Indonesia Contraceptive Commodity Indonesia Contraceptive Commodity - PowerPoint PPT Presentation

Indonesia Contraceptive Commodity Indonesia Contraceptive Commodity Management Management The Indonesian Experience The Indonesian Experience H.E. Khofifah Indar Parawansa State Minister for Women’s Empowerment and Chairperson – BKKBN Drs. Lalu Sudarmadi Principal Secretary – BKKBN for Partners Meeting on Addressing the Reproductive Health Commodity Crisis Kerala, India June 12 – 15, 2001 1

Indonesia in Summary (in 2000) Indonesia in Summary (in 2000) • Population: 203,000,000 • Land/Islands: 17,000 Sea of • Ethnic Groups: 926 South China • Growth Rate: 1.6 Pacific Aceh Ocean • TFR: 2.7 Sumut Sulut Maluku Kaltim Riau • MMR: 337/100,000 Kalbar Sulteng Sumbar Kalteng Jambi • Population Density: 102/km 2 Sumsel Bengkulu Kalsel Sultra Sulsel • Sex Ratio: 99/100 Irian Jaya Lampung DKI Jakarta • CPR: 60.3% Jateng Jabar Jatim Hindia NTB NTT D.I.Y • Current Users: 25,000,000 Ocean TIMTIM Bali • Hospitals: 694 (public) 506 (private) • Health Centers: 13,347 (public) 2,342 (private) • Posyandus: 331,134 2

National Family Planning Program National Family Planning Program Vision: Quality Family 2015 MISSION Ensuring the Reproductive Rights and Assess to Family Planning Services and Supplies for All Indonesians STRATEGY Effective Decentralized Management Empowered Communities Public-Private Partnership Improve Quality of FP & RH Services Empower Women on Gender Equity & Justice Promote Human Development 3 Self Reliance of Couples in Family Planning

Goal of Contraception Logistic System Goal of Contraception Logistic System Client Gets Desired Contraceptive When They Need It 4

WHO WILL PROVIDE INDONESIANS WITH WHO WILL PROVIDE INDONESIANS WITH CONTRACEPTIVE SERVICES CONTRACEPTIVE SERVICES Now 2001 1970/80s 1990’s 2000 + Private Sector Total GOI GOI 80% 80% 100% NGO GOI Private Sector NGO 5

CONTRACEPTIVE COMMODITY CONTRACEPTIVE COMMODITY DISTRIBUTION SYSTEM DISTRIBUTION SYSTEM PRIVATE PUBLIC Commodities Commodities Central Donor Agencies BKKBN Central Donor Agencies BKKBN Central Manufactured Locally Manufactured Locally Level (Grant) (GOI Budget) (Grant) (GOI Budget) And Imported And Imported Drug Company Blue-Gold Circle Drug Company Campaign BKKBN Province Distributors BKKBN Province Distributors Province District Sub Distributors BKKBN District Sub Distributors BKKBN District Health Centers Health Centers Pharmacies/ • Doctors Pharmacies/ (Puskesmas) (Puskesmas) Dispensary Dispensary • Cooperative Shops Integrated Health Post Integrated Health Post • Midwives 6 (Posyandu) (Posyandu) ELIGIBLE COUPLE ELIGIBLE COUPLE

CHARACTERISTICS OF CONTRACEPTIVE CHARACTERISTICS OF CONTRACEPTIVE DISTRIBUTION DISTRIBUTION Public Social Marketing Commercial Poor Population Government & Business Private Partnership Approach Hard to Reach Population Subsidized Market Driven Mechanism Audience � Willing to Pay � Can Afford 7

FINANCING SYSTEM DEVELOPMENT OF FINANCING SYSTEM DEVELOPMENT OF THE PUBLIC SECTOR THE PUBLIC SECTOR Total Donor 1970’s Donor + Loan 1980’s Loan & Domestic Budget/GOI 1990’s (Private) Domestic Budget/GOI & Private 1995 CRISIS 1997 GOI Budget Private NOW Central Budget for Individual Community Insurance & 8 Employer Based Local Budget Poor Financing Financing Financing

FP Method Supplies to FP Method Supplies to Public Sector FP Users Public Sector FP Users Year Amount 1. Oral Pill 2001 65 million cycles 2. Injectable 2001 9 million doses 3. Implant 2001 329,000 units 4. IUD 1999/00 300,000 units 9

INDONESIAN SUPPORT FOR INTERNATIONAL INDONESIAN SUPPORT FOR INTERNATIONAL CONTRACEPTIVE SUPPLY MANAGEMENT CONTRACEPTIVE SUPPLY MANAGEMENT Training of Other Country Managers Export of Local Production Commodities South to South Collaboration Observation Study Tour Technical Assistance Internship High Level Visit Bilateral Arrangement 10

Major Issues Indonesia Faces for Major Issues Indonesia Faces for Contraceptive Security Contraceptive Security Maintain Access & Equity in a Large Country Urban & Rural Diversity in Access Decentralization – Changing Environment & Rules Develop Strong Private Sector for Contraceptives (Especially for Rural Areas) Maintaining Method Choice Shift Clients to Paying for FP Services 11

Thank You Come Visit Indonesia And See For Yourself 12