UN Commission on Life Saving Commodities Tanzania RMNCH

UN Commission on Life Saving Commodities Tanzania RMNCH Plan: Updates DPG-Health September 4, 2013

Background: The United Nations (UN) Commission on Life-Saving Commodities for Women and Children • The Commission was set up in response to the call in the UN Secretary-General’s Global Strategy for Women’s and Children’s Health • For increasing access to and appropriate use of medicines, medical devices and health supplies • To effectively address leading avoidable causes of death during pregnancy, childbirth and childhood • The Commission identified 13 essential commodities that could save the lives of millions of women and children • Made 10 recommendations for how to get these commodities to those who need them most. Among the 49 Every Woman Every Child initiative countries

The Commission’s recommendations support clear objectives for underutilized life-saving commodities across the RMNCH Continuum of care Reproductive Female Condoms health Implants 1. Shaping global market 2. Shaping delivery markets 3. Innovative Financing 4. Quality strengthening 5. Regulation efficiency 6. Supply and awareness 7. Demand awareness 8. Reaching women and children 9. Performance and accountability 10. Product innovation Emergency Contraception Maternal Health Newborn Health Oxytocin Misoprostol Magnesium sulfate Injectable antibiotics Antenatal Corticosteroid (ANCS) Chlorhexidine Resuscitation Equip. Child Health Amoxicillin Oral Rehydration Salts Zinc Country Plans to increase access to commodities and services and Accelerate achievement of MDGs 4 & 5

First Eight Countries Pathfinder countries: 1. 2. 3. 4. 5. 6. 7. 8. Malawi DRC Nigeria Uganda Senegal Ethiopia Siera leone Tanzania

UN Life Saving commodities as of part of proliferation of initiatives… Global Working Group on Innovation Pneumonia Independent Expert WG and Diarrhea Review Group A Promise Renewed PMNCH Every Women Every Child Pledge Guarantee for Health Global Action Plan for Newborns H 4+ Initiative UN Commission on Life-Saving Commodities A Call to Action – Child Survival FP 2020 Muskoka Initiative Born Too Soon UN Commission on Information and Accountability Saving Mothers Giving Life Decade of Vaccines Scaling-Up Nutrition (SUN) World Bank Health Results Innovation Trust Fund

Progress since the launch to the Commission’s report in September 2012 2013 2014 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan • Report hand-over to the SG • Abuja meeting launch • Preparation of global work plans and implementation • Preparation of country plans, with iterations • First disbursements to countries • 2 nd wave of countries (tbd) • Progress review of global groups • RMNCH Steering Committee • Dakar inter-country workshop • UN General Assembly

United Republic of Tanzania RMNCH Plan

URT RMNCH Plan: Focus Areas Reproductive Female Condoms health Implants 5. 6. 7. 9. Regulation efficiency Supply and awareness Demand awareness Performance and accountability Emergency Contraception Maternal Health Newborn Health Oxytocin Misoprostol Magnesium sulfate Injectable antibiotics Antenatal Corticosteroid (ANCS) Chlorhexidine Resuscitation Equip. Child Health Amoxicillin Oral Rehydration Salts Zinc Country Plans to increase access to commodities and services and Accelerate achievement of MDGs 4 & 5

Focus areas: Expected Results • Recommendation 5: Regulatory Efficiency: – Output MOHSW: Registration of required life-saving commodities from local and international manufacturers fast tracked – Output MOHz: Reproductive Maternal and Child Health (RMNCH) life saving commodities registered • Recommendation 6: Supply and awareness: – Output: Adequate quantities of RMNCH life saving commodities procured with improved forecasting and Quantification – Output: Reduced stock outs by strengthening Logistics Management Information System including inventory and stock management – Output: Strengthened distribution channels and storage for oxytocin based on evidence

Focus areas: Expected Results • Recommendation 6: Supply and awareness – Output (Zanzibar): Funds for procuring RMNCH commodities increased and sustained. – Output(Zanzibar): Adequate quantities of RMNCH LSC procured with improved forecasting and quantification systems • Recommendation 7: Demand awareness for product & service utilization by 2014 – Output Evidence generated to guide demand creation and service utilization interventions – Output : Increased availability and utilization of life saving commodities through advocacy and BCC interventions

Focus areas: Expected Results • Recommendation 7: Demand awareness for product & service utilization by 2014 (Zanzibar): – Output: Improve community knowledge and practices on RMNCH services – Output : Increased availability and utilization of life saving commodities through advocacy and Social BCC interventions • Recommendation 9: Performance and Accountability: – Output : Health-care providers are knowledgeable about the latest national guidelines on life saving commodities – Output : Accountability and Sustainability for life saving commodities strengthened

Focus areas: Expected Results • Recommendation 9: Performance and Accountability(Zanzibar) – Output: Health-care providers are knowledgeable about the latest national guidelines on life saving commodities. – Output: Accountability and Sustainability for life saving commodities strengthened

Year One Budget priority Mgt Mainland: USD 3250000 Recommen Zanzibar: USD 750, 000 Governanc Recommen e& overhead 6% dation 5 3% Recommen dation 9 7% dation 5 1% Mgt Governanc e& overhead 14% Recommen dation 9 31% Recommen dation 7 9% Recommen dation 6 61% Recommen dation 6 67% Recommen dation 7 1%

Funding Modality & Budget • Global Trust Fund established and hosted at UNFPA • Pass-through funding modality to the UN Agency to the ministries of health/ Implementing Partner • First Year budget : 4, USD 4 Million Country Request Level: Global RMNCH Trust Fund Disbursement based on instruction Level: Country UN Agency ü Zanzibar: USD 750, 000 ü Mainland: USD 3, 250, 000 IP MOHSW/MOH-Z

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