Análisis del Mercado de Anticonceptivos en Honduras
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Author(s):
Dana Aronovich, Disha Ali, Nora Quesada, Juan Agudelo
Date of Publication
2008
La segmentación de mercado constituye una de las herramientas principales para conocer el mercado de anticonceptivos, visualizar dónde se están focalizando los recursos e identificar problemas de acceso y equidad entre quintiles socio-económicos. Este análisis muestra que los esfuerzos por expandir el acceso y el uso de planificación familiar en Honduras han sido exitosos, pero que aún existen discrepancias en las tasas de fecundidad global y en la tasa de prevalencia anticonceptiva entre las poblaciones urbanas y rurales y entre los grupos socio-económicos en Honduras y que la necesidad insatisfecha alcanza un 16.9 por ciento. (This publication is only available in Spanish.)
Appendix E of Mali: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned
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Author(s):
Steve Kinzett, Ramona Lunt
Date of Publication
2000
These forms accompany the Review of Accomplishments and Lessons Learned for Mali. It includes eighteen pages of epidemiology report forms.
ARV Drug Forecast for Kenya’s National ART Programme—2004-2006
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Author(s):
Yasmin Chandani , Cecilia Muiva, Mary Wangai
Date of Publication
2006
The National AIDS and STD Control Programme (NASCOP), in partnership with the Ministry of Health’s ART Task Force, has been engaged in strategic planning for ART since 2002., with the goal of developing a rational and feasible approach to introducing and expanding access to ART in both private and public health sectors. This report covers the three-year ARV drug forecast and procurement plan.
Assessment of the Ghana Laboratory Logistics System and Services
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Author(s):
Nii Akwei Addo, Rowland Adukpo, Veronica Bekoe, Samuel Boateng, Ronald Brown, Egbert Bruce, Aoua Diarra, Parfait Edah, Wendy Nicodemus, Festus Sroda
Date of Publication
2006
This assessment of laboratory services and logistics system follows an initial technical assistance visit by the DELIVER project, which was conducted in June–July 2005 to map the Ghanaian laboratory quality assurance referral system. The current assessment of the laboratory system conducted by the DELIVER project (headquarters and Ghana field office) and the Ghana national counterparts in March 2006 is a first step toward the design of a laboratory logistics management information system.
Bangladesh: Assessment of the USAID/Bangladesh Component of DELIVER Project
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Author(s):
Alan Bornbusch, J. Timothy Johnson, Sharmila Raj
Date of Publication
2006
At the request of USAID/Bangladesh, a three-person team conducted an end-of-project assessment of DELIVER/Bangladesh. It included a retrospective assessment of project accomplishments and a prospective assessment of future technical assistance needs in logistics and contraceptive security.
Bangladesh: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned
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Author(s):
Steve Kinzett, Jim Bates
Date of Publication
2000
This report documents the status of technical assistance provided by the Family Planning Logistics Management project to the Bangladesh Family Planning Program in developing a countrywide contraceptive logistics system.
Bangladesh: Contraceptive Market Segmentation Analysis
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Author(s):
Deepika Chawla, David Sarley, Susan Scribner, Ruth Berg, Asma Balal
Date of Publication
2003
Segmentation of the contraceptive market in Bangladesh already exists with the public and private sectors playing crucial roles. Using the Demographic Health Survey data to highlight each sector’s efforts to reach contraceptive users, this report will help guide policymakers and other stakeholders in resource allocation decisions.
Bangladesh: Contraceptive Procurement in Transition: How Context Can Affect Outcomes
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Author(s):
Jim Bates
Date of Publication
2008
This paper considers the types of work on contraceptive procurement being undertaken world-wide, and examines the experiences of Bangladesh, considering factors that may have promoted or impeded progress. It also places the results in context, comparing experiences of two other countries—Peru and Malawi. Finally, the paper suggests a framework for identifying and assessing variables that may affect procurement outcomes.
Bangladesh: Family Planning Market Segmentation— Update of the 2003 Analysis
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Author(s):
Ali Mehryar Karim, David Sarley, Anthony A. Hudgins
Date of Publication
2007
In recent years, both the public and private sectors have expanded their roles in the growing family planning market in Bangladesh. This analysis shows that public–private partnership in Bangladesh has been effective. However, there are still opportunities for both the public and private sectors to expand their services further to reach even more clients.
Bangladesh: Final Country Report
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Author(s):
DELIVER Project
Date of Publication
2007
The Bangladesh family planning program has evolved over the course of 30 years to become recognized as one of the most effective programs in the world, despite extreme poverty, illiteracy, religious resistance, and the low status of women. This report documents the technical assistance provided by the USAID | DELIVER PROJECT to the Ministry of Health and Family Welfare (MOHFW) in logistics management, procurement, contraceptive security, institutional strengthening, and local capacity building.
Bolivia: Análisis de Segmentación del Mercado
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Author(s):
Wendy B. Abramson, Sharon Soper, Leslie Patykewich, Ali Karim, David Sarley, Nora Quesada, Patricia Saenz
Date of Publication
2005
NOTE: This document is in SPANISH. El análisis de segmentación de mercado puede ayudar a sectores públicos y privados a identificar los segmentos del mercado con mayor necesidad insatisfecha y determinar como se pueden enfocar los recursos para asegurar que todos los segmentos de la población elijan, obtengan y utilicen los anticonceptivos que requieren. Cuando se usa el análisis de segmentación de mercado como herramienta de la política, se pueden crear oportunidades para todos los sectores del mercado e identificar sus papeles complementarios en el abastecimiento de productos y de servicios de planificación familiar.
Bolivia: Final Country Report: Executive Summary
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Author(s):
DELIVER Project
Date of Publication
2007
The USAID | DELIVER PROJECT project in Bolivia has developed a system for the administrative logistics of medications and inputs for contraceptives, which over time has been integrated for essential medications and basic inputs. The system has become a national regulation, Unified National Supply System (SNUS), whose objective is to guarantee the timely availability of medications and inputs.
