UN Commission on Life Saving Commodities

Tanzania RMNCH Plan: UpdatesDPG-Health

September 4, 2013

Background: The United Nations (UN) Commission on Life-Saving Commodities for Women and

Children • The Commission was set up in response to the call in the UN

Secretary-General’s Global Strategy for Women’s and Children’s Health

• For increasing access to and appropriate use of medicines, medical devices and health supplies

• To effectively address leading avoidable causes of death during pregnancy, childbirth and childhood

• The Commission identified 13 essential commodities that could save the lives of millions of women and children

• Made 10 recommendations for how to get these commodities to those who need them most. Among the 49 Every Woman Every Child initiative countries

Country Plans to increase access to

commodities and services

and

Accelerate achievement

of MDGs 4 & 5

1. Shaping global market2. Shaping delivery markets3. Innovative Financing4. Quality strengthening5. Regulation efficiency 6. Supply and awareness7. Demand and awareness 8. Reaching women and children9. Performance and accountability10. Product innovation

Reproductive health

Female CondomsImplantsEmergency Contraception

Maternal Health

Oxytocin Misoprostol Magnesium sulfate

Newborn Health

Injectable antibiotics Antenatal Corticosteroid (ANCS)ChlorhexidineResuscitation Equip.

Child Health AmoxicillinOral Rehydration SaltsZinc

The Commission’s recommendations support clear objectives for under-utilized life-saving commodities across the RMNCH Continuum of care

First Eight Countries

Pathfinder countries:1. Malawi2. DRC3. Nigeria4. Uganda5. Senegal 6. Ethiopia7. Siera leone8. Tanzania

UN Commission on Life-Saving Commodities

PMNCH

UN Life Saving commodities as of part of proliferation of initiatives…

Every Women

Every Child

A Call to Action – Child Survival

A Promise Renewed

Saving Mothers Giving LifeH4+

Initiative

Global Action Plan for Newborns

Scaling-Up Nutrition (SUN)

Global Working Group on

Pneumonia and Diarrhea

UN Commission on Information and Accountability

Decade of Vaccines

Innovation WG

World Bank Health Results Innovation Trust

Fund

Independent Expert Review Group

Pledge Guarantee for Health

FP 2020Muskoka Initiative

Born Too Soon

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug2012 2013

Progress since the launch to the Commission’s report in September 2012

• Report hand-over to the SG

• Dakar inter-country workshop

• First disbursements to countries

• Abuja meeting launch

• Preparation of country plans, with iterations

• Preparation of global work plans and implementation

Sep Oct Nov Dec Jan2014

• 2nd wave of countries (tbd)

• Progress review of global groups

• RMNCH Steering Committee

• UN General Assembly

United Republic of Tanzania RMNCH Plan

Country Plans to increase access to

commodities and services

and

Accelerate achievement

of MDGs 4 & 5

5. Regulation efficiency 6. Supply and awareness7. Demand and awareness 9. Performance and accountability

Reproductive health

Female CondomsImplantsEmergency Contraception

Maternal Health

Oxytocin Misoprostol Magnesium sulfate

Newborn Health

Injectable antibiotics Antenatal Corticosteroid (ANCS)ChlorhexidineResuscitation Equip.

Child Health AmoxicillinOral Rehydration SaltsZinc

URT RMNCH Plan: Focus Areas

Focus areas: Expected Results

• Recommendation 5: Regulatory Efficiency: – Output MOHSW: Registration of required life-saving

commodities from local and international manufacturers fast tracked– Output MOHz: Reproductive Maternal and Child Health (RMNCH) life

saving commodities registered

• Recommendation 6: Supply and awareness: – Output: Adequate quantities of RMNCH life saving commodities

procured with improved forecasting and Quantification – Output: Reduced stock outs by strengthening Logistics

Management Information System including inventory and stock management

– Output: Strengthened distribution channels and storage for oxytocin based on evidence

Focus areas: Expected Results

• Recommendation 6: Supply and awareness– Output (Zanzibar): Funds for procuring RMNCH commodities

increased and sustained. – Output(Zanzibar): Adequate quantities of RMNCH LSC procured

with improved forecasting and quantification systems

• Recommendation 7: Demand and awareness for product & service utilization by 2014– Output Evidence generated to guide demand creation and

service utilization interventions – Output : Increased availability and utilization of life saving

commodities through advocacy and BCC interventions

Focus areas: Expected Results

• Recommendation 7: Demand and awareness for product & service utilization by 2014 (Zanzibar): – Output: Improve community knowledge and practices on RMNCH

services– Output : Increased availability and utilization of life saving

commodities through advocacy and Social BCC interventions

• Recommendation 9: Performance and Accountability:– Output : Health-care providers are knowledgeable about the

latest national guidelines on life saving commodities– Output : Accountability and Sustainability for life saving

commodities strengthened

Focus areas: Expected Results

• Recommendation 9: Performance and Accountability(Zanzibar)– Output: Health-care providers are knowledgeable about

the latest national guidelines on life saving commodities.– Output: Accountability and Sustainability for life saving

commodities strengthened

Year One Budget priority

Recommendation 51%

Recommendation 6

61%

Recom

menda-tion

71%

Recommendation 9

31%

Mgt Governance & overhead

7%

Zanzibar: USD 750,000

Recommendation 53%

Recommen-dation 6

67%

Rec-om-

men-dation

79%

Rec-om-

men-dation

97%

Mgt Gover-

nance & over-head14%

Mainland: USD 3250000

Funding Modality & Budget • Global Trust Fund

established and hosted at UNFPA

• Pass-through funding modality to the UN Agency to the ministries of health/ Implementing Partner

• First Year budget : 4,USD 4Million Zanzibar: USD 750,000 Mainland: USD 3,250,000

Disbursement

based on instruction

Country Request

Level: Global RMNCH Trust Fund

Level: CountryUN Agency

IP MOHSW/MOH-Z

Asante sana kwa

kunisikiliza