Contextualization of Integrated FP Commodity Security in the public and private sectors to reach FP2020 Situation, gaps and sustainability for the FP supply chain and service providers

Abstract

Strategizing sustainable FP Commodity Security for the NGO/Social Marketing sector in Pakistan

Full text

USAID Global Health Supply Chain Program
Pakistan
GHSC-PSM Project
Contextualization of Integrated FP Commodity Security in the public
and private sectors to reach FP2020
Situation, gaps and sustainability for the FP supply chain and service
providers
Dr. Muhammad Tariq December 19, 2016

USAID Global Health Supply Chain Program
Yearly commodity security financing needed to secure
Public Private sectors
$45 million / year to
secure commodity
security for both
public and private
sectors
Private sector includes Greenstar, MSS and FPAP

USAID Global Health Supply Chain Program
Weaned off USAID FP Commodity Financing
•USAID: c. $12 million in 2010
•USAID: c. $19 million in 2011
•USAID: c. $20 million in 2012
•USAID: c. $20 million in 2013
•USAID: c $15 million in 2014
•USAID: c $ 43 million in 2015
~>70 % of total market
*84 % availability of FP products
within public health outlets (DOH,
PWD, PPHI and LHW program
Source: *LQAS Stock Assessment Survey 2015 by
AC Neilson

USAID Global Health Supply Chain Program
*Cost in millions
Province
Department
Allocation*
Allocation Years
Consumed
so far*
Consumption
Year
Sindh
PWD &
DOH (joint)
$56.00
2014-19
$2.05
2015-16
Punjab
DOH
$14.25
2014-18
$7.25
2014-15
PWD
$10.00
2014-17
$5.53
2014-16
KPK
DOH
$2.19
2015-16
$1.58
2015-16
PWD
$2.98
2015-17
$0.72
2015-16
Balochist
an
DOH
$3.60
2015-18
0
PWD
$0.35
2015-16
0
Total
$89.37
$17.13
GOP created domestic financing opportunity:
Allocation versus Actual Procurements

USAID Global Health Supply Chain Program
With better transportation, the national stocks will be depleted by
end of 2017 Source: WMS/December 18, 2016
•All USAID financed commodities
delivered.
•Most of the key USAID
commodities will be consumed by
December, 2017.
•Sufficient stocks available for IUDs,
ECP and Jadelle.
•Consumption/uptake plan for
Jadelle is required to prevent
expiry
8
3
13 14 15
11
2
34
0
5
10
15
20
25
30
35
40
Months of Stock

USAID Global Health Supply Chain Program
This is not going to last forever!!!!
NGO stock allocation by the PPW-MoNHSR&C
Contraceptive Quantities (in millions)
Condom
3.458
COC
0.829
POP
Nil
Pills Postinor
-2 0.191
Copper
-T-380 A 0.647
DMPA
0.929
Jadelle
0.027
Implanon
0.0051

USAID Global Health Supply Chain Program
FP supply chain badly suffer without transportation !
Oct-Dec
2015
Jan-Mar
2016
April-Jun
2016
July-Sep
2016
Oct-Dec
2016
Condom 43,347,000 49,134,900 62,673,428 9,028,000 57,938,700
43,347,000
49,134,900
62,673,428
9,028,000
57,938,700
0
10,000,000
20,000,000
30,000,000
40,000,000
50,000,000
60,000,000
70,000,000
Condom - CWH Issuance
Oct-Dec
2015
Jan-Mar
2016
April-Jun
2016
July-Sep
2016
Oct-Dec
2016
COC 2,728,800 1,421,040 3,292,560 586,000 1,839,200
2,728,800
1,421,040
3,292,560
586,000
1,839,200
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
COC - CWH Issuance
Oct-Dec
2015
Jan-Mar
2016
April-Jun
2016
July-Sep
2016
Oct-Dec
2016
Copper-T-380A 385,200 305,700 326,100 140,200 415,900
385,200
305,700 326,100
140,200
415,900
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
Copper-T-380A - CWH Issuance
Oct-Dec
2015
Jan-Mar
2016
April-Jun
2016
July-Sep
2016
Oct-Dec
2016
3-Month Inj 1,211,200 668,800 2,028,000 453,000 1,748,050
1,211,200
668,800
2,028,000
453,000
1,748,050
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3-Month Inj - CWH Issuance

USAID Global Health Supply Chain Program
USAID FP Products - Issuance and Stock Summary
Source: Warehouse Management System - WMS (http://c.lmis.gov.pk)
Sr. No.
Product Unit Issuance SoH
15 Dec 2016
July
-
Sep 2016
Oct
-
Dec 2016
Total Issuance
1
Condom
PCs
7,918,000
16,124,700
24,042,700
87,172,900
2
POP
Cycles
720
0
720
39,600
3
COC
Cycles
439,840
172,880
612,720
11,211,840
4
ECP
Doses
23,400
3,300
26,700
194,700
5
Copper
-T-380A
IUD
115,300
110,500
225,800
1,041,200
6
3
-Month Inj
Vials
385,000
96,200
481,200
3,206,800
7
Implanon
PCs
1,600
1,024
2,624
4,416
8
Jadelle
PCs
13,500
18,500
32,000
121,700
Pakistan
Warehouse Management System (WMS) Data

USAID Global Health Supply Chain Program
NGO Sector FP Supply Chain Data Visibility in the LMIS
GSM
MSS
FPAP
FP commodity
Sourcing*
Inventory
management
SDP
consumption**
No visibility
Partially visible
Area
*Commodity funding base from multiple donors
** Only aggregated consumption data is available for GSM & MSS. FPAP is not reporting in
the system

USAID Global Health Supply Chain Program
S.No.
Contraceptives
2016-17 2017-18 2018-19
Quantity Cost($) Quantity Cost($) Quantity Cost($)
1
Condoms
4,509,732
100,116
4,960,705
110,128
5,456,775
121,140
2
COC
756,944
146,090
832,639
160,699
915,902
176,769
3
IUCD
201,129
48,271
221,243
53,098
243,367
58,408
4
Injectable
267,826
182,363
294,609
200,599
324,071
220,660
5
Implants
27,851
279,621
30,635
307,579
33,699
338,341
6
ECP
29,047
3,457
31,952
3,802
35,148
4,183
Total
759,918
835,906
919,502
Consolidated Forecast -- Sindh NGOs
NGOs: MSS, HANDS, FPAP, AMAN, Save the Children

USAID Global Health Supply Chain Program
•In addition to consumption data, integrating NGOs/SM transactional
data into the LMIS will help total visibility and resource planning
•TA to update total market and national forecast with cost
•Market segmentation analysis to help serve the lower quantiles
•Business planning/pricing for sustainable FP within NGO/SM sector
•Addressing non-supply chain factors to increase community based
demand, continuation rate, new-user adoption and quality HR for the
provision of FP services
Contraceptive Commodity Security: Way Forward

USAID Global Health Supply Chain Program
Thank you !
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