Contraceptive Security Indicators Data- 2011 Data Collection

Publication date: 2011

Introduction Contraceptive Security Indicators Data 2011 Data Collection Introduction and Purpose: The Contraceptive Security (CS) Indicators activity highlights a comprehensive set of indicators that were developed to reflect key aspects of contraceptive security and can be used to monitor countries' CS statuses for programmatic and advocacy purposes. The indicators build upon the the Strategic Pathway to Reproductive Health Commodity Security (SPARHCS) framework. This dataset presents CS indicators for 40 countries. The data was collected in 2011 through the third annual round of data collection. Worksheets: Click below to jump to the following information. Individual countries' data: Afghanistan Albania Armenia Azerbaijan Bangladesh Bolivia Burkina Faso DRC DR El Salvador Ethiopia Gambia Georgia Ghana Guatemala Haiti Honduras India Kenya Liberia Madagascar Malawi Mali Mozambique Nepal Nicaragua Nigeria Pakistan Paraguay Philippines Russia Rwanda Senegal South Sudan Tanzania Uganda Ukraine Yemen Zambia Zimbabwe The individual country worksheets may contain a small amount of additional information about the indicator responses in cells' inserted comments. All countries' data: ALL countries This worksheet provides all countries' responses. It also provides the option to filter the data by various categories. In addition, it contains grouping so that users can choose to see just a summary of key indicators if they so choose. Additional resources: Blank survey This worksheet contains a blank survey so that you can collect the indicators for your own monitoring, programmatic, and advocacy purposes. Frequently asked questions handout This handout was sent to respondents along with the survey and helps clarify some of the indicator questions. Topics: Indicator questions include the following topics: -- Finance & Procurement (Capital)—dollar value of estimated need for contraceptives to be procured (value of quantification), existence of a government budget line item for contraceptives, amount that government had allocated for contraceptives, extent of expenditures for public sector contraceptives and in-kind donations, sources of funding/donations, information on whether there was a funding gap, and information about the government's procurement mechanism. - Commodities—range of contraceptive methods offered through public facilities, private facilities, NGO facilities, and through social marketing. - Policies (Commitment)—existence of a national contraceptive security strategy, existence of policies limiting or promoting access to family planning, inclusion of contraceptives on the National Essential Medicine List (NEML), and inclusion of contraceptive security and family planning indicators in the Poverty Reduction Strategy Paper (PRSP). - Coordination and Leadership—existence of a national committee that works on contraceptive security and types of organizations represented, frequency of committee meetings, legal status of the committee, and existence of a contraceptive security “champion”. - Supply Chain (Capacity)—stockout information at the central level, and whether stockouts are a serious problem at the service delivery point and central levels, respectively. Data Sources: The indicators were designed to capture relatively objective information routinely through a key informant survey and a review of existing local documents. Indicator questions were constructed so that a range of respondents could answer them easily with little background research. Country respondents were mainly USAID missions and USAID | DELIVER PROJECT staff. Respondents often consulted with Ministry of Health representatives and other cooperating agencies as well. The data are contingent upon the knowledge of the respondents and the accuracy of the data sources consulted. Data was collected from the countries and then reviewed and supplemented by USAID | DELIVER PROJECT staff based in Arlington, Virginia. This process occurred between late February and late June 2011 (except for Gambia, which provided its information early - in September 2010). Additional Resources and Information: How Contraceptive Security Indicators Can Be Used to Improve Family Planning Programs This brief can be found on the USAID | DELIVER PROJECT website at http://deliver.jsi.com/dlvr_content/resources/allpubs/logisticsbriefs/HowCSIndImprFP_1.pdf Measuring Contraceptive Security Indicators in 2010: Data Update This paper analyzing the 2010 CS Indicators findings can be found on the USAID | DELIVER PROJECT website at http://deliver.jsi.com/dlvr_content/resources/allpubs/guidelines/CS_Indicators2010.pdf Maps of select indicators can be found on the USAID | DELIVER PROJECT website. They are currently located at http://deliver.jsi.com/dhome/topics/monitoring in the Project Maps box on the right side of the page. CS Indicators data from 2009 and 2010 can also be found on the USAID | DELIVER PROJECT website, as can the paper analyzing the 2009 findings. This spreadsheet can be cited as: USAID | DELIVER PROJECT, Task Order 4. 2011. Contraceptive Security Indicators Data 2011. Arlington, Va.: USAID | DELIVER PROJECT, Task Order 4. Available at http://deliver.jsi.com/dlvr_content/resources/allpubs/factsheets/CS_Indicators_Data_2011.xls. Stay tuned for a paper summarizing the 2011 CS Indicator findings. We encourage anyone with questions, corrections, or more information about the countries concerned, or information about additional countries, to contact the USAID | DELIVER PROJECT by e-mailing Suzy Sacher (ssacher@jsi.com), Ellie Bahirai (ebahirai@jsi.com), or askdeliver@jsi.com. We also invite suggestions for improving the indicators and methodology. Afghanistan Albania Armenia Azerbaijan Bolivia Bangladesh El Salvador Ethiopia Georgia Ghana Guatemala Honduras India Kenya Liberia Madagascar Malawi Mali Nepal Nicaragua Paraguay Tanzania Uganda Ukraine Zimbabwe Gambia Haiti Bangladesh Bolivia Burkina Faso DRC DR India Malawi Mozambique Nepal Nicaragua Nigeria Pakistan Paraguay Philippines Zambia Yemen Ukraine Tanzania South Sudan Senegal Rwanda Russia Blank survey Maps of select indicators Measuring Contraceptive Security Indicators in 2010: Data Update How Contraceptive Security Indicators Can Be Used to Improve Family Planning Programs Frequently asked questions handout ALL countries How Contraceptive Security Indicators Can Be Used to Improve Family Planning Programs FAQ Below is the "Frequently Asked Questions" handout that was sent along with the 2011 CS Indicators survey to help clarify some of the indicator questions. Blank survey 2011 Columns I-Y are meant to be hidden. They exist because they allow for the dropdown list options. They also allow for merged cells to autofit properly in terms of row height. This should work if all columns remain at their correct widths. g-h a-e merged E-F merged e-h 0 times The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Yes a-h January A-c e-h 1-2 times b-d merged Third-party agent (e.g., UNFPA, Crown Agents) d-e merged d-f merged e-f merged e-g merged No February 3-5 times The government and a third-party agent March 6 or more times Other N/A April To jump to the Introduction sheet, click here. Don't know May Contraceptive Security Indicator Questions 2011 N/A N/A June Note: This blank survey is protected so that respondents are encouraged to enter their answers in the white cells and not to change the questions. Respondents can only select unlocked cells and format rows and columns. (If you want to change this, click on the Review tab - Changes group - Unprotect Sheet in newer versions of Excel or Tools - Protection - Unprotect Sheet in older versions of Excel.) Don't know Don't know Note: This blank survey is protected so that respondents are encouraged to enter their answers in the white cells and not to change the questions. Respondents can only select unlocked cells and format rows and columns. (If you want to change this, click on the Review tab - Changes group - Unprotect Sheet in newer versions of Excel or Tools - Protection - Unprotect Sheet in older versions of Excel.) July Country: Respondent's name: Job title: Job title: Country: or c-d Respondent's name: August Organization: E-mail: Tel: Date (dd/mm/yy): Date (dd/mm/yy): Organization: d-h f-h merged E-mail: September Instructions: - Please indicate your answers in the white spaces. Some questions contain dropdown lists for your selection. - If the question is not applicable, please choose "N/A". If you do not know the answer, please choose "don't know". - If the answer you've entered is longer than the space provided, you can manually adjust the row height or autofit the row height in order to see the whole response. (To autofit the row height, select the answer(s) and go to Home tab - Cells group - Format - Autofit Row Height in newer versions of Excel or Format - Row - Autofit in older versions of Excel.) Thank you for completing this survey. a-g a-e merged Instructions: - Please indicate your answers in the white spaces. Some questions contain dropdown lists for your selection. - If the question is not applicable, please choose "N/A". If you do not know the answer, please choose "don't know". - If the answer you've entered is longer than the space provided, you can manually adjust the row height or autofit the row height in order to see the whole response. (To autofit the row height, select the answer(s) and go to Home tab - Cells group - Format - Autofit Row Height in newer versions of Excel or Format - Row - Autofit in older versions of Excel.) Thank you for completing this survey. October A. Leadership and Coordination November A1. Is there a national committee that works on contraceptive security? (Please select from the dropdown list.) (Committee should have some aspect of contraceptive security as part of its Terms of Reference, even if it is known by a different name, for example: Family Planning, Reproductive Health, Maternal Mortality, Essential Medicine Committee, etc.) A1. Is there a national committee that works on contraceptive security? (Please select from the dropdown list.) (Committee should have some aspect of contraceptive security as part of its Terms of Reference, even if it is known by a different name, for example: Family Planning, Reproductive Health, Maternal Mortality, Essential Medicine Committee, etc.) December a. What is the name of the committee? a. What is the name of the committee? 0% 0 A2. Are the following organizations represented on the committee? (Y/N dropdown) A2. Are the following organizations represented on the committee? Don't know a. Social marketing If yes, specify name(s) of organizations a. Social marketing 0 b. NGO (for example: service delivery, advocacy, Planned Parenthood affiliate, Marie Stopes affiliate, faith-based organizations, etc.) If yes, specify name(s) of organizations b. NGO (for example: service delivery, advocacy, Planned Parenthood affiliate, Marie Stopes affiliate, faith-based organizations, etc.) 0 c. Commercial sector (for example: pharmacy associations, manufacturers, etc.) If yes, specify name(s) of organizations c. Commercial sector (for example: pharmacy associations, manufacturers, etc.) 0 d. Donors If yes, specify name(s) of donors d. Donors 0 e. UN agencies If yes, specify name(s) of agencies e. UN agencies 0 f. Ministry of Health (for example: logistics, reproductive health, family planning, maternal and child health, HIV/AIDS, pharmacy units, etc.) If yes, specify name(s) of units f. Ministry of Health (for example: logistics, reproductive health, family planning, maternal and child health, HIV/AIDS, pharmacy units, etc.) 0 g. Central Medical Store or Central Warehouse If yes, specify g. Central Medical Store or Central Warehouse 0 h. Ministry of Finance or Ministry of Planning If yes, specify h. Ministry of Finance or Ministry of Planning 0 i. Other (for example: partners) If yes, specify i. Other (for example: partners) 0 A3. How many times did the committee meet during the last year? (0, 1-2, 3-5, or 6+) (Please select from the dropdown.) A3. How many times did the committee meet during the last year? (0, 1-2, 3-5, or 6+) (Please select from the dropdown.) A4. Does the committee have legal status? (Please select from the dropdown.) A4. Does the committee have legal status? (Please select from the dropdown.) A5. Is there a Contraceptive Security "champion"? (someone who consistently brings up and advocates for contraceptive supplies) If yes, specify person's organization Specify person's job title A5. Is there a Contraceptive Security "champion"? (someone who consistently brings up and advocates for contraceptive supplies) B. Finance and Procurement (Capital) B1. What is the timeline of the country's fiscal year? Beginning month Ending month 0 B2. What was the estimated dollar value of contraceptives needed to be procured for the public sector for the most recent complete fiscal year? (in USD currency) (for example, to cover the needs for the '09-'10 fiscal year) 0 0.0 B2. What was the estimated dollar value of contraceptives needed to be procured for the public sector for the most recent complete fiscal year? (in USD currency) (for example, to cover the needs for the '09-'10 fiscal year) B3. When was the last forecast/quantification conducted? (mm/yy) Who conducted it? (Specify organization.) 0 0.0 B3. When was the last forecast/quantification conducted? (mm/yy) B4. Is there a government budget line item for the procurement of contraceptives? (Please select from the dropdown list.) B4. Is there a government budget line item for the procurement of contraceptives? (Please select from the dropdown list.) B5. Were government funds allocated for contraceptive procurement for the public sector in the most recent complete fiscal year? (This question refers to funds planned to be spent on contraceptives, whether or not they ended up being spent.) (Government funds include internally generated funds, basket funds, World Bank credits or loans, and other funds donors gave to the government for their use.) B5. Were government funds allocated for contraceptive procurement for the public sector in the most recent complete fiscal year? (This question refers to funds planned to be spent on contraceptives, whether or not they ended up being spent.) (Government funds include internally generated funds, basket funds, World Bank credits or loans, and other funds donors gave to the government for their use.) B6. Please complete the table below regarding government allocations for contraceptive procurement. B6. Please complete the table below regarding government allocations for contraceptive procurement. Amount allocated (in USD) Time period during which allocations were supposed to be spent (mm/yy-mm/yy) (should ideally be the most recent complete fiscal year ['09-'10]) Data source (for example: Ministry records) Comments 0 Government funds allocated for contraceptive procurement (funds originally designated for contraceptives, whether or not they ended up being spent on them) 0 B7. Were government funds spent on contraceptive procurement for the public sector in the most recent complete fiscal year? (Government funds include internally generated funds, basket funds, World Bank credits or loans, and other funds donors gave to the government for their use.) B7. Were government funds spent on contraceptive procurement for the public sector in the most recent complete fiscal year? (Government funds include internally generated funds, basket funds, World Bank credits or loans, and other funds donors gave to the government for their use.) B8. Please complete the table below to indicate government expenditures on contraceptive procurement, by source, in the most recent complete fiscal year. (This is how much was spent on contraceptive procurement (not what was allocated). How much of this spending was provided from each source?) B8. Please complete the table below to indicate government expenditures on contraceptive procurement, by source, in the most recent complete fiscal year. (This is how much was spent on contraceptive procurement (not what was allocated). How much of this spending was provided from each source?) Source of government funds spent on contraceptive procurement for the public sector Was this source used? (Y/N) Amount spent (in USD) Time period (mm/yy-mm/yy) (should be the same for all sources of funds & ideally be the most recent complete fiscal year ['09-'10]) Data source (for example: Contraceptive Procurement Table, PipeLine, etc.) Comments 0 a. Internally generated funds spent on contraceptive procurement a. Internally generated funds spent on contraceptive procurement i. Specify source(s) of internally generated funds spent (for example, from taxes or user fees) i. Specify source(s) of internally generated funds spent (for example, from taxes or user fees) 0 b. Total of all other government funds spent on contraceptive procurement (basket funds, World Bank credits or loans, and other funds donors gave to the government [e.g., direct budget support]) b. Total of all other government funds spent on contraceptive procurement (basket funds, World Bank credits or loans, and other funds donors gave to the government [e.g., direct budget support]) i. Specify source(s) of other government funds spent (for example: basket funding or specific donor) i. Specify source(s) of other government funds spent (for example: basket funding or specific donor) 0 c. TOTAL government funds spent on contraceptive procurement This will auto-calculate. (It will sum a & b above.) 0.0 c. TOTAL government funds spent on contraceptive procurement This will auto-calculate. (It will sum a & b above.) 0 B9. Please complete the table below to indicate donor expenditures on contraceptive procurement in the most recent complete fiscal year. B9. Please complete the table below to indicate donor expenditures on contraceptive procurement in the most recent complete fiscal year. Source of donations and donor funds spent on contraceptive procurement for the public sector Was this a source? (Y/N) Amount of money spent on these procurements (in USD) Time period (mm/yy-mm/yy) (should be the same for all sources of funds & ideally be the most recent complete fiscal year ['09-'10]) Data source (for example: Donor records, Contraceptive Procurement Table, PipeLine, RHInterchange, etc. Comments a. In-kind donations of contraceptives a. In-kind donations of contraceptives i. Specify source(s) of in-kind donations i. Specify source(s) of in-kind donations 0 b. Global Fund donations used to procure condoms b. Global Fund donations used to procure condoms c. Global Fund donations used to procure contraceptives besides condoms c. Global Fund donations used to procure contraceptives besides condoms d. TOTAL value of in-kind donations and Global Fund donations spent on contraceptive procurement This will auto-calculate. (It will sum a-c above.) 0.0 d. TOTAL value of in-kind donations and Global Fund donations spent on contraceptive procurement This will auto-calculate. (It will sum a-c above.) 0 The answers to B10 and B11 should calculate automatically based on the information you provided. Please review the answers to ensure they make sense to you, and if you have additional information to add, please note it in the comments boxes. If the answers do not calculate automatically, please provide any relevant information you may have in the comments boxes. The answers to B10 and B11 should calculate automatically based on the information you provided. Please review the answers to ensure they make sense to you, and if you have additional information to add, please note it in the comments boxes. If the answers do not calculate automatically, please provide any relevant information you may have in the comments boxes. B10. Government share of funds spent on contraceptive procurement for the public sector - Of the total amount spent on contraceptives for the public sector in the most recent complete fiscal year (including government and donor funds), what percent was covered by government funds (including internally generated funds, basket funds, World Bank credits or loans, and other funds given to the government)? This will auto-calculate. (It contains the following formula: Total government spending (Question B8c) / Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d)) 0% Comments: Comments: B10. Government share of funds spent on contraceptive procurement for the public sector - Of the total amount spent on contraceptives for the public sector in the most recent complete fiscal year (including government and donor funds), what percent was covered by government funds (including internally generated funds, basket funds, World Bank credits or loans, and other funds given to the government)? This will auto-calculate. (It contains the following formula: Total government spending (Question B8c) / Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d)) B11. Total expenditures on public sector contraceptives as percent of amount that needed to be procured - Of the estimated value of the contraceptives needed to be procured for the public sector for the most recent complete fiscal year, what percent was provided by any source (whether government or donor)? This will auto-calculate. (It contains the following formula: Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d) / Value of estimated need for procurement (Question B2)) 0% Comments: Comments: B11. Total expenditures on public sector contraceptives as percent of amount that needed to be procured - Of the estimated value of the contraceptives needed to be procured for the public sector for the most recent complete fiscal year, what percent was provided by any source (whether government or donor)? This will auto-calculate. (It contains the following formula: Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d) / Value of estimated need for procurement (Question B2)) B12. If B11 did not calculate automatically, please answer the following question: Was there a funding gap for the public sector in the last complete fiscal year (e.g., 09-'10 fiscal year)? (Please select from the dropdown list.) Comments: Comments: B12. If B11 did not calculate automatically, please answer the following question: Was there a funding gap for the public sector in the last complete fiscal year (e.g., 09-'10 fiscal year)? (Please select from the dropdown list.) 0 B13. If the government financed any contraceptive procurement in the most recent complete fiscal year, which entity conducted the procurement(s)? (Please select from the dropdown.) 0 B13. If the government financed any contraceptive procurement in the most recent complete fiscal year, which entity conducted the procurement(s)? (Please select from the dropdown.) a. Specify entity 0 0 a. Specify entity i. Is this a parastatal? 0 i. Is this a parastatal? B14. Please note any additional comments about finance and procurement. B14. Please note any additional comments about finance and procurement. 0 C. Commodities C1. Are the following contraceptive methods offered through the commercial sector, public sector, NGOs, or social marketing? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) (Please select from the dropdown list.) C1. Are the following contraceptive methods offered through the commercial sector, public sector, NGOs, or social marketing? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) (Please select from the dropdown list.) Contraceptive Method Commercial Sector Public Sector NGO Social Marketing Contraceptive Method a. Combined oral contraceptives (estrogen + progestin - for example, LoFemenol, Microgynon) a. Combined oral contraceptives (estrogen + progestin - for example, LoFemenol, Microgynon) b. Progestin-only pills (for example, Ovrette, Microlut) b. Progestin-only pills (for example, Ovrette, Microlut) c. Hormonal injections (for example, DepoProvera, Noristerat) c. Hormonal injections (for example, DepoProvera, Noristerat) d. Hormonal implants (for example, Jadelle, Implanon) d. Hormonal implants (for example, Jadelle, Implanon) e. Intrauterine devices (IUDs) (for example, Optima Copper T) e. Intrauterine devices (IUDs) (for example, Optima Copper T) f. Male condoms f. Male condoms g. Female condoms g. Female condoms h. Emergency contraceptive pills (for example, Postinor) h. Emergency contraceptive pills (for example, Postinor) i. Long-acting permanent method for males (vasectomy) i. Long-acting permanent method for males (vasectomy) j. Long-acting permanent method for females (tubal ligation) j. Long-acting permanent method for females (tubal ligation) k. CycleBeads k. CycleBeads l. Other contraceptive methods - specify (Please provide the name of the other contraceptive(s) offered, by sector.) l. Other contraceptive methods - specify (Please provide the name of the other contraceptive(s) offered, by sector.) C2. Please note any comments about the commodities offered. C2. Please note any comments about the commodities offered. 