STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE SECURITY IN KENYA
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STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE SECURITY IN KENYA Dr. Bashir Issak Division of Reproductive Health Ministry of Public Health & Sanitation. Background.

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STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE SECURITY IN KENYA

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Stakeholder coordination as a key approach to effective contraceptive security in kenya

STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE SECURITY IN KENYA

Dr. Bashir Issak

Division of Reproductive Health

Ministry of Public Health & Sanitation


Background

Background

The goal: “Uninterrupted and affordable supply of contraceptives to all people who need them, whenever and wherever they need them”

Contraceptive Supply Chain uncoordinated

Government

Private Sector

Donors

NGOs and otherstakeholders


Stakeholder coordination as a key approach to effective contraceptive security in kenya

What Changed?/Enabling Factors

  • Better stakeholder coordination through FP Logistics Working Group - JICC structure of MOPHS

  • Inclusion of a GOK budget line for FP commodities ($6 million 2009-10)

  • FP priority for Vision 2030

  • Availability of data collection and analysis tools


Stakeholder coordination as a key approach to effective contraceptive security in kenya

What Changed?/Enabling Factors

  • Priority intervention for MNCH in Kenya

  • Part of minimum MNCH package from Level 1 (community) to Level 6 (Referral hospital)

  • Health Sector Target to raise CPR to 70 % by 2015

  • System strengthening key - Commodities


Stakeholder coordination as a key approach to effective contraceptive security in kenya

Achievements

  • Government and Donor commitments to procure all contraceptive

    • Regular review of forecasted quantities according to changing scenarios

    • Constant monitoring of the contraceptive pipeline both upstream and downstream

    • Increased service delivery points reporting rates from 10% in Dec 2008 to 68% in Dec 2009

    • Commodity procurement and distribution system to over 4,000 health facilities by KEMSA

    • Public sector provides 80% of private sector commodity needs


Stakeholder coordination as a key approach to effective contraceptive security in kenya

Challenges

  • Parallel procurement systems by GOK and DPs.

  • Lack of recommended buffer stock in the system

  • Timely distribution of contraceptives to the districts , SDPs and especially to the private sector – partly due to insufficient resources.

  • A weak commodity reporting system

  • “Push” system for contraceptive supplies to health centers and dispensaries


Stakeholder coordination as a key approach to effective contraceptive security in kenya

Way Forward

  • Improve efficiency of distribution system by increasing resource allocation for KEMSA

  • Harmonize the different procurement systems

  • Develop reliable procurement plan with effective monitoring systems

  • Build sub national capacity in forecasting and reporting


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