STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE

SECURITY IN KENYA

Dr. Bashir IssakDivision of Reproductive Health

Ministry of Public Health & Sanitation

Donors

Government

Private Sector

NGOs and other stakeholders

Background

The goal: “Uninterrupted and affordable supply of contraceptives to all people who need them, whenever and wherever they need them”

Contraceptive Supply Chain uncoordinated

Better stakeholder coordination through FP Logistics Working Group - JICC structure of MOPHS

Inclusion of a GOK budget line for FP commodities ($6 million 2009-10)

FP priority for Vision 2030

Availability of data collection and analysis tools

What Changed?/Enabling Factors

Priority intervention for MNCH in Kenya

Part of minimum MNCH package from Level 1 (community) to Level 6 (Referral hospital)

Health Sector Target to raise CPR to 70 % by 2015

System strengthening key - Commodities

What Changed?/Enabling Factors

Government and Donor commitments to procure all contraceptive

Regular review of forecasted quantities according to changing scenarios

Constant monitoring of the contraceptive pipeline both upstream and downstream

Increased service delivery points reporting rates from 10% in Dec 2008 to 68% in Dec 2009

Commodity procurement and distribution system to over 4,000 health facilities by KEMSA

Public sector provides 80% of private sector commodity needs

Achievements

Parallel procurement systems by GOK and DPs.

Lack of recommended buffer stock in the system

Timely distribution of contraceptives to the districts , SDPs and especially to the private sector – partly due to insufficient resources.

A weak commodity reporting system

“Push” system for contraceptive supplies to health centers and dispensaries

Challenges

Improve efficiency of distribution system by increasing resource allocation for KEMSA

Harmonize the different procurement systems

Develop reliable procurement plan with effective monitoring systems

Build sub national capacity in forecasting and reporting

Way Forward