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Reproductive Health Commodity Security

Reproductive Health Commodity Security. Burkina Faso Geneviève S.L. AH-SUE Seventh semi-annual membership meeting -RHSC London 27-28 April 2007. Demographic & Health Context (DHS III). Population in 2006: 13.7 million Population aged 0-18 years: 55.8% Total Fertility Rate: 6.2

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Reproductive Health Commodity Security

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  1. Reproductive Health Commodity Security Burkina Faso Geneviève S.L. AH-SUE Seventh semi-annual membership meeting -RHSC London 27-28 April 2007

  2. Demographic & Health Context (DHS III) • Population in 2006: 13.7 million • Population aged 0-18 years: 55.8% • Total Fertility Rate: 6.2 • Contraceptive Prevalence Rate: 9.7% • Unmet need: 29% • Maternal Mortality Ratio: 484/100,000 (1998) • Skilled attendance at birth : 40.3%

  3. Policy environment • Poverty Reduction Strategic Framework (2001-2010) • Priority to social sectors • Gender cross-cutting issue • National Population Policy (2001-2015) • National Health Development Plan (2001-2010) • CPR 9.7% in 2003 27% by 2015 • Strategic Framework to fight HIV/AIDS and STIs (2006-2010) • Sector-wide Approach – Education, Health….

  4. Evolution in Public Health Expenditures millions F CFA Public Budget External Financing HIPC

  5. Strategic Contraceptive Security Plan 2006-2015 Situation Analysis - 2005 • Policy, financing and sustainability • State commitment and budget – weak • Private sector – absent • Unpredictable and declining resources • Quality of FP services – weak • Potential demand; unmet need – high • Logistics & MIS - insufficient • Partnership, coordination - inexistent

  6. Strategic Contraceptive Security Plan 2006-2015 Results • Goal: Sustainable availability of contraceptives and rational utilization of RH products in time and space, according to needs • Outcomes: The availability of contraceptives and quality FP services are guaranteed

  7. Strategic Contraceptive Security Plan 2006-2015 Strategic Areas • Policy, financing and sustainability • Supply • Demand • Logistics and management information system • Partnership, coordination, monitoring and evaluation

  8. Strategic Contraceptive Security Plan 2006-2015 Funding SCSP costed at over US$44 million • Contraceptives: US$38 million • Operational costs: US$6 million Govt’s share: 25% in 2006 70% in 2015

  9. Strategic Contraceptive Security Plan 2006-2015

  10. Strategic Contraceptive Security Plan 2006-2015 Contraceptive Security Coordinating Committee • Advocacy • Collaboration • Review and Update SCSP • Monitoring annual action plan • Feedback for strategic directions • Internal and independent evaluation

  11. Contraceptive Security Coordinating Committee • Informally established in Nov 2004 • SubGroup of RH coordinating committee • Chair: MoH • Members include: • Govt: MoH, MoFB, HIV/AIDS Council • Parliament • NGOs: ABBEF, ASBF • CSOs: Pharmaceutical Assoc., Ob/Gyn Assoc., Paediatricians’ Assoc. • Private sector: PROMACO, PSI • Multilaterals: UNFPA, WB, WHO

  12. Contraceptive Security Coordinating Committee Achievements so far: • Policy • Strategic Contraceptive Security Plan officially adopted • Line for contraceptives in national budget • Technical & Financial resource mobilization: UNFPA, AWARE, KFW, GTZ, Govt • Coordination – studies on contraceptive market segmentation; validity of routine RH data collected; funding sources

  13. Challenges ahead • Competing priorities in health – recurrent & sporadic epidemics • Low priority given to RH, maternal health and FP • Decentralisation process • Low predictability of funding in health sector • Monitoring mechanism of SCSP plan and management information system

  14. The Way Forward • Strengthen evidence-based advocacy • Expand focus from contraceptive security to RH commodities security • Build on and strengthen existing coordination mechanisms • Build country level coalition for RHCS • Integration into health SWAp – national ownership, harmonisation, alignment, results orientation, joint accountability

  15. Contraceptive Security team in Burkina Faso …thank you for your attention!

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