UNFPA Donor Support for Contraceptives and Logistics

Publication date: 2000

Donor Support for Contraceptives and Logistics 2000 UNFPA ii Table of Contents List of Abbreviations and Acronyms iv Introduction 1 Levels of Donor Support 3 Patterns of Donor Support 4 Fluctuations in Support Changing Patterns of Support Projected Contraceptive Costs and Estimated Requirements 7 Estimates of Contraceptives and Condoms for STI-HIV Prevention 8 Regional Distribution of Donor Support for Contraceptive Commodities 9 Countries Receiving the Most Contraceptive Commodity Support 9 Total Expenditure by Method 11 Donor Support for Male Condoms 11 Donor Support for Female Condoms 15 Logistics Support 20 iii List of Tables 1: Estimated Contraceptive Commodity Support by Donor/Agency, 1990-2000 3 2: Estimated Global Cost of Contraceptive Commodities and Condoms for STI/HIV Prevention, 2000-2015 8 3: Top 10 Countries Receiving the Most Donor Support, 1992-2000 10 4: Expenditure by Method, 1992-2000 11 5: Condom Support in Countries and Territories, 1996-2000 11 6: Distribution of Female Condoms in Public and Private Sectors 16 7: Logistics Support Reported for 2000, by Country/Territory 20 List of Figures 1: Support by Major Donors, 2000 4 2: Patterns in Contraceptive Supply, 1990-2000 5 3: Comparison of Major Donor Support, 1990 and 2000 6 4: Trend of Reported Donor Support for Contraceptives Compared with Estimated Requirements , 1992-2003 7 5: Donor Support, 2000, by Region 9 iv List of Abbreviations and Acronyms AIDS Acquired immundeficiency syndrome BKKBN Badan Koordinasi Keluarga Berencana Nasional (Indonesia) BMZE Bundesministerium fur wirtschaftliche Zusammenarbeit und Entwicklung (Germany) CDLMIS Contraceptive Distribution and Logistics Management Information System CDS Contract Distribution System CIDA Canadian International Development Agency CMIS Clinical Management Information System (Romania) CMU Commodity Management Unit (UNFPA) COESIDA Consejo Estatal para el Control y Prevencion del SIDA ( State Council for AIDS Prevention and Control) CPR Contraceptive prevalence rate CPT Contraceptive Procurement Table CST Country Technical Services Team DEPKES Departemen Kesehatan ( Ministry of Health, Indonesia) DFID Department for International Development DFP Director of Family Planning DHS Demographic and Health Survey DILSAT District Integrated Logistics Self Assessment Tool DOH Department of Health DRP Distribution Resource Planning EPI Expanded Programme on Immunization FHD Family Health Division FP Family planning FPLM Family Planning Logistics Management HC Health centre HIV Human immunodeficiency virus ICPD International Conference on Population and Development IPPF International Planned Parenthood Federation IT Information technology IUD Intra-uterine device KfW Kreditanstalt fur Weideraufbau LGU Local Government Unit LMIS Logistics Management Information System LMT Logistics Management Training MIS Management Information System MOH Ministry of Health MOHFW Ministry of Health and Family Welfare MOHSA Ministry of Health and Social Affairs MSI Marie Stopes International NCMCH National Maternal and Child Health Centre (Cambodia) NGO Non-governmental organization OCP Oral Contraceptive Pills PSI Population Services International v RFO Regional Field Officer RH Reproductive health RLA Regional Logistics Adviser RSDP Rural Services Delivery Project RTI Reproductive tract infection SDP Services Delivery Project SIDA Swedish International Development Cooperation Agency STI Sexually transmitted disease TA Technical assistance UFHP Urban Family Health Project UMIS Unified Management Information System UNAIDS Joint United Nations Programme on HIV/AIDS UNFPA United Nations Population Fund UNV United Nations Volunteer USAID United States Agency for International Development VFT Vaginal foaming tablet WHO World Health Organization 1 Introduction This report, the latest in a series, was prepared by analysing information from a database of the United Nations Population Fund (UNFPA) on Donor Support for Reproductive Health Commodities and Logistics. The database contains country-specific information reported by donors on the type, quantity and total cost of contraceptives they provided to reproductive health programmes in developing countries during 2000. The information for this report was collected in 2001. The series of reports is being used for contraceptive supply planning, advocacy and resource mobilization, as is evident by citations of the UNFPA database in several publications in 2000. As in earlier years, the database is especially useful to illustrate commodity shortfalls and changes in funding by donor and country. The report highlights trends in donor support since 1990 and the gap between estimated needs and actual donor support. For example, the estimated condom requirements for STI/HIV prevention and contraceptive requirements for family planning programmes, prepared separately by UNFPA,1 are compared with the actual donor support figures to examine donor contributions vis-à-vis country needs. This report also indicates donor support by region, support by product, the top 10 countries supported by donors and the quantity of male and female condoms supplied in countries. An attempt was made to collect information on donor support for antibiotics for developing- country programmes on the prevention of sexually transmitted infection/reproductive tract infection (STI/RTI). In many cases, however, either donors did not have a system to record this information or the countries receiving support did not disaggregate information by commodity. The UNFPA Commodity Management Unit (CMU) will, nevertheless, continue to dialogue with donors and countries to collect this information. A chapter at the end of the report outlines information on logistics support provided by donors, mainly by the United States Agency for International Development (USAID) and UNFPA. Other donors did not have this information. Grouped into three categories -- technical support, infrastructure-strengthening and training – this information is compared with the dollar amount spent on products. Participants in a UNFPA-organized workshop in Uganda in 1997 expressed the view that an investment equal to at least 15 per cent of the commodity value is desirable for maintaining an effective logistics system. Support for logistics management is also in line with the Programme of Action of the International Conference on Population and Development (ICPD). The Programme of Action stipulates that by 2015 reproductive health services and products should be accessible to all who need them. Therefore, it is crucial that donors and developing countries, together, ensure adequate support not only for providing supplies but also for strengthening the capacity of countries to deliver them. 1UNFPA, Global Estimates of Contraceptive Commodities and Condoms for STI/HIV Prevention 2000-2015 (New York, UNFPA), is in press. 