Reproductive Health Commodity Security Burkina Faso Geneviève S.L. AH-SUE Seventh semi-annual membership meeting -RHSC London April 2007

2 Population in 2006: 13.7 million Population aged 0-18 years: 55.8% Total Fertility Rate: 6.2 Contraceptive Prevalence Rate: 9.7% Unmet need: 29% Maternal Mortality Ratio: 484/100,000 (1998) Skilled attendance at birth : 40.3% Demographic & Health Context (DHS III)

3 Policy environment Poverty Reduction Strategic Framework ( )  Priority to social sectors  Gender cross-cutting issue National Population Policy ( ) National Health Development Plan ( )  CPR 9.7% in % by 2015 Strategic Framework to fight HIV/AIDS and STIs ( ) Sector-wide Approach – Education, Health….

4 Evolution in Public Health Expenditures HIPC Public Budget External Financing millions F CFA

5

6 Strategic Contraceptive Security Plan Situation Analysis I. Policy, financing and sustainability a) State commitment and budget – weak b) Private sector – absent c) Unpredictable and declining resources II. Quality of FP services – weak III. Potential demand; unmet need – high IV. Logistics & MIS - insufficient V. Partnership, coordination - inexistent

7 Strategic Contraceptive Security Plan Results Goal: Sustainable availability of contraceptives and rational utilization of RH products in time and space, according to needs Outcomes: The availability of contraceptives and quality FP services are guaranteed

8 Strategic Contraceptive Security Plan Strategic Areas I. Policy, financing and sustainability II. Supply III. Demand IV. Logistics and management information system V. Partnership, coordination, monitoring and evaluation

9 Strategic Contraceptive Security Plan Funding SCSP costed at over US$44 million Contraceptives: US$38 million Operational costs: US$6 million Govt’s share:25% in % in 2015

10 Strategic Contraceptive Security Plan

11 Strategic Contraceptive Security Plan Contraceptive Security Coordinating Committee  Advocacy  Collaboration  Review and Update SCSP  Monitoring annual action plan  Feedback for strategic directions  Internal and independent evaluation

12 Contraceptive Security Coordinating Committee Informally established in Nov 2004 SubGroup of RH coordinating committee Chair: MoH Members include:  Govt: MoH, MoFB, HIV/AIDS Council  Parliament  NGOs: ABBEF, ASBF  CSOs: Pharmaceutical Assoc., Ob/Gyn Assoc., Paediatricians’ Assoc.  Private sector: PROMACO, PSI  Multilaterals: UNFPA, WB, WHO

13 Contraceptive Security Coordinating Committee Achievements so far: Policy  Strategic Contraceptive Security Plan officially adopted  Line for contraceptives in national budget Technical & Financial resource mobilization: UNFPA, AWARE, KFW, GTZ, Govt Coordination – studies on contraceptive market segmentation; validity of routine RH data collected; funding sources

14 Challenges ahead Competing priorities in health – recurrent & sporadic epidemics Low priority given to RH, maternal health and FP Decentralisation process Low predictability of funding in health sector Monitoring mechanism of SCSP plan and management information system

15 The Way Forward Strengthen evidence-based advocacy Expand focus from contraceptive security to RH commodities security Build on and strengthen existing coordination mechanisms Build country level coalition for RHCS Integration into health SWAp – national ownership, harmonisation, alignment, results orientation, joint accountability

16 …thank you for your attention! Contraceptive Security team in Burkina Faso