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Final Ideas Exchange 30 May 2014 Armenia Belarus Bulgaria Georgia Moldova Romania Kyrgyzstan Azerbaijan Kazakhstan Turkmenistan Tajikistan Uzbekistan Kosovo.

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Presentation on theme: "Final Ideas Exchange 30 May 2014 Armenia Belarus Bulgaria Georgia Moldova Romania Kyrgyzstan Azerbaijan Kazakhstan Turkmenistan Tajikistan Uzbekistan Kosovo."— Presentation transcript:

1 Final Ideas Exchange 30 May 2014 Armenia Belarus Bulgaria Georgia Moldova Romania Kyrgyzstan Azerbaijan Kazakhstan Turkmenistan Tajikistan Uzbekistan Kosovo Macedonia BiH Albania Ukraine Turkey Macedonia

2 Advocacy Issue: Lack of guaranteed modern contraceptives for vulnerable population Advocacy Goal: Guaranteed providing modern contraceptive for vulnerable populations until the end of 2016 Команда страны: АРМЕНИЯ Target Decision-maker(s): 1 - Minister of Health 2 - Minister of Social Welfare and Labour 3 - Finance Minister 4 - Chairman of the Standing Committee of Parliament on motherhood and childhood Key Influencers: 1 - Coordinating Committee for RH at MOH Armenia 2 - The main experts and national experts 3 - Deputy Ministers 4 - Head of Department 5 - Reputable and well-known faces at the national level 6 - Members of the media - TV, press, radio 7 - International Organizations and donors (UNFPA, WHO, USAID, Oxfam, IPPF etc.) 8 - Interested NGOs 9 - Human rights organizations and human rights activist RA Messengers: 1 - Deputy Ministers 2 - Head of Department 3 - Head Obstetrician-Gynecologist 4 - The First Lady Potential Partner(s): 1 - Pharmaceutical companies and major suppliers of contraceptives 2 - Division of the MOH on procurement and distribution of medicines and medical supplies 3 - NGO Coalition and on RH, motherhood and childhood, youth and others 4 - USAID, UNFPA, IPPF and international organizations 5 - Private Sector

3 Country Team: Armenia Objectives: 1. Implement guaranteed provision of modern contraceptive methods for vulnerable population into the basic package of free medical care and services before the end of Increase awareness of vulnerable populations about the benefits of modern methods of contraception and the demand for effective contraception before the end of Develop strategies and mechanisms for the centralized purchase and distribution of modern contraceptives for vulnerable populations before the end of Achieve public funding for guaranteed provision of modern contraceptive means for vulnerable population before the end of 2015 Activities: 1. Meeting Coordinating Committee MoH on reproductive health work in working groups, drafting changes project for the basic package, review and approval of the package by the MOH and the RA Government. (before the end of 2014) 2. Develop a strategy and program of action, implementation of planned activities, monitoring and evaluation. (before the end of 2016) 3. Analysis of market segments, the work of the working groups, together with experts, preparation and implementation of computer programs and logistics forms. (before the end of 2015) 4. Budgeting based on an assessment of demand of vulnerable populations to modern contraceptives. (before the end of 2015)

4 Belarus

5 Advocacy Issue: Insufficient provision of teenagers with contraceptive methods Advocacy Goal: Upholding the rights of adolescents aged alone give consent to medical intervention in the sexual and reproductive field Country Team: Republic of Belarus Target decision-makers: Minister of Health, Chairman of the Council of the Republic; President of the Chamber of Representatives of the National Assembly Key Influencers: First Deputy Minister of Health; Deputy Minister of Health (finance); Head of Main Division for medical care; Organization of medical care; Head of medical care for mothers and children; The Standing Committee on Health, Administration of the President, ROC Messengers: Director of the RSPC "Mother and Child"; First Deputy Minister of Health; Deputy Minister of Health (finance); Chairman of the Standing Commission on LP; Chairman BYPU "Reproductive Health"; Member of the House of Representatives. Potential partners: RSPC "Mother and Child"; BYPU "Reproductive Health"; UNFPA