0 D. Policy (Commitment) D1. Is there a contraceptive security or reproductive health commodity security strategy or is contraceptive security explicitly included in a country strategy? (Please select from the dropdown list.) D1. Is there a contraceptive security or reproductive health commodity security strategy or is contraceptive security explicitly included in a country strategy? (Please select from the dropdown list.) IF NO, SKIP TO QUESTION D2. Strategy name Years Covered (including strategy updates) Is the strategy formally approved by the Ministry? Is the contraceptive security strategy being implemented? Is the contraceptive security strategy being implemented? Strategy name 0% Years Covered (including strategy updates) a 0 a 0% 0 D2. Are any family planning commodities subject to duties, import taxes, or other fees? 0 D2. Are any family planning commodities subject to duties, import taxes, or other fees? a. If yes, for which sectors (public, NGO, social marketing, commercial)? 0% 0% a. If yes, for which sectors (public, NGO, social marketing, commercial)? b. If yes, how much are the duties, taxes, or fees? 0% 0% b. If yes, how much are the duties, taxes, or fees? D3. Are there policies that hinder the ability of the private sector (commercial sector, NGOs, or social marketing) to provide contraceptive methods (for example: price controls, distribution limitations, taxes/duties, advertising bans, etc.)? D3. Are there policies that hinder the ability of the private sector (commercial sector, NGOs, or social marketing) to provide contraceptive methods (for example: price controls, distribution limitations, taxes/duties, advertising bans, etc.)? a. If yes, describe the policies. a. If yes, describe the policies. 0 D4. Are there policies that enable the private sector (commercial sector, NGOs, or social marketing) to provide contraceptive methods? D4. Are there policies that enable the private sector (commercial sector, NGOs, or social marketing) to provide contraceptive methods? a. If yes, describe the policies. a. If yes, describe the policies. 0 D5. Do policies or regulations exist that restrict who can sell or dispense particular contraceptive methods? D5. Do policies or regulations exist that restrict who can sell or dispense particular contraceptive methods? Please note any restrictions in the following table. Contraceptive Method(s) Describe any public sector restriction on who is allowed to sell or dispense the method Describe any private sector restriction on who is allowed to sell or dispense the method Describe any private sector restriction on who is allowed to sell or dispense the method Contraceptive Method(s) Describe any public sector restriction on who is allowed to sell or dispense the method a 0 0% 0 0 b 0 0% 0 0 c 0 0% 0 0 0 D6. Does the country have laws, regulations, or policies that make it difficult for the following sub-populations to access effective family planning services? Y/N If yes, describe laws/regulations/policies affecting access Are the rules/policies implemented? D6. Does the country have laws, regulations, or policies that make it difficult for the following sub-populations to access effective family planning services? If yes, describe laws/regulations/policies affecting access a. Unmarried people a. Unmarried people 0% 0 b. Young people b. Young people 0% 0 c. Other c. Other 0% 0 0 D7. Are there charges* to the client in the public sector for family planning: *(This question refers to charges by policy, not under-the-table charges.) D7. Are there charges* to the client in the public sector for family planning: *(This question refers to charges by policy, not under-the-table charges.) a. Services? 0 a. Services? b. Commodities? 0 b. Commodities? c. If yes, are there exemptions for people who cannot afford to pay? 0 c. If yes, are there exemptions for people who cannot afford to pay? i. If yes, describe the exemptions. i. If yes, describe the exemptions. 0 D8. Are the following contraceptives included in the country's National Essential Medicine List (NEML) or other equivalent priority list? D8. Are the following contraceptives included in the country's National Essential Medicine List (NEML) or other equivalent priority list? a. Combined oral contraceptives 0 a. Combined oral contraceptives b. Progestin-only pills 0 b. Progestin-only pills c. Hormonal injections 0 c. Hormonal injections d. Hormonal implants 0 d. Hormonal implants e. Intrauterine devices (IUDs) 0 e. Intrauterine devices (IUDs) f. Male condoms 0 f. Male condoms g. Female condoms 0 g. Female condoms h. Emergency contraceptive pills 0 h. Emergency contraceptive pills i. CycleBeads 0 i. CycleBeads j. Any other contraceptive(s)? 0 j. Any other contraceptive(s)? i. Name of other contraceptive(s) on the list(s) 0 0 D9. What year(s) is the list(s) from? 0 0 D10. Name of the list(s) D10. Name of the list(s) 0 D11. Notes about the list(s) D11. Notes about the list(s) 0 D12. Information on country's Poverty Reduction Strategy Paper (PRSP) D12. Information on country's Poverty Reduction Strategy Paper (PRSP) a. What year is the Poverty Reduction Strategy Paper from? (most recent actual PRSP on IMF's site [not progress or summary report]) 0 a. What year is the Poverty Reduction Strategy Paper from? (most recent actual PRSP on IMF's site [not progress or summary report]) b. Is family planning or reproductive health a priority in the PRSP? 0 b. Is family planning or reproductive health a priority in the PRSP? c. Is contraceptive security included in the PRSP? 0 c. Is contraceptive security included in the PRSP? d. Is contraceptive prevalence rate (CPR) included as an indicator in the PRSP? 0 d. Is contraceptive prevalence rate (CPR) included as an indicator in the PRSP? e. Are contraceptive supply indicators included in the PRSP? 0 e. Are contraceptive supply indicators included in the PRSP? f. Notes about the Poverty Reduction Strategy Paper f. Notes about the Poverty Reduction Strategy Paper 0 E. Supply Chain (Capacity) E1. Have stockouts occurred for any contraceptive at the central* level in the last 12 months? *(The central level refers to the central level warehouse for the public sector.) 0 E1. Have stockouts occurred for any contraceptive at the central* level in the last 12 months? *(The central level refers to the central level warehouse for the public sector.) E2. In the last 12 months, has there ever been a stockout at the central level of any of the contraceptives offered in public sector facilities? (If a method is not intended to be offered in public sector facilities, please indicate that stockouts are not applicable (choose "N/A" from the dropdown list).) E2. In the last 12 months, has there ever been a stockout at the central level of any of the contraceptives offered in public sector facilities? (If a method is not intended to be offered in public sector facilities, please indicate that stockouts are not applicable (choose "N/A" from the dropdown list).) a. Combined oral contraceptives 0 a. Combined oral contraceptives b. Progestin-only pills 0 b. Progestin-only pills c. Hormonal injections 0 c. Hormonal injections d. Hormonal implants 0 d. Hormonal implants e. Intrauterine devices (IUDs) 0 e. Intrauterine devices (IUDs) f. Male condoms 0 f. Male condoms g. Female condoms 0 g. Female condoms h. Emergency contraceptive pills 0 h. Emergency contraceptive pills i. CycleBeads 0 i. CycleBeads j. Time period of review (mm/yy - mm/yy) (for example, 1/10-12/10) 0 j. Time period of review (mm/yy - mm/yy) (for example, 1/10-12/10) k. Data source (for example: Procurement Planning and Monitoring Report, Logistics Management Information System, periodic physical inventory, warehouse reports) 0 k. Data source (for example: Procurement Planning and Monitoring Report, Logistics Management Information System, periodic physical inventory, warehouse reports) E3. Are stockouts a large problem in your country at the following levels? (i.e., Are they common or do they tend to last for a long time?) a. service delivery point level (i.e., public sector health facilities) 0 a. service delivery point level (i.e., public sector health facilities) b. central level (i.e., central level warehouse for the public sector) 0 b. central level (i.e., central level warehouse for the public sector) F. Please note any overall comments about challenges and/or successes with contraceptive security in your country. F. Please note any overall comments about challenges and/or successes with contraceptive security in your country. 0 0 To jump to the Introduction sheet, click here. LINKED ALL countries2011filter Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. The CS Indicators are presented in the following sections: (To jump to a section, click on it here): A. leadership & cooordination B. finance & procurement C. commodities D. policies E. supply chain Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Contraceptive Security Indicators Data 2011 All Surveyed Countries with data filters and grouping A. Leadership and Coordination A1. Is there a national committee that works on contraceptive security? A1a. What is the name of the committee? A2. Are the following organizations represented on the committee? A2a. Are social marketing organizations on the committee? A2ai. Names of social marketing organizations on the committee A2b. Are NGOs on the committee? (e.g. service delivery, advocacy, Planned Parenthood afiliate, Marie Stopes afiliate, faith-based organizations) A2bi. Names of NGOs on the committee A2c. Are commercial sector organizations on the committee? (e.g. pharmacy associations, manufacturers) A2ci. Names of commercial sector organizations on the committee A2d. Are donors on the committee? A2di. Names of donors on the committee A2e. Are UN agencies on the committee? A2ei. Names of UN agencies on the committee A2f. Are Ministry of Health units on the committee? (e.g. logistics, RH, FP, MCH, HIV/AIDS, pharmacy units) A2fi. Names of Ministry of Health units on the committee A2g. Is the Central Medical Store or Central Warehouse on the committee? A2gi. Specify Central Medical Store or Central Warehouse on the committee A2h. Is the Ministry of Finance or Ministry of Planning on the committee? A2hi. Specify Ministry of Finance or Planning on the committee A2i. Are there any other organizations on the committee? (e.g. partners) A2ii. Specify other organizaitons on the committee A3. How many times did the committee meet during the last year? (responses from dropdown list choices: 0, 1-2, 3-5, or 6+) A4. Does committee have legal status? A5. Is there a Contraceptive Security "champion"? (someone who consistently brings up and advocates for contraceptive supplies) A5a. "Champion's" organization A5b. "Champion's" job title B. Finance and Procurement (Capital) B1a. What is the beginning month of the country's fiscal year? B1b. What is the ending month of the country's fiscal year? B2. Estimated dollar value of contraceptives needed to be procured for public sector for the most recent complete fiscal year (in US$) (e.g., to cover the needs for the '09-'10 fiscal year) B3a. When was the last forecast/quantification conducted? (mm/yy) B3b. Which organization conducted the last quantification? B4. Is there a government budget line item for the procurement of contraceptives? B5. Were government funds allocated for contraceptive procurement for the public sector in the most recent complete fiscal year? (This refers to funds planned to be spent on contraceptives, whether or not they ended up being spent.) B6. What was the amount of government funds allocated for contraceptive procurement? (in US$) (i.e., funds originally designated for contraceptives, whether or not they ended up being spent on them) B6i. Time period when government allocations were supposed to be spent (mm/yy-mm/yy) B6ii. Data source for information on government allocations B6iii. Comments regarding government allocations B7. Were government funds spent on contraceptive procurement for the public sector in the most recent complete fiscal year? (including internally generated funds, basket funds, World Bank credits or loans, and other donor funds given to the government) B8a. Did the government spend internally generated funds for contraceptive procurement for the public sector B8ai. Specify source(s) of internally generated funds spent (e.g., from taxes or user fees) B8aii. What was the amount of internally generated funds spent on contraceptive procurement for the public sector? (in US$) B8aiii. Time period for internally generated funds (mm/yy-mm/yy) B8aiv. Data source for information on internally generated funds B8av. Comments regarding internally generated funds B8b. Did the government spend other government funds for contraceptive procurement for the public sector (e.g., basket funds, World Bank credits or loans, or other funds donors gave to the government [e.g., direct budget support])? B8bi. Specify source(s) of other government funds spent (e.g., basket funding or specific donor) B8bii. What was the amount of these other government funds spent on contraceptive procurement for the public sector? (in US$) B8biii. Time period for these other government funds (mm/yy-mm/yy) B8biv. Data source for information on these other government funds B8bv. Comments regarding these other government funds B8c. In total, how much did the government spend on contraceptive procurement for the public sector? (in US$) This will auto-calculate. (It will sum internally generated funds and other government funds.) B8ci. Comments on total government funds spent on contraceptive procurement for the public sector B9. In-kind and Global Fund donations B9a. Were in-kind donations of contraceptives provided for the public sector? B9ai. Source(s) of in-kind donations B9aii. What was the value of in-kind donations of contraceptives for the public sector? (in US$) B9aiii. Time period for in-kind donations (mm/yy-mm/yy) B9aiv. Data source for information on in-kind donations B9av. Comments regarding in-kind donations B9b. Were Global Fund donations used to procure condoms? B9bi. What was the amount spent on Global Fund donations used to procure condoms? (in US$) B9bii. Time period for Global Fund condom procurements (mm/yy-mm/yy) B9biii. Data source for information on Global Fund condom procurements B9biv. Comments regarding Global Fund condom procurements B9c. Were Global Fund donations used to procure contraceptives besides condoms? B9ci. What was the amount spent on Global Fund donations used to procure contraceptives besides condoms? (in US$) B9cii. Time period for Global Fund non-condom contraceptive procurements (mm/yy-mm/yy) B9ciii. Data source for information on Global Fund non-condom contraceptive procurements B9civ. Comments regarding Global Fund non-condom contraceptive procurements B9d. Total value of in-kind donations and Global Fund donations spent on contraceptive procurement for the public sector This will auto-calculate. (It will sum in-kind donations and all Global Fund procurements.) B9di. Comments regarding total value of in-kind donations and Global Fund donations spent on contraceptive procurement for the public sector B10. Government share of spending on contraceptive procurement for the public sector - Of the total amount spent on contraceptives for the public sector in the most recent complete fiscal year (including government and donor spending), what percent was covered by government funds (including internally generated funds, basket funds, World Bank credits or loans, and other funds given to the government)? This will autocalculate -Total government spending (Question B8c) / Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d) B10a. Comments about government share of spending on contraceptive procurement for the public sector B11. Total expenditures on public sector contraceptives as percent of amount that needed to be procured - Of the estimated value of the contraceptives needed to be procured for the public sector for the most recent complete fiscal year, what percent was provided by any source (whether government or donor)? This will auto-calculate. (It contains the following formula: Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d) / Value of estimated need for procurement (Question B2)) B11a. Comments about total expenditures on public sector contraceptives as percent of amount that needed to be procured B12. If B11 did not calculate automatically, please answer the following question: Was there a funding gap for the public sector in the last complete fiscal year (e.g., 09-'10 fiscal year)? B12a. Comments about B12 (whether there was a funding gap) B13. If the government financed any contraceptive procurement in the most recent complete fiscal year, which entity conducted the procurement(s)? (responses from dropdown list choices) B13a. Specify entity that conducted procurement B13ai. Is this procurement entity a parastatal? B14. Comments about finance and procurement C. Commodities C1. Are the following contraceptive methods offered in commercial sector facilities? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C1a. Combined oral contraceptives offered in commercial sector facilities? C1b. Progestin-only pills offered in commercial sector facilities? C1c. Hormonal injections offered in commercial sector facilities? C1d. Hormonal implants offered in commercial sector facilities? C1e. Intrauterine devices (IUDs) offered in commercial sector facilities? C1f. Male condoms offered in commercial sector facilities? C1g. Female condoms offered in commercial sector facilities? C1h. Emergency contraceptive pills offered in commercial sector facilities? C1i. Long-acting permanent method for males (e.g., vasectomy) offered in commercial sector facilities? C1j. Long-acting permanent method for females (e.g., tubal ligation) offered in commercial sector facilities? C1k. CycleBeads offered in commercial sector facilities? C1l. Specify other contraceptive(s) offered in commercial sector facilities C2. Are the following contraceptive methods offered in public sector facilities? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C2a. Combined oral contraceptives offered in public sector facilities? C2b. Progestin-only pills offered in public sector facilities? C2c. Hormonal injections offered in public sector facilities? C2d. Hormonal implants offered in public sector facilities? C2e. Intrauterine devices (IUDs) offered in public sector facilities? C2f. Male condoms offered in public sector facilities? C2g. Female condoms offered in public sector facilities? C2h. Emergency contraceptive pills offered in public sector facilities? C2i. Long-acting permanent method for males (e.g., vasectomy) offered in public sector facilities? C2j. Long-acting permanent method for females (e.g., tubal ligation) offered in public sector facilities? C2k. CycleBeads offered in public sector facilities? C2l. Specify other contraceptive(s) offered in public sector facilities C3. Are the following contraceptive methods offered in NGO facilities? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C3a. Combined oral contraceptives offered in NGO facilities? C3b. Progestin-only pills offered in NGO facilities? C3c. Hormonal injections offered in NGO facilities? C3d. Hormonal implants offered in NGO facilities? C3e. Intrauterine devices (IUDs) offered in NGO facilities? C3f. Male condoms offered in NGO facilities? C3g. Female condoms offered in NGO facilities? C3h. Emergency contraceptive pills offered in NGO facilities? C3i. Long-acting permanent method for males (e.g., vasectomy) offered in NGO sector facilities? C3j. Long-acting permanent method for females (e.g., tubal ligation) offered in NGO sector facilities? C3k. CycleBeads offered in NGO sector facilities? C3l. Specify other contraceptive(s) offered in NGO sector facilities C4. Are the following contraceptive methods offered through social marketing? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C4a. Combined oral contraceptives offered through social marketing? C4b. Progestin-only pills offered through social marketing? C4c. Hormonal injections offered through social marketing? C4d. Hormonal implants offered through social marketing? C4e. Intrauterine devices (IUDs) offered through social marketing? C4f. Male condoms offered through social marketing? C4g. Female condoms offered through social marketing? C4h. Emergency contraceptive pills offered through social marketing? C4i. Long-acting permanent method for males (e.g., vasectomy) offered through social marketing? C4j. Long-acting permanent method for females (e.g., tubal ligation) offered through social marketing? C4k. CycleBeads offered through social marketing? C4l. Specify other contraceptive(s) offered through social marketing C5. Comments about methods offered D. Policies (Commitment) D1. Is there a contraceptive security or reproductive health commodity security strategy or is contraceptive security explicitly included in a country strategy? D1a. Strategy name D1b. Years strategy covers (including strategy updates) D1c. Is the strategy formally approved by the Ministry? D1d. Is the contraceptive security strategy being implemented? D2. Are any family planning commodities subject to duties, import taxes, or other fees? D2a. For which sector(s) (public, NGO, social marketing, commercial sector) are there duties, taxes, or fees? D2b. How much are the duties, taxes, or fees? D3. Are there policies that hinder the ability of the private sector (commercial sector, NGOs, or social marketing) to provide contraceptive methods? (e.g. price controls, distribution limitations, taxes/duties, advertising bans) D3a. Description of policies hindering the private sector D4. Are there policies that enable the private sector (commercial sector, NGOs, or social marketing) to provide contraceptive methods? D4a. Description of policies enabling the private sector D5. Do policies or regulations exist that restrict who can dispense or sell particular contraceptive methods? D5a. Name of contraceptive method 1 D5ai. Description of public sector restriction regarding who is allowed to dispense or sell method 1 D5aii. Description of private sector restriction regarding who is allowed to dispense or sell method 1 D5b. Name of contraceptive method 2 D5bi. Description of public sector restriction regarding who is allowed to dispense or sell method 2 D5bii. Description of private sector restriction regarding who is allowed to dispense or sell method 2 D5c. Name of contraceptive method 3 D5ci. Description of public sector restriction regarding who is allowed to dispense or sell method 3 D5cii. Description of private sector restriction regarding who is allowed to dispense or sell method 3 D6. Does the country have laws, regulations, or policies that make it difficult for the following sub-populations to access effective family planning services? D6a. Laws/regulations/policies limiting access to family planning services for unmarried people? D6ai. Description of the rules/policies limiting access for unmarried people D6aii. Are the rules/policies limiting access for unmarried people implemented? D6b. Laws/regulations/policies limiting access to family planning for young people? D6bi. Description of the rules or policies limiting access for young people D6bii. Are the rules/policies limiting access for young people implemented? D6c. Laws/regulations/policies limiting access to family planning services to other sub-populations? D6ci. Description of the rules or policies limiting access for other sub-populations D6cii. Are the rules/policies limiting access for other sub-populations implemented? D7. Are there charges to the client in the public sector for family planning services or commodities? (This question refers to charges by policy, not under-the-table charges.) D7a. Charges to client in public sector for family planning services? D7b. Charges to client in public sector for family planning commodities? D7c. If there are charges, are there exemptions for people who cannot afford to pay? D7ci. Description of exemptions D8. Inclusion of contraceptives in country's National Essential Medicine List (NEML) or other equivalent priority list D8a. Are combined oral contraceptives included on the NEML? D8b. Are progestin-only pills included on the NEML? D8c. Are hormonal injections included on the NEML? D8d. Are hormonal implants included on the NEML? D8e. Are intrauterine devices (IUDs) included on the NEML? D8f. Are male condoms included on the NEML? D8g. Are female condoms included on the NEML? D8h. Are emergency contraceptive pills included on the NEML? D8i. Are CycleBeads included on the NEML? D8j. Are any other contraceptives included on the NEML? D8ji. Name of other contraceptive on NEML D9. Year of National Essential Medicine List (NEML) D10. Name of national essential medicine list D11. Notes about the NEML D12. Information in country's Poverty Reduction Strategy Paper (PRSP) D12a. Year of Poverty Reduction Strategy Paper (PRSP) (most recent actual PRSP on IMF's site (not progress or summary report) D12b. Is family planning or reproductive health a priority in the PRSP? D12c. Is contraceptive security included in the PRSP? D12d. Is contraceptive prevalence rate (CPR) included as an indicator in the PRSP? D12e. Are contraceptive supply indicators included in the PRSP? D12f. Notes about the PRSP E. Supply Chain (Capacity) E1. Have stockouts occurred for any contraceptive at the central level in the last 12 months? (The central level refers to the central level warehouse for the public sector.) E2. In the last 12 months, has there ever been a stockout at the central level of any of the following contraceptives offered in public sector facilities? (If a method is not intended to be offered in public sector facilities, in most cases stockouts will be not applicable ("N/A").) E2a. Combined oral contraceptives stocked out at central level in last 12 months? E2b. Progestin-only pills stocked out at central level in last 12 months? E2c. Hormonal injections stocked out at central level in last 12 months? E2d. Hormonal implants stocked out at central level in last 12 months? E2e. Intrauterine devices (IUDs) stocked out at central level in last 12 months? E2f. Male condoms stocked out at central level in last 12 months? E2g. Female condoms stocked out at central level in last 12 months? E2h. Emergency contraceptive pills stocked out at central level in last 12 months? E2i. CycleBeads stocked out at central level in last 12 months? E2j. Time period of stockout information E2k. Data source for stockout information E3. Are stockouts a large problem in your country at the following levels? (i.e., Are they common or do they tend to last for a long time?) E3a. Are stockouts a large problem at the service delivery point level? (i.e., public sector health facilities) E3b. Are stockouts a large problem at the central level? (i.e., central level warehouse for the public sector) F. Overall comments about challenges or successes with contraceptive security in your country Region Afghanistan Yes Contraceptive Security Sub-Committee of the Coordinated Procurement and Distribution Committee at the MoPH Yes Futures Group/COMPRI-A Project, Afghanistan Social Marketing Organization (ASMO) Yes Marie Stopes, ASMO No 0% No 0% Yes UNFPA Yes Reproductive Health Department Yes Central Medical Store No 0% 0% 0% 1-2 times No No 0% 0% March February N/A N/A N/A No Don't know Don't know 01/10-12/10 0 Afghanistan just completed its first National Health Account (NHA) and will be able to provide this data in the future. Don't know Don't know Don't know Don't know 01/10-12/10 0.0 Most likely $0 No N/A 0.0 01/10-12/10 0.0 0 Don't know 0 Yes USAID Don't know 01/10-12/10 0.0 In 2009 UNFPA procured $100,854 worth of contraceptives for the MoPH but did not receive a request in 2010. No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 Don't know 0.0 Don't know 0 Don't know 0 Don't know 0 N/A N/A N/A World Bank & EU include a pharmaceutical line item in their budgets to NGOs who provide health services. These NGOs purchase pharmaceuticals, including contraceptives, for the health facilities they operate. Yes Yes Yes No Yes Yes No No No Yes No No Yes Yes Yes No Yes Yes No Don't know No Yes No No Yes Yes Yes No Yes Yes No No No Yes No No Yes No Yes No No Yes No No No No No No 0 No 0 0 0 0 Yes Commercial sector Import duties are taken as a percentage of total in products for distribution (not cash). No N/A Yes National Essential Drug List includes contraceptives No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Don't know Yes No Yes Yes No No No No N/A 2007 (December) National Licensed Drug List Drugs may be added to the list with justification. 2008 Yes No Yes No 0 Yes Yes Yes Yes N/A No No N/A Yes N/A 0 MOPH letter No No There is currently an overstock of Depo-provera at a national level. Europe and Asia Albania Yes Reproductive Health Committee Yes NESMARK Yes Albanian Center for Population and Development (IPPF affiliate) Yes Bayer Schering, OES Distrimed, Marketing and Distribution Yes UNFPA, USAID, UNICEF Yes UNFPA, UNICEF Yes Reproductive Health Unit, Pharmacy Department No 0% No 0% Yes Ministry of Labour Don't know Don't know Yes MOH Minister of Health January December $67,000 Beginning of the year (every year) LMIS Coordinator Don't know Yes Don't know 01/10-12/10 Institute of Public Health Records Ministry of Health covered 100% of the budget for contraceptive procurement for the public sector for 2010 Yes Yes 0 $67,000 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 $67,000 0 No N/A 0.0 01/10-12/10 0.0 0 No 0.0 01/10-12/10 RHInterchange 0.0 No 0.0 01/10-12/10 0.0 0.0 0.0 0.0 100% 100% government share 100% 100% No 0 Third-party agent (e.g., UNFPA, Crown Agents) UNFPA No 0 Yes Yes Yes No Yes Yes No Don't know No No No 0 Yes Yes Yes No Yes Yes No Don't know Yes Yes No 0 No No No No No Yes No Don't know No No No 0 No Yes No No No Yes No Don't know No No No 0 0 Yes Albania Contraceptive Strategy 2003-2010 Yes Yes Yes Social marketing and commercial sector VAT (for condoms, IUD are 20%), Custom tax is 2% for all methods) Yes Price control, VAT (for condoms and IUDs) and custom tax (for all methods) for commercial sector and NGOs Yes 0 Yes IUDs Only Ob-Gyns Drugstore Orals and injections 0 Drugstore 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes No Yes Yes No Yes No Don't know Don't know 2004-2011 Lista me cmimet e barnave te regjistruara per vitin The list can be found at http://www.moh.gov.al/ 2008 No No No No 0 Yes No No No N/A Yes Yes N/A N/A N/A 0 LMIS No No The Albania government is in the process of revising the CS Strategy with UNFPA support. Europe and Asia Armenia No N/A N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A N/A No 0% 0% January December N/A N/A N/A No No 0.0 01/10-12/10 0 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 Yes UNFPA $13,105 01/10-12/10 UNFPA 27 FP units have been supplied with contraceptives worth $13,105 USD. UNFPA provided condoms for distribution among the military (for HIV/AIDS prevention). Yes $39,688 01/10-12/10 Mission East For HIV/AIDS prevention only No 0.0 01/10-12/10 0.0 0.0 $52,793 0.0 0% 0 Don't know 0 0 0 N/A N/A N/A 0 Yes Yes Yes No Yes Yes No Yes Don't know Don't know No Spermicides Yes Yes Yes No Yes Yes No Yes Don't know Don't know No Don't know No No No No No No No No No No No No Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 0 Yes National Strategy, Program and Actions Timeframe on Reproductive Health Improvement 2007 - 2015 Yes Yes Yes Commercial sector 20% VAT Yes There are advertising ban policies. In particular, contraceptive pills and spermicides are not among the "over the counter" medicines and cannot be advertised. For the advertisement of other contraceptives, Ministry of Health permission is required. No N/A Yes Pills, IUDs, spermicides Only OB/GYNs can prescribe and dispense all methods, including IUD insertions. Family doctors (FDs) provide FP counselling and dispense all contraceptives, except for hormonal pills and IUD insertions. Nurses can only refer patients to FP counseling and dispense condoms. 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes No No No No Yes No No N/A 2010 Essential Medicine List of the Republic of Armenia IUDs, condoms, and spermicides are not on the list because they are not drugs. Implants are not registered. 2008 Yes No No No 0 Yes Yes No Don't know N/A No No N/A Yes N/A 01/10-12/10 UNFPA and Institute of Perinatology, Obstetrics and Gynecology, MOH Yes Yes 0 Europe and Asia Azerbaijan No N/A N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A N/A Yes Scientific Research Institute of Obstetrics and Gynecology Director, National RH Coordinator January December $106,667 2006 John Snow, Inc. (JSI)/DELIVER Project No No 0.0 01/10-12/10 0 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 Yes $31,356 2/11/2010 0.0 Procured for Open Society Institute - Assistance Foundation (OSI-AF) No 0.0 01/10-12/10 RHInterchange 0.0 $31,356 0.0 0% 0 29% 0 Yes 0 N/A N/A N/A The last funding for contraceptive procurement was provided by UNFPA in 2004; however, the actual shipment of goods did not happen until 2008. The following methods were delivered: 864,000 male condoms worth US$24,014; 22,700 IUDs worth US$6,745; and 49,200 cycles of combined orals worth US$32,356. The estimated dollar value of contraceptives needed to be procured for the public sector was US $345,735 for 2007 and US $106,667 for 2008 (source: unpublished 2006 CS assessment by DELIVER/PSP-One). Yes No No No Yes Yes No Yes No Yes No Spermicides No No No No No No No No No Yes No 0 No No No No No No No No No No No 0 No No No No No Yes No No No No No 0 0 No 0 0 0 0 Yes Commercial sector (no information regarding other sectors) oral pills - 18% VAT + 1% other fees; medical devices (condom, IUD) - up to 36% VAT Yes There is a policy that allows advertising of condoms only after midnight, which is seen as hindering promotional efforts. Don't know There is no price control policy. No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 Yes Currently only ob/gyns can provide FP services; therefore, people from remote and rural areas need to travel to a central rayon hospital or FP clinic to get an IUD insertion, OC prescription, or sterilization. Yes No No N/A N/A Yes Yes No No Yes Yes No Yes No No N/A 2008 but never published Essential Drug List The EDL was never approved by the Ministry of Health. There is hope that it will be published this year. 2003 Yes Yes No No Improving the system of delivering high quality contraceptives and medicines was a "measure and action" but not an indicator. N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Public warehouses do not carry contraceptives. Europe and Asia Bangladesh Yes Logistics Coordination Forum (LCF) Yes Social Marketing Company (SMC) Yes Family Planning Association of Bangladesh, Marie Stopes No 0% Yes USAID, World Bank, JICA, GTZ, CIDA, KfW, DFID Yes UNFPA Yes Directorate General of Family Planning, MOHFW Yes Directorate General Family Planning (DGFP) central warehouse No 0% Yes Management Sciences for Health/Strengthening Pharmaceuticals Systems (MSH/SPS) Program 6 or more times Yes Yes USAID Sr. FP Advisor July June $43,571,427 07/10 DGFP Yes Yes $714,285 07/09-06/10 DGFP procurement plan 0 Yes Yes General revenue funds $714,285 07/09-06/10 DGFP 0 Yes Basket funds $35,714,285 07/09-06/10 DGFP 0 $36,428,570 0 Yes USAID, KfW $7,142,857 07/09-06/10 USAID, DGFP 0 No 0.0 07/09-06/10 0.0 0.0 No 0.0 07/09-06/10 0.0 0.0 $7,142,857 0.0 84% 0 100% 0 No 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Directorate General of Family Planning No 0 Yes Yes Yes No No Yes No Yes Yes Yes No 0 Yes No Yes Yes Yes Yes No No Yes Yes No 0 Yes Yes Yes Yes Yes Yes No No Yes Yes No 0 Yes Yes Yes No Yes Yes No No No No No 0 NGOs obtain their commodities from the government. Yes Health, Nutrition and Population Sector Plan 2006-2011 Yes Yes Yes Private sector 2.25% VAT, payable in advance Yes Private sector needs specific permission to import & distribute contraceptive commodities. Yes There is a policy to use IUDs and implants for long-term methods, and they are subject to a regulation that they should be inserted by a trained doctor and/or paramedic in a clinical environment. NGO clinics can offer these methods upon receiving them from the government. Yes Injectables Community workers cannot initiate the first dose. 0 All contraceptive methods 0 All personnel need government authorization. 0 0 0 Yes Unmarried women can't receive IUDs, injectables, implants, or tubal ligation. Yes No 0 0 Yes Low parity women and men can't receive IUDs, tubal ligation, or vasectomy. Non-parous women can't receive injectables or implants. Yes No No N/A N/A Yes Yes Yes Yes Yes Yes No Yes No No N/A 2010 Approved contraceptive list 0 2005 Yes No Yes No 0 Yes No N/A No Yes Yes No N/A N/A N/A 01/10-12/10 DGFP Logistics Management Information System (LMIS) No No The bottleneck in the procurement management has been addressed and now it is almost streamlined through the DGFP Online Procurement Tracker (www.dgfplmis.org) Europe and Asia Bolivia Yes Comité Nacional de Disponibilidad Asegurada de Insumos Anticonceptivos (DAIA) (National Contraceptive Security Committee) Yes PROSALUD Yes Centro de orientacion sexual y reproductiva de Bolivia (CIES) (Bolivian center for sexual and reproductive orientation) No 0% Yes USAID Yes UNFPA Yes DINAMED (Dirección Nacional del Medicamento - National Essential Medicines Directorate); USSyC/SSR (Unidad de Servicios de Salud y Calidad/Salud Sexual y Reproductiva - Health Services and Quality and Sexual and Reproductive Health Units) Yes CEASS (Central de Abastecimiento de Suministros) No 0% Yes John Snow Inc.'s Proyecto Gestion y Calidad en Salud (GC&S) (Health Management and Quality Project) 3-5 times No Yes PROSALUD, CIES, G&CS/JSI, USAID, UNFPA N/A January December Don't know - forecast for public sector specifically not available Don't know Don't know No Don't know Don't know 01/10-12/10 0 0 Don't know Don't know Don't know Don't know 01/10-12/10 0.0 0 Don't know Don't know Don't know 01/10-12/10 0.0 0 Don't know 0 Yes UNFPA $540,000 01/10-12/10 RHInterchange 0 No 0.0 01/10-12/10 RHInterchange 0.0 No 0.0 01/10-12/10 RHInterchange 0.0 $540,000 0.0 Don't know Government funds used for procurement are part of the public health insurance funds - at the municipal level - to locally procure commodities for the public sector. Municipalities often purchase their supplies from PROSALUD, the social marketing program, that also provides services and supplies through their own clinics and sales points. It is not posible to determine the amount spent locally by the public sector. Don't know 0 Yes The products sold by the Social Marketing Program to the public sector are subsidized. The payments made by the public health insurance cover the subsidized price, except in the case of Depo-provera (40% of the price of each product is not covered) and female condoms (90% of the price of each product is not covered). N/A N/A N/A Currently, only in the case of donations are contraceptive commodities available at CEASS (the central warehouse), a parastatal entity. Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes 0 Yes Don't know Yes No Yes Yes Yes No Yes Yes Yes 0 Yes Don't know Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes No Yes No Yes Yes Yes No No No Yes 0 0 No 0 0 0 0 Yes For any sector, but donated products are exempt from taxes by a specific decree; the exemption needs to be processed for donations to the MOH. For all other sectors there is a 40% import cost and 16% sales tax. Yes Taxes increase sales costs Yes Essential pharmaceuticals and commodities policy Yes Hormonal methods 0 Only by a health profesional 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes No Yes No Yes Yes Yes No No No N/A 2008 Lista Nacional de Medicamentos Esenciales (LINAME) (National Essential Medicines List) It is the national pharmaceuticals and commodities list for the national health system. 2001 No No No No 0 Yes Yes N/A Yes N/A Yes Yes Yes N/A N/A 11/09-03/11 Warehouse reports, and CEASS Evaluation developed by UNFPA in March 2011 No Yes Although a government strategy is not currently being implemented, the Social Marketing Program/PROSALUD provides contraceptive commodities to the public and private-NGO sectors, and has a plan ensuring provision until 2015. Our country challenges include the regulatory policies that restrict international procurement of low-priced products that would be more affordable for low-income populations. LAC Burkina Faso Yes Comité de Suivi de la Sécurisation des Produits de SR (Reproductive Health Commodities Security Follow-up Committee) Yes PROMACO Yes ABBEF (Burkina IPPF affiliate), Marie Stopes International (MSI) Yes Association des pharmaciens du privé (association of private pharmacists) Yes UNFPA Yes UNFPA Yes Family Health Division (DSF), Pharmacy Division, Planning and Research Division (DEP) Yes CAMEG (Central Medical Stores) Yes DAF Ministère de la Santé (Finances Division of the MOH), National Population Council (CONAPO) Yes Burkina Faso midwives' association (ABSF), Secrétariat permanent du Conseil national de lutte contre le SIDA (SP/CNLS) - permanent secretary of the national council of the fight against AIDS 1-2 times Yes Yes Family Health Division (DSF) Director January December $2,700,000 11/10 Reproductive Health Commodities Security Follow-up Committee Yes Yes $600,000 01/10-12/10 Finance Department, MOH There was a reduction in government funding due to the flood in September 2009. Yes Yes Taxes $365,205 01/10-12/10 Contraceptive Procurement Table (CPT) The government budget line allocated for 2010 for contraceptives was US$600,000, but out of this budget only US$365,205 was spent (accessibility issue). Yes Basket Fund $404,000 01/10-12/10 Contraceptive Procurement Table (CPT) Basket Funds managed by Project d’Appui au developpement sanitaire (PADS) - support to health development $769,205 0 Yes UNFPA (US$795,491) & USAID (US$ 270,762) $1,066,253 01/10-12/10 CPTs, PipeLine database, My Commodities on USAID | DELIVER PROJECT website No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $1,066,253 0.0 42% Government funds spent on contraceptive procurement represent 42% of the total funds spent on contraceptives for 2010. 68% 68% of the 2010 needs were covered. The remaining gap particularly implacted implants and male condoms. Yes The funding gap impacted the supply of implants and male condoms. The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) CAMEG (Central Medical Stores) Yes 0 Yes Yes Yes No No Yes Yes Yes No No No 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes No No No No Yes Yes No No No No 0 The consumption of implants is increasing, and the consumption of male condoms in the public sector doubled in 2010 because of the cost and the new brand is different from the social marketing brand and more expensive. Yes Reproductive Health Commodity Security Strategic Plan 2009-2015 (revised to this from the previous Contraceptive Security Strategic plan 2006-2015) 2009-2015 Yes Yes Yes Commercial sector 2.4% No N/A No N/A Yes Long-term methods: implants & IUDs Provided only by health professionals (medical doctors and nurses) Provided only by health professionals (medical doctors and nurses) Oral contraceptives Community Health Workers (CHWs) cannot prescribe pills, but FP clients can replenish their stock of pills from the CHW. 0 0 0 0 No 0 0 No 0 0 Don't know 0 0 Yes Yes Yes For the indigent population, contraceprtives are free of charge. Yes Yes Yes Yes Yes Yes Yes Yes No Don't know Don't know 2010 National Essential Medicines List (LNME in French) 0 2005 Yes No No No A supply indicator is included for generic and essential drugs. It does not refer directly to RH or FP supplies though. Yes No No No Yes No Yes No N/A No 01/10-12/10 Warehouse report (CAMEG report) Yes No Challenges: lack of forecasting and quantification capacity. Successes: the contraceptive budget line was maintained despite the difficult period in 2009 dealing with the impact of the floods. Additionally, the government has increased its budget line (for internally generated funds) from US $600,000 in 2010 to US $1.0 million in 2011. Despite temporary stockouts of implants and male condoms at the central level in 2010, there were no stockouts noticed at the service delivery points. Africa Democratic Republic of Congo Yes Groupe de Travail sur la Securisation des Produits de Santé de Reproduction (Working Group on Reproductive Health Commodity Security) Yes Population Services International/Association de Santé Familial (PSI/ASF) Yes Association pour le Bien Etre Familial (ABEF) (Association for Family Well-being) No 0% Yes USAID, World Bank Yes UNFPA Yes National Program for Essential Drugs, National Reproductive Health Program, Directorate of Planning, Directorate of Family and Specific Groups No 0% No 0% No 0% Don't know Don't know Yes Programme National de Santé de la Reproduction (National Program of Reproductive Health) Chief of Commodities Division January December Don’t know 12/10 USAID and UNFPA each conducted a separate forecast. No No 0.0 01/10-12/10 0 0 No No N/A 0.0 01/10-12/10 0.0 No funds spent No N/A 0.0 01/10-12/10 0.0 No funds spent 0.0 0 Yes UNFPA ($1,626,071) & USAID ($4,233,542) $5,859,613 01/10-12/10 Donor records 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $5,859,613 0.0 0% Contraceptive procurement is 100% dependent on donors. Don't know The commodity security committee planned to quantify contraceptive needs for the country but this exercise still needs to be done. Yes There is definitely a funding gap, but the amount of this gap has not been determined. N/A N/A N/A 0 Yes Yes Yes No No Yes No Yes No No No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes No No Yes 0 Yes Yes Yes Yes Yes Yes Yes No No No Yes 0 UNFPA is piloting the use of national distribution but USAID still uses its own system. Yes Strategie National pour la Securisation des Commodités de Santé de la Reproduction (National Strategy for Reproductive Health Commodity Security) 2008-2012 Yes No Yes Commercial sector: duties & taxes. Other sectors: other small fees. 5% fees No N/A No N/A No 0 0 0 0 0 0 0 0 0 Yes Article 178 of penal code from the colonial era No Don't know 0 0 Don't know 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes Don't know Don't know 2010 National Essentials Drugs List 0 N/A N/A N/A N/A N/A Document not available on IMF's website Yes Yes Yes Yes N/A No No Yes No No Don't know Warehouse report Don't know Don't know 0 Africa Dominican Republic Yes Comité Nacional de Disponibilidad Asegurada de Insumos Anticonceptivos (DAIA) (National Committee for Contraceptive Security) Yes PROFAMILIA, ADOPLAFAM, MUDE, PSI Yes PROFAMILIA, ADOPLAFAM, MUDE, and 30 more institutions No 0% Yes USAID Yes UNFPA, PAHO/WHO (Organización Panamericana de la Salud/Organización Mundial de la Salud [OPS/OMS]) Yes Maternal-Child & Reproductive Health Department, Purchasing & Logistics Department, Sexually Transmitted Diseases Department, HIV Programs and Pharmacy Units Yes Central Warehouse/MOH No 0% No 0% 6 or more times Yes Yes Maternal-Child & Reproductive Health Department Maternal-Child & Reproductive Health Department Director January December Don't know Don't know Don't know No No 0.0 01/10-12/10 0 0 Yes Yes Taxes primarily $652,174 01/10-12/10 Contraceptive Procurement Table (CPT) 0 No N/A 0.0 01/10-12/10 0.0 0 $652,174 0 Yes UNFPA $157,500 01/10-12/10 Donor records 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $157,500 0.0 81% 0 Don't know 0 Yes 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Direccion Materno - Infantil y Adolescentes / Programa Planificacion Familiar (Maternal-Child and Adolescents Department / Family Planning Program) No Two purchases were made. (The first was intended to cover the needs for Jan-June and the second for July-Dec). Disbursement was executed from the MOH's central budget. Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Vaginal spermicides Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Vaginal spermicides Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Vaginal spermicides Implants and emergency contraceptives are not purchased by the MOH. However, donations are often received by the MOH, and services can be provided in key hospitals and mainly in coordination with NGOs. Yes Sistema para el Aseguramiento Logistico de Insumos Anticonceptivos (system for the logistics security of contraceptives) 2009 on Yes Yes Yes Commercial sector, social marketing, and NGO´s 16% value added tax (VAT) No N/A No N/A No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes No Yes Yes No No No No N/A 2007 Cuadro Basico de los Medicamentos Esenciales (CBME) (basic chart of essential medicines) The list has not been revised since 2007. N/A N/A N/A N/A N/A Document not available on IMF's website No No No No N/A No No N/A N/A N/A 01/10-12/10 Central Warehouse MOH reports No No Government funds should be allocated to a specialized account for contraceptives and reproductive health commodities. PROMESE - CAL (Centro Apoyo Logistico) should be involved in purchasing and distribution processes in order to ensure lower costs and increase efficiency. Affiliation initiatives, framed into the 87-01 Law of Social Security of Dominican Republic, should be promoted among users. This law involves the National Health Insurance (Seguro Nacional de Salud - Senasa) being the unique service provider for the subsidized population. Currently about 10% of the poor population is affiliated with the system, and theoretically contraceptive commodities should be financed by resources generated by the Basic Health Insurance Plan (Plan Basico de Salud) already implemented. As the affiliation rate consistently grows, fewer internal resources from the MOH will be allocated to these supplies, and financing will be transferred to the National Health Insurance. LAC El Salvador Yes Contraceptive Security Committee Yes Salvadoran Demographic Association (ADS) Yes Salvadoran Demographic Association (ADS) No 0% Yes USAID Yes UNFPA Yes Reproductive Health Program, Financial Unit, Supplies & Medicines Unit, Planning Unit No 0% No 0% No 0% 1-2 times Yes Yes MOH Family Planning Coordinator January December $1,160,000 04/10 Ministry of Health Yes Yes $655,000 01/10-12/10 Family Planning Coodinator A budget increase of $109,000 was allocated. This amount is included in the total sum allocated. Yes Yes Government of El Salvador budget, only $675,674 01/10-12/10 MOH, PipeLine Procurement Table No N/A 0.0 01/10-12/10 0.0 0 $675,674 One single purchase per year. Purchase through UNFPA as per procurement table and allocated funds. No N/A 0.0 01/10-12/10 0.0 0 Yes $24,300 08/10 MOH Table 0.0 No 0.0 01/10-12/10 0.0 0.0 $24,300 0.0 97% Verified percentage and is correct. 60% Verified percentage and is correct. However, the amount expended is sufficient to cover historical consumption but not sufficient to cover the cost of adding new products (e.g., monthly injectables). Yes The amount expended is sufficient to cover historical consumption but not sufficient to cover the cost of adding new products (e.g., monthly injectables). Third-party agent (e.g., UNFPA, Crown Agents) UNFPA No 0 Yes Don't know Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Don't know Yes Yes Yes Yes Don't know Yes Yes Yes Yes 0 Yes Don't know Yes Yes Yes Yes Don't know No No No No 0 0 No 0 0 0 0 Yes All sectors VAT 13% on the purchase price, customs clearance fee of 3%, other - 5 % of overhead charged by the Purchasing Agent (UNFPA or other) on total amount of purchase No N/A Don't know Don't know No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes No No No No N/A 2009 Official List of Essential Medicines (10th Version) MOH 0 N/A N/A N/A N/A N/A Document not available on IMF's website Yes No No Yes No No No Don't know Don't know Don't know 09/10-03/11 Family Planning Coordinator Yes Yes Challenges: Need to: * Re-activate the Contraceptive Security Committee * Develop and implement a Contraceptive Security Strategy * Ensure sustainable financing and logistics for the purchase and distribution of contraceptives * Ensure contraceptive security in light of the MOH reform process, including the newly formed Helth Community Teams (ECOS) LAC Ethiopia Yes Family Planning and Logistics Technical Working Group Yes DKT Yes Family Guidance Association of Ethiopia, Marie Stopes International Ethiopia, Integrated Family Health Programs, Engender Health, Ipas, Population Council, Family Health International, Consortium of Reproductive Health Association Ethiopia (CORHA) No 0% Yes USAID, Packard Foundation Yes UNFPA, WHO Yes Urban Health Promotion and Disease Prevention Directorate & Maternal Newborn and Child Health [MNCH] Coordinator No (Currently none, but expecting Pharmaceutical Fund and Supply Agency [PFSA] in the future) Yes Population Department of Ministry of Finance and Economic Development (MOFED) Yes JHIPIEGO/ACCESS 6 or more times No Yes FMOH Urban Health Extension Directorate and MNCH Coordinator July June $35,884,801 04/10 Ministry of Health with technical assistance from the USAID | DELIVER PROJECT Yes Yes $9,000,000 07/09-06/10 Ministry Records 0 Yes Yes 0 $481,849 07/09-06/10 Contraceptive Procurement Table (CPT) Includes regional government funding Yes Protecting Basic Services (PBS) II $9,000,000 07/09-06/10 Contraceptive Procurement Table (CPT) 0 $9,481,849 0 Yes USAID ($2,828,703), UNFPA Global Program ($3,592,953) $6,421,656 07/09-06/10 Contraceptive Procurement Table (CPT) 0 No 0.0 07/09-06/10 RHInterchange No 0.0 07/09-06/10 0.0 Ethiopia has not started to use the GF money for contraceptive procurement. $6,421,656 0.0 60% 0 44% The FMOH targets and plan for scale-up of long term contraceptives (Implanon® and IUCD) has a significant impact on the overall resource needs for contraceptives. 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Pharmacutical Fund and Supply Agency (PFSA) Yes Financing: even though the amounts are not all that significant, the central government and a number of the regional governments continue to finance contraceptive procurement from internally generated (budget) funds. The existence of basket funds, the emergence of the MDG Pool Fund, and the possibilities of future funding for commodities, as well as an overall increase in donor support for FP, have put the country in a generally better position. During this year, Pharmaceuticals Fund Supply Agency (PFSA) has started the procurement of contraceptives from Protection of Basic Services (PBS) II and internally generated funds. The USAID | DELIVER PROJECT continues to support the facilitation of the contraceptive procurement decisions through the sharing of information with the FMOH. Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes No No No 0 Emergency contraceptives were first introduced in 2009, and it has taken time to expand program demand to the lower levels (SDPs). Female condom programming has not yet been introduced in Ethiopia. Yes National Reproductive Health Strategy 2006-2015 Yes Yes No N/A N/A No N/A Yes National RH Strategy (mentions enhancing CS through the effective use of social marketing), Adolescent Reproductive Health Strategy, and Family Planning Guideline (recently under revision) No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes No Yes Diaphragm with spermicidal 2004, with updates in process Essential Medicine List (EML) Ethiopia has the Essential Medicines List published in 2004 and the List of Drugs for Ethiopia (LIDE) published in 2007. Updates are in processs for the EML. 2002 Yes No Yes No While contraceptive security isn't included, access to health services in general is an indicator. Also, there is an objective to ensure a regular and adequate supply of effective, safe and affordable essential drugs. While there is no contraceptive supply indicator, there is an indicator about HIV/AIDS condom distribution by social marketing. Yes No Yes No No Yes No N/A No N/A 07/09-06/10 LMIS reports No No Significant improvement has been observed in the stockout rates at SDPs of the most widely used contraceptives (injectables, pills, and condoms). The stockout rate for injectables and pills was less than 7% throughout fiscal year 2010. The stockout rate for male condoms was less than 10% for the year and less than 8% in the 4th quarter of 2010. Stockout rates for implants also decreased, to less than 25% by the end of 2010. The stockout rate had been more than 58% for injectables, 30% for pills, 20% for male condoms, and 60% for implants in 2006 (according to the Logistics Indicators Assessment Tool [LIAT] asessment conducted in 2006). Africa Gambia Yes Commodity Security Committee Yes Gambia Family Planning Association (GFPA) Yes Gambia Family Planning Association Yes Private pharmacy representative Yes UNFPA Yes WHO, UNICEF Yes Reproductive and Child Health (RCH) Department (chair of the committee) Yes National Pharmaceutical Services Yes A representative attends meetings 0% 0% 0 times No Yes Ministry of Health and Social Welfare (MOH&SW) Reproductive and Child Health (RCH) Program Manager Don't know Don't know $104,883 Don't know Don't know No Don't know Don't know 01/09-12/09 0 0 Don't know No N/A 0.0 01/09-12/09 0.0 0 Don't know UNFPA Don't know 01/09-12/09 Interview with UNFPA NPO for Reproductive Health and HIV/AIDS UNFPA allocates 35K USD annually for functioning of the RCH division and the division decides how much is used for contraceptive procurement. There was no data on actually how much of the 35K was spent on contraceptive procurement. Don't know 0 Yes UNFPA $60,222 01/09-12/09 RHInterchange 0 No 0.0 01/09-12/09 RHInterchange 0.0 No 0.0 01/09-12/09 RHInterchange 0.0 $60,222 0.0 Don't know 0 Don't know Estimated 57% based on data from the RHI in terms of what was spent. (This estimate doesn't take into account any government funds from UNFPA that may have been used for contraceptive procurement though.) 0 0 Third-party agent (e.g., UNFPA, Crown Agents) UNFPA No Currently there is inadequate funding for contraceptive procurement. With only one donor and no internally generated government funds for contraceptive procurement, stockouts occur frequently. Yes Yes Yes No Yes Yes No No No No No 0 Yes Yes Yes No Yes Yes Yes No Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 0 For female condoms, there was a plan to introduce them in the public sector and a pilot was conducted, but uptake was low. Yes National Reproductive Health Commodity Security Strategy for the Gambia 2006-2010 Yes Yes Yes NGO/private sector 1.5% of CIF for processing fee to customs No N/A Don't know Don't know No 0 0 0 0 0 0 0 0 0 No 0 0 Yes If someone is below 18 and not married, parental consent is required. Yes Don't know 0 0 No No N/A N/A Yes Yes Yes No Yes Yes No No Don't know Don't know Don't know 2007 0 0 2007 Yes No No No Commodity security for contraceptives specifically was not included in the PRSP, but access to services and the establishment of an efficient supply and logistics system to ensure effective and efficient health services to all was mentioned (p90-91). It was also mentioned that "the need to address the frequent and acute shortage of drugs topped considerations for the Health Sector" (p. 37). While thre are no contraceptive supply indicators, the occurrence of contraceptive stockouts is mentioned (p. 114). Yes Yes Yes Yes N/A No Yes No N/A N/A 01/10-08/10 Anecdotal reports from the Reproductive and Child Health division, Gambia Family Planning Association, and interviews with stakeholders Yes Yes Whereas Gambia has a CS strategy, it has not been fully implemented. Difficulties in coordination and financing greatly undermine contraceptive security in the Gambia. Africa Georgia Yes National Reproductive Health Council No 0% Yes John Snow, Inc. (JSI) No 0% Yes USAID Yes UNFPA, UNICEF, WHO Yes Policy Unit, Deputy Minister, Advisor to the Minister N/A 0% No 0% Yes National Perinatal Center 6 or more times Yes No 0% 0% January December Don't know 12/10 JSI No No 0.0 01/10-12/10 0 Government funds have never been allocated for contraceptives. No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 Yes UNFPA $18,361 01/10-12/10 RHInterchange 0 Yes $23,529 2010-2011 Global Fund Procurement Table 0.0 No 0.0 01/10-12/10 0.0 0.0 $41,890 0.0 0% 0 Don't know 0 Don't know The USAID SUSTAIN Project did not have a gap in funding. We do not have information about UNFPA funding. N/A N/A N/A 0 Yes Yes No No Yes Yes Yes Yes No Yes Yes 0 Yes Yes No No Yes Yes No Yes No Yes No 0 Yes Yes No No Yes Yes No No No No No 0 Yes Yes No No Yes Yes No No No No No 0 The NGO information about methods offered refers to HERA in Kutaisi. Yes National Reproductive Health Strategy 2005-2015 Yes Yes Yes 1) If the commodity is humanitarian it is not subject to any taxation, and the documentation fee should not exceed 200 GEL. 2) If the commodity is commercial or social marketing (intended to be sold) it is subject to taxation. Custom tax 18% of the total price, custom fee 60 EUR, and after sales revenue 10%. No N/A No N/A Yes IUDs Only Ob/Gyns and reproductologists can dispense. Only Ob/Gyns and reproductologists can dispense. 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 Yes Yes Yes There is a state insurance program for poor people. No No No No No No No No No No N/A N/A N/A No legally approved essential drug list exists at the national level, however most insurance companies have their own lists. These do not include contraceptives. 2003 No No No No 0 No No No N/A N/A No No N/A N/A N/A 03/10-02/11 USAID SUSTAIN logistics management information system (LMIS) regarding the USAID SUSTAIN contraceptive store No No 0 Europe and Asia Ghana Yes Inter-Agency Coordinating Committee on Contraceptive Security (ICC/CS) Yes EXP Social Marketing (ESM), Ghana Social Marketing Foundation (GSMF) Yes Planned Parenthood Association of Ghana (PPAG), Marie Stopes International Ghana (MSIGh), Christian Health Association of Ghana (CHAG) Yes Ghana Registered Midwives Association, Ghana Registered Nurses Association, Society of Private Medical and Dental Practitioners, Pharmaceutical Society of Ghana Yes USAID, UNFPA, DANIDA, DFID Yes UNAIDS, UNFPA, WHO Yes Ministry of Health (Procurement and Supplies, Policy Planning, and Monitoring and Evaluation directorates, Food and Drugs Board agency), Ghana Health Services (GHS) (Stores, Supplies and Drug Management; Family Health Division [FHD]; Public Health Directorate; Pharmacy Unit) Yes Central Medical Store Yes Ministry of Finance and Economic Planning - health desk officer Yes Technical projects (USAID | DELIVER PROJECT, FOCUS REGION HEALTH PROJECT) 3-5 times Yes Yes USAID, UNFPA, Family Health Division, USAID | DELIVER PROJECT FP Advisors, Director of the FHD, FP Program manager at FHD and the Resident Logistics Advisor January December $10,357,919 03/11 USAID | DELIVER PROJECT with partners: GHS, MOH, PPAG, MSI, GSMF, ESM Yes Yes $ 1,000,000 01/10-12/10 Ministry of Health 0 Yes Yes 0 0.0 01/10-12/10 Ministry of Health The internally generated funds are part of the health sector support funds. We cannot disaggregate them. Yes $800,000 from health sector support funds (including internally generated funds) and $437,550 from DANIDA. (The DANIDA funds were earmarked for condoms.) $1,237,550 01/10-12/10 Ministry of Health This was originally planned for use in 2009, but release occurred in 2010. $1,237,550 0 Yes USAID ($ 1,426,666), UNFPA ($901,224) $2,327,890 01/10-12/10 My Commodities, RHInterchange, GHS and CMS records 0 Yes $1,450,000 01/10-12/10 GHS records 0.0 No 0.0 01/10-12/10 GHS records 0.0 $3,777,890 0.0 25% GoG-allocated funds for 2010, although requested, were never received for contraceptive procurement due to other constraints facing the GoG. The funds that were released in 2010 had been planned to be used in 2009. 48% 0 0 0 The government and a third-party agent UNFPA on behalf of the government (for the heath sector support funds), and MOH Procurement Unit, and Stores, Supplies, and Drug Management Directorate of GHS (for the DANIDA-funded procurement). (GHS is under MOH.) No Inadequate financing is a worrying issue and there is the need for more funding and greater commitment from the government. Yes Yes Yes Yes Yes Yes Yes Yes No Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes No No Yes Yes Yes No No No 0 0 Yes Ghana National Contraceptive Security Strategy 2011 - 2016 Yes Yes Yes All sectors On average, 2% of the cost of commodities procured Yes Contraceptives, despite being subsidized, attract handling charges, reducing the overall budget available to the MOH for contraceptive procurement. Yes The inclusion of all contraceptives on the Essential Medicines List raises their profile, informs about their use and availability, and gives confidence to prescribers and providers in the private sector as well to use them. It can also assist with advocacy for resources and support from donors. The registration policies enacted by the Food and Drug Board permit contraceptive registration and sale by brand. Yes Injectables Community-based distributors restricted. 0 Implants and IUDs Service delivery restricted to health personnel with appropriate training Service delivery restricted to health personnel with appropriate training. 0 0 0 No 0 0 No 0 0 No 0 0 Yes Yes Yes Exemptions may be applied on an individual, case-by-case basis and are available for those who need them. Yes Yes Yes Yes Yes Yes Yes Yes No No N/A 2010 Ghana Essential Medicines List 0 2005 Yes No No No 0 Yes No Yes Yes No Yes No No No N/A 01/10-12/10 Procurement Planning and Monitoring Report (PPMR), Central Medical Store stock reports Yes Yes Challenges include coordination issues (especially among programs for condom procurement and distribution), challenges due to inadequate financing, and challenges of poor logistics management across the country. Africa Guatemala Yes Comision Nacional para el Aseguramiento de Anticonceptivos (CNAA) (National Contraceptive Security Committee) No 0% Yes APROFAM (Asociación Pro Bienestar de La Familia - Association for the Well-Being of the Family) No 0% Yes USAID and UNFPA are invited to participate although they are not official members of the CNAA Yes UNFPA is invited to participate at the meetings, although it is not an official member of the CNAA. UNFPA handles procurement on behalf of the MOH Yes The MOH members of the CNAA include the director of the National Reproductive Health Program, the family planning advisor, and the logistics advisor Yes The logistics unit is an active member of the CNAA Yes 0% Yes As per the current CNAA Internal Dispositions (Aug 2010) the following organizations attend the CNAA meetings regularly (in the role of technical experts/advisors, they do not have a vote; they are not officially part of the CNAA): PASMO (social marketing), USAID-Health Care Initiative project (HCI), USAID International Reproductive Health/Georgetown University Fertility Awareness Methods Project (IRH/FAM), Health Policy Initiative (USAID/HPI), UNFPA Don't know Yes Yes Ministry of Health Family Planning Advisor January December $1,500,000 11/10 Logistics Advisor from the National Reproductive Health Program Yes Yes $1,500,000 01/10-12/10 Ministry records Procurement handled through UNFPA Yes Yes Taxes on alcoholic beverages $1,500,000 01/10-12/10 PipeLine 0 No N/A 0.0 01/10-12/10 0.0 0 $1,500,000 0 No N/A 0.0 01/10-12/10 0.0 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 0.0 0.0 100% 0 100% 100% ($1.5 million dollars) No 0 Third-party agent (e.g., UNFPA, Crown Agents) UNFPA No MOH procures contraceptives by using UNFPA as a procurement agent through a co-financing agreement. The MOH coordinates the procurement via the UNFPA office in Guatemala, who then procures through their global procurement system from UNFPA Copenhagen. Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes No Yes Yes Yes Yes No No Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes 0 Yes No Yes Yes Yes Yes No No Yes Yes Yes 0 A nominal amount of emergency contraceptive pills are available in the public sector through a UNFPA donation (USD $751, Source: RHInterchange). The MOH has included CycleBeads in the list but so far they have not yet purchased them (the ones they have were a donation from USAID/IRH/FAM). Yes Contraceptive Security 2001 - 2011 Yes Yes Yes The public sector is exempt from import taxes via the UNFPA franchise. The public sector has to pay: transport, insurance, and customs clearance fees. Others (NGOs, social marketing, and commercial) pay import taxes. Don't know No N/A No N/A No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes No No Yes Don't know Don't know 2011 Basic List of Medications of Health Areas and Hospitals and also Health Care Guidelines (1st and 2nd level) 0 N/A N/A N/A N/A N/A Document not available on IMF's website No No N/A No No No No N/A N/A N/A 08/10-12/10 MOH National Reproductive Health Program (Central Warehouse Inventory) No No 0 LAC Haiti Yes Comité Technique en Santé de la Reproduction (Reproductive Health Technical Committee) Yes PSI Yes Management Sciences for Health (MSH), Jhpiego, PROFAMIL (IPPF affiliate), Foundation for Reproductive Health and Family Education (FOSREF) No 0% Yes USAID Yes UNFPA, UNICEF Yes Directorate of Family Health No 0% No 0% No 0% 3-5 times Yes Yes Directorate of Family Health Contraceptive & Commodities Point of Contact October September $2,198,963 12/10 Ministry of Public Health No No 0.0 01/10-12/10 0 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 Yes USAID and UNFPA $2,198,963 01/10-12/10 UNFPA Logistics Coordinator and USAID Commodity Manager These procurements are done on a calendar year basis, as opposed to the fiscal year. No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $2,198,963 0.0 0% 0 100% 0 No 0 N/A N/A N/A 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes No Yes No No Yes Yes No No No No 0 Emergency contraceptives are part of the MoH norms and have been introduced by one NGO which is very active in FP. (They are pretty much the only NGO to offer the actual EC pill.) Yes Plan d'Action de la Direction de la Santé de la Famille (Action Plan for Family Health Management) 1 Yes Yes Yes Commercial sector only Don't know No N/A Yes National Norms Yes Injectables This method can be administered only by medical staff (physicians, nurses, and nurse's aids). There is discussion about wanting to modify this policy though because having trained Community Health Workers administer injectables especially in rural communities has been a booster to the program. (Community Health Workers in the USAID network have been trained to administer injectables. They receive an extensive training (based on the MoH's curricula).) This method can be administered only by medical staff. 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 Yes No Yes Fees are waived for people who come to a public clinic and are unable to afford services. Yes Yes Yes Yes Yes Yes No Yes Yes No N/A 2011 (March) (PAHO's list) There is actually no National Essential Medicine List that has been approved by the Ministry of Health. At the central level, a list based on essential services offered is used, set up by PAHO (who jointly manage the central warehouse with the MoH), but it is not a list that has been written and validated by the Ministry. However, the Department of Drugs and Medicine is working on one, which should be available shortly. 