1. Speaking the Same Language Stockout indicators landscape analysis and harmonization efforts Suzy Sacher 14 November 2013 International Conference on Family Planning Addis Ababa, Ethiopia

2. Overview of Presentation -Background & purpose -Methodology -Findings from landscape analysis -Next steps

3. Background & Purpose

4. Why Consider Harmonizing Stockout Indicators? Inconsistent measurements of stockouts across organizations - differences in: – Definitions – Methodology Lack of confidence in data collected Challenge to compare data & use for advocacy

5. Percent of Facilities Stocked Out 1)What percent of all health facilities do not have the product today? 2) What percent of facilities that offer the product do not have the product today? 2b) What percent of these facilities had a stockout of the method any time in the last 6 months?

6. Purpose of Activity Conduct a landscape analysis of indicators Propose an approach to how we measure stockouts and availability so that results: better quantify the occurrence and impact of stockouts can be universally interpreted can be used for advocacy can be used to measure progress Then: Generate the passion to meaningfully mobilize action to decrease stockouts (future Coalition work).

7. Methodology

8. . Survey. Key informant interviews. Document review Indicator definitions Data collection methods Uses of information Challenges Recommendations for way forward, Research Approach. Topics Methods

9. Key Informants LevelAdvocacySupply Chain Service Delivery Social Marketing ResearchCommercial Supply Chain Country level & global level AFP PAI PRB MSI UNFPA USAID USAID | DELIVER SC4CCM MSI ICON McKinsey SIAPS PATH BMGF Profamilia WINGS Engender Health IPPF World Bank Ipas DKT PSI Futures Ibis Pop Council Biogen IDEC Novartis Consumer packaged goods Other: RHSC, PGH, PM&A, World Bank

10. Findings

11. Main Indicator Categories Methods offered Stockout on day of assessment or reportChoice of FP methodsStockouts during the past X monthsMagnitude of stockouts during the past X months (frequency & duration)Referral tracking

12. Differences in Stockout Indicators & Definitions Level of system & which facilities/locations consideredTime period of measurementBy brand, method, or all methods togetherSource of data/how data collectedFrequency of data collectionQuantity of stock remaining (definition of “stockout”)

13. Differences in Choice Indicators Availability of 5 modern methods at SDPs Availability of at least 4 methods, including at least 1 LAPM Availability of method categories, including barrier, hormonal short-acting, and long-acting reversible Which methods clients know about & use & if obtained the method they wanted

14. Next Steps

15. Deliverable Options Single indicator recommended for use Suite of recommended indicators to choose from List of all current & suggested indicators Obtained recommendation from advisory group regarding most useful deliverable:

16. Next Steps Draft suite of indicators Obtain working group input Finalize the suite of indicators Obtain organizational buy-in to use recommended indicators

17. For more information: Reproductive Health Supplies Coalition Ellen Tompsett: etompsett@rhsupplies.orgetompsett@rhsupplies.org http://www.rhsupplies.org USAID | DELIVER PROJECT Suzy Sacher: ssacher@jsi.comssacher@jsi.com http://deliver.jsi.com

18. Thank you! Amaseganalu!