health
2. Minister of Finance
3. Minister of Economics
4. Director of the Procurement Agency
Potential Partner(s):
1. National Health Insurance Company
2. Medicines Agency
3. UNFPA
1.
Key Influencers
1. Vice-Ministers
2. Chairman of the Parliamentary Commission on
Social Protection
3. Members of Parliament
4. Chief Specialist on SS
2.
3.
4.
5.
Messengers:
Specialists of the Center for
Reproductive Health and Medical
Genetics
academic sector
NGOs
Media
Country Team: Moldova
Objectives:
1. By 2015, the MOH and the National
Health Insurance Company will develop
new normative document regulating the
purchase of contraceptives for socially
vulnerable segments of the population
2. By 2016 MOH will develop
normative documents with an action
plan for the procurement of
contraceptives through Access RH
Activities:
1. Establishment of a working group
under the MOH and develop an
action plan
2. Assessing needs of socially
vulnerable segments of the
population (of reproductive age) for
contraceptives
3. Development of a draft regulatory
document and its approval
4. Inclusion of contraceptives in the list
of medicines for centralized
procurement
5. Procurement and distribution of
contraceptives to socially vulnerable
groups.
Romania
Romania policy advocacy strategy
• Issue
– Lack of appropriate FP service delivery system within primary health
care
• Goal
– The MoH will to adopt a ministerial order to regulate FP service
provision,(at different levels of national health care system) including
referrals, by the beginning of 2016
• Target decision makers
– Minister of health + president of NIH
– Secretary of state from MoH
– Director of Health Care Directorate (MoH)
• Key influencers
–
–
–
–
Members of political party to which the minister is member
Personal counselors
Technical staff of MoH
Professional associations (ob-gyns, family doctors, pharmacists)
Country Team: Romania
Romania policy advocacy strategy
Potential partners: Sexual and Reproductive Rights Coalition,
Family Doctors Association, Roma Health Mediators Association
Messengers: Technical staff of MoH, leaders from NGOs, technical RH
experts
• Objectives
– The MoH will appoint a
working group responsible for
drafting the support
documents for ministerial
order by January 2015
– Health Care Directorate will
develop support documents
and draft of ministerial order
by September 2015
– Minister of Health will adopt
the ministerial order who will
regulate FP service at the
beginning of 2016
• Activities
– Develop situation analysis
– Organize a roundtable
– Consultations with
professional associations and
other ministries
– Development of documents
– Public consultation of the
final draft
– Issue of the ministerial order
– (Publication of ministerial
order on the Official Journal
Kyrgyzstan
Country Team: Kyrgyzstan
Advocacy issue: Limited access of vulnerable groups of population to contraceptives: lack of
vulnerability criteria with regards to Family Planning and supply of contraceptives.
Advocacy Goal: The Kyrgyz government will obtain the Resolution on defining criteria for
vulnerable groups on issues of PS and provide contraceptives
Target Decision-maker(s):
1.
2.
3.
4.
Deputy Prime Minister for Social Affairs - Sarieva E.
Minister of Health - Sagynbaeva D.
Minister of Social Development - Bazarbayev KB
Director the MHIF - Shakirov G.
Key Influencers:
Parliament of the Kyrgyz Republic
Deputy ministers and heads of
administration
Potential Partner(s):
UNFPA, GIZ, Department of the Ministry of Health, NGO
ARZ, CBSA, Ministry of Social Development
Messengers:
Department MOH Kyrgyzstan
Ministry of Social Policy and the Department
of Social Affairs
Country Team: Kyrgyzstan
Objectives:
1. By September 2014, coordinated by the
MoH Kyrgyzstan it is needed to create an
interagency, inter-sectoral working group
on the development of criteria for
vulnerable groups concerning the
contraceptives at state expense
2. By the first quarter of 2015 under the
coordination of the Ministry of Health it is
needed to inform partners and agree with
the decision-makers on draft criteria for
vulnerable groups concerning the
contraceptives at state expense
3. By the end of 2015 the Government of
the Kyrgyz Republic will adopt the criteria
for vulnerable groups concerning the
contraceptives at state expense
Activities:
1.1 Develop and approve a list of the
working group on the development of
vulnerability criteria
1.2 Develop and approve the TOR for WP
1.3 Conduct an orientation meeting WG
1.4 Develop draft vulnerability criteria
2.1 Initiate discussed within the project
criteria of vulnerability.