2 A caveat is important in the beginning of this report. As in the past, information from some donors was missing or incomplete. Some tables and figures in the 2000 report may differ from those of earlier years because of subsequent reports from donors. The World Bank information represents only orders filled on its behalf by UNFPA to supply contraceptives in a number of countries. Contraceptives purchased using World Bank monies from other sources are not reported here. Similarly, support from the European Union and the Canadian International Development Agency (CIDA) was estimated on the basis of funding received by UNFPA to procure and supply contraceptives. Hence, the amount of support from the World Bank, CIDA and the European Union was subtracted from the UNFPA total of $42.4 million.2 The information from two social marketing companies, Population Services International (PSI) and DKT, was compared and contrasted with the report received from donors to avoid double-counting. These companies receive support from donors that often report the same information for their support in developing countries. Only the amount of support these social marketing companies provided from their own funding was estimated and reported. In 2000, the Swedish International Development Cooperation Agency (SIDA), the Government of The Netherlands, Pathfinder, Marie Stopes International, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO) did not provide information. For some agencies, it was difficult to separate contraceptive support from the total funding provided to countries. Pathfinder, UNAIDS and WHO did not procure contraceptives in 2000. The Governments of The Netherlands, the United Kingdom and Canada announced in 2000 substantial increases in support for reproductive health commodities, which will be reflected the 2001 report. 2 Unless otherwise noted, all dollar figures in this report refer to U. S. dollars. 3 Levels of Donor Support Donor support for contraceptives to developing countries in 2000 was recorded at $154 million, an increase of 18 per cent over the support provided in 1999 (Table 1). However, compared with 1996, when donor support was $172.2 million and met 44 per cent of the estimated global needs for contraceptives, support in 2000 met only 27 per cent of the estimated contraceptive needs for family planning. Table 1: Estimated Contraceptive Commodity Support by Donor/Agency, 1990-2000, in $US 000 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 TOTAL % of Total BMZ/KfW 10,798 18,312 11,350 9,317 38,071 13,305 8,627 7,976 35,482 153,238 11.21 CIDA 1,385 4,514 7,249 0 1,036 2,885 4,808 21,877 1.60 DFID 4,125 4,712 7,192 10,924 9,205 13,149 7,807 13,188 7,317 77,619 5.68 DKT 177 0 N/A 3,759 5,148 4,868 13,952 1.02 European Union 180 6,122 6,510 9,215 7,435 644 13,109 48 43,263 3.17 IPPF 5,843 5,410 6,204 6,165 6,258 6,746 6,003 11,148 3,416 3,016 3,814 64,023 4.68 Japan 28 315 300 838 36 159 1,657 3,333 0.24 Netherlands 102 3,749 2,700 2,584 N/A 9,135 0.67 Others3 2,565 2,865 873 2,292 750 1,439 61 732 N/A 11,577 0.85 PSI 418 1,210 2,323 7,419 7,239 2,885 200 264 456 22,414 1.64 UNFPA4 14,752 21,499 18,534 27,817 34,087 37,857 37,610 39,861 32,200 14,395 16,720 295,332 21.61 USAID 57,636 59,892 39,575 55,142 47,848 51,059 46,481 39,383 63,087 45,522 58,093 563,718 41.25 WHO 957 975 628 483 968 1,663 2,099 2,673 481 1,078 N/A 12,005 0.88 World Bank 5,000 7,930 1,662 19,137 20,718 20,781 75,228 5.50 TOTAL 79,188 87,776 82,847 116,886 118,434 143,895 172,152 137,527 143,191 130,774 154,044 1,366,714 100.00 Notes: N/A = Not ascertained. In 2000, the significant increase in BMZ/KfW support was related to increased support to Bangladesh in that year. UNFPA’s overall contraceptive procurement, including procurement on behalf of the World Bank, the European Union and CIDA, was $42 million in 2000, an increase of 11 per cent compared with the previous year’s figure of $38 million. USAID support increased to $58 million from $45 million during the same period, an increase of about 29 per cent. Figure 1 illustrates the contributions of five major donors of contraceptives in 2000. The UNFPA share of 27 per cent includes the actual amount of contraceptives purchased with 3 Others include Marie Stopes International (MSI), Pathfinder, SIDA and UNAIDS. 4 UNFPA figures present the procurement from the UNFPA Country Programme budget. In 2000, UNFPA also procured and supplied contraceptives on behalf of CIDA, the World Bank and the European Union. 4 money received from different sources, including the World Bank, the European Union and CIDA. When those donor procurements are removed, the UNFPA total equals 11 per cent. DFID and IPPF support has remained at 5 per cent and 2 per cent, respectively, whereas USAID support constituted 38 per cent of the global donor support. Figure 1: Support by Major Donors, 2000 (in percentages) UNFPA 27% USAID 38% DFID 5% KfW 23% Others 5% IPPF 2% Patterns of Donor Support Fluctuations in Support Figure 2 indicates a fluctuating pattern of support by the five main donors since 1990. UNFPA support reflected its total procurement figures. BMZ/KfW support had the largest increase in 2000 since 1997. Any trend that shows increasing support is a welcome sign. However, it may be difficult for a recipient Government to manage a large increase or decrease in support from a donor, particularly from the point of view of sustainability and dependency, unless donor and government efforts are well coordinated. Donors as a group should have clear-cut and well- coordinated strategies when substantially changing the levels of their support. 5 Figure 2: Patterns in Contraceptive Supply, 1990-2000, in $US 000 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 UNFPA USAID DFID IPPF BMZ/KfW USAID UNFPA KfW DFID IPPF Changing Patterns of Support The pattern of donor support for contraceptives in the last decade has changed. In 1990, USAID was the major donor, followed by UNFPA and IPPF (Figure 3). Then, USAID contributed 73 per cent of the total of $80 million reported support for contraceptives provided by donors. 6 Figure 3: Comparison of Major Donor Support, 1990 and 2000 1990 Total: $US80 million UNFPA 19% USAID 73% IPPF 7% Others 1% UNFPA USAID IPPF Others In 2000, 11 donors provided a total of $154 million for contraceptives. USAID’s share declined to 39 per cent from 73 per cent in 1990. Social marketing companies, viz., DKT and PSI, had a combined share of 3 per cent. KfW, the World Bank and CIDA had respective shares of 23 per cent, 13 per cent and 3 per cent. DFID maintained its share between 5 and 7 per cent of the global donor support over the past several years. During these years, the UNFPA share fluctuated depending upon its funding situation and/or the levels of bilateral funding received from other donors. 