2008 Yes No Yes No One of the objectives under health is to increase the rate of contraceptive use. Strengthening of health facilities' capacity to provide family planning services is also mentioned. Yes No No No No No No Yes No No likely 01/10-12/10 Central Warehouse Management Don't know Don't know 0 LAC Honduras Yes Comité Interinstitucional para la Disponibilidad Asegurada de Insumos Anticonceptivos (CIDAIA) (Inter-institutional Committee for Contraceptive Security) Yes PSI/PASMO (Pan American Social Marketing Organization) Yes ASHONPLAFA (IPPF affiliate) Yes Pfizer, Vijosa Laboratories, Arsal Laboratories, Bayer -Schering Pharma, CPL Honduras, Solis-Durex Distributor Yes USAID, UNFPA Yes PAHO, UNFPA Yes Service Networks, Logistics Unit, Women's Health Unit, Essential Drugs Unit, Regulations Unit, STD Unit Yes Central warehouse (manager) No 0% Yes Women's National Insitute (INAM in Spanish) 6 or more times No Yes Ministry of Health Advisor to the Vice-Minister January December $1,693,561 11/10 Ministry of Health Yes Yes $1,270,171 01/10-12/10 Ministry of Health 0 Yes Yes General government income $2,699,112 01/10-12/10 PipeLine 0 No N/A 0.0 01/10-12/10 0.0 0 $2,699,112 0 Yes UNFPA $890,003 01/10-12/10 PipeLine This amount includes shipping and customs charges No 0.0 01/10-12/10 RHInterchange 0.0 No 0.0 01/10-12/10 0.0 0.0 $890,003 0.0 75% 0 212% No The UNFPA donation was the last that this agency will donate to the Honduras government. Of the total amount expended in 2010, shipments amounting to aprox. US$731,000 of government funds plus US$890,000 of in-kind donations arrived in-country in 2010 (total US$1,621,000). The remaining shipments arrived in the country in March and April 2011. The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) MOH administrative unit No Procurement is carried out at the national level. Yes No Yes No Yes Yes No No Yes Yes No 0 Yes No Yes No Yes Yes No No Yes Yes No 0 Yes No Yes No Yes Yes No No Yes Yes No 0 Yes No Yes No No Yes No No No No No 0 0 Yes Contraceptive Strategy 2005 - ongoing Yes Yes No N/A N/A Yes In April 2009, the Parliament of Honduras approved a bill prohibiting the promotion, commercialization, free diistribution and use of EC pills. The bill also prohibits the dissemination of information about the use of contraceptive pills for EC. Yes Free market strategy Yes Emergency contraception (EC) In April 2009, the Parliament of Honduras approved a bill prohibiting the promotion, commercialization, free diistribution, and use of EC pills. The bill also prohibits the dissemination of information about the use of contraceptive pills for EC. In April 2009, the Parliament of Honduras approved a bill prohibiting the promotion, commercialization, free diistribution, and use of EC pills. The bill also prohibits the dissemination of information about the use of contraceptive pills for EC. All contraceptive methods According to the Honduran Health Code, medications (including contraceptives) can only be sold in pharmacies or authorized sale points. According to the Honduran Health Code, medications (including contraceptives) can only be sold in pharmacies or authorized sale points. 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes No Yes Yes No No No Don't know Don't know 2007 National Essential Medicines List (NEML) 0 2001 Yes No No No While family planning and reproductive health are not explicitly mentioned as "priorities," they seem to be. There is a goal to increase contraceptive prevalence, and both the maternal mortality rate and the number of women in reproductive health programs are included as indicators in order to "provide greater attention to women's health conditions". Yes No N/A Yes N/A Yes No N/A N/A N/A 01/10-12/10 PipeLine report Yes No A line item for contraceptive procurement was included in the 2010 national budget. The challenge is to achieve availability of all methods in all health units, thereby improving contraceptive forecasting and distribution processes in accordance with demand. As a separate note, there were periods during 2010 where contraceptive supplies were below minimum, including short periods of injectable and IUD stockouts. LAC India Yes Supply and Social Marketing Division of the Ministry of Health and Family Welfare No 0% No 0% No 0% No 0% No 0% Yes Supply and Social Maketing Division of the Ministry of Health and Family Welfare No 0% No 0% No 0% 3-5 times Yes Yes Government of India Director, Procurement Division April March Don't know 02/10 Ministry of Health and Family Welfare Yes Yes Don't know 04/10-03/11 0 Government of India procures contraceptives regularly Yes Yes Government of India funds from taxes, etc. Don't know 04/10-03/11 0.0 Government of India is self-sufficient in providing contraceptives. These are supplied for free in the government program. No N/A 0.0 04/10-03/11 0.0 0 Don't know 0 No N/A 0.0 04/10-03/11 0.0 Government of India is self-sufficient in providing contraceptives. These are supplied for free in the government program. No 0.0 04/10-03/11 0.0 0.0 No 0.0 04/10-03/11 0.0 0.0 0.0 0.0 100% 0 Don't know Government of India is self-sufficient in providing contraceptives. These are supplied for free in the government program. No There was no funding gap for procurement of contraceptives during the last fiscal year. The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Supply and Social Marketing Division of the Government of India No The National Family Planning Program is a top priority of the Government of India and contraceptives are procured regularly through a central government mechanism. They are available for free in the public sector. Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes 0 Yes No No No Yes Yes No Yes Yes Yes No 0 Yes No Yes No Yes Yes No Yes Yes Yes Yes 0 Yes Yes Yes No Yes Yes Yes Yes No No Yes 0 1) The decision to include injectable contraceptives in the national program is still pending. 2) CycleBeads are provided in NGO programs and social marketing in select project sites.3) For the past two years, female condoms have been supplied through the Government of India's social marketing program for female sex workers, through NGOs. Yes National Population Policy 2000 - 2016 Yes Yes No N/A N/A No N/A Yes Social Marketing Strategy of the Government of India (GoI): GoI provides a product subsidy to select social marketing agencies for promoting socially marketed products and market segmentation, so that the free supplies are made available for the poor. Yes Injectables N/A - Injectables not available in the public sector. Injectables should ideally be included in the Government family planning program. Qualified allopathic private practitioners are allowed to provide the injectable contraceptive. 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes No Yes No Yes Yes No Yes No No N/A 2007 (March) National List of Essential Medicines - India 0 N/A N/A N/A N/A N/A Document not available on IMF's website No No N/A N/A N/A No No N/A No N/A 01/10-12/10 Government of India No No India has limited contraceptive choices. The contraceptives, however, are centrally procured. Europe and Asia Kenya Yes Family Planning Logistics Working Group Yes Population Services International Yes Marie Stopes Kenya, Family Health Options Kenya (FHOK) No 0% Yes USAID, KfW, DFID, World Bank Yes UNFPA Yes Division of Reproductive Health (DRH), Family Planning Program Yes Kenya Medical Supplies Agency No 0% 0% Management Sciences for Health (MSH), John Snow Inc. (JSI) 1-2 times No Yes Ministry of Public Health and Sanitation Director of Public Health and Sanitation July June $16,279,428 06/10 Division of Reproductive Health with TA from Management Sciences for Health/Strengthening Pharmaceutical Systems Yes Yes $6,883,117 07/09-06/10 Ministry Records The GoK allocation was Ksh. 530 million. We used the exchange rate as of July 2009 (1 USD = KES 77) Yes Yes Taxes $4,478,168 07/09-06/10 estimate based on prices from the RHI and procurements from fiscal year funds 0 Yes Total War Against HIV and AIDS (TOWA) funding from the World Bank $629,918 07/09-06/10 RHInterchange 0 $5,108,086 0 Yes Donations from UNFPA and USAID $7,213,274 07/09-06/10 RHInterchange 0 Yes $606,300 07/09-06/10 RHInterchange recipient = National AIDS and STI Control Program No 0.0 07/09-06/10 0.0 0.0 $7,819,574 0.0 40% 0 79% Commitments for procurement of contraceptives for FY 2009/10 by GoK and donors fully covered the quantified amount, but different lead times of different procuring agencies caused the delivery of commodities to spill over to FY 2010/11. In addition, KfW-funded commodities were procured after June 2010 (end of financial year). 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Kenya Medical Supplies Agency Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Foaming Tablets Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Foaming Tablets Yes No Yes Yes Yes Yes Yes Yes Yes Yes No 0 0 Yes National Contraceptives Commodity Security Strategy 2007 - 2012 Yes Yes Yes Public sector UNFPA pays 5% of the commodity cost to KEMSA for handling, warehousing and distribution. Apart from the 5% all contraceptives are zero rated and no import tax or duty is charged for them. No N/A Yes Private sector and NGOs can access contraceptive methods available for the public sector as long as they can get a Service Delivery Point (SDP) number from the Division of Reproductive Health. (In order to get this they need an application letter to the Division of Reproductive Health, an inspection report from the Provincial Medical Officer, a professional certificate of the service provider, and a private practice license.) Yes Progestin-only pills, combined oral contraceptives, DMPA injections, emergency contraceptive pills, implants, and IUCDs All facility levels are allowed to dispense these methods as long as there are skilled health workers Only registered pharmacies, clinics, nursing homes and hospitals are allowed to sell or dispense these methods 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes No Yes Yes Yes Yes Yes Yes No No N/A 2010 Kenya Essential Medicines List 2010 0 2005 No No Yes No Document noted: "Contraceptive prevalence rate increases from 38% to 45% in 2008." Yes No No No Yes Yes Yes Yes No Yes 02/10-01/11 KEMSA Monthly Stock Report Yes No At the SDP level the main challenge is the distribution system. This issue is being addressed by: shifting all distribution to KEMSA, monthly FP commodity supply chain meetings, and district-specific kit lists for "push" regions. At the central level, only female condoms and IUCDs have been stocked out for more than 6 months. Male condoms and implants have been stocked out for a maximum of 2 months. Africa Liberia Yes National Reproductive Health Security Committee No 0% Yes Merline, Africare, IRC No 0% Yes USAID Yes UNFPA Yes Supply Chain Management Unit, Family Health Division (FHD) No 0% No 0% No 0% 1-2 times No Yes UNFPA CS Focus Person seconded to the FHD/MOH July June $494,137 10/10 USAID | DELIVER PROJECT No Don't know Don't know 07/09-06/10 0 0 No No N/A 0.0 07/09-06/10 0.0 0 No N/A 0.0 07/09-06/10 0.0 0 0.0 0 Yes USAID ($383,864) & UNFPA ($414, 323) $798,187 07/09-06/10 RHInterchange 0 No 0.0 07/09-06/10 RHInterchange 0.0 No 0.0 07/09-06/10 RHInterchange 0.0 $798,187 0.0 0% 0 162% Consumption increased for Depo-provera and implants after the quantification. 0 0 N/A N/A N/A 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Don't know Don't know Don't know Don't know Don't know Yes Don't know Don't know Don't know Don't know Don't know 0 0 Yes National Reproductive Health Commodity Security Strategy and Operational Plan 2008-2012 Yes Yes No N/A N/A Don't know Don't know No N/A Yes DMPA injections Only qualified health workers (including CHWs) can dispense Only registered outlets can sell Implants Only qualified health workers (including CHWs) can dispense Only registered outlets can sell 0 0 0 No 0 0 No 0 0 Don't know 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Foaming tablets Don't know National Essential Medicine List of Liberia It has just been updated. 2008 No No Yes No 0 Yes No No No No No Yes No No No 01/10-12/10 Procurement Planning and Monitoring Report (PPMR) Yes Yes Challenge: data collection and reporting from the peripheral levels and storage at the central level. Successes: The availability of all the methods and client choice. Africa Madagascar Yes Reproductive Health/Family Planning Partners Committee Yes Population Services International (PSI) Yes Fianakaviana Sambatra (FISA) (an IPPF affiliate), Marie Stopes Madagascar, Religious Platform represented by (1) SAF-FJKM (Health Department of Protestant Church) (2) SALFA (Health Department of Lutheran Church) and (3) VOAHARY SALAMA (NGOs' Platform) Yes Organon Yes USAID, UNFPA Yes UNFPA, UNICEF, UNAIDS, World Bank, WHO Yes Directorate of Maternal Health Yes SALAMA (national essential drug purchasing agency) Yes Ministry of Population 0% 0% 1-2 times Yes Yes The Directorate of Maternal Health Director October September $6,871,000 12/10 MOH, UNFPA, SALAMA, PSI Yes Yes $58,625 09/10-10/10 Directorate of Maternal Health 0 Yes Yes Taxes $58,625 01/10-12/10 Directorate of Maternal Health This is from the government budget line item. No N/A 0.0 01/10-12/10 0.0 0 $58,625 0 Yes UNFPA $5,639,717 01/10-12/10 RHInterchange 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $5,639,717 0.0 1% Only 1% of the procurement was covered by government funds. 83% In 2010, $6,871,000 worth of contraceptives was estimated to be needed to be purchased for the public sector. Yes $1,173,000 was the gap estimated for the public sector in 2010. The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) SALAMA (central medical store) Yes SALAMA manages all the procurement and orders for MOH as well as the distribution to the districts. Yes No Yes Yes Yes Yes Yes Yes Don't know Don't know No 0 Yes Yes Yes Yes Yes Yes No No Don't know Don't know Yes 0 Yes No Yes Yes Yes Yes Yes Don't know Yes Yes Don't know 0 Yes Yes Yes Yes Yes Yes Yes No Don't know Don't know Yes 0 0 Yes Contraceptive Security Strategy 2007-2012 Yes Yes Yes NGO, social marketing, and commercial sectors Tax: 20% and VAT: 20% Yes Import tax, product registration No N/A No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes Don't know Don't know 2010 Liste des Medicaments Essentiels (Essential Medicines List) The list is updated once a year. 2007 Yes Yes Yes No 0 Yes Yes Yes Yes Yes No Don't know N/A N/A Yes 01/10-12/10 MOH and warehouse reports Yes Yes The March 2009 coup declaration suspended USAID support to the Government of Madagascar and impacted contraceptive security during the period from March 2009 to March 2011. Africa Malawi Yes Reproductive Health Commodity Security (RHCS) Sub-Committee Yes Population Services International (PSI), Banja La Mtsogolo (BLM) Yes Banja La Mtsogolo (BLM), Christian Health Assosiation of Malawi (CHAM), Family Planning Association of Malawi (FPAM) No 0% Yes USAID, Global Fund Yes UNFPA Yes Reproductive Health Unit, Health Technical Support Services (HTSS) - Pharmaceutical, HIV Unit, National AIDS Commission No 0% No 0% No 0% 3-5 times No Yes Reproductive Health Unit Deputy Director, Clinical Health Services - RH July June $18,442,577 02/09 HTSS with support from USAID | DELIVER PROJECT and various MOH partners No Don't know Don’t know 07/09-06/10 0 0 Yes Don't know 0 0.0 07/09-06/10 0.0 Because there is a SWAp, it is not possible to disaggregate internally generated revenue funding from total government funding. Yes Basket funds $1,223,717 07/09-06/10 PipeLine This refers to commodities received during the time period. $1,223,717 0 Yes UNFPA ($2,490,255) and USAID ($4,202,784) $6,693,039 07/09-06/10 PipeLine This refers to commodities received during the time period. Yes $186,698 07/09-06/10 PipeLine This refers to commodities received during the time period. No 0.0 07/09-06/10 0.0 0.0 $6,879,737 0.0 15% 0 44% The expenditure data used as inputs for this calculation were based on PipeLine, so they represent shipments received (rather than funds spent) during the time period. Because of this there is an issue of timing. 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Central Medical Stores No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes Yes Don't know Yes Yes Yes Yes Yes Yes 0 For emergency contraceptives, long-acting permanent methods, and CycleBeads, the NGOs that provide these have an element of social marketing as well, so it was noted here that the methods are offered through NGOs and social marketing. Yes DRAFT Reproductive Health Commodity Security Strategy 2011-2015 No Yes Yes The public sector charges handling fees for the distribution of contraceptives to public sites and to NGOs that are supplied directly from the central medical store (CMS). These charges have proved to limit access to commodities, especially those that are highly priced and/or high volume. Handling fees are 12.5% for government-procured commodities, and this is charged over and above the cost of the commodity, while for donated items it is 5% of the cost of the commodity. No N/A Don't know Don't know Yes IUDs, implants, and injectables Can only administer in facilities with trained personnel. The non-medically trained cadre Health Surveillance Assistants are now allowed to administer DMPA injectables in communities after training. Can only administer in accredited premises and by registered personnel Oral contraceptives Only trained personnel can provide. Community Health Workers can provide oral contraceptives (and condoms). Can only provide in accredited premises and by registered personnel 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes No Yes No No N/A 2009 Malawi Essential Medicines List (MEML) 0 2007 No No Yes No 0 No No No No No No No No N/A N/A 07/09-06/10 LMIS Yes No A parallel system to distribute USAID-donated commodities has been introduced. However, there is need for coordination (especially where the commodity is available in both systems). For example, USAID-donated contraceptives will be stored and distributed through the parallel system while contraceptives procured by others (including UNFPA) will be channelled through the CMS system. The parallel system will deliver commodities to facilities at zero cost while those channeled through the CMS system will still attract a 5% handling charge for donated products and a 12.5% handling charge (plus the cost of the product) for government-financed products. The Reproductive Health Commodity Security Sub-Committee is a new group focused specifically on RHCS. Previously, RHCS issues were part of the RH Technical Working Group. Africa Mali Yes National Committee for Monitoring the Reproductive Health Commodity Security Plan (Comission Nationale de Suivi du Plan de Sécurisation des Produits de la Santé de la Reproduction) (replaced the Comission Nationale de Suivi de la Contraception Sécurisée) Yes Population Service International (PSI) Yes Marie Stopes International (MSI), Association of Support in the Development of Activities of Population (ASDAP), Group Pivot/Santé Population (GP/SP) Yes Conseils Nationnal de l'ordre des Pharmaciens Médecins et Sage-femmes (national council of pharmacists, physicians, and midwives) Yes USAID, UNFPA, GRM, KFW Yes UNFPA Yes Directorate of Pharmacy and Medicine (DPM), Direction Nationale de la Sant du Mali (DNS), CSLS Yes Pharmacie Populaire du Mali (PPM) No 0% Yes Association de Soutien au Développement des Activités de Population (ASDAP), Projet jeune, Association Malienne pour la Protection et la Promotion de la Famille (AMPPF), USAID projects/cooperating agencies (Strengthening Pharmaceutical Systems [SPS] project, Project Keneya Ciwara II [PKCII], Assistance Technique Nationale Plus [ATN+], Institute for Reproductive Health [IRH]/Georgetown University) Don't know Yes No 0% 0% January December $2,733,719 03/11 DPM (with the participation of all partners involved in FP) Yes Don't know Don't know 01/10-12/10 Ministry records During the FY2010 contraceptive procurement table exercise (CPTs), contraceptives were planned for MOH procurement in FY 2010 for a total of $676,454. No No N/A 0.0 01/10-12/10 0.0 No funds have been spent yet. No N/A 0.0 01/10-12/10 0.0 No funds have been spent yet. 0.0 0 Yes UNFPA (US $1,767,608) & USAID (US $966,111) $2,733,719 01/10-12/10 Ministry records - Directorate of Pharmacy and Medicine Some of the UNFPA shipments which were planned in 2009 were received in 2010 and considerably filled the pipeline. No 0.0 01/10-12/10 RHInterchange 0.0 No 0.0 01/10-12/10 RHInterchange 0.0 $2,733,719 0.0 0% To date, contraceptive procurement has been supported by donors. 100% UNFPA: approx. 65% and USAID: approx. 35% No 0 N/A N/A N/A 0 Yes Yes Yes Yes No Yes No Yes No No No 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes No No Yes 0 Yes Don't know Yes Yes Yes Yes Yes No No No Yes 0 0 Yes Plan Stratégique pour la Sécurisation des Produits de la Santé de la Reproduction (Strategic Plan for Reproductive Health Commodity Security) 2011 - 2015 No No Yes All sectors Don't know No N/A No N/A Yes 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes Don't know Don't know 2010 Mali National Essential Medicine List by Level (Liste Nationale des Médicaments Essentiels par Niveau Mali 2010) The list includes 322 DCI molecules which correspond to 562 different forms and dosages of drugs. 2008 No No No No 0 Yes No No Yes No No Yes No N/A No 01/10-12/10 Warehouse report Yes No In Mali, contraceptives are essential drugs. As such, they are managed by the "schema directeur" plan which defines how all essential drugs are managed in the national public health supply chain. The existence of the technical committee of monitoring contraceptive security developing the procurement and planning table for contraceptives is a major asset for the family planning program in Mali. However, the major challenge remains the availability of consumption data and of private sector data. Africa Mozambique Yes Reproductive Health Commodity Security Committee No 0% No 0% No 0% Yes USAID, USAID | DELIVER PROJECT Yes UNFPA Yes Reproductive Health (RH) Unit Yes Central de Medicamentos e Artigos Medicos (CMAM) (central medical store) No 0% No 0% 6 or more times No Yes Government First Lady January December $7,148,583 06/10 Representatives from the MOH RH Program, CMAM, USAID, UNFPA, with technical assistance from the USAID | DELIVER PROJECT Yes No 0.0 01/10-12/10 Ministry records 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 Yes UNFPA, USAID, World Bank $6,209,890 01/10-12/10 RHInterchange 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $6,209,890 0.0 0% Although the government considers RH a priority, the allocation of funds has been used for other priority health commodities. 87% Donors have provided 100% of needs. There has not been a shortage of available funding for contraceptives and condoms. 0 0 N/A N/A N/A Donors have provided 100% of needs. There has not been a shortage of available funding for contraceptives and condoms. While CMAM received significant technical assistance to conduct procurement and theoretically could procure contraceptives and condoms, funds the MOH manages have been used for other priority health commodities. Yes Yes Yes No No Yes Yes No No No No 0 Yes Yes Yes No Yes Yes Yes No Yes Yes No 0 Yes Yes No No No Yes Yes No No No No 0 Yes Yes No No No Yes Yes No No No No 0 Currently, the provision of female condoms in public sector facilities is done through PSI through the dispensing facilities installed in the public institutions. Clients in the public sector access them for free. In the future, this will be managed by Conselho Nacional de Combate ao HIV/SIDA (CNCS), who will be responsible for requisition and repositioning. Yes Family Planning and Contraception Strategy 2009-2013 Yes Yes No N/A N/A Yes Reportedly lengthy process for registration and MOH approval to launch socially marketed FP products Yes The Law for Private Medicine allows the private sector to import and prescribe all contraceptive methods. Yes IUDs Only trained maternal/child health (MCH) nurses can insert (basic nurses cannot). 0 Injectables Only MCH nurses can provide injections. 0 Orals MCH Activists (community-based agents) can provide orals after the first consultation with an MCH nurse. (They also provide condoms.) 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes No Yes No No Yes No Yes Spermicide 2007 Formulario Nacional de Medicamentos Condoms are not listed alone on the Formulario Nacional de Medicamentos but are mentioned. 