2.2 Presentation of the draft vulnerability
criteria for partners and stakeholders.
2.3 Develop the final version of vulnerability
criteria.
3.1 Approve the vulnerability criteria at the
cabinet meeting
Azerbaijan
Team country: Azerbaijan
Advocacy issue: Increase the number of consumers of modern contraceptive methods
Advocacy Goal:
Define and adopt a list of professionals and services in the Ministry of Health of the SS until the
end of 2015
Target Decision-maker(s):
Minister of Health
Deputy Minister
Head of Organizational Department of health
services unit
Potential Partner(s):
Ministry of Health
Public Health and Reforms Center (PHRC), MOH
Office of the Ombudsman
UNFPA
National Office of the Reproductive Health
Key Influencers:
Members of Parliament, the Ombudsman
Management strategies and innovation, MOH
Ministry of Labour and Social Security
UNFPA, WHO, UNICEF
Messengers:
ombudsman
parliamentarians
International organizations
Команда страны: Азербайджан
Objectives:
1. Establishment of a working group to
develop changes in duties and services
of nurses and family doctors in
September 2014.
2. Collection and analysis of data and pilot
projects conducted by DHS in 2011 by a
working group in order to create an
evidence base before February 2015.
3. Prepare environment for the issue
Activities:
1.1 Holding negotiation and business roundtable for
interested parties identification
1.2 Creation and distribution of the working group’s
duties and responsibilities
1.3 Collection and analysis of existing material
1.4 Preparation of the sample position duties
1.5 Getting feedback of prepared draft from the MOH
experts and authorities
2.1 Data processing and analysis reports
2.2 Preparation of an analytical document for the
consideration of the Minister of Health
2.3 Conform analytical document with those
influencing minister decisions аnd send to the
minister
3.1 Increase public awareness about situation of the
contraceptives use in the country and need for
expanding and improving FP services through TV,
radion, newspapers
3.2 Push debates in the Parliament on the issue
using Ombudsman as messenger
Kazakhstan
Team country: Kazakhstan
Advocacy issue:
Lack of contraception for teenagers under 18 years old in the guaranteed volume of free medical care
Advocacy Goal: The Government of Kazakhstan will approve a decree "On Amendments and
Additions to the “List of services and medicines within GVFMA“ regulating provision of
adolescents under 18 years old with free contraceptives by the 4th quarter of 2015
Target Decision-maker(s):
Minister of Health
Minister of Economy and Budget Planning
Prime minister
Potential Partner(s):
UNFPA, Kazakhstan Association
on Sexual and Reproductive
Health (KASRH)
Key Influencers
Messengers:
The Members of Parliament (two deputies supervising the health
sector)
Chairman of the National Commission for Women, Family and
Demographic Policy under the President of RK
Minister of Health
Director of the department of medical service organization MoH
UNFPA - director and executive representative of the country office
KASRH - Executive Director
Vice - Minister of Health for Economic Affairs
Deputy of the Majilis in charge of social issues
Deputy Chairman of the Majilis
Chairman of the National Commission for Women, Family
and Demographic Policy under the President of RK
Team country: Kazakhstan
Objectives:
1.
Interagency Working Group established by MOH will
prepare analytical information to justify the
inclusion of the COP into GVFMA for teens and will
receive the approval from concerned departments
in the 2nd quarter of 2015
Activities:
1.
2.
3.
1.
2.
Interdepartmental working group will prepare a
draft of the Resolution and forward it for approval
to the Office of the Prime Minister and the
President's Administration by December 2015
2.
MOH will create an order to interdepartmental
working group to amend the GVFMA
Interdepartmental working Group will prepare
analytical information to justify the need for changes
and additions to the GVFMA
Interdepartmental working Group will hold
orientation meetings for technical performers from
concerned departments for obtaining approval of
analytical reference
Interdepartmental working group will develop a
draft resolution stating the form of funding and
calculations
MoH will send the project for approval to AP
(Administration of the President of the Republic of
Kazakhstan ) and OPM (Office of the Prime Minister
of the Republic of Kazakhstan)
Turkmenistan
Team country: Turkmenistan
Advocacy issue: Vulnerable groups’ access to contraceptives, purchased at the expense of
the state budget
Advocacy goal: Adoption of a resolution (Protocol) MOH and MI of determining the list of
people eligible to receive benefits when issuing contraceptives from the state budget by
October 2015.
