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Strategies
for Change The
United Nations Population Fund's strategy for reproductive health essentials seeks
to mobilize partnerships at the global and national levels to achieve a secure,
reliable supply of high-quality reproductive health commodities to all people
in developing countries, at the right time and in the right place. These
essentials include not only family planning supplies but equipment for basic obstetric
and maternal health care and for prevention and treatment of reproductive tract
infections, including sexually transmitted infections and HIV/AIDS. No
one organization can by itself meet this need. Governments, agencies, companies,
groups and individuals must work together in a coordinated way. Key
components:
The strategy for reproductive health essentials has four components at the global
and national levels: Advocacy:
to build a global political commitment to supplying high-quality, affordable commodities
and services
Formal and informal consultations, training, public relations, study tours, "good
will" ambassadors, publications, newsletters and Web sites can spread word
of the need and build support for it. Internal
advocacy can promote agreement and action within organizations and governments
to make reproductive health essentials a top priority at every level. Advocates
can seek regulatory and tax environments that favor NGO and private sector involvement
or spur advertising, public discussion and lower prices, as well as legal reform
to promote gender equality. Partners
can raise awareness of the growing gap between needs and resources.
Building
national capacity: to forecast, finance, procure and deliver reliable supplies
and services over the long term to all who need them Each
country must design its own national strategy to meet its commodity requirements.
Training
and technical assistance must be tailored to each country's particular needs.
A UNFPA
database of technical resources is under development at the global level, along
with guidelines, standards and protocols, publications on shared problems and
solutions, and lists of tools needed to implement the strategy.
Resource
mobilization : to ensure sustainable flows of funds and materials Fundraising
must be targeted not only at traditional donors but also foundations, the public
and the commercial private sector.
Sustainable financing might include user fees for cost recovery, social marketing
of subsidized branded products, encouragement for the use of private-sector products
by those with the ability to pay, and investment in better management and efficient
service provision. A
wide disparity exists among countries in the proportion of domestic resources
devoted to commodity supply. While some countries have few or no donors, nine
countries receive nearly two-thirds of all contraceptive support
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Coordination: to simplify
procedures, minimize cost and maximize usefulness of the partners' work. Working
groups of key partner agencies in each country can gather and analyze information,
generate consensus around issues, segment the market and monitor the partners'
efforts, ensuring accountability. Expanded
databases, publications and Web sites improve communication.
The
roles of our partners: Developing
country governments need capacity to assess demand, forecast, finance, procure
and deliver high-quality reproductive health commodities. They have the closest
links to users and their needs and know local conditions. Bilateral
donors such as Canada, Germany, the Netherlands, the United Kingdom and the
United States supply not only financial and technical support but also data and
analyses to UNFPA that are critical to all partners' understanding of commodity
requirements. World
Bank and regional development banks promote sector-wide approaches and are
helping to restructure the way governments organize services and allocate resources,
so their collaboration is essential.
United
Nations organizations and agencies
provide coordination, technical information and guidance, and standards and quality
assurance. UNFPA, with 30 years' experience in population, family planning and
reproductive health, is the lead agency. Foundations
can provide flexible and long-term grants as required. Major donors include the
Bill and Melinda Gates Foundation, the David and Lucile Packard Foundation, the
Rockefeller Foundation, the United Nations Foundation and the Wallace Global Fund.
Nongovernmental
organizations (NGOs), intergovernmental organizations (IGOs) and contractors help
national governments with advocacy, technical training, developing models, delivering
services and exchanging information. Prominent ones include the network of European
NGOs (EURONGOs), the International Planned Parenthood Federation, Population Action
International, Family Health International, Marie Stopes International, Commercial
Market Strategies, John Snow Inc., The Futures Group, Population Service Internation,
Partners in Population and Development, and the International Council on Management
of Population Programmes. Commercial
private sector partners provide half or more of the commodities used in some
countries. They make products and services more attractive and accessible to users
who can pay commercial prices, and are key to sustainable programmes. Private
individuals drive the demand side of the equation, and their private purchases
of commodities can reduce the burden on public-sector programmes.
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