STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE SECURITY IN KENYA Dr. Bashir Issak Division of Reproductive Health Ministry of Public Health & Sanitation
Donors Government Private Sector NGOs and other stakeholders Background The goal: “Uninterrupted and affordable supply of contraceptives to all people who need them, whenever and wherever they need them” Contraceptive Supply Chain uncoordinated
Better stakeholder coordination through FP Logistics Working Group - JICC structure of MOPHS Inclusion of a GOK budget line for FP commodities ($6 million ) FP priority for Vision 2030 Availability of data collection and analysis tools What Changed?/Enabling Factors
Priority intervention for MNCH in Kenya Part of minimum MNCH package from Level 1 (community) to Level 6 (Referral hospital) Health Sector Target to raise CPR to 70 % by 2015 System strengthening key - Commodities What Changed?/Enabling Factors
Government and Donor commitments to procure all contraceptive Regular review of forecasted quantities according to changing scenarios Constant monitoring of the contraceptive pipeline both upstream and downstream Increased service delivery points reporting rates from 10% in Dec 2008 to 68% in Dec 2009 Commodity procurement and distribution system to over 4,000 health facilities by KEMSA Public sector provides 80% of private sector commodity needs Achievements
Parallel procurement systems by GOK and DPs. Lack of recommended buffer stock in the system Timely distribution of contraceptives to the districts, SDPs and especially to the private sector – partly due to insufficient resources. A weak commodity reporting system “Push” system for contraceptive supplies to health centers and dispensaries Challenges
Improve efficiency of distribution system by increasing resource allocation for KEMSA Harmonize the different procurement systems Develop reliable procurement plan with effective monitoring systems Build sub national capacity in forecasting and reporting Way Forward