1. How to Protect Supply Chains (Systems Strengthening Approaches) Key Messages October 25, 2007Facilitator: Anabella Sánchez

2. Lessons Learned Health reforms have impacted the performance of supply chains To manage changes during health reform –Pilot test, scale up gradually. –If you integrate, then automate data. Identify areas for increased efficiencies –Procure at central level

3. Lessons Learned Procurement mechanisms: In Chile the government institutionalized contraceptive procurement through CENABAST Deliberate steps (separate functions) Transparency and governance strengthened Reduced corruption Web-based public procurement of goods In El Salvador, despite restrictive contracting laws, found a creative way to overcome barriers and benefit from economies of scale, saving scarce government resources Political will

4. And… How do these experiences relate to other regions? Certain logistics functions must remained centralized (even in decentralized systems): forecasting and procurement, financial planning, budget allocation, quality control, and information system design Focus on human capacity, and create and transfer new responsibilities; invest in training and supervision. Procurement capacity is built over time.

5. Central Medical Stores of Ministries of Health in other regions need to strengthen their procurement capacity with a strategic vision of the supply chain. Allow transition between building procurement capacity and using procurement agents –Build bridges between managing donations and procuring contraceptives And… How do these experiences relate to other regions?

6. Some ideas for the RHS Coalition Target funding to strengthen the supply chain, institutionalization and capacity building (TA) –Not only to fill the contraceptive gap Analyze procurement models including vaccines revolving fund, CENABAST (Chile), UNFPA as procurement agent Take lessons learned from LAC and adapt to cultural and socio-economic conditions in other regions

7. A final message Reproductive Health Commodity Security is achieved through strategic design, development and implementation of policies and systems, that support forecasting, financing, procurement, and delivery of products

8. THANK YOU!!

9. Guiding questions Did you see any similarities (challenges and strategies)? How is it relate to the regions where the Coalition members provide support?