2000 Total: $US154 million UNFPA 11% USAID 39% IPPF 2% KfW 23% DFID 5% WB 13% SM 3% CIDA 3% Others 1% UNFPA USAID IPPF KfW DFID WB SM CIDA Others 7 Projected Contraceptive Costs and Estimated Requirements Contraceptive prevalence in developing countries has grown dramatically in the past four decades. In the years since the mid-1960s, the contraceptive prevalence rate (CPR) has increased from approximately 10 per cent to almost 60 per cent, with some 9 out of 10 users relying upon modern methods. The United Nations Population Division projections show that the reproductive age population in developing countries is increasing some 23 per cent between 2000 and 2015. The number of contraceptive users during the same period is projected to increase more than 40 per cent as a consequence of both population growth and an increase in the proportion of people who use contraception. Figure 4 shows that donors provided 40.9 per cent of the total contraceptive requirements from 1992 to 1996. However, after 1996, donor support began to decline. In 2000, donors met only 27 per cent of total estimated requirements. Had donors maintained their support at 40.9 per cent support, they would have supplied in 2000 about $234 million worth of commodities rather than the actual amount of $154 million, a potential shortfall of some $80 million. Figure 4: Trend of Reported Donor Support for Contraceptives Compared with Estimated Requirements, 1992-2003 (in millions of dollars) 154 130.8143.2137.5172.2143.9118.4116.982.8 702 657 614572 529 480 437 351 308 265 222 394 287.1268.7251.1233.9216.4196.3178.7 0 100 200 300 400 500 600 700 800 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Donor Actual support Total Estimated Contraceptive Costs Estimated donor support at 40.9% 8 Estimates of Contraceptives and Condoms for STI/HIV Prevention Contraceptive requirements for family planning and condoms for STI/HIV prevention were estimated for the period 2000-2015 and published by CMU in the IPPF Medical Bulletin, December 2001. The methodology used in the estimation was based mainly on population projections, contraceptive usage and, for the purpose of estimating condoms for STI/HIV prevention, the extra-marital sexual behaviour of married men and the sexual behavior of single men. (The details including methodology, etc., can be obtained separately from UNFPA or by visiting: www.unfpa.org). The estimates will be updated when further data are available. Table 2 combines estimates of contraceptive commodities with estimates of condoms for STI/HIV prevention. The total commodity requirements increase from $811 million in 2000 to more than $1.8 billion in 2015. The requirements of countries for external support for these commodities vary greatly, with the least developed countries requiring the greatest level of assistance. If donors were to continue to supply 40.9 per cent of the total requirements (as they did for contraceptive commodities between 1992 and 1996), donor support would need to be at a minimum level of $390 million in 2002, and then continue increasing to more than $738 million in 2015. Table 2: Estimated Global Cost of Contraceptive Commodities and Condoms for STI/HIV Prevention, 2000-2015, $US million Year STI/HIV Requirements Family Planning Requirements Total Donor Support at 41% 2000 239 572 811 331.7 2001 268 614 882 360.7 2002 297 657 954 390.2 2003 325 702 1,027 419.9 2004 354 748 1,102 450.6 2005 383 795 1,178 481.8 2006 400 840 1,240 507.2 2007 417 887 1,304 533.1 2008 434 933 1,367 559.0 2009 451 979 1,430 584.9 2010 468 1,027 1,495 611.3 2011 486 1,071 1,557 636.9 2012 504 1,116 1,620 662.8 2013 521 1,161 1,682 687.9 2014 539 1,200 1,739 711.1 2015 557 1,249 1,806 738.7 Total 6,643 14,550 21,193 8,667.8 9 Regional Distribution of Donor Support In 2000 as in 1999, the Asia and Pacific region received the largest share of the total support (Figure 5). This could be simply because of the larger population in that region. Also, KfW support to Bangladesh contributed to this increase. Figure 5: Donor Support, 2000, by region (in percentages) Asia&the Pacific 55%Latin America 9% Africa 31% Arab States& Europe 5% Countries Receiving the Most Contraceptive Commodity Support Of the 10 countries that received the most donor support in 2000, 6 are in Asia, with 76 per cent of the $104 million total of the 10 countries. The 10 countries listed in Table 3 for 2000 received two thirds of the total donor support for contraceptives and condoms for STI/HIV prevention provided to all countries in 2000. 10 Table 3: Top 10 Countries Receiving the Most Donor Support, 1992-2000, $US million 1992 1993 1994 1995 Country Value Country Value Country Value Country Value Bangladesh 16.6 Bangladesh 36.6 Bangladesh 31.1 Bangladesh 25.3 Viet Nam 4.7 Philippines 6.1 Viet Nam 5.3 Nigeria 14.1 Philippines 4.5 Kenya 5.8 Philippines 5.1 Ethiopia 8.4 India 4.3 Nigeria 5.3 Mexico 4.9 India 6.6 Zimbabwe 4.1 U. Rep. of Tanzania 3.2 Nigeria 3.9 Pakistan 6.3 Egypt 4 India 3.1 Kenya 3.8 Kenya 5.3 Kenya 4 Zimbabwe 3.1 Nepal 3.3 Uganda 4.2 Pakistan 3.2 Brazil 2.9 Uganda 2.8 Zimbabwe 4.2 Nigeria 2.3 Uganda 2.9 Pakistan 2.8 Nepal 3.7 Morocco 2.1 Morocco 2.6 Zambia 2.8 U. Rep. of Tanzania 3.7 Total 49.8 71.6 65.8 81.8 1996 1997 1998 1999 Country Value Country Value Country Value Country Value Bangladesh 44.5 Bangladesh 16.1 Bangladesh 36.2 Bangladesh 27.3 India 17.9 Pakistan 10.3 Indonesia 8.7 Indonesia 16.7 Pakistan 9.2 Ethiopia 7 Pakistan 7.7 Philippines 7.5 Nigeria 7.2 U. Rep. of Tanzania 6.5 Egypt 5.8 Kenya 6.5 Ethiopia 5 Thailand 6.2 Nepal 5.6 U. Rep. of Tanzania 5.3 Zimbabwe 5 Philippines 5.3 Philippines 5.3 Zimbabwe 5 Ghana 4.5 Burkina Faso 5.2 U. Rep. of Tanzania 4.6 Pakistan 4 Nepal 4.4 Peru 4.9 Ethiopia 4.2 Uganda 3.1 Egypt 3.5 Zimbabwe 4.8 Peru 3.9 Ethiopia 3.1 Peru 3.5 Nepal 4.1 Myanmar 3.3 Nepal 3 Total 104.7 70.4 85.3 81.5 2000 Country Value Bangladesh 48.3 Ethiopia 10.8 Philippines 10.6 Pakistan 6.6 Indonesia 6.3 Ghana 5.1 Uganda 5 Nepal 4.3 Peru 3.7 India 3.4 104.1 11 Total Expenditure by Method In 2000, donor support for condoms was lower than support for oral contraceptives. This may be partly related to the increase in support for orals by KfW and the World Bank to Bangladesh (Table 4). The share of condoms in 1992 was 25 per cent. By 2000, the condom share increased to only 30 per cent, which is roughly three fifths of the condom support provided in 1996. Table 4: Expenditure by Method, 1992-2000, $US million Method 1992 1993 1994 1995 1996 1997 1998 1999 2000 Totals Per cent Condom 20.8 40.1 39.9 60.6 73.3 50.9 51.4 37.9 46 420.9 44.18 Oral 33.7 48.3 44.1 46.9 64 30.2 34.4 44.4 71 417 43.77 Injectable 10.5 15.8 16.8 18 21.8 37.8 34.3 31.5 29.5 216 22.67 IUD 9.5 5.6 8.7 5.3 9.2 6.3 9.7 6.5 2.9 63.7 6.69 VFT 2.5 2.8 3.4 3.4 4 3 2.6 1.9 1.7 25.3 2.66 Implant 1.6 1.5 3.9 2.9 3.3 4 10.4 8.5 2.8 38.9 4.08 Foam/Jelly/Others 4.2 2.7 1.3 2.1 1.7 5.3 0.4 0.1 0.2 18 1.89 Totals 82.8 116.8 118.1 139.2 177.3 137.5 143.2 130.8 154.1 952.7 100.00 Donor Support for Male Condoms Table 5 indicates donor support for male condoms in the years 1996-2000. As noted in previous reports, condom supply is often provided in two-year cycles, sometimes resulting in a larger supply in one year compared with another. Table 5: Distribution of Male Condoms in Countries and Territories, 1996-2000 (in pcs) Country 1996 1997 1998 1999 2000 Average Arab States, Europe & Central Asia: Albania 338,400 57,600 1,437,184 953,146 1,508,326 858,931 Algeria 6,324,000 309,600 1,326,720 Armenia 576,000 2,016,000 42,000 526,800 Azerbaijan 7,300 5,492,016 576,000 1,215,063 Belarus 18,000 18,000 7,200 Bulgaria 7,300 5,492,016 720,000 1,728,500 1,589,563 Cyprus 6,048 1,210 Czech Republic 328,800 65,760 Djibouti 9,936 288,000 154,080 129,600 86,400 133,603 Egypt 4,440,000 3,204,000 5,916,000 4,274,200 6,150,000 4,796,840 Georgia 4,320,000 450,400 - 954,080 Hungary 54,720 10,944 Iraq 799,200 1,980,000 288,000 86,400 630,720 Jordan 552,000 589,200 4,116,000 1,206,000 942,000 1,481,040 12 Kazakstan 720,000 190,800 5,760,000 936,000 1,521,360 Kyrgistan 5,534,000 2,664,000 1,639,600 Latvia 43,200 8,640 Lebanon 216,000 7,200 273,600 172,800 90,000 151,920 Macedonia Moldova 864,000 1,296,000 432,000 Morocco 10,196,460 5,552,400 2,795,760 3,816,000 1,896,000 4,851,324 Oman 114,000 135,072 64,800 216,000 105,974 Occupied Palestine Territories 504,000 14,400 343,680 60,000 184,416 Poland 720,000 504,000 244,800 Romania 115,200 54,720 1,440,144 1,774,080 84,672 693,763 Russian Federation 3,264,000 374,400 1,794,000 93,200 1,105,120 Somalia 1,400 48,000 9,880 Sudan 144,000 14,000 150,192 374,400 314,920 199,502 Syrian Arab Republic 648,000 115,300 230,400 3,024,000 1,440,000 1,091,540 Tajikistan 468,000 1,013,064 3,000 296,813 Tunisia 4,548,288 349,920 8,000 981,242 Turkey 23,100,000 14,020,850 403,200 4,872,960 8,479,402 Turkmenistan 1,155,000 1,008,000 432,600 Ukraine 1,047,168 264,000 861,600 896,968 613,947 Uzbekistan 1,150,000 24,000 216,000 792,000 436,400 Yemen 288,000 43,200 460,800 578,000 28,800 279,760 Sub-Total: 60,018,084 53,413,590 27,971,864 25,127,606 20,261,246 37,358,478 Asia & Pacific: Afghanistan - Bangladesh 263,300,000 232,553,060 296,922,230 101,760,668 120,721,259 203,051,443 Bhutan 2,016,000 158,400 1,468,800 2,881,000 3,024,000 1,909,640 Cambodia 123,000,000 13,649,000 27,509,000 7,212,934 18,072,108 37,888,608 China 24,834,302 28,000,000 31,427,176 16,852,296 Cook Islands 7,200 99,600 21,360 Dem. Peo. Rep. of Korea 288,000 2,160,000 4,440,960 1,377,792 Fiji 345,600 388,800 197,568 30,000 192,394 India 224,972,544 185,549,875 63,664,808 7,108,270 58,137,523 107,886,604 Indonesia 48,036,000 8,078,400 28,000,000 29,442,240 39,227,169 30,556,762 Kiribati 7,200 65,800 37,440 46,800 86,640 48,776 Lao. People's Dem. Rep. 252,000 1,080,000 1,530,912 572,582 Malaysia 10,600,000 10,797,696 4,279,539 Maldives 465,840 742,100 316,800 439,200 392,788 Marshall Islands 28,800 1,440 7,200 50,400 17,568 Micronesia 22,750 86,400 100,800 33,120 48,614 Mongolia 1,296,000 1,937,000 883,728 12,151,320 3,875,040 4,028,618 Myanmar 4,900,000 4,169,900 12,836,800 10,646,450 2,811,904 7,073,011 Nepal 35,408,880 17,766,705 33,188,496 35,187,120 17,236,080 27,757,456 Pakistan 188,869,200 43,410,720 124,685,522 5,856,480 51,680,562 82,900,497 Papua New Guinea 432,000 120,000 94,800 12,000 131,760 Philippines 15,382,800 84,303,600 29,974,656 25,340,400 14,014,176 33,803,126 13 Samoa 7,200 1,440 Solomon Islands 438,000 28,800 381,600 216,000 73,000 227,480 Sri Lanka 16,025,522 11,550,666 12,341,814 6,537,600 4,644,000 10,219,920 Thailand 201,600 40,320 Tonga 127,680 32,400 72,000 90,000 82,320 80,880 Tuvalu 5,040 14,400 36,250 4,320 12,002 Vanuatu 193,200 10,850,400 223,200 501,600 2,353,680 Viet Nam 2,491,200 4,200 41,407,704 47,338,000 36,224,632 25,493,147 Western Samoa 34,800 14,400 123,840 30,000 40,608 Sub-Total: 927,907,056 619,028,466 703,789,918 331,835,602 413,742,517 599,260,712 Latin America/Caribbean: Anguilla 64,800 12,960 Antigua and Barbuda 79,200 57,200 72,000 41,680 Argentina 86,400 129,600 100,800 63,360 Aruba 4,354 18,000 72,000 14,400 48,960 31,543 Bahamas 18,000 21,600 309,600 5,760 70,992 Barbados 28,800 24,000 36,000 16,992 21,158 Belize 24,000 432,000 360,000 163,200 Bolivia 3,558,000 5,644,800 9,011,567 189,600 1,842,000 4,049,193 British Virgin Islands 100,800 20,160 Brazil 46,540,000 1,573,200 43,847,160 56,320,561 29,656,184 Chile 266,400 72,000 21,600 432,000 1,000 158,600 Colombia 954,000 259,200 360,010 187,200 352,082 Costa Rica 86,400 3,570,000 731,280 Cuba 6,134,400 6,825,600 172,800 1,440,000 432,000 3,000,960 Dominica 19,200 87,600 2,498 93,600 66,240 53,828 Dominican Republic 4,882,560 4,188,880 3,792,000 265,152 2,625,718 Ecuador 1,224,000 1,728,000 3,811,200 6,516,000 2,655,840 El Salvador 3,194,400 6,830,400 3,396,000 2,436,000 1,524,000 3,476,160 Grenada 12,000 133,200 21,600 21,600 37,680 Guatemala 6,500,000 5,034,000 12,822,000 4,602,300 7,074,000 7,206,400 Guyana 1,511,904 1,190,880 432,000 626,957 Haiti 13,169,357 20,429,066 16,920,000 16,627,680 10,800,000 15,589,221 Honduras 6,618,000 5,505,000 3,834,000 7,284,000 4,794,000 5,607,000 Jamaica 252,000 252,000 29,100 106,620 Mexico 15,812,000 17,098,333 4,376,000 37,000 6,440 7,465,955 Montserrat 6,000 6,000 36,000 9,600 Nicaragua 5,648,976 2,362,800 9,406,800 3,492,000 2,070,000 4,596,115 Panama 540,000 21,600 438,912 295,200 478,080 354,758 Paraguay 24,000 2,706,000 3,435,600 84,000 1,830,000 1,615,920 Peru 17,442,000 1,683,600 21,186,048 100,080 14,010,000 10,884,346 St. Kitts and Nevis 57,600 11,520 St. Lucia 23,040 4,608 St.Vincent and the Grenadines 7,200 1,440 1,728 Suriname 36,000 122,400 31,680 14 Trinidad and Tobago 311,040 692,400 338,400 158,400 63,360 312,720 Turks and Caicos Islands 7,200 86,400 18,720 Uruguay 144,000 219,168 109,440 94,522 Venezuela 21,600 455,904 36,000 7,200 104,141 Sub-Total: 135,069,791 87,834,783 95,560,315 89,314,240 101,546,413 101,865,108 Sub-Saharan Africa: Angola 50,400 1,181,664 3,226,500 3,448,850 1,581,483 Benin 6,662,000 6,796,000 3,876,000 8,490,000 10,188,000 7,202,400 Botswana 1,800,000 2,000 360,400 Burkina Faso 10,631,200 210,666 14,168,040 18,504,000 13,609,005 11,424,582 Burundi 360,000 438,528 1,157,148 1,617,792 714,694 Cameroon 14,069,760 17,658,000 16,518,000 19,677,500 13,584,652 Cape Verde 557,200 2,460,240 2,952,000 1,193,888 Central African Republic 1,819,200 216,000 115,200 224,064 742,800 623,453 Chad 2,390,000 5,760,000 704,000 2,016,000 2,117,306 2,597,461 Comoro 87,120 246,000 114,000 374,400 118,800 188,064 Congo 684,000 7,717,600 1,952,048 6,153,840 6,402,760 4,582,050 Cote d'Ivoire 69,998,720 2,139,600 27,798,000 28,944,000 10,684,800 27,913,024 Dem. Rep. of Congo 19,028,176 48,000 3,223,200 13,015,000 7,062,875 Equatorial Guinea 79,200 21,600 28,800 25,920 Eritrea 2,623,776 3,447,402 5,152,800 450,000 2,521,200 2,839,036 Ethiopia 15,006,000 71,474,800 55,434,800 36,673,600 99,686,000 55,655,040 Gabon 201,500 120,000 86,400 60,904 93,761 Gambia 309,600 464,887 612,000 2,940,000 865,297 Ghana 15,070,800 368,400 3,666,000 6,005,840 16,070,300 8,236,268 Guinea 3,534,000 4,087,200 5,746,080 5,196,000 12,000 3,715,056 Guinea-Bissau 216,000 69,120 48,780 172,800 101,340 Kenya 26,296,000 6,998,132 1,510,048 66,688,800 20,298,596 Lesotho 213,600 2,706,080 205,000 425,800 126,000 735,296 Liberia 163,440 1,020,000 1,728,000 64,800 1,392,000 873,648 Madagascar 2,940,000 4,789,000 6,852,000 1,026,000 7,628,952 4,647,190 Malawi 18,744,000 18,108,008 5,184,000 10,800,000 10,440,000 12,655,202 Mali 4,362,000 6,468,000 9,318,000 5,406,000 5,110,800 Mauritania 300,000 6,000 777,600 216,720 Mauritius 489,600 1,200 304,992 500 144,864 188,231 Mozambique 12,504,000 16,095,332 24,396,000 20,576,100 7,420,000 16,198,286 Namibia 720,000 360,000 150,000 1,690,335 584,067 Niger 1,380,000 2,106,000 605,300 17,280 1,384,752 1,098,666 Nigeria 69,096,000 17,760,000 50,176,400 68,832 27,420,246 Rwanda 8,483,600 95,028,800 5,771,520 3,775,666 22,611,917 Sao Tome & Principe 295,200 144,000 267,840 141,408 Senegal 6,456,000 8,790,000 9,577,210 4,115,000 6,960,000 7,179,642 Seychelles 49,104 216,000 100,800 204,000 113,981 Sierra Leone 1,542,000 176,666 7,968,336 1,029,360 40,320 2,151,336 South Africa 19,000,000 16,004,000 300,000 79,786,000 41,520,000 31,322,000 15 Swaziland 73,440 7,350,000 2,046,000 978,300 2,089,548 Togo 2,777,280 4,759,680 7,140,000 11,772,240 5,054,000 6,300,640 Uganda 13,085,000 41,303,309 6,838,580 33,569,200 77,882,269 34,535,672 United Rep. of Tanzania 29,702,000 15,712,800 43,920,856 26,539,320 1,680,000 23,174,995 Zambia 18,446,848 