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The Reproductive Health Supplies Coalition and Maternal Health Supplies Caucus Overview and Current Initiatives

Jamee Kuznicki April 15, 2015

RHSC Overview

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RHSC Overview About the RHSC

“All people are able to access and use affordable and quality supplies, including a broad choice of contraceptive methods, needed to ensure their better sexual and reproductive health.” -- Vision “Our purpose is to bring together a diversity of partners and mobilize their collective strengths to increase access to a full range of affordable, quality reproductive health supplies in low- and middle-income countries.” -- Mission

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RHSC Overview

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RHSC Overview Our membership spans the globe with 328 members…

36%

11% 18%

9%

26%

Civil society

Governmental, multi-lateral, bi-lateral Commerce and Industry

Foundations and educational institutions Technical support agencies

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RHSC Overview Our membership spans the globe with 328 members…

28%

27%

16%

15%

13%

1%

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RHSC Overview Dual approach to meeting our goals

Strengthen the tools and systems needed to support the Coalition’s core mandate of assuring access to quality, affordable RH supplies through the power of partnership.

Ensure more targeted results by expanding Secretariat-driven initiatives that harness the strengths and resources of our diverse membership.

GOALS

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Maternal Health Supplies (MHS) Caucus

› RHSC has been working for over 10 years to ensure that people around the world are able to access and use affordable, high- quality supplies, including a broad choice of contraceptive methods, needed to ensure their better sexual and reproductive health.

Maternal Health Supplies are Reproductive Health Supplies

› In recognition that maternal health supplies are reproductive health supplies and that access to them was essential for ending preventable maternal mortality, the Maternal Health Supplies Caucus was formed in 2012.

› Purpose is to provide a forum for the maternal health and family planning communities to draw on existing approaches to address the bottlenecks undermining commodity security across health systems.

Maternal Health Supplies are Reproductive Health Supplies

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MHS Caucus

› MHS Caucus Objectives › Activities

• Raise awareness on MHS security issues.

• Respond to knowledge gaps around MHS.

• Utilize RHSC experiences, resources, and tools.

• Convening MH community- teleconferences, meetings, webinars.

• Strengthening engagement with global MH bodies/initiatives.

• Building the evidence base on MHS.

Bridging the maternal health and family planning divide

Key Accomplishments

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Key Accomplishments Oxytocin, Misoprostol, and Magnesium Sulfate Briefs

Focus on the main challenges related to ensuring availability and use of these three medicines: • Examples of successful approaches, case

studies, and lessons learned from programs to scale-up MHS.

• Recommendations on how RHSC

tools/experiences can strengthen efforts to improve access to MHS.

Essential Medicines for Maternal Health: Ensuring Equitable Access for All

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Key Accomplishments Business cases on supporting investment in high-quality maternal health supplies › Estimate market size for each

commodity. › Present policy recommendations and

potential market shaping strategies for improving investment in high-quality maternal health supplies.

Investing in Production of High-Quality Magnesium Sulfate Investing in Production of High-Quality Oxytocin Investing in Production of High-Quality Misoprostol

Persistent Challenges

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Persistent Challenges

› For all three commodities: Harmonization of policies • Standard treatment guidelines, national EMLs, and the list of products registered in

country need to be aligned.

Forecasting and supply planning • Commodities are included in logistics management information systems in very few

countries. • HMIS do not capture necessary morbidity data.

Quality • Assuring the quality of products that circulate in both the public and private sectors

remains a major challenge in many countries.

Financing • Medicines typically procured with government funding.

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Persistent Challenges

› Oxytocin: Cold storage. › Misoprostol: Availability of 3-blister packs; concern with use for

abortion. › Magnesium sulfate: Presentation; provider demand.

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Next steps for the MHS Caucus

› Broaden understanding of the potential for market shaping to increase access to high-quality, affordable maternal health supplies.

› Field test the potential impact of a market shaping initiative by implementing one or more concrete recommendations from the three essential maternal health medicine business cases.

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