from choice, a world of possibilities accelerating access to priority sexual and reproductive health...
TRANSCRIPT
From choice, a world of possibilitiesAccelerating Access to priority Sexual and Reproductive Health
A member of
RH Commodity Security in Uganda: Perspectives of Civil
Society Organization
LLY MUGUMYA
Elly MugumyaExecutive Director,Reproductive Health Uganda (RHU)
RH Supplies Coalition Meeting. London, United Kingdom
June 4, 2009
Successes
1.0 Civil Society Organizations have built networks to advance RHCS in Uganda:•RH Supplies Advocacy Network has been formed and is coordinated by RHU with 14 member organizations
•The network has engaged MPs in dialogue to increase funding level and change policy for disbursement of funds for RH CommodityLLY MUGUMYA
Trend of the Unmet need of FP (%)
2.0 Mobilized communities to demand for FP leading to high unmet need and total demand for contraceptives
Successes-Cont
3.0 The private sector including CSO is the largest
source of FP services in Uganda (65%-DHS 2006)
LLY MUGUMYA
Challenges:
1. Some high level political statement contradict approved government policy and undermine RHCS in Uganda
2. Funding and Expenditure Limited government contribution to the RH
commodity budget line. Inability to ensure that general and sector
budget support contain RH commodities and are ring fenced to avoid fungibility.
Low sector budget for SRH in general and RHCS in particular
Under expenditure of resources allocated for procurement of contraceptives (less than 50%)
LLY MUGUMYA
Challenges:- cont
3.Private sector minimal involvement in coordination mechanisms (not represented on National & District Medicines & Therapeutic Committees)
4. Lack of formal mechanism for civil society to access supplies through the government credit line.
High prices of medicines including contraceptives amidst poverty (31% live on less than $1 a day)
Cost of FP method for one year CYP (Oral Pills $2.35-$5.69, Injectables $3.60, Condoms $3.82, IUD $1.10, Implant $3.29)
Opportunities
1. High and growing unmet need for FP supplies
2. Conducive policy environment
3. There are some high profile advocates for RH
with a particular focus on RH commodity
security (MPs, Media, Medicine Coalitions,
professional bodies etc)
4. Multiple NGOs & CSO’s in SRH
5. Private sector is vibrant & offers further
potential for bridging the funding gap and
widening choice of contraceptives
Growing unmet need and demand due to high population growth offers potential market for contraceptives
2 2.5 2.8 3.6 5 6.5 9.5 12.6 16.722.0 24.7
36.8
53.7
81.4
103
0
20
40
60
80
100
120
Year
Po
pu
lati
on
(m
illi
on
s)
Acknowledgements
International Planned Parenthood Federation (IPPF)
United Nations Population Fund (UNFPA);
Ministry of Health (RH Division);
Association of Women Ministers and Members of Parliament (AWMMP);
Members of the RH Supplies Advocacy Network
Thank youElly MugumyaExecutive DirectorReproductive Health Uganda
(RHU)
4th June 2009