Private Sector Opportunities to Support Family Planning and Access to Reproductive Health Services March 1, 2017 10:00 AM 11:00 AM ET Expert Connections Webinar in partnership with United Nations Population Fund Supplies
Speakers Dr. Ayman Abdelmohsen Global Operations Lead, Commodity Security Branch, Technical Division UN Population Fund (UNFPA) Ian Matthews (Moderator) Director, Strategy and Communications GBCHealth Dr. Meena Ghandi Health Adviser, Sexual Reproductive Health and Rights Team, Policy Division Department for International Development, UK Matthew Rehrig Manger, Adolescent Sexual Health, Children s Investment Fund Foundation (CIFF) 2
Dr. Ayman Abdelmohsen Global Operations Lead, Commodity Security Branch, Technical Division, UN Population Fund (UNFPA) 3
Ensuring access to life-saving contraceptives for those in most need
Family Planning: the challenge Every 2 minutes, a woman dies while giving birth or dies from pregnancy-related complications. More than half a million babies die each year from complications at birth. Yet - 225 million women in developing countries who want to avoid pregnancy are not using an effective contraceptive method. Rates of contraceptive use have stalled, at less than 20% of women in most of Sub-Saharan Africa. In the developing world, 74 million women each year have an unintended pregnancy 5
Why Family Planning Matters Family planning is central to the achievement of the Sustainable Development Goals Accelerate economic growth Empower women Reduce maternal and child mortality Combat HIV/AIDs Positively impact the environment High ROI: $120 in health savings and socioeconomic benefits for every $1 invested 6
UNFPA Supplies UNFPA flagship programme helping governments bring REPRODUCTIVE HEALTH COMMODITIES contraceptives and life-saving maternal health medicines to DISADVANTAGED POPULATIONS Largest global fund DEDICATED to family planning Largest contraceptive PROCURER Convening partner with in-country PRESENCE Unique combined set of interventions US$ 1billion+ mobilized since inception 43% of global contraceptive procurement Long standing relationships with governments Longer-term sustainability 7
The only UN programme specifically addressing reproductive health supplies UNFPA Supplies partners with countries, civil society and the private sector to: Build stronger health systems Ensure access to a reliable supply of contraceptives for voluntary family planning and HIV & STI prevention, and life-saving maternal health medicines. Priority focus on: Adolescents and youth Marginalized populations Humanitarian and fragile contexts 8
UNFPA Supplies is one of the largest providers of reproductive health in the world UNFPA Supplies operates across 46 countries - often one of the main supporters of RH commodities & technical support to countries with the greatest needs Asia Pacific Lao PDR Myanmar Nepal Papua New Guinea Timor-Leste Middle East Djibouti Sudan Yemen Latina America & Caribbean Bolivia Haiti Honduras East & Southern Africa Burundi DR Congo Eritrea Ethiopia Kenya Lesotho Madagascar Malawi Mozambique Rwanda South Sudan United Republic of Tanzania Uganda Zambia Zimbabwe West & Central Africa Benin Burkina Faso Cameroon Central African Republic Chad Congo-Brazzaville Côte d Ivoire Gambia Ghana Guinea Guinea-Bissau Liberia Mali Mauritania Niger Nigeria Sao Tome & Principe Senegal Sierra Leone Togo 9
UNFPA Supplies has significant impact on reducing mortality among those with greatest needs Contraceptives procured through UNFPA Supplies from 2008 to end of 2016 had the potential to avert: 63 million unintended pregnancies 24 million abortions (19 million "unsafe") and to prevent: 160,000 maternal deaths 960,000 child deaths Potentially saving US$3 billion in direct health-care costs (pregnancy and delivery care). 10
UNFPA Supplies has distinctive strengths Rights-based, equity-focused approach Advocacy and convening power Understanding of country FP landscape Procurement capabilities and engagement with private sector Engaging private & public sector delivery channels Synergies across UNFPA & UN platform Leadership in humanitarian crises Long standing country-level relationships with governments, national partners and donors Strong credibility as a UN agency to shape and strengthen government policies Ability to build and mobilize partnerships across sectors (public, private, SMOs) Broad geographic footprint Expansive facility-level FP data for majority of countries Collaborate directly with industry to secure volumes of high quality reproductive health supplies Favourable pricing arrangements Expertise in procurement and supply chain management Support for development of country markets for reproductive health supplies by procuring & purchasing commodities for governments and social marketing organizations Opportunity to leverage and integrate FP with broader UNFPA and UN priorities, initiatives, and resources that focus on reproductive health and related programmatic areas Rapidly respond to contraceptive and RH supply needs that arise in emergency situations
UNFPA Supplies strategic direction towards 2020 ❶ PRIORITIZE support to countries with greatest need where our contribution is unique ❷ CATALYSE country-led, rights-based and sustainable pathways to reproductive health supply security ❸ SCALE UP proven interventions Source: Dalberg analysis 12
A tightly managed programme Strong governance structure Accountability mechanisms Specific sets of qualitative and quantitative targets 13
Why should the private sector partner with UNFPA Better value for money Partnering with a global and impartial organization Long-term investment sustainability Global coverage and global visibility 14
How can the private sector partner with UNFPA REACH Increased visibility RESOURCE MOBILIZATION - Increased financial resources BRAINPOWER Leveraging core competences and innovation 15
If you have any suggestion on how your organization could contribute Please do not hesitate to reach out to us: Dr. Ayman Abdelmohsen, Global Coordinator, UNFPA Supplies Tel. +1 212 297 ; email: abdelmohsen@unfpa.org Ms. Elena Pirondini, Strategic Partnerships Adviser, UNFPA Tel. + 1 212 297 5097; email: pirondini@unfpa.org 16
THANK YOU! 17
