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Title Slide (make link b/w RH supplies and issue of critical importance to the target audience)

Title Slide (make link b/w RH supplies and issue of critical importance to the target audience). Add photo. Ensuring Access to Family Planning for All in El Salvador. The Role of the Private Sector. State the Problem (and if available, show evidence of the problem).

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Title Slide (make link b/w RH supplies and issue of critical importance to the target audience)

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  1. Title Slide(make link b/w RH supplies and issue of critical importance to the target audience) Add photo

  2. Ensuring Access to Family Planning for All in El Salvador The Role of the Private Sector

  3. State the Problem(and if available, show evidence of the problem)

  4. Until 2001, USAID & UNFPA provided the MOH with 100% of its contraceptive needs. In 2002, the MOH began purchasing contraceptives. In 2005, the MOH purchased 94% of contraceptive needs. In 2006, competing health priorities result in the MOH only purchasing 43% of contraceptive needs.

  5. Growing demand for FP1993-2002 5.6 5.6 4.9 Sources: RHS 1993, 1998, 2002/3

  6. Use of FP is low among the poor 2002 Sources: RHS 1993, 1998, 2002/3

  7. The public sector is the dominant provider of FP, 2002 Source: RHS 1993, 1998, 2002/3

  8. 50% of the MOH clientele is from middle and upper quintiles

  9. State the Solution

  10. How can the private sector help El Salvador achieve contraceptive security?

  11. Why encourage private sector participation? • There is a donor phaseout of contraceptive commodities. • Limited government resources cannot meet the needs of everyone. • Contraceptives are not reaching poor women. • A substantial share of public sector subsidies go to the non-poor. • Redirecting wealthier clients to the private sector will free up scarce donor and public resources for those who cannot afford to pay. • The private sector is underdeveloped.

  12. …it can actively create conditions that encourage private sector participation… Although the government cannot mandate private sector participation…

  13. Strategic Framework for Strengthening Private Sector Participation Understand the market and policy environment Create an enabling environment Balance the roles of public & private sectors

  14. Creating an enabling environment 1) Involve the private sector in CS planning, policymaking, and resource allocation decisions. 2) Put in place incentives to encourage private sector participation. 3) Eliminate or reduce legal/regulatory barriers that inhibit private sector participation.

  15. 1. Involve the private sector in contraceptive security planning • Include the private sector in CS committees. • Solicit private sector input on challenges faced in contraceptive provision. • Incorporate private sector issues in planning, policymaking, and resource allocation decisions.

  16. Including the private sector in national CS planning in Jordan • Jordan Association for Family Planning and Protection (NGO) • Private Hospital Association • Jordanian Association of Pharmaceutical Manufacturers • Jordan Nurses & Midwives Council • Medical Association

  17. 2. Create incentives for private sector involvement • Establish product and market subsidies and remove import and local taxes. • Allow advertising through media. • Contract out services to NGOs. • Divide roles and market segments, allowing the private sector to serve those who can pay.

  18. Contracting out FP services to NGOs in Bangladesh • Government signed an MOU for 12 NGOs to run community clinics. • MOU states • NGO personnel staff the clinics • Gov’t supplies the equipment and medicines • Local community oversees the clinics • Led to improved quality and availability of services.

  19. 3. Remove legal and regulatory barriers • Exempt imported contraceptives from duties or tariffs. • Relax controls on prices and the classification of commodities. • Remove restrictions on distribution and advertising. • Simplify product registration, licensing, and certification processes.

  20. Reducing the tariffs on condoms sold in Brazil Condoms sold Price per condom

  21. Summarize the Supporting Points You Have Just Described

  22. Private sector involvement in FP provision can… • Avoid contraceptive funding shortfalls due to donor phaseout. • Encourage efficiency and equity in the use of available resources. • Ensure that all groups have sustained access to the contraceptives they want, when they want them.

  23. Reveal the “ask” or the action you would like the target audience to take

  24. Work with the Private Sector to Ensure Sustainable Access to Family Planning 1) The MOH targets resources to those whose access to FP depends on subsidies. 2) NGOs, social marketing, and commercial sources can serve those who can pay.

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