Bolivia: Informe Final del País
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Author(s):
DELIVER Project
Date of Publication
2007
USAID | DELIVER PROJECT ha desarrollado el sistema de administración logística de medicamentos e insumos para anticonceptivos que en su proceso ha sido integrado para los medicamentos esenciales e insumos básicos, convirtiéndose en una normativa nacional denominada Sistema Nacional Único de Suministro (SNUS) cuyo objetivo es garantizar la disponibilidad oportuna de medicamentos e insumos. (This publication is only available in Spanish.)
Burkina Faso: Evaluation of the Logistics System for Antiretroviral Drugs
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Author(s):
Gregory Roche, Abdourahmane Diallo, Paul Dowling, and Suzanne Church
Date of Publication
2006
A team of DELIVER and USAID staff, working in collaboration with local ministry officials in Burkina Faso, implemented DELIVER's Tool to Assess Site Readiness for Initiating Antiretroviral Therapy (ART). This assessment is intended to assist the Ministry of Health in identifying the logistical and clinical issues that need to be addressed to support the initiation and expansion of HIV continuum care of services for HIV/AIDS in the country.
Capacity Building in Supply Chain Management in Sierra Leone
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Author(s):
Motomoke Eomba, Sarah Andersson
Date of Publication
2008
In January 2008, the National HIV/AIDS Secretariat (NAS) with technical assistance from the USAID |
DELIVER PROJECT funded by USAID | West Africa, designed a logistics system for ARV drugs. This
report presents the methods used to design the logistics system, the in country pipeline, the inventory control
system, the logistics forms that will be used to manage the information by collecting logistics essential data
and the implementation plan of the design in Sierra Leone.
Contraceptive Procurement Policies, Practices, and Lessons Learned: Brazil
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Author(s):
Cecilia Studart, Blanka Homolova, Miguel Fontes, Rodrigo Laro, Nadia Olson
Date of Publication
2006
This study of Brazil has been commissioned by the Commodity Security and Logistics Division of the Global Health Bureau of the United States Agency for International Development (USAID), with Global Leadership Project funding, to identify important lessons learned following USAID’s phaseout of Brazil as a recipient of contraceptive donations and other family planning funding. This document reports on the state of contraceptive security in Brazil, more than five years after USAID stopped donating contraceptives to the country.
Contraceptive Procurement Policies, Practices, and Options: Bolivia
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Author(s):
Nora Quesada, Wendy Abramson, Verónica Siman Betancourt, Varuni Dayaratna, Jay Gribble, David Sarley, Carlos Lamadrid, Nadia Olson, Juan Agudelo
Date of Publication
2006
In light of the phaseout of donor funds in Latin America and the Caribbean, Bolivia will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of various procurement options to identify efficient, economical, and timely distribution of high-quality contraceptives.
Contraceptive Procurement Policies, Practices, and Options: Dominican Republic
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Author(s):
Juan Agudelo, Varuni Dayaratna, Cristian Morales, Nora Quesada, David Sarley, Wendy Abramson, Jay Gribble, Carlos Lamadrid, Nadia Olson, Verónica Siman Betancourt
Date of Publication
2006
In light of the phaseout of donor funds in Latin America and the Caribbean, the Dominican Republic will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of various procurement options to identify efficient, economical, and timely distribution of high-quality contraceptives.
Contraceptive Procurement Policies, Practices, and Options in Honduras
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Author(s):
Jay Gribble, , Nora Quesada, Varuni Dayaratna, Wendy Abramson, David Sarley, Carlos Lamadrid, Nadia Olson, Verónica Siman Betancourt
Date of Publication
2006
In light of the phaseout of donor funds in Latin America and the Caribbean, Honduras will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of different procurement options to identify efficient, economical, high quality, and timely distribution of contraceptives.
Contraceptive Procurement Policies, Practices, and Options: Nicaragua
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Author(s):
Juan Agudelo, Cristian Morales, Nora Quesada, David Sarley, Wendy Abramson, Jay Gribble, Carlos Lamadrid, Nadia Olson, Varuni Dayaratna, Verónica Siman Betancourt
Date of Publication
2006
In light of the phaseout of donor funds in Latin America and the Caribbean, Nicaragua will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of various procurement options to identify efficient, economical, and timely distribution of high-quality contraceptives.
Contraceptive Procurement Policies, Practices, and Options: Paraguay
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Author(s):
Quesada, Nora, Varuni Dayaratna, Wendy Abramson, Jay Gribble, Verónica Siman Betancourt, David Sarley, Carlos Lamadrid, Nadia Olson, Juan Agudelo
Date of Publication
2006
In light of the phaseout of donor funds for family planning in Latin America and the Caribbean, Paraguay will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of different procurement options to identify efficient, economical, high quality and timely distribution of contraceptives.
Contraceptive Procurement Policies, Practices, and Options: Peru
(906 KB)
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Author(s):
Varuni Dayaratna, Nora Quesada, Jay Gribble, Wendy Abramson, David Sarley, Carlos Lamadrid, Nadia Olson, Verónica Siman Betancourt
Date of Publication
2006
In light of the phaseout of donor funds in Latin America and the Caribbean, Peru will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of different procurement options to identify efficient, economical, high quality and timely distribution of contraceptives.
Estrategia Nacional para la Disponibilidad Asegurada de Insumos Anticonceptivos
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Author(s):
Dra. Yeni Meza, Dr. Anibal Fúnez, Dra. Sandra Ramirez, Dr. Enrique Espinal Zelaya, Dr. Ivo Flores Flores
Date of Publication
2006
La “Estrategia Nacional para la de Reducción de la Mortalidad Materna e Infantil” diseñada por la Secretaría de Salud identifica a la Planificación Familiar como el componente más importante para reducir las muertes maternas e infantiles a los niveles comprometidos por el país. La aplicación de este componente es posible si se cuenta con los insumos y métodos anticonceptivos en la cantidad, oportunidad y calidad suficientes y si se cumplen los procesos relacionados con la adquisición, almacenamiento, distribución y consumo de los anticonceptivos en la red de servicios. (This publication is only available in Spanish.)
