CARhs Group - Coordinated Assistance for Reproductive Health Supplies
CARhs is a global forum of partners focusing on contraceptive and condom procurement to address supply shortages, identify causes, and coordinate solutions. The group's primary work involves data sharing, monthly calls, and key partnerships with organizations like UNFPA and USAID.
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Presentation Transcript
The CARhs Group Coordinated Assistance for Reproductive Health Supplies (formerly Countries at Risk) A Workstream of the SSWG Kaitlyn Roche USAID/Commodities Security & Logistics CARhs Co-coordinator
What is CARhs? CARhs is a forum of key global-level partners who fund and procure of contraceptives and condoms who share information to identify countries on the verge of or in supply shortages, to better understand the causes of these shortages, to identify solutions, and to coordinate their implementation. Founded in 2004; first meeting in 2005
Who is involved? Core members include UNFPA, USAID, DELIVER, RHSC, RHI. The World Bank and UNF / PGH participate regularly. Marie Stopes and KfW provide additional information on shipments as requested / when available.
What do we do? Primary data source: Procurement Planning and Monitoring Report Areas of focus: stockouts, impending stockouts, overstocks Services provided: Primarily provide product and product shipment information, occasionally technical assistance or policy advice Primary means of work: electronic data sharing; monthly conference calls
The Procurement Planning & Monitoring Report (PPMR) Currently 23 countries Data submission from JSI, MSH, and Abt Report either monthly or quarterly Report on different levels of the supply chain (central, zones, districts, all) Varying number of programs reporting (public sector, social marketing, NGOs)
Action Recommended tells stakeholders how they can help. Date of next shipment, and supplier, indicates what shipments may create/resolve problems. Comments describe the situation. Actual months of stock and stock status
PPMR Database Upgrades USAID has allocated funding for the upgrade of the database in 2011/2012 Move to a web-based platform Increase capacity for additional countries while decreasing manual LOE for PPMR management Online reporting, ability to pull reports from web, quicker data availability Document requirements & specifications to ensure transferability Other features under discussion.
What does it take? Over 200 days of effort per year, for CARhs plus PPMR Monthly CARhs process requires about 10 days of effort across all partners including: 2 days for Secretariat coordination of meeting, PPMR analysis, and agenda generation 1.5 days for USAID to respond to requests; 2 days for UNFPA to respond to requests 1 day for DELIVER to log information updates and disseminate information Financial resources are also required - mostly from UNFPA/CSB and USAID Mission funds
FY 2010 CARhs Indicators - Process Met monthly without fail An average of 4-8 participating organizations per call 194 distinct commodity issues 86 information issues 108 action issues
FY 2010 CARhs Indicators - Countries at Risk Countries & products with 1< instances of stocks at or below 2 MOS, and CARhs action/information requested. # of stockout events (duration of crises in months) Country Products Injectables (4 cases), IUDs, Implants, POPs Implants, Injectables, IUDs, Female Condoms, Male Condoms, POPs Injectables, Implants (1 mainland, 1 Zanz), POPs (1 mainland, 1 Zanz) Implants, IUDs, Make Condoms, Neo-Sampoon IUDs, Implants Injectables, Male Condoms COCs, POPs Ghana 7 stockouts (2-6 months) Kenya 6 stockouts (3-8 months) Tanzania 5 stockouts (2-3 months) Mali 4 stockouts (2-3 months) Bangladesh Liberia Mozambique 2stockouts (3 months) 2 stockouts (2-4 months) 2 stockouts (2-6 months)
FY 2010 CARhs Indicators - Products at Risk
Jan 2010 - Oct 2010 CARhs Indicators - Effectiveness Success rate on information items is 97.5%
Jan 2010 - Oct 2010 CARhs Indicators - Effectiveness Action Other (stocks btw max/min) Action Outcome Totals Existing Stockouts Avert Future Stockouts Existing Overstocks Action outcomes CARhs took action that added value 6 26 11 4 47 CARhs took action that did not add value 0 2 0 0 2 CARhs only able to provide info CARhs action not needed CARhs unable to act Issue Type Totals 6 3 0 0 9 4 15 8 1 28 2 9 5 0 5 16 102 18 55 24 Success rate on action items is 63.5%
Jan 2010 - Oct 2010 How CARhs Actions Added Value Possible actions that added value New Shipment Expedited Shipment Postponed Shipment Canceled Shipment Technical Assistance Provided Policy Advice Total Total 15 17 8 4 0 3 47 % of Total 32% 36% 17% 9% 0% 6% 100% Average duration until resolution was 2 months, with a range from 1 - 7 months
March - May 2011 A CARhs Success Story Nov 2010: Rwanda reported a massive overstock (67 MOS or 5.5 years) of Jadelle to the PPMR. Feb 2011: Stock at 79 MOS & GoR agreed to a transfer. CARhs identified countries in need & UNFPA confirmed Burkina Faso could absorb a shipment of 100,000 on March 3rd. UNFPA facilitated transfer product, including covering freight costs. May 22nd: Product arrived in Ouagadougou Total commodity cost saved: $2.1m
Looking Forward: Opportunities Transition of Secretariat from USAID to UNFPA Executive Committee for high-level policy issues Increased coordination on annual orders Additional countries to the PPMR Recruiting participation from other donors who now support RH commodity procurements outside of basket funding DfID, AusAID, Netherlands, France Support the creation of regional CARhs groups
Looking Forward: Challenges Decreased shipment visibility from UNFPA Funding constraints Building in-country coordination among donors, governments, World Bank, etc. Encouraging country-led responses LOE to manage additional countries Addressing chronic RHCS policy challenges
More questions? Contact us! USAID CARhs Coordinators Kevin Pilz kpilz@usaid.gov Kaitlyn Roche kroche@usaid.gov UNFPA/CSB CARhs Coordinator Joe Abraham jabraham@unfpa.org USAID | DELIVER PPMR Coordinator Trisha Long trisha_long@jsi.com