4,832,288 1,740,000 40,098,400 13,023,507 Zimbabwe 22,387,854 42,171,618 31,000,000 62,471,440 12,000 31,608,582 Sub-Total: 423,260,018 418,767,541 323,454,289 498,519,612 410,203,147 414,840,921 Grand Total: 1,546,254,949 1,179,044,380 1,150,776,386 944,797,060 945,753,323 1,153,325,220 16 Donor Support for Female Condoms The growth in donor support for female condoms is encouraging. The Female Health Company, manufacturer of female condoms, provided the information in Table 6. Table 6: Distribution of Female Condoms (in pcs) in Public and Private Sectors Country Pop-million 1996-97 1997-98 1998-99 1999-2000 2000-01 1996-01 FC Organisation Funder AFRICA Public sector/NGO Ital=UNAIDS Supply Proj UNFPA/ Angola 11 60,000 63,000 30,000 153,000 UNFPA UNAIDS Benin 5 12,000 12,000 MOH MOH Botswana 1 2,000 10,000 12,000 IPPF IPPF Burundi 6 3,000 11,000 14,000 UNFPA UNFPA/ UNAIDS Cameroon 13 8,000 8,000 IPPF IPPF/ UNAIDS Central African Republic 3 9,000 7,200 16,200 IPPF/UNFPA IPPF/UNFPA Chad 6 40,000 40,000 UNFPA UNFPA Comoros 1 1,000 1,000 IPPF IPPF Congo- Kinshasa 43 2,500 2,000 9,000 13,500 MSF/UNFPA UNFPA Cote d'Ivoire 11 2,000 31,000 88,500 121,500 UNAIDS/UNFPA UNAIDS/ UNFPA Equitorial Guinea 20,000 20,000 UNFPA UNFPA Eritrea 3 24,000 22,000 46,000 UNFPA UNFPA Ethiopia 52 20,000 20,000 UNFPA UNFPA Gabon 1 2,200 2,200 UNFPA/IPPF UNFPA/IPPF Ghana 19 410,000 1,000,000 1,410,000 UNFPA/ SWAA/MOH UNFPA/ UNAIDS Kenya 24 110,000 200,000 200,000 510,000 FHI/UNFPA/IPPF USAID/ UNFPA Lesotho 2 8,000 17,000 57,000 82,000 IPPF IPPF/UNAIDS Liberia 3 2,000 2,000 IPPF IPPF Madagascar 14 5,000 5,000 16,000 26,000 MDM USAID Vaestoliito/ Malawi 6 1,000 5,000 6,000 UNAIDS Vaestoliito/ UNAIDS Mali 11 11,000 5,000 16,000 IPPF IPPF/UNAIDS Mauritania 2 1,000 1,000 UNFPA UNFPA 17 Mauritius 1 500 500 1,000 IPPF IPPF Mozambique 15 4,000 4,000 IPPF IPPF Namibia 1 7,500 14,000 181,000 202,500 UNFPA UNAIDS/ UNFPA Niger 9 1,000 5,000 6,000 UNFPA UNFPA Nigeria 109 110,000 60,000 170,000 ARFH/UNFPA UNAIDS/ USAID/ UNFPA Rwanda 8 2,000 16,000 18,000 IPPF/PSI IPPF/PSI/ UNFPA Sao Tome 0 1,000 1,000 IPPF IPPF Senegal 8 23,000 18,000 41,000 UNFPA UNAIDS/ UNFPA Seychelles 0 1,000 1,000 IPPF IPPF Sierra Leone 4 10,000 10,000 UNFPA UNFPA South Africa- Mpumalanga 4 900,000 900,000 Prov. MOH Prov. MOH South Africa- National 38 4,000 1,200,000 879,000 1,340,000 3,423,000 National MOH EU Swaziland 1 13,000 13,000 IPPF IPPF [U. Rep.] Tanzania 29 2,000 2,000 MOH MOH Togo 3 6,000 5,000 11,000 UNFPA UNFPA Uganda 17 600,000 600,000 MOH World Bank Zambia 8 219,000 6,000 225,000 MOH/IPPF DFID/IPPF Zimbabwe 9 197,000 256,000 195,000 129,000 117,000 894,000 MOH MOH/ UNAIDS SUB-TOTAL: 422,000 1,626,500 2,861,500 865,000 3,279,900 9,054,900 APD [Asia and Pacific] Azerbaijan 7 700 700 UNFPA UNFPA Bangladesh 107 1,000 30,000 31,000 CARE USAID Bhutan 2 1,000 1,000 UNFPA UNFPA Cambodia 8 30,000 20,000 50,000 FHI USAID/ UNAIDS China 1,266 5,000 5,000 Nat. Research Inst FP UNAIDS/ Ford India 1,000 500 90,000 90,500 PSI/UNFPA FHC/UNFPA Indonesia 193 15,000 15,000 OPCV OPCV Kiribati 0 1,000 1,000 2,000 WHO WHO [Rep. of] Korea 47 1,000 1,000 2,000 EZTrade EZTrade Micronesia 0 1,150 1,150 WHO WHO UNFPA/ Mongolia 2 2,000 7,500 9,500 UNFPA/MSI UNAIDS Myanmar 45 1,000 1,000 UNFPA UNFPA New Caledonia 1,000 500 1,500 AS Sida AS Sida Papua New Guinea 4 30,000 30,000 UNDP UNDP 18 Solomon Island 0 1,000 1,000 IPPF IPPF Sri Lanka 17 2,000 2,000 UNFPA UNFPA Tajikistan 6 3,000 1,000 1,000 5,000 UNFPA UNFPA Turkmenistan 4 5,000 5,000 UNFPA UNFPA Vanuatu 0 3,000 3,000 WHO WHO Viet Nam 74 30,000 30,000 WHO UNAIDS SUB-TOTAL: 46,150 6,500 75,500 59,500 98,700 286,350 0 0 ARAB STATES [AND EUROPE] Bulgaria 8 500 500 IPPF IPPF Georgia 6 4,000 4,000 UNFPA UNFPA Sudan 27 1,000 1,000 IPPF IPPF Syria [Syrian Arab Repubic] 14 1,000 1,000 UNDP UNDP Ukraine 51 1,000 1,000 IPPF IPPF Yemen 14 3,000 2,000 500 5,500 MSI/UNFPA MSI/UNFPA SUB-TOTAL: 0 8,000 2,500 2,000 500 13,000 DASE Kosovo 5,000 5,000 UNFPA UNFPA SUB-TOTAL: 0 0 0 0 5,000 5,000 LATIN AMERICA Antigua 0 3,000 3,000 MOH MOH Bermuda 3,000 3,000 MOH MOH Bolivia 7 0 UNFPA UNFPA Brazil 161 100,000 1,000 2,000,000 2,000,000 4,101,000 MOH World Bank Chile 14 1,000 1,000 2,000 IPPF IPPF Costa Rica 3 15,000 15,000 FUNDESIDA FUNDESIDA Cuba 11 10,000 10,000 IDA IDA Haiti 6 45,000 45,000 PSI/UNFPA UNAIDS Jamaica 3 300 2,500 2,800 UNFPA/IPPF UNFPA/IPPF Mexico 93 4,500 4,100 8,600 IPPF IPPF Paraguay 5 6,000 4,000 1,000 11,000 UNDP UNDP Turks & Caicos 0 5,000 5,000 MOH MOH Uruguay 3 5,000 5,000 UNDP UNDP Venezuela 21 50,000 50,000 MOH MOH SUB-TOTAL: 18,000 111,000 60,000 2,058,800 2,013,600 4,261,400 UNFPA Bulk Purchase 108,000 108,000 UNFPA UNFPA Various (incl USAID OR) 3,000 13,650 79,450 97,350 3,000 196,450 Various Various 19 Sub-total public sector 489,150 1,765,650 3,078,950 3,082,650 5,508,700 13,925,100 10 19 28 36 47 83 Social Marketing AFRICA Ethiopia 52 46,000 46,000 DKT UNAIDS Ghana 19 18,000 75,000 10,000 103,000 GSMF DFID/UNFPA Mozambique 15 8,640 8,640 PSI PSI Namibia 1 70,920 70,920 MSI KfW South Africa- National 38 300,000 300,000 600,000 PSI EU [U. Rep.] Tanzania 27 75,500 49,000 102,000 50,000 276,500 PSI USAID Togo 3 17,280 76,590 93,870 PSI PSI Uganda 17 5,000 605,000 610,000 MSI World Bank Zambia 8 281,000 281,000 PSI DFID/USAID Zimbabwe 9 354,000 46,000 103,000 244,000 250,000 997,000 PSI DFID/USAID SUB-TOTAL: 377,000 1,307,500 598,920 356,000 447,510 3,086,930 0 LATIN AMERICA Bolivia 7 92,000 50,000 142,000 PSI USAID Brazil 161 510,400 200,840 602,600 816,400 2,130,240 DKT DKT Guatemala 10 17,280 17,280 PSI PSI Haiti 6 44,000 18,000 24,000 86,000 PSI/UNFPA USAID/Dutch Mexico 93 2,000 22,000 24,000 COESIDA COESIDA Paraguay 5 8,640 8,640 PSI PSI Venezuela 21 10,000 5,680 2,000 17,680 ProSalud ProSalud SUB-TOTAL: 0 656,400 241,800 604,600 923,040 2,425,840 Total social marketing 377,000 1,963,900 840,720 960,600 1,370,550 5,512,770 3 9 11 5 10 17 GRAND TOTAL: 866,150 3,729,550 3,919,670 4,043,250 6,879,250 19,437,870 Total Countries 12 27 38 40 55 98 20 Logistics Support Table 7 indicates the types and value of assistance for countries under the rubric of logistics support for the year 2000. The total volume of reported logistics support in 2000 was about 7 per cent of reported contraceptive support for the same period. Table 7: Logistics Support Reported for 2000, by Country/Territory (in $US) Africa Division Country Donor Technical Support Infrastructure Strengthening Training Value of Logistics Support Value of Contracepti ve Support Benin USAID - Designed integrated logistics systems for Borgou Department. -Trained Director of the Family Planning Department of the DSF at FPLM’s Arlington Logistics Training course; - Conducted Logistics Trainers Refresher Training workshops, training in the Integrated Logistics System, and contraceptives logistics workshops. 215,000 803,111 Burkina Faso USAID -Supported monitoring of the information management system for logistics of contraceptives. -Supported social marketing of oral pills. Supported training of service providers in contraceptive technology N/a 1,110,018 Burundi UNFPA -Provided supervision and supply of contraceptives at intermediary level. -Trained 26 staff members at the intermediary level on management of contraceptive supplies. 1,805 263,975 Ethiopia UNFPA -Provided Logistics Adviser to assess and project quantity requirements of contraceptives, planning and procurement. 