Overview of UNICEF Supply Division. Safe Injection Equipment Industry Consultation Meeting 21 st April, 2015

Transcription

1 Overview of UNICEF Supply Division Safe Injection Equipment Industry Consultation Meeting 21 st April,

2 GLOBAL CONTEXT The child health agenda : MDGs (2015) 4,5 & 6 A Promised Renewed (2012- Ethiopia/India/USA/UNICEF). UNICEF Strategic Plan ( ) Health-related MDGs by end 2015 : U5MR by 2/3 MMR by 3/4 Halt & reverse malaria incidence Halt & reverse the spread of HIV/AIDS 2

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4 Progress has been largely as a result of the expansion of vaccination coverage UCI Rapid scaleup in coverage Consolidation stagnating coverage (in %) Launch of GAVI Modest coverage gains, and focus on new vaccines Reach the fifth child Coverage improvement, portfolio expansion, and integration with broader disease control Adapted from: L. Brearley et al. Vaccine 31S(2013) B103-B107 4

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6 CHALLENGES CONTRIBUTING TO INSUFFICIENT PROGRESS Continuous complex emergencies/post emergency situations. Programming related Bottlenecks have to do with: Programme design Capacities Financial bottlenecks (availability, flow & efficiency of resource use) Monitoring & follow-up Problems of scale-up & inequities 6

7 Inequities in Immunization is a significant bottleneck Immunization inequities by population characteristics, Madagascar, % DTP3 Madagascar (63%) Boys (63.1) Girls (62.6) Birth Order 2nd (68) Urban (87) Rural (59) Wealthiest quintile (74%) Secondary education or more (80) Mother s educatio n Itasy Region (89) Birth Order 6+ (50) Poorest quintile (49%) No formal instruction (47) Menabe region (26) Coverage ratio: 1.01 CI: OR: 1.02 CI: Coverage ratio: 1.35 CI: OR: 2.0 CI: Coverage ratio: 1.47 CI: OR: 4.52 CI: Coverage ratio: 1.51 CI: OR: 2.99 CI: Coverage ratio: 1.69 CI: OR: 4.48 CI: Coverage ratio: 3.44 CI: OR: 25.1 CI: Source: MDG survey, 2013; CI refers to 95% confidence interval; OR = Odds 7 ratio

8 Changes ahead for GAVI graduating countries

9 Various access bottlenecks

10 UNICEF Strategic Plan overall Intent Realizing the rights of every child, especially the most disadvantaged SURVIVE FROM ARRIVAL TO THRIVE INTO ADULTHOOD 10 Realizing the Rights of Every Child

11 UNICEF Supply Strategies UNICEF Outcome Areas Health HIV/AIDS WASH Nutrition Education Protection Inclusion UNICEF Global Supply Strategies Service Delivery Emergencies Strengthening Supply Chains with Governments Influencing Markets Product Innovation Monitoring Supply Community Optimising UNICEF Supply Working Together for Results Evaluation Partnerships

12 Vision for UNICEF s supply function % traditional procurement delivery Direct Delivery Procurement Services % programme direct delivery, 50% PS Capacity building activities limited ad hoc Innovation approach conceived Supply Community conceived Tools to improve Emergency Response Direct Delivery Procurement Services Increased TA and new focus on Capacity development Innovation approach established Strengthening Emergency Focus on Strengthening Supply Community New emphasis on policy and market shaping Direct Delivery Procurement Services CD IV Direct Delivery Strengthen policy and marketing shaping work Continued growth in TA/Capacity Development Innovation with focus on health, education and emergencies Innovation & Learning Lab in SD supply aspects in vaccine & health emerge as key driver of policy Procurement Services Capacity Development IV & MI To be: 2030 Excellence in Direct Delivery focused on fragile states and emergency response Innovation and influencing markets as important drivers Supply Community and Optimised UNICEF supply chain as hallmarks Capacity Development and strengthening supply chains emerged Procurement services continued for health but expanded in nutrition & new products Direct Delivery Procurement Services Capacity Development Innovation & Mrket Influence 12

13 Major commodity groups 2014: $3.382 billion in supplies and services Vaccines $1.48 billion Pharmaceuticals $251 million Nutrition $154 million Medical supplies & equipment $ 140 million International freight $134 million Water & sanitation $112 million Bed nets & insecticides $85 million Construction $ 93 million Education $63 million Approximately $1.650 billion funded via Procurement Services (procurement on behalf of governments and other partners)

14 Supplier countries Countries in which procurement exceeded $10 million (based on country of invoice, in $ millions) Two thirds of these are countries where UNICEF has development programmes.

15 Partnerships on Influencing Markets Pediatric ARVs RUTF Standards UNComission Vaccines GFATM WFP WHO PATH GAVI Sec.. Rotary CHAI USAID WB BMGF PATH UNITAID DfID WHO MSF SCMS CHAI CDC Alliance Partners MRI GPEI CCE Task Team BMGF Shelter & Vehicles WHO UNHCR CHAI UNFPA PATH Medicines & Nutrition Vaccine UNOPS UNICEF Supply Division Point of Care Diagnostics Health Technology Contracting UNITAID CHAI Innovation WASH + Education Emergency Early Childhood Development IKEA Foundation LLIN Joint Collaboration Pneumo Dx Devices Supplies for Children with Disabilities GFATM frog Cash & Voucher Modality Global Partnership on Children with DfID BMGF WFP Disabilities (GPcwd) PMI USAID UNHCR ALMA Save the Children Oxfam IRC = Expected During 2014 PATH Malaria Consortium PSI Project Hope

