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
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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.