Donor Support for Contraceptives and Logistics 1999

Publication date: 1999

Donor Support for Contraceptives and Logistics 1999 2 i TABLE OF CONTENTS LIST OF ACRON.MS ii INTROD1CTION 1 ANAL.SIS 2 Table 1: Estimated Contraceptive Commodity Support by Donor/Agency in 1SG000 2 Figure 1: Support by the Major Donors (in percentage), 1999 3 Figure 2: Pattern in Contraceptive Supply, 1990-1999, in 1SG000 4 PROJECTED CONTRACEPTIVE COSTS, SHORTFALLS AND CONSEV1ENCES 4 Table 2: Estimated Contraceptive ReWuirements Compared with Reported Donor Support for Contraceptives (1SGmillion) 5 Figure 3: Trend of Reported Donor Support for Contraceptives Compared with Estimated ReWuirements (1SGmillion) 5 CHANGE IN PATTERN OF DONOR S1PPORT 7 Figure 4: Comparison of Major Donor Support, 1991 and 1999 7 REGIONAL DISTRIB1TION 8 Figure 5: Donor Support by Region 8 CO1NTRIES RECEIVING THE MOST CONTRACEPTIVE COMMODIT. S1PPORT 9 Table 3: Top Ten Countries Receiving the Most Donor Support, 1992-1999 9 Table 4: Top Ten Countries Receiving Donor Support for Contraceptives in Comparison with Support for Logistics Management, 1999 10 TOTAL E_PENDIT1RE B. METHOD 10 Table 5: Expenditure by Method, 1SG million (1992-1999) 10 DONOR S1PPORT FOR MALE CONDOMS 11 Table 6: Country-specific Condom Support, 1995-1999 (in pcs) 11 FEMALE CONDOMS 16 Table 7: Distribution of Female Condoms (in pcs) in Public and Private Sectors 16 LOGISTICS S1PPORT REPORTED FOR 1999 23 ii LIST OF ACRON.MS AIDS AcWuired Immunodeficiency Syndrome BMb Bundesministerium fcr wirtschftliche busammenarbeit und Entwicklung CIDA Canadian International Development Agency DFID Department for International Development DKT DKT International, Inc. E1 European 1nion IPPF International Planned Parenthood Federation I1D Intra-uterine Device KfW Kreditanstalt fcr Weideraufbau MSI Marie Stopes International NGO Non-Governmental Organization OC Oral Contraceptive PSI Population Services International SIDA Swedish International Development Authority 1NFPA 1nited Nations Population Fund 1SAID 1nited States Agency for International Development VFT Vaginal Foaming Tablet WHO World Health Organization 1 INTRODUCTION This report on Donor Support for Contraceptives and Logistics Management is prepared from a database maintained by the 1NFPA Global Initiative on Reproductive Health Commodity Management. The database contains country-specific information reported by the donors on the type, the Wuantity, and the total cost of contraceptives they provided to developing country reproductive health programme during 1999. Information on brands, manufacturers, and the unit cost is provided by a limited number of donors and agencies. The purpose of this annual report is to facilitate coordination and advocacy among the key partners in terms of addressing unmet contraceptive needs and strengthening supply management so that the contraceptives are accessible at affordable prices to both women and men in developing countries. The report may also be useful in the broad planning of contraceptive support to countries. As in the past, a chapter delineates the information provided by 1NPFA and 1SAID on donor support for logistics management. Other donors have not reported any support for logistics strengthening. The amount spent for strengthening logistics capacity is compared with the dollar amount spent on products. There is no precise irule of thumbi on the proportion that should be spent on logistics management in comparison to contraceptive value. However, a view was expressed by the participants in the 1NFPA-organized workshop on Logistics Management Strategy Development in 1ganda in 1997 that an investment eWual to at least 15 per cent of the commodity value is desirable for maintaining an effective logistics system. This year fifteen donors and international agencies provided information on their support of contraceptives to developing countries. They included: European 1nion, German KfW, British DFID, Canadian CIDA, Swedish SIDA, American 1SAID, Governments of Netherlands and Japan, international agencies PSI, DKT, IPPF and 1nited Nations agencies World Bank, 1NAIDS, 1NFPA and WHO. Support amounting to approximately 1SG21 million from World Bank is estimated on the basis of orders filled on its behalf by 1NFPA to supply contraceptives in a number of countries. Similarly, the support of Canadian CIDA was estimated at 1SG 3 million on the basis of funding received by 1NFPA to procure and supply contraceptives. Both of these amounts have been subtracted from the 1NFPA contraceptive procurement expenditure of 1S G38 million. Also, transport costs, additional costs incurred in 1998 but charged to 1999, and contraceptives procured to headWuarters stock, totaling approximately 1S G1 million were not counted against 1NFPA. Support from PSI in 1999 was approximately 1S G8.5 millionj out of this approximately 1S G8.2 million came from various donors such as 1SAID, KfW and others. In order to avoid double counting only 1S G265,000 was recorded into the database against PSI. The amount received by different donors was included in their respective categories. Similarly, DKT support for contraceptives was recorded at 1S G5.1 million. From the DKT report, the information that included contraceptives supported by 1SAID and KfW was not 2 included to avoid double counting.The amount subscribed against WHO reflects only the amount of contraceptives commodities. For WHO, the amount for condom testing, disposing of condoms and extra expenses, totaling to 1S G8,000 was not counted and subtracted from the total amount. Some donors also reported incomplete information on the unit cost or the total cost of contraceptives. The Government of the Netherlands, for example, provided information that includes support for AIDS projects. SIDA provided the information on the support to the Government of Kenya most of which was pertaining to oral contraceptives. In absence of unit price and Wuantity the amount of support was divided by G0.25 to estimate the Wuantity of oral pills. For DFID, estimation for the total cost was used when the unit price and total cost of contraceptives were not provided. In all such cases, estimation on cost was made based on international prices. In spite of careful scrutiny a caveat is necessary in the beginning of this report. It is possible that some data is missing or double counted due to estimations that were made to compensate for incomplete information. ANALYSIS Total donor support in 1999 amounted to 1SG 130.8 million a decrease of 1SG 12.4 million or about 9k compared to last year (Table 1). Table 1: Estimated Contraceptive Commodity Support by Donor/Agency in US G000 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 