2007 Yes No No No FP/RH is considered one of the priority programs within the health sector. Yes Yes Yes No N/A No No No N/A N/A 03/10-02/11 Procurement Planning and Monitoring Report (PPMR) and Logistics Management Information System Yes No 0 Africa Nepal Yes Contraceptive Security Working Group Yes Contraceptives Retail Sales (CRS) Yes Family Planning Association of Nepal (FPAN) No 0% Yes DFID, KfW, USAID, World Bank, AusAID Yes UNFPA, UNICEF Yes Department of Health Services (DoHS) and Family Health Division (FHD), Logistics Management Division (LMD), National Center for AIDS and STD Control (NCASC) Yes Central Warehouse Teku and Pathalaiya/Logistics Management Division Yes National Planning Commission (NPC), Ministry of Finance (MoF) 0% 0% 3-5 times Yes Yes Logistics Management Division/MOH Director July June $3,676,347 08/10 Logistics Management Division Yes Yes $2,840,000 2009-2010 LMD records, PipeLine reports 0 Yes Yes MOH funds $2,242,941 2009-2010 PipeLine reports 0 Yes Pool funds from World Bank, DFID, and AusAID $347,701 2009-2010 PipeLine reports 0 $2,590,642 0 Yes KfW (USD $852,138 for condoms and injectables) & USAID (USD $233,568 for condoms) $1,085,706 2009-2010 PipeLine report 0 Yes 0.0 2009-2010 0.0 Insignificant quantity No 0.0 2009-2010 0.0 0.0 $1,085,706 0.0 70% 0 100% 0 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Logistics Management Division/MOH Yes Due to various reasons, sometimes procurement gets delayed; in such circumstances USAID is providing contraceptives to MOH upon the request from MOH. Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes No Yes Yes Yes Yes No No Yes Yes No 0 Yes No Yes Yes Yes Yes No Yes Yes Yes No 0 Yes No Yes Yes Yes Yes No Yes Yes Yes No 0 0 Yes National Reproductive Health Commodity Security (RHCS) Strategy 2007-2011 Yes Yes Yes Commercial sector (No tax is levied for contraceptives for the public or social marketing sectors.) It varies - it is very minimal for condom (less than 1%) and about 5% for pills. No N/A Yes MOH promotes social marketing and NGOs to provide contraceptive services. No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes No No N/A 2009 National List of Essential Medicines Nepal Final Draft, 2009 2003 Yes No Yes No 0 No No N/A No No No No N/A N/A N/A 01/10-12/10 LMIS No No MOH is increasing its fund to procure contraceptives. LMD/MOH has already started multi-year procurement of contraceptives to assure supply for longer periods and to save time in the bidding process. Europe and Asia Nicaragua Yes Comité Nacional para la Disponibilidad Asegurada de Insumos Anticonceptivos (DAIA) Nicaragua (National Contraceptive Security Committee) Yes PSI/PASMO (Pan American Social Marketing Organization) Yes PROFAMILIA (Asociación Pro-Bienestar de la Familia Nicaragüense - Nicaraguan Pro Family Wellbeing Association), Women's Center IXCHEN (IXCHEN), Luisa Amanda Espinoza Association of Nicaraguan Women (AMNLAE) No 0% Yes UNFPA, USAID Yes UNFPA Yes DCAIS (Central Directorate for Contraceptives and Health Supplies), DGECA (Division of Health Services, FP), DGPD (Division of Planning and Development and External Cooperation) No 0% No 0% Yes PATH, other USAID projects 6 or more times Yes Yes Ministry of Health (DGECA and DCAIS) General Director January December $1,043,694 06/10 Ministry of Health Yes Yes $321,935 01/10-12/10 Ministry of Health 0 Yes Yes Taxes $321,935 01/10-12/10 Ministry of Health 0 Yes Basket fund. (The funders in the basket are UNFPA, the World Bank, Finland, Holland, and Spain.) $721,759 01/10-12/10 Ministry of Health 0 $1,043,694 0 No N/A 0.0 01/10-12/10 Ministry of Health 0 No 0.0 01/10-12/10 RHInterchange 0.0 No 0.0 01/10-12/10 RHInterchange 0.0 0.0 0.0 100% 0 100% 0 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) DCAIS (Central Directorate for Contraceptives and Health Supplies) No Contraceptives are procured via a third-party agreement with UNFPA. Yes Yes Yes Yes Yes Yes Don't know Yes Yes Yes No 0 Yes No Yes No Yes Yes No No Yes Yes Yes 0 Yes No Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 The MOH prescribes emergency contraception but does not provide the packaged product itself. Yes Plan DAIA 2009-2011 (Contraceptive Security Plan) 2009-2011 Yes Yes No N/A N/A No N/A Yes Health Policy, Family Planning Norms No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes No Yes No Yes Yes No No No No N/A 2008 Lista básica de medicamentos esenciales (basic list of essential medicines) and essential supplies list Condoms and IUDs are included in the essential supplies list, rather than the essential medicines list. 2009 No No No No 0 Yes No N/A Yes N/A Yes No N/A N/A No 01/10-12/10 Report to central level MOH No No 0 LAC Nigeria Yes Reproductive Health Commodity Security Stakeholders' Committee Yes Society for Family Health Yes Planned Parenthood Federation, Nigeria Urban Reproductive Health Initiative, Association for Reproductive and Family Health Yes Pharmaceutical Society of Nigeria (PSN), Society of Gynaecologists and Obstretricians of Nigeria (SOGON), Nigeria Medical Association Yes USAID, DfID, CIDA Yes UNFPA Yes Family Planning Division, National Agency for Food and Drug Administration and Control (NAFDAC), National Health Insurance Services Yes Central Contraceptives Warehouse (CCW) Yes Federal Ministry of Finance and Department of Planning, Research and Statistics Yes USAID I DELIVER PROJECT, USAID Targeted States High Impact Project (TSHIP), FHI 0 times No Yes Association for Reproductive and Family Health CEO January December $9,400,000 11/09 USAID I DELIVER PROJECT No No 0.0 01/10-12/10 0 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 Yes UNFPA and DfID $5,000,000 01/10-12/10 PipeLine 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $5,000,000 0.0 0% 0 53% 0 Yes 0 N/A N/A N/A 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Neo Sampoon vaginal contraceptive tablets Yes Yes Yes Yes Yes Yes Yes No Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Neo Sampoon vaginal contraceptive tablets 0 Yes National Strategic Plan for Reproductive Health Commodity Security 2002-2007. 2011-2015 in draft stage Yes Yes No N/A N/A No N/A Don't know Don't know Yes Injectables Only trained personnel such as nurses and community health extension workers are allowed to administer injections. Only trained personnel are allowed to administer injections. Implants Only trained nurses and doctors are allowed to administer implants. Only trained personnel are allowed to administer implants. IUDs Only trained midwives and doctors are permitted to insert IUDs. Only trained personnel are allowed to administer IUDs. No 0 0 No 0 0 No 0 0 No Yes No N/A Yes Yes Yes Yes Yes Yes Yes No No Don't know Don't know 2003 National Essential Medicine List The list is currently under review. 2004 No No No No 0 Yes No No Yes No Yes Yes Yes N/A N/A 01/10-12/10 Periodic warehouse physical inventories Don't know Yes The USAID | DELIVER PROJECT and UNFPA are in the process of collaborating with FMOH to draft an updated RHCS strategic plan for 2011-2015. UNFPA placed orders for 2 miliion USD worth of contraceptives in the first week of March 2011 (half of this was from its own funds). UNFPA will spend a total of 2 million USD of its own funds to procure public sector contraceptives in 2011. The FMOH has yet to confirm funding for its planned procurement of 3 million USD worth of contraceptives. DfID is considering matching FMOH funding for 2011. Africa Pakistan Yes Reproductive Health Commodity Security Committee (RHCS) - Currently the committee is inactive and the USAID | DELIVER PROJECT plans to revitalize it through CS inputs. There is a new initiatve called National Birth Spacing Initiative in which a sub-committee on "Logistics and Supply Chain" has been delegated to USAID | DELIVER Pakistan for convening. However, this arrangement has not yet been finalized with provinces under devolution. Yes Greenstar Social Marketing, Pakistan Yes Family Planning Association of Pakistan No 0% Yes USAID, DFID Yes UNFPA Yes Representatives of Ministry of Health and Population Program Wing along with provincial secretaries as members No 0% No 0% 0% 0% 0 times Yes Yes USAID Activity Manager, USAID Pakistan July June $27,500,000 01/11 USAID | DELIVER PROJECT Yes Yes $5,400,000 07/09-06/10 Population Program Wing 0 Yes Yes Public Sector Development Program $1,600,000 07/09-06/10 Population Program Wing 0 Yes Public Sector Development Program $3,150,000 01/10-12/10 UNFPA (as procurement agent) 0 $4,750,000 0 Yes USAID Pakistan $12,000,000 01/10-12/10 USAID | DELIVER PROJECT 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $12,000,000 0.0 28% Public sector money was redirected to support internally displaced populations due to floods 61% 0 0 0 The government and a third-party agent UNFPA and direct procurement from local producers (from ZAFA Pharmaceuticals Laboratories) No 0 Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes No Yes No Yes Yes No Yes No Yes Yes 0 0 Yes National Population Policy 2010 - 2014 Yes Don't know Yes NGOs, social marketing, and commercial Aluminium foil, PVC, syringes and vials (used for packaging contraceptive products) have a regulatory duty and income tax @ 1% and 4% for all of the aforementioned products; and a customs duty of 5%, 10%, 14.79% and 5%; and a sales tax of 16%, 21%, 16% and 16% for the respective products. No N/A Yes 1. High political will 2. Exemption from all duties creates a conducive environment for producers like ZAFA and Schering 3. Over-the-counter availability Yes IUD, surgical/permanent contraception, Implanon implant Trained healthcare provider Trained healthcare provider 0 0 0 0 0 0 Yes The Pakistani law allows distribution of contraceptives to only married women of reproductive age Don't know No 0 0 Don't know 0 0 No Yes Yes Ministy of Health provides contraceptives free of charge for both services and commodties. However, a similar approach is under review by GOP for Population Program Wing (PPW) too. Yes Yes Yes Yes Yes Yes No Yes No Don't know Don't know 2007 National Essential Drug List 0 2004 Yes Yes Yes No 0 No No No No No No No N/A No N/A 01/10-12/10 logistics management information system (LMIS) Yes No As per implementation of the 18th amendment, the Health and Population Policy has constitutionally become a provincial subject. With devolution, contraceptive procurement is also now the function of the provincial governments. The USAID | DELIVER PROJECT has provided inputs on CS via a quantification exercise to provinces and regions. However, a formal document may take 6-8 months. Based on recent technical assistance, USAID | DELIVER developed a CS brief for policymakers. Europe and Asia Paraguay Yes Comité para la Disponibilidad Asegurada de Insumos Anticonceptivos (DAIA) (Contraceptive Security Committee) Yes PSI (Population Services International) Yes CEPEP (El Centro Paraguayo de Estudios de Población, IPPF affiliate) No 0% Yes USAID Yes UNFPA, WHO Yes DGGIES (General Directorate for Management of Strategic Supplies in Health), Reproductive Health Unit Yes Central Warehouse No 0% Yes Instituto de Provision Social (IPS) - Paraguayan Social Security Institute) 6 or more times No Yes Yes Director of Logistics DGPS (Logistics Management Unit) October September $566,000 01/11 USAID | DELIVER PROJECT Paraguay resident advisor updated forecast with the DGPS director Yes Yes $566,000 01/10-12/10 Ministry of Health Funds were allocated in Dec 2010 Yes Yes National Treasury $566,000 01/10-12/10 PipeLine 0 No N/A 0.0 01/10-12/10 0.0 0 $566,000 0 No 0.0 0.0 01/10-12/10 0.0 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 0.0 0.0 100% 0 100% 0 No 0 Third-party agent (e.g., UNFPA, Crown Agents) UNFPA No 0 Yes Yes Yes No Yes Yes No Yes Yes Yes No IUD with Levonorgestrel (Mirena), hormonal patch, only monthly injectables Yes No Yes No Yes Yes No Yes No Yes No 0 Yes Yes Yes No Yes Yes No No Yes Yes No IUD with Levonorgestrel Yes No No No No Yes No Yes No No No 0 0 Yes Plan Estrategico DAIA (Contraceptive Security Strategic Plan) 2011-2015 No Yes Yes All sectors 10% value added tax, plus 0.50 on the value of the merchandise and a percentage for the customs clearance agent, which varies between 2% and 3% depending on the value of the shipment. (The value of a shipment includes freight and insurance in addition to the value of the merchandise.) No N/A Don't know Don't know No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes No Yes No No No No Yes No No N/A 2009 Lista de Medicamentos Esenciales (Essential Medicines List) 0 N/A N/A N/A N/A N/A Document not available on IMF's website No No N/A No N/A No No N/A No N/A 01/10-12/10 stockcards at central warehouse No No We have a law that ensures the allocation of funds for contraceptive procurement. LAC Philippines Yes Contraceptive Self-Reliance (CSR) Technical Working Group Yes Family Planning Organization of the Philippines, League of Municipalities, DKT Philippines Yes Philippine NGO Council, Family Planning Organization of the Philippines, League of Municipalities, Union of Local Authorities of the Philippines, League of Cities, Likhaan, FriendlyCare Yes Philippine Chamber of Commerce and Industry, Drugstores Association of the Philippines, DKT Philippines, Alphamed Yes USAID, WHO Yes UNFPA Yes National Center for Disease Prevention and Control, Material Management Division, Bureau of Local Health Development, Bureau of International Health Coordination, Health Policy Development and Planning Bureau, National Drug Program, Department of Health (DOH) attached agencies: Food and Drugs Administration, Population Commission, Philippine Health Insurance Corp (PhilHealth), DOH-ARMM, Center for Health and Development Region IV-A, Local Government Units (LGUs) - Pangasinan Provincial Population Office Yes DOH Materials Management Division No 0% 0% 0% 3-5 times Yes Yes Philippine Legislative Committee on Population & Development (PLCPD - an NGO of legislators), Forum, & Reproductive Health Advocacy Network Executive Directors and the Chairman of the organizations January December Don't know 12/10 and 04/11 Don't know No Yes Don't know 01/10-12/10 0 There were funds from the Maternal and Child Health and Nutrition grants from the Department of Health. Data for amounts allocated or used for contraceptive procurement are not available because funds were coursed directly to LGUs. Yes Yes Don't know Don't know 01/10-12/10 0.0 Internally generated funds came from the Maternal Neonatal Child Health and Nutrition grant from the National Department of Health. This fund was drawn down to or received by specific local government units not at the same time, and not all of the amount is for contraceptives. As a result, specific data as to how much was spent is not available. Don't know Don't know Don't know 01/10-12/10 0.0 0 Don't know 0 Yes UNFPA ($728,769) & USAID ($191,988) $920,757 01/10-12/10 RHInterchange Other donations were coursed directly to LGUs. The USAID donation included here was shipped in December 2009 and received by the DOH in January 2010. No 0.0 01/10-12/10 RHInterchange 0.0 No 0.0 01/10-12/10 RHInterchange 0.0 $920,757 0.0 Don't know 0 Don't know 0 Don't know 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Local Government Unit’s General Property and Supplies Office No The line item for the procurement of contraceptives is at the local government unit (LGU) level. LGUs fund and procure their contraceptive requirements. Prices of contraceptives, even for the same contraceptive method and brand, are not uniform across LGUs. Currently, there is no systematic data that provides a report on LGU procurements. PhilHealth enrollment is another mechanism for LGU financing of contraceptives. When an LGU enrolls its constituents (indigent constituents) with PhilHealth, it is indirectly financing their contraceptive requirements since a) the enrolled constituent can use the PhilHealth benefit packages that cover the costs of some contraceptive methods; and/or (b) the LGU can use part of the capitation fund received from PhilHealth (for enrollments made) to procure contraceptives. USAID/Philippines, through the Health Policy Development Project, assisted the DOH to conduct a rapid assessment survey in 2007 on LGU procurements covering all provinces and cities (N: 122). The results of the survey showed that 55% of the LGUs (N: 67) procured contraceptives at or above the level of donated contraceptives they used to receive before the phase-out of USAID's donation. The remaining 45% (N: 55) did not procure. In 2004, the DOH issued the guidelines on the management of the donated commodities under the Contraceptive Self-Reliance Strategy which includes the guidelines and schedule for phasing of contraceptive donations at the national and local level. The LGUs were divided into three batches - the first being the richest LGUs and the last being the poorest LGUs. While the last shipment of USAID-donated contraceptives (excluding IUDs) occurred in September 2007, the last DOH shipment to the third batch of LGUs to be phased out was in the October-December 2008 quarter. Yes Yes Yes No Yes Yes No No Yes Yes Yes Patch, spermicide Yes Yes Yes No Yes Yes No No Yes Yes Yes Modern natural family planning Yes Yes Yes No Yes Yes No No Yes Yes Yes Modern natural family planning Yes Yes Yes No No Yes No No No No No No 0 Yes National Family Planning Policy and others (National Family Planning Policy (DOH Administrative Order No. 50-A s. 2001, dated September 17, 2001), Guidelines on the Management of Donated Commodities under the Contraceptive Self-Reliance Strategy (DOH Administrative Order No. 158 s. 2004, dated July 9, 2004), Guidelines on Public-Private Collaboration in Delivery of Health Services Including Family Planning for Women of Reproductive Age (DOH Administrative Order No. 2006-0008, dated May 20, 2006), Implementing Health Reforms for Rapid Reduction of Maternal and Neonatal Mortality (Administrative Order No. 2008-0029, dated September 9, 2008) 2004 to present Yes Yes Yes All sectors - however, if an NGO has obtained a tax exemption, the payment of taxes and duties may be waived. The Department of Health (DOH) pays for taxes & duties for donations and social marketing. (For more information see D3a. response.) The customs duty on condoms and hormonal contraceptives is 3% of the total value. The customs duty on Copper T IUDs is 15% of the total value. All contraceptives are subject to a 12% value added tax (VAT). Yes Taxes/duties - donated commodities, socially marketed commodities, and commercially marketed contraceptives are subject to taxes and duties. Taxes/duties on donated contraceptives consigned to the Department of Health (such as those donated by USAID) are shouldered by the Government of the Philippines through automatic appropriations of the Department of Budget Management. Taxes/duties of socially marketed contraceptives consigned to the Department of Health are paid by the Department of Health. Taxes/duties on socially marketed contraceptives that are not consigned to the Department of Health are paid by the NGOs marketing those contraceptives. Taxes/duties on commercially marketed contraceptives are paid by the manufacturer, importer, or trader. Pharmacy law - this law bans brand advertising of ethical/regulated drugs. Hormonal contraceptives (oral pills, injectables and hormonal IUDs) are classified as ethical/regulated drugs, therefore, brand advertising is banned. Copper T IUDs are classified as medical device and registered as unregulated product and not subject to the same restrictions. There is no prohibition on brand advertising of Copper T IUDs. The pharmacy law also prohibits dispensing of ethical/regulated drugs without prescription. Don't know Don't know Yes Oral contraceptive pills & injectables Only trained health workers are allowed to dispense. Dispensing without a prescription is not allowed. However, since public facilities are headed by doctors who supervise all health workers in the facilities, prescriptions are easy to obtain. However, in practice, pills can be obtained without prescription from pharmacies/drugstores. Only trained health service providers are allowed to dispense. Service providers other than physicians, such as midwives, cannot dispense without a prescription. However, most midwives, and all PhilHealth accredited midwives have back-up physicians who write the prescriptions. IUDs Only trained health workers are allowed to dispense. Dispensing of a hormonal IUD without a prescription is not allowed. However, since public facilities are headed by doctors who supervise all health workers in the facilities, prescriptions are easy to obtain. Barangay Health Station (the lowest level of public health facility) health service providers do not dispense IUDs. Only trained health service providers are allowed to dispense. Service providers other than physicians, such as midwives, cannot dispense without a prescription. However, most midwives, and all PhilHealth accredited midwives have back-up physicians who write the prescriptions. 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A Because of devolution, LGUs craft their own policies. Policies are not uniform across LGUs. In general, services in public sector facilities are provided for free but there are some LGUs that have fee for service policies in some of their facilities. In general, commodities in public sector facilities are provided for free but there are some who charge at full or subsidized prices. Only a few LGUs have policies on client segmentation. While this is the case, other funding mechanisms for paying for contraceptives are available to public sector clients. If the client is a PhilHealth member, the client can avail of three PhilHealth benefit packages: (1) Maternity Care Package for normal deliveries that includes the first cycle of oral contraceptives and the first dose of injectable postpartum (2) IUD Package and (3) Voluntary Surgical Sterilization Package for bilateral tubal ligation and vasectomy. A significant number of LGUs have enrolled their poor constituents with PhilHealth. Yes Yes Yes No Yes No No No No No N/A 2008 0 IUDs are included on the DOH's medical device list. N/A N/A N/A N/A N/A Document not available on IMF website N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A No N/A 1) Contraceptive security vs. contraceptive self-reliance - The Philippines addresses contraceptive security in the context of eliminating unmet need for family planning given the phase out of USAID contraceptive donations. This requires broadening the definition to include the support systems for the implementation of the family planning program and addressing issues of sustainability. Hence, the DOH has embarked on Contraceptive Self-Reliance, rather than Contraceptive Security. This strategy includes, in addition to government financing and procurement of commodity-based contraceptive methods (pills, injectables, IUDs, condoms, and others), promotion and financing of other methods (bilateral tubal ligation, vasectomy, lactational amenorrhea, natural family planning, and others), expanding distribution coverage, and mobilizing private sector resources in the provision of family planning services and commodities. This approach to contraceptive security may have contributed to maintaining a steady CPR despite USAID's phase out of contraceptive donations. And since the government's objective is to ensure the country's self-sufficiency in the provision of family planning services and commodities, the prospect for sustainability is high even without external contraceptive donations. 2) Protecting the poor - The poor should be protected in the process of achieving contraceptive self-reliance. The issue of targeting financing and provision for the poor also involves many operational issues such as determining who are poor and entitled to free services, how the non-poor should be served, and how these issues will be handled by local health systems that are supposed to be for everyone in the community. 3) Even the poor go to the private sector for contraceptives. The private sector is becoming more interested in participating. DKT provides a large quantity of contraceptives. Before there were few choices in the country - there were free contraceptives in the public sector and expensive contraceptives in the private sector but little in between. Now with the USAID phase out and a pharmaceutical project to help the pharmaceutical industry get in the market there are more subsized, affordable choices. 