Speaking the Same Language
Stockout indicators landscape analysis and harmonization efforts
Suzy Sacher
14 November 2013
International Conference on Family Planning
Addis Ababa, Ethiopia
- Background & purpose
- Methodology
- Findings from landscape analysis
- Next steps
Why Consider Harmonizing
Stockout Indicators?
• Inconsistent measurements of stockouts across organizations - differences in:
– Definitions
– Methodology
• Lack of confidence in data collected
• Challenge to compare data & use for advocacy
50
40
30
20
10
0
100
90
80
70
60
1) What percent of all health facilities do not have the product today?
2) What percent of facilities that offer the product do not have the product today?
40
30
Indicator
2b) What percent of these facilities had a stockout of the method any time in the last 6 months?
70
• Conduct a landscape analysis of indicators
• Propose an approach to how we measure stockouts and availability so that results:
better quantify the occurrence and impact of stockouts
can be universally interpreted
can be used for advocacy
can be used to measure progress
Then: Generate the passion to meaningfully mobilize action to decrease stockouts
(future Coalition work).
.
,
Topics
Methods
Indicator definitions
• Survey
.
Data collection methods
Uses of information .
• Key informant interviews
Challenges
Recommendations for way forward
.
• Document review
Level Advocacy Supply
Chain
Service
Delivery
Profamilia
Social
Marketing
DKT
Research Commercial
Supply
Chain
Futures Biogen IDEC Country level & global level
AFP
PAI
PRB
MSI
UNFPA
USAID
USAID |
DELIVER
SC4CCM
MSI
ICON
McKinsey
SIAPS
PATH
BMGF
WINGS
Engender
Health
IPPF
World
Bank
PSI Ibis
Pop
Council
Novartis
Consumer packaged goods
Ipas
Other: RHSC, PGH, PM&A, World Bank
Methods offered
Stockout on day of assessment or report
Choice of FP methods
Stockouts during the past X months
Magnitude of stockouts during the past X months (frequency & duration)
Referral tracking
Differences in Stockout Indicators &
Definitions
Level of system & which facilities/locations considered
Time period of measurement
By brand, method, or all methods together
Source of data/how data collected
Frequency of data collection
Quantity of stock remaining (definition of “stockout”)
Availability of 5 modern methods at SDPs
Availability of at least 4 methods, including at least
1 LAPM
Availability of method categories, including barrier, hormonal short-acting, and long-acting reversible
Which methods clients know about & use & if obtained the method they wanted
Obtained recommendation from advisory group regarding most useful deliverable:
Single indicator recommended for use
Suite of recommended indicators to choose from
List of all current & suggested indicators
• Draft suite of indicators
• Obtain working group input
• Finalize the suite of indicators
• Obtain organizational buy-in to use recommended indicators
Reproductive Health Supplies Coalition
Ellen Tompsett: etompsett@rhsupplies.org
http://www.rhsupplies.org
USAID | DELIVER PROJECT
Suzy Sacher: ssacher@jsi.com
http://deliver.jsi.com