1. Country Typology Aiming for MDA Success RHSC MDA Working Group Presentation to the Coalition October 2006

2. 2 Context MDA WG seeks to identify and disseminate models and tools that facilitate the development of market approaches that meet the need of low and moderate income customers MDA WG seeks to identify and disseminate models and tools that facilitate the development of market approaches that meet the need of low and moderate income customers MDA scoping exercise conducted in Q1 2006 and recommendations were shared with RHSC in April 06 MDA scoping exercise conducted in Q1 2006 and recommendations were shared with RHSC in April 06 MDA WG identified need to create a tool that would broadly inform how MDAs relate to country environments MDA WG identified need to create a tool that would broadly inform how MDAs relate to country environments

3. 3 Summary of MDAs identified Shift costs from public sector purse to private pockets so that poor and vulnerable can be better served: Shift costs from public sector purse to private pockets so that poor and vulnerable can be better served: –Targeting subsidies –Transitioning consumers to higher priced products –Alternative financing mechanisms Reduce commodity costs for procurers and consumers Reduce commodity costs for procurers and consumers –Procurement mechanisms –Assisting generic manufacturers to play increased role in provision of RH products

4. 4 Summary of MDAs identified Reduce the costs of and increase the effectiveness of distribution Reduce the costs of and increase the effectiveness of distribution –Public to private distribution –Private provider training –Partnership for commercial distribution (with FMCG companies) –Social franchising

5. 5 Summary of MDAs identified Create an environment that encourages competition and choice Create an environment that encourages competition and choice –Support marketing and demand creation interventions Category demand creation Category demand creation Greater freedom with advertising / distribution Greater freedom with advertising / distribution Better communications (effectiveness of BCC) Better communications (effectiveness of BCC) –Policy interventions Registration facilitation Registration facilitation Taxation and duty reduction Taxation and duty reduction Increased number of products / offer (crowding in) Increased number of products / offer (crowding in) Authorize new distribution channels / type of outlets for hormonals Authorize new distribution channels / type of outlets for hormonals

6. 6 Purpose Develop a tool that would Develop a tool that would –provide a broad overview of where a country stands in the market development continuum –get a better sense of the type of MDAs interventions that would be appropriate for this country

7. 7 Intended use To: To: –Help focus analysis on the most relevant aspects of market development in a specific country –Educate about type of MDAs with higher chances of success Not to: Not to: –Replace a proper situational analysis –Tell stakeholders what to do

8. 8 Proposed Criteria Market Potential CPR levels x Population of Women of Reproductive Age CPR levels x Population of Women of Reproductive Age Competitive environment – esp. efficiency, affordability and targeting of public sector vs private sector Competitive environment – esp. efficiency, affordability and targeting of public sector vs private sector Financial Potential Ability to Pay Ability to Pay Willingness to Pay Willingness to Pay Business environment (regulations, taxes, distribution, promotion) Business environment (regulations, taxes, distribution, promotion)

9. 9 Proposed MP/FP matrix MarketPotential FinancialPotential Low High Low High Low CPR and/or competitive environment unfavorable Little ATP and/or WTP and/or unfavorable business environment Ex: Benin, Congo High CPR and/or favorable competitive environment High ability to pay and/or WTP and/or favorable business environment Ex: Morocco, Venezuela Low CPR and/or competitive environment unfavorable High ability to pay and/or WTP and/or favorable business environment Ex: Ukraine High CPR and/or favorable competitive environment Little ATP and/or WTP and/or unfavorable business environment Ex: Nigeria

10. 10 Status TORs developed TORs developed Activities to include: Activities to include: –Confirm criteria for the classification and revise as necessary –Recommend approach to weighing data –Document the classification system (methodology and approach) –Develop and explain the approach for 8 countries –Set up database in the RHSC website –Liaise with other WG in the Coalition

11. 11 Proposed next steps Identify consultancy to develop tool / database Identify consultancy to develop tool / database Determine source of funding Determine source of funding