Coordinated Supply Planning Group (CSP) Country Specific Urgent Funding Gaps

1. Coordinated Supply Planning Group (CSP) Country Specific Urgent Funding Gaps July 28, 2017 PRELIMINARY – FOR FP2020 ONLY

2. The Coordinated Supply Planning Group (CSP) is a cross-organizational team that strives to prevent family planning commodity stock imbalances • CSP is a small, operational group that has developed tools and processes to share data across partners to improve allocation of commodities and foresee potential stock imbalances and address them before they become emergency issues • Membership: UNFPA (PSB & CSB), USAID, Clinton Health Access Initiative (CHAI), John Snow, Inc. (JSI), USAID Global Health Supply Chain – Procurