Achieving Security for SDM/ CycleBeads in Rwanda and Mali: Untangling Procurement, Distribution & Policy Issues. Marie Mukabatsinda, Country Representative, Rwanda Georgetown University’s Institute for Reproductive Health Caucus for New and Underused Method Panel
Marie Mukabatsinda, Country Representative, Rwanda
Georgetown University’s Institute for Reproductive Health
Caucus for New and Underused Method Panel
RHSC Annual Membership Meeting
Addis Ababa, Ethiopia | June 2011
One factor IRH had to consider during scale-up was how CycleBeads would be integrated into—and sustained by—the health system. This presentation shares four lessons learned from this process.
“Guess work” estimating for initial procurement of CycleBeadsin Rwanda & Mali
Initial large supply
(note: CycleBeadsdon’t expire)
Donors delayed re-ordering CycleBeadseven though demand and program capacity increased over time (became a timing issue)
Currently working with WHO to issue a statement recommending CycleBeads for public sector procurement.
ISSUE: distribution are not well-suited to ensure that new products reach health centers. In many countries, CycleBeads are not included on reporting or requisition forms. CycleBeadsare included on reporting & requisition forms in Rwanda, but this is not enough.
GLOBAL SOLUTION: Continue advocacy & TA to ensure proper distribution & reporting mechanisms for new methods.
RWANDA SOLUTION:DELIVER Project provided technical assistance to directly address the issue as part of their training & monitoring visits for procurement and supply chain management.
ISSUE 1: Performance Based Financing in Rwanda
Bamako Initiative in Mali
Community committees with decision-making authority over FP commodity purchases resist purchasing CycleBeads.
Does it include CycleBeads?
Solution:Advocacy & training in community social responsibility & RH rights
Solution:Advocate to include it in 2012 PBF & monitor reforms going forward
Thank you for your attention.