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									 Pillar II breakout groups:
Key action points identified


        Karen Newman
        RHSC June 2011
Country Ownership and
Commodity Quality
   Inform and advocate to governments on issues relating to
    product quality and procurement as well as supply
    systems to facilitate informed decision-making
   Promote dialogue within and between regional groupings
    and other international bodies on common approaches
    and appropriate standards that would allow mutual
    recognition and cross-border trade.
   Learn lessons from GFATM and others about innovative
    and effective approaches to procurement and commodity
    strategic planning for affordable, available and quality-
    assured products.
Defining resource needs at
country level
   Emphasize that investing in reproductive health
    programmes and supplies is smart policy, and yields value
    for money, going beyond related health benefits to
    positively affecting wider environmental and socio-
    economic development priorities
   Co-ordinate across sectors to financially plan and
    effectively meet the increasing demand for reproductive
    health supplies
   Engage with district level decision-makers and
    implementers, and address health worker issues such as
    task shifting, training etc. to maximize efficiency and cost
    effectiveness
Human Resources for
managing supply chains
   Human Resource strengthening for supply chain
    managers is a cross-cutting issue for all health sectors
   Supply chain strengthening should be part of overall
    health sector strategy for human resource management
   Adopt a dual approach which includes: -
      Building supply chain components into basic training
        and development for health care workers;
      Building a cadre of health supply chain professionals
   Move towards a holistic focus on building Human
    Resource capacity for Supply Chain Management
    (training, supportive supervision, monitoring, incentives,
    etc), to obtain, train and retain supply chain professionals
Co-ordination at Country level and
Stewardship of the State
   Co-ordinate the work of all key actors: public, private, NGO, by:
   Appointing a high-level chair of coordination within government
   Facilitating private sector co-ordination
   Promoting coordination at lower (district) levels
   Creating a “Community of Practice” for sharing experience
    across sectors, produce guidance documents, etc
   Developing training programmes for public and private providers
   Incorporate private sector service data into Health Monitoring
    Information Systems.
   Implementing public/private partnerships for service delivery, eg
    contracting out, etc.
   Incorporating social marketing programmes and data within
    national reproductive health strategic plans to maximize
    effective coverage.
Strengthening the Supply Chain
   Donors need to earmark funding for supply chain logistical
    strengthening
   Shift from vertical donor support for commodities to
    integrated Logistics Management Information Systems,
    which may involve support for integrated systems from
    basket/sector-wide funds, rather than for the
    commodities themselves
   Expand the definition of commodity security to include
    medical equipment and ancillary supplies (consumables)
   Strengthen capacity-building for LMIS, especially for “the
    last mile”. This includes in-service training in the essential
    basics of logistics for pharmacists and other health care
    workers
Country Ownership: Advocacy
and Demand
   Base more advocacy on research and
    evidence
   Include clients and service providers as
    advocates
   Connect national/local to global – e.g.
    Maputo Plan, UN Sec Gen’s Global
    Strategy, UNFPA’s Global Programme
Across the Groups: Country
Ownership means: -
   Taking stock of key partners and stakeholder groups in RH at
    national level, including government, media, traditional and
    religious leaders, young people, parliamentarians, etc, defining
    roles, and setting benchmarks
   Achieving a shared understanding of what country ownership
    means and how different stakeholders can engage and be
    engaged by government
   Developing a transparent health and development policy
    environment in which reproductive health has a clear role
   Ultimately: Defining, developing and building capacity for
    government stewardship of the health sector as a whole –
    including building the capacities of private providers, NGOs, civil
    society and other key stakeholders, to arrive at shared
    responsibility for a ‘whole sector approach’ to both policy
    development and service delivery.

								
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