TOTALS k BMb/KfW 10,798 18,312 11,350 9,317 38,071 13,305 8,627 7,976 117,756 9.7k CIDA 1,385 4,514 7,249 0 1,036 2,885 17,069 1.4k DKT 177 0 3,759 5,148 9,084 0.7k E1 180 6,122 6,510 9,215 7,435 644 13,109 43,215 3.6k IPPF 5,843 5,410 6,204 6,165 6,258 6,746 6,003 11,148 3,416 3,016 60,209 5.0k JAPAN 28 315 300 838 36 159 1,676 0.1k NETHERLANDS 102 3,749 2,700 2,584 9,135 0.8k MSI 568 1,173 405 0 0 1,439 61 N/A 3,646 0.3k DFID 4,125 4,712 7,192 10,924 9,205 13,149 7,807 13,188 70,302 5.8k PATHFINDER 700 1,692 462 892 0 N/A 3,746 0.3k PSI 418 1,210 2,323 7,419 7,239 2,885 200 264 21,958 1.8k SIDA 1,297 6 1,400 750 0 514 3,967 0.3k 1NAIDS 218 218 1NFPA 14,752 21,499 18,534 27,817 34,087 37,857 37,610 39,861 32,200 14,395 278,612 23.0k 1SAID 57,636 59,892 39,575 55,142 47,848 51,059 46,481 39,383 63,087 45,522 505,625 41.7k WHO 957 975 628 483 968 1,663 2,099 2,673 481 1,078 12,005 1.0k WORLD BANK 5,000 7,930 1,662 19,137 20,718 54,447 4.5k TOTALS 79,188 87,776 82,847 116,886 118,434 143,895 172,152 137,527 143,191 130,774 1,212,670 100.0k 3 A significant increase was noted in E1 support mainly for two countries, Indonesia and South Africa. The 1NFPA Procurement 1nit was not involved in purchasing contraceptives for these countries. 1SAID and 1NFPA support combined decreased by approximately 1SG 35 million compared to last year. 1NFPA support for contraceptives decreased by 55 percent compared to 1998. However, the actual amount of procurement -- including the support of the World Bank and CIDA combined-- declined 27 percent compared to last year when this amount was 1SG 52 million. Figure 1 illustrates the 1999 1NFPA share as 11k, the third major contributor, after the World Bank (16k) and 1SAID (37k). Figure 1: Support by the Major Donors (in percentage), 1999 1NFPA 11k 1SAID 37k DFID 10k Others 8k World Bank 16k EC 10k IPPF 2k KfW 6k The pattern of support by the five major donors since 1990 i.e. 1SAID, 1NFPA, KfW, DFID and IPPF is illustrated in Figure 2. Of these donors, except for DFID, the contraceptive commodity donations of each declined in 1999 compared with 1998 and most declined compared with 1997 and 1996 as well. For the purpose of comparison, 1NFPA support reflects its total procurement figures. 4 Figure 2: Pattern in Contraceptive Supply, 1990-1999, in USG000 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 1NFPA 1SAID DFID IPPF BMb/KfW 1SAID 1NFPA KfW DFID IPPF Projected Contraceptive Costs, Shortfalls and Consequences Contraceptive prevalence in developing countries has grown dramatically in the past four decades. In the years since the mid-1960s, CPR has increased from around 10 per cent to almost 60 per cent with some nine out of ten users relying upon modern methods. 1N Population Division projections show the reproductive age population in developing countries increasing some 23 per cent between 2000 and 2015. The number of contraceptive users during the same period is projected to increase more than 40 per cent as a conseWuence both of population growth and an increase in the proportion of people who use contraception. On the basis of these projections, 1NFPA has estimated the costs of future contraceptive reWuirements and these are shown in Table 2.1 Data on donor support for contraceptive commodities since 1992, given in Table 2, indicate an uneven trend. Between 1992 and 1996, donor support averaged 40.9 per cent of overall estimated reWuirements. Since 1996 this percentage has fallen to under 25 per cent in 1999. Had donors maintained their funding at 40.9 per cent, they would have supplied in 1999 more than 1SG 216 million worth of commodities rather than the actual amount of just under 1SG 131 million--a potential shortfall of some 1SG 86 million. 1 iContraceptive Commodity ReWuirements and Costs in Developing Regions, 1999-2015i (Draft), 1NFPA, 2000. 5 Table 2: Estimated Contraceptive Requirements Compared with Reported Donor Support for Contraceptives (USG million) 2 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Estimated contraceptive cost 222 265 308 351 394 437 480 529 572 614 657 702 Donor support actual 82.8 116.9 118.4 143.9 172.2 137.5 143.2 130.8 Donor share of contraceptive cost k 37.3 44.1 38.4 41.0 43.7 31.5 29.8 24.7 Estimated donor share at 40.9k 178.7 196.3 216.4 233.9 251.1 268.7 287.1 These figures are displayed graphically in Figure 3 where the potential contraceptive gap is clearly apparent. Shortfalls exist at present and will continue to increase unless this trend is reversed. Figure 3: Trend of Reported Donor Support for Contraceptives Compared with Estimated Requirements (USG million) 130.8143.2137.5172.2143.9118.4116.982.8 702 657 614572 529 480 437 351 308 265222 394 287.1268.7251.1233.9216.4196.3178.7 0 100 200 300 400 500 600 700 800 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Donor Actual support Total Estimated Contraceptive Costs Estimated donor support at 40.9k 2 These estimates of costs are based upon 1N population projections and estimates of actual contraceptive prevalence in developing countries. This analysis relates only to contraceptive commodities. The cost of assuring that good Wuality contraceptives reach informed users is additional and not part of this analysis. 6 Contraceptives to meet the needs of developing countries are paid for from only three basic sources: government budgets, donors and payments by individual users. Demographic and Health Surveys (DHS) provide an important body of information on sources of contraceptive supply, but largely only in the following categories: government, pharmacy, NGO and other private. DHS does not reveal the degree to which donor support plays a role as the ultimate source for each recipient category, especially government. The true extent of the potential gap that has developed can only be assessed with improved figures for national expenditures and individual private payments for contraceptive commodities. However, it is difficult to imagine that the shortfalls depicted in Figure 3 have been totally compensated by an eWuivalent increase in government or individual private spending. Also, it is suggested, that most developing countries, particularly the poorest, and especially those in Africa, will continue to rely on contraceptive commodities supplied by donors for the foreseeable future. The Reproductive Health Consequences of Contraceptive Commodity Shortfalls3: The difference between the contraceptive commodity support donors had been providing in the early 1990s ( an average of 40.9 per cent from 1992-1996) and the level of support actually provided in subseWuent years (for example, 24.7 per cent in 1999) is described as a shortfall. If we assume that the estimated shortfall of donated contraceptive commodities in 1999, valued at 1SG86 million, was not met by increases from the governmental and commercial sectors, grave conseWuences affecting the health of women and children in developing countries could have resulted.4 For purposes of discussion, estimates of the increases in key reproductive health morbidity and mortality parameters are listed here for each 1SG1,000,000 shortfall in contraceptive commodity assistance. a. Increase in the number of unintended pregnancies: 360 thousand b. Additional induced abortions: 150 thousand c. Additional maternal deaths 800 hundred d. Additional infant deaths 110 thousand e. Additional deaths of children under 5 140 thousand 3 To calculate the conseWuences, the formulae used in the 1NFPA report submitted to the Executive Board, Meeting the Goals of the ICPD: ConseWuences of resource shortfalls up to the year 2000, Board DP/FPA/1997/12, 10 July 1997, were employed. 