Dr. Meena Ghandi Health Adviser, Sexual Reproductive Health and Rights Team, Policy Division Department for International Development, UK 18
UK Support to Family Planning UNFPA Supplies Webinar 1 st March 2017 Slide 19
Why do we invest in Family Planning? Countries will not lift themselves out of poverty until women are able to decide for themselves whether and when they have children, and how many. Voluntary family planning enables women and girls to complete their education and take up better economic opportunities: it transforms lives, creating more prosperous, stable societies. But with adolescent girls in developing countries each year experiencing over 6 million unintended pregnancies, of which 2.5 million end in unsafe abortions more progress is needed globally. Voluntary family planning is a best buy because of its impact on a country s development pathway: the second most cost effective of all development interventions. Slide 20
What we support We support ensuring a choice of products is available, through a range of services that meet different needs. This is done through building a functioning market for contraceptives with full coverage, offering choice to consumers and ensuring the systems will be able to continue to provide what women need for the long term. IPPF Slide 21
The story so far The 2012 London Summit on Family Planning, hosted by DFID and the BMGF, kick-started an international movement to increase investments in voluntary family planning. Since then, the FP2020 movement established at the Summit has driven considerable progress. By 2016, an unprecedented 300 million women in the world s poorest countries were using voluntary modern contraception. Clear progress has been made, but more needs to be done if we are to reach our global ambition of reaching an additional 120 million women and girls by 2020. The UK is the second largest investor in global family planning and UK investments alone have resulted in nearly 7 million more women using safe, modern contraception. We support over 18 country programmes, regional programmes, NGOs, UNFPA Supplies, the FP2020 secretariat and the Reproductive Health Supplies Coalition. Together with BMGF and UNFPA, we will host another summit on FP in London this summer to push the international community to take further action to tackle long running problems with contraceptive supply chains, to reach the most marginalised young women, and to meet the needs of women and girls living through humanitarian crises such as conflict or natural disasters. Slide 22
UK Support to UNFPA Supplies Two phases of support Phase 1 in 12 countries; Phase 2 in 46 countries ( 356m from 2013-2020) The 46 countries are lower or lower middle income and include those with both high mortality and high unmet need, but few sources of external support. Nearly half of these countries face conflict, post conflict or other humanitarian crisis. The programme buys almost 1/3 rd of contraceptives for the 46 countries and there is a large humanitarian component, providing emergency reproductive health kits. Improving method choice is critical no commodities, no service More work ongoing on improving supply chains in country leading to better delivery to the Last Mile to women and girls. Almost half of the 46 countries have 85% of primary facilities offering at least 3 methods in 2013 and increasing to five modern methods in 2016. 5.7m women reached in humanitarian settings Slide 23
Thank you Slide 24
Matthew Rehrig Manager, Adolescent Sexual Health Children s Investment Fund Foundation (CIFF) 25
Partnering with UNFPA Supplies as a private foundation March 1, 2017
About the Children s Investment Fund Foundation (CIFF) Background Private charitable foundation, created in 2004 US$5bn endowment Headquartered in London with offices in New Delhi and Nairobi Focus on cross-cutting children s issues: our Survive & Thrive portfolio includes a major focus on Adolescent Sexual Health 27
About the Children s Investment Fund Foundation (CIFF) Background Private charitable foundation, created in 2004 US$5bn endowment Headquartered in London with offices in New Delhi and Nairobi Focus on cross-cutting children s issues: our Survive & Thrive portfolio includes a major focus on Adolescent Sexual Health Adolescent Sexual Health goals Ensure every young woman has access and agency to avoid unwanted teen pregnancies and exercise her sexual and reproductive rights. Strategies 1. Expand access to user-controlled choices 2. Promote user-centred service delivery 3. Inject energy through youth-led advocacy 28
Why CIFF invests in family planning 1/6 10M 20% <30% $11 One sixth of the world s population is an adolescent 1.2 billion people aged between 10 and 19 years old There are over 10 million unintended pregnancies among adolescents each year, and ~2-4.5 million unsafe abortions Adolescent girls account for 11% of births but more than 20% of maternal deaths and disabilities Less than a third of sexually active adolescent girls use modern contraception To provide a woman in sub-saharan Africa with the contraceptive choices she needs costs $11 per year Access to family planning is a best buy in global health 29
Our work with UNFPA spans three functions Procurement Service Delivery Technical Assistance Pooled purchasing and market insights on contraceptive implants Introduction and scale-up of injectable contraceptives (Sayana Press) in Nigeria, Burkina Faso, and Myanmar Technical assistance on family planning service delivery in Kenya 30
We have seen transformative results through partnership Procurement Service Delivery Technical Assistance Pooled purchasing and market insights on contraceptive implants Introduction and scale-up of injectable contraceptives (Sayana Press) in Nigeria, Burkina Faso, and Myanmar Technical assistance on family planning service delivery in Kenya Returns Every CIFF dollar invested in service delivery matched >2.5x in procurement funding Dramatic price reductions of in-demand contraceptives made possible by UNFPA-managed purchases Hundreds of thousands of new users of long-acting contraceptives 31
Matthew Rehrig mrehrig@ciff.org 32
Q & A For more information on supporting UNFPA Supplies contact: Elena Pirondini (UNFPA) - pirondini@unfpa.org Ian Matthews (GBCHealth) - imatthews@gbchealth.org 33