Target Decision-maker(s):
MHMI of Turkmenistan, Cabinet of
Ministers of Turkmenistan
Key Influencers:
Mejlis (Parliament of Turkmenistan),
Ministry of Social Welfare, National RH
Centre, NIDHR under the President of
Turkmenistan.
Potential partners: MHMI of Turkmenistan,
MCH, international organizations, UNFPA,
NIDHR, Ministry of Social Welfare,
Women's Union, NGO, Main Pharmacy
Union.
Messengers: Deputy Minister of MHMI,
MCH Director, Head of the treatment and
prophylaxis department of MHMI of
Turkmenistan.
Команда страны: Туркменистан
Objectives:
1. Recognition of the need to collect data
relating to vulnerable groups (lowincome families, women with
disabilities, women in prison, teens are
having sex, etc..) October 2015.
2. Further improvement of the legislation
on family planning offices to the new
realities, in particular, public
procurement of contraceptives, the
introduction of the TMA and the system
of public health insurance. May 2015.
3. Strengthening the system on improving
of quality of services in the family
planning through clinical audit.
Activities:
1.1. Defining the goals and objectives of the
working group on the implementation of the
TMA.
1.2. Consideration of proposals of the
working group on the importance of
protection needs of vulnerable groups in the
field of family planning services in order to
improve reproductive health indicators in
the country.
1.3. Information support in the mass media.
1.4. Discussion of the vulnerable groups
issue during the meetings with UNFPA
Directors.
1.5. Focus group discussions with
representatives of vulnerable groups and the
presentation of the results of the working
group.
2.1. Development of reporting
documentation to control the release of
contraceptives on a preferential basis to
vulnerable groups
2.2. Involvement of internal / external
expertise to further integration of
reproductive health, HIV and family
planning services at the primary level of
health care.
2.3. Strengthening of health insurance
system
3.1. Knowledge management on quality
improvement in the piloting points
through involving the experience from
other regions.
3.2. Promotion of solutions adoptions in
order to improve the quality of services
in the field of family planning on the
basis of clinical audit.
Tajikistan
Team Country: Tajikistan
Advocacy issue:
No provision of low-income population with contraceptives from public funds
Advocacy Goal: MoH Tajikistan with its internal order regulates the responsibilities of managers of PHC for the
dissemination of contraceptives by the end 2014
Provide the population with low income contraceptives from public funds by introducing amendments to the
PGU by the end to 2020.
Target Decision-maker(s):
1.
2.
3.
Minister of Health,
First Deputy Minister,
Head of motherhood and childhood MH
Potential Partner(s):
1.
2.
3.
4.
TSMU (Tajikistan State Medical University)
TBMC
Tajik Research Institute of Obstetrics and Gynecology
Mental Health Research Center
Key Influencers
Messengers:
MoH
MF
The Parliament
Religion
UNFPA
1.
WHO
2.
UNICEF
3.
TFPA
Team Country: Tajikistan
Objectives:
1.
2.
3.
MoH creates a working group to analyze the situation
concerning provision of contraceptive services at PHC
level until the end of August 2014.
The Working Group will prepare an analytical report
with recommendations and submit it at the meeting
of the coordinating council MoH 2014 until midNovember.
On the basis of the analytical report MCH MoH will
prepare an order regulating the responsibilities of
managers of primary health care to the Minister of
Health of RT until the end of November 2014.
Activities:
1. Make a list of the working group (WG)
2. Agree on the list of WG with heads of agencies of potential
partners for the inclusion of their representative in WG.
3. Preparing order to establish a WG and its agreement with the
management entities of MoH.
4. Submit the order for consideration and signing to the Minister of
Health of the Republic of Tajikistan.
5. Develop terms of reference for the WG;
6. Familiarize WG with terms of reference , the order and sample
the regions for analysis;
7. Assess / research in selected regions;
8. Preparation of the report and recommendations and its
presentation in the Coordinating Council;
Solving the problem of contraceptives distribution at the PHC level is a key element in
reducing maternal morbidity and mortality.
Uzbekistan
Country Team: Uzbekistan
Advocacy Issue: Lack of equal access to quality SRH services and products/contraceptives for
rural population
Advocacy Goal: Ministry of Health adopts regulatory document on improvement of the
quality of SRH/FP services by the end of 2015
Target Decision-maker(s): 1.Minister of Health (Mr.