4 Average cost per user of contraceptives has been calculated at 1S G1.52. It is assumed that unavailability of contraceptives, even though other reproductive health services exist in the country, will have an adverse impact on womenls reproductive health. 7 CHANGE IN PATTERN OF DONOR SUPPORT A change in the pattern of donor support is evident when the data are compared between 1991 and 1999 see Figure 4. In 1991, when 1SAID supplied more than two thirds of all donor support combined, the three other major donors were 1NFPA, WHO and IPPF. By 1999 there are altogether fourteen agencies supporting contraceptives, some on a regular basis such as KfW and DFID and other to specific projects such as E1 Altogether there are more agencies providing significant levels of support in 1999 than there were in 1991. The 1SAID support that constituted 69 percent of the total support in 1991 has reduced to 37 percent in 1999. Figure 4: Comparison of Major Donor Support, 1991 and 1999 1991 Total: 1SG79.2 million 1NFPA 24k 1SAID 69k Others 1k IPPF 6k 1NFPA 1SAID IPPF Others 1999 Total: 1SG 130.8 million 1NFPA 11k 1SAID 37k DFID 10k Others 8k World Bank 16k KfW 6k IPPF 2k EC 10k 8 REGIONAL DISTRIBUTION This year, as in last year, the Asia and Pacific region received the biggest share of the total support see Figure 5. This could be simply because of the larger population in that region. Also, the activities of DKT in three Asian countries e.g., China, Vietnam and India have increased. Figure 5: Donor Support, by Region (in percentage), 1999 Asia&the Pacific 52% Latin America 8% Africa 35% Arab States& Europe 5% 9 COUNTRIES RECEIVING THE MOST CONTRACEPTIVE COMMODITY SUPPORT Out of the ten countries that received the most donor support in 1999, five belong to Asia with 72 per cent and five are from Africa with 28 per cent. A comparison of 1999 with previous years can be seen in Table 3. Table 3: Top Ten Countries Receiving the Most Donor Support, 1992- 1999, USG million 1992 1993 1994 1995 Country Value Country Value Country Value Country Value Bangladesh 16.6 Bangladesh 36.6 Bangladesh 31.1 Bangladesh 25.3 Viet Nam 4.7 Philippines 6.1 Viet Nam 5.3 Nigeria 14.1 Philippines 4.5 Kenya 5.8 Philippines 5.1 Ethiopia 8.4 India 4.3 Nigeria 5.3 Mexico 4.9 India 6.6 bimbabwe 4.1 Tanzania 3.2 Nigeria 3.9 Pakistan 6.3 Egypt 4 India 3.1 Kenya 3.8 Kenya 5.3 Kenya 4 bimbabwe 3.1 Nepal 3.3 1ganda 4.2 Pakistan 3.2 Brazil 2.9 1ganda 2.8 bimbabwe 4.2 Nigeria 2.3 1ganda 2.9 Pakistan 2.8 Nepal 3.7 Morocco 2.1 Morocco 2.6 bambia 2.8 Tanzania 3.7 Total 49.8 71.6 65.8 81.8 1996 1997 1998 1999 Country Value Country Value Country Value Country Value Bangladesh 44.5 Bangladesh 16.1 Bangladesh 36.2 Bangladesh 27.3 India 17.9 Pakistan 10.3 Indonesia 8.7 Indonesia 16.7 Pakistan 9.2 Ethiopia 7 Pakistan 7.7 Philippines 7.5 Nigeria 7.2 Tanzania 6.5 Egypt 5.8 Kenya 6.5 Ethiopia 5 Thailand 6.2 Nepal 5.6 Tanzania 5.3 bimbabwe 5 Philippines 5.3 Philippines 5.3 bimbabwe 5 Ghana 4.5 Burkina Faso 5.2 Tanzania 4.6 Pakistan 4 Nepal 4.4 Peru 4.9 Ethiopia 4.2 1ganda 3.1 Egypt 3.5 bimbabwe 4.8 Peru 3.9 Ethiopia 3.1 Peru 3.5 Nepal 4.1 Myanmar 3.3 Nepal 3 Total 104.7 70.4 85.3 81.5 The list of the top 10 countries that received donor support for contraceptives from 1SAID and/or 1NFPA along with the amount of support they received for logistics management capacity building in illustrated in Table 4. The higher percentage of logistics support in one year may not be indicative of a better logistics system in place, but it does offer an indication of the importance given by donors for improving logistics management in that country. This year logistics support for the top 10 countries is 3.9k of the total of contraceptive support. 10 Table 4: Top Ten Countries Receiving Donor Support for Contraceptives in Comparison with Support for Logistics Management, 1999, USG 000 Country Contraceptive Support (G,000) Logistics Support (G000) Percentage Bangladesh 27,298 1200 4.4k Indonesia 16,658 N/A Philippines 7,528 726 9.6k Kenya 6,472 1200 18.5k Tanzania 5,263 142 2.7k bimbabwe 5,013 N/A Pakistan 3,989 N/A 1ganda 3,145 N/A Ethiopia 3,069 400 13.0k Nepal 2,967 249 8.4k Total 81,402 3917 4.8% TOTAL EXPENDITURE BY METHOD This year condom support declined significantly compared with previous years. As seen in Table 5, orals increased slightly but injectables declined as did I1Ds and implants. A decline in condom support is a point of concern in the context of the AIDS epidemic. Table 5: Expenditure by Method, US Gmillion (1992-99) Method 1992 1993 1994 1995 1996 1997 1998 1999 Totals Percent Condom 20.8 40.1 39.9 60.6 68.1 50.9 51.4 37.9 369.7 35.36k Oral 33.7 48.3 44.1 46.9 64 30.2 34.4 44.4 346 33.10k Injectable 10.5 15.8 16.8 18 21.8 37.8 34.3 31.5 186.5 17.84k IUD 9.5 5.6 8.7 5.3 9.2 6.3 9.7 6.5 60.8 5.82k VFT 2.5 2.8 3.4 3.4 4 3 2.6 1.9 23.6 2.26k Implant 1.6 1.5 3.9 2.9 3.3 4 10.4 8.5 36.1 3.45k Foam/Jelly/Others 4.2 2.7 1.6 6.7 1.7 5.3 0.4 0.1 22.7 2.17k Totals 82.8 116.8 118.4 143.8 172.1 137.5 143.2 130.8 1045.4 100.00k 11 DONOR SUPPORT FOR MALE CONDOMS Donor support for condoms in the years 1996-1999 is listed by country in Table 6. As noted in previous editions, condom supply is often made in two-year cycles which sometimes results in a larger supply in one year when compared to another. Support for condoms is provide by all donors including 1NFPA and 1SAID. Table 6: Country-specific Condom Support, 1995-1999 (in pcs) Country 1996 1997 1998 1999 Afghanistan 3374 Albania 338400 57600 1437184 1269244 Algeria 6324000 309600 604000 Angola 50400 1181664 16126500 Anguilla 64800 Antigua 79200 57200 72000 3586 Argentina 86400 129600 100800 Armenia 576000 2016000 42000 Aruba 4354 18000 72000 19592 Azerbaijan 7300 5492016 720000 Bahamas 18000 