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Grappling with the realities of Changing Environment for IDA for RH Commodities - Ghana

Grappling with the realities of Changing Environment for IDA for RH Commodities - Ghana. Presented at the 7 th Semi-Annual Membership Meeting of the RH Supplies Coalition April 27-28, 2007 London. Ghana Contraceptive Financing Gap 2004 - 2010.

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Grappling with the realities of Changing Environment for IDA for RH Commodities - Ghana

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  1. Grappling with the realities of Changing Environment for IDA for RH Commodities - Ghana Presented at the 7th Semi-Annual Membership Meeting of the RH Supplies Coalition April 27-28, 2007 London

  2. Ghana Contraceptive Financing Gap 2004 - 2010

  3. Contraceptive Financing Background

  4. Who was funding contraceptives?

  5. 2007-2011 Funding requirements, commitments and Gap

  6. Challenges of New IDA • Potential Competition for funds with other programmes – Health funds • Commodities • Programme Activities, overwhelmed & understaffed • Assessing funds outside the Health fund • E.g. DFID funds for condoms with Ghana AIDS Commission • Inadequate Transparency from donors • Unpredictable donor funding - “Withdrawal” plan (general and commodity specific) • Funds with unknown “conditionalities” – e.g. will not/ canot be used to purchase certain commodities. • Dealings with other partners sometimes not known to programme staff. • Lack of funding for RH/FP from new funding initiatives e.g. Global fund

  7. Ghana’s “Be Safe” Male Condom DFID supported male condoms for public and social marketing programme from 2002-2006. Opportunity to change/beautify foil of male condoms. Public sector with PPAG –introduced new foil “Be Safe” with family planning and STI/HIV logos denoting dual protection, to replace plain white “No Logo” condoms previously donated by USAID Have had to go back to “No Logo” from USAID as a stop-gap measure to forestall shortage while new procurement arrangements for are being made to re-instate “Be Safe” Female Condom mostly supported by Government procurement

  8. Responses to challenges • ICC/CS proactive in addressing problems e.g. “No Logo” condoms from USAID as a stop gap measure for “Be Safe” male condoms. • Strengthen Advocacy role of ICC/CS • Increased “ring-fencing” of funds for procurement of contraceptives in MOH budget • Source funding to implement strategy on CS • Financial Sustainability plan for CS drafted • Implement “Road Map” for Repositioning of Family Planning (Multi sectoral response)

  9. Lessons and insights for the future • Confirm donor commitments • Identify new partners (International and local) • Raise profile of Family Planning • Need for dedicated and sustained fund for RH Commodities • Advocate for FP through collaborating with the MOH/GAC/NPC as one voice for funds outside of the MoH budget • Create a contraceptive development fund within the MoH • National Health Insurance • Cover all FP commodities and condom for STI and HIV prevention • Improve the NHIS to eliminate the ‘cash and carry’ system as a health financing mechanism • Need for Increased transparency and dialogue between donors and local counterparts (including programme level) • Need for integration of RH/FP with HIV/AIDS • Advocate for multi donor budget support • Need for gradual withdrawal of funding from traditional donors • Diversification of funding sources • Self procurement • Monitoring and Evaluation

  10. Thank you for your attention Presented by Dr. Gloria Quansah Asare Ghana

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