UNFPA LAC Regional Meeting Lima, March 26-28, 2012

EXTERNAL unmet needs gaps  Evidence of progress CPR but unmet needs and gaps… “victims of their own success”…  Public funding..FP “victims of their own success”…Gold Moment Supreme Courts, Professional Associations  Conservative groups…Supreme Courts, Professional Associations stock outs  MICs still facing challenges...stock outs discontinuation  Limited method mix (New Tech., LARC) …discontinuation less subsidy  Prices and taxes…less subsidy CONTEXT… INTERNAL less on how  Clarity on what and when but less on how abandon comprehensive support???  Focus, Focus, Focus…abandon comprehensive support??? “keep alive the goose of golden eggs”…  Breaking walls…“keep alive the goose of golden eggs”…  Country needs at the center  Country needs at the center…Good practices on MICs, South to South, TA brokers allocation delayed  Decentralized model, good M&E…allocation delayed time, competence, and programme lifespan  Multi-task staff…time, competence, and programme lifespan

Population and Development Reproductive Health and Rights Gender Equality New DRF outcomes 1.Population dynamics and its inter-linkages with young people’s needs, reproductive health, gender equality and sustainable development and poverty reduction addressed in national development plans and poverty reduction strategies 2.Access to and utilization of quality maternal and newborn health services increased 3.Access and utilization of quality family planning services for individual and couples increased according to reproductive intentions 4.Access and utilization of quality HIV and STI prevention services increased especially for young people and other key populations at risk 5.Gender equality and reproductive rights advanced particularly through laws and policies implementation 6.Young people’s access to sexual and reproductive health services and sexuality education improved 7.Improvements in data availability and analysis result in improved decision-making and policy formulation around population dynamics, sexual and reproductive health, and gender equality GPRHCS FOCUS IN LAC 2. Strengthened the capacity for development of national health policies and plans with integrated SRH services (including family planning) 5. Strengthened national capacity for emergency obstetric and newborn care (EmONC) 8. Strengthened national systems for reproductive health commodity security (RHCS) 15. Improved programming for essential sexual and reproductive health services to marginalized adolescents and young people. 16. Strengthened national capacity for the design and implementation of comprehensive age-appropriate sexuality education in policies and curricula New Outputs

GPRHCS LAC Regional PARTNERS

Advocacy on SRH and Adolescent 1.Access to SRH: Adolescents and vulnerable groups. 2.Health regulation and financing: sustainability 3.Youth participation Professionalization of Human Resources 1.HR development pre and post-graduated 2.Update norms and curricula with EBM. 3.Performance and M&E system 4.Knowledge sharing between countries Strengthening Health System 1.Selection and evaluation of new technology EBM 2.Method Mix 3.Market availability and access RHCS FORUM LAC : Alignment –Partnership- Mobilization 16 countries; 22 NGOs & multilateral org., 3 Working Groups

CALL FOR PROPOSALS  Adolescents RR Monitors  Short Film on RHCS in LAC in the context of ICPD+20  FP supply barriers  Strengthening Selection and Evaluation of EML. SALUD MESOAMERICA 2015 INITIATIVE An innovative public/private partnership which seeks to reduce health equity gaps in Mesoamerica:  RH, nutrition, immunization, malaria dengue.  Belize, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua and Panama, nine southeastern states of Mexico  Carlos Slim Institute  Bill & Melinda Gates Foundation  IDB  AECI RHCS FORUM LAC

RHCS within the health component of ALBA’s  Sub-regional initiative to incorporate RHCS within the health component of ALBA’s participating countries. (The activity will be organized by UNFPA CO in Cuba with the support of participating country offices) comprehensive condom demand generation framework  Implementation of the comprehensive condom demand generation framework (CCP), with special focus on young people and sex workers. Regional Humanitarian Logistics Strategy  Elaboration of the Regional Humanitarian Logistics Strategy. Distance Learning course on RHCS  Translation of Distance Learning course on RHCS into English and French Regional Plan 2012: LAC RO

 Technical assistance : Logistic System  Assessment of Logistic System, Inventory Control System  Design of Inventory Control System  Needs Assessment Methodology,  National Inventory of RH commodities  RH Costing and Cost Analysis  Budget Management  Capacity building: Distance Learning  Training courses: Distance Learning  Integration of local institutions  Integration of local institutions and human resources in the TA process.  Knowledge generation and sharing:  Produce and disseminate studies, research, and TA reports. Regional Plan 2012: PRISMA CIES  BOLIVIA  ECUADOR  EL CARIBE  EL SALVADOR  NICARAGUA  PANAMA  PARAGUAY  PERU  URUGUAY

Technical assistance : FP tools  Introduce, monitor, and evaluate the FP tools: Decision Making Tool and Global Handbook for Providers. SRH adolescent programs  Consolidate and expand the SRH adolescent programs by a) training of trainers b) Seminar to introduce the scaling up methodology. implement integrated health care for adolescents  Participatory action research to implement integrated health care for adolescents using the WHO priority linkages framework between SRH and HIV/AIDS services evaluating a sex education program in schools  Qualitative research project for evaluating a sex education program in schools. Regional Plan 2012: REPROLATINA  BOLIVIA  DOMINICAN REP  EL SALVADOR  HONDURAS  NICARAGUA  PANAMA  PERU  URUGUAY

Advocacy and Technical assistance : people’s access positioning MDG 5  Promoting people’s access to RH and positioning MDG 5 related topic.  Bioethics, values clarifications, and conscientious objection  Strengthening human resources on EmOC Prevention of Unsafe Abortion  Sensitizing and providing training for the Prevention of Unsafe Abortion and reducing Harm and Risks. PAE and misoprostol  Build arguments and support the introduction of PAE and misoprostol for obstetric use. Excellence Center for certifying medical skills  Support the development of an Excellence Center for certifying medical skills in Reproductive Health Regional Plan 2012: PROMSEX FLASOG  ECUADOR  EL SALVADOR  PANAMA  PERU  URUGUAY

39%Commodity 39% 61%Capacity Building 61% Country 81% 19%LAC RO 19% US$ 2,178,185 UNFPA = 25% Partners = 75% US$ 9,124,801 Capacity B = 51% Commodit = 49% US$ 4,437,227 Contracept = 74% Maternal H = 26% (COs 100%) US$ 6,865,759 US$ 6,865,759 LAC RO = 32% COs = 68% BUDGET 2012: US$ 11,302,986