SLIDE 1 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
Principal Secretary – BKKBN for Partners Meeting on Addressing the Reproductive Health Commodity Crisis Kerala, India June 12 – 15, 2001
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SLIDE 2 Indonesia in Summary (in 2000) Indonesia in Summary (in 2000)
- Population: 203,000,000
- Land/Islands: 17,000
- Ethnic Groups: 926
- Growth Rate: 1.6
- TFR: 2.7
- MMR: 337/100,000
- Population Density: 102/km2
- Sex Ratio: 99/100
- CPR: 60.3%
- Current Users: 25,000,000
- Hospitals: 694 (public)
506 (private)
- Health Centers: 13,347 (public)
2,342 (private)
DKI Jakarta Lampung Sumsel D.I.Y Jabar Maluku Sulsel Kalsel Sultra Sumbar Bengkulu Kalbar Sulut NTT NTB Bali TIMTIM Aceh Sumut Riau Jambi Jateng Jatim Kalteng Kaltim Sulteng Irian Jaya
Sea of South China Pacific Ocean Hindia Ocean
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SLIDE 3 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 Self Reliance of Couples in Family Planning
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SLIDE 4
Goal of Contraception Logistic System Goal of Contraception Logistic System
Client Gets Desired Contraceptive When They Need It
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SLIDE 5 WHO WILL PROVIDE INDONESIANS WITH WHO WILL PROVIDE INDONESIANS WITH CONTRACEPTIVE SERVICES CONTRACEPTIVE SERVICES
1970/80s 1990’s 2000 +
5 Total GOI 100% GOI
80% NGO
Private Sector Private Sector
80%
GOI
NGO
Now 2001
SLIDE 6 6
CONTRACEPTIVE COMMODITY CONTRACEPTIVE COMMODITY DISTRIBUTION SYSTEM DISTRIBUTION SYSTEM
Central Level
Commodities Manufactured Locally And Imported Commodities Manufactured Locally And Imported Drug Company Drug Company Distributors Distributors Sub Distributors Sub Distributors
Province District
Donor Agencies (Grant) Donor Agencies (Grant) BKKBN Central (GOI Budget) BKKBN Central (GOI Budget) BKKBN Province BKKBN Province BKKBN District BKKBN District Blue-Gold Circle Campaign Health Centers (Puskesmas) Health Centers (Puskesmas) Integrated Health Post (Posyandu) Integrated Health Post (Posyandu)
ELIGIBLE COUPLE ELIGIBLE COUPLE
Pharmacies/ Dispensary Pharmacies/ Dispensary
- Doctors
- Cooperative Shops
- Midwives
PRIVATE PUBLIC
SLIDE 7
CHARACTERISTICS OF CONTRACEPTIVE CHARACTERISTICS OF CONTRACEPTIVE DISTRIBUTION DISTRIBUTION
Business Approach Market Driven Mechanism Government & Private Partnership Subsidized Audience Willing to Pay Can Afford Poor Population Hard to Reach Population
Commercial Social Marketing Public
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SLIDE 8 FINANCING SYSTEM DEVELOPMENT OF FINANCING SYSTEM DEVELOPMENT OF THE PUBLIC SECTOR THE PUBLIC SECTOR
Total Donor Donor + Loan Domestic Budget/GOI & Private GOI Budget Private
Local Budget Central Budget for Poor Individual Financing Community Financing
Insurance & Employer Based Financing
Loan & Domestic Budget/GOI (Private)
CRISIS
1970’s 1980’s 1990’s 1995 1997
NOW
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SLIDE 9
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
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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
SLIDE 11
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
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SLIDE 12
Thank You
Come Visit Indonesia And See For Yourself
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