ZAMBIA MINISTRY ZAMBIA MINISTRY OF HEALTHOF HEALTH

Contraceptive Contraceptive Commodity Security Commodity Security

Zambian ExperienceZambian Experience

Kigali, 21-27 March 2010Kigali, 21-27 March 2010

Dark FP days in Zambia Dark FP days in Zambia (before 2006)(before 2006)

No formal national coordinating No formal national coordinating mechanism for FP commodities mechanism for FP commodities

FP commodities mainly donor supportedFP commodities mainly donor supported No government budget line for FP No government budget line for FP

commodities (other RH commodities commodities (other RH commodities procured) procured)

No standard list of preferred FP No standard list of preferred FP commoditiescommodities

Weak logistic system for FP commoditiesWeak logistic system for FP commodities Less private sector involvement in FPLess private sector involvement in FP

EffectsEffects

Stock outs were widespreadStock outs were widespread Frequent changes in the type/brands Frequent changes in the type/brands

of commodities available (based on of commodities available (based on donor)donor) Frequent change of methods among Frequent change of methods among

usersusers High fertility rates High fertility rates Unwanted pregnancies leading to Unwanted pregnancies leading to

increased abortionsincreased abortions

Opening New Chapter - 2006 Opening New Chapter - 2006 and beyondand beyond

Advocacy for a coordinated response to Advocacy for a coordinated response to FP to reduce commodity stock outsFP to reduce commodity stock outs

RH commodity coordinator in place RH commodity coordinator in place supported by donors based at MoH supported by donors based at MoH

A National contraceptive commodity A National contraceptive commodity security committee was formedsecurity committee was formed Terms of reference for the CSC were Terms of reference for the CSC were

formalizedformalized

Opening New Chapter - 2006 Opening New Chapter - 2006 and beyond (2)and beyond (2)

National forecasting and National forecasting and quantification of commoditiesquantification of commodities

FP TWG strengthened (Int’l and local FP TWG strengthened (Int’l and local NGOs, Govt Nat’l and district, Donors)NGOs, Govt Nat’l and district, Donors)

Increased donor support for RHCS: Increased donor support for RHCS: Procurement of contraceptives: UNFPA, DFID, USAID, GFProcurement of contraceptives: UNFPA, DFID, USAID, GF Logistical support: JSI deliver, UNFPALogistical support: JSI deliver, UNFPA More partnership with social marketing and private More partnership with social marketing and private

sectorssectors

FP TWG FP TWG Standardized process of introducing new Standardized process of introducing new

commodities in Zambia commodities in Zambia Make recommendations to MoH RH unit Make recommendations to MoH RH unit

on new commoditieson new commodities Forecasting and quantifying FP needs Forecasting and quantifying FP needs

Preparing a procurement plans based on Preparing a procurement plans based on aboveabove

Identifying possible sources of fundsIdentifying possible sources of funds Monitoring the pipeline of FP Monitoring the pipeline of FP

commodities and the commodity stock commodities and the commodity stock statusstatus

Support MoH planning, implementation, Support MoH planning, implementation, supervision for Family Planning supervision for Family Planning

Role of the Contraceptive Role of the Contraceptive Commodity Security committeeCommodity Security committee Enhance capacity/facilitate Enhance capacity/facilitate

development of sustainable procedure development of sustainable procedure to meet challenges of RHCSto meet challenges of RHCS

Advocate for increased funding and Advocate for increased funding and political commitment to RHCS at political commitment to RHCS at national levelnational level

Mobilize resources for commoditiesMobilize resources for commodities Promote strategic support for RHCSPromote strategic support for RHCS Secure regular/dependable funding Secure regular/dependable funding

from donors and government from donors and government

Role of the Contraceptive Role of the Contraceptive Commodity Security Commodity Security

committeecommittee Assist government Assist government

to identify/mobilize to identify/mobilize partnerships for partnerships for RHCSRHCS

Advocate for Advocate for quality service, quality service, method mix; skilled method mix; skilled and motivated and motivated personnel personnel

Achievements in contraceptive Achievements in contraceptive commodity Security in Zambiacommodity Security in Zambia

Ongoing policy dialogue and advocacy for Ongoing policy dialogue and advocacy for RHCS at policy levelRHCS at policy level

RHSC Logistics person in placeRHSC Logistics person in place Regular RHCS meetingsRegular RHCS meetings Budget line for RH commodities Budget line for RH commodities

(Government procuring contraceptives now)(Government procuring contraceptives now) National Procurement plan for National Procurement plan for

Contraceptives in place (2010-2011), Contraceptives in place (2010-2011), circulated to partners.circulated to partners.

Achievements in contraceptive Achievements in contraceptive commodity Security in Zambia commodity Security in Zambia

(2)(2) National RHCS assessment finalized National RHCS assessment finalized Development of national RHSC Development of national RHSC

Strategic Plan initiatedStrategic Plan initiated Reduced rates of stock outs especially Reduced rates of stock outs especially

at central level ( more work needed at at central level ( more work needed at lower levels)lower levels)

Stronger collaboration and Stronger collaboration and commitment of government and commitment of government and partners for RHCSpartners for RHCS

ChallengesChallenges Logistics system still weakLogistics system still weak No consumption data available thus No consumption data available thus

quantification based on distribution/issues quantification based on distribution/issues datadata

Some stock outs at SDPsSome stock outs at SDPs Human resource crisis affects quality of data Human resource crisis affects quality of data

(one person responsible for all)(one person responsible for all) Some donors not able to procure certain Some donors not able to procure certain

commodities commodities New products registered by some partners New products registered by some partners

but no funding available (eg, Sino Implant)but no funding available (eg, Sino Implant)

Way forwardWay forward

Strengthen coordination of partnersStrengthen coordination of partners Continue the RHCS committee Continue the RHCS committee

meetingsmeetings Logistics system strengthening Logistics system strengthening

(Medical stores pilot on how to (Medical stores pilot on how to improve LMIS)improve LMIS)

Advocacy for increasing government Advocacy for increasing government commitment and budget line.commitment and budget line.

Thank you for listening!Thank you for listening!