1. Total Market Initiative Honduras from Engagement to Action Pamela Riley, Abt Associates, SHOPS RHSC Annual Meeting May 28, 2010 Kampala, Uganda

2. Contents Background TMI Honduras Why Honduras? Key success factors Workshop video Lessons learned Next steps

3. Background of TMI Grant from RHSC Innovation Fund 2009 JSI and Abt Associates implementers Key objectives Alignment with existing contraceptive security strategy Consolidate information on market to guide process Expand participation in the FP market Facilitate greater stakeholder collaboration Political challenges June 2009 coup d’etat

4. Why Honduras? Graduating from international FP aid Resource gaps Existing CS Committee (DAIA) Active private sector Strong DHS And...

5. Flat CPR growth with rising unmet need

6. TMI Key success factor: local leadership Initial CS Committee (DAIA) in April 2009 Approved detailed plans and milestones Deep involvement in planning data analyses to be conducted Generated broad list of stakeholders for outreach, open to inclusion of new players Pre-workshop DAIA session February 2010 approved agenda and roles

7. TMI key success factor: market analysis Conducted in several stages Quantitative research: secondary market analysis utilizing DHS Qualitative research: Focus groups to uncover motivations and attitudes Supply analysis: using IMS data for hormonals, NGO data for condom markets Stakeholder interviews Shed light on inefficiencies, gaps and missed opportunities

8. Sample segment analyses: women in union Segment 1: “Young women in union: 15-25 years old, average children 2.1 Users: 53% modern methods Future intent: Injectables preferred Non-users: 98% want more children Segment 3: “Thirty-somethings” 30-39 years old, average children 4.1 Users: 62% modern methods Future intent: Sterilization preferred Non-users: Unmet need higher in rural areas Segment 2: “I think my family is complete.” 15-29 years old, average children 2.8 Users: 67% modern methods Future intent: Injectables preferred Non-users: Majority want no more children Segment 4: “Menopausal” 40-49 years old, average children 5.6 Users: 45% modern methods Future intent: low percent Non-users: Do not want more children

9. Sample data analyses: FP users in lower quintiles not in urban areas

10. Key success factor: courting new participants PUBLIC SECTOR Ministry of Health Social Security Institute Technical Advisory Unit MOH Institute Public Health National Drug Regulatory Authority National Institute for Statistics PRIVATE FOR-PROFIT Medical Center of San Miguel Pfizer Durex Distributor Solis CPL Condom Manufacturer Vijosa Injectables Manufacturer Arsal Laboratories NGOs IPPF Affiliate Ashonplafa Association of Women and Families College of Pharmacists National Medical University PSI Affiliate PASMO National Association for Ob-Gynocologists National Organization for Women INTERNATIONAL AGENCIES KfW Global Fund UNFPA USAID

11. Workshop Video

12. Lessons Learned Country-led, country- owned Stakeholders must be treated as equals in the process There is demand for capacity building in data analysis The commercial sector can be a willing partner in CS

13. From strategies to action plans TMI results: a re-invigorated process and expanded stakeholder community Current DAIA activities in development Multi-sector BCC campaigns Creation of FP website to institutionalize information access Detailed mapping of FP stakeholders Institutional pricing for public sector sales Public sector commitment to target rural areas

14. Thank you from TMI Honduras