RH COMMODITY SECURITY AND PLANNING SYSTEM (RAPSYS): A SYNERGISTIC MODEL

16-11-04 Prepared by Bongs Lainjo

Reproductive Health Commodity Security (RHCS) Analysis &

Planning System (RAPSYS): A Synergistic Model

By!Bongs Lainjo, MASc Engineering!

Author of “M & E: Data Management Systems”!Former UN Senior Program Advisor !

Montreal, Canada, Email: [email protected] !!!

International Conference on Reproductive Health, San Antonio, Texas

December 01 - 02, 2016 !

Prepared by:- Bongs Lainjo

Presentation website: !

RAPSYS – Current Gaps

!…Nearly 40% of all Pregnancies in the USA are UNINTENDED...( P. Belluck, NYT, 06/19/2016)

…225 Million Women Globally still need ACCESS to Contraceptives…( UNFPA, 06/30/2016)


RAPSYS: OBJECTIVES

General objective:

To Strengthen RHCS Programming Capacity

Specific Objectives:

• Weight RHCS determinants (composite indicator)

• Identifying relevant gaps

• Develop appropriate strategies

• Develop an RHCS Action Plan (RAP)


RAPSYS: METHODOLOGY !

PANEL SELECTION

PANEL OF EXPERTS (POE)

GROUP COMPOSITION

;  GROUP MEMBERS RAPPORTEURS

; MODERATORS

; GENERAL RAPPORTEUR

PLENARY

v  INPUTS

v MODEL

v OUTPUTS Prepared by:- Bongs Lainjo

RAPSYS: METHODOLOGY (cont’d)

PLENARY

v  GROUP PRESENTATION

v  PEER REVIEW

DRAFT COMMITTEE

v RAPPORTEURS

v GENERAL RAPPORTEURS

v NATIONAL EXPERT Prepared by:- Bongs Lainjo

GROUP WORK

v  ASSESSMENT

v  STRATEGIES

v ACTION PLAN

v M&E FRAMEWORK

DEFINITION: RHCS

Contraceptive Security is defined as the ability to continuously (enabling environment) provide (Supply, Procure) high quality commodities to the vulnerable group and target populations (Use) at the right time and place (Access) when needed (Demand).


DEMAND

ACCESS

UTILIZATION

Reproductive Health Commodity Security

SUPPLY

PROCUREMENT Prepared by:- Bongs Lainjo

RAPSYS: HIGHLIGHTS

v Practical

v Simple

v Participatory

v Synergistic

v Inclusive

v Multi-sectoral

v Adaptable


RAPSYS: RHCS Determinant Matrix and Corresponding Components

Basic Determinants

DETERMINANT COMPONENTS

Utilization ¬ CPR ¬ Disease Prevention ¬ Strengthened Dual Protection ¬ Promotion of Female condoms


Basic Determinants (cont’d) DETERMINANT COMPONENTS

Demand ¬  Vulnerable Groups ¬  Current users ¬  Potential users (Unmet Needs) ¬  Drop Outs – family planning

methods ¬  Unemployed & out of school

youth


RAPSYS

Basic Determinants (con’t)


Access ¬ Public Outlets ¬ Private Outlets ¬ Social marketing Outlets ¬ Bars, Hotels, Clubs, Gas Stations, Toilets, bus/train

station ¬ Dispensers


RAPSYS

Basic Determinants (cont’d)


Supply ¬ Distribution ¬ Transportation ¬ Storage/Warehousing ¬ LMIS ¬ Quality of Care (QOC) ¬ Commodities


RAPSYS

Basic Determinants (cont’d)

DETERMINANTS COMPONENTS

Procurement ¬ Projection ¬ Costing/budgeting processes ¬ Tendering process ¬ Ordering ¬ Shipment Schedules ¬ Quality assurance


RAPSYS

Cross-Cutting Determinants

Environment ¬ Political Will ¬ Appropriate Laws ¬ Appropriate Policies


RAPSYS

Cross-Cutting Determinants (cont’d)

Advocacy ¬ Political Leaders ¬ Religious Leaders ¬ Community Leaders ¬ Civil Society ¬ Vulnerable groups ¬ Hard to reach Communities

and groups


RAPSYS

Cross-Cutting Determinants (cont’d) Coordination ¬ Government leadership

¬ Defining Stakeholder roles (Private, Civil Society, Social Marketing, Public sector)

¬ Dissemination Forums ¬ Coordinating Mechanisms ¬ Stakeholder Meetings ¬ Availability of coordinating

committee


RAPSYS


Funding ¬ Stakeholders/Partners ¬ Funding gaps ¬ Short, medium and long term

funding strategy ¬ Exit Strategy ¬ Sustainability strategy (phase

in approach) ¬ Grants vs Loans


RAPSYS


Capacity Building ¬ Institutionalized (Processes vs Events)

¬ Medium & long term Plans ¬ Skills transfer ¬ South-south collaboration (PD) ¬ Target Groups


RAPSYS

Cross-Cutting Determinants (cont’d) M and E

¬ Institutionalized and Systematic

¬ Clear and Feasible Objectives (CAFO)

¬ Established achievable bench marks and timeframes

¬ Functional instruments ¬ Process approach with built in

feedback Mechanisms ¬ Accountability/Transparency


RAPSYS


Supervision ¬ Supportive and constructive ¬ Availability of follow up plans ¬ Availability of feedback

mechanisms ¬ Integrated instead of vertical ¬ Availability of guidelines ¬ Regular and consistent visits


RAPSYS

RAPSYS:

QUALITATIVE ASSESSMENT MATRIX (QAM)

!

