Pangasinan Province: Contraceptive SelfReliance Experience Philippines

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Pangasinan ProvinceContraceptive Self-Reliance
ExperiencePhilippines
p a n g a s
i n a n
Local Enhancement and Development (LEAD) for
Health Project Management Sciences for
Health October 2003 September 2006 Funded by
USAID
33rd Annual International Conference on Global
Health May 30-June 2, 2006 Omni Shoreham Hotel,
Washington D.C., U.S.A.
Author Luzviminda N. Muego
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Population 2.5 Million Land Area 5,300 sq.
km. Census 2000 PGR 1.90 (2.36 Phil)
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Family Planning Program
1991 Local Government Code
Since the 1970s, relied on USAID assistance
(providing 80 of nations contraceptives)
Under Local Autonomy Re-instituted Population
and Family Planning Program
The provinces population program built its
capacity for a Management Information System (MIS)
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Census DemographicHealth Surveys1995 and 2001
Population Growth Rate
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Census DemographicHealth Surveys1995 and 2001
Current FP Users
Source Pangasinan DHS
Source Pangasinan DHS
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The Context of CSR
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High Unmet Need for  Family  Planning   Services  
 
USAID Phase Down Plan for donated commodities in
place
Source DOH-AO 158, 2004
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Contraceptive Self-Reliance

• The ability to forecast, finance, procure and
  deliver good-quality and reliable     
• contraceptives to          
• all men and women          
• who need them        
• when they need them.      

CSR Processes
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Major Challenges to CSRPolitical
Socio-cultural

• National local governments weak policy and
  political will to sustain population family
  planning program.
• Local governments have limited resources and no
  policy budget for contraceptives procurement.
• Political sensitivity of FP targeted service.
• Distribution system gives free access to poor
  (62) and non-poor (38).

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Major Challenges to CSROperational Barriers
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Pangasinan CSR VISION

• Sustainable and Quality Family Planning Program
  in Pangasinan

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CSR Road Map
Goal To promote LGUs ability to sustain the
provision of good quality and affordable FP
services and commodities
Expected Outcomes
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Initiating the CSR Strategy

• Political Will Leadership by the Governor
• Issued legal basis for CSR
• Set policy agenda for reforms
• Allocated funds for CSR implementation
• Institutionalize all the reforms

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Phases of CSR Implementation
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CSR Performance Results

• Policy approval and adoption by LGUs
• Commodity supply ensured during the Transition
  Period 2004 - 2008.
• Provincial Logistics Management Information
  System in place.
• 29 out of 47 LGUs with contraceptives budget and
  procurement system in-place.

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CSR PerformanceResults

• Increasing budgetary allocations for commodities
  by the province and LGUs

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CSR Performance Results

• Increasing contraceptives procurement

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CSR Performance Results
Injectables Sales (vials)

• Mobilizing Private Sector Participation
• Commercial Sector - Increasing volume of
  contraceptive sales
• Capability building for private providers -
• More midwives being trained as providers and
  entrepreneurs

Pills Sales (cycles)
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CSR Performance Results

• Market Segmentation for FP targeted services

• Groundwork for
• Client segmentation
• Towards FP
• Market
• Transformation
• Enhanced
• Information Generation
• - Willingness to pay
• Facility Mapping
• Private Sector
• Mapping

Client Classification At the Public Sector
Health Facility Living Standard Survey For
ranking households
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CSR Performance Results

• Service delivery strategies in place to reduce FP
  Unmet Need
• Tool to identify married women with unmet need
  for FP in-place and functional
• Client referral system in
  public private facilities
  and providers
• Outreach support for client
  generation intensified

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CSR Performance ResultsMoving Forward

• Replication of CSR Strategies Province-wide

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Partnership Works for CSR Initiative
we commend you in looking at the issue of
reduced donor contraceptive commodity support in
the broader perspective by working towards
CONTRACEPTIVE SELF-RELIANCE.
From a letter to Gov. Victor E. Agbayani,
USAID-Philippines Dec 2002
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Partnership Works for CSR

• Champions for Self-Reliance in Local Governance
  for the LGUs
• Corporate Social Responsibility in Private Sector
• The general population, Contraceptive Social
  Responsibility

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THANK YOU!
For more information Provincial Population
Office 2/F Kalantiao Bldg., Capitol
Complex Lingayen, Pangasinan Philippines Tel/Fax
(6375) 542.6349 Email ppo_pang_at_yahoo.com