1. STAKEHOLDER COORDINATION AS A KEY APPROACH TO EFFECTIVE CONTRACEPTIVE SECURITY IN KENYA Dr. Bashir Issak Division of Reproductive Health Ministry of Public Health & Sanitation

2. Donors Government Private Sector NGOs and other stakeholders Background  The goal: “Uninterrupted and affordable supply of contraceptives to all people who need them, whenever and wherever they need them”  Contraceptive Supply Chain uncoordinated

3.  Better stakeholder coordination through FP Logistics Working Group - JICC structure of MOPHS  Inclusion of a GOK budget line for FP commodities ($6 million 2009-10)  FP priority for Vision 2030  Availability of data collection and analysis tools What Changed?/Enabling Factors

4.  Priority intervention for MNCH in Kenya  Part of minimum MNCH package from Level 1 (community) to Level 6 (Referral hospital)  Health Sector Target to raise CPR to 70 % by 2015  System strengthening key - Commodities What Changed?/Enabling Factors

5.  Government and Donor commitments to procure all contraceptive  Regular review of forecasted quantities according to changing scenarios  Constant monitoring of the contraceptive pipeline both upstream and downstream  Increased service delivery points reporting rates from 10% in Dec 2008 to 68% in Dec 2009  Commodity procurement and distribution system to over 4,000 health facilities by KEMSA  Public sector provides 80% of private sector commodity needs Achievements

6.  Parallel procurement systems by GOK and DPs.  Lack of recommended buffer stock in the system  Timely distribution of contraceptives to the districts, SDPs and especially to the private sector – partly due to insufficient resources.  A weak commodity reporting system  “Push” system for contraceptive supplies to health centers and dispensaries Challenges

7.  Improve efficiency of distribution system by increasing resource allocation for KEMSA  Harmonize the different procurement systems  Develop reliable procurement plan with effective monitoring systems  Build sub national capacity in forecasting and reporting Way Forward