Ethiopia: Final Country Report
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Author(s):
DELIVER Project
Date of Publication
2007
Since 2003, the USAID | DELIVER PROJECT in Ethiopia has worked continuously with two of the Federal Ministry of Health’s key departments: the Pharmaceutical Supply and Logistics Department and the Family Health Department. The program includes three main elements: design and implementation of the Ethiopian Contraceptive Logistics System, support to contraceptive security, and active involvement in the development of a Health Commodity Supply System Master Plan.
Evaluación Cuantitativa de Indicadores Logísticos Honduras, 2006
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Author(s):
Jaya Chimnani, Kim Peacock, José Ochoa, Jane Feinberg, Sandra Sánchez
Date of Publication
2006
La Secretaría de Salud de Honduras está tomando las medidas necesarias para mejorar el sistema logístico de insumos anticonceptivos con la meta de asegurar la disponibilidad de anticonceptivos en el país. Como paso inicial, se realizó una evaluación de los indicadores logísticos en abril, 2006, para identificar las fortalezas y las debilidades del sistema. (This publication is only available in Spanish.)
Evaluation des Indicateurs et du Système de Gestion Logistique des Contraceptifs et des Médicaments de Traitements des IST du Mali
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Author(s):
Youssouf Ouedraogo, Briton Bieze, Ibnou Diallo, Dana Aronovitch
Date of Publication
2006
En 2001 Le Ministère de la Santé du Mali a conduit une enquête sur la performance du système logistique des produits contraceptifs et des médicaments de lutte contre les infections sexuellement transmissibles (IST) avec l’assistance technique de DELIVER. Ce rapport d’évaluation de 2005 identifie les domaines d’améliorations réalisées depuis lors et propose des recommandations correctives et des activités pour l’amélioration du système logistique. (This publication is only available in French.)
Evaluation du Système de Gestion Logistique des Contraceptifs au Sud Maniema en République Démocratique du Congo
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Author(s):
Youssouf Ouédraogo, Motomoke Eomba, Jennifer Antilla
Date of Publication
2006
Cette étude fournit des informations sur la situation du programme actuel de gestion des contraceptifs dans les 10 zones de santé appuyées par CARE au Sud Maniema en RDC. Ce rapport d’évaluation présente des informations sur la performance du système logistique, la disponibilité des produits, la disponibilité et la qualité des données logistiques, le support organisationnel et les aspects d’autres composantes du système. (This publication is only available in French.)
Evaluation du Système de Gestion Logistique des Contraceptifs du Rwanda
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Author(s):
Youssouf Ouédraogo, Armand Utshudi, Norbert-Aimé Péhé, Jovith Ndahinyuka, Gregory Roche
Date of Publication
2006
En 2002 Le Ministère de la Santé du Rwanda a conduit une enquête sur la performance du système logistique des produits contraceptifs avec l’assistance technique de DELIVER. Au cours de 2003 et 2004 des études de routines ont été effectuées pour le suivi du programme afin d’assurer la disponibilité des produits contraceptifs et renforcer le système de gestion logistique des contraceptifs. (This publication is only available in French.)
Experiences from the Field: Strategies for Skills Transfer in Supply Chain Management for Developing Countries
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Author(s):
Kieran McGregor, Yasmin Chandani
Date of Publication
1999
This report recommends steps that should be taken to help developing country nationals institutionalize supply chain skills. The report also describes case studies that were conducted in Jordan, Mexico, and Malawi, where logistics management responsibilities are being transferred to national-level personnel.
Ghana: Estimating the Cost of Logistics in the Ministry of Health Supply System
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Author(s):
Maggie Huff-Rousselle, Sangeeta Raja
Date of Publication
2002
Details a study that estimated the costs of the Ghana Ministry of Health logistics system, including essential drugs, non-drug commodities, and contraceptives supplied throughout the public sector.
Ghana: Final Country Report
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Author(s):
DELIVER Project
Date of Publication
2007
For some time, Ghana managed and distributed public-sector health commodities through the operation of four vertical supply chains, which were judged by the Ministry of Health (MOH) to be ineffective. In its medium-term strategy, which ended in 2001, the MOH noted the need to improve the efficiency of health commodity supply chains to address the nation’s public health goals. The USAID | DELIVER PROJECT has since then proposed and implemented numerous supply chain improvements (especially in procurement management, storage, and distribution) with the aim of reversing the observation of the Ghanaian health authorities and fulfilling the USAID strategic objective of improved health status.
Ghana HIV/AIDS Commodity Security: A National Strategy 2006-2010
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Author(s):
Republic of Ghana, Ghana Health Service; Ghana National Aids Control Program; USAID | GHANA; DELIVER
Date of Publication
2006
Produced by the HIV/AIDS Commodity Security Technical Working Group in Ghana, this document outlines Ghana’s commodity security strategy.
Ghana: Implications of Health Sector Reform for Contraceptive Logistics
(2,486 KB)
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Author(s):
Yasmin Chandani, Kathryn Crowley, John Durgavich, Ramona Lunt, Paula Nersesian, Norbert Pehe, Timothy Rosche
Date of Publication
2000
This study analyzes the implications of health sector reform for contraceptive logistics in Ghana. Conducted by the Family Planning Logistics Management project in cooperation with Ghana's Ministry of Health, the study is based on fieldwork completed in Ghana in 1999.
Ghana: Pharmaceutical Pricing Study, Policy Analysis and Recommendations
(989 KB)
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Author(s):
David Sarley, Hany Abdallah, Raja Rao, Peter Gyimah, Joycelyn Azeez, Bertha Garshong
Date of Publication
2003
This report offers policy recommendations to address difficulties encountered by Ghana's public sector health commodity distribution system, such as large variations in the prices of essential medicines across the country and increased irrational drug use.