6 Country Team: Republic of Belarus Objectives 1. Bill Development on NP by MOH and its introduction to the Parliament in 2017; 2. Adoption of the bill by the House of Representatives of the National Assembly before 2018; 3. Adoption of the Draft by the Council of the Republic in 2018; Activities: 1. Collection and analysis of statistical data; 2. Analysis of international experience; 3. Effectiveness analysis; 4. Drafting of documents on the bill; 5. Roundtable on the issue with representatives of both Houses; 6. Dealing with the media.

7 Bulgaria

8 Advocacy Issue: Low access of vulnerable populations to modern contraceptives and FP serveces Advocacy Goal: Adoption of National Program on Sexual and Reproductive Health by the Council of Ministers through the Ministry of Health (MoH) till 2014 Country Team: Bulgaria Target Decision-maker(s): Minister of Health, Chair of Health Commission of the Bulgarian Parliament, Minister of Finance Key Influencers: Head of the Cabinet of the Minister of Health Director of Department “Medical Services” in MoH President of the Medical Doctors’ Union, National Association on Ob./Gyn. Department for demographic development in MLSP Messengers: Chief of the cabinet Prof. Chernev (MU, professional organizations) Dr. Stamenkova (BFPA) Potential Partner(s): Professional societies NNHMs International agencies (WHO, UNICEF) Sofia Medical University Zdrave.net

9 Country Team: Bulgaria Objectives: 1. Ministerial order to create task force group by the end of July Finalized NP by the end of Sept Activities: 1. Common message development 2. Meetings with the minister/ members of the political cabinet of MoH 3. Meetings with parliamentarians 4. Participation in the process of finalizing the NP

10 Georgia

11 Advocacy Issue: Private Sector refuses to allow social products in its chains. Advocacy Goal: Increase access to social products for vulnerable population in the Country by the end of 2016 Country Team: Georgia Target Decision-maker(s): Minister of MoH; Health Care committee; Prime Minister and President Key Influencers: NGO, Donors, Professional Associations, Mass Media, MoH Messengers: 1-at MoH-Head of Healthcare Department, Deputy of MoH, UNFPA, 2-at Parl. Minister of MoH, Opposition MPs in the Committee of HCC, other Parliamnet Committees. Potential Partner(s): NGO, Donors, Professional Associations, Mass Media, NCDC, Youth clubs,

12 Country Team: Georgia Objectives: 1. Increase and define the concept of Social Product into the National Law on Medicine and Pharmaceutical Activities by the end of To ensure the continuous supply of the contraception to the vulnerable and high risk groups through the pharmacies Activities: 1. NGOs and donors address the MoH. 2. MoH will review and prepare the project 3. The Project will be sent to the Prime Minister Office 4. The Report will be sent to the Parliament 5. Renewal and logistical strategy to cover the whole territory of Georgia.

13 Moldova

14 Advocacy Goal: Limited access of vulnerable groups to contraceptives Advocacy Goal: Improving the financial mechanism for the procurement of contraceptives for vulnerable groups Changing laws to ensure procurement of contraceptives through AccessRH (procurement system at the lowest prices UNFPA) by 2016 Country Team: Moldova Target Decision-maker(s): 1. Minister of Health 2. Minister of Finance 3. Minister of Economics 4. Director of the Procurement Agency Key Influencers 1. Vice-Ministers 2. Chairman of the Parliamentary Commission on Social Protection 3. Members of Parliament 4. Chief Specialist on SS 1. Messengers: 2. Specialists of the Center for Reproductive Health and Medical Genetics 3. academic sector 4. NGOs 5. Media Potential Partner(s): 1. National Health Insurance Company 2. Medicines Agency 3. UNFPA

15 Country Team: Moldova Objectives: 1. By 2015, the MOH and the National Health Insurance Company will develop new normative document regulating the purchase of contraceptives for socially vulnerable segments of the population 2. By 2016 MOH will develop normative documents with an action plan for the procurement of contraceptives through Access RH Activities: 1. Establishment of a working group under the MOH and develop an action plan 2. Assessing needs of socially vulnerable segments of the population (of reproductive age) for contraceptives 3. Development of a draft regulatory document and its approval 4. Inclusion of contraceptives in the list of medicines for centralized procurement 5. Procurement and distribution of contraceptives to socially vulnerable groups.