4) The FP issue is more prominent now. There's an RH bill saying that the government is to be responsible for RH (including FP); this bill hasn't been passed yet, but discussion has increased and the issue is prominent. There is more openness politically now to discuss providing FP choices. Europe and Asia Russia No N/A N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A N/A No 0% 0% Don't know Don't know N/A Don't know Don't know No No 0.0 01/10-12/10 0 0 Yes Yes Regional and municipal budgets. In some cases (but not as often) contraceptives are covered by mandatory health insurance (which is provided free of charge to all Russian citizens by state). Don't know 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 Don't know 0 No N/A 0.0 01/10-12/10 0.0 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 0.0 0.0 Don't know 0 Don't know 0 N/A 0 N/A N/A N/A In 1998, the Russian federal government stopped its federal family planning program, including the procurement of contraceptives. However, some regions and municipalities provide limited contraceptives (both in range and number) to vulnerable groups of the population. Sources include regional and municipal budgets, mandatory health insurance (less often), and small donations from pharmaceutical firms. However, a range of modern contraceptive methods are widely available through pharmacies, including in the public health care facilities for a fee/purchase. Even though FP is not included in the provision of health services, a few USAID target regions cover/reimburse FP counseling under the regional mandatory health insurance plans. USAID-assisted sites which participate in integrated reproductive and maternal and child health projects provide FP counseling. Yes Yes Yes Yes Yes Yes No Yes No Yes No Contraceptive patch Evra and vaginal ring Novaring Yes Yes Yes Yes Yes Yes No Yes No Yes No Contraceptive patch Evra and vaginal ring Novaring N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 0 No 0 0 0 0 Yes All sectors 10% custom/import duties, 10% VAT Yes It's illegal to advertise a specific contraceptive brand as well as any other prescription drug. However, they can be promoted and advertised in professional health care literature and facilities. Public campaigns about contraception in general are allowed. Yes Only those entities that have a license for specific medical services can provide contraception. They are mainly private medical clinics. In general only health care workers can provide methods, mostly OB/GYNS. Yes All except condoms Only pharmacies are allowed to sell contraceptives and only OB/GYNs can prescribe them. Only pharmacies are allowed to sell contraceptives and only OB/GYNs can prescribe them. 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No Yes Yes Some regions provide free contraception for vulnerable groups. No Yes No No No No No No No No N/A 2010 National Essential Medicine List 0 N/A N/A N/A N/A N/A Document not available on IMF website N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Contraception in Russia continues to be a sensitive topic due to the demographic crisis and other reasons such as the traditionally negative perception of hormonal contraception among policy makers, professionals, and the general population. The government is focusing more on preserving any pregnancy, even an unintended one, so contraception is not viewed positively by the state. Europe and Asia Rwanda Yes Family Planning Logistics Committee Yes PSI Yes Association Rwandaise pour le Bien Etre Familiale (ARBEF) (Rwandan association for family well-being) Yes Association Rwandaise des Pharmacies (ARPHA) (Rwandan association of pharmacists), Association Rwansaise des Medecins Prives (Rwandan association of private doctors) Yes UNFPA, USAID, GFATM Yes UNFPA Yes Maternal and Child Health (MCH), HIV/AIDS and FP Integration, Pharmacy Task Force, Family Planning Officer, Commission National de Lutte Contre le SIDA (CNLS) (national commission for the fight against AIDS) Yes Central d'Achat des Medicamants Essentiel et Consommables (CAMERWA) No 0% No 0% 3-5 times Yes Yes MOH MCH Coordinator July June $6,012,129 02/10 USAID | DELIVER PROJECT & MOH Yes Yes $600,000 01/10-12/10 PipeLine 0 Yes Yes Government internally generated funds plus basket funds (from DFID). There is no way to know how much is from which source since budget support is the mechanism used by DFID. 0.0 01/10-12/10 0.0 0 Yes Government internally generated funds plus basket funds (from DFID). There is no way to know how much is from which source since budget support is the mechanism used by DFID. $1,454,420 01/10-12/10 PipeLine Only $664,619 worth of these products were shipped and received in country in 2010. $1,454,420 0 Yes USAID ($2,851,168) & UNFPA ($1,724,234) $4,575,402 01/10-12/10 PipeLine 0 No 0.0 01/10-12/10 0.0 0.0 Yes $772,108 01/10-12/10 PipeLine 0.0 $5,347,510 0.0 21% 0 113% 0 No 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) CAMERWA Yes 0 Yes Yes Yes Yes Yes Yes No Yes No Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes No Yes Yes No Yes No No No 0 Yes No Yes No No Yes No No No No Yes 0 0 Yes Reproductive Health Commodity Security November 2008-Decmber 2012 No Yes Yes For all methods in the public sector, MOH pays storage for the central warehouse 9% of the value of the product No N/A No N/A No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes No N/A 2009 Liste National des Medicaments Essentiel (National Essential Medicines List) It was published in 2010 and is reviewed every 2 years. 2008 Yes Yes Yes No While the term "contraceptive security" is not explicitly mentioned, there is language that reflects the concepts. 4.208 The fifth objective is to increase the availablity and affordability of drugs, contraceptive products . . . As the utilisation of health care facitlites increases, evidence shows that the binding contraint becomes drug availability. Providing safe and effective medication, diagnostics and other commodities to patients is vital for improving the quality of health care. Such a policy has cost-saving effects which is the rationale for attempting to reduce the number of out-of-stock days for all essential drugs at public health facilities. (p.100) There is emphasis on the availability of contraceptives, but there are no indicators to reflect this priority. Yes No No No No No No Yes No No 01/10-12/10 Warehouse report No No At the service delivery point (SDP) level, contraceptive stockouts are estimated at less than 4% and also rarely occur at the district and central levels. The reporting rate is more than 90% at the SDP level and 100% at the district level. Africa Senegal Yes Comite National de Securisation de Produits Contraceptifs (National Contraceptive Security Committee) Yes Agence pour le Developpement du Marketing Social (ADEMAS) (USAID Implementing Partner (IP)) Yes Association Senegalaise pour le Bien Etre Familial (ASBEF), IPPF affiliate, Intrahealth (USAID IP), Childfund & Consortium (USAID IP) No 0% Yes USAID, UNFPA , JICA, KFW Yes WHO, UNFPA Yes Division de la Sante de la Reproduction (FP/RH/MCH Division), Direction de la Pharmacie et du Medicament, Laboratoire Nationale de Controle des Medicaments Yes Pharmacie Nationale d'Aprovisionnement (PNA) No 0% No 0% 1-2 times No Yes USAID & Implementing Partners USAID MD & Health Team January December $1,800,000 09/10 MOH/FP-RH-MCH Division, supported By IntraHealth (USAID IP) Yes Yes $150,000 01/10-12/10 MHO/DSR (Division of Reproductive Health) line budget During the 2009/10 crisis, it was cut (from 250k to 150k) but for 2011, it is reallocated with an increase. No No 0 0.0 10/09-09/10 MHO/FP-RH-MCH report, CPT Funding was transferred from the MOF to the central medical store (PNA) but was returned to the treasury unspent because of difficulty in the procedure (code des marches). No N/A 0.0 10/09-09/10 Contraceptive Procurement Table (CPT) 0 0.0 0 Yes USAID ($1,396,142), UNFPA ($586,419) $1,982,561 10/09-09/10 RHInterchange Includes contraceptives for the MOH/Division of Reproductive Health, MOH/Social Marketing, & MOH/PNLS/AIDS No 0.0 10/09-09/10 0.0 0.0 No 0.0 10/09-09/10 0.0 0.0 $1,982,561 0.0 0% 0 110% The exceeded performance could be explained by an under-estimation of needs, which during the CPT workshop are based on the history of consumption only. Also, the dollar rate used during the estimation vs the real rate used in the RhInterchange could account for differences as well. 0 0 N/A N/A N/A During the last four years, funding was allocated for contraceptives but wasn't spent. Many reasons have been given: central store mismanagement, non-response to solicitation, and funding taken back by Treasury due to the financial crisis. Now funding has been reallocated for 2011. Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes No No Yes 0 Yes Yes Yes Yes Yes Yes Yes Yes No No No 0 CycleBeads are offered in non-profit private sector facilities and at the community level (health hut with CHW) supported by NGOs. Yes Programme National de Developpement Sanitaire & Strategie Nationale de Securisation des Produits Contraceptifs 2009 - 2014 2007 -2011 Yes Yes Yes All sectors For private sector - 20% duties for all methods. 18% VAT for IUD only. 2.7% for all goods entering in UEMOA area (Taxe commun à l'Importation), but the government can do a tax exemption for public sector. $0.16 to $1.10 fees in public sector. Yes Advertising for specific brands of products is forbidden. Private doctors cannot prescribe and distribute drugs in the same premises. Pharmacists connot dispense most methods without a doctor's prescription. Yes 1) Drug registration authorizing commercial distribution for private sector. 2) MOH/RH norms and protocols for public sector, NGOs, and social marketing. (The norms and protocols of RH services allow public sector, non-profit NGOs, and social marketing to prescribe and distribute at the same premises. [Private doctors and pharmacists aren't allowed to do both at the same premises; private doctors can prescribe and administer but cannot distribute. Pharmacists can distribute based on a prescription written by a doctor, nurse, or midwife but cannot administer.]) Yes Oral contraceptives Doctors, nurses, and midwives, and now community health workers (CHWs) are allowed (as per the RH Norms and Protocols revised in August 2010). Pharmacists cannot dispense without prescription. (Emergency contraception is available without a prescription in private pharmacies though.) Implants and IUDs Doctors, midwives and nurses are allowed. Private doctors can insert, but they cannot keep stock in their offices. Patients must procure from pharmacies. Pharmacists cannot dispense and cannot distribute without prescription. Injectables Doctors, nurses, and midwives, and now (as per the RH Norms and Protocols revised in August 2010), CHWs can provide FP injectables. Private doctors can administer injectables, but they cannot keep stock in their offices. Patients must procure from pharmacies. Pharmacists cannot dispense and cannot distribute without a prescription. No 0 0 No 0 0 No 0 0 Yes Yes Yes The local health committee determines who cannot afford to pay. There are no specific group exemptions. Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Spermicide Updated in 2008 Liste Nationale des Medicaments Essentiels 0 2007 Yes No No No USAID & partners have been trying to incorporate CPR and FP as key areas for inclusion in the PRSP. No No No No No No No No No No 01/10-12/10 CPTs, Logistics management information system and reports Yes No Government funding is not yet sufficient and thus contraceptive security is unsustainable. For many years, contraceptive procurement has been supported by USAID and UNFPA. Intense advocacy continues with the MOH for public resources to be mobilized for contraceptive procurement. Unfortunately this has not yet happened despite an effective increase of the RH budget (by more than 50%). While there are no stockouts at the central level, smaller health posts and health centers continue to be plagued with stockouts. Also, the MOH has room to improve in contraceptive supply chain management at the central level. Africa South Sudan No N/A N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A 0% N/A N/A No 0% 0% January December N/A N/A - none have been conducted N/A No No 0.0 01/10-12/10 0 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 The government of South Sudan (GOSS) has not procured contraceptives at all in the past. Don't know Don't know Don't know 01/10-12/10 0.0 0 Don't know Don't know 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 Don't know 0.0 Don't know 0 Don't know 0 Don't know 0 N/A N/A N/A 0 Don't know Don't know Don't know Don't know Don't know Yes Don't know Don't know No No Don't know 0 Don't know Don't know Don't know Don't know Don't know Yes Don't know Don't know No No Don't know 0 Yes Yes Yes No No Yes Yes No No No Yes 0 No No No No No Yes No No No No No 0 There is no clear Government of South Sudan policy on long-lasting permanent methods. No 0 0 0 0 No N/A N/A No N/A Yes The family planning policy and the FP guidelines for service providers present Government of South Sudan support for family planning service delivery. No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes No No N/A 2006 Essential medicines list for South Sudan 0 N/A N/A N/A N/A N/A Document not available on IMF's website N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Don't know N/A There is no line item in the government health budget for contraceptives, thus the government does not procure contraceptives. Africa Tanzania Yes National Contraceptive Committee Yes Tanzania Marketing and Communications for AIDS, Reproductive Health and Child Survival (T-MARC) project, Population Services International (PSI) Yes John Snow, Inc. (JSI), EngenderHealth, ChamaCha Uzazi na Malezi Bora Tanzania (UMATI) - IPPF affiliate, Marie Stopes, Pathfinder Yes World Wide Movers (Agility's local rep) Yes USAID, DFID Yes UNFPA Yes Reproductive and Child Health Service (RCHS), National AIDS Control Programme (NACP) Yes Medical Stores Department (MSD) No 0% 0% 0% 1-2 times No Yes Don't know Don't know July June $18,748,591 03/11 JSI and Reproductive and Child Health Service Yes Yes $2,333,333 07/09-06/10 Ministry of Health (RCHS) 0 Yes Yes National treasury $1,800,000 07/09-06/10 RCHS 0 Yes Basket $5,000,000 07/09-06/10 RCHS None of the products bought from this have arrived yet (as of March 2011). $6,800,000 0 Yes USAID, UNFPA $4,355,176 07/09-06/10 PipeLine 0 Yes $1,211,960 07/09-06/10 PipeLine 0.0 No 0.0 07/09-06/10 0.0 0.0 $5,567,136 0.0 55% 0 66% 0 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) MSD Yes 0 Yes Yes Yes Yes Yes Yes Don't know Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes No Yes Yes No 0 Yes Don't know Yes Yes No Yes Yes No No No No 0 0 No 0 0 0 0 No N/A N/A Yes Brand-specific advertising for oral contraceptives is not allowed since oral contraceptives are considered a prescription-only product. No N/A Yes Oral contraceptives 0 Pharmacies and accredited drug dispensing outlets (Addos) Implants and IUDs Restricted to public health nurse of higher grade MOH staff 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes No No Don't know Don't know 2007 National Essential Medicine List 0 2010 No Yes No No The availability and choice of safe, effective, acceptable, and affordable contraceptive methods is an intervention package (p. 154). There are interventions related to increasing the capacity of providers and delivery systems to provide high quality, affordable and sustainable family planning methods and services. There are indicators for TFR and reducing population growth but not for CPR. Yes No No Yes Yes No No N/A N/A N/A 08/09-06/10 MSD, quarterly reports Yes Yes Long lead time for basket procurement processes. Africa Uganda Yes Reproductive Health Commodity Security (RHCS) Committee Yes Uganda Health Marketing Group (UHMG), PACE, Marie Stopes Uganda (MSU) Yes Reproductive Health Uganda (RHU) No 0% Yes USAID, DFID Yes UNFPA Yes MoH Reproductive Health division, MoH AIDS Control Program (ACP), MoH Pharmacy Division Yes National Medical Stores (NMS) No 0% No 0% 3-5 times No No 0% 0% July June $10,166,650 10/10 MOH Reproductive Heath division with technical assistance from the SURE/MSH program Yes Yes $326,000 07/09-06/10 Budget Document FY 09/10 Approximately 50% of FP commodities of UGX 1.5 billion (approx USD 652,000) allocated per year. (The funding is allocated for FP commodities in general; we were unable to extract the exact allocation to contraceptives alone.) No No N/A 0.0 07/09-06/10 0.0 0 No N/A 0.0 07/09-06/10 0.0 0 0.0 0 Yes USAID, UNFPA, DFID $6,588,411 01/10-12/10 RHInterchange Does not include PSM costs No 0.0 07/09-06/10 0.0 Procurement initiated but not awarded No 0.0 07/09-06/10 0.0 0.0 $6,588,411 0.0 0% UGX 1.5 billion was allocated per year for FP commodities but not spent and this has happened for the last 2 financial years. In FY 2010/2011 expenditures will include funds carried forward from previous financial years. 65% 0 No 0 N/A N/A N/A National Medical Stores did not procure contraceptives in 2009/2010. Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 0 Yes Yes Yes Yes Yes Yes No Yes Yes Yes No 0 Yes Don't know Yes Yes Yes Yes Yes No Yes Yes No 0 Yes Yes Yes No No Yes No No No No Yes 0 There is no available data for the commercial sector although it is known that they sell contraceptives in their outlets. Yes Reproductive Health Commodity Security Strategic Plan 2010-2015 Yes Yes Yes All sectors are charged verification fees by NDA 2% of FOB value is charged as verification fees by NDA on all pharmaceuticals including contraceptives. No N/A No N/A Yes Depo-Provera 0 Not dispensed in drug shops 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes No No Yes No Don't know Don't know 2010 Essential medicines list for Uganda (EMLU) The list is currently being revised and is expected to be released in mid-2012. 2010 Yes Yes Yes No Family planning and unmet need is mentioned repeatedly throughout the social sector section (from p. 215 onward). Advocating for reproductive health commodity security, including strengthening logistics, HMIS and LMIS is mentioned (p. 215). CPR is mentioned as a goal to reach the MDGs (p. 23). Yes No No No Yes No No N/A No N/A 07/09-06/10 NMS stock status reports, RHI website, USAID | DELIVER PROJECT website No No The government is now actively committed to spending the funding allocated for contraceptives, and last year the president directed that $3 milllion be made available for contraceptive procurement. Africa Ukraine Yes National Committee for Implementation of the State Program "Reproductive Health of the Nation up to 2015" (SPRHN) No 0% Yes All-Ukrainian Federation of Young Doctors, All-Ukrainian Women's Society No 0% Yes USAID (represented by the staff of the USAID-supported projects, i.e.,Together for Health and Maternal & Infant Health Project). Yes UNFPA Yes MCH Department/RH Division, Finance and Economic Department No 0% No 0% Yes Academy of Science, National Academy of Post-Graduate Education 1-2 times Yes No 0% 0% January December $3,600,000 06/10 USAID/JSI - Together for Health Project Yes Yes $165,000 01/10-12/10 Ministry of Finance of Ukraine This amount does not include regional allocations. Yes Yes State Budget of Ukraine for 2010 ($165,000) and regional budgets ($110,000) $275,000 01/10-12/10 MOH report on implementation of the SPRHN This amount includes the cumulative national and regional budget expenditures. No N/A 0.0 01/10-12/10 0.0 0 $275,000 0 Yes USAID/Washington $382,500 01/10-12/10 USAID Together for Health Project (consumption estimate) The total value of the USAID donated contraceptives is $765,000; it's expected to last until 2012. $191,250 was provided as an estimate of six months' consumption; this was doubled to reach an estimate of a year's consumption. Yes $764,000 01/10-12/10 International HIV/AIDS Alliance in Ukraine International HIV/AIDS Alliance reports that $764,000 was provided by Global Fund to procure condoms for HIV/AIDS and STI prevention. This money was not used to procure condoms for FP purposes. No 0.0 01/10-12/10 0.0 0.0 $1,146,500 0.0 19% Global Fund money to procure condoms for HIV/AIDS and STI prevention is included in this calculation as non-government funds. 39% 0 Yes 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) Ministry of Health, MCH Department in particular, and Oblast Health Administrations in collaboration with Oblast FP Centers No The USAID Together for Health project has been working with the Government of Ukraine (GOU) and oblast governments to mobilize budgeted resources for the procurement of contraceptives during the period January-December 2010. (Note: The GOU commitment to finance the SPRHN remains at the same level in terms of local currency amount during the last 3 years. However, the amounts spent during the last 3 years are different.) The USAID TfH project has limited ability to influence the GOU contraceptive procurement process. The situation is aggravated by the fact that there has not been a permanent Head of the MCH Department at the MOH of Ukraine for the last 8 months because of the recent government rotations. Regional councils that make decisions on funding of regional RH programs are reporting decreases in social and health budgets as they have other competing health priorities like HIV/AIDS and TB. The economic crisis is still ongoing and led to the February-March increase of prices for utilities, gas, and food products. It continues to have a negative impact on the population's ability to purchase contraceptives, especially in the rural areas. FP providers reported in November 2010 that the maximum amount of money a Ukrainian woman of reproductive age living in a rural area can afford to spend for the purchase of contraceptives is $4-$5 per month. Yes Yes Yes No Yes Yes No Yes Yes Yes No Vaginal ring, spermicides, patch Yes Yes Yes No Yes Yes No Yes Yes Yes No Vaginal ring, spermicides, patch No No No No No No No No No No No No No No No No No No No No No No No No The public sector CAN offer POPs and ECs, but at this point the methods are not available in stock. Implants are not yet registered in Ukraine; the producer plans to begin registration this year. NGOs are not allowed by law to support the provision of FP services and commodities. There are no FP-related social marketing programs in Ukraine. No 0 0 0 0 Yes Commercial sector VAT (20% of the total cost), custom tax Yes The law of Ukraine "On Advertising", article 21 does not allow advertising of prescription-based medicines, which includes contraceptives. Yes Drugs (including contraceptives) are exempted from the payment of VAT in Ukraine. Also, private companies have to be registered and licensed. This is protection against counterfeit drugs. Yes All hormonal methods Clinics can either dispense or prescribe these methods for purchase in state pharmacies. The prescriptions are written by doctors; midwives and nurses are not allowed to write prescriptions. Licensed pharmacies sell hormonals based on a doctor prescription. IUDs Only specially trained ob-gyns can insert IUDs. Family doctors can only prescribe IUDs. Midwives and nurses cannot prescribe them. Only specially trained ob-gyns can insert IUDs. Family doctors can only prescribe IUDs. Injectables Nurses and midwives can provide the Depo injections, in a health facility, upon the recommendation from a doctor. 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes No No No Yes No No N/A 2009 National Essential Medicine List Condoms and IUDs are not part of this list as Ukrainian legislation considers them medical devices. A list of medical devices does not exist. 