21600 342930 Bangladesh 263300000 232553060 35041823 239593068 Barbados 28800 24000 36000 21862 Belarus 18000 Belize 24000 432000 360000 11220 Benin 6662000 6796000 3876000 8858500 Bhutan 2016000 158400 1468800 2947450 Bolivia 3558000 5644800 9011567 261600 British Virgin Islands 100800 Botswana 1800000 2200 Brazil 46540000 1573200 43902140 Bulgaria 7300 5492016 720000 2116696 Burkina Faso 10631200 210666 14168040 18570885 Burundi 360000 438528 1626519 Cambodia 123000000 13649000 27509000 36309534 Cameroon 14069760 17658000 16518000 334660 Cape Verde 557200 2460240 2952000 2130 Central African Republic 1819200 216000 115200 257446 Chad 2390000 5760000 704000 2037700 Chile 266400 72000 21600 478038 12 Country 1996 1997 1998 1999 China 24834302 28113000 Colombia 954000 259200 360010 218700 Comoro 87120 246000 114000 448762 Congo 684000 7717600 1952048 6163372 Cook Islands 113610 Costa Rica 86400 3570000 7200 Cote dmIvoire 69998720 2139600 27798000 29781580 Cuba 6134400 6825600 172800 1774630 Curacao 36768 64800 84790 Cyprus 6048 Czech Republic 328800 Dem. Peo. Rep. of Korea 288000 2160000 3305270 Dem. Rep. of Congo 19028176 48000 Djibouti 9936 288000 154080 143200 Dominica 19200 87600 2498 113290 Dominican Republic 4882560 4188880 3792000 657600 Ecuador 1224000 1728000 3811200 8396445 Egypt 4440000 3204000 5916000 5945000 El Salvador 3194400 6830400 3396000 2709900 EWuatorial Guinea 79200 21600 Eritrea 2623776 3447402 5152800 509457 Ethiopia 15006000 71474800 55434800 84556956 Fiji 345600 388800 197568 600000 Gabon 201500 120000 86400 Gambia 309600 464887 925800 Georgia 4320000 450400 0 Ghana 15070800 368400 3666000 16675000 Grenada 12000 133200 21600 Guatemala 6500000 5034000 12822000 6222500 Guinea 3534000 4087200 5746080 5709600 Guinea-Bissau 216000 69120 48780 Guyana 1511904 1190880 432000 Haiti 13169357 20429066 16920000 62764180 Honduras 6618000 5505000 3834000 8663960 Hong Kong 645120 240048 439200 178580 Hungary 54720 50180 India 224972544 185549875 63664808 74628288 Indonesia 48036000 8078400 28000000 43044820 IraW 799200 1980000 288000 408600 Jamaica 252000 252000 322000 Jordan 552000 589200 4116000 1562400 13 Country 1996 1997 1998 1999 Kazakstan 720000 190800 5760000 125800 Kenya 26296000 6998132 1510048 75280002 Kiribati 7200 65800 37440 60740 Kyrgistan 5534000 2700800 Lao. Peoplems Dem. Rep. 252000 1080000 702000 Latvia 43200 Lebanon 216000 7200 273600 792732 Lesotho 213600 2706080 205000 582360 Liberia 163440 1020000 1728000 103000 Macedonia 5211570 Madagascar 2940000 4789000 6852000 4000 Malawi 18744000 18108008 5184000 12388021 Malaysia 11087370 Maldives 465840 742100 316800 491410 Mali 4362000 6468000 9318000 8154900 Marshall Islands 28800 1440 7200 179282 Mauritania 300000 6000 1088920 Mauritius 489600 1200 304992 9900 Mexico 15812000 17098333 4376000 37500 Micronesia 22750 86400 100800 525195 Moldava 864000 1296000 Mongolia 1296000 1937000 883728 12423924 Montserrat 6000 6000 36000 Morocco 10196460 5552400 2795760 7820800 MozambiWue 12504000 16095332 24396000 24043850 Myanmar 4900000 4169900 12836800 11901629 Namibia 720000 360000 7575000 Nepal 35408880 17766705 33188496 38761620 Nicaragua 5648976 2362800 9406800 4281930 Niger 1380000 2106000 605300 33280 Nigeria 69096000 17760000 132264900 Oman 114000 135072 64800 325200 Pakistan 188869200 43410720 12468552 17176480 Palestine 504000 14400 394080 Panama 540000 21600 438912 342692 Papua New Guinea 432000 120000 109456 Paraguay 24000 2706000 3435600 208400 Peru 17442000 1683600 21186048 8835080 Philippines 15382800 84303600 29974656 41073448 Poland 720000 619000 Portugal 14400 120960 Republic of Korea 26784000 4440960 159610 14 Country 1996 1997 1998 1999 Romania 115200 54720 1440144 2770026 Russian Federation 3264000 374400 1836600 Rwanda 8483600 95028800 5771520 378305 Samoa 7200 Sao Tome & Principe 295200 144000 47200 Senegal 6456000 8790000 9577210 5454492 Serbia 20000 Seychelles 49104 216000 100800 57600 Sierra Leone 1542000 176666 7968336 1174828 Solomon Islands 438000 28800 381600 2231079 Somalia 1400 South Africa 19000000 16004000 300000 Sri Lanka 16025522 11550666 12341814 8827186 St. Kitts 57600 4351 St. Lucia 28620 St.Vincent 7200 11070 Sudan 144000 14000 150192 797196 Suriname 36000 309810 Swaziland 73440 7350000 2046000 2200 Syrian Arab Republic 648000 115300 230400 4367366 Tajikistan 468000 1013064 2400 Thailand 210600 Togo 2777280 4759680 7140000 12363578 Tonga 127680 32400 72000 103540 Trinidad and Tobago 311040 692400 338400 190824 Tunisia 4548288 349920 708000 Turkey 23100000 14020850 1070400 Turkmenistan 1155000 1008000 Turks and Caicos 7200 86400 Tuvalu 5040 14400 36250 1ganda 13085000 41303309 6838580 35734371 1kraine 1047168 264000 1503200 1nited Rep. of Tanzania 29702000 15712800 43920856 36580113 1ruguay 144000 260812 1zbekistan 1150000 24000 816000 Vanuatu 193200 10850400 223200 4152420 Venezuela 21600 455904 36000 16100 Viet Nam 2491200 4200 41407704 156796910 Western Samoa 34800 14400 123840 30370 .emen 288000 43200 460800 1539026 bambia 18446848 4832288 2447270 15 Country 1996 1997 1998 1999 bimbabwe 22387854 42171618 31000000 145160670 FEMALE CONDOMS Donor support for female condom, in general, is increasing. Table 7 shows the total number distributed since 1996. 16 Table 7: Distribution of Female Condoms ( in pcs) in Public and Private Sectors5 Country 1996-97 1997-98 1998-99 1999-2000 Total of 1996-00 Social Marketing Bolivia 92,000 92,000 Brazil 510,400 200,840 225,800 937,040 Ethiopia 46,000 46,000 Ghana 18,000 75,000 10,000 103,000 Guatamala 17,280 17,280 Haiti 44,000 18,000 62,000 Mexico 24,000 24,000 MozambiWue 8,640 8,640 South Africa-National 300,000 300,000 600,000 Tanzania 75,500 49,000 100,000 224,500 Togo 17,280 1,000 18,280 1ganda 5,000 5,000 1,200,000 1,210,000 Venezuela 10,000 5,680 15,680 bambia 281,000 281,000 bimbabwe 354,000 46,000 103,000 144,000 647,000 Sub-total Social Marketing 377,000 1,363,900 2,040,720 504,800 4,286,420 Public Sector/NGO Angola 60,000 23,000 83,000 Antigua 3,000 3,000 Bangladesh 1,000 30,000 31,000 Bermuda 3,000 3,000 Bhutan 1,000 1,000 Botswana 2,000 2,000 Brazil 100,000 1,000 2,000,000 2,101,000 Bulgaria 500 500 Burundi 1,000 1,000 Cambodia 30,000 20,000 50,000 Cameroon 3,000 3,000 Central African Republic 6,000 6,000 Chile 1,000 1,000 Congo-Kinshasa 2,500 2,000 4,500 Costa Rica 15,000 15,000 Cote dmIvoire 2,000 31,000 33,000 Cuba 10,000 10,000 Eritrea 24,000 24,000 Ethiopia 20,000 20,000 Georgia 4,000 4,000 Haiti 45,000 45,000 5 Information provided by the o Female Health Companyp, the manufacturer. 