RHCS Determinants

Achievement Level

Low1..5 High

Gaps Strategies Remarks/ Observations

Demand

Supply

Procurement

Utilization


RHCS Determinants

(1)

Achievement (2)

Low1..5 High

Gaps(3)

Strategies (4) Remarks/ Observations

(5)

Access

Cross Cutting

Determinants

Enabling Environment Coordination & Dissemination

Supervision


RAPSYS:

QAM (Cont’d)

RHCS Determinants

Achievement Level

Low1..5 High

Gaps Strategies Remarks/ Observations

Funding

Advocacy

Capacity Building

M and E


RAPSYS:

QAM (Cross-Cutting Determinants Cont’d)

RAPSYS: Column Description

!

Column 1: List of all RHCS Determinants Column 2: Scores established by each group based on level of achievement (1= inadequate, 2 = moderate, 3 = adequate, 4 = substantial, 5 = Significant; Column 3: List of potential Gaps; Column 4: ;Strategies to address gaps identified in column 3; Column 5: Additional remarks or comments


RAPSYS

RHCS ACTION PLAN (RAP)

Determinant !(1) !

Identified Gaps (2) !

Strategy!(3) !

Activities!(4) !

Approximate !Timing (5)!

Responsible !Party (6)!

Approximate Cost (7) !

Column Description !Column 1: List of All RHCS Determinants;!

Column 2:Appropriate Gaps identified by each group for each determinant !

Column 3: Required relevant strategy to address gaps identified in (2) !

Column 4: Activities required to accomplish the strategy identified in (3) !

Column 5: Approximate completion time of implementation !

Column 6: Stakeholders responsible for implementing activities in (4) !

Column 7: Approximate cost of implementation ! Prepared by:- Bongs Lainjo

!

RAPSYS: M and E Summary Matrix

RESULTS: Output, Outcome, Goal Results

(1)

Strategy

(2)

Activities

(3)

Indicator

(4)

Baseline (YEAR)

(5)

Q1

(6)

T A

Q2

(7)

T A

Q3

(8)

T A

Q4

(9)

T A

Data Source

(10)

Column Description:!

!Column1: Gaps recorded with key words like improved, strengthened, increased availability, increased accessibility etc.!

Column 2: Strategy from action plan !

Column 3: Activities from action plan !

Column 4: Simple, feasible and measurable indicators!

Column 5: First year benchmark!

Column 6 to 9: (T) Targets and (A) achievements for every quarter of a given year !

Column 10: Source of data! Prepared by:- Bongs Lainjo

RAPSYS: FLOW CHART !

Assessment

!

Strategies

and activities !

Action Plan

Input ! Process! Output !


Distribution of some Demographic Indicators

INDICATOR ! BANGLADESH ! SOURCE! SRI LANKA !

SOURCE!

Maternal Mortality Rate (MMR)

320 per 100,000

Bangladesh maternal mortality survey, 2001

47 per 100,000 Live Births

Family Health Bureau 2002

CPR (Modern Methods)

47.3per cent BDHS, 2004 49.5 per cent

DHS 2000

TFR 3.0 BDHS, 2004 1.9 DHS 2000

Literacy Rate: Male Female

40.3 per cent 33.4 per cent

Population Census, 2001

91.1 per cent 89 per cent

Dept. of Census and Statistics, 2000

RHCS MEANS

RHC Level of Achievement

2.83 RHCS Panel assessment

2.75 RHCS Panel Assessment

Stake holders Assessment of BCSP by Component

012345

Supervision

Funding

Advocacy

Cap.Building

Demand

Supply

Procurement

Utilization

Access

Enabling Environ

Coord

M&E


RAPSYS – CASE STUDY

Country-specific RHCS Rapid

Needs Assessment (Bangladesh)

Ad Hoc Committee Assessment of SLRHCS by Determinant

012345

Supervision

Funding

Advocacy

Cap.Building

Demand

Supply

Procurement

Utilization

Access

Enabling Environ

Coord

M&E

RAPSYS – CASE STUDY

Country-specific RHCS Rapid

Needs Assessment (Sri Lanka)


Stake holders Assessment of BCSP by Component

012345

Supervision

Funding

Advocacy

Cap.Building

Demand

Supply

Procurement

Utilization

Access

Enabling Environ

Coord

M&E

Ad Hoc Committee Assessment of SLRHCS by Determinant

012345

Supervision

Funding

Advocacy

Cap.Building

Demand

Supply

Procurement

Utilization

Access

Enabling Environ

Coord

M&E

RAPSYS – CASE STUDY (Cont’d)

RAPSYS: Lessons Learned

1.  Panel selection very crucial

2.  Role and level of coordinator important

3.  Panel composition should be relevant to determinants

4.  Level of responsibility of Panel members critical

5.  Minimum of 3 days required for meeting

6.  Initial group of panelist represents RHCS ad hoc committee


7.  Selection process of group moderator and rapporteurs important

8.  Rapporteurs are responsible for first draft report

9.  Minimum of one month required for planning (logistics, mobilization)

10. Media participation important

11. Limit total number of participants to 10 per group

12. Leadership role of National government very important factor


RAPSYS: Lessons Learned (cont’d)

!

13. Panel members come from National & sub national levels

14. Participatory nature of meeting is a strong motivating factor.

15. Strong level of ownership among participants also a motivating factor

16. Peer review session very important

17. Profile of Panelists critical


RAPSYS: Lessons Learned(cont’d)

16-11-04 Prepared by Bongs Lainjo

www.bsuiru.wordpress.com

Thank You All For Participating!

Healthcare

RH COMMODITY SECURITY AND PLANNING SYSTEM (RAPSYS): A SYNERGISTIC MODEL