Tanzania Contraceptive Security Committee Michael Mushi USAID Tanzania

Tanzania : Contraceptive Security Committee Michael Mushi USAID, Tanzania RHSC Meeting, London

The Committee Tanzanian Contraceptive Security committee was established in 2004 with the following members: • Ministry of Health (Head DRH, Head HIV/AIDS, Medical Stores Dept, Pharmaceutical Supplies Unit) • Donors (UNFPA, USAID, WB, GTZ) • NGOs (FPAT, Marie Stopes, Engenderhealth) • Social Marketing Organisations (PSI, AED/T-MARK) • TA Providers (JSI/DELIVER) RHSC Meeting, London

Functions of the Committee Tanzanian Contraceptive Security committee meets every two months and was the idea of USAID and received TA from DELIVER Functions: • Monitoring of National Stock Status • Review Social Marketing sales • Advocate and review funding availability for Contraceptive procurement through basket funding • Review Contraceptive Procurement Tables • Advocate for Contraceptive Policy Changes RHSC Meeting, London

Contraceptive Security Committee Achievements. • Change from Vertical Contraceptive programme to Integrated RH programme • Identified gap in Supply Chain Management System • Influenced the funding mechanism and procurement plans • Monitoring of availability and distribution system • Advocacy and policy changes • Effective procurement by the MOH through the basket funding RHSC Meeting, London

Is the CSC important? • It provides the opportunities to share RH supplies program issues and recommend solutions. • Public sector meet the private sector and improve the relationships (transparency) • Basket stakeholders meet the non-basket supporter. • Technical program issues discussed and resolved. • RHCS is not final decision making body ( finance, policy and political issues are resolved at different levels) • Comprehensively representing former vertical groups (condom committee, donor contraceptive group etc. ) RHSC Meeting, London

Challenges of the CSC in Tanzania • It only focus on contraceptives and not all the commodities ( IUCD versus insertion kits) • Strengthening RH systems • Reproductive health commodity growing demand (funding, human resource etc) • Competing other programs especially HIV/AIDS and Malaria. • Global initiatives are mostly vertical challenging the integration efforts. RHSC Meeting, London

What are lesson learned for the RHS Coalition Initiative • Increase the scope to include “Reproductive” and not only “Contraceptive”. (HIV/AIDS, Malaria) • Support the on going policy changes. • Innovative ways to compliment resources to improve RH supply systems. • Improve the donor commitment for both basket and non-basket support. Provide flexibility in funding mechanisms. RHSC Meeting, London