17 Country 1996-97 1997-98 1998-99 1999-2000 Total of 1996-00 India 500 500 Indonesia 15,000 15,000 Kenya 110,000 200,000 310,000 Kiribati 1,000 1,000 Lesotho 8,000 12,000 20,000 Madagascar 5,000 5,000 16,000 26,000 Malawi 1,000 5,000 6,000 Mali 11,000 11,000 Mauritius 500 500 1,000 Mexico 4,500 4,500 Micronesia 1,150 1,150 Mongolia 2,000 7,500 9,500 Namibia 7,500 14,000 21,500 New Caledonia 1,000 500 1,500 Niger 1,000 1,000 Nigeria 110,000 110,000 Papua New Guinea 30,000 30,000 Paraguay 6,000 4,000 10,000 Rwanda 1,000 1,000 Senegal 23,000 23,000 Solomon Island 1,000 1,000 South Africa- Mpumalanga 900,000 900,000 South Africa-National 4,000 1,200,000 879,000 2,083,000 Sri Lanka 2,000 2,000 Sudan 1,000 1,000 Swaziland 13,000 13,000 Syria 1,000 1,000 Tajikistan 3,000 3,000 1ruguay 5,000 5,000 Vanuatu 3,000 3,000 Vietnam 30,000 30,000 .emen 3,000 2,000 5,000 bambia 219,000 219,000 bimbabwe 197,000 256,000 195,000 12,000 660,000 Various others 3,000 13,650 79,450 97,350 193,450 Sub-total Public Sector 489,150 1,765,650 2,588,950 2,320,350 7,164,100 TOTAL 866,150 3,129,550 4,629,670 2,825,150 11,450,520 DONOR SUPPORT TO COUNTRIES 18 Total donor support in the years 1995-99 is listed in Table 8. Also noted is the average donor support for the five years and the average amount spent per woman of reproductive age. The contraceptive prevalence rate should be taken into consideration to provide a better understanding of the average amount provided per woman. Countries receiving less than 1SG0.43 per women are shaded in gray. The amount 1SG 0.43 per woman is arbitrary. In general, it only indicates the minimum amount that a donor would contribute if they agree to donate the one-third support where per women contraceptive cost is assumed to be 1SG1.30 per user6. Table 8: Total Contraceptive Commodity Support to Countries for 1995-1999 CO1NTR. 1995 1996 1997 1998 1999 AVERAGE Women ages 15-49 G Spent Per Capita CPR Afghanistan 3,850 3,850 4,800,000 0.001 2 Albania 70,872 111,449 6,593 221,448 184,577 118,988 900,000 0.132 na Algeria 1,787,649 1,114,328 1,471,975 161,500 1,133,863 7,000,000 0.162 52 Angola 182,429 135,918 448,317 320,075 187,349 254,818 2,400,000 0.106 na Anguilla 1,297 1,313 1,150 2,475 1,559 na na Antigua 5,817 5,179 11,655 4,974 1,883 5,902 na na Argentina 24,773 12,864 18,467 13,700 4,700 14,901 8,500,000 0.002 na Armenia 12,300 271,846 275,379 13,572 143,274 900,000 0.159 na Aruba 13,926 9,980 4,182 4,529 2,152 6,954 na na Azerbaijan 2,000 5,412 353,444 20,800 172,991 110,929 2,000,000 0.055 na Bahamas 16,566 4,369 24,523 21,631 34,686 20,355 80,000 0.254 62 Bahrain 2,797 2,797 100,000 0.028 61 Bangladesh 25,281,775 44,463,177 16,066,232 36,172,475 27,297,721 29,856,276 29,100,000 1.026 49 Barbados 8,312 9,606 7,673 6,864 8,190 8,129 70,000 0.116 55 Belarus 2,643 2,643 2,600,000 0.001 50 Belize 27,207 15,023 37,027 32,380 4,489 23,225 50,000 0.465 47 Benin 276,377 465,030 2,258,455 555,865 741,612 859,468 1,200,000 0.716 16 Bhutan 76,380 192,080 6,050 53,458 136,850 92,964 400,000 0.232 19 Bolivia 525,478 519,336 913,880 939,382 83,755 596,366 1,800,000 0.331 45 Bosnia & Herzegovina 900,000 0.000 na Botswana 181,972 90,000 1,842 1,048 1,498 55,272 400,000 0.138 33 Brazil 3,154,574 2,418,397 134,738 28,789 2,084,280 1,564,156 43,200,000 0.036 77 Bulgaria 2,000 5,412 353,444 20,800 172,991 110,929 2,200,000 0.050 76 Burkino Faso 586,545 1,480,791 5,169,322 2,655,539 908,393 2,160,118 2,300,000 0.939 8 Burundi 530,267 163,300 335,919 78,468 278,942 277,379 1,500,000 0.185 9 Cambodia 502,856 1,155,988 1,571,717 196,752 202,297 725,922 2,500,000 0.290 na Cameroon 1,153,675 951,973 1,585,695 1,331,042 230,355 1,050,548 3,000,000 0.350 16 Cape Verde 132,087 69,552 303,027 221,786 1,600 145,610 100,000 1.456 na Central African Republic 564,170 154,168 46,221 49,454 27,683 168,339 800,000 0.210 15 6 Technical Report q18, Contraceptive 1se and Commodity Costs in Developing Countries, 1994-2005 19 CO1NTR. 1995 1996 1997 1998 1999 AVERAGE Women ages 15-49 G Spent Per Capita CPR Chad 10,228 521,189 255,709 192,279 75,454 210,972 1,500,000 0.141 na Chile 45,644 42,618 45,128 14,187 44,621 38,440 3,800,000 0.010 na China 796,509 621,020 708,765 334,500,000 0.002 83 Colombia 641,381 853,214 35,012 24,652 28,300 316,512 9,700,000 0.033 72 Comoros 21,085 51,847 41,530 19,207 68,250 40,384 100,000 0.404 21 Congo, Dem. Rep. Of 597,173 1,347,117 25,447 165,985 533,931 9,500,000 0.056 8 Congo, Rep. Of 61,021 54,895 164,554 177,906 285,947 148,865 600,000 0.248 na Cook Islands 7,463 6,688 11,109 2,226 13,963 8,290 na na Costa Rica 3,300 192,836 811,252 335,796 900,000 0.373 75 Cote dmIvoire 1,956,993 3,202,609 1,717,483 263,839 1,785,231 2,900,000 0.616 11 Croatia 1,100,000 0.000 na Cuba 426,522 1,190,564 876,396 217,185 195,592 581,252 3,000,000 0.194 70 Curacao 33,538 11,035 24,129 21,649 19,005 21,871 na na Cyprus 2,956 3,839 3,398 200,000 0.017 na Czech Republic 3,671 56,564 30,118 2,700,000 0.011 69 Dem. People Rep. of Korea 69,640 263,302 346,236 226,393 12,900,000 0.018 62 Djibouti 6,128 7,395 19,584 46,797 7,400 17,461 100,000 0.175 na Dominica 3,464 17,558 18,801 8,326 13,073 12,244 na na Dominican Republic 1,033,876 930,270 471,963 457,967 314,039 641,623 2,000,000 0.321 64 Ecuador 751,592 260,867 395,284 517,927 1,360,321 657,198 2,900,000 0.227 57 Egypt 1,231,388 3,479,796 2,571,963 5,806,430 2,561,342 3,130,184 15,200,000 0.206 47 El Salvador 967,098 375,886 1,076,530 742,008 395,771 711,459 1,400,000 0.508 53 EWuatorial Guinea 4,620 3,025 9,891 3,374 5,228 100,000 0.052 na Eritrea 93,464 166,657 336,364 265,908 68,093 186,097 800,000 0.233 5 Estonia 400,000 0.000 70 Ethiopia 8,366,434 5,040,968 6,971,329 4,241,601 3,068,577 5,537,782 11,900,000 0.465 4 Fiji 65,328 75,513 46,054 48,040 8,280 48,643 200,000 0.243 41 Gabon 7,886 7,700 11,810 1,900 7,324 300,000 0.024 na Gambia 250,636 57,145 139,144 156,824 132,095 147,169 300,000 0.491 12 Georgia 407,600 18,602 2,284 142,829 1,400,000 0.102 na Ghana 2,662,400 4,482,672 878,647 2,825,325 2,850,876 2,739,984 4,000,000 0.685 20 Grenada 7,072 9,712 10,233 3,553 2,355 6,585 na na Guatemala 610,695 626,833 556,148 1,428,667 945,231 833,515 2,400,000 0.347 31 Guinea 563,071 278,786 497,721 672,840 462,043 494,892 1,500,000 0.330 2 Guinea-Bissau 27,024 84,556 54,728 866 2,439 33,923 200,000 0.170 na Guyana 96,746 213,444 23,969 160,565 16,500 102,245 200,000 0.511 31 Haiti 1,166,284 1,480,240 1,501,229 1,418,320 1,813,997 1,476,014 1,800,000 0.820 18 Honduras 859,063 775,271 693,366 612,592 958,307 779,720 1,300,000 0.600 50 Hungary 6,300 5,300 33,843 906 11,587 2,600,000 0.004 6,973 India 6,619,849 17,909,045 3,994,205 2,767,691 568,493 6,371,857 226,600,000 0.028 41 Indonesia 27,682 2,174,916 327,736 8,710,586 16,658,096 5,579,803 52,700,000 0.106 55 20 CO1NTR. 1995 1996 1997 1998 1999 AVERAGE Women ages 15-49 G Spent Per Capita CPR Iran (Islamic Republic of) 446,495 189,000 479,100 371,532 15,300,000 0.024 65 IraW 274,091 229,350 390,169 257,599 134,630 257,168 4,700,000 0.055 14 Israel 1,400,000 0.000 na Jamaica 144,832 311,897 136,651 190,727 250,740 206,969 700,000 0.296 62 Jordan 866,188 238,105 430,193 587,921 258,764 476,234 1,200,000 0.397 35 Kazakhstan 518,274 154,479 580,748 113,704 341,801 4,500,000 0.076 59 Kenya 5,315,044 1,348,077 4,785,497 170,843 6,472,036 3,618,299 6,300,000 0.574 33 Kiribati 7,861 24,396 22,191 22,330 25,973 20,550 na na Kyrgyzstan 211,379 59,852 431,811 319,536 132,370 230,990 1,200,000 0.192 na Lao. Peoplems Dem. Rep. 99,628 34,817 253,600 170,000 255,150 162,639 1,100,000 0.148 19 Latvia 2,023 1,650 1,837 600,000 0.003 48 Lebanon 85,829 79,317 14,494 147,970 174,000 100,322 800,000 0.125 53 Lesotho 99,311 287,731 567,926 134,108 124,716 242,758 500,000 0.486 23 Liberia 477,863 33,121 98,183 211,989 18,106 167,852 700,000 0.240 6 Lithuania 900,000 0.000 59 Lybian Arab Jamahiriya 1,200,000 0.000 40 Macedonia 600,000 0.000 na Madagascar 945,124 1,470,664 1,079,872 1,305,426 1,612,273 1,282,672 3,300,000 0.389 17 Malawi 1,953,895 1,949,548 2,186,610 1,453,678 1,363,000 1,781,346 2,500,000 0.713 13 Malaysia 236,064 284,901 160,931 88,414 659,889 286,040 5,000,000 0.057 48 Maldives 28,490 55,725 62,483 85,018 33,395 53,022 50,000 1.060 54 Mali 668,254 843,634 1,189,511 1,130,731 1,747,112 1,115,848 2,400,000 0.465 7 Marshall Islands 10,311 18,111 3,835 10,227 9,523 10,401 na na Mauritania 59,585 192,671 70,188 2,903 151,993 95,468 500,000 0.191 4 Mauritius 153,190 23,486 21,799 27,196 3,109 45,756 300,000 0.153 75 Mexico 1,186,024 1,728,815 1,664,560 512,156 41,404 1,026,592 24,500,000 0.042 67 Micronesia 18,134 27,625 54,150 22,650 20,542 28,620 115,230 0.248 na Moldava, Republic of 242,748 54,500 101,800 133,016 1,200,000 0.111 74 Mongolia 123,415 155,030 250,489 113,076 221,244 172,651 600,000 0.288 61 Montserrat 2,032 1,778 1,374 1,375 1,640 na na Morocco 2,180,815 2,899,635 1,981,057 1,961,294 1,264,291 2,057,418 7,000,000 0.294 50 MozambiWue 755,398 1,069,759 1,079,275 2,838,196 2,636,637 1,675,853 3,600,000 0.466 6 Myanmar 298,584 618,131 588,452 3,337,549 1,000,252 1,168,594 11,700,000 0.100 17 Namibia 77,789 15,900 43,200 10,800 9,099 31,358 400,000 0.078 29 Nepal 3,735,254 4,448,605 4,063,969 5,550,318 2,966,558 4,152,941 5,000,000 0.831 23 New Caledonia 50,000 0.000 na Nicaragua 601,554 912,083 828,972 1,225,187 430,750 799,709 1,100,000 0.727 49 Niger 618,755 531,681 418,006 167,120 4,013 347,915 2,000,000 0.174 4 Nigeria 14,058,928 7,156,770 138,921 1,392,368 1,990,744 4,947,546 25,300,000 0.196 6 Oman 92,317 49,884 75,609 14,930 37,902 54,128 400,000 0.135 9 Pakistan 6,302,518 9,231,178 10,296,889 7,647,769 3,988,600 7,493,391 30,900,000 0.243 18 Palau 5,070 14,940 22,381 14,130 na na 21 CO1NTR. 1995 1996 1997 1998 1999 AVERAGE Women ages 15-49 G Spent Per Capita CPR Palestine 65,206 168,086 49,955 1,525 52,195 67,393 na na Panama 91,658 36,753 32,221 27,306 21,973 41,982 700,000 0.060 58 Papua New Guinea 3,180 50,000 56,532 12,224 11,089 26,605 1,000,000 0.027 26 Paraguay 376,144 86,168 408,451 271,306 44,882 237,390 1,200,000 0.198 56 Peru 2,811,643 3,450,943 4,915,148 3,891,717 1,765,560 3,367,002 6,100,000 0.552 64 Philippines 2,862,088 2,683,839 5,295,711 5,286,200 7,528,075 4,731,183 17,000,000 0.278 40 Poland 53,337 60,000 56,669 9,900,000 0.006 75 Puerto Rico 1,000,000 0.000 64 Republic of Korea 2,082 920,400 53,163 166,700 28,599 234,189 6,800,000 0.034 79 Romania 42,134 187,458 1,208,447 54,725 269,641 352,481 5,800,000 0.061 57 Russian Federation 639,448 26,500 105,034 174,755 79,094 204,966 37,900,000 0.005 na Rwanda 37,563 694,229 428,401 201,672 227,008 317,775 1,800,000 0.177 21 Samoa (Western) 6,760 664 275 2,566 na na Sao Tome & Principe 17,191 18,000 49,538 19,000 13,494 23,445 na na Senegal 948,828 702,073 1,401,716 1,162,071 1,042,288 1,051,395 1,900,000 0.553 13 Seychelles 41,153 42,997 8,250 3,850 24,079 24,066 na na Sierra Leone 189,801 99,486 5,300 736,816 140,612 234,403 1,000,000 0.234 4 Slovak, Republic of 2,360 2,360 1,400,000 0.002 74 Slovenia, Republic of 500,000 0.000 na Solomon Islands 2,259 28,570 55,706 58,740 36,319 90,000 0.404 na Somalia 209,230 28,963 119,097 200,000 0.595 na South Africa 161,259 737,500 912,605 189,000 2,258,493 851,771 10,300,000 0.083 50 Sri Lanka 1,061,195 3,046,811 1,192,701 2,242,322 1,224,741 1,753,554 5,000,000 0.351 66 St. Kitts 4,304 434 4,272 972 1,453 2,287 na na St. Lucia 10,333 12,590 10,937 7,812 7,660 9,866 na na St. Vincent 12,838 1,848 763 1,482 3,003 3,987 na na Sudan 169,688 591,980 105,166 346,750 121,447 267,006 6,500,000 0.041 8 Suriname 230,951 80,216 65,410 34,003 59,757 94,067 100,000 0.941 na Swaziland 264,633 90,080 320,255 241,287 4,246 184,100 200,000 0.921 20 Syrian Arab Republic 390,347 257,163 585,549 1,500,328 540,387 654,755 3,200,000 0.205 36 Tajikistan 93,471 44,500 429,727 144,260 20,340 146,460 1,400,000 0.105 na Thailand 57,506 74,378 6,216,710 18,530 10,696 1,275,564 16,700,000 0.076 74 Togo 684,959 371,913 559,811 850,211 940,145 681,408 900,000 0.757 12 Tonga 11,529 26,200 5,995 24,509 10,408 15,728 na na Trinidad and Tobago 35,166 29,766 40,380 20,118 13,708 27,828 700,000 0.040 53 Tunisia 1,023,832 825,101 406,650 315,260 209,119 555,992 2,300,000 0.242 60 Turkey 1,798,579 2,591,512 961,204 609,723 523,781 1,296,960 15,400,000 0.084 63 Turkmenistan 133,503 43,250 130,348 115,513 105,654 1,000,000 0.106 na 22 CO1NTR. 1995 1996 1997 1998 1999 AVERAGE Women ages 15-49 G Spent Per Capita CPR Turks and Caicos 2,650 3,400 3,300 3,117 na na Tuvalu 763 2,253 2,229 6,203 2,862 na na 1ganda 4,215,423 442,444 3,425,911 659,635 3,144,596 2,377,602 4,700,000 0.506 15 1kraine 212,494 577,195 127,000 180,951 315,157 282,559 12,700,000 0.022 na 1nited Rep. of Tanzania 3,709,943 2,244,246 6,460,301 4,575,344 5,263,128 4,450,592 6,800,000 0.654 18 1ruguay 3,425,911 21,872 52,460 27,769 705,602 800,000 0.882 na 1zbekistan 1,138,396 270,980 973,000 313,000 539,075 5,600,000 0.096 56 Vanuatu 19,793 41,674 362,422 34,978 53,143 102,402 40,000 2.560 na Venezuela 11,909 29,368 25,398 3,004 10,236 15,983 5,600,000 0.003 49 Viet Nam 1,754,361 2,979,184 2,171,333 1,767,488 2,545,042 2,243,482 19,000,000 0.118 65 Western Samoa 10,072 26,624 47,922 30,583 10,917 25,224 na na .emen 416,558 295,444 177,613 215,058 321,524 285,239 3,200,000 0.089 13 .ugoslavia 0 2,700,000 0.000 55 bambia 3,105,926 1,172,051 1,721,987 737,530 562,135 1,459,926 2,200,000 0.664 25 bimbabwe 4,195,143 4,985,707 5,282,464 2,843,208 5,012,841 4,463,873 2,700,000 1.653 48 Married Women of Reproductive Age (MWRA). Source: Population Reference Bureau, The Worldms Women. 