From choice,
a worldAccess
of possibilities
Accelerating
to priority Sexual and Reproductive Health
Advocating for RH supplies
Reproductive Health
Uganda (RHU)
Jackson Chekweko
Ag. Executive
Director
Reproductive Health
Supplies Coalition
meeting
Sheraton Hotel
27th -28th May 2010
LLY MUGUMYA
A member of
Reproductive Health Commodity Supplies
(RHCS) situation
Road Map priority indicators
Indicator
Contraceptive Prevalence Rate
(CPR)
Unmet need for family planning
% increase in Couple Years of
Protection
Baseline and Target
2005
2010
2015
23.7
%
40.6
%
10%
35%
50%
20%
5%
50%
70%
RHCS Indicators
Cost of meeting the unmet need
for Family Planning
RH supplies advocacy efforts in Uganda
Introduction:
 Civil society led network – Reproductive Heath
Supplies Advocacy Network (RHSAN).
Civil society,
RH division,
MOH,
Parliamentarians network,
Media groups
LLY MUGUMYA
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 campaign
 Media tour of districts
 Targeted 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
Results
•RHSAN – Well coordinated advocacy efforts
•Debate and active engagement on family planning
and RHCS funding has reached centres of power
LLY MUGUMYA
Results
1.
Gained government’s
commitment for RH
supplies
Established a
functional budget line
for RH commodities.
b. Increased budget
allocation for RH
supplies.
a.
MOH Funding for RH Supplies in
USD
$800,000
$700,000
$600,000
$500,000
$400,000
$300,000
$200,000
2.
Joined the Global RH
Supplies Coalition
LLY MUGUMYA
$100,000
$2004
2005
2006
2007
2008
2009
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
$8
$7
Millions US Dollars
$6
$5
$4
USAID
$3
UNFPA
$2
MOH
$1
$0
2004
2005
2006
2007
2008
Challenges Cont’d
Low expenditure on allocated budget
1.80
1.60
1.40
1.20
1.00
RH Commodity
Allocation
0.80
Actual expenditure on
RH Supplies
0.60
0.40
0.20
0.00
2005/06
2006/7
2007/8
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.
RHSAN Next steps
•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
Thank you
Jackson Chekweko
Ag. Exective Director
Reproductive Health Uganda(RHU)
jchekweko@rhu.or.ug
+256-772-701953
27th May 2010