1. June 24, 2011 Addis Ababa, Ethiopia Nora Quesada Nadia Olson Anabella Sanchez Wendy Abramson Building a South-to-South Exchange Network in the Latin America and Caribbean Region

2. In the summer of 2003, the USAID LAC BUREAU launched a Regional Initiative…

3. In Eight Countries: Guatemala, El Salvador Dominican Republic, Bolivia… …Honduras, Nicaragua, Paraguay, and Peru

4.  Completed country/ regional assessments  Formed most of LAC CS committees The inaugural event, Contraceptive Security Advocacy Conference, Managua, Nicaragua, July 2003

5. The Road Has Been Long and Winding…

6. Ensure Harmonization Leverage Resources Use Data for Decisions Focus on Sustainability We Learned Four Essential Principles Along the Way…

7. 2003  Phase-out process begins  Countries depend on contraceptive donations  Family planning mainly supported by donors 2006  Country assessments show CS challenges remain  CS committees active in eight countries  Various countries financing & procuring contraceptives 2011  Six countries financing 100% of contraceptives  Six countries procuring quality contraceptives at internationally competitive prices  Five countries managing integrated supply systems We Have Come a Long Way…

8. We Built Roads Between Countries…  3 countries passed laws to protect financing and access to family planning  3 countries are better coordinating service provision  6 countries finance their contraceptives 100 percent  6 countries realize significant cost savings by procuring through UNFPA and other innovative options  5 countries are building integrated supply chains, based on the contraceptive model  2 countries manage their supply chains on their own, and one with minimal external assistance.

9. Contraceptive Financing from Country Governments 2006–2010 Source: Olson, Nadia, Anabella Sánchez, Ángel Reynoso, y Nora Quesada. 2010. La Adquisición de Anticonceptivos en América Latina y el Caribe: Un Análisis de Opciones Actuales y Futuras en Ocho Países. Arlington, Va.: USAID | PROYECTO DELIVER, Orden de Trabajo 1. Notes: Donors provide the remaining funds to cover total public sector need in each country. Contributed to Great Achievements…

10. “The regional initiative provided crucial assistance. We had the opportunity to share experiences with other countries and this helped us to broaden our approach to the topic and allowed us to move forward. Having this support strengthens us..” - Dr. Esmeralda Ramirez, Director RH Department, MOH, El Salvador “The initiative helped me to develop a vision for closer collaboration between Ministries of Health and Social Security Institutions. We are working towards achieving the same objective but through different channels.” - Dra. Yesenia Díaz, Deputy Director of Health Services for the Insurance Department, SSI, Dominican Republic That Were Led by Local Leaders…

11. Modern Contraceptive Use in LAC Countries (Women in Union) Who Helped Fuel Improved Outcomes…

12. Health sector reform is still a major challenge Developing lasting procurement options will be difficult The fight for financing to distribute contraceptives and other essential medicines never ends Huge disparities in access still exist in every country, especially among our adolescents, our indigenous, and our rural populations These supply systems still need to be fully embedded in the health system and used as a strategic pillar for delivering health services But We Still Have a Long Way to Go…

13. Thank You! nora_quesada@jsi.com