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Developing Policy Leadership: The LAC Experience

Developing Policy Leadership: The LAC Experience. October 6, 2010. Nora Quesada, MBA Regional Director for Latin America and the Caribbean. BUILDING LEADERSHIP LEADS TO SUSTAINABILITY. ISSUES: A FEW EXAMPLES…. Dependence on external assistance to move Commodity Security agenda forward

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Developing Policy Leadership: The LAC Experience

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  1. Developing Policy Leadership: The LAC Experience October 6, 2010 Nora Quesada, MBA Regional Director for Latin America and the Caribbean

  2. BUILDING LEADERSHIP LEADS TO SUSTAINABILITY

  3. ISSUES: A FEW EXAMPLES… • Dependence on external assistance to move Commodity Security agenda forward • Limited understanding of strategic importance of logistics, especially under health reform • Staff working in logistics regarded as “second class” personnel • Best practices from vertical logistics systems not systematically considered for integrated supply chain

  4. CHALLENGES TO DEVELOP LEADERSHIP • Health Sector Reform • Understanding decentralization and integration trends • Many actors and agencies involved • Stigma towards Logistics • Just a matter of warehousing and inventory management? • Sustainability of Contraceptive Security (CS) Committees • Strategies • Are Committees needed?”

  5. SOME APPROACHES TO ADDRESS CHALLENGES • Develop Confidence:“Our country situation is different from the rest in the Region…” • Transfer Knowledge, Spread the Word, and Engage Key Actors:“Logistics is Essential…” • Make People Do it:“The Ministry of Health will lead the CS process from now on…Nothing will stop us!”

  6. 1) DEVELOP CONFIDENCE • Issues and challenges not unique to a particular country: other countries have done it… • El Salvador: UNFPA as procurement agent • Logistics system is delivering what it promised to do… • Paraguay: reduced gaps in unmet need

  7. 2) TRANSFER KNOWLEDGE, SPREAD THE WORD, AND ENGAGE KEY ACTORS: • MOH staff are trained, use tools, and lead technical and policy decision-making meetings • Nicaragua: the automated integrated system; total market approach • Family Planning and its logistics system become the “showcase” program • Dominican Republic and the Vice-Minister talking about new warehouse, logistics, and more…

  8. 3) MAKE PEOPLE DO IT: • Conducting guided and structured assessments, supervision and monitoring visits • Nicaragua MOH and the development of a indicator monitoring tool for tracer drugs • Advocating for funding for contraceptive procurement • El Salvador: financial scenarios; introduction of new product

  9. ENABLING FACTORS • CS Committees: • a decision-making environment • Knowledge and Empowerment: • Logistics and CS champions at different levels • Awareness of public health relevance of FP

  10. CONTRACEPTIVE SECURITY (CS) COMMITTEES: Essential in the leadership-building process… • Regional meetings • Coordination • Lessons Learned and adopt Best Practices • Ownership, leadership, and teamwork • Cross fertilization: country-regional-country experiences • Exposure to graduated countries • Recognition from other stakeholders • DHS in Honduras • “DAIA”: a trademark in LAC

  11. IMPACT: A FEW EXAMPLES… • Honduras • Government assigned funding to pay for the DHS • El Salvador • More funding for contraceptive procurement allows Ministry of Health introduce new injectable • Paraguay • Law protects funding for contraceptive procurement, and also funding to operate and run the key components of the logistics system

  12. DEVELOPING LEADERSHIP AND SUSTAINABILITY: KEY CONSIDERATIONS People in the workplace: • Require tools to do their job • Are eager to learn new things, and improve performance • Need to: • understand their role • feel their work is appreciated/contribute • feel accompanied in work processes • have a common vision

  13. Knowledge Leads to Empowerment!! Nora Quesada, MBA Regional Director for Latin America and the Caribbean E-mail: nora_quesada@jsi.com Bogota, Colombia Tel: (571) 253-7639 Cell: (57) 310-221-9909

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