1. DOMINICAN REPUBLIC ROLE OF THE CONTRACEPTIVE SECURITY COMMITTEE:
ACHIEVEMENTS AND CHALLENGES IN FAMILY PLANNING
Cándido Rivera Francisco
Executive Director
National Council for Family and Population Affairs
(CONAPOFA)
London, 28th April 2007

2. Location Population: 9.2 M (2007) TCaribbean América
DOMINICAN REPUBLIC
Population: 9.2 M (2007)
48,730 square kilometres, located in the Caribbean, on the eastern side of the Hispaniola Island, which shares with Haiti

3. STATUS OF FAMILY PLANNING DHS 2002
CPR: 70%
Unmet need: 11%
Private sector coverage: 53%
Household expeditures in health: 48%
Teenage pregnancy: 23%-30%
Fuentes: Endesa 2002, Cuentas Nacionales 2005

4. CONTRACEPTIVE SECURITY COMMITTEE BACKGROUND
Phase-out of donations and technical support
Need to protect achievements in FP
Target scarce resources on underserved populations, and address unmet need
Support National Government “Zero Tolerance” strategy
Reduce Maternal and Infant mortality
Contribute to the MDG
Weak Logistics System
Stagnation of the FP program
Contraceptive Stockouts at all levels

5. COMPOSITION OF THE CS COMMITTEE
Created in May 2005
Multisectoral and multidisciplinary, provides counseling and technical support to the public and private sectors. The committee facilitates the discussions and promotes CS across all sectors
Member Institutions
PUBLIC SECTOR NGOs PROJECTS DONORS
MOH PROFAMILIA CONECTA USAID
CONAPOFA ADOPLAFAM UNFPA
HIV\AIDS Program PSI
Private Sector SS MUDE
Armed Forces
Public Sector Social Security
National Health Council
Association of National Pharmacies
Others…

6. CS COMMITTEE Chaired by CONAPOFA One main Coordinator
3 Sub-committees, one coordinator each
Funded by CONAPOFA (70%), USAID, UNFPA
Monthly meetings
The committee has:
Statutes
Internal regulatory document
Work plan

7. ACHIEVEMENTS

8. ACHIEVEMENTS
Assessment of the FP program, for the private and public sectors (2005)
Redesign and implementation of the Logistics Management System, and information system for the Cervical Cancer Prevention Program
MOU between MOH and UNFPA for the procurement of contraceptives (2005), resulting in significant savings.
Development of National Health Accounts for FP and Reproductive Health.
A budget for the purchase of contraceptives using national treasury funds

9. HOW DID WE DO IT? Multisectoral, and insterinstitutional CS Committee
Leadership from CONAPOFA, in close coordination with M&C Health Division of MOH
Clear and realistic mid-term action plan
Empowered, committed key stakeholders and CS members
Technical and financial support from USAID and UNFPA.
Involvement of other key stakeholders: Ministry of Economic Affairs, Planning and Development, Ministry of Women´s Affairs

10. CHALLENGES

11. CHALLENGES
Political support and commitment from the National Government to procure and finance contraceptives for the mid and long terms
Long-term sustainability of the CS Committee
Increase visibility of the Committee
Sustainability and consolidation of the Logistics System
A protected line item for contraceptive procurement in the national government budget