Ghana: Preparing for the Management of Antiretroviral Drugs-Findings and Recommendations of the ARV Assessment Team
(1,429 KB)
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Author(s):
Barbara Felling, Johnnie Amenyah
Date of Publication
2003
This report presents the findings of the DELIVER team that traveled to Ghana in April 2003 to assess Ghana's capacity to manage antiretroviral (ARV) drugs and antiretroviral therapy (ART).
Ghana: Process Mapping. First Step to Reengineering the Health Supply Chain of the Public Sector System
(770 KB)
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Author(s):
Scott Brumburgh, Sangeeta Raja
Date of Publication
2002
Explains how process mapping can be used to assess supply chains and identify potential areas for improvement. This report describes how the authors used process mapping to evaluate four supply chains of the Ghana public sector health logistics system: essential drugs, non-drug consumables, contraceptives, and vaccines.
Ghana: Quantitative and Qualitative Logistics System Assessment (LIAT and LSAT) Report 2006
(2,141 KB)
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Author(s):
DELIVER Project
Date of Publication
2007
In 2006, a Logistics System Assessment and Stock Status Survey was conducted to provide information to the MOH, USAID/Ghana, and other stakeholders in Ghana on the availability of health commodities and logistics information at the central, regional, district, and health facility levels. This comprehensive assessment of the logistics system consisted of both quantitative and qualitative data collection using two separate data collection tools: the Logistics Indicators Assessment Tool (LIAT) and the Logistics System Assessment Tool (LSAT), respectively.
Ghana: System Design for TB Commodity Distribution System
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Author(s):
USAID | DELIVER PROJECT
Date of Publication
2008
In January 2008, the National TB Program, Ministry of Health and Ghana Health Services with technical assistance from the USAID | DELIVER PROJECT, designed a logistics system for TB medicines. This report presents the methods used to design the logistics system, the in country pipeline, the inventory control system, the logistics forms that will be used to manage the information by collecting essential logistics data and the implementation plan of the design in Ghana.
Honduras: Final Country Report
(1,889 KB)
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Author(s):
DELIVER Project
Date of Publication
2007
The USAID | DELIVER PROJECT carried out by JSI in Honduras benefited in particular the Ministry of Health (MOH) and the Honduran Family Planning Association (ASHONPLAFA). The project’s main accomplishments were the development of local capacity to plan procurement that uses logistics information from family planning activities, the development of software for managing inventories and logistics management information for the MOH, and the formation and consolidation of the Contraceptive Security Committee and the contraceptive security (CS) national strategy, which involved a variety of national stakeholders and was ratified by the MOH.
India: Final Country Report
(1,652 KB)
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Author(s):
DELIVER project
Date of Publication
2007
In India, the USAID | DELIVER PROJECT worked in three states, namely Uttar Pradesh (UP), Uttaranchal, and Jharkhand, in northern India. However, many of the technical assistance activities during this report period were focused on UP and then on Uttaranchal. When the project started working in UP, the largest state in India with 160 million people, contraceptive prevalence rate was barely 19 percent, and the entire public sector contraceptive logistics system was in disarray. Therefore, many of the interventions involved setting up systems, system streamlining, training, and system strengthening in working with local partners, such as the State Innovation in Family Planning Services Agency (SIFPSA) and the Indian Institute of Management, Lucknow. By 2005, the contraceptive prevalence rate in UP had risen to 29 percent.
Jordan: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned
(3,357 KB)
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Author(s):
Sandhya Rao
Date of Publication
2000
This report describes a two-phase national study of the Jordan Contraceptive Logistics System conducted by the Family Planning Logistics Management project in 1999.
Kenya: Assessment of the Health Commodity Supply Chains and the Role of KEMSA
(2,715 KB)
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Author(s):
Dana Gelfeld Aronovich, Steve Kinzett
Date of Publication
2001
Describes how the Government of Kenya, to improve efficiency within the health sector, is transforming its central and regional medical supply stores into a parastatal organization by applying private-sector management techniques to supply the public health system with the health commodities it requires.
Kenya: Final Country Report
(2,717 KB)
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Author(s):
DELIVER project
Date of Publication
2007
The DELIVER Project in Kenya began its operations in October 2000 after the Family Planning Logistics Management III Project ended. The primary goal of the project at that time was improved availability of contraceptives and other essential health commodities at service delivery points. The main strategy toward this end was to strengthen health sector logistics management systems, and the main partner was the Ministry of Health Division of Reproductive Health. Over the next five years, the USAID | DELIVER PROJECT saw an extraordinary increase in its scope of work. By the end of the project in 2006, the project was working with the National AIDS and STI Control Program, the National Leprosy and Tuberculosis Program, the STI Program, the National Public Health Laboratory Service, the Kenya Medical Supplies Agency, and the Kenya Expanded Program on Immunization.
Kenya: Preliminary Assessment of HIV Test Requirements
(2,479 KB)
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Author(s):
David Alt, Yasmin Chandani, Steve Kinzett.
Date of Publication
2002
As part of the Decentralization HIV/AIDS and Reproductive Health Project (DARE), the Ministry of Health (MOH/K) and John Snow, Inc., (JSI) were required to regularly forecast quantities of HIV test kits needed by all the public sector and
nongovermental organization (NGO) programs in Kenya. To determine past use of HIV tests and likely expansion of HIV testing activities, the MOH and JSI/DELIVER staff interviewed key informants and reviewed records and reports from all available sources involved in the Kenya national HIV/AIDS program.
Kenya: Stock Status and Logistics System Assessment 2006
(6,247 KB)
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Author(s):
Elizabeth Bunde, Erika Ronnow, Gerald Kimondo
Date of Publication
2007
In 2006, the Logistics Indicator Assessment Tool (LIAT) was used to take stock of the performance of the logistic systems and to provide stock status information for key public health commodities. Results of the assessment revealed that nearly all systems were implemented as designed, but strengths and weaknesses continue to exist. The widespread availability of key commodities for each program was found throughout the logistic systems. In addition, both commodity availability and logistics management practices in the ARV program are performing well.
