1. Aminatou Sar, seconaf, rhsc wednesday, february 1, 2017
From Introduction to Integration The importance of strong supply chain for successful integration of DMPA
Aminatou Sar, seconaf, rhsc
wednesday, february 1, 2017
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

2. SECONAF: Forum for Contraceptive Security in Francophone Africa
SECONAF is one of the Implementing Mechanisms of the RHSC (Reproductive Health Supplies Coalition) with over 580 members disseminated in more than 44 countries in Africa and around the world
SECONAF VISION is a Francophone Africa where anyone can choose, access and use affordable and quality supplies to ensure their best sexual and reproductive health
SECONAF MISSION is to gather a diversity of partners and mobilise their collective forces to improve access to a large range of affordable and quality sexual and reproductive health supplies across francophone Africa
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

3. Where are our members and which countries have approved DMPA/SC?
In Francophone Africa
Benin
Burkina Faso
Cote d’Ivoire
DRC
Madagascar
Niger
Senegal
Elsewhere
Ghana
Kenya
Malawi
Mozambique
Nigeria
Uganda
Zambia
India
Bangladesh
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

4. Strong supply chains are key for successful introduction and integration of DMPA-SC
- Contraceptive security exists when anyone can choose, get and use a large set of quality and affordable reproductive health supplies when needed.
- Increasing access to next generation of injectables is one way to ensure that RH Supplies follow the pillars AVAILABILITY, EQUITY, QUALITY and CHOICE.
- well-performing supply chains help ensure contraceptive security
- many countries currently have challenges/weaknesses with their existing supply chains. The introduction of DMPA-SC represents an opportunity to discuss how to address these issues to ensure success. .
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

5. SUCCESSFUL EXAMPLE OF DMPA-SC INTRODUCTION IN SENEGAL*
- Senegal had already been working to improve supply chain performance through the IPM so when DMPA-SC was introduced in this system, it was more successful
- DMPA-SC available at all levels of the health system (public as well as private) from January 2015
- 120,861 doses administrated so far
- Limited stockouts due to private distribution system with 1,86% (In 2012, Stockouts were 80%)
- Other countries in the room/region have started to take action to address supply chain performance and that there are many possible approaches to learn from
* Source: Sayana Press Pilot project results, October 2016
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

6. Recommendations for Advocacy
- The new generation of injectables increase diversity of choice for users but a strong communication plan to disseminate them will be key for better access.
- A strong policy advocacy needs to be done for supply chain strengthening and to ensure successful introduction and integration of DMPA-SC
- DMPA-SC introduction and integration plans to include specific activities around combatting stockouts.
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

7. Want to know more about supply chain strengthening?
- Join SECONAF resources/groups/seconaf/
RHSC System Strengthening Working group strengthening-working-group/
- Take Stock Campaign:
- Need Basic Principles of Supply Chain Management for Health Systems? Visite I+Solutions acamademy
- DELIVER Project:
- Check out the newly set up Africa Research Center (ARC) which will focus on supply chains
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal

8. MERCI!
Increasing Access to Next Generation Injectables - January 30 - February 2, Dakar, Senegal