Strengthening Linkages Between the Strengthening Linkages Between the Franchise Program & the Public Health Franchise Program & the Public Health System through A Total Market System through A Total Market Approach (TMA)Approach (TMA)

PACE UGANDA APPROACH FOR INCREASING ACCESS TO LARCs,

By Dr. Dorothy Balaba

October, 2014

BACKGROUNDBACKGROUND• Uganda’s MDG 5b target: Increase Contraceptive

Prevalence Rate from 30% in 2011 to 50% in 2015.

• Public (47%) and private sectors (45%) are the key sources of modern contraception (UDHS 2011).

• CPR method mix is dominated by short-term methods

• PACE’s WHP Goal: Contribute to the increase of the national IUD-specific CPR from 0.5% in 2011 to 3% in 2015.

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LARC health market LARC health market

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Total Market Approach Total Market Approach • Targeting all varying segments of the population Targeting all varying segments of the population based

on their socio-economic status and willingness/ ability to pay

• Engagement of all key players Engagement of all key players Public, social franchise, commercial sectors, at all levels both national, district and community to scale up LARCs service provision .

• Good coordination by MOH, Good coordination by MOH, of a strong health system, for the purpose of increasing the uptake of IUD

• Functional data management Functional data management system, that can monitor progress accurately .

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DESCRIPTION OF INTERVENTIONDESCRIPTION OF INTERVENTION

• Identifying district with social franchise Identifying district with social franchise ProFam, Blue star and Good life social franchise

• Create partnerships with GovernmentCreate partnerships with Government: Sign MOU with MOH and districts to commit MOH and DHTs to take lead in strengthening national & district coordination of all players at all levels

• Partner with Family Planning Consortium of NGOs (UFPC) Partner with Family Planning Consortium of NGOs (UFPC) for advocacy, capacity building, social franchising, service provision for LARCs.

• Use public, private partnershipUse public, private partnership, based on the comparative advantage, for equity and sustainability

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DESCRIPTION OF INTERVENTIONDESCRIPTION OF INTERVENTION

– Joint forecasting of IUDs required supplies and equipment all sectors both Public sector and Private ( social franchising) and maintaining a supply chain

– Dedicated, skilled and motivated service providers especially in the public sector, (Government mentors who facilitated to supervise health workers

– Baseline survey conducted in 30 districts (facility preparedness)

– Demand generation Utilizing IPC ,VHT satisfied users referring clients to both public and private

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GEOGRAPHICAL COVERAGE: 20 TMA DISTRICTSGEOGRAPHICAL COVERAGE: 20 TMA DISTRICTS

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RESULTS OF THE INTERVENTIONRESULTS OF THE INTERVENTION

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LESSONS LEARNED LESSONS LEARNED • The TMA has potential to strengthen the public and private working relationship

• Joint forecasting and planning for both the public and private is critical if we aim to grow the IUD total market.

• District leadership is key in ensuring good supply chain management and ensuring

that providers are motivated to provide LARC

• With the TMA there is high potential of growing the IUD CPR.

• • strengthening data management.

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NEXT STEPSNEXT STEPS

• Development of a National FP work-plan using TMA principles by the Ministry of Health (ongoing).

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Thank you!

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