Anvar Alimov)
2.Vice prime Minister (Mr. Adham Ikramov)
3.Chairperson of Women's Committee (Ms. Elmira
Basitkhanova); 4.Ob/Gyn Assoc. Prof. Najmitdinova
Key Influencers: Deputy Minister of Health
(Tuychiev), MCH Department
(Ismailov&group), Minister of Health, Wom.
Committee, Cabinet of Ministers, WHO CO.
Potential Partner(s): Departments of MoH,
Department of Women's Committee on
social and family affairs, National research
and education centres on health
Messengers: UNFPA, Ministry of Health,
Women's Commitee, professional
associations
Country Team: UZBEKISTAN
Objectives:
Activities:
1. MoH establishes a working group to draft
a regulatory document by September, 2014
1.UNFPA meets with MoH to agree on
establishment of WG. Organization of round
table meeting to address the issue to the
potential partners and stakeholders.
2.WG works on review of relevant
documentation and analysis of situation.
Organizes technical meetings .
2.Working group accomplishes a draft
document by July, 2015
3.Working group gets approval and
endorsement for finalization of the
regulatory document with line organizations
and Ministries
3.Provides draft of the regulatory document
for the review of partners and decision
makers.
Kosovo
Country Team: Kosovo
Advocacy issue: Contraceptives to remain in the Essential Drug List
Advocacy Goal:
By the end of December 2014, the MoH will revise the Sectorial health strategy , to specify
contraceptive availability on Essential Drug List.
Target decision makers:
• Minister of Heath;
• General Secretary of MoH;
Potential Partner(s):
•
•
•
•
•
Key influencers:
• Chief of Division for Mother and Child
Health;
• Technical Advisers;
WHO
Parliamentarians;
Kosovo Women network;
Finance and pharmaceutical department of MoH;
Media (incl. communication department UNKT and MoH)
Messengers:
• UNFPA Assistant Rep.
• Chief of Division of MCH-MoH;
• WHO Head of Office in Prishtina;
Country Team: KOSOVO
Objectives:
1. The Working Group submits for
comments the revised strategy which
specifies contraceptives to remain on
EDL , by end of September 2014;
2. Comments are received and
incorporated by the coordinator of WG
into the final draft of strategy, by end of
November 2014.
3. The Minister of Health endorses the
Sectorial Health Strategy 2015-2020, by
end of December 2014.
Activities:
1. Develop, print and distribute a factsheet
based on cost benefit analysis on
contraceptives ;
2. Meeting with General Secretary of MoH
and working group on strategy revision, to
inform them on importance of contraceptive
remaining on EDL.
3. Provide technical expertise to the working
group on strategy revision.
4. Organize a workshop with all relevant
stakeholders to present revised draft
strategy with incorporated comments,
before sending to Minister for Approval.
Macedonia
Country Team: Macedonia
Advocacy Issue:
No free contraception available for vulnerable groups
Advocacy Goal:
By December 2014 the Ministry of Health to introduce a budget line in the Preventive Health
Care Programs for procurement of contraceptives for vulnerable groups
Target Decision-maker(s):
Minister of Health
Potential Partner(s):
•
•
•
•
Key Influencers:
•
•
•
•
Department of Preventive Health Care
State Advisor at the Ministry of Labor and
Social Policy dealing with population
development
Advisors of Prime Minister for Health and
Social Policy
Head of Parliamentary Commission for
Gender Equality
Parliamentary Commission on Equal Opportunities
Ministry of Labor and Social Policy
UNFPA
HERA NGO
Messengers:
• Advisor of DPHC
• Head of DPHC
• UNFPA SRH
Country Team: Macedonia
Objectives:
1. By October 2014 the DPHC to present to
the Minister of Health evidence-based
arguments for introducing budget line item
in the Preventive Health Care Programs to
procure contraceptives for vulnerable
groups
2.
3.
4.
5.
Activities:
1. Regular meetings of TMA Working Group
2. Development of evidence based Policy
Brief
3.
4.
5.
