Tag Archives | Family Planning and Reproductive Health

National Reproductive Health Commodities Forecasting Bangladesh 2017-2021

In 2012, SIAPS supported the Directorate General of Family Planning (DGFP) in conducting a five-year (2012-2016) forecasting exercise for reproductive health commodities and built the technical capacity of DGFP officials to manage the forecasting processes and analyze the FP2020 indicators pertinent to stock availability. SIAPS also assisted DGFP in forming the multi-stakeholder Forecasting Working Group (FWG) to annually review needs and facilitate data-informed procurement decisions. The FWG uses data collected through information management platforms and conducts quantification exercises on the basis of the consumption of RH/FP commodities. The 2012 forecasting exercise helped DGFP avoid redundant procurement decisions by using good-quality logistics data and saved money. However, after 2016, it had to be updated with the latest data. Therefore, at USAID’s request, SIAPS worked with FWG and developed another five-year (2017-2021) forecast of RH commodities to enable evidence-based contraceptive procurement decisions. The goal is to optimize a data driven procurement system and minimize losses through expiry from overstocking.

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Options Analysis for Integration of Oxytocin in the EPI Cold Chain in Mali

The Maternal Health Technical Resource Team (MHTRT) of the UN Commission on Life-Saving Commodities for Women and Children has been exploring strategies to increase access to quality oxytocin, including advocating for the integration of oxytocin in the existing cold chain for the Expanded Programme on Immunization (EPI).

Some countries, such as Mali and Ghana, have attempted integration in some areas of the country already and have experiences that can help answer that question. PATH and the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program recently prepared case studies on these countries that describe the extent to which integration was achieved. In neither case was integration systematic; it occurred spontaneously and out of necessity at points along the distribution chain.

The purpose of this activity is to work with national stakeholders to identify and analyze feasible and acceptable options for the integration of oxytocin in the EPI cold chain at key points along the distribution chain and to develop guidance on the operationalization of such integration.

A team composed of an international consultant, a national consultant, two representatives from the Directorate of Pharmacy and Medicines (DPM) and the SIAPS-Mali team worked together in the preparation and organization of workshops.

During the preparatory phase of the two working meetings, the team developed the terms of reference, the letter of invitation, and the agenda of the working meetings and presentations and agreed on the profile of the participants for the working meetings.

The methodological approach was the same for both working meetings, namely presentations followed by discussion and group work, summarized in a plenary session.

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Estudio de Línea de Base: Situación del suministro de medicamentos e insumos de Planificación Familiar de la República Dominicana

En el marco de la reforma del sector salud, el modelo de provisión a través de redes de servicios contempla la organización de un Sistema Único de Gestión de Medicamentos e Insumos (SUGEMI) operado y manejado por los Servicios Regionales de Salud (SRS). El SUGEMI se aprueba mediante el Acuerdo Ministerial (000019 julio 2010) y se ratifica por medio del Decreto Presidencial 168-13 del Presidente Danilo Medina. Con estos respaldos administrativos se establece como prioridad el SUGEMI con la finalidad de mejorar el acceso de la población a medicamentos esenciales e insumos sanitarios de calidad en la Red Pública de Servicios de Atención en Salud.

Con asistencia técnica del Programa Systems for Improved Access to Pharmaceuticals and Services (SIAPS), financiado por la Agencia de los Estados Unidos para el Desarrollo Internacional (USAID), la Unidad Nacional de Gestión de Medicamentos (UNGM) del Ministerio de Salud Pública (MSP) elaboró procedimientos operativos y manuales para la implementación del SUGEMI en los nueve SRS. En febrero de 2012 se realizó un inventario nacional para integrar los medicamentos e insumos del Programa Nacional de Control de la Tuberculosis, el Programa Nacional de Atención Integral de VIH y SIDA y medicamentos e insumos usados en el primer nivel de atención y nivel especializado. A partir de esta integración, los nueve SRS asumieron la gestión y operación del suministro de estos productos en la red de establecimientos, como lo establece la Reforma de Salud.

En la actualidad todavía existen programas de salud colectiva cuyo suministro de medicamentos e insumos continúa siendo operado por equipos del nivel central y las Direcciones Provinciales y Direcciones de Áreas de Salud (DPS/DAS). El plan de implementación del SUGEMI contempla la integración del programa de Planificación Familiar (PF) de la Dirección General Materno Infantil y de Adolescentes (DIGEMIA) del MSP en el 2015.

La DIGEMIA solicitó apoyo a SIAPS/USAID para llevar a cabo un estudio de línea de base para conocer la situación de la gestión del suministro de los insumos de PF e identificar intervenciones para la elaboración de un plan de integración al SUGEMI. Para el desarrollo de este estudio se contó con el apoyo del Fondo de Población de las Naciones Unidas (UNFPA).

El estudio permitió conocer el proceso logístico operado por el programa a nivel central y las DPS/DMS. Los hallazgos presentados en este documento servirán de fundamento para una propuesta que incorpore los productos usados por el Programa de PF a un sistema integrado.

Disclaimer: These documents have been finalized in collaboration with country partners and have not been reviewed by SIAPS Program editorial staff

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