Developing Policy Leadership: The LAC Experience October 6, 2010 Nora Quesada, MBA Regional Director...
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Transcript of Developing Policy Leadership: The LAC Experience October 6, 2010 Nora Quesada, MBA Regional Director...
Developing Policy Leadership: The LAC
Experience
October 6, 2010
Nora Quesada, MBA Regional Director for Latin America and the
Caribbean
BUILDING LEADERSHIP LEADS TO SUSTAINABILITY
ISSUES: A FEW EXAMPLES…
• Dependence on external assistance to move Commodity Security agenda forward
• Limited understanding of strategic importance of logistics, especially under health reform
• Staff working in logistics regarded as “second class” personnel
• Best practices from vertical logistics systems not systematically considered for integrated supply chain
CHALLENGES TO DEVELOP LEADERSHIP
• Health Sector Reform– Understanding decentralization and integration trends– Many actors and agencies involved
• Stigma towards Logistics – Just a matter of warehousing and inventory
management?
• Sustainability of Contraceptive Security (CS) Committees– Strategies– Are Committees needed?”
SOME APPROACHES TO ADDRESS CHALLENGES
• Develop Confidence: “Our country situation is different from the rest in the Region…”
• Transfer Knowledge, Spread the Word, and Engage Key Actors: “Logistics is Essential…”
• Make People Do it: “The Ministry of Health will lead the CS process from now on…Nothing will stop us!”
1) DEVELOP CONFIDENCE
• Issues and challenges not unique to a particular country: other countries have done it…– El Salvador: UNFPA as procurement agent
• Logistics system is delivering what it promised to do…– Paraguay: reduced gaps in unmet need
2) TRANSFER KNOWLEDGE, SPREAD THE WORD, AND ENGAGE KEY ACTORS:
• MOH staff are trained, use tools, and lead technical and policy decision-making meetings– Nicaragua: the automated integrated system; total market
approach
• Family Planning and its logistics system become the “showcase” program– Dominican Republic and the Vice-Minister talking about new
warehouse, logistics, and more…
3) MAKE PEOPLE DO IT:
• Conducting guided and structured assessments, supervision and monitoring visits– Nicaragua MOH and the development of a indicator
monitoring tool for tracer drugs
• Advocating for funding for contraceptive procurement– El Salvador: financial scenarios; introduction of new product
• CS Committees: • a decision-making
environment
• Knowledge and Empowerment:• Logistics and CS
champions at different levels
• Awareness of public health relevance of FP
ENABLING FACTORS
CONTRACEPTIVE SECURITY (CS) COMMITTEES: Essential in the leadership-building process…
• Regional meetings– Coordination– Lessons Learned and adopt Best Practices– Ownership, leadership, and teamwork– Cross fertilization: country-regional-country experiences– Exposure to graduated countries
• Recognition from other stakeholders– DHS in Honduras– “DAIA”: a trademark in LAC
IMPACT: A FEW EXAMPLES…
• Honduras Honduras – Government assigned funding to pay for the DHS
• El SalvadorEl Salvador – More funding for contraceptive procurement allows Ministry
of Health introduce new injectable
• ParaguayParaguay– Law protects funding for contraceptive procurement, and
also funding to operate and run the key components of the logistics system
DEVELOPING LEADERSHIP AND SUSTAINABILITY: KEY CONSIDERATIONS
People in the workplace:– Require tools to do their job– Are eager to learn new things, and improve performance– Need to:
• understand their role
• feel their work is appreciated/contribute
• feel accompanied in work processes
• have a common vision
KnowledgeKnowledge Leads to Leads to EmpowermentEmpowerment!!!!
Nora Quesada, MBARegional Director for Latin America and the CaribbeanE-mail: [email protected], ColombiaTel: (571) 253-7639Cell: (57) 310-221-9909