1995. Contraceptive Prevalence Rate (CPR). Source: 1nited Nations Population Fund, The State of the World Population Report. 1999. 23 LOGISTICS SUPPORT REPORTED FOR 1999 AFRICA DIVISION Country Donor Technical Support Infrastructure Training Value of Logistics Support in 1S Value of Commodity Support in 1S Benin 1NFPA -Carried out national technical assistance -Supplied supervision and transportation of contraceptives -Rehabilitated 10 maternities -Conducted training in contraceptives logistics 782,586 741,612 1SAID -Carried out base line data collection to show direct impact of FPLM interventions -Developed Draft Logistics Manual. -Trained over 40 national trainers in logistics and trainer skills -Developed training strategy -3 officials participated in regional PipeLine software training 260,000 Burkina Faso 1NFPA -Trained 164 nationals at decentralized level in management of contraceptives and logistics from manual developed in 1998 -Conducted clinical training in logistics management with SFPS/1SAID 28,347 908,393 1SAID -Provided technical assistance in forecasting, donor collaboration assistance and training - Conducted Training of Trainers workshop with 42 participants Not reported Cameroon 1SAID -Provided technical assistance in forecasting, donor collaboration assistance, and training 230,355 Chad 1SAID -Provided technical assistance to improve logistics on a plan to ensure contraceptive reWuirements will be covered for 2000-2002 75,454 Ethiopia 1NFPA -Constructed 2 warehouses for the storage of RH commodities -Supplied 3 four-wheel drive vehicles for supervision and monitoring 400,000 3,068,577 24 activities Ghana 1SAID -Assisted MOH, PPAG and GSMF in PipeLine software and planning of procurement reWuests -1ndertook full logistics system assessment for MOH -1ndertook study to assess effects of health sector reform process on MOH logistics -Assisted PPAG with implementation of Logistics 2000 -Provided LMIS assistance -Trained 2 PPAG staff in logistics training for Logistics 2000 implementation 201,000 2,850,876 Kenya 1SAID -Assisted Procurement 1nit in MCH/FP distribution -Compiled and printed Health Facilities Database -Facilitated ongoing restructuring of MSC1 -Supplied logistics information to MOH donor-coordination meetings -Worked with TFGI forecasting contraceptive security reWuirements -Installed DANIDA-financed computers at MSC1 1,200,000 Lesotho 1NFPA -CST undertook logistic management survey Not reported 124,716 Liberia 1NFPA -Provided technical backstopping support in managing RH commodities especially in estimating amount of contraceptives reWuired -Provided support to National Drug Service for storing, distributing and management of contraceptives -Supplied 4WD vehicles and desk top computer with printer -Provided funding to Government to train 120 nurse/midwives in modern contraceptive technology 38,500 18,106 25 Madagascar 1NFPA -Supplied transportation of contraceptives -Supplied additional warehouse for RH commodities -Secured contraceptive stock at MOH central warehouse 13,500 1,612,273 Malawi 1SAID -1pdated and presented national commodity projections to local donors -Assisted DFID writing supply project proposal -1ndertook assessment of CBD programmes to ensure efficient integration into LMIS -Hired logistics advisor to ensure contraceptive logistics activities are brought to senior-level FP discussions -Designed curriculum for District AIDS Coordinators and conducted logistics training -2 senior staff attended logistics training and 6 senior officials participated in study tour -Conducted a series of L-MIS maintenance workshops 449,000 1,363,000 Mauritania 1NFPA -1ndertook situational analysis study on contraceptive management and country needs for 2000 and 2001 -Supplied transportation for contraceptives to health structures throughout country -Trained 20 health workers in RH & Management 144,450 151,993 MozambiWue 1SAID -Provided assistance in development of LMIS 142,000 2,636,637 Senegal 1NFPA -Trained nurses and midwives in contraceptive logistics and technology in 5 regions 25,772 1,042,288 1SAID -Financed follow-up of contraceptive logistics -1ndertook pilot cost- recovery system for contraceptives -Wrote concept paper describing a methodology -Organized workshop to gain consensus of central level decision-makers -Employed full-time RA and office staff for supervising warehousing and distribution of contraceptives nationally and logistics management throughout the system -Conducted logistics training course including local participants and regional. 473,000 Sudan 1NFPA -Renovated central storage facility of MOH -Conducted 2 training courses in commodity management with 51 Not reported 121,447 26 participants from MOH, SMOH, NGOs and 1NFPA Swaziland 1NFPA Initiated CPR survey Not reported 4,246 Tanzania 1SAID Not reported 142,000 5,263,128 Togo 1SAID -Provided technical assistance in forecasting, donor collaboration assistance, and training -Finalized national logistics manual -Conducted TOT workshop for 23 trainers 940,145 1ganda 1SAID -Received assistance in development of L-MIS -Team from National Medical Stores made study tour to FPLM/Kenya project -Prepared and designed logistics training course 3,144,596 bambia 562,135 1SAID 51,000 The Regional Logistics Initiative and the West African Regional Project 1SAID -Cross-border exchange of lessons learned -Tours were made in 1ganda, Kenya MozambiWue, Ghana and Jordan, and Tanzania and other countries -Technical assistance was provided to Burkina Faso, Cameroon, Cote delIvoire and Togo 1,121,505 Africa Regional Total 5,472,660 24,859,977 27 ASIA AND PACIFIC DIVISION Country Donor Technical Support Infrastructure Training Value of Logistics Support in 1S Value of Commodity Support in 1S Bangladesh 1NFPA -Provided technical assistance to the GOB. -Annual Programme Review of Health and Population Sector Programme, logistics coordination meetings with GOB forecasting contraceptive reWuirements 27,297,721 1SAID -Formed Procurement Working Group with FPLM, DFP, and PCC to review consumption trends, MOS on hand and pipeline situation -Assisted integration process for WB loan project -1ndertook Lessons Learned evaluation on logistics system with GoB -Contracted with local organization to provide logistics training 1,200,000 Cambodia 1NFPA -CST assisted in MTR of country programme assessing logistics situation -Supplied vehicles for trainers, volunteers and midwives and MPA kits for health centers 208,496 202,297 China 1NFPA A software is designed to improve MIS Vehicles provided, 5k of their workload is expected to use in the transportation of contraceptives 56,000 621,020 28 Democratic Peoplems Republic of Korea 1NFPA -CST