INSTITUTIONAL REGIONAL PRIORITIES AND STRATEGIC APROACHES UNFPA LAC RO 2010

1. INSTITUTIONAL REGIONAL PRIORITIES AND STRATEGIC APROACHES UNFPA LAC RO 2010

2. Outcomes and outputs • Outcome 1: Reproductive rights and SRH demand promoted and the essential SRH package, including RH commodities integrated in public policies of development and humanitarian frameworks with strengthened implementation monitoring • OUTPUT 1.1: RLA6R11A Enabling policy environment at regional and sub-regional levels to integrate sexual and reproductive health in public policies. • OUTPUT 1.2: RLA6R12A Regional institutions strengthened to build national capacity for the implementation and monitoring of the essential sexual and reproductive health package, including family planning and reproductive health commodity security. • Outcome 2: Access and Utilization of quality maternal heath services increased in order to reduce maternal mortality and morbidity, including the prevention of unsafe abortion and managements of its complications • OUTPUT 2.1: RLA6R21A Regional and sub-regional partnerships strengthened/established to support the implementation of Regional Inter-Agency Strategic Consensus on Maternal Mortality Reduction. • OUTPUT 2.2: RLA6R22A Regional and sub-regional partnerships established for the promotion of culturally sensitive strategies for the reduction of maternal mortality and morbidity among indigenous & afro-descendents for incorporation and use by health system

3. Outcomes and outputs • Outcome 3: Access to and utilization of quality voluntary family planning services by individuals and couples increased according to reproductive intention • OUTPUT 3.1: RLA6R31A Regional and sub-regional partnerships established to advocate and build sustainable capacity for the provision as part of the essential SRH package of at least 3 FP modern methods – including condoms to enable double protection -- for women, men and adolescent and youth, especially for those living in poverty. • Outcome 4: Demand, access to, and utilization of quality HIV and STI prevention services, especially for women, young people, and other vulnerable groups, including populations of humanitarian concern increased. • OUTPUT 4.1: RLA6R41A Regional entities (such as networks of Ministries of Health, Education and Women’s Affairs, and PLWHA and other civil society groups) strengthened to advocate for and up-scale STI/HIV prevention for women, young people and vulnerable groups, including PMTCT.

4. Outcomes and outputs • Outcome 5: Access of young people to SRH, HIV, and gender-based violence prevention services and gender services life skills-based SRH education improved as part of a holistic, multisectorial approach to young people development. • OUTPUT 5.1: RLA6R51A Enhanced capacity of regional and national institutions (such as the Ibero-American Youth Organization and others) to address the specific sexual and reproductive health needs of adolescents and young adults for information, counseling and differentiated services..

5. Strategies 2010 Health Policy Development Increasing and sustainability of health financing Health Service Management and Health System Development Improving Regulatory frameworks Knowledge sharing Capacity development and Technical Assistance Advocacy Monitoring and evaluation Partnerships & Networking Demand creation

6. Ips and Partners 2010 (Regional Level) CLAE = 1) Advocacy with MOH for the incorporation of EC as part of EML 2) With FLASOG/FIGO training national G&O Association on legal aspects for evidence-based advocacy with Supreme Courts 3) Dissemination of materials 4) Research on the impact of EC withdraw PRISMA/CIES = 1) Training under different modalities including DLC 3) Evidence-based research 2) TA plan for COs and GVT on RHCS issues based on countries needs 4) Impact Evaluation of public health course (PAHO/UNFPA/ASDI) JSI/DELIVER = Market Segmentation REPROLATINA/WHO = Monitoring Implementation of FP tools SUPPORT/IPPF = Social Marketing of FC at Central American Countries

7. Ips and Partners 2010 (Regional Level) IPPF/SUPPORT/REDTRASEX = Comprehensive Condom Programming WHO/PSB = Training on Quality Control Standards COPRECOS = CCP, LMIS and pool procurement mechanism FLASOG/IPAS = Unsafe abortion, Misoprostol in EML, Strength G&O nat. Assoc. AMDD = Capacity development on EmONC Regional Needs Assessment on EmOC LACRO = Emergency preparedness and Humanitarian Assistance Communication of best practices on RHCS/ HIV/ MH in MIC Rapid Needs Assessment on procurement services CCP training with MOH and UNFPA focal points Regional Task forces on MH and RHCS

8. Ips and Partners 2010 (Regional Level) WHO PAHO USAID IADB DELIVER ECLAC SUPPORT FCI FLASOG REGIONAL UNIFEM IPAS RHCS TASK FORCE MH UNOPS PASMO UNICEF ONUSIDA UNESCO IPPF USAID CLAE FLASOG WB PopCouncil PAHO/CLAP ICM

9. Country Level 2010 • Health Service Management and Health System Development • Strengthening management model in the implementation of NSRH plans. • Review, update, printing and dissemination of health models and protocols. • Linking SRH services with STI/HIV/AIDS services. • Development of National Strategic Plan on promotion/access to MC&FC • Pilot experience and documentation on the implementation of PEP kits • Elaboration of an Integrated health care protocol for Adolescent. • Capacity development and Technical Assistance • Strengthening technical capacity for provision of quality SRH services • Implementation of intermediate training centers • Incorporate LMIS with emphasis in FP in the curricula • Technical Support to the National Directions of Drugs & Warehouse for maintaining information system, adopting best practices and standards. • Develop the legal and conceptual framework for the operation of the National Coordination Training Center in RHCS • Training on strategic guidelines for integrated SRH on humanitarian crisis

10. Country Level 2010 • Advocacy • Awareness and advocacy workshops with national, departmental and municipal authorities to support SRH&R initiatives. • Advocacy session to secure public funding for contraceptives procurement • Improving Regulatory frameworks • Follow up to the elaboration of laws and legal regulations to implement SRH&R as set by New Political Constitutions • Incorporation of Misoprostol and EC into public services • Elaborate Reproductive Health Administration, Logistical Management and Service Health Delivery Norms • Demand Creation • Develop IEC/BCC on SRH • Operational research on (cultural) barriers to access to SRH services • Design and publish MM edu-comunicational materials to promote the M&N Mortality Accelerated Reduction Plan that includes EmOC and FP.

11. Country Level 2010 • Partnership and networking • Subscribe agreements with partners for RH care services with emphasis on the management of RHCS within the Technical Advisory Committee. • Creation of RHCS Committee and development of National RHCS Plan • Support to Sexual Workers Networks to conduct educational peer activities on STI and HIV prevention, FC&MC use, self-esteem and empowerment. • Alliance with uniformed institution for the inclusion of SRH, HIV prevention and AIDS issues in the curricula. • Monitoring and Evaluation • Develop RHCS evaluation tools for logistical management systems within Health Services. • Monitor progress and/or non-progress of i) Technical Advisory Committee in Sexual and Reproductive Health; ii) National Coordination Training Center and, iii) Demonstrative Models. • Design and publication of the monitoring manual to track the correct use of the WHO FP counseling tool.

12. Country Level 2010 • Health Policy Development • Case study on contraceptive demand for expanding contraceptive diversity • International Colloquia of Male and Masculinity Studies – Montevideo 2010 • Knowledge Sharing • Participation of members of RHCS committee in training and south south cooperation activities. • Document and disseminate regional RHCS updates for knowledge sharing • Increasing and sustainability of health financing • Inclusion of FP services financial needs into the RBM budget. • Promote, develop and establish co-financing/bridge arrangements • Develop a joint UNFPA-PSI Condom Promotion Strategy for Social Marketing of Male and Female Condom. • Conduct research to inform RHCS policy dialogue and sustainability,RH Funding with a focus on Gender dimension