5,000 10,796,891 Ghana USAID - Completed manual in Standard Operating Procedures . - Conducted a Validation Workshop. 182,000 5,133,192 Guinea- Bissau UNFPA -Evaluated contraceptive logistics system Trained programme managers in reproductive health. 8,000 44,592 Kenya USAID -Facilitated cross-national dissemination of successful logistics management techniques in Eritrea and Mozambique; -Completed write-ups of logistics better practices, assisting other logisticians in the region. - Conducted a workshop on Decentralization, attended by 71 participants representing a wide range of stakeholders; - Provided logistical and facilitation support for the “Improving Quality of Care: State of the Art 2000” Conference in Uganda in February 2000. 876,000 1,223,542 Malawi USAID - Revised the CDLMIS Procedures manual to reflect the system changes recommended by the -Assisted the Min. of Health and Population with 356,000 419,004 21 Design Workshop; - Developed an implementation strategy for roll-out of the revised system; - Developed training materials. installation, training, and set-up of Supply Chain Manager software (formerly known as Logistics 2000). Mali USAID -Provided advice on procedures for testing Depo- Provera in response to USAID/Bamako queries; -Reviewed the stock situation in country and the 2000 and 2001 Contraceptive Procurement Tables with all interested parties. - Trained 15 MOH and NGO representatives in forecasting and CPT preparation using PipeLine software; - Conducted training of trainers for 17 central- and regional-level MOH staff to establish a core of resource persons for decentralized training for the recently integrated contraceptive and essential drug distribution network. 25,000 7,571 Mozambique USAID -Assisted the MOH in exploring how to help the EPI programme; -Helped ensure coordination of a possible approach with other MOH systems; -Finalized contraceptive requirements. - Finalized the logistics training materials; - Conducted the training of service providers in FP Logistics in Beira; - Presented the LMIS to the MOH staff at the Pharmaceutical Department; - Finalized the training programme for LMIS. 199,000 1,013,257 Senegal USAID -Trained District storekeepers and Stock Managers in contraceptives logistics; -Prepared and began implementation of the Integration and Cost Recovery Pilot Project plan; -Drafted a logistics management on-the-job training tool with MOH and trained regional staff in its use; -Organized preliminary workshop with ENDSS (School of Health) for adding a module on logistics into the school curriculum; -Conducted forecasting and needs quantification for contraceptive commodities; monitored the pipeline. 441,000 934,162 South Africa USAID -Presented a paper on "Private Sector IT Technologies in a Public Sector Setting: Distribution Resource Planning in Kenya" 28,000 420,760 Sudan UNFPA -Provided technical support for the medical officer by monitoring the stock situation and responding to demands of various states; -Installed Pipeline Monitoring and Procurement Planning Computer programme to improve the efficiency of FP logistics management; -Developed specific reporting formats for the state reproductive health coordinators. -Supported the renovation of the permanent storage facility with a complete temperature control system -Trained 30 pharmacists and assistants in FP technology including delivery, storage and distribution; -Strengthened reproductive health component by adding topics relevant to family planning logistics management to the basic curricula of heath care provider training; -Organized 4 master trainer courses on reproductive health and included FP logistics management. 60,000 385,525 22 UNFPA -Contracted a firm to install communication equipment in 8 districts previously procured for emergency obstetrics referral system ($139,680); -Procured clinical equipment for the Reproductive Health project in MOH ($31,347); -Procured office equipment and furniture for the Programme for the Enhancement of Reproductive Health (PEARL); -Procured 92 bicycles for reproductive health advocacy programme in the Ministry of Agriculture, Animal Industry, and Fisheries ($5,005.37). - Conducted training for 1,044 health staff members in Health Management Information Systems (HMIS) ($26,222). 4,990,572 Uganda Bill and Melinda Gates Foun- dation -Procured office furniture and equipment for the African Youth Alliance (AYA). United Rep. of Tanzania USAID -Finalized preliminary Assessment Survey Report. - Printed/distributed Warehouse Storage Guides for District and Hospital Level. - Supported translation of Contraceptive Manual into Kiswahili and the printing and distribution of 6,000 copies. 328,000 937,889 USAID -Conducted curriculum review, practice sessions with DILSAT team; adapted curriculum as needed. - Designed practical job aids for inventory control/MIS for two districts. - Discussed data needed for quantification with central stores. 113,000 2,152,313 DFID -Supported short-term visits by technical advisers for logistics management in national and DFID- funded projects. -Paid salary for a local staff under Central Board of Health –pharmaceutical logistics support. - Rehabilitated health facilities. -Procured health facility equipment. -Trained project staff and community based distributors Zambia Total 2,152,313 Zimbabwe USAID -Prepared CPTs, budgets and ordering cable. -Tabulated require-ments for public-sector contra- ceptives; identified gaps in supply. -Assessed logistics system and recommended priority activities for logistics TA. 6,000 2,351,436 Total of Africa 2,843,805 32.987,810 23 Division for Arab States and Europe Country Donor Technical Support Infrastructure Training Value of Logistics Support Value of Contraceptiv e Support Armenia USAID -Analysed contraceptive distribution systems to assess logistics system performance and recommend improvements. 20,000 N/a Iran, Islamic Republic of UNFPA - Provided CST Specialist from Nepal to assess the contraceptive logistic system, storage system and the MoHMS’s distribution system. The CST Specialist also estimated contraceptive requirements by method cost for the years 2001- 2005. 5,000 N/a Kazakhstan UNFPA Supported CST Adviser to provide TA related to LMIS, the national stock of contraceptives, forecasting. 5,000 Kyrgyzstan UNFPA -Provided CST Specialist to review newly developed LMIS and to recommend improvements ($2,222); -Developed, printed, dis-seminated journals for contraceptive registration, distribution and manual data collection ($5,000); -Developed and installed computer programme on LMIS on basis of manual data collection form at country and provincial levels ($3,000). -Organized working group on the development of the manual data collection forms and journal for contraceptive distribution and registration ($1,100). -Supported activities of provincial Family Planning Centres responsible for contraceptive distribution. -Procured vehicles for the Family Planning Centres of seven provinces ($26,837). -Procured computer equipment to support the logistics management system at central and provincial levels ($22,224). -Renovated rooms for storage in the Central warehouse ($1,496). -Conducted seminar on the LMIS programme on the basis of Cocoplan estimation through the use of a CST adviser -Trained logistics managers and health service providers to use the LMIS programme. 