Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia
description
Transcript of Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia
![Page 1: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/1.jpg)
Moving from Policy to ImplementationMoving from Policy to Implementation
MSI experience in Uganda, Malawi and ZambiaMSI experience in Uganda, Malawi and Zambia
![Page 2: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/2.jpg)
This Presentation
• MSI brief overview
• Policy to Implementation– Malawi: Partnership with Government– Uganda: Taking action on Supplies– Zambia: Facilitating access to Safe Abortion
![Page 3: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/3.jpg)
MSI’s Strategic FocusMSI’s Mission – Children By Choice Not Chance
We aim to contribute to:
• eliminating unplanned pregnancy and unsafe abortion, especially among the underserved
• revolutionising sexual and reproductive health service delivery
• reducing the barriers to SHR services and supplies
• strengthening health systems
![Page 4: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/4.jpg)
Geographic Focus• MSI’s 6500 staff, in 43 offices and country platforms
• Over 6 million clients and 17.8 million Couple Years of Protection in 2009
![Page 5: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/5.jpg)
MALAWI
![Page 6: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/6.jpg)
Malawi: Health SWApMalawi: Health SWAp
• Malawi Government Health SWAp objectives includes Marie Stopes International (BLM in Malawi)
• Banja La Mtsogolo (BLM) is a major player:• 31 static clinics (5% of overall health system
infrastructure) • Outreach sites for un-served or underserved
populations• 35% of all modern family planning methods
delivered by BLM
![Page 7: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/7.jpg)
Why include BLM in national health priorities?
• GoM lack resources to fully implement RH care, BLM logical partner
• BLM has expertise and competencies to deliver on Malawi health SWAp, RH Policy, HIV/AIDS action Framework
• Joint Financing Agreement (or “mini-SWAp”) for RH services between DFID, Norway, MoH, and BLM 2006-2010. Will continue to 2015
![Page 8: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/8.jpg)
Successes and ChallengesSuccesses and Challenges
× Funding and supplies from GOM inadequate/slow. No supplies first 5 months-BLM kicked in own resources, MSI had to supply and Norway had to add funds.
Aligned strategy and policy with Government, BLM part of strategy and policy setting
GoM recognises the comparative advantage of private sector service delivery – reaches where GoM cannot reach
![Page 9: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/9.jpg)
UGANDA
![Page 10: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/10.jpg)
Supplies in Uganda a major Supplies in Uganda a major ChallengeChallenge
The Problem: Service Providers (public and private) do not have enough supplies to meet need of FP
Government of Uganda might decide that National Medical Store can no longer supply to private providers (ie. NGOs)
Supplying to NGOs is not the main cause of the current shortages in all health facilities
![Page 11: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/11.jpg)
Potential Consequences if this policy is implemented:
Split between MoH and Private Providers Immediate vs long-term needs – solution a parallel
system?For example MSI:
providing 16% of modern contraceptive methods working in post conflict area and other hard to reach places
where government services do not reach
![Page 12: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/12.jpg)
Partnership for Impact
Coalition of NGOs and Donors are getting together to respond:Ensure access to key supplies by
beneficiaries: now!Fill current gaps in financing and procurement
of MoH systemAdvocate to MoH + other donors about urgent
need for supplies
![Page 13: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/13.jpg)
ZAMBIA
![Page 14: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/14.jpg)
Abortion in Zambia
• The problem of unsafe abortion is large:– Causes 1/3 of Maternal Mortality– 80% of deaths of unsafe abortion < 19yrs
• However, abortion Law is reasonably liberal, since 1972
• But…. providers nor women know the law
![Page 15: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/15.jpg)
• MSI relatively new in Zambia, provides 1.2% of all safe abortions
• MSI on government task force to create guidelines for CAC and PAC
• Working with others to catalyse change in safe abortion services
![Page 16: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/16.jpg)
Increasing Access
• Distribution of guidelines to health facilities
• Training of service providers
• Educating the public about their right
• In motion for only 6 months
• MSI figures for save abortion services are increasing – will have to wait for wider results
![Page 17: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/17.jpg)
Lessons
• Work together
• Educate
• Advocate
• Capitalize
![Page 18: Moving from Policy to Implementation MSI experience in Uganda, Malawi and Zambia](https://reader035.fdocuments.net/reader035/viewer/2022070403/56813a17550346895da1f407/html5/thumbnails/18.jpg)
Women like Rachel have been waiting for change, and the right to control the size and spacing of their family