1 / 16

Family Planning in Ghana : Contraceptive Security is still a work in progress Yaa Osei Asante Ghana Health Service

Family Planning in Ghana : Contraceptive Security is still a work in progress Yaa Osei Asante Ghana Health Service. Background Information on Ghana. Situated in West Africa Independence on 6 th March 1957 Population of 20 million at last Census 2000 Population Growth Rate 2.7%

gasha
Download Presentation

Family Planning in Ghana : Contraceptive Security is still a work in progress Yaa Osei Asante Ghana Health Service

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Family Planning in Ghana: Contraceptive Security isstill a work in progressYaa Osei AsanteGhana Health Service

  2. Background Information on Ghana • Situated in West Africa • Independence on 6th March 1957 • Population of 20 million at last Census 2000 • Population Growth Rate 2.7% • 10 Administrative Regions • 138 Districts • Capital City Accra

  3. Contraceptive Security MEETING THE COMMODITY SECURITY CHALLENGE IN GHANA • The Ghana National Contraceptive Security Strategy 2004 -2010 -Financial Sustainability Plan • Repositioning Family Planning- A Road Map for Repositioning Family Planning 2006-2010

  4. Contraceptive Security The Inter Agency Coordinating Committee on Contraceptive Security(ICC/CS) Representation includes: • Government MOH, Ghana Health Service, National Population Council, Food and Drugs Board, Customs Excise and Preventive Service,Ghana Aids Commission, National Aids Control Programme, others • Development Partners USAID, JSI DELIVER(TA), DFID, UNFPA, World Bank, EU, The Royal Netherlands Embassy, DANIDA, JICA and others • NGOs/Civil Society -PPAG • Private Sector Organizations GSMF, Society of Private Medical and Dental Practitioners, Representatives of Private Pharmaceutical Firms

  5. Strategic Objectives • To improve availability of qualityand affordable contraceptive products and services • To strengthen public-private partnerships in the supply and delivery of contraceptive products and services • To implement reliable and efficient systems for the supply of contraceptive products and services • To achieve sustainable financing of contraceptive products and services • To ensure a national capacity to monitor and evaluate the progress on the attainment of CS targets

  6. Why RH Commodity Security? • Success of FP Programs • Generated Demand for Contraceptive Commodities • Unmet Need for FP still high • Shift of resources to HIV/AIDS Programming • Inadequate Coordination among stakeholders • Weak Logistics Systems • Need to reinvigorate RHCS

  7. Ghana: Family Planning Successes • Early political awareness and support (1960’s) • Strong U.S. and other donor support for family planning over the past four decades • Contraceptive Security Strategy with a Financial Sustainability Plan adopted for 2004-2010 (due for review) • Highest contraceptive prevalence in West Africa: in 2008, 17% of married women used modern methods of FP • Sharp fertility decline, from 6.4 in 1988 to 4.0 in 2008

  8. Contraceptive Security Procurement of contraceptives: Status • MOH has a line item for contraceptives. • Sector budget support is allocated for this. • The funds eventually released by the MOFEP are considerably less than the budgeted amount. • Process of obtaining funding and approval for purchase is complex and causes major delays. • USAID, UNFPA provide some commodities ( and DFID in the past). • UNFPA is used as a purchasing agent except MOH procures condoms directly. No framework contracts in place. Distribution • Large systemic problems result in facility-level stock-outs • Recent study of the flow of products and funds across the levels of the system called for change

  9. Contraceptive Security Contraceptive Security Proposed Actions: Procurement • Advocate to have the national health insurance system cover clinical FP services. • Strengthen MOH/GHS management of procurement processes; and explore use of pooled procurement mechanisms • Development partners to help with support for public and social marketing products through 2014. • Explore whether some support should flow through the health insurance system.

  10. Contraceptive Security Distribution: Current Status • An integrated, scheduled delivery system was initiated in 2003 but is still not fully functional • Systemic problems in transport, reporting and re-supply sometimes result in facility-level stock-outs. • The process of collecting fees from clients and accounting for them at different levels complicates regular distribution of contraceptives. • Recent study of the flow of products and funds across the levels of the system called for change.

  11. Contraceptive Security Contraceptive Security Proposed Actions: Distribution • Revise current system for collection and distribution of fees to increase efficiency and timeliness in flow of products to lower levels. • Post all prices, and test the possibility of providing some methods at no cost to the client. • Closely monitor progress and do active problem-solving in the system. • Promote CBD, CHOs provision of pills, condoms and injectables and increase ease of referral for other methods

  12. FP data from 2008 identify challenges • Prevalence rate for modern FP has declined since last DHS in 2003, from 19% to 17% of married women of reproductive age • Use of long term methods in particular sharply decreased, as did use among the more educated, urban women • Sales of social market products decreased – due to temporary disruptions in supply

  13. FP method use by source of method

  14. Availability of Clinical Methods • Limited access to voluntary sterilization, implants and IUDs has resulted in lower use of these methods in recent years • Train nurses and midwives in use of clinical methods including implants – use On The Job Training wherever possible • Ensure quality assurance and supportive supervision • Make a particular effort in areas where use is well below unmet need, including some urban areas.

  15. Goal: Family Planning Revitalized • More women and men choose to use FP • Health care workers responsive to their needs, with a range of products and services • Easy access to ST methods throughout Ghana • Program on more solid footing • Tangible results in increased CYP and contraceptive prevalence

  16. We must be engaged andforceful in advocacy and delivery of effective programs for FP in Ghana • Thank you!

More Related