2005 Yes No No No Improving peoples' abilities to plan the size of their families is one of the priorities under Pillar 5: Human development (p.34) The following are priorities for the health sector, but not indicators: - Procure additional reproductive health commodities - Family planning supplies for 3 million couples per year (p.195, Table 7.5) Don't know Don't know N/A N/A N/A Don't know Don't know N/A N/A N/A N/A The answer "don’t know" means there is no data available at the MOH on how they handle the procured contraceptives. The answer "N/A" means that some of the contraceptives are not registered (e.g., implants and CycleBeads) or are not procured by the GOU (e.g., progestin-only pills, injections, emergency contraceptives). Yes Don't know There are four vulnerable population groups in Ukraine that have access to free contraceptives through the public sector: poor people, HIV+ women, youth aged 18-20, and women with extragenital pathologies. The Ministry of Health (MOH) does not estimate the need for contraceptives for these groups, as they never receive state funding for procurement of contraceptives based on the need. The funding is always limited and represents "what is given by the Ministry of Finance". In addition, there are no clear criteria in the country regarding "who is the poor", and thus, there are no official records on the number of poor people. State Statistics Committee (SSC) of Ukraine says that 48.6% of the population live on a monthly income of $100-$200. The MOH reports that they procure contraceptives in sufficient quantities to ensure that 90%-100% of women with extragenital pathologies have access to them (the fourth vulnerable group). However, this satisfies only one of the four vulnerable groups. The USAID Together for Health (TfH) project made the forecast of the contraceptive needs for the eligible population in Ukraine in 2010. They used the World Bank estimate that 8% of the population in Ukraine is poor, UNAIDS data on HIV+ people, SSC data on youth, and 2007 DHS for details on contraceptive use. Also, since October 2010, the USAID TfH project has been distributing the USAID-donated contraceptives (DepoProvera, Microgynon, and Copper IUD) that reach the primary health care level in 15 regions of Ukraine (out of a total of 27). The regions are collecting data on distribution and reporting to the project. However, since the distribution has been active for only one quarter, it is too early to make conclusions about the contraceptive needs in these 15 regions. Europe and Asia Yemen Yes Reproductive Health Commodity Security Yes Yamman (Marie Stopes International) Yes Yemen Family Care Association, GSSC, Yamaan No 0% Yes EKN, GIZ Yes UNFPA Yes Supply Directorate, RH General Directorate, National Drug Program, Curative Sector Yes Central Warehouse No 0% No 0% 6 or more times N/A No 0% 0% January December Don't know 01/11 MOPHP and UNFPA No Yes $95,000 01/10-12/10 MoPHP annual plan 0 No No N/A 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 0 0.0 0 No N/A 0.0 01/10-12/10 0.0 There were no new funds for 2010. MOPHP spent the residual amount that was provided from UNFPA in 2008-2009 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 0.0 0.0 N/A 0 Don't know 0 0 0 N/A N/A N/A 0 Yes Yes Yes Yes Yes Yes No No Yes Yes No 0 Yes Yes Yes Yes Yes Yes No No Yes Yes No 0 Yes Yes Yes Yes Yes Yes No No No No No 0 Yes Yes Yes Yes Yes Yes No No No No No 0 Hormonal injections and implants are requested by people but coverage is low. Yes Reproductive Health Strategy 2011- 2015 Yes No No N/A N/A No N/A No N/A No 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes No No No No No No No No N/A 2009 National Essential Drug List 0 2002 Yes No No No Population status is one of the objectives under human resources development. (p.118). Yes No Yes Yes Yes No No Yes N/A N/A 0 Logistic reports of MOPHP Yes Yes 0 Europe and Asia Zambia Yes Reproductive Health Commodity Security Committee Yes Society for Family Health Yes Planned Parenthood Association (PPAZ), Marie Stopes International, Family Health International No 0% Yes Global Fund, DFID, USAID Yes UNFPA, UNICEF, WHO Yes Reproductive and Child Health, Pharmacy Yes Medical Stores Limited (MSL) - Central Warehouse Yes Ministry of Finance and National Planning Yes USAID | DELIVER PROJECT, Zambia Integrated Strengthened System Partnership (ZISSP), Zambia Prevention Care and Treatment II (ZPCT II), Center for Infectious Diseases Research in Zambia (CIDRZ) 3-5 times No Yes MOH Deputy Director, Reproductive and Child Health January December $6,407,002 11/10 Planned Parenthood Association, Marie Stopes International, USAID | DELIVER PROJECT, Zambia Prevention Care and Treatment II, Center for Infectious Diseases Research in Zambia, UNFPA, Society for Family Health, MOH Yes Yes $619,099 01/10-12/10 GRZ Yellow Book (Government Activity Based Budget: Estimate of Revenue and Expenditure), PipeLine Committed by MOH for the procurement of RH commodities (it's not specified whether funds were meant for contraceptives) No No 0 0.0 01/10-12/10 0.0 0 No N/A 0.0 01/10-12/10 0.0 ($1,602,872 worth of products arrived in 2010 [from funds originally from DFID], but the products were procured in 2009) 0.0 0 Yes USAID $2,467,644; UNFPA $2,032,857 $4,500,501 01/10-12/10 PipeLine 0 No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $4,500,501 0.0 0% 0 70% There was no gap in 2010. 0 0 The government (e.g., Central Medical Stores, MOH logistics unit, MOH procurement unit) MOH Procurement Unit No The budget line is not only for the procurement of contraceptives, but for all RH commodities. Yes Yes Yes Yes Yes Yes Yes Yes Don't know Don't know Don't know No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No 0 Yes Yes Yes Yes Yes Yes Yes Don't know Don't know Don't know No 0 Yes Yes Yes Yes Yes Yes Yes No No No No 0 0 Yes Reproductive Health Commodity Security Strategy 2011 - 2015 No No No N/A N/A Yes 1. Sale/distribution of contraceptives restricted to retail pharmacies and private clinics. Only condoms are sold in supermarkets and drugstores. 2. Advertising ban Don't know Don't know Don't know 0 0 0 0 0 0 0 0 0 No 0 0 No 0 0 No 0 0 No No N/A N/A Yes Yes Yes Yes Yes Yes Yes Yes No No N/A 2009 Essential Medicines List 0 2007 No No No No Reproductive health is integrated within the health component (p.179). Yes No No No No No No Yes No N/A 01/10-12/10 PipeLine (based on central warehouse reports) Yes No Partners have been forthcoming in supporting the government in filling the gap. Government needs to increase its funding for contraceptive procurement to reduce dependency on donor funding. Africa Zimbabwe Yes Reproductive Health Commodity Security Committee Yes Population Services International Yes Population Services Zimbabwe (PSZ) (Marie Stopes affiliate), Elizabeth Glaser Pediatric AIDS Foundation Yes CIMAS Healthcare (medical insurance and health services provider) Yes USAID and DfID Yes UNFPA Yes Reproductive Health Unit of Ministry of Health and Child Welfare (MOHCW), Zimbabwe National Family Planning Council (ZNFPC), and Medicines Control Authority of Zimbabwe (MCAZ) Yes NatPharm No 0% Yes Crown Agents Zimbabwe, John Snow Inc. (JSI) 3-5 times Yes Yes ZNFPC Executive Director January December Don't know 10/10 ZNFPC, JSI, Crown Agents, and PSZ Yes Yes Don't know 01/10-12/10 0 Budget allocation is for the entire MOH and is in principle supposed to cover all recurrent expenditures for the entire MOH including commodities procurement Don't know Don't know 0 Don't know 01/10-12/10 0.0 It is not clear if and how much the government spent on procurement of contraceptives outside of the delivery team topping up [DTTU] distribution system. The government did not spend funds on procurement of contraceptives for the DTTU distribution system. Don't know Don't know Don't know 01/10-12/10 0.0 0 Don't know 0 Yes Male and female condoms (USAID), other contraceptives (DfID) $7,282,420 01/10-12/10 Delivery Team Topping Up (DTTU) TOP UP database 1) Data includes products distributed on DTTU only (male and female condoms, the injectable Petogen, the combined oral Control, and the progestin-only pill Secure). 2) Data includes products distributed to clients only, not products in storage facilities. 2) Value based on actual per unit consumption of each product multiplied by unit cost (freight and insurance included). No 0.0 01/10-12/10 0.0 0.0 No 0.0 01/10-12/10 0.0 0.0 $7,282,420 0.0 Don't know 0 Don't know 0 No All public sector needs for the methods distributed by the DTTU system (male and female condoms, injectables, combined orals, and progestin-only pills) are adequately met by USAID and DfID year after year. N/A N/A N/A The USAID | DELIVER PROJECT (implemented by JSI) procures on behalf of USAID while Crown Agents procures on behalf of DfID. Finance data provided here represents the monetary value of the products distributed through the DTTU system only. Procurement data is not available for other contraceptives distributed on a target strategy outside of DTTU, which are bought by ZNFPC and sold direct from the ZNFPC warehouse to private, public, and local authority institutions and doctors upon request. They are not routinely distributed to all SDPs through DTTU because they are used by a minority of the population and are expensive. Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No Yes No No Yes Yes Yes Don't know Don't know No No 1) IUDs, emergency contraceptives, and CycleBeads are in principle supposed to be managed in the public sector but their supply is erratic. They are distributed on a target basis. ZNFPC started piloting the distribution of Jadelle implants on DTTU in the last quarter of 2010. 2) The contraceptive methods listed under NGO refer to Population Services Zimbabwe (a local NGO and Marie Stopes affiliate). Yes ZNFPC Strategic Plan 2009 - 2013 Yes Yes No N/A N/A No N/A No N/A Yes Injectables Community-based distributors cannot dispense/administer long-term methods. Long-term methods can only be dispensed/administered by qualified medical personnel specifically trained to administer the methods. For injectables, this is trained and registered nurses and doctors. Implants Only doctors and clinical officers can administer. Only trained doctors who are approved by ZNFPC to insert implants can do so. IUDs Only doctors can administer. Only trained doctors who are approved by ZNFPC to insert IUDs can do so. No 0 0 No 0 0 No 0 0 Yes Yes Yes Some local authority clinics charge for commodities. People over 65 years are exempted from such charges in general at public institutions. Yes Yes Yes Yes Yes Yes Yes Yes Yes No N/A 2006 Essential Drugs List for Zimbabwe (EDLIZ) and the ZNFPC List of Contraceptive Methods and Devices EDLIZ currently under revision N/A N/A N/A N/A N/A Document not available on IMF's website No No No No Don't know Don't know No No Don't know Don't know 01/10-12/10 Warehouse reports & periodic physical inventory No No Contraceptives are generally in full supply. No significant issues with commodity security. Africa Notes: N/A = not applicable Commonly used acronyms include: CPT - contraceptive procurement table, LMIS - logistics management information system, MOH - Ministry of Health, RHInterchange (RHI) - Reproductive Health Interchange (online database of contraceptive orders and shipments at http://rhi.rhsupplies.org) Notes: N/A = not applicable, No data = data not available Commonly used acronyms include: CPT - contraceptive procurement table, LMIS - logistics management information system, MOH - Ministry of Health, RHI - RHealth Interchange (http://rhi.rhsupplies.org) To jump to the Introduction sheet, click here. To jump to the Introduction sheet, click here. A. leadership & cooordination B. finance & procurement C. commodities D. policies E. supply chain To jump to the Introduction sheet, click here. To jump to the Introduction sheet, click here. To jump to the Introduction sheet, click here. To jump to the Introduction sheet, click here. ALL countries 2011 Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. The CS Indicators are presented in the following sections: (To jump to a section, click on it here): A. leadership & cooordination B. finance & procurement C. commodities D. policies E. supply chain Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Note: Click on "1" in the top lefthand corner to see just the main questions and "2" to see all of the questions. (This toggle is above and to the left of cell A1.) To jump to the Introduction sheet, click here. Contraceptive Security Indicators Data 2011 All Surveyed Countries with data filters and grouping A. Leadership and Coordination A1. Is there a national committee that works on contraceptive security? A1a. What is the name of the committee? A2. Are the following organizations represented on the committee? A2a. Are social marketing organizations on the committee? A2ai. Names of social marketing organizations on the committee A2b. Are NGOs on the committee? (e.g. service delivery, advocacy, Planned Parenthood afiliate, Marie Stopes afiliate, faith-based organizations) A2bi. Names of NGOs on the committee A2c. Are commercial sector organizations on the committee? (e.g. pharmacy associations, manufacturers) A2ci. Names of commercial sector organizations on the committee A2d. Are donors on the committee? A2di. Names of donors on the committee A2e. Are UN agencies on the committee? A2ei. Names of UN agencies on the committee A2f. Are Ministry of Health units on the committee? (e.g. logistics, RH, FP, MCH, HIV/AIDS, pharmacy units) A2fi. Names of Ministry of Health units on the committee A2g. Is the Central Medical Store or Central Warehouse on the committee? A2gi. Specify Central Medical Store or Central Warehouse on the committee A2h. Is the Ministry of Finance or Ministry of Planning on the committee? A2hi. Specify Ministry of Finance or Planning on the committee A2i. Are there any other organizations on the committee? (e.g. partners) A2ii. Specify other organizaitons on the committee A3. How many times did the committee meet during the last year? (responses from dropdown list choices: 0, 1-2, 3-5, or 6+) A4. Does committee have legal status? A5. Is there a Contraceptive Security "champion"? (someone who consistently brings up and advocates for contraceptive supplies) A5a. "Champion's" organization A5b. "Champion's" job title B. Finance and Procurement (Capital) B1a. What is the beginning month of the country's fiscal year? B1b. What is the ending month of the country's fiscal year? B2. Estimated dollar value of contraceptives needed to be procured for public sector for the most recent complete fiscal year (in US$) (e.g., to cover the needs for the '09-'10 fiscal year) B3a. When was the last forecast/quantification conducted? (mm/yy) B3b. Which organization conducted the last quantification? B4. Is there a government budget line item for the procurement of contraceptives? B5. Were government funds allocated for contraceptive procurement for the public sector in the most recent complete fiscal year? (This refers to funds planned to be spent on contraceptives, whether or not they ended up being spent.) B6. What was the amount of government funds allocated for contraceptive procurement? (in US$) (i.e., funds originally designated for contraceptives, whether or not they ended up being spent on them) B6i. Time period when government allocations were supposed to be spent (mm/yy-mm/yy) B6ii. Data source for information on government allocations B6iii. Comments regarding government allocations B7. Were government funds spent on contraceptive procurement for the public sector in the most recent complete fiscal year? (including internally generated funds, basket funds, World Bank credits or loans, and other donor funds given to the government) B8a. Did the government spend internally generated funds for contraceptive procurement for the public sector B8ai. Specify source(s) of internally generated funds spent (e.g., from taxes or user fees) B8aii. What was the amount of internally generated funds spent on contraceptive procurement for the public sector? (in US$) B8aiii. Time period for internally generated funds (mm/yy-mm/yy) B8aiv. Data source for information on internally generated funds B8av. Comments regarding internally generated funds B8b. Did the government spend other government funds for contraceptive procurement for the public sector (e.g., basket funds, World Bank credits or loans, or other funds donors gave to the government [e.g., direct budget support])? B8bi. Specify source(s) of other government funds spent (e.g., basket funding or specific donor) B8bii. What was the amount of these other government funds spent on contraceptive procurement for the public sector? (in US$) B8biii. Time period for these other government funds (mm/yy-mm/yy) B8biv. Data source for information on these other government funds B8bv. Comments regarding these other government funds B8c. In total, how much did the government spend on contraceptive procurement for the public sector? (in US$) This will auto-calculate. (It will sum internally generated funds and other government funds.) B8ci. Comments on total government funds spent on contraceptive procurement for the public sector B9. In-kind and Global Fund donations B9a. Were in-kind donations of contraceptives provided for the public sector? B9ai. Source(s) of in-kind donations B9aii. What was the value of in-kind donations of contraceptives for the public sector? (in US$) B9aiii. Time period for in-kind donations (mm/yy-mm/yy) B9aiv. Data source for information on in-kind donations B9av. Comments regarding in-kind donations B9b. Were Global Fund donations used to procure condoms? B9bi. What was the amount spent on Global Fund donations used to procure condoms? (in US$) B9bii. Time period for Global Fund condom procurements (mm/yy-mm/yy) B9biii. Data source for information on Global Fund condom procurements B9biv. Comments regarding Global Fund condom procurements B9c. Were Global Fund donations used to procure contraceptives besides condoms? B9ci. What was the amount spent on Global Fund donations used to procure contraceptives besides condoms? (in US$) B9cii. Time period for Global Fund non-condom contraceptive procurements (mm/yy-mm/yy) B9ciii. Data source for information on Global Fund non-condom contraceptive procurements B9civ. Comments regarding Global Fund non-condom contraceptive procurements B9d. Total value of in-kind donations and Global Fund donations spent on contraceptive procurement for the public sector This will auto-calculate. (It will sum in-kind donations and all Global Fund procurements.) B9di. Comments regarding total value of in-kind donations and Global Fund donations spent on contraceptive procurement for the public sector B10. Government share of spending on contraceptive procurement for the public sector - Of the total amount spent on contraceptives for the public sector in the most recent complete fiscal year (including government and donor spending), what percent was covered by government funds (including internally generated funds, basket funds, World Bank credits or loans, and other funds given to the government)? This will autocalculate -Total government spending (Question B8c) / Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d) B10a. Comments about government share of spending on contraceptive procurement for the public sector B11. Total expenditures on public sector contraceptives as percent of amount that needed to be procured - Of the estimated value of the contraceptives needed to be procured for the public sector for the most recent complete fiscal year, what percent was provided by any source (whether government or donor)? This will auto-calculate. (It contains the following formula: Grand total of all spending for public sector contraceptives from the government and donors (Questions B8c+B9d) / Value of estimated need for procurement (Question B2)) B11a. Comments about total expenditures on public sector contraceptives as percent of amount that needed to be procured B12. If B11 did not calculate automatically, please answer the following question: Was there a funding gap for the public sector in the last complete fiscal year (e.g., 09-'10 fiscal year)? B12a. Comments about B12 (whether there was a funding gap) B13. If the government financed any contraceptive procurement in the most recent complete fiscal year, which entity conducted the procurement(s)? (responses from dropdown list choices) B13a. Specify entity that conducted procurement B13ai. Is this procurement entity a parastatal? B14. Comments about finance and procurement C. Commodities C1. Are the following contraceptive methods offered in commercial sector facilities? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C1a. Combined oral contraceptives offered in commercial sector facilities? C1b. Progestin-only pills offered in commercial sector facilities? C1c. Hormonal injections offered in commercial sector facilities? C1d. Hormonal implants offered in commercial sector facilities? C1e. Intrauterine devices (IUDs) offered in commercial sector facilities? C1f. Male condoms offered in commercial sector facilities? C1g. Female condoms offered in commercial sector facilities? C1h. Emergency contraceptive pills offered in commercial sector facilities? C1i. Long-acting permanent method for males (e.g., vasectomy) offered in commercial sector facilities? C1j. Long-acting permanent method for females (e.g., tubal ligation) offered in commercial sector facilities? C1k. CycleBeads offered in commercial sector facilities? C1l. Specify other contraceptive(s) offered in commercial sector facilities C2. Are the following contraceptive methods offered in public sector facilities? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C2a. Combined oral contraceptives offered in public sector facilities? C2b. Progestin-only pills offered in public sector facilities? C2c. Hormonal injections offered in public sector facilities? C2d. Hormonal implants offered in public sector facilities? C2e. Intrauterine devices (IUDs) offered in public sector facilities? C2f. Male condoms offered in public sector facilities? C2g. Female condoms offered in public sector facilities? C2h. Emergency contraceptive pills offered in public sector facilities? C2i. Long-acting permanent method for males (e.g., vasectomy) offered in public sector facilities? C2j. Long-acting permanent method for females (e.g., tubal ligation) offered in public sector facilities? C2k. CycleBeads offered in public sector facilities? C2l. Specify other contraceptive(s) offered in public sector facilities C3. Are the following contraceptive methods offered in NGO facilities? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C3a. Combined oral contraceptives offered in NGO facilities? C3b. Progestin-only pills offered in NGO facilities? C3c. Hormonal injections offered in NGO facilities? C3d. Hormonal implants offered in NGO facilities? C3e. Intrauterine devices (IUDs) offered in NGO facilities? C3f. Male condoms offered in NGO facilities? C3g. Female condoms offered in NGO facilities? C3h. Emergency contraceptive pills offered in NGO facilities? C3i. Long-acting permanent method for males (e.g., vasectomy) offered in NGO sector facilities? C3j. Long-acting permanent method for females (e.g., tubal ligation) offered in NGO sector facilities? C3k. CycleBeads offered in NGO sector facilities? C3l. Specify other contraceptive(s) offered in NGO sector facilities C4. Are the following contraceptive methods offered through social marketing? (Please indicate which methods are intended to be offered. This question is not asking whether the method is in stock.) C4a. Combined oral contraceptives offered through social marketing? C4b. Progestin-only pills offered through social marketing? C4c. Hormonal injections offered through social marketing? C4d. Hormonal implants offered through social marketing? C4e. Intrauterine devices (IUDs) offered through social marketing? C4f. Male condoms offered through social marketing? C4g. Female condoms offered through social marketing? C4h. Emergency contraceptive pills offered through social marketing? C4i. Long-acting permanent method for males (e.g., vasectomy) offered through social marketing? C4j. Long-acting permanent method for females (e.g., tubal ligation) offered through social marketing? C4k. CycleBeads offered through social marketing? C4l. Specify other contraceptive(s) offered through social marketing C5. Comments about methods offered D. Policies (Commitment) D1. Is there a contraceptive security or reproductive health commodity security strategy or is contraceptive security explicitly included in a country strategy? D1a. Strategy name D1b. Years strategy covers (including strategy updates) D1c

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