slide1
Download
Skip this Video
Download Presentation
YOLANDA E. OLIVEROS, MD, MPH Director IV

Loading in 2 Seconds...

play fullscreen
1 / 22

YOLANDA E. OLIVEROS, MD, MPH Director IV - PowerPoint PPT Presentation


  • 168 Views
  • Uploaded on

Contraceptive Self Reliance (CSR) Strategy The Philippine Experience. YOLANDA E. OLIVEROS, MD, MPH Director IV National Center for Disease Prevention and Control, Department of Health 33rd Annual International Conference on Global Health May 30-June 2, 2006

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' YOLANDA E. OLIVEROS, MD, MPH Director IV' - hachi


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Contraceptive Self Reliance (CSR) Strategy

The Philippine Experience

YOLANDA E. OLIVEROS, MD, MPH

Director IV

National Center for Disease Prevention and Control, Department of Health

33rd Annual International Conference on Global Health

May 30-June 2, 2006

Supported in part by USAID under the Local Enhancement and Development (LEAD) for Health Project and Management Sciences for Health

slide2
Profile

Tropical country: 7,107 islands

Population: 84M

Annual Growth Rate: 2.32% (2003)

  • Urban = 47.6%
  • Rural = 52.4%

Total Fertility Rate: 3.5 children/woman

Total Contraceptive Prevalence Rate: 49% (2003 NDHS)

slide3

Situation

  • Maternal Mortality Rate: 172/100,000 LB
  • Neonatal Mortality : 17/1,000 LB
  • Infant Deaths : 29/1,000 Live births
  • Under Five Mortality Rate: 40/1,000 LB
need for family planning
Need for Family Planning
  • Unmet Need for Family Planning:
    • 17.3% of married women of reproductive age (about 2 million)
    • 9.4% wanted to limit
    • 7.9% wanted to space pregnancies
  • 1 in 6 pregnancies ends up in abortion because they are unplanned or unwanted
  • Incidence of abortion rising from 320,000 to 400,000 annually
policy statements
Policy Statements
  • All modern methods (artificial and natural FP) will be provided to clients based on informed choice
  • Family Planning is a health intervention initiative by:
    • preventing high risk pregnancies
    • reducing maternal deaths
    • responding to unmet needs
slide6

General Principles: 4 Pillars of FP

Implementation of Family Planning program shall abide by the following principles:

  • Responsible Parenthood
  • Respect for Life
  • Birth Spacing
  • Informed Choice
slide7

Objective of FP Program

To address the need to help couples and individuals achieve their desired family size within the context of responsible parenthood and to improve their reproductive health to attain sustainable development

slide8

Program Strategies

  • Focus service delivery to the urban & rural poor
  • Re-establish the FP Outreach Program
  • Strengthen FP provision in regions with high unmet need
  • Promote frontline participation of hospitals
  • Mainstream modern natural FP
  • Promote Contraceptive Self Reliance Strategy
slide9

Background/Rationale for CSR

  • FP program dependence on contraceptive donation for 30 years
  • Contraceptive Independence Initiative (July 1999)
  • January 2000: unified plan formulated
  • November 2000: Contraceptive Interdependence Initiative
  • 2001: Contraceptive Self Reliance (CSR)
slide10

Methodology

  • Policy Project conducted the Market Segmentation to ascertain if the clients who use FP commodities are willing and able to pay
  • Findings:
    • 60% are capable to buy their own supply
    • 22% are getting supply from private sector (13.2% are from low income group)
slide11

Methodology

  • Phase down of donated contraceptive supplies
    • Condom supply - April 2003
    • Pills and injectables - gradual phase down from 2004 – 2008
  • Government Response: formulation and implementation of a Contraceptive Self Reliance (CSR) Strategy
slide12
At the national level:
  • formulation of the national policy and implementing guidelines
  • coordination with Local Government Units
  • develop complementary means of financing
  • expands complementary privates sources

Because basic health services in the Philippines were devolved in 1991, the Phil. Gov’t. response to CSR has been two fold:

slide13
At Local Government Level:
  • Empower local government units (LGUs) to meet the needs of the poor while segmenting the market with those who can afford to pay and refer to the private sector
slide14

Administrative Order #158. s. 2004

The contraceptive donation phase down process:

  • Batch 1 (accelerated phase): cities & provinces with lowest poverty incidence
  • Batch 2 (longer phase-out period): LGUs with higher rates of poverty incidence
  • Batch 3 (last, longest phase-out period): LGUs with highest rates of poverty incidence
slide15
DOH, MSH-LEAD, JSI & Project Deliver assisted the roll-out of CSR Initiatives in the LGUs\
  • Series of orientation workshops on AO 158
  • Training on CSR logistics policy guidelines formulation
  • Planning activities capacitating LGUs to forecast, mobilize resources, procure and deliver/distribute good quality, & affordable contraceptive supplies
slide16

Results

  • Survey of 892 LGUs
  • Findings:
    • 15% LGUs intend to fully cover the gap in contraceptive requirements
    • 58% of LGUs intend to partially cover the gap
    • 0.5% LGU opt the DOH commodity swap scheme
    • 26.5% LGUs w/o any plan of covering the gap
slide17

Results

Financing options for contraceptives identified during the CST strategic planning activities:

slide18

Results

Procurement options of LGUs:

slide19

Conclusion

  • The success of the Philippines Contraceptive Self Reliance Strategy relies heavily on the synergy, coordination & cooperation of the DOH, the LGUs, donors, private sector/NGO providers and media
  • The varied socio-economic conditions and priorities of LGUs will influence the options chosen by the LGU to operationalize CSR.
slide20

Conclusion

There is still much to be done:

  • National level policies & services that would enable LGUs to succeed in CSR responses (e.g. procurement guidelines, M & E of LGUs responses to CSR, etc.)
  • Continuous advocacy effort
  • Strengthen community support
slide21

Conclusion

  • Commitment, systems & capacities of provinces, cities and municipalities as managers of local FP services
  • Commitment, systems & capacities of employers to facilitate FP provision in the workplace
  • Private sector players replace donated supply and expand domestic market
slide22

Maraming Salamat !

(Thank you very much!)

ad