16 Romania

17 Romania policy advocacy strategy Issue – Lack of appropriate FP service delivery system within primary health care Goal – The MoH will to adopt a ministerial order to regulate FP service provision,(at different levels of national health care system) including referrals, by the beginning of 2016 Target decision makers – Minister of health + president of NIH – Secretary of state from MoH – Director of Health Care Directorate (MoH) Key influencers – Members of political party to which the minister is member – Personal counselors – Technical staff of MoH – Professional associations (ob-gyns, family doctors, pharmacists) Country Team: Romania

18 Potential partners: Sexual and Reproductive Rights Coalition, Family Doctors Association, Roma Health Mediators Association Messengers: Technical staff of MoH, leaders from NGOs, technical RH experts Objectives – The MoH will appoint a working group responsible for drafting the support documents for ministerial order by January 2015 – Health Care Directorate will develop support documents and draft of ministerial order by September 2015 – Minister of Health will adopt the ministerial order who will regulate FP service at the beginning of 2016 Activities – Develop situation analysis – Organize a roundtable – Consultations with professional associations and other ministries – Development of documents – Public consultation of the final draft – Issue of the ministerial order – (Publication of ministerial order on the Official Journal Romania policy advocacy strategy

19 Kyrgyzstan

20 Advocacy issue: Limited access of vulnerable groups of population to contraceptives: lack of vulnerability criteria with regards to Family Planning and supply of contraceptives. Advocacy Goal: The Kyrgyz government will obtain the Resolution on defining criteria for vulnerable groups on issues of PS and provide contraceptives Country Team: Kyrgyzstan Target Decision-maker(s): 1. Deputy Prime Minister for Social Affairs - Sarieva E. 2. Minister of Health - Sagynbaeva D. 3. Minister of Social Development - Bazarbayev KB 4. Director the MHIF - Shakirov G. Key Influencers: Parliament of the Kyrgyz Republic Deputy ministers and heads of administration Messengers: Department MOH Kyrgyzstan Ministry of Social Policy and the Department of Social Affairs Potential Partner(s): UNFPA, GIZ, Department of the Ministry of Health, NGO ARZ, CBSA, Ministry of Social Development

21 Country Team: Kyrgyzstan Objectives: 1. By September 2014, coordinated by the MoH Kyrgyzstan it is needed to create an interagency, inter-sectoral working group on the development of criteria for vulnerable groups concerning the contraceptives at state expense 2. By the first quarter of 2015 under the coordination of the Ministry of Health it is needed to inform partners and agree with the decision-makers on draft criteria for vulnerable groups concerning the contraceptives at state expense 3. By the end of 2015 the Government of the Kyrgyz Republic will adopt the criteria for vulnerable groups concerning the contraceptives at state expense Activities: 1.1 Develop and approve a list of the working group on the development of vulnerability criteria 1.2 Develop and approve the TOR for WP 1.3 Conduct an orientation meeting WG 1.4 Develop draft vulnerability criteria 2.1 Initiate discussed within the project criteria of vulnerability. 2.2 Presentation of the draft vulnerability criteria for partners and stakeholders. 2.3 Develop the final version of vulnerability criteria. 3.1 Approve the vulnerability criteria at the cabinet meeting

