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Achieving Contraceptive Security in Jordan. Capacity building of a core group. Approach. CS Activities. Long-term funded CS Strategic plan. Advocacy to get approval. Strategic planning workshop. CS Strategy Workshop. Prioritizing Issues. Policy analysis and mobilization of
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Capacity building of a core group Approach
CS Activities Long-term funded CS Strategic plan Advocacy to get approval Strategic planning workshop CS Strategy Workshop Prioritizing Issues Policy analysis and mobilization of information Formation of CS working group Stakeholder meeting Key informant interviews
Stakeholder Meeting – November 2002 • 40 key stakeholders – government policy makers, donors, CAs, NGOs, Commercial Sector • SPARHCS framework • Government Leadership • Awareness raising • Information sharing
Formation of Groups • Formation of a CS working group • Formation of a technical committee to support the working group 1-Information systems development 2- advocacy 3- policy 4-financial sustainability 5- coordination 6-service access 7-procurment and supply
Analyses and Mobilization of Information • FP market segmentation analysis • Operational policies analysis • Financial requirements for FP • National Family Planning Accounts • Procurement mechanisms
Prioritizing Workshop • Presentation of background studies • Identification of CS issues • Prioritization of identified issues
Top Priorities • How do we fund the family planning program including contraceptives, IEC/BCC, training, and research beginning now? • How to achieve effective procurement for all sectors? • How to reduce unmet need, discontinuation and improve access to family planning? • How to ensure sustained delivery of quality family planning services and contraceptives?
Top Priorities • How to maintain/sustain effective logistics system? • Raise awareness around contraceptive security among: parliamentarians, religious leaders, young adults, males, teachers, policy makers, medical syndicate and the legislature? • How can we improve commercial and NGO sector contribution towards contraceptive security? • How do we improve and maintain coordination among all partners (public, NGO, commercial sector, donors)?
Already implemented selected activities • Assess pros and cons of a method by method phase out versus a phaseout of funding • Develop feasible procurement models • Review and revise logistics training • Government to fund contraceptives costs for existing USAID funded program as a public health goal
CS Framework RHAP Components C1: Information Systems A. Demand Creation B. Finance C2: Financial Sustain. C3: Advocacy/Behav.Change C. Private Sector D. Policy C4: Policy E. Logistics C5: Coordination F. Service Delivery C6: Service Access
CS LINKAGES WITH THE RHAP Common focus on increased capacity related to: Data Collection and Analysis Advocating for public awareness Elimination of barriers Appropriate Use of resources RH/FP Sustainability Public/Private Sector Dialogue Agreement on Indicators Service Financing Procurement and Supply
Strong points • Budget item line exists and the government has procured condoms, DMPA, and introduced the Implanon to the FP menu • Effective logistics system • Supply to other sectors like UNRWA, JAFPP, HIV and others are also under the same logistics system
Challenges • Lack of private sector information • Increased demand for contraceptives means increased budget required – ability of the government to meet these needs • High quality products • Family Planning and Health Insurance