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West Africa Reproductive Health Commodity Security Initiative

West Africa Reproductive Health Commodity Security Initiative. Background. Discussion of reproductive health commodity security (RHCS) at USAID’s West African Regional Health Program (WARP) planning meeting (late 2002) Joint concept paper on West Africa RHCS Initiative (UNFPA, USAID, WAHO, WB)

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West Africa Reproductive Health Commodity Security Initiative

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  1. West Africa Reproductive Health Commodity Security Initiative

  2. Background • Discussion of reproductive health commodity security (RHCS) at USAID’s West African Regional Health Program (WARP) planning meeting (late 2002) • Joint concept paper on West Africa RHCS Initiative (UNFPA, USAID, WAHO, WB) • WAHO requests DELIVER to make 2 presentations at ECOWAS Health Ministers meeting (July 2003) – to health experts and to the Health Ministers

  3. RHCS Presentations • Described the link between WAHO’s maternal health strategy and RHCS • low CPR, high unmet need • high maternal and infant mortality • contraceptive users more than double by 2010 • Described the current state of RHCS in the subregion • Discussed subregional options for strengthening RHCS

  4. RHCS Presentations • Generated significant discussion • No questioning of the importance of family planning services or RHCS in the subregion • Health experts recommended the RHCS initiative to the Ministers • Ministers of Health “adopted the initiative in principle” • Supported studying the different options for securing commodities in the subregion

  5. West Africa RHCS Study • Jointly implemented by WAHO, USAID/DELIVER and AWARE, UNFPA and the World Bank • Three phases: • desk review with 2 country assessments • in-depth country assessments • strategy development

  6. Study Goal and Objectives • Assess subregional-level opportunities to improve RHCS in West Africa • determine cost/benefit of options • assess the feasibility of implementation • appropriately adapt models, lessons learned • clarify roles for and commitment of ECOWAS/WAHO, member governments, and donors • inform development of an ECOWAS RHCS strategy and implementation plan

  7. Technical Areas • Pooled/coordinated procurement • Subregional financing • Private sector expansion • Local manufacturing (requested by Ministers) • Logistics improvements

  8. Study Status and Next Steps • Desk review underway, as are country assessments in Burkina Faso and Ghana • Results will be presented to the ECOWAS Ministers of Health in July 2004 • Donor’s meeting proposed to follow Ministers meeting • Phase 2, in-depth country assessments, planned for July - November 2004 • Phase 3, strategy development, planned for November 2004 - February 2005

  9. Questions for the Partnership • Should West Africa be a priority subregion for the Partnership? • How can we expand donor engagement with RHCS in West Africa? • What role(s) can the Partnership play in the study and in building on its findings and recommendations?

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