Dana Aronovich John Snow, Inc./DELIVER

Repositioning Family Planning in West Africa

Repositionnement de la Planification Familiale en Afrique de l’Ouest

Sponsored by: U.S. Agency for International Development (USAID), World Health Organization (WHO), Action for West Africa Region Project - Reproductive Health (AWARE-RH), Advance Africa, the POLICY Project

Reaching Contraceptive Security through Strengthened

Supply Chain Management:

Critical Components for Repositioning Family Planning

Dana Aronovich

John Snow, Inc./DELIVER

Meeting Needs Requires Increased Access to Services & Commodities

Reproductive health commodity security exists when every person is able to choose, obtain, and use quality contraceptives and other essential reproductive health products whenever s/he needs them.

Defining Commodity Security

RHCS Framework

Reference: www.maqweb.org/sparhcs/index.shtml

CS for Supply Chain Management

To achieve contraceptive security, programs must be able to:

• Forecast:

– Calculate their commodity requirements

• Finance:

– Secure resources for procurement

• Procure:

– Have or call upon skills to procure commodities

• Deliver:

– Distribute commodities reliably to customers

RHCS Framework

What is the Role of

Supply Chain Management in

Achieving Commodity Security

and

Reducing Unmet Need?

Supply Chain Objectives:The Six Rights

The purpose of a supply chain is to serve the customer by ensuring that:

the Right goods

in the Right quantities

in the Right condition

get to the Right place

at the Right time

for the Right cost.

CS for Supply Chain Management

To achieve contraceptive security, programs must be able to:

• Finance

• Forecast

• Procure

• Deliver

Financial Implications of Growth

Growing population & demand for services

Growing need forcommodities

Increasingfinancing for commodities

Donor Gap for West AfricaProjected Contraceptive Financing Needs, Donor Support & Gap

West Africa *excludes condoms

0

4

8

12

16

20

24

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

US

$ i

n m

illi

on

s

Past donor financing

Constant donor financing (based on financing 1999-2002)

Projected cost of contraceptives

$14m Gap

Supply Chain Objectives:The Six Rights

The purpose of a supply chain is to serve the customer by ensuring that:

the Right goods

in the Right quantities

in the Right condition

get to the Right place

at the Right time

for the Right cost.

Product Availability for Select Sub-Saharan Countries

Source: Logistics Indicator Assessment Surveys (DELIVER, 2001-2002)

FP Method Availability onDay of Visit

Baseline percent of facilities with method available

05

1015202530354045

% o

f Fac

ilitie

s

Relation of Availability to Use:Nigeria

LMIS: Logistics Impact

The Need for Action

Decreasing

donor support

Reducing unmet need

& increasing use

Contraceptive availabilitythrough strong supply chain management

Require

Contraceptive Security

No product? No program!

Why Supply Chain Management ?