Bosnia and Herzegovia
Country Team: Bosnia and Herzegovina
Advocacy Issue:
Lack of contraceptives on the essential drug list
Advocacy Goal:By December 2015 both BiH entities MoHs will implement a right to
contraceptives as articulated by the SRH policy by updating the EDL to include the
contraceptives
Target Decision-maker(s):
1. Ministers of Health
2. Advisory Drugs Board
Key Influencers:
1. Chairman of PGPD
2. Pharmaceuticals advisors
Potential Partner(s):
1. Assistant Ministers of Health
2. Professional Associations
3. Civil Society
4. Other UN Agencies/IPH
5. PGPD
Messengers:
Assistant Ministers
Pharmaceutical advisors
Country Team: Bosnia and Herzegovina
Objectives:
1. Strategic advocacy framework of the
coalition is created and functional by the
March 2015
2. By June 2015 the Drugs Advisory Boards
will make a recommendation to the
Ministers of Health to add at least one
contraceptive to the EDL on the entity level
3. By the end of 2015 the MoHs will add at
least one contraceptive to the EDL on the
entity level
Activities:
1. Develop coalition’s official document/position
paper for the Minister’s approval of adding
contraceptive to EDL
2. Three meetings organized to define the goal
and responsibilities of the coalition
3. To develop situational analysis of the
contraceptives situation in BiH (Market
segmentation analysis) conducted
4. Organize meetings with the representatives of
the Drug Advisory Board
5. Organize regular formal and non formal
meetings with the Ministers and the technical
staff with the Ministers
Albania
Country Team: Albania
Advocacy Issue: Lack of Enabling Political Environment in Support of Social Marketing Sector
Advocacy Goal: By June 2015 the Parliament will pass the amended VAT Law that removes
20% tax for Condoms
Target Decision-maker(s):
1) Minister of Health
2) Minister of Finance
3) MPs – Deputy Chair of the Health and
Social Issues Commission
Potential Partner(s):
Key Influencers:
1) Deputy Minister of Health
2) United Nations Resident Coordinator
3) Director of Public Health
4) Director of Pharmaceutical Directory
5) Parliamentary sub - committee on
population and development issues
Messengers:
1) Deputy Minister of Health
2) Deputy Chairwomen of the Health and
Social Issues Parliamentary Commission
3) UNFPA Representative / Assistant
Representative
Influential officials in the decision making process
Ministry of Health officials and IPH technical experts
RH coalition
Private sector
International organizations and UNFPA
Country Team: Albania
Objectives:
1. Minister of Health submits the proposal
of amending the Law to the Minister of
Finance by December 2014
2. Minister of Health presents to the
Cabinet of Ministers the proposal to amend
the Law on VAT waiver by March 2015
3. Minister of Health and Minister of
Finance will advocate in favor of the draft
amendment of Law to the Parliament
Commissions of Health and Economy by
May 2015
Activities:
1) Revise the National Contraceptive Security
Strategy
Conduct advocacy meetings with key officials
from the MoH
Submit the proposal to Minister of Finance
2) Conduct advocacy round tables with the
Ministry of Health and Ministry of Finance experts
(advisors from the respective Ministries)
Conduct meetings with Prime Ministers advisors
on health issues
Include the proposal from the MoH in the Cabinet
of Ministers agenda
3) Conduct advocacy meetings with the Health
Parliamentary Commission
Conduct advocacy meetings with the Economic
Parliamentary Commission
Include the issue on amendment of Law on VAT in
the Parliamentary session agenda
Team country: Ukraine
Advocacy Issue: Lack of sufficient market contraceptives in the low price segment
Advocacy Goal: By 2017, ensure the availability of the smallest available contraceptives
package contraceptives (-2-3 MPDK items of four modern methods) on the market on the
basis of the agreement on public-private partnership
Target Decision-maker(s):
1)
2)
3)
4)
Minister of Ministry of Health
Head of the Service for Medicines Control
Farm leaders. manufacturers of contraceptives
Distributors
Key Influencers:
1)
2)
3)
4)
5)
Deputy Ministers
Campaign SMD - data on market
segmentation, sales structure, research data
Group on Reproductive Health
UNFPA
WHFP IPPPF MA
Potential Partner(s):
1.
2.
3.