16 Partnership: Principles Leverage and Further Developing Partnerships: Effective partnerships bring new insight and different perspectives Challenges our own assumptions and forces UNICEF to self reflect Provide new ideas Greater than the sum of the parts 2014 engagement onwards; Continue to convene Procurement Reference Groups: Expand use of PRGs beyond Vaccines to gather partner insight and challenge Work with GAVI-BMGF on optimizing Roadmap process, further defining roles and responsibilities and coordinating on activities Participate in Market Dynamics Forums including those hosted by GFATM, GAVI, UNITAID, CHAI, USAID-BMGF, and BMGF Co-host with UNITAID & MSF a market dynamics-focused technical forum Design engagement with key partners Balance of transparency and confidentiality

17 Efforts of partners and UNICEF having positive effect on market conditions Projected decreasing cost of vaccines : DTP, Hib, HepB, Rotavirus, Pneumococcal per fully immunised child (USD) Target: MIC have access to new vaccines, at prices approx. 20% above LIC Target: below $19 by

18 Projected minimum savings* of $810 million savings: $197 million 2013 savings: $170 million

19 Sustainability for GAVI graduating countries What support could UNICEF provide to countries based on the different issues? Sliding financial transition rather than cliff Vaccine prices Increase local fiscal space for immunization/health Government self-procurement Buy or negotiate on behalf of Governments Country co-financing, including monitoring & advocacy at country level Companies agreeing to maintain prices at GAVI price for 5-10 yr post graduation; Closer engagement with RO/CO/Gov Transparency Advocacy Tool-kit for local options Financing tools Support to more efficient payment & procurement systems; Vaccine procurement practioners exchange Expanding VII & Making available PS

20 Different modalities of Service-Delivery Supply chain optimization Improve Performance Reduce stock-outs Lower transportation costs Ensure timely delivery Improving supply chain performance within different modalities Definition of Need Budgeting& Planning Procurement Delivery & Clearance Inspection Warehousing, Distribution & Reorder Utilisation Monitoring & Evaluation a UNICEF Government b UNICEF Government c UNICEF Government d UNICEF Government e Government Capacity Development: Focus on sharing UNICEF added-value (expertise on markets, products, inventory, monitoring & convene StS (predominantly e) Strengthening together (a, b, c, d) Optimising UNICEF (a, b, c) Set Performance Targets e.g., Reduce stock-outs Improve timeliness Supplies reach most remote locations Reduce long-held inventory Working Together UNICEF (CO-RO-SD-PD) UNICEF-Government Government

21 Organise+ Monitor strengthen Support the Capacity Development of national supply chain systems New New Expand+ 1. Support to to the the local, local, multi-year multi-year capacity capacity development development (CD) programmes (CD) programmes Issue guidance (via (via Supply Supply Manuel) Manuel) on developing on developing CD programmes CD programmes for SC optimisation, for SC optimisation, and make reports and from make CD reports meetings from more CD widely meetings available. more widely available. Provide support support to conceptual to conceptual development development of CD programmes of CD programmes Establish networks networks with with partners partners working working on CD of on supply CD of chains supply chains Establish Establish the the Learning Learning Centre Centre on Supply on Supply Chain Chain Adapt UNICEF supply chain courses to be appropriate for practitioners (refer to courses in Adapt Professional UNICEF supply Development) chain courses to be appropriate for practitioners (refer to courses in Professional Development) Providing targeted courses for practitioners from UNICEF specific expertise including, Providing targeted courses for practitioners from UNICEF specific expertise including, Vaccine procurement QA Vaccine of nutrition procurement and medicines Cold QA of Chain nutrition specifications and medicines Value-for-Money Cold Chain specifications of bed nets procurement Nutrition Value-for-Money procurement of bednets procurement. Nutrition procurement The. courses may be designed out of Copenhagen, or at Regional country level, so that the Learning Centre is not only a physical space. The courses may be designed out of Copenhagen, or at Regional country level, so that the Learning Centre is not only a physical space. 3. Provide Technical Assistance Deploy SD staff to provide technical assistance on segments of the supply chain Support optimisation & strengthening of SD-CO-Govt supply chains Deploy SD staff to provide technical assistance on segments of the supply chain Support optimisation & strengthening of SD-CO-Govt supply chains 3. Provide Technical Assistance 4. Convene practitioners for the purpose of South-to-South learning and identifying improvement areas. 4. Convene practitioners for the purpose of South-to-South learning and identifying improvement areas. 21

22 Product Innovation Project Pipeline As of 20 th of April 2015

23 UNICEF SD- Who and Where we are Dubai Shanghai Panama 965 staff 136 nationalities 163 offices 94 countries

24 Supply Division Overview: Structure, 2014 Director Supply Division Shanelle Hall Procurement Centres Expertise & Results Normative Centres Oversight & Improvement Operations Enabling & Learning Catalytic Emerging, Cross-cutting Deputy Director Deputy Director Deputy Director Market, Supply Programme Supply Chain Operations Finance & Data Medicines & Contracting Operational Supply Nutrition Centre Analysis & Chain Strengthening Centre Technology Centre Health Technology Emergency Human Know ledge Centre Resources Sharing and Solutions Centre Unit Vaccine The Warehouse Financial Executive Centre Management & Officer Administraion Centre Procurement Services Centre The Transport Centre Evaluation Manager Water Sanitation & Education Centre Quality Assurance Centre Innovation SD Supply Chain Optimisation 24

25 The supply chain ends here.. Timely delivery Low wastage Resilient to shock Sustainability