1. Realities in the Field Reproductive Health Supplies Coalition
Kampala, May 2010
Brief snapshot of the impact of shortages in the field --- example of MST, but consistent with lots of MSI programmes
By Catherine Slater

2. Marie Stopes Tanzania 14 Static Centres
14 Outreach Teams operating within MoHSW facilities in 18 out of 21 regions of Tanzania
Provide access to all family planning with a focus on long-term and permanent
methods
compliments MoHSW core FP efforts via two key channels -- gaps in PH system

3. Our Services in 2009 In support of MoHSW efforts, we delivered
over 640,000 CYPs:
Over XX Tubal Ligations
Over 28,000 Implants
Over 15,000 IUCD
Over 12,000 Injectables
Over 14,000 Pill Cycles
Over 550,000 Male Condoms
But this only reached 50% of our target, in
the main, due to stock-outs and shortages
Significant contribution to LTPM

4. Current Situation - IUCDs
In Quarter 1, MST delivered 4700 IUCDs
50% came from MSI/UNFPA sources and 50% from LGA
We need 14,000 IUD this year to meet our expected demand
We have stock till end of June, and anticipate additional supplies from LGAs
Look at two of the main commodities that we have challenges with……IUDs tight but manageable – slight dip

5. Current Situation - Implants
In Quarter 1, MST delivered 7400 implants
81% came from MSI/UNFPA sources and 19% from LGAs
We only delivered 44% of our target
We need over 60,000 implants this year to meet our expected demand
We recently received emergency supply from MSI/UNFPA, however a stock out at end of May is likely
Situation with implants is critical

6. Key Challenges/Solutions
Shortage of commodities at national level
Unpredictable and decentralised distribution system. We are preparing to join the MoHSW Integrated Logistics System, though anticipate that planning, coordination and delivery will still be difficult
Limited options for accessing supplies – Sino not yet registered and Jadelle registered but not approved to GoT Technical Advisory Body. We welcome GoT’s efforts in moving this forward, as well as option to access this high-turnover product centrally.
Clearly the main issue – fellow panelists have given comprehensive response to this 2. exacerbated by unpredictable and decentralised distribution system - we are planning to join the MoHSW Integrated Logistics System sourcing direct from Medical Stores Departments at zonal level, but anticipate that planning, coordination and delivery will be difficult given the number of different areas that we operate in 3. welcome MoH strides in this area – included in costed plan. Would like to access centrally so that we can speed up distribution once they reach the country.

7. Working together to ensure that no one gets turned away…….
As stated in recently launched National FP Costed Implementation Plan --- desire for FP is there……our wish like all the reps on this platform is that none who wants FP gets denied that choice