Brussels, May 2008MDA Update, RHSC membership meeting Market Development Approaches Working Group Update November 2007 – May 2008 Ben Light MDAWG Leader, Reproduction Health Supplies Coalition

Brussels, May 2008MDA Update, RHSC membership meeting Objectives from Strategic Plan Mobilize public sector and total market resources at country level –To increase by 2009/2015 utilization at country-level of the private sector to secure RH supplies and services –To increase by 2009/15 funding for RH supplies and supply systems at country-level through alternative domestic financing mechanisms (e.g., community health insurance, third-party payers, employers)

Brussels, May 2008MDA Update, RHSC membership meeting Objectives from Strategic Plan Strengthen capacity at country level to ensure and sustain functional RH supply chains across all sectors –By 2009/15, to increase the number of LMI countries and organizations procuring pre-qualified RH supplies –By 2009/15, to increase the number of LMI countries with effective supply chains in the private and other non-public sectors.

Brussels, May 2008MDA Update, RHSC membership meeting Members Six to 12 members meeting in teleconference every four to six weeks for last six months Increase of members raises potential to increase number of strategies for MDAs Current focus is finalising the definition of the new MDA workstreams and involving as many members as possible

Brussels, May 2008MDA Update, RHSC membership meeting Achievements MDA members’ regular teleconference Analysis of RHSC Strategic Plan as foundation for definition of workstreams Development of several workstreams [some still outstanding] Discussion on how to manage the expanded MDA WG Time to move to a practical exercise?

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Market Segmentation Toolkit [WS1] Promote more effective market segmentation approaches to identify different RH consumer segments that can drive supply and demand creation strategies Improve efficiency, reduce unneeded subsidy by coordinating the public and non-public market players toward appropriate market segments

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Market Segmentation Toolkit [WS1 - cont] An inventory of approaches and segmentation bases [demographic, psychographic, risk profiles, wealth, etc.] Strategies for matching sources of supply to consumer segments Dissemination of tools, case studies on effective use of segmentation and sources of data

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Indicators to measure total market development [WS2] Establish and promote a consensus on indicators to be used in judging success in development of total market approaches to better inform programme design and evaluation Indicators to judge market size, accessibility, equity and sustainability Guidance on issues of measurability, reliability and cost

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Targeted Global Advocacy for Market Development Approaches [WS3] IMS-Type Data-Base – In contact with International Pharmaceutical Association and IMS re work improving private sector supply chains for essential medicines; looking at whether [and how] RH supplies can be included in forthcoming surveys in Ghana and Gambia DHS Modification – Paper prepared to advocate for changes to DHS questions to elicit information relevant to MDAs

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Facilitating the availability of quality Generic Supplies [WS4] – with SS WG Pre-qualification of RH products [Condoms, TC380A IUD] to ensure increase of pre-qualified products: working closely with WHO/UNFPA Hormonal contraceptives: TA required by many potential suppliers to meet CGMP and complete dossiers for pre- qualification programme Information and advocacy required for pre-qualification programme by many stakeholders [now SS WG work]

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Facilitating an enabling environment for the non-public sector [with RMA WG?] Emphasis on supporting stewardship role of government in ensuring health of whole population; Recognition of significant role of non-public sector in health service provision Promote enhanced cooperation and collaboration between public and non-public sector [QoC, QA, QC?]

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Involving manufacturers in MDA work [WS6] Focus on issues including: Question of pricing versus choice Procurement mechanisms Registration processes Import duties/procedures Access to reliable data Market segmentation and targeting Marketing and market growth

Brussels, May 2008MDA Update, RHSC membership meeting MDA Workstreams Demand creation [WS7]

Brussels, May 2008MDA Update, RHSC membership meeting MDA at a crossroads Securing dedicated MDA time [conflicting priorities of day job] Defining workstreams as foundations for action Momentum building for a practical exercise to put ideas into concrete action

Brussels, May 2008MDA Update, RHSC membership meeting MDA - management Four key areas; four sub-groups? Facilitating government stewardship role ensuring health of all [Public sector focus] Reaching the end user: access, demand, equity [social marketing, cost recovery, market segmentation, social insurance...] Ensuring quality supplies: Pre-qualification, Quality assurance [with SS WG] Involving manufacturers in MDA work

Brussels, May 2008MDA Update, RHSC membership meeting Total Market Initiative Practical MDA Exercise – total market initiative in a country to hone and share ideas of the workstreams. Facilitate market segmentation with broad range of in- country stakeholders from public and non-public sector; Define targets, roles, responsibilities of groups involved; Need to build consensus; Draft plan and methodology; Select country; revise; finalise. Secure funds, implement. Scope for integrating MDA, SS, RMA work.

Brussels, May 2008MDA Update, RHSC membership meeting Total Market Initiative Country or “market” selection criteria; Government stability and support for concept; Some potential for profit and commercial brands registered and in the market Potential for growth and significant RH needs Existence of NGO and SMO players in the market Manageability and high probability for success

Brussels, May 2008MDA Update, RHSC membership meeting Total Market Initiative Possible components of initiative : Formative research to identify market segments Advocacy around segmented approaches and consensus on matching providers to segments Generic demand creation for RH products and services Targeted subsidy schemes Ongoing advocacy and supportive policy work Evaluation and lessons learned

Brussels, May 2008MDA Update, RHSC membership meeting Next steps Complete definition of workstreams Total Market Initiative practical exercise [?] – develop, revise, etc. Redefine management structure of MDA? Organise next MDA meeting in Autumn 2008 [Developing world? Africa?]