22 Azerbaijan

23 Advocacy issue: Increase the number of consumers of modern contraceptive methods Advocacy Goal: Define and adopt a list of professionals and services in the Ministry of Health of the SS until the end of 2015 Team country: Azerbaijan Target Decision-maker(s): Minister of Health Deputy Minister Head of Organizational Department of health services unit Key Influencers: Members of Parliament, the Ombudsman Management strategies and innovation, MOH Ministry of Labour and Social Security UNFPA, WHO, UNICEF Messengers: ombudsman parliamentarians International organizations Potential Partner(s): Ministry of Health Public Health and Reforms Center (PHRC), MOH Office of the Ombudsman UNFPA National Office of the Reproductive Health

24 Команда страны: Азербайджан Objectives: 1. Establishment of a working group to develop changes in duties and services of nurses and family doctors in September Collection and analysis of data and pilot projects conducted by DHS in 2011 by a working group in order to create an evidence base before February Prepare environment for the issue Activities: 1.1 Holding negotiation and business roundtable for interested parties identification 1.2 Creation and distribution of the working group’s duties and responsibilities 1.3 Collection and analysis of existing material 1.4 Preparation of the sample position duties 1.5 Getting feedback of prepared draft from the MOH experts and authorities 2.1 Data processing and analysis reports 2.2 Preparation of an analytical document for the consideration of the Minister of Health 2.3 Conform analytical document with those influencing minister decisions аnd send to the minister 3.1 Increase public awareness about situation of the contraceptives use in the country and need for expanding and improving FP services through TV, radion, newspapers 3.2 Push debates in the Parliament on the issue using Ombudsman as messenger

25 Kazakhstan

26 Advocacy issue: Lack of contraception for teenagers under 18 years old in the guaranteed volume of free medical care Advocacy Goal: The Government of Kazakhstan will approve a decree "On Amendments and Additions to the “List of services and medicines within GVFMA“ regulating provision of adolescents under 18 years old with free contraceptives by the 4th quarter of 2015 Team country: Kazakhstan Target Decision-maker(s): Minister of Health Minister of Economy and Budget Planning Prime minister Key Influencers The Members of Parliament (two deputies supervising the health sector) Chairman of the National Commission for Women, Family and Demographic Policy under the President of RK Minister of Health Director of the department of medical service organization MoH UNFPA - director and executive representative of the country office KASRH - Executive Director Messengers: Vice - Minister of Health for Economic Affairs Deputy of the Majilis in charge of social issues Deputy Chairman of the Majilis Chairman of the National Commission for Women, Family and Demographic Policy under the President of RK Potential Partner(s): UNFPA, Kazakhstan Association on Sexual and Reproductive Health (KASRH)

27 Team country: Kazakhstan Objectives: 1. Interagency Working Group established by MOH will prepare analytical information to justify the inclusion of the COP into GVFMA for teens and will receive the approval from concerned departments in the 2nd quarter of Interdepartmental working group will prepare a draft of the Resolution and forward it for approval to the Office of the Prime Minister and the President's Administration by December 2015 Activities: 1.MOH will create an order to interdepartmental working group to amend the GVFMA 2.Interdepartmental working Group will prepare analytical information to justify the need for changes and additions to the GVFMA 3.Interdepartmental working Group will hold orientation meetings for technical performers from concerned departments for obtaining approval of analytical reference 1.Interdepartmental working group will develop a draft resolution stating the form of funding and calculations 2. MoH will send the project for approval to AP (Administration of the President of the Republic of Kazakhstan ) and OPM (Office of the Prime Minister of the Republic of Kazakhstan)

28 Turkmenistan

29 Team country: Turkmenistan Advocacy issue: Vulnerable groups’ access to contraceptives, purchased at the expense of the state budget Advocacy goal: Adoption of a resolution (Protocol) MOH and MI of determining the list of people eligible to receive benefits when issuing contraceptives from the state budget by October Target Decision-maker(s): MHMI of Turkmenistan, Cabinet of Ministers of Turkmenistan Potential partners: MHMI of Turkmenistan, MCH, international organizations, UNFPA, NIDHR, Ministry of Social Welfare, Women's Union, NGO, Main Pharmacy Union. Key Influencers: Mejlis (Parliament of Turkmenistan), Ministry of Social Welfare, National RH Centre, NIDHR under the President of Turkmenistan. Messengers: Deputy Minister of MHMI, MCH Director, Head of the treatment and prophylaxis department of MHMI of Turkmenistan.

