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Reproductive Health Supplies Coalition SEMI-ANNUAL MEMBERSHIP MEETING. Female Condom Consortium. Presentation by Yvonne Bogaarts World Population Foundation 25 October 2007. Structure. State of the Art Acceptibility Obstacles Potential of female condom Consortium: partners & plans R&D
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Reproductive Health Supplies CoalitionSEMI-ANNUAL MEMBERSHIP MEETING Female Condom Consortium Presentation by Yvonne Bogaarts World Population Foundation 25 October 2007
Structure • State of the Art • Acceptibility • Obstacles • Potential of female condom • Consortium: partners & plans • R&D • Implementation in selected countries • Knowledge centre • Difference the RHSC can make
Female condom products • Female Health Company in USA: FC 1 (poly-urethane) (approved by USFDA, 1993) • FC 2 (nitrile) (approved by WHO 2006)
Medtech Health Products in India: V’Amour FC/Dr. Reddy (latex) (approved by India Drug Controller in 2003, not approved by WHO)
Forthcoming PATH: development of a better product Timing: will take another 2-3 years
Female Health Company • US based company • Introduction 1992, approved USFDA in 1993 • Production started in 1996 • In 2007: sole manufacturer for donor and UN agencies • Production increased 10x times since 1996 • Production in 2005: 22 million female condoms (12 million for developing countries) • Available in 108 countries
Buyers of the female condom In 2004 • 2,3 million by UNFPA • 2 million bought by USAID • 1,6 million by DFID • Rest donors: KfW and DANIDA • Governments of Brazil, South Africa, Zimbabwe, France, Kenya • Private sector/NGO: PSI, DKT, IPPF and MSI • Private sector/ shops (P. Friel, 2005)
Global consultations • 1993 “Potential Role of the Female Condom in International AIDS Prevention”, AIDSCAP • 1997 “The Female Condom: From Research to Marketplace” AIDSCAP • 2001 “Technical Update on the Female Condom” FHI • 2004 Expert meeting on female condom GCM/GCWA • 2005 Global Consultation on Female Condoms (Baltimore)
Same barriers discussed - stereotypes on women and sexuality - pre-conceived ideas - costs - lack of funding and funders - provider resistance
Acceptibility • No static fact • Studies indicate high acceptability rate • Acceptability influenced by: - individual factors – insertion skills and practice - male partners - environment
Potential of female condom Female Condom is: + effective contraceptive + protects against STIs, including HIV + women-initiated + available NOW = a real addition to method mix
Potential of female condom Female condom important in context of: • high maternal mortality rate • feminisation of HIV/AIDS • limited choice infection-prevention methods • high cost and limited availability AIDS treatment
Female Condom Consortium:Tackle the Challenges Five partners: - Oxfam Novib - World Population Foundation - Dutch Ministry of Foreign Affairs - JIPPY Foundation - IDA Solutions
Plans Female Condom Consortium R&D: cheaper female condom Country programme Knowledge centre
Research & Development • Female Condom Consortium: development of cheaper product • Latex Timing • FCC: May 2008 to be on the market Quality assurance: international (WHO)
Country programme • Nigeria: 3 selected states • Malawi National Advisory Board set up Main actors: • Civil society: IEC, distribution • Government and UN: advocacy, support IEC and distribution, financing • Private sector: subsidised distribution and promotion, sale at affordable price
Country programme Main areas: • Registration: national (NAFDAC) • Procurement, Logistics, Importation, Distribution • Marketing and Sales • Monitoring & Evaluation
Knowledge centre • Data base • Disseminate results country implementation • Advocacy • Enhance collaboration and cooperation Working for professionals in the field, donor community and policymakers
What difference RHSC make? • Positive Advocacy for the female condom, not ridicule it! • Support ongoing and further R&D • Funding