Private Sector Opportunities to Support Family Planning and Access to Reproductive Health Services
March 1, 2017 | 10:00 AM – 11:00 AM ET
Expert Connections Webinar in partnership with United Nations Population Fund Supplies
Speakers
2
Ian Matthews (Moderator)
Director, Strategy and Communications
GBCHealth
Dr. Ayman Abdelmohsen
Global Operations Lead, Commodity Security Branch, Technical Division
UN Population Fund (UNFPA)
Dr. Meena Ghandi
Health Adviser, Sexual Reproductive Health and Rights Team, Policy Division
Department for International Development, UK
Matthew Rehrig
Manger, Adolescent
Sexual Health, Children’s Investment Fund Foundation (CIFF)
3
Dr. Ayman AbdelmohsenGlobal Operations Lead, Commodity Security Branch, Technical Division, UN Population Fund (UNFPA)
Family Planning: the challenge
5
Every 2 minutes, a woman dies while giving birth or dies from pregnancy-related complications.
More than half a million babies die each year from complications at birth.
Yet - 225 million women in developing countries who want to avoid pregnancy are not using an effective contraceptive method.
Rates of contraceptive use have stalled, at less than 20% of women in most of Sub-Saharan Africa.
In the developing world, 74 million women each year have an unintended pregnancy
6
Family planning is central to the achievement of the Sustainable Development Goals
▪ Accelerate economic growth
▪ Empower women
▪ Reduce maternal and child mortality
▪ Combat HIV/AIDs
▪ Positively impact the environment
High ROI: $120 in health savings and socioeconomic benefits for every $1 invested
Why Family Planning Matters
UNFPA Supplies
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Largest global fund
DEDICATEDto family planning
Largest contraceptive PROCURER
Convening partner with in-country PRESENCE
US$ 1billion+ mobilized since
inception
43% of global contraceptive procurement
Long standing relationships
with governments
UNFPA flagship programme helping governments bring
REPRODUCTIVE HEALTH COMMODITIES
– contraceptives and life-saving maternal health medicines –
to DISADVANTAGED POPULATIONS
Unique combined set of
interventions
Longer-term sustainability
The only UN programme specifically addressing reproductive health supplies
8
UNFPA Supplies partners with
countries, civil society and the
private sector to:
• Build stronger health systems
• Ensure access to a reliable supply
of contraceptives for voluntary
family planning and HIV & STI
prevention, and life-saving
maternal health medicines.
Priority focus on:
• Adolescents and youth
• Marginalized populations
• Humanitarian and fragile contexts
UNFPA Supplies is one of the largest providers of reproductive health in the world
9
UNFPA Supplies operates across 46 countries - often one of the main supporters of RH commodities & technical support to countries with the greatest needsAsia PacificLao PDRMyanmarNepalPapua New GuineaTimor-Leste
Middle EastDjiboutiSudanYemen
Latina America & CaribbeanBoliviaHaitiHonduras
East & Southern AfricaBurundiDR CongoEritreaEthiopiaKenyaLesothoMadagascarMalawiMozambiqueRwandaSouth Sudan
United Republic of Tanzania
UgandaZambiaZimbabwe
West & Central AfricaBeninBurkina FasoCameroonCentral African RepublicChadCongo-BrazzavilleCôte d’IvoireGambiaGhanaGuineaGuinea-BissauLiberiaMaliMauritaniaNigerNigeriaSao Tome & PrincipeSenegalSierra LeoneTogo
UNFPA Supplies has significant impact on reducing mortality among those with greatest needs
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Contraceptives procured through UNFPA Supplies from 2008 to end of 2016 had the potential to avert:
63 million unintended pregnancies
24 million abortions (19 million "unsafe")
and to prevent:
160,000 maternal deaths
960,000 child deaths
Potentially saving US$3 billion in direct health-care costs (pregnancy and delivery care).
UNFPA Supplies has distinctive strengths
• Collaborate directly with industry to secure volumes of high quality reproductive health supplies
• Favourable pricing arrangements
• Expertise in procurement and supply chain management
Procurement capabilities and engagement with private sector
Advocacy and convening power
• Long standing country-level relationships with governments, national partners and donors
• Strong credibility as a UN agency to shape and strengthen government policies
• Ability to build and mobilize partnerships across sectors (public, private, SMOs)
Understanding of country FP landscape
• Broad geographic footprint
• Expansive facility-level FP data for majority of countries
Synergies across UNFPA & UN platform
• Opportunity to leverage and integrate FP with broader UNFPA and UN priorities, initiatives, and resources that focus on reproductive health and related programmatic areas
Engaging private & public sector delivery channels
• Support for development of country markets for reproductive health supplies by procuring & purchasing commodities for governments and social marketing organizations
Leadership in humanitarian crises
• Rapidly respond to contraceptive and RH supply needs that arise in emergency situations
Rights-based, equity-focused approach
UNFPA Supplies strategic direction towards 2020
12Source: Dalberg analysis
❶ PRIORITIZE support to countries with greatest need where our
contribution is unique
❷ CATALYSE country-led, rights-based and sustainable pathways to reproductive health
supply security
❸ SCALE UP proven interventions
A tightly managed programme
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Strong governance structure
Accountability mechanisms
Specific sets of qualitative and quantitative
targets
Why should the private sector partner with UNFPA
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Better value for money
Partnering with a global and impartial
organization
Long-term investment sustainability
Global coverage and global visibility
15
How can the private sector partner with UNFPA
REACH – Increased visibility
RESOURCE MOBILIZATION - Increased
financial resources
BRAINPOWER – Leveraging core competences
and innovation
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Please do not hesitate to reach out to us:
• Dr. Ayman Abdelmohsen, Global Coordinator, UNFPA Supplies
Tel. +1 212 297 ; email: [email protected]
• Ms. Elena Pirondini, Strategic Partnerships Adviser, UNFPA
Tel. + 1 212 297 5097; email: [email protected]
If you have any suggestion on how your organization could contribute…
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Dr. Meena GhandiHealth Adviser, Sexual Reproductive Health and Rights Team, Policy Division
Department for International Development, UK
Why do we invest in Family Planning?