30 Команда страны: Туркменистан Objectives: 1. Recognition of the need to collect data relating to vulnerable groups (low- income families, women with disabilities, women in prison, teens are having sex, etc..) October Further improvement of the legislation on family planning offices to the new realities, in particular, public procurement of contraceptives, the introduction of the TMA and the system of public health insurance. May Strengthening the system on improving of quality of services in the family planning through clinical audit. Activities: 1.1. Defining the goals and objectives of the working group on the implementation of the TMA Consideration of proposals of the working group on the importance of protection needs of vulnerable groups in the field of family planning services in order to improve reproductive health indicators in the country Information support in the mass media Discussion of the vulnerable groups issue during the meetings with UNFPA Directors Focus group discussions with representatives of vulnerable groups and the presentation of the results of the working group.

31 2.1. Development of reporting documentation to control the release of contraceptives on a preferential basis to vulnerable groups 2.2. Involvement of internal / external expertise to further integration of reproductive health, HIV and family planning services at the primary level of health care Strengthening of health insurance system 3.1. Knowledge management on quality improvement in the piloting points through involving the experience from other regions Promotion of solutions adoptions in order to improve the quality of services in the field of family planning on the basis of clinical audit.

32 Tajikistan

33 Advocacy issue: No provision of low-income population with contraceptives from public funds Advocacy Goal: MoH Tajikistan with its internal order regulates the responsibilities of managers of PHC for the dissemination of contraceptives by the end 2014 Provide the population with low income contraceptives from public funds by introducing amendments to the PGU by the end to Team Country: Tajikistan Target Decision-maker(s): 1. Minister of Health, 2. First Deputy Minister, 3. Head of motherhood and childhood MH Key Influencers MoH MF The Parliament Religion Messengers: UNFPA 1. WHO 2. UNICEF 3. TFPA Potential Partner(s): 1. TSMU (Tajikistan State Medical University) 2. TBMC 3. Tajik Research Institute of Obstetrics and Gynecology 4. Mental Health Research Center

34 Team Country: Tajikistan Objectives: 1. MoH creates a working group to analyze the situation concerning provision of contraceptive services at PHC level until the end of August The Working Group will prepare an analytical report with recommendations and submit it at the meeting of the coordinating council MoH 2014 until mid- November. 3. On the basis of the analytical report MCH MoH will prepare an order regulating the responsibilities of managers of primary health care to the Minister of Health of RT until the end of November Activities: 1. Make a list of the working group (WG) 2. Agree on the list of WG with heads of agencies of potential partners for the inclusion of their representative in WG. 3. Preparing order to establish a WG and its agreement with the management entities of MoH. 4. Submit the order for consideration and signing to the Minister of Health of the Republic of Tajikistan. 5. Develop terms of reference for the WG; 6. Familiarize WG with terms of reference, the order and sample the regions for analysis; 7. Assess / research in selected regions; 8. Preparation of the report and recommendations and its presentation in the Coordinating Council; Solving the problem of contraceptives distribution at the PHC level is a key element in reducing maternal morbidity and mortality.

