Enhancing Equity and Sustainability of Public-Sector Family Planning

1. Enhancing Equity and Sustainability of Public-Sector Family Planning Panama February 2010

2. PATH Project goal and objectives Expected outcomes Presentation overview

3. PATH’s mission Our mission is to improve the health of people around the world by advancing technologies, strengthening health systems, and encouraging healthy behaviors. “A world where innovation ensures that health is within reach for everyone”

5. PATH’s global presence • > 525 employees • 29 offices, 18 countries Area of bubble indicates number of staff per office as of December 31, 2006.

6. Health technologies Reproductive health Maternal and child health Vaccines and immunization Emerging and epidemic diseases PATH’s areas of focus

7. PATH in LAC • Reproductive Health Technologies • START UP- screening/treatment • HPV vaccine introduction • UNIJECT: Oxcitocyn/Depoprovera-DepoSubQ • Woman’s Condom • SILCS: New generation Diafragm • Family Planning: • Total Market Approach • Procurement Tool Kit • Pharmacies Rx Gen • Emergency Contraception • Adolescents: • Entre Amigas • Maternal Mortality: SMS based surveillance

8. To enhance equitable and sustained access to family planning by maximizing country readiness to implement a total market approach. Project goal

9. Why? To increase contraceptive prevalence and reduce unmet need To enhance financial sustainability To increase family planning access among the most vulnerable, underserved groups Total Market Approach Public and private sectors coordinate to serve different segments of the population.

10. Commercial Individual doctors, pharmacists, clinics, and distributors Social marketing Supplies are donated or subsidized NGOs Non-profit agencies What we mean by “Private sector”

11. Potential customers grouped by income level, by type of contraceptive they use, by geography, or by age What are market segments?

12. Strengthen coordination of private sector family planning provision Develop operational plans for how the total family planning market will be served by the public and private sectors Objectives

13. What’s next: Assembling Evidence and Building the Total Market Plan Total Market Plan Evidence • Interactive and dynamic planning with DAIA

14. Identify and learn about private providers and their needs Identify obstacles and opportunities for collaboration between private and public sectors Identify consumer perceptions Financial resource modeling Evidence

15. Provider types matched to defined market segments Supply chain Regulatory policies Financing mechanisms Capacity building needs Timeline of action and assigned responsibilities A determination of how to measure success Coordinating mechanisms Advocacy plan Total Market Plan

16. A total market plan that is: Specific: Uses analyses and information relevant to Nicaragua’s family planning goals, strategies, market, and systems. Action-driven: Will enable practical implementation based on agreed priorities Realistic: Identifies roles and responsibilities, timeline, capacity-building needs, measures of success What do we hope to achieve?

17. Our goal: Total Market Plan

18. Questions? Photo: Patrick McKern

19. Thank you! Yann Lacayo C. MD, MHEReproductive Health Program OfficerDirección: Edificio OPUS II, 3er piso. Managua, Nicaragua.Tel: (505) 227 91616 | Fax 227 9616 | Cel: (505) 873 91629 | Skype: Yann PATHylacayo@path.org www.path.org