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June 24, 2011Addis Ababa,
Ethiopia
Nora QuesadaNadia Olson Anabella Sanchez Wendy Abramson
Building a South-to-South Exchange Network in the
Latin America and Caribbean Region
In the summer of 2003, In the summer of 2003, the USAID LAC BUREAU the USAID LAC BUREAU
launched a Regional launched a Regional Initiative…Initiative…
In Eight Countries: Guatemala, El Salvador
Dominican Republic,
Bolivia…
…Honduras, Nicaragua, Paraguay, and Peru
Completed country/ regional assessments
Formed most of LACCS committees
The inaugural event, Contraceptive
Security Advocacy Conference,
Managua, Nicaragua, July 2003
The Road Has Been The Road Has Been Long and Winding…Long and Winding…
Ensure Harmonization
Leverage Resources
Use Data for Decisions
Focus on Sustainability
We Learned Four Essential Principles Along the Way…
2003
Phase-out process begins
Countries depend on contraceptive donations
Family planning mainly supported by donors
2006
Country assessments show CS challenges remain
CS committees active in eight countries
Various countries financing & procuring contraceptives
2011
Six countries financing 100% of contraceptives
Six countries procuring quality contraceptives at internationally competitive prices
Five countries managing integrated supply systems
We Have Come a Long Way…
We Built Roads Between Countries…
3 countries passed laws to protect financing and access to family planning
3 countries are better coordinating service provision
6 countries finance their contraceptives 100 percent
6 countries realize significant cost savings by procuring through UNFPA and other innovative options
5 countries are building integrated supply chains, based on the contraceptive model
2 countries manage their supply chains on their own, and one with minimal external assistance.
Contraceptive Financing from Country Governments 2006–2010
Source: Olson, Nadia, Anabella Sánchez, Ángel Reynoso, y Nora Quesada. 2010. La Adquisición de Anticonceptivos en América Latina y el Caribe: Un Análisis de Opciones Actuales y Futuras en Ocho Países. Arlington, Va.: USAID | PROYECTO DELIVER, Orden de Trabajo 1.
Notes: Donors provide the remaining funds to cover total public sector need in each country.
Contributed to Great Achievements…
“The regional initiative provided crucial
assistance. We had the opportunity to share
experiences with other countries and this helped
us to broaden our approach to the topic and
allowed us to move forward. Having this
support strengthens us..”
- Dr. Esmeralda Ramirez, Director RH Department, MOH, El
Salvador
“The initiative helped me to develop a vision for closer collaboration between Ministries of
Health and Social Security Institutions.
We are working towards achieving the
same objective but through different
channels.” - Dra. Yesenia Díaz, Deputy
Director of Health Services for the Insurance Department, SSI,
Dominican Republic
That Were Led by Local Leaders…
Modern Contraceptive Use in LAC Countries (Women in Union)
Who Helped Fuel Improved Outcomes…
• Health sector reform is still a major challenge
• Developing lasting procurement options will be difficult
• The fight for financing to distribute contraceptives and other essential medicines never ends
• Huge disparities in access still exist in every country, especially among our adolescents, our indigenous, and our rural populations
• These supply systems still need to be fully embedded in the health system and used as a strategic pillar for delivering health services
But We Still Have a Long Way to Go…