35 Uzbekistan

36 Advocacy Issue: Lack of equal access to quality SRH services and products/contraceptives for rural population Advocacy Goal: Ministry of Health adopts regulatory document on improvement of the quality of SRH/FP services by the end of 2015 Country Team: Uzbekistan Target Decision-maker(s): 1.Minister of Health (Mr. Anvar Alimov) 2.Vice prime Minister (Mr. Adham Ikramov) 3.Chairperson of Women's Committee (Ms. Elmira Basitkhanova); 4.Ob/Gyn Assoc. Prof. Najmitdinova Key Influencers: Deputy Minister of Health (Tuychiev), MCH Department (Ismailov&group), Minister of Health, Wom. Committee, Cabinet of Ministers, WHO CO. Messengers: UNFPA, Ministry of Health, Women's Commitee, professional associations Potential Partner(s): Departments of MoH, Department of Women's Committee on social and family affairs, National research and education centres on health

37 Country Team: UZBEKISTAN Objectives: 1. MoH establishes a working group to draft a regulatory document by September, Working group accomplishes a draft document by July, Working group gets approval and endorsement for finalization of the regulatory document with line organizations and Ministries Activities: 1.UNFPA meets with MoH to agree on establishment of WG. Organization of round table meeting to address the issue to the potential partners and stakeholders. 2.WG works on review of relevant documentation and analysis of situation. Organizes technical meetings. 3.Provides draft of the regulatory document for the review of partners and decision makers.

38 Kosovo

39 Advocacy issue: Contraceptives to remain in the Essential Drug List Advocacy Goal: By the end of December 2014, the MoH will revise the Sectorial health strategy, to specify contraceptive availability on Essential Drug List. Country Team: Kosovo Target decision makers: Minister of Heath; General Secretary of MoH; Key influencers: Chief of Division for Mother and Child Health; Technical Advisers; Messengers: UNFPA Assistant Rep. Chief of Division of MCH-MoH; WHO Head of Office in Prishtina; Potential Partner(s): WHO Parliamentarians; Kosovo Women network; Finance and pharmaceutical department of MoH; Media (incl. communication department UNKT and MoH)

40 Country Team: KOSOVO Objectives: 1. The Working Group submits for comments the revised strategy which specifies contraceptives to remain on EDL, by end of September 2014; 2. Comments are received and incorporated by the coordinator of WG into the final draft of strategy, by end of November The Minister of Health endorses the Sectorial Health Strategy , by end of December Activities: 1. Develop, print and distribute a factsheet based on cost benefit analysis on contraceptives ; 2. Meeting with General Secretary of MoH and working group on strategy revision, to inform them on importance of contraceptive remaining on EDL. 3. Provide technical expertise to the working group on strategy revision. 4. Organize a workshop with all relevant stakeholders to present revised draft strategy with incorporated comments, before sending to Minister for Approval.

41 Macedonia

42 Advocacy Issue: No free contraception available for vulnerable groups Advocacy Goal: By December 2014 the Ministry of Health to introduce a budget line in the Preventive Health Care Programs for procurement of contraceptives for vulnerable groups Country Team: Macedonia Target Decision-maker(s): Minister of Health Key Influencers: Department of Preventive Health Care State Advisor at the Ministry of Labor and Social Policy dealing with population development Advisors of Prime Minister for Health and Social Policy Head of Parliamentary Commission for Gender Equality Messengers: Advisor of DPHC Head of DPHC UNFPA SRH Potential Partner(s): Parliamentary Commission on Equal Opportunities Ministry of Labor and Social Policy UNFPA HERA NGO

43 Country Team: Macedonia Objectives: 1. By October 2014 the DPHC to present to the Minister of Health evidence-based arguments for introducing budget line item in the Preventive Health Care Programs to procure contraceptives for vulnerable groups Activities: 1. Regular meetings of TMA Working Group 2. Development of evidence based Policy Brief

44 Bosnia and Herzegovia

45 Advocacy Issue: Lack of contraceptives on the essential drug list Advocacy Goal:By December 2015 both BiH entities MoHs will implement a right to contraceptives as articulated by the SRH policy by updating the EDL to include the contraceptives Country Team: Bosnia and Herzegovina Target Decision-maker(s): 1. Ministers of Health 2. Advisory Drugs Board Key Influencers: 1. Chairman of PGPD 2. Pharmaceuticals advisors Messengers: Assistant Ministers Pharmaceutical advisors Potential Partner(s): 1. Assistant Ministers of Health 2. Professional Associations 3. Civil Society 4. Other UN Agencies/IPH 5. PGPD

