Transcript Encouraging Country-Led Strategies to Ensure Contraceptive

Encouraging Country-Led
Strategies to Ensure
Contraceptive Security
in Ghana
International Conference on Family Planning
Addis Ababa, Ethiopia
14 November 2013
BACKGROUND
• Challenges to ensure commodity security exist, including FP
commodities
• Inter-Agency Coordination Committee for Contraceptive
Security (ICC/CS) was created by the MOH in 2002
• First national contraceptive security strategic plan adopted by
MOH and its partners in 2004, with a current strategic plan
(expanded to cover RH commodities) covering 2011-2016.
• Strengths and challenges described in the plan in seven areas
from the policy environment to client demand and
commodity management
CS STRATEGY KEY OBJECTIVES
• Influence and improve the policy and sociocultural
environment to advocate and support RH and FP
commodities and services
• Strengthen the commitment and capacity of
stakeholders at all levels to advocate for and work
toward sustained RHCS
• Advocate for and ensure increased and sustained
funding for FP commodities and services
CS STRATEGY KEY OBJECTIVES (2)
• Strengthen coordination and information sharing among
all stakeholders in order to enhance and sustain RHCS
• Create demand for and increase utilization of high-quality
contraceptives
• Ensure availability of and access to quality contraceptives
and other RH commodities at all levels of health care in all
sectors (public, private, NGO, and social marketing)
• Strengthen the national logistics system for FP and other
RH commodities.
SIGNIFICANCE
CS as a key component in:
• Achieving the 2015 MDG 5 goal of improving MMR
and universal access to RH
• Reinvigorating the stable CPR
• Encouraging government’s ownership to sustain the
enabling policy environment and propel financing for
contraceptives
COUNTRY OWNERSHIP OF THE
PROCESS
MOH/GHS actively leads—
• Forecast of commodity requirements and planning of
required quantities/shipments
• Preparation of PPMR (collects, analyzes, and shares
national-level stock status and current shipments
details with national and global stakeholders)
• Facilitation of the ICC/CS meetings to share, discuss,
and harmonize country-level CS with partners
CS INPUTS, OUTPUTS AND
OUTCOMES
• Prompt review
Quantification
of forecast and
supply plans
PPMR
• Routine
monitoring and
sharing of stock
status
information
• Improved FP
commodity availability
• Increased
transparency on
country stock status
• Strengthened
information sharing
nationally and globally
to mitigate stock
challenges
• Improved coordination
among stakeholders
• Responsiveness and
funding from donors
GHANA CPR FROM 1988 –2011
CPR (%)
24
19
10
17
13
5
0
YEAR
CPR (%)
1
1988
5
2
1993
10
3
1998
13
4
2003
19
year
5
2008
17
6
2011
24
LESSONS LEARNED
• Country-led information management among all
stakeholders in the different sectors ensures
sustainability
• Reliable user-level data provides measurement of
forecast accuracy and increases donor confidence
in quantification results
• Institutionalized supply plan periodic reviews
leads to timely responses to changes
LESSONS LEARNED (CONTINUED)
• Coordinated stakeholders responses to supply
chain challenges lead to better planning,
flexibility, and timely interventions at all levels
• Encouraged ownership allows MOH to use
information for decisions regarding regional
contraceptive supply challenges
• Transfer of commodities to and from other ECOWAS countries
CONTINUING CHALLENGES
• Country-wide supply chain management
issues (quality, distribution, information
management)
• Programming – engagement of other
populations, task shifting, myths &
misconceptions
• Complete engagement of all multisectorial
stakeholders
CONCLUSION
Country-led
interventions lead to
improved CS
INSERT GRAPHIC TO ADD
PHOTO
Improved CS leads to
satisfied clients
Satisfied clients
mean a happy nation
ACKNOWLEDGEMENTS
Ministry of Health
Ghana Health Service
ICC/CS Members
USAID|DELIVER PROJECT
Thank you for your interest and attention