61,879 N/a Romania UNFPA -Provided technical assistance for the adaptation and implementation of the Clinical Management Information System (CMIS) ($6,900); -Provided technical assistance to the Ministry of Health for contraceptive procurement, analysis of demographic indicators, and management of reproductive health programmes ($7,200) -Procured data processing equipment for CMIS pilot districts ($5,100). -Printed client data collection and technical publications on eligibility for contraceptive use (25,000). -Trained trainers in the use of CMIS in clinical management of FP services for doctors and nurses ($53,200). 97,400 52,718 Syrian Arab Republic UNFPA - Provided a CST Regional Adviser in demographic analysis and an International Consultant to conduct a needs assessment for Contraceptive Supplies and Logistics Management. - Provided training courses for Primary Health Care Professionals in Contraceptive Logistics. 393,995 24 WHO/UNFPA -Revised procedure manual for RH/FP Logistics Management. -Revised job description for personnel in RH/FP logistics system. -Revised LMIS forms and records. -Designed guideline for monitoring and supervising family planning logistics activities at warehouses and health facilities. - Developed plan of action to address weak-nesses in the logistics cycle of contraceptives and reproductive health pharmaceutical products identified in a situational analysis. Provided workshops led by a WHO consultant to improve skills and job behaviour among RH/FP logistics supervisors and storekeepers. -Designed and implemented a logistics management workshop for 43 participants at central and governorate levels, and NGOs -Designed 10 two-day training workshops for health facilities’ staff (20 participants). Logistics officers implemented the workshops. 20,000 Yemen Total 230,327 Total of Arab States and Europe 209,279 677,040 25 Asia and Pacific Division Country Donor Technical Support Infrastructure Training Value of Logistics Support Value of Contraceptiv e Support Bangladesh USAID - Conducted the LMT Needs Assessment for DHS Thana storekeepers and NGO Logistics personnel; - Provided TA to generate monthly LMIS and pipeline reports by UMIS Unit and DFP respectively; - Provided TA to MOHFW to establish Procure- ment Monitoring and Coordination Cell; - Provided TA to implement and trouble-shoot Customized Automated Inventory Control System (ICS) at warehouses/stores; - Worked with DFP in implementing recom- mendations of Stock Level Survey Report for 1999; - Coordinated with DFP in reviewing stock position of FP-MCH commodities to determine quantity, delivery schedule; - Completed draft on Guidelines for NGOs for Receiving Contraceptive Supplies and shared it with SDP, UFHP, USAID and DFP. - Conducted Logistics Workshop for selected DFP Logistics personnel. 1,670,000 48,348,478 UNFPA -Provided reproductive health consultant to monitor donor activity and develop procurement and logistics plan for MOH. Consultant worked to avert shortfalls ($31,625). -Provided wall charts to facilitate health facilities throughout the country to accurately determine the need for supplies and consumption rate of contraceptives ($7,075) - Supplied warehouse equipment for the MOH ($41,948) 80,648 Cambodia RACHA ( with USAID funding) -Worked closely with EDB/MOH to develop the LMIS; -Provided a TA to revise and manage the national LMIS database; -Developed and distributed manual for HCs and hospitals. -Initiated and conducted inter-facility transfer of drugs/commodities in three RACHA- supported provinces. -Trained 1,570 workers on LMIS, including director and storekeeper of each functioning HC; -Conducted training sessions on facilitative supervision for 23 workers; -Developed a check-list and supervisory team to initiate facilitative supervision. 26 PSI ( With USAID funding) -Provided (in collaboration with the MOH and NCMCH) training on the correct usage of OCP’s to pharmacists and “drug sellers”; -Provided training to medical students, nurses, midwives and teachers on correct usage of condoms and OCP’s ($16,000) 16,000 Total 399,029 IPPF -Conducted needs assessment at 32 hospitals (national, district and county levels) of medical equipment, essential drugs and training of service providers. Procurement list was developed ($9,400); -Revised “Standard Clinical Management Protocols of Specific Issues” ($62,000). 71,400 N/a China UNFPA -Provided short- tem consultant for MIS to examine logistics management system for RH/FP; -Provided short- term consultant on the Standard Service Delivery Protocol and advised on logistics management . -Conducted training on logistics of contraceptives for six selected service providers; -Conducted training for six RH managers on needs assessments of contraceptives, essential drugs and medical equipment in rural areas, financial management and project management. 37,000 IPPF -Produced a procurement list suitable to the country’s situation. - Jointly, with Ministry of Public Health and IPPF, revised the Standard Clinical Management Protocols of Specific Issues. IPPF -Trained six service providers in logistics of contraceptives. -Trained six RH managers in needs assessments of contraceptives, essential drugs and medical equipment. Dem. Rep. of Korea Total 59,689 27 USAID - Helped identify the potential for replicating the LMIS in additional states; - Discussed logistics benchmarks with PHN staff and recommended modifications; - Discussed operational strategy for improving contraceptive logistics systems in four districts. 39,000 3,405,427 India UNFPA -Provided technical input for developing training materials for packing, storage and transportation at various levels of service delivery system; -Provided advisory services to central and state governments; -Provided CST adviser and a UNFPA India National Professional to assist the Government of the State of Karnataka in a feasibility study and to strengthen all aspects of logistics, infrastructure, and training. 10,000 Indonesia USAID - Completed detailed LMIS assessment for BKKBN and DEPKES; - Completed analysis of contraceptive availability. 171,000 6,306,830 UNFPA Assisted RHC logistics support survey. 15,000 ADB Assisted logistics management in Khuang and Oudomxay target provinces. 1,850 AusAID Assisted logistics management in Huaphan and Phongsali target provinces. 1,034 Lao PDR Total 2,366,060 Nepal USAID -Assisted a FPLM Core funded evaluation of the MOH logistics system -LMIS converted to Windows-based, Users’ Manual and technical Manual completed. -Assisted a KfW consultant to prepare a proposal for construction of storerooms in 3 Districts. -Nepal integrated health logistics system presented at 2000 Global Health Council Meeting. -Organized and facilitated Contraceptive Consensus Forecasting Meeting. -Facilitated and participated in a World Bank funded study tour to observe the family planning and health logistics system in Bangladesh. - Finalized the logistics management curriculum. -Conducted a four-day training for JSI RLAs and a one-day training for JSI- Kathmandu based logistics staff in job transfer skills. -Prepared an Integrated Health Logistics Procedures Manual for use with logistics training, and distributed to all health facilities. 