46 Country Team: Bosnia and Herzegovina Objectives: 1. Strategic advocacy framework of the coalition is created and functional by the March By June 2015 the Drugs Advisory Boards will make a recommendation to the Ministers of Health to add at least one contraceptive to the EDL on the entity level 3. By the end of 2015 the MoHs will add at least one contraceptive to the EDL on the entity level Activities: 1. Develop coalition’s official document/position paper for the Minister’s approval of adding contraceptive to EDL 2. Three meetings organized to define the goal and responsibilities of the coalition 3. To develop situational analysis of the contraceptives situation in BiH (Market segmentation analysis) conducted 4. Organize meetings with the representatives of the Drug Advisory Board 5. Organize regular formal and non formal meetings with the Ministers and the technical staff with the Ministers

47 Albania

48 Advocacy Issue: Lack of Enabling Political Environment in Support of Social Marketing Sector Advocacy Goal: By June 2015 the Parliament will pass the amended VAT Law that removes 20% tax for Condoms Country Team: Albania Target Decision-maker(s): 1) Minister of Health 2) Minister of Finance 3) MPs – Deputy Chair of the Health and Social Issues Commission Key Influencers: 1) Deputy Minister of Health 2) United Nations Resident Coordinator 3) Director of Public Health 4) Director of Pharmaceutical Directory 5) Parliamentary sub - committee on population and development issues Messengers: 1) Deputy Minister of Health 2) Deputy Chairwomen of the Health and Social Issues Parliamentary Commission 3) UNFPA Representative / Assistant Representative Potential Partner(s): Influential officials in the decision making process Ministry of Health officials and IPH technical experts RH coalition Private sector International organizations and UNFPA

49 Country Team: Albania Objectives: 1. Minister of Health submits the proposal of amending the Law to the Minister of Finance by December Minister of Health presents to the Cabinet of Ministers the proposal to amend the Law on VAT waiver by March Minister of Health and Minister of Finance will advocate in favor of the draft amendment of Law to the Parliament Commissions of Health and Economy by May 2015 Activities: 1) Revise the National Contraceptive Security Strategy Conduct advocacy meetings with key officials from the MoH Submit the proposal to Minister of Finance 2) Conduct advocacy round tables with the Ministry of Health and Ministry of Finance experts (advisors from the respective Ministries) Conduct meetings with Prime Ministers advisors on health issues Include the proposal from the MoH in the Cabinet of Ministers agenda 3) Conduct advocacy meetings with the Health Parliamentary Commission Conduct advocacy meetings with the Economic Parliamentary Commission Include the issue on amendment of Law on VAT in the Parliamentary session agenda

50 Team country: Ukraine Advocacy Issue: Lack of sufficient market contraceptives in the low price segment Advocacy Goal: By 2017, ensure the availability of the smallest available contraceptives package contraceptives (-2-3 MPDK items of four modern methods) on the market on the basis of the agreement on public-private partnership Target Decision-maker(s): 1) Minister of Ministry of Health 2) Head of the Service for Medicines Control 3) Farm leaders. manufacturers of contraceptives 4) Distributors Key Influencers: 1) Deputy Ministers 2) Campaign SMD - data on market segmentation, sales structure, research data 3) Group on Reproductive Health 4) UNFPA 5) WHFP IPPPF MA Potential Partner(s): 1. Potential partners: pharmacological companies, 2. Drugs Importing companies 3. Pharmacy chains Messengers: 1) Mass media 2) Technical experts 3) Opinion leaders