Potential partners: pharmacological companies,
Drugs Importing companies
Pharmacy chains
Messengers:
1) Mass media
2) Technical experts
3) Opinion leaders
Team country: Ukraine
Objectives:
1. Before the end of 2014 Partners Group
on Reproductive Health (PGRH) should
attract potential private sector partners
interested in collaborating on a publicprivate partnership
2. Until mid-2015 PGRH together with
private sector partners should agree on the
composition of the minimum available
package contraceptives (MAPC) and sign a
Memorandum of Cooperation
3. Prior to 2016, together with the Ministry
of Health PGRH should include provisions to
ensure MAPC in the draft of the new State
Program on Reproductive Health
Activities:
1.1 Gather information on the cost of contraceptives in
neighboring countries and reimbursement schemes
1.2 Conduct a presentation of WAPS results for key stakeholders
1.3 Based on these studies the aviation package for working with
the private sector should be formulated
1.4 Conduct individual meetings with representatives of Farm
Companies
1.5 Roundtable stakeholder MAPC
2.1 Determine the price range MAPC;
2.2. Agree on a list of actions on the part of partners to ensure
adequate availability of products in this price range (price
reduction, registration of new social products, etc.)
2.3 Agree draft Memorandum, including the responsibilities of
partners
2.4. Sign the Memorandum and implement it, including media
coverage.
3.1 To present the results of work on MAPC on the working group
on the development of State Programs
3.2 introduced the concept and the results of work on the
parliamentary committee on MAPC
3.3 Develop the relevant provisions in the State program, including
indicators
3.4. Organize support from the media and public organizations
Country Team: Turkey
Advocacy Issue:
National Health Insurance Does Not Cover All Registered Family Planning Services and
Commodities
Advocacy Goal:
UHI essential drug and service list will cover and reimburse registered FP services and
commodities in collaboration with MoH, MoF and UNFPA by the end of 2017
Target Decision-maker(s):
•
•
•
National Essential Drug and Service List Commission
The President of Social Security Institution
Representati ve of Ministry of Finance/ Ministry of Development
and Treasury
Key Influencers:
The General Directorate of Health Services
(MoH)
Representative of Private Hospitals
Representative of University Hospitals
MPs
UNFPA
Potential Partner(s):
Turkish Society of Obstetric and Gynecology
PUBLIC HEALTH PROFESSIONALS ASSOCIATION
Turkish Family Health & Planning Foundation
Community Volunteers Foundation
Turkish Family Planning Association
Messengers:
Media
Woman NGOs
Youth NGOs
Patient’s Rights Association
Universities
Academicians
Country Team: Turkey
Objectives:
1. A report prepared by five partner
organizations on sustainable access
mechanisms of FP commodities by
December 2014
2. A joint statement released by partners for
the media on the benefits of the proposed
change by Feb.2015
3. Submission of the finalized proposal to
National Social Security Ins. by Gen D. Of
Health Services of MoH by June 2015
Activities:
Conducting a meeting with the 5 partner organizations
Establishment of a technical commission on drafting
Finalising the report on sustainable access mechanisms of
FP commodities
Executive summary of the report will be drafted
Executive summary of the report will be finalized
Delivery (MPs, Partners, Stakeholders, Media)
The preparation of official memo to the National Social
Security
Delivering the official memo to the National Social Security
Press Conference on Legislation
Country Team: Macedonia
Advocacy Issue:
No free contraception available for vulnerable groups
Advocacy Goal:
By December 2015 the Ministry of Health to introduce a system for distribution and a budget line
in the Preventive Health Care Programs for procurement of contraceptives for vulnerable groups
Target Decision-maker(s):
Minister of Health
Potential Partner(s):
•
•
•
•
Key Influencers:
•
•
•
•
Department of Preventive Health Care
State Advisor at the Ministry of Labor and
Social Policy dealing with population
development
Advisors of Prime Minister for Health and
Social Policy
Head of Parliamentary Commission for
Gender Equality
Parliamentary Commission on Equal Opportunities
Ministry of Labor and Social Policy
UNFPA
HERA NGO
Messengers:
• Advisor of DPHC
• Head of DPHC
• UNFPA SRH
Country Team: Macedonia
Objectives:
1. By October 2014 the DPHC to present to
the Minister of Health evidence-based
arguments for introducing budget line item
in the Preventive Health Care Programs to
procure contraceptives for vulnerable
groups
2. By December 2014 recommendations for
establishing a functional LMIS system for
RHC to be presented to the Ministry of
Health
3. By October 2015 a budget line item for
procurement of contraceptives for
vulnerable groups to be introduced in the
Preventive Health Care Programs
4.
Activities:
1. Regular meetings of TMA Working Group
2. Development of evidence based Policy
Brief
3. Conduct an LMIS assessment in the
country and explore possible options for
establishing a system
4.
5.