Liberia: A Contraceptive Security Assessment
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Author(s):
Meba Kagone, Paul Dowling, Jennifer Antilla, Ruth Cooper
Date of Publication
2007
An assessment of the contraceptive security (CS) situation in Liberia was carried out by a team of DELIVER consultants working with the Family Health Division of the Ministry of Health and Social Welfare (MOHSW.) Using an adapted SPARHCS (Strategic Pathway towards Reproductive Health Commodity Security) framework and tool, the team reviewed documents, met with stakeholders and visited health facilities for the public, nongovernmental and commercial sectors in five of the fifteen counties in Liberia. This assessment will serve as the basis for the development of a national CS strategy.
Malawi: Final Country Report
(1,560 KB)
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Author(s):
DELIVER project
Date of Publication
2007
The Ministry of Health (MOH) of Malawi is committed to establishing an integrated health logistics system, especially for products in the Essential Health Package (EHP). Over a six-year period, the USAID | DELIVER PROJECT provided technical assistance to the MOH in building an integrated logistics system, including the implementation of the reengineered logistics system; designing and implementing a new training program based on a revised set of standard operating procedures; and improving the EHP supply chain and information systems.
Malawi: HIV Test Kit Supply Chain Assessment and Quantification
(4,942 KB)
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Author(s):
Claudia Allers, Amanda Mwirotsi
Date of Publication
2008
In March and April 2008, the Ministry of Health, HIV and AIDS Department, with technical assistance from the USAID | DELIVER PROJECT funded by USAID | Malawi, conducted a national quantification of HIV test kit requirements for the Government of the Republic of Malawi’s next two fiscal years, July 2008 – June 2010, and an assessment of the supply chain for managing HIV test kits in Malawi. This report documents the findings and recommendations from the supply chain assessment, as well as the methodology and results of the quantification with the total quantities and costs of the HIV test kits required and the funding requirements per year based on known funding commitments and funding gaps identified at the time of the quantification.
Malawi Logistics System Assessment and Stock Status Report 2006: Comparison of 2004 and 2006 Assessment Results
(1,983 KB)
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Author(s):
Jaya Chimnani, Veronica Chirwa, Erika Ronnow
Date of Publication
2006
In March 2006, DELIVER conducted a nationally representative survey on the availability of selected health commodities at Ministry of Health (MOH) and nongovernmental organization (NGO) facilities throughout Malawi. The information provided through this survey, along with the results from any previous surveys, will allow the MOH and its partners to monitor the effectiveness and efficiency of the health commodity logistics system and to make adjustments as necessary. The Logistics Indicators Assessment Tool (LIAT), which was tailored in Malawi in 2004, was used again with minor adaptations to address current assessment needs. Comparative analysis was conducted with the results from the 2004 survey and to determine any change in the health commodity logistics system over the last two years.
Mali: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned
(5,001 KB)
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Author(s):
Steve Kinzett, Ramona Lunt
Date of Publication
2000
This report details the efforts of the Family Planning Logistics Management project to help the Government of Mali establish an effective contraceptive logistics system. The context of health sector reform and its associated changes in the country are described.
Mali: Evaluation of the Logistics Management System for Contraceptives and Drugs to Treat Sexually Transmitted Diseases: Executive Summary
(1,288 KB)
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Author(s):
Youssouf Ouedraogo , Briton Bieze, Ibnou Diallo, and Dana Aronovich
Date of Publication
2006
In 2001, the Ministry of Health in Mali, with technical assistance from the USAID | DELIVER PROJECT, conducted a performance evaluation of the of the logistics system for contraceptives and drugs to treat sexually transmitted infections. The follow-on evaluation in 2005 by the Ministry of Health and the project identified changes since the 2001 evaluation; providing information on the logistics system, the availability of products, and the availability and quality of logistics data; and to propose recommendations and activities for further improving the logistics system. This document is the executive summary from the 2005 evaluation report.
Mali: Final Country Report
(2,629 KB)
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Author(s):
DELIVER project
Date of Publication
2007
Over the last four years, the DELIVER Project in Mali assisted the Ministry of Health (MOH) and its stakeholders to carry out appropriate activities to improve the program. Major achievements, described in this report, include logistics assessment, strengthening of the logistics management information system, and monitoring of national inventory. Throughout the life of the project, supervisory visits were conducted by a team composed of project’s resident advisor, a representative of the Direction de la Pharmacie et du Médicament, and a regional pharmacist. These visits contributed to the improvement of both the logistics system and human capacity.
Management of HIV & AIDS Commodities in Zimbabwe—A Capacity Assessment of NatPharm and Ministry of Health and Child Welfare
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Author(s):
Eric Takang, Veskov Dragana, Kumire Celestine, Jabulani Nyenwa
Date of Publication
2006
DELIVER was contracted to assist the Ministry of Health and Child Welfare (MOHCW) to assess the current capacity of NatPharm, the AIDS & TB Unit, and Department of Pharmaceutical Services to manage HIV & AIDS commodities and to provide appropriate recommendations for building capacity in and harmonizing the functions of the three entities to improve commodity security.
Mexico: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned (DGSR)
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Author(s):
Nora Quesada, Sandhya Rao, Steve Kinzett
Date of Publication
2001
Documents a study of the logistics system of Mexico's General Directorate for Reproductive Health and the results of the Family Planning Logistics Management project technical assistance.
Mexico: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned (NGO)
(342 KB)
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Author(s):
Nora Quesada
Date of Publication
2000
This report describes the impact of the technical assistance in logistics provided by the Family Planning Logistics Management project to two nongovernmental organizations in Mexico.
Mozambique: Final Country Report
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Author(s):
DELIVER project
Date of Publication
2007
USAID | DELIVER PROJECT activities in Mozambique focused on building capacity within the Central de Medicamentos e Artigos Medicos (CMAM) and the Ministry of Health. Specifically, the project’s efforts aimed to strengthen Mozambique’s public-sector forecasting, procurement, and storage and distribution of essential drugs, contraceptives, and HIV/AIDS commodities.