51 Team country: Ukraine Objectives: 1. Before the end of 2014 Partners Group on Reproductive Health (PGRH) should attract potential private sector partners interested in collaborating on a public- private partnership 2. Until mid-2015 PGRH together with private sector partners should agree on the composition of the minimum available package contraceptives (MAPC) and sign a Memorandum of Cooperation 3. Prior to 2016, together with the Ministry of Health PGRH should include provisions to ensure MAPC in the draft of the new State Program on Reproductive Health Activities: 1.1 Gather information on the cost of contraceptives in neighboring countries and reimbursement schemes 1.2 Conduct a presentation of WAPS results for key stakeholders 1.3 Based on these studies the aviation package for working with the private sector should be formulated 1.4 Conduct individual meetings with representatives of Farm Companies 1.5 Roundtable stakeholder MAPC 2.1 Determine the price range MAPC; 2.2. Agree on a list of actions on the part of partners to ensure adequate availability of products in this price range (price reduction, registration of new social products, etc.) 2.3 Agree draft Memorandum, including the responsibilities of partners 2.4. Sign the Memorandum and implement it, including media coverage. 3.1 To present the results of work on MAPC on the working group on the development of State Programs 3.2 introduced the concept and the results of work on the parliamentary committee on MAPC 3.3 Develop the relevant provisions in the State program, including indicators 3.4. Organize support from the media and public organizations

52 Country Team: Turkey Advocacy Issue: National Health Insurance Does Not Cover All Registered Family Planning Services and Commodities Advocacy Goal: UHI essential drug and service list will cover and reimburse registered FP services and commodities in collaboration with MoH, MoF and UNFPA by the end of 2017 Target Decision-maker(s): National Essential Drug and Service List Commission The President of Social Security Institution Representati ve of Ministry of Finance/ Ministry of Development and Treasury Key Influencers: The General Directorate of Health Services (MoH) Representative of Private Hospitals Representative of University Hospitals MPs UNFPA Potential Partner(s): Turkish Society of Obstetric and Gynecology PUBLIC HEALTH PROFESSIONALS ASSOCIATION Turkish Family Health & Planning Foundation Community Volunteers Foundation Turkish Family Planning Association Messengers: Media Woman NGOs Youth NGOs Patient’s Rights Association Universities Academicians

53 Country Team: Turkey Objectives: 1. A report prepared by five partner organizations on sustainable access mechanisms of FP commodities by December A joint statement released by partners for the media on the benefits of the proposed change by Feb Submission of the finalized proposal to National Social Security Ins. by Gen D. Of Health Services of MoH by June 2015 Activities: Conducting a meeting with the 5 partner organizations Establishment of a technical commission on drafting Finalising the report on sustainable access mechanisms of FP commodities Executive summary of the report will be drafted Executive summary of the report will be finalized Delivery (MPs, Partners, Stakeholders, Media) The preparation of official memo to the National Social Security Delivering the official memo to the National Social Security Press Conference on Legislation

54 Country Team: Macedonia Advocacy Issue: No free contraception available for vulnerable groups Advocacy Goal: By December 2015 the Ministry of Health to introduce a system for distribution and a budget line in the Preventive Health Care Programs for procurement of contraceptives for vulnerable groups Target Decision-maker(s): Minister of Health Potential Partner(s): Parliamentary Commission on Equal Opportunities Ministry of Labor and Social Policy UNFPA HERA NGO Key Influencers: Department of Preventive Health Care State Advisor at the Ministry of Labor and Social Policy dealing with population development Advisors of Prime Minister for Health and Social Policy Head of Parliamentary Commission for Gender Equality Messengers: Advisor of DPHC Head of DPHC UNFPA SRH

55 Country Team: Macedonia Objectives: 1. By October 2014 the DPHC to present to the Minister of Health evidence-based arguments for introducing budget line item in the Preventive Health Care Programs to procure contraceptives for vulnerable groups 2. By December 2014 recommendations for establishing a functional LMIS system for RHC to be presented to the Ministry of Health 3. By October 2015 a budget line item for procurement of contraceptives for vulnerable groups to be introduced in the Preventive Health Care Programs Activities: 1. Regular meetings of TMA Working Group 2. Development of evidence based Policy Brief 3. Conduct an LMIS assessment in the country and explore possible options for establishing a system 4. 5.


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