• Countries will not lift themselves out of poverty until women are able to decide
for themselves whether and when they have children, and how many.
• Voluntary family planning enables women and girls to complete their education
and take up better economic opportunities: it transforms lives, creating more
prosperous, stable societies.
• But with adolescent girls in developing countries each year experiencing over 6
million unintended pregnancies, of which 2.5 million end in unsafe
abortions more progress is needed globally.
• Voluntary family planning is a ‘best buy’ because of its impact on a country’s
development pathway: the second most cost effective of all development
interventions.
Slide 20
What we support
Slide 21
We support ensuring a choice
of products is available,
through a range of services
that meet different needs.
This is done through building a
functioning market for
contraceptives with full
coverage, offering choice to
consumers and ensuring the
systems will be able to
continue to provide what
women need for the long term.
IPPF
The story so far…• The 2012 London Summit on Family Planning, hosted by DFID and the BMGF, kick-started an
international movement to increase investments in voluntary family planning.
• Since then, the FP2020 movement established at the Summit has driven considerable progress. By 2016,
an unprecedented 300 million women in the world’s poorest countries were using voluntary modern contraception.
• Clear progress has been made, but more needs to be done if we are to reach our global ambition of
reaching an additional 120 million women and girls by 2020.
• The UK is the second largest investor in global family planning and UK investments alone have
resulted in nearly 7 million more women using safe, modern contraception.
• We support over 18 country programmes, regional programmes, NGOs, UNFPA Supplies, the FP2020
secretariat and the Reproductive Health Supplies Coalition.
• Together with BMGF and UNFPA, we will host another summit on FP in London this summer to push the
international community to take further action to tackle long running problems with contraceptive
supply chains, to reach the most marginalised young women, and to meet the needs of women and
girls living through humanitarian crises such as conflict or natural disasters.
.
Slide 22
UK Support to UNFPA Supplies▪ Two phases of support – Phase 1 in 12 countries; Phase 2 in 46 countries (£356m from
2013- 2020)
▪ The 46 countries are lower or lower middle income and include those with both high mortality and high unmet need, but few sources of external support. Nearly half of these countries face conflict, post conflict or other humanitarian crisis.
▪ The programme buys almost 1/3rd of contraceptives for the 46 countries and there is a large humanitarian component, providing emergency reproductive health kits.
▪ Improving method choice is critical – ‘no commodities, no service’
▪ More work ongoing on improving supply chains in country leading to better delivery to the ‘Last Mile’ – to women and girls.
▪ Almost half of the 46 countries have 85% of primary facilities offering at least 3 methods in 2013 and increasing to five modern methods in 2016.
▪ 5.7m women reached in humanitarian settings
Slide 23
27
About the Children’s Investment Fund Foundation (CIFF)
➢ Private charitable
foundation, created in 2004
➢ US$5bn endowment
➢ Headquartered in London
with offices in New Delhi
and Nairobi
➢ Focus on cross-cutting
children’s issues: our
Survive & Thrive portfolio
includes a major focus on
Adolescent Sexual Health
Background
28
About the Children’s Investment Fund Foundation (CIFF)
➢ Private charitable
foundation, created in 2004
➢ US$5bn endowment
➢ Headquartered in London
with offices in New Delhi
and Nairobi
➢ Focus on cross-cutting
children’s issues: our
Survive & Thrive portfolio
includes a major focus on
Adolescent Sexual Health
Ensure every young woman has access
and agency to avoid unwanted teen
pregnancies and exercise her sexual
and reproductive rights.
Adolescent Sexual Health goals
Strategies
1. Expand access to user-controlled
choices
2. Promote user-centred service
delivery
3. Inject energy through youth-led
advocacy
Background
29
Why CIFF invests in family planning
Adolescent girls account for 11% of births but more than 20%
of maternal deaths and disabilities
One sixth of the world’s population is an adolescent – 1.2
billion people aged between 10 and 19 years old
There are over 10 million unintended pregnancies among
adolescents each year, and ~2-4.5 million unsafe abortions
Less than a third of sexually active adolescent girls use
modern contraception
To provide a woman in sub-Saharan Africa with the
contraceptive choices she needs costs $11 per year
1/6
10M
20%
<30%
$11
Access to family planning is a best buy in global health
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Our work with UNFPA spans three functions
Pooled
purchasing and
market insights
on contraceptive
implants
Introduction and scale-up
of injectable
contraceptives (Sayana
Press) in Nigeria, Burkina
Faso, and Myanmar
Technical assistance
on family planning
service delivery in
Kenya
Procurement Service Delivery Technical Assistance
31
We have seen transformative results through partnership
Pooled purchasing
and market insights
on contraceptive
implants
Introduction and scale-up of
injectable contraceptives
(Sayana® Press) in Nigeria,
Burkina Faso, and Myanmar
Technical assistance on
family planning
service delivery in
Kenya
Procurement Service Delivery Technical Assistance
➢ Every CIFF dollar invested in service delivery matched >2.5x in
procurement funding
➢ Dramatic price reductions of in-demand contraceptives made
possible by UNFPA-managed purchases
➢ Hundreds of thousands of new users of long-acting
contraceptives
Returns
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Q & A
For more information on supporting UNFPA Supplies contact:
Elena Pirondini (UNFPA) - [email protected]
Ian Matthews (GBCHealth) - [email protected]