PREVENTING HIV AND UNINTENDED PREGNANCIES ... - UNFPA

Table 7: Implementation areas for focused country-level action to overcome bottlenecksImplementationareasTimely assessmentof supplyrequirementsand systemfunctionality linkedto programmeperformanceImprovecommunicationand communitybasedapproaches,includingcommunityinvolvement, topromote increaseddemand, utilizationand follow-upsupport forservicesActionsn Define at the global level common guidance and procedures for systems assessment andforecasting, and set up technical assistance mechanisms for avoidance of and timely responseand investigation of stock outs.n Establish mechanisms for better coordination and information sharing among co-existingprogramme-related product and supply chain management (PSM) systems.n Develop indicators and mechanisms to assess global availability of essential supplies andoverall PSM system performance assessment including stock outs.n Build capacity at national and sub-national levels focusing on PSM-related data analysis foreffective supply planning, forecasting and operational follow-up.n Promote and support large scale implementation of innovations.n Strengthen logistics systems to ensure commodities are available for HIV prevention andprevention of unintended pregnancies including: full range of contraceptives including condoms(female and male) and lubricants; condom demonstration model(s); STI drugs; HIV test kits;cervical cancer screening equipment and supplies; HIV prevention information materials; ironand folate; de-worming medicine; fertility drugs; pre-exposure prophylaxis (PEP) (for HIV andpregnancy); rape kits; ARVs; sterile injecting equipment, gloves; and safe blood supply (seeSection 9 Key Strategies and Actions, Strategy 1).n Integrate PMTCT and SRH commodities and drugs into one national system for drug andlaboratory procurement and supply (see Section 9 Key Strategies and Actions, Strategy 1).n Develop and implement policies and innovative programme solutions that address barriersto access and utilization such as user fees, non-conditional and conditional cash transfers,vouchers and social insurance (see also Section 9 Key Strategies and Actions, Strategy 2).n Develop and implement community-based communication strategies to improve householdbehaviours, promote awareness, and increase demand for and utilization of services (seeSection 9 Key Strategies and Actions, Strategies 2–4).n Develop and implement policies and programme approaches that foster communityinvolvement, building on existing community structures such as NGOs, CBOs, communityhealth workers, skilled birth attendants, networks of people living with HIV and key populations(see Section 9 Key Strategies and Actions, Strategies 2 and 4).n Support development and implementation of regulatory frameworks and motivation systems(including for the community and people living with HIV) (see Section 9 Key Strategies andActions, Strategies 2–4).n Promote and support operational research for innovative approaches to service delivery inareas with weak health systems, including areas affected by humanitarian crises (see Section11 Operational Research).n Increase demand for and utilization of SRH and HIV services, and awareness of PMTCTincluding through the media, other community outreach, and by providing in-school PMTCTeducation as part of HIV and comprehensive sexuality education (see Sections 5 and 6, Tables 2and 4 Package of Essential Services: Information and Counselling, and Section 9 Key Strategiesand Actions, Strategy 2).45 Preventing HIV and Unintended Pregnancies: Strategic Framework 2011–2015