Adviser undertook mission to finalize 1NFPA medicine/eWuipment list -CST reviewed 1NV field report of 20 hospitals for medicine needs -CST made recommendations to improve logistics management to overcome the overstocking and under stocking of commodities 5,060 1NFPA -1ndertook follow-up for 1NFPA mission recommendations for contraceptive Wuality -Developed national project to strengthen logistics management -Involved in development of project management unit for Logistics project -Supported development of logistics manual to state governments -Participated in contraceptive Wuality mission 40,240 568,493 -Formed technical resource group on STDs and condoms by national AIDS programme with 1SAID and shared Wuality and logistics report India 1SAID 43,000 29 1NFPA -CST reviewed BKKBN proposal to improve logistic system and recommended a proper RH/FP Logistics Management Needs Assessment Study 690 16,658,096 Indonesia 1SAID 49,000 Mongolia 1NFPA -CST adviser participated in 4-member mission on Logistics Management and developed detailed work plan -LMIS forms and registers were redesigned to simplify work load of service providers and store-in charges 2,990 221,244 Nepal 1NFPA -Conducted Annual Commodity Distribution Programme Monitoring visits to all districts to assess commodity shortfalls -Provided technical assistance to the FHD/MOH in annual reviewing of RH Commodities Consensus Forecast Approach -Summary of shortfalls is provided to the Regional Health Directorate and District Health Offices -Compared information through LMIS and HMIS to identify potential commodity shortages 41,000 2,966,558 30 1SAID -1ndertook study and funding proposal to WB for storage reWuirements -Reviewed LMIS implementation and readiness for 2000 -Designed logistics training course for district storekeepers with JICA 208,000 -Assisted MOH in strengthening warehouse management. -Established 5 regional offices to assist MoH with monitoring of logistics activities -Conducted training course to National Health Training Center 1NFPA 7,528,075 Philippines 1SAID -Carried out in 41 LG1s warehouse assessments -Conducted 3 training courses on Warehouse Management 726,000 Vietnam 1NFPA Supported strengthening 3 central warehouses and Provincial/district warehouses in 8-selected provinces Three courses in logistics management at central and district levels 523,503 2,545,042 Asia and Pacific Regional Total 3,103,979 58,608,546 31 LATIN AMERICA DIVISION Country Donor Technical Support Infrastructure Training Value of Logistics Support in 1S Value of Commodity Support in 1S Bolivia 1SAID -Coordinated in-country logistics team for contraceptive supply logistics component of DFID RH Strategy -Hired local resident advisor to implement logistics component of DFID RH Strategy -Trained NGOs in use of job aids for logistics management -Incorporated LM curricula into nursing schools 206,000 83,755 1NFPA 314,039 Dominican Republic 1SAID -Provided to MOH assistance in Wuantifying projected commodity procurements -Provided NGOs technical assistance in cost recovery and procurement of commodities 107,000 1NFPA 1,360,321 Ecuador 1SAID 17,000 1NFPA 945,231 Guatemala 1SAID -Contracted with local firm to conduct a stock out survey of commodities -1ndertook assessment of logistics system of commodities provided by Social Security System -Hired resident advisor (South-to- South activity) - Developed training strategy on logistics of Social Security System -Trained 26 participants in initial logistics management 313,000 Haiti 1SAID 53,000 1,813,997 32 1NFPA -Provided technical and financial support for formulation of National Policy on RH -Supported the design and implementation of Women Health Norms. 550 health workers were trained including contraception technology -Developed a Course on Social Management of S&RH. 41 professionals were trained at graduate level which included logistics management -Supported training of 6 professionals in the RH Masters Programme in Nicaragua. Courses included aspects on contraceptive logistics management and improving the Wuality of RH services -Supported the training of 1,738 health workers in RH Promotion including contraceptive reWuirement management -Supported the training of 30 health workers in I1D insertion with Population Council 226,636 958,307 Honduras 1SAID 25,000 1NFPA 41,404 Mexico 1SAID 22,000 Nicaragua 1NFPA -Evaluated commodity procurement plan -Signed agreement to strengthen RH/FP services at national level -Assisted MOH on developing a contraceptive logistics management system -10 NGOs supported on contraceptive procurement -Trained 30 health professionals on implementing new LMIS pilot test in 4 provinces 28,080 430,750 33 1SAID Jointly support logistics activities with MOH 59,000 Paraguay 1SAID -Planned to implement pilot LMIS system in 5 districts -1ndertook mid-point assessment and training impact evaluation 98,000 Peru 1NFPA -Processed customs and warehouse documentation and arranged for delivery of contraceptives to MOH warehouses Not reported 1,765,560 Latin America Regional Total 1,169,716 7,713,364 DIVISION FOR ARAB STATES AND EUROPE Country Donor Technical Support Infrastructure Training Value of Logistics Support in 1S Value of Commodity Support in 1S Algeria 1NFPA Developed a training strategy to improve logistics system based on strategy developed in Amman workshop Not reported 161,500 Jordan 1SAID -Revised central computerized information system -Developed new reports from data system for feedback to the field -1ndertook Major Lessons -Trained 500 participants in logistic management 416,000 258,764 34 Learned evaluation Romania 1NFPA -Consultants provided technical assistance for adaptation and implementation of C-MIS -Provided MoH technical assistance in contraceptive procurement - Participated in national RH survey -Supplied data processing eWuipment for C-MIS pilot districts -Printed client data collection forms, FP Service Delivery guidelines, and FP location brochures -Conducted training in management, manual, and computerized use of the Clinical FP Services 189,850 269,641 Syria 1NFPA Participated in the strategy development workshop 540,387 .emen 1NFPA -International consultant recruited to conduct current logistical situation analysis and advised on the logistical matters to strengthen RH/FP services in MOPH -Supplied basic gynecological and obstetrical eWuipment to improve the Wuality of RH/FP services -Supplied vehicles, A-V and office eWuipment -Developed L-MIS -Logistics officer in the RH/FP head office attended 3 week study tour on LM in Jordan 321,524 Arab States and Europe Regional Total 605,850 1,551,816 Grand Total 10,352,205 92,733,703

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