Specific activities and achievements under USAID | DELIVER PROJECT included managing the development and implementation of a complex integrated drug management software system customized for Mozambique’s public health sector; carrying out the procurement and importation of antiretroviral drugs for the national treatment program in 2006; coordinating with the CMAM and others on improved health services delivery, product quality, and commodity security; and conducting a requirements analysis for the construction of a central warehouse to serve the northern region of the country.
Nepal: Contraceptive and Drugs Logistics System, Review of Accomplishments and Lessons Learned (1993-2000)
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Author(s):
Steve Kinzett, Md. Anwar Hossain, Sandhya Rao, Daniel Thompson
Date of Publication
2000
This report documents the status of technical assistance provided by the Family Planning Logistics Management project to the government of Nepal in developing a country-wide contraceptive and drugs logistics system.
Nepal: Contraceptive Security: Issues, Findings, and Recommendations
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Author(s):
Raja Rao Tanvi Pandit
Date of Publication
2004
The United States Agency for International Development (USAID) and the DELIVER project conducted a contraceptive security assessment using the Strategic Pathway to Reproductive Health Commodity Security (SPARHCS) technical framework. The assessment included collection and analysis of demographic, family planning (FP), and reproductive health (RH) data, key informant interviews, and a limited number of health facility visits.
Nepal: Final Country Report
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Author(s):
DELIVER project
Date of Publication
2007
Logistics is a mission-critical function in any health program. Health care management is a challenge in Nepal because of geographical adversities, resource constraints, and the recent conflict situation. The goal of DELIVER’s technical assistance to the Ministry of Health and Population’s health logistics activities is to improve the availability of contraceptives and other key program commodities at the health facility and community level, thereby increasing service utilization. Availability of key commodities at the service delivery points, increased reporting percentages, and improved storage standards at all levels of the health institutions are key to delivering essential health care services to the Nepalese people. DELIVER support focuses on capacity building and skills transfer to the government system for long-term sustainability of the program.
Nepal: Reproductive Health Commodity Pricing Survey
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Author(s):
Raja Rao, Dhruba Thapa
Date of Publication
2005
Regulatory guidelines under the Nepal Drug Act of 1978 govern the sale and distribution of pharmaceutical products in Nepal. Regulations are based on a 1995 National Drug Policy that promotes community drug financing programs in the public sector and establishes profit and distribution margin rates. Those policies were put in place to encourage equity, access, and use of medicines. The findings from this analysis indicate that cumulative distribution and profit margins for some reproductive health (RH) medicines in the private sector exceed the established norms.
Nepal: Support for HIV/AIDS Commodity Security
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Author(s):
Linda Allain, Ruslan Malyuta, and Eric Takang
Date of Publication
2006
DELIVER/JSI was invited by USAID and His Majesty’s Government of Nepal to prepare a three-year forecast of HIV tests for the public sector and a few specific nongovernmental organizations, and to prepare a three-year forecast of antiretroviral drugs (ARVs), and STI and OI drugs. This report provides a three-year forecast for ARVs, HIV tests, and STI and OI drugs; and analyzes the supply chain for HIV/AIDS program commodities.
Nicaragua: Estudio de la Segmentación del Mercado
(571 KB)
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Author(s):
Wendy B.Abramson, Sharon Soper, Leslie Patykewich, Ali Karim, David Sarley
Date of Publication
2005
NOTE: This document is in SPANISH. Nicaragua tiene una Tasa de Prevalencia de Anticonceptivos (TPA) relativamente alta (métodos modernos únicamente), 66%, y va en camino de alcanzar la Disponibilidad Asegurada de Anticonceptivos (DAIA). No obstante, con la retirada gradual de las donaciones financiadas por USAID en los próximos diez años, el gobierno de Nicaragua enfrenta la necesidad de elaborar un plan para garantizar que la TPA se mantenga alta, que la necesidad insatisfecha de anticonceptivos sea atendida, y que se alcance la disponibilidad asegurada de anticonceptivos. Mediante el análisis de segmentación del mercado, el Comité de la DAIA en Nicaragua aumentará su capacidad de identificar la manera de mejorar la eficiencia y la efectividad de los recursos asignados a la anticoncepción. Mediante la identificación de la segmentación actual del mercado, el sector público podrá racionalizar aumentar sus recursos y tomar mejores decisiones para asignarlos.
Nicaragua: Final Country Report: Executive Summary
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Author(s):
DELIVER project
Date of Publication
2007
DELIVER’s technical support has significantly improved the Ministry of Health’s (MOH) contraceptive availability in all the service delivery points. This successful experience in family planning logistics has also improved the process of integration for the other essential drugs. In June 2006, the Information System for the Integrated Logistics System for Essential Drugs and Contraceptives (SIGLIM) was implemented in five regions with the expectation of being extended to the rest of the country in 2007. DELIVER has also strengthened the postpartum family planning services in 22 Mother and Child Health Care (MCHC) hospitals.
Nicaragua: Informe Final del País
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Author(s):
DELIVER project
Date of Publication
2007
La asistencia técnica brindada por DELIVER ha contribuido a que el MINSA mejore significativamente el abastecimiento de anticonceptivos en todas las Unidades de Salud. Esta experiencia exitosa ha impulsado el proceso de integración del resto de insumos médicos; implementándose en Junio del 2006 el SIGLIM (Sistema de Información para la Gestión Logística de Insumos Médicos) en 5 regiones; esperando ampliarse en el 2007 al resto del país. Además, se han fortalecido los servicios de atención post evento obstétrico en 22 hospitales materno-infantiles. (This publication is only available in Spanish.)
Nigeria: Antiretroviral Quantification and Supply Planning (July - August 2006)
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Author(s):
DELIVER
Date of Publication
2007
Report on the quantification of antiretroviral drugs and the PipeLine monitoring and procurement planning exercise done in Nigeria to support expansion of the GON federal antiretroviral therapy program.
Nigeria: Assessment of the Transportation System and Distribution Costs for Family Planning Commodities
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Author(s):
Tim O'Hearn, Mike Healy
Date of Publication
2003
Prepared for the Federal Ministry of Health of Nigeria, this report provides a detailed and comprehensive analysis of the costs for distributing family planning commodities in Nigeria.
Nigeria: Baseline Assessment of the Contraceptive Logistics System
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Author(s):
Lea Teclemariam, Tim Williams, Rebecca Copeland
Date of Publication
2003
The Nigerian Federal Ministry of Health (FMOH) is attempting to revitalize its contraceptive logistics system to
improve product availability to clients and move toward reproductive health commodity security. As an initial
step, a baseline logistics system assessment was conducted in June 2002 to identify strengths and weaknesses of
the system.
Nigeria: Final Country Report
(1,346 KB)
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Author(s):
DELIVER project
Date of Publication
2007
DELIVER activity in Nigeria focused on development of improved logistics systems for reproductive health (RH) and HIV/AIDS program commodities. Consistent with DELIVER and Federal Ministry of Health (FMOH) objectives, DELIVER worked with the FMOH/Department of Community Development Population Activities (RH) and FMOH/National AIDS/STD Control Program (HIV/AIDS) to implement programs of national scale by collaborating with larger partners.
Nigeria: HIV/AIDS Commodities Logistics System Design Workshop Proceedings—MARCH 10 to 13, 2008, Jos, Nigeria
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Author(s):
USAID | DELIVER PROJECT
Date of Publication
2008
The goal for this workshop was to involve system participants from all levels in the health management system in the design of a more integrated commodity management system, including the logistics management information system and related inventory control system which would provide for common management principles and guidelines, including re-supply, with differences only when the product-specific requirements so dictated.
Nigeria: Midterm Evaluation of the Contraceptive Logistics System
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Author(s):
Briton Bieze, Lea Teclemariam, and Timothy O.Hearn
Date of Publication
2005
Since 2002, the Nigerian Federal Ministry of Health (FMOH) has been working to revitalize its contraceptive logistics system so it can improve product availability to clients and can move toward reproductive health commodity security. As an initial step, a baseline logistics system assessment was conducted in June 2002 to identify strengths and weaknesses of the system. In March 2005, a follow-on evaluation of the system was conducted to measure progress made since 2002, as well as to gather baseline data for five new USAIDsupported focus states.
Nigeria: Quantification of HIV Tests and ARV Drugs to Support Expansion of the Government of Nigeria ART Program—Final Report November 2005
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Author(s):
Claudia Allers, LeaTeclemariam, Johnnie Amenyah, Timothy O’Hearn, Naomi Printz, Eric Takang
Date of Publication
2005
The Government of Nigeria (through the Federal Ministry of Health) and the U.S. Agency for International Development (USAID) requested JSI/DELIVER technical assistance to conduct a quantification of the ARV drug and HIV test kit needs to support expansion of Nigeria's federal ART program.
Nigeria: Rapid Assessment of HIV/AIDS Care in the Public and Private Sectors
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Author(s):
John Durgavich, Tim O’Hearn, Chris Shaw, Lea Teclemariam, David Galaty, Gilbert Kombe, Ali Onoja, Godwin Asuquo, Cesar Nuñez
Date of Publication
2004
This assessment was commissioned by United States Agency for International Development (USAID)/Nigeria to gain an in-depth understanding of the current status, challenges, and cost of providing HIV/AIDS services in the public and private sectors in Nigeria. It was a joint undertaking of USAID, the Federal Ministry of Health, and the National Institute of Medical Research.
Nigeria: Rapid Assessment of HIV/AIDS Care in the Public and Private Sectors: Stages of Readiness Reports
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Author(s):
DELIVER, PHRplus, Policy, Federal Ministry of Health
Date of Publication
2004
In February/March 2004, in collaboration with the Federal Ministry of Health (FMOH), three United States Agency for International Development (USAID) partners (PHRplus, Policy and DELIVER) carried out a Rapid Assessment of HIV/AIDS Care in the Public and Private Sectors in Nigeria. The assessment focused on HIV/AIDS care and service delivery in the eight USAID focus States. This document contains the "Stage of Readiness" results of the sites visited.
Paraguay: Final Country Report: Executive Summary
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Author(s):
DELIVER project
Date of Publication
2007
The Ministry of Health (MOH), with continuous technical assistance, improved its logistics system; they are giving priority to the beginning of an improvement plan for the contraceptive logistics system. Although the logistic indicators quantitative assessment showed a high incidence of shortages six months prior to the assessment (December 2005), corrective actions are already being developed; good results are expected in the next assessment.
Paraguay: Informe Final del País
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Author(s):
DELIVER Project
Date of Publication
2007
El MSPBS ha aprovechado la oportunidad de contar con asistencia técnica continua y está priorizando la puesta en marcha de un plan de mejoramiento del sistema logístico de anticonceptivos. Si bien la evaluación cuantitativa de indicadores logísticos mostró un alto nivel de desabastecimiento en los seis meses precedentes a la misma, (Diciembre 2005), se están ya desarrollando acciones correctivas que se espera se vean reflejadas en la próxima evaluación. (This publication is only available in Spanish.)
Peru: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned
(1,684 KB)
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Author(s):
Carolina M. Godinez, David Papworth
Date of Publication
2000
This report documents the current state of the contraceptive logistics system in Peru and the lessons learned about the achievements and limitations of the model used for logistics management.
Philippines: Contraceptive Logistics System, Review of Accomplishments and Lessons Learned
(4,048 KB)
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Author(s):
Steve Kinzett, Beatriz Ayala
Date of Publication
2000
This report describes the technical assistance strategy employed by the Family Planning Logistics Management project to assist the Philippines Department of Health in developing a contraceptive logistics management system.
Philippines: Final Country Report
(3,557 KB)
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Author(s):
DELIVER Project
Date of Publication
2007
The Philippines is working to sustain recent gains in access to and use of family planning services through a Contraceptive Self-Reliance (CSR) strategy that must adjust for the impending phaseout of USAID’s contraceptive donations. DELIVER, working through the Local Enhancement and Development (LEAD) for Health project, has helped local government units (LGUs) at the provincial and city levels—where responsibility rests for providing health services—to prepare CSR plans that consider the growth in demand for contraceptives, the impact of donor phaseout, and the resources needed to meet demand.
Políticas, Prácticas y Lecciones Aprendidas en la Adquisición de Métodos Anticonceptivos: Colombia
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Author(s):
Juan Agudelo, Nora Quesada
Date of Publication
2007
NOTE: This document is in SPANISH. Este estudio, realizado por el proyecto DELIVER con financiamiento del fondo Global Leadership de la USAID, tiene como objetivo identificar lecciones aprendidas a raíz del retiro de las donaciones de insumos anticonceptivos por parte de la USAID. Además, este trabajo es parte del estudio regional sobre opciones de adquisiciones y precios de los anticonceptivos, que se llevó a cabo en distintos países de la región de América Latina y El Caribe, con el propósito de documentar una estrategia de adquisición de anticonceptivos para los países que aún reciben ayuda de la USAID, preparándolos para el eventual retiro de las donaciones y la asistencia técnica.
Políticas, Prácticas y Opciones para la Adquisición de Insumos Anticonceptivos: Ecuador
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Author(s):
Nora Quesada, Verónica Siman Betancourt, Wendy Abramson, Varuni Dayaratna, Jay Gribble, David Sarley, Carlos Lamadrid, Nadia Olson, Juan Agudelo
Date of Publication
2006
Los países de Latinoamérica y el Caribe han venido enfrentando desde hace algunos años una disminución gradual de fondos de donantes para la adquisición de insumos anticonceptivos. Ante esta perspectiva, Ecuador ha dado importantes pasos para asegurar la disponibilidad de insumos anticonceptivos, mediante la aplicación de políticas y leyes que garantizan el financiamiento y la compra de anticonceptivos. No obstante, el sector público puede explorar distintas opciones de compra regional e internacional en un sistema de salud descentralizado, para garantizar la disponibilidad asegurada de los insumos, optimizando costos de adquisición y enfocando su atención a los sectores de la población más vulnerables. (This publication is only available in Spanish.)
Políticas, Prácticas y Opciones para la Adquisición de Insumos Anticonceptivos: El Salvador
(346 KB)
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Author(s):
Verónica Siman Betancourt, Nora Quesada, Wendy Abramson, David Sarley, Varuni Dayaratna, Jay Gribble, Carlos Lamadrid, Nadia Olson
Date of Publication
2006
El Salvador estará asumiendo la responsabilidad de financiar y comprar insumos anticonceptivos para su población cuando se acaben las donaciones de la USAID y el UNFPA en un futuro muy cercano. En preparación para ello, el Gobierno de El Salvador necesitará considerar todas las opciones de adquisición de insumos anticonceptivos, los precios asociados con cada opción y la viabilidad de cada opción dentro del contexto de las leyes y normas nacionales que regulan las prácticas de adquisición en el sector público. (This publication is only available in Spanish.)
Políticas, Prácticas, y Opciones para la Adquisición de Insumos Anticonceptivos: Guatemala
(1,197 KB)
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Author(s):
Anabella Sánchez, Verónica Siman Betancourt, Nora Quesada, Wendy Abramson, Nadia Olson, Jay Gribble, David Sarley, Carlos Lamadrid
Date of Publication
2007
Para enfrentar la disminución gradual de fondos de donantes en Latinoamérica y el Caribe, Guatemala, especialmente su sector público, deberá asumir la responsabilidad de financiar y comprar los insumos anticonceptivos en el futuro cercano. Además, el sector público necesitará explorar las opciones de compras regionales e internacionales para garantizar la disponibilidad asegurada y no comprometerla durante el período de transición. (This publication is only available in Spanish.)
Preliminary Assessment of HIV/AIDS Commodity Needs And Logistics Capacity in Tanzania: Ministry of Health Final Report
(2,489 KB)
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Author(s):
Claudia Allers, Peter Riwa
Date of Publication
2001
In response to growing recognition of the magnitude and devastating effect of the HIV/AIDS pandemic in Tanzania and the increasing commitment from government and international donor organizations to support HIV/AIDS Prevention and Care, USAID/Tanzania asked the John Snow, Inc/DELIVER Project to collaborate with the Ministry of Health in conducting an initial assessment of 1) the key commodities and supplies needed to support HIV/AIDS prevention and care activities in Tanzania, and 2) the capacity of the existing logistics systems to monitor and distribute these commodities.
Romania: Scaling Up Integrated Family Planning Services: A Case Study
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Author(s):
Merce Gasco, Christopher Wright, Magdalena Pătruleasa, Diane Hedgecock
Date of Publication
2006
This case study presents the story of the USAID-funded Romanian Family Health Initiative (RFHI) from 2001 to 2005, and how it succeeded in expanding access to and use of family planning services and supplies. It presents both the achievements of the program as well as lessons learned during the preceding 1999–2001 pilot program and during the scale up phases of the program. The study is intended primarily for program managers, policymakers, donors, and providers of technical assistance in Eastern Europe and Eurasia.
Russia: Integrating Family Planning into the Health System
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Author(s):
Cappa, Laurie, Natalia Vartapetova, Tatyana Makarova, and Polina Flahive
Date of Publication
2007
This case study looks specifically at the integration (horizontalization) of the family planning component into the other WIN/MCHI components. As a result, access to client-centered counseling has increased, unplanned pregnancies have decreased, and the abortion rate has declined.
Rwanda: Assessing the Logistics Management System for Contraceptives: Executive Summary
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Author(s):
Youssouf Ouedraogo, Armand Utshudi, Norbert Pehe, Jovith Ndahinyuka, Gregory Roche
Date of Publication
2006
In 2002, Rwanda's Ministry of Health carried out a survey on the performance of the logistics system for contraceptives, with technical support from the USAID | DELIVER PROJECT. In 2003 and 2004, routine surveys were undertaken as a follow-up to the program to ensure the availability of contraceptives and to strengthen the contraceptive logistics management system.
This 2006 assessment report identifies areas where
