June 24, 2011 Addis Ababa, Ethiopia Nora Quesada Nadia Olson Anabella Sanchez Wendy Abramson Building a South-to-South Exchange Network in the Latin America.

June 24, 2011Addis Ababa,

Ethiopia

Nora QuesadaNadia Olson Anabella Sanchez Wendy Abramson

Building a South-to-South Exchange Network in the

Latin America and Caribbean Region

In the summer of 2003, In the summer of 2003, the USAID LAC BUREAU the USAID LAC BUREAU

launched a Regional launched a Regional Initiative…Initiative…

In Eight Countries: Guatemala, El Salvador

Dominican Republic,

Bolivia…

…Honduras, Nicaragua, Paraguay, and Peru

Completed country/ regional assessments

Formed most of LACCS committees

The inaugural event, Contraceptive

Security Advocacy Conference,

Managua, Nicaragua, July 2003

The Road Has Been The Road Has Been Long and Winding…Long and Winding…

Ensure Harmonization

Leverage Resources

Use Data for Decisions

Focus on Sustainability

We Learned Four Essential Principles Along the Way…

2003

Phase-out process begins

Countries depend on contraceptive donations

Family planning mainly supported by donors

2006

Country assessments show CS challenges remain

CS committees active in eight countries

Various countries financing & procuring contraceptives

2011

Six countries financing 100% of contraceptives

Six countries procuring quality contraceptives at internationally competitive prices

Five countries managing integrated supply systems

We Have Come a Long Way…

We Built Roads Between Countries…

3 countries passed laws to protect financing and access to family planning

3 countries are better coordinating service provision

6 countries finance their contraceptives 100 percent

6 countries realize significant cost savings by procuring through UNFPA and other innovative options

5 countries are building integrated supply chains, based on the contraceptive model

2 countries manage their supply chains on their own, and one with minimal external assistance.

Contraceptive Financing from Country Governments 2006–2010

Source: Olson, Nadia, Anabella Sánchez, Ángel Reynoso, y Nora Quesada. 2010. La Adquisición de Anticonceptivos en América Latina y el Caribe: Un Análisis de Opciones Actuales y Futuras en Ocho Países. Arlington, Va.: USAID | PROYECTO DELIVER, Orden de Trabajo 1.

Notes: Donors provide the remaining funds to cover total public sector need in each country.

Contributed to Great Achievements…

“The regional initiative provided crucial

assistance. We had the opportunity to share

experiences with other countries and this helped

us to broaden our approach to the topic and

allowed us to move forward. Having this

support strengthens us..”

- Dr. Esmeralda Ramirez, Director RH Department, MOH, El

Salvador

“The initiative helped me to develop a vision for closer collaboration between Ministries of

Health and Social Security Institutions.

We are working towards achieving the

same objective but through different

channels.” - Dra. Yesenia Díaz, Deputy

Director of Health Services for the Insurance Department, SSI,

Dominican Republic

That Were Led by Local Leaders…

Modern Contraceptive Use in LAC Countries (Women in Union)

Who Helped Fuel Improved Outcomes…

• Health sector reform is still a major challenge

• Developing lasting procurement options will be difficult

• The fight for financing to distribute contraceptives and other essential medicines never ends

• Huge disparities in access still exist in every country, especially among our adolescents, our indigenous, and our rural populations

• These supply systems still need to be fully embedded in the health system and used as a strategic pillar for delivering health services

But We Still Have a Long Way to Go…

Thank

[email protected]