From choice, a world of possibilitiesAccelerating Access to priority Sexual and Reproductive Health

A member of

Advocating for RH supplies

LLY MUGUMYA

Reproductive Health Uganda (RHU)

Jackson ChekwekoAg. Executive Director

Reproductive Health Supplies Coalition meetingSheraton Hotel

27th -28th May 2010

Reproductive Health Commodity Supplies (RHCS) situation

Road Map priority indicators

IndicatorBaseline and Target

2005 2010 2015

Contraceptive Prevalence Rate (CPR)

23.7%

35% 50%

Unmet need for family planning 40.6%

20% 5%

% increase in Couple Years of Protection

10% 50% 70%

RHCS Indicators

Cost of meeting the unmet need for Family Planning

Introduction: Civil society led network – Reproductive Heath Supplies Advocacy Network (RHSAN).

Civil society, RH division, MOH, Parliamentarians network, Media groups

LLY MUGUMYA

RH supplies advocacy efforts in Uganda

RHSAN Objectives Coordinate district and national

advocacy for RH supplies

To increase government funding for RH supplies – Government of Uganda to provide 66% of the total RH supplies budget

To ensure existing levels of funding were used effectively

Key activities

• Jointly developed advocacy strategy and messages

• Active engagement , lobbying and debate in Parliament by Network of Women Ministers on RHCS funding

LLY

Key activities cont’d Conducted constituency

and district level mobilisation and monitoring

Mass media campaignMedia tour of districtsTargeted advocacy

messages on Pill boards, Radio interactive shows and spots and fact sheets

Sharing network activities -Expanding the network

Key activities cont’d Regular strategic partner

meetings to share network activities among CSOs to bring them on board-Expanding the network

•RHSAN – Well coordinated advocacy efforts

•Debate and active engagement on family planning and RHCS funding has reached centres of power

LLY MUGUMYA

Results

Results

1. Gained government’s commitment for RH suppliesa. Established a

functional budget line for RH commodities.

b. Increased budget allocation for RH supplies.

2. Joined the Global RH Supplies Coalition LLY MUGUMYA

What Has been done Cont’

2. Established a coordinated procurement planning :

Develop annual Contraceptive Procurement Tables and review them on bi-annual basis.

3. Developed national strategies that support RHCS:

4. Developed functional coordination structures for RHCS at national, district and facility levels.

a. National RHCS Committee

LLY MUGUMYA

Challenges Cont’

Poor adherence to Contraceptive

Procurement Tables schedules by

donors and government that

affects availability of RH

commodities.

Weak capacity for supply chain

management& within districts

Opportunities

1. Growing support within parliament and

Ministry of Health to prioritize RH in

general and RH commodities in particular.

2. Conducive policy environment: Roadmap,

RHCS Strategic Plan, and planned review of

the Public procurement and Disposal

Authority etc

3. Joining of the Global RH Supplies Coalition.

Challenges NMS position to provide RHCS only to

public health facilities leaving out private sector providers including NGOs

Effective tracking of fund disbursement and utilization of budgetary allocations to RHCS

Access to affordable RHCS by service providers in the private sector including NGOs following NMS change of position not to supply non public sector facilities.

Advocacy issues Heavy dependence on donor support

Challenges Cont’d

Low expenditure on allocated budget

Opportunities

1. Growing support within parliament and

Ministry of Health to prioritize RH in

general and RH commodities in particular.

2. Conducive policy environment: Roadmap,

RHCS Strategic Plan, and planned review of

the Public procurement and Disposal

Authority etc

3. Joining of the Global RH Supplies Coalition.

•Continued strengthening and expansion of RHSAN to include more stakeholders in the advocacy efforts

•Close partnership with NAWMP to advocate for further increases to FP budget

Target Government to fund two thirds of total family planning budget

•Increase parliamentary advocacy

LLY MUGUMYA

RHSAN Next steps

•Monitor the funding mechanism for effectiveness (MoF direct disbursement to NMS)

•Advocate for effective RHCS supply to serve the private sector

•possibility of establishing stores for private sector

LLY MUGUMYA

RHSAN Next steps

Thank youJackson ChekwekoAg. Exective DirectorReproductive Health

Uganda(RHU)

jchekweko@rhu.or.ug+256-772-70195327th May 2010