265,000 28 UNFPA - Conducted Annual Distribution Programme for ensuring availability of contraceptives at service delivery points year round; -Monitored visits to all districts to assess commodity stock to prevent shortfalls though UNFPA Regional Field Officers (RFOs); - Provided TA to the FHD/MOH for the annual Commodities Consensus Forecast Approach, the main tool for planning and advocating for contraceptive requirements of Nepal -Provided summary of stock status to the Regional Health Director and District Health Offices. -Supported the provision of space for safe storage of contraceptives; -Cleaned all of the district stores; -Constructed a building to facilitate safe storage space for contraceptives; -Assisted in the transportation of contraceptives to regional stores to selected districts of each region through the RFO. -Advised regional stores on cleaning and proper storage of contraceptives; - Trained storekeepers to integrate inventory control procedures. 25,026 Total 4,291,228 USAID - Procured computers and other equipment requested by the DOH-PLS. - Upgraded the server for the LMIS. - Facilitated the refurbishment of the DOH central warehouse. - Developed a curriculum for logistics training. 642,000 10,627,070 USAID (through Inte-grated Family Planning and Maternal Health Pro- gramme Grant) -Institutionalized the Contraceptive Distribution and Logistics Management Information System (CDLMIS), assisted by JSI; -Prepared the DOH and LGU staff to monitor CDLMIS implementation. -Upgraded the DOH POP warehouse located in the DOH by installing steel racks and ventilation, reinforcing warehouse flooring and procuring a new forklift. -Prepared DOH and LGU staff to conduct the CDLMIS related training; -Prepared selected DOH staff to assume full responsibility for operating system. 173,868 Philippines World Bank (through Wo-men’s Health & Safe Mother- hood Initiative Project, Logistics Compo- nent) -Implemented Contract Distribution System (CDS) in the Phase I regions (assisted by JSI); -Designed a distribution system for core essential drugs. -Developed CDS procurement manual and CDS training curricula; -Conducted orientation and training for concerned DOH officials and LGU staff; -Conducted training of trainers on CDS for Central office, regional and LGU staff in Phase I regions. 362,338 29 Vanuatu UNFPA -Recruited a UNV Specialist who designed a computerized RH Logistics Management System to monitor operational subsystems. 20,651 Viet Nam UNFPA Supported two studies: Developing financing policy proposals for increasing condom use; and (2) Identifying condom requirements, supply and distribution system. Trained health workers on logistics management in selected provinces. 29,861 1,198,851 Total of Asia and Pacific 3,611,025 77,023,313 30 Latin America and the Caribbean Division Country Donor Technical Support Infrastructure Training Value of Logistics Support Value of Com-modity Support Bolivia USAID - Provided TA and participated in one- day event sponsored by USAID/Bolivia for presentation of MOH proposal for logistics management of health commodities for the Essential Services Package (Seguro Basico de Salud, SBS) under current Health Sector Reform. - Conducted Logistics Supervision workshop and field practicum for Bolivian NGOs. - Developed logistics training guides for University and Technical Nursing School Instructors. 255,000 259,473 Dominican Republic USAID - Assessed training needs for Social Security Institute (IDSS). - Conducted two logistics management courses for 38 Ministry of Health (SESPAS) personnel from the DPS. - Conducted two logistics management workshops for the Social Security Institutes. 144,000 258,568 Ecuador USAID - Assisted APROFE, CEMOPLF and MOH with strategies for cost recovery; - Assisted both NGOs in planning demand for 2001; - Assisted the contraceptive committee (APROFE, MOH, COF, CEMOPLAF) in managing and negotiating with contraceptive manufacturers. - Conducted workshop with CEMOPLAF and APROFE to implement and work the PipeLine software programme and discuss its use in PipeLine monitoring. 19,000 El Salvador USAID - Assessed current (2000) and future (2001-2003) contraceptive needs for MOH; - Assessed current and future status of contraceptive procurement for MOH, using national budget; - Assessed quality and reliability of data and information system flow; - Prepared projections of current and future contraceptive needs for MOH, based on physical inventory data. - Conducted a PipeLine skills transfer workshop and CPT OJT using PipeLine with ADS, the IPPF affiliate. 21,000 752,154 Guatemala USAID Assisted in: -Stock out survey in MOH, Guatemalan Social Security Institute (IGSS) and IPPF- affiliated facilities; -CPTs for MOH, IGSS, Pop. Council, PCI, Social Marketing Project (IPROFASA) and IPPF-affiliate (APROFAM); -CSEP and customer satisfaction evaluation; -Support to Mission on drugstore's leakage research; -Workplan development in conjunction w/counterparts; -Presentation of three different scenarios for DELIVER TA; -Modification of LMIS in MOH; -Max-Min levels established in MOH; -Pipeline installed and OJT at MOH; -Logistics Assessment presentation at IGSS, and workplan approval; -Logistics training to PCI personnel, LMIS and Max- Min. established. -MOH National Training Strategy presentation: -Conducted Design Workshop for Guatemalan MOH key personnel; -Trained trainers for MOH Monitoring Unit; -Conducted logistics workshop for IGSS; -Trained trainers for IGSS personnel; IGSS roll-out training monitoring. 286,000 1,338,530 31 -Three different scenarios to follow in country leakage Haiti USAID - Provided two FPLM advisers who traveled to Haiti to review CPTs for 2000 and revise, with the MOH and the Mission, the April 1999 work plan; -Participated in a stock status survey of 66 institutions. - Conducted training in PipeLine software and forecasting for 12 persons from MOH, USAID, PROMESS, HS2004, AOPS, Pathfinder and INHSAC. - Field tested the Contraceptives Logistics Procedures Manual; - Thoroughly revised the Logistics Procedures Manual and training material. 133,000 1,030,295 Honduras USAID - Completed a background analysis and prepared a draft five-year (2001-2006) results package/amendment to the Private Sector Population Project III based on the 1998 mid-project evaluation findings and follow-on analysis. 18,000 1,168,246 Nicaragua USAID - Completed Composite Indicators for Ministry of Health (MINSA) and PROFAMILIA; - Monitored use of PipeLine by MOH and PROFAMILA, assessed months of supply on hand and completed CPTs; - Conducted six-month assessment of training impact/implemen-tation of the MOH Logistics System through field visits to selected MOH facilities. - Conducted PipeLine on-the-job training for central staff at MINSA and the local IPPF affiliate, PROFAMILIA; - Conducted logistics workshop for supervisors and admin. assistants from all regions as well as central-level training and supervision of PROFAMILIA staff; - Conducted logistics workshops for MINSA personnel: central level, SILAIS and selected municipalities. 177,000 466,577 Paraguay USAID - Logistics assistance 8,000 416,607 Peru USAID - Completed MOH integration and cost analysis. - Conducted logistics supervision training for MOH staff. Latin America Division Total 1,061,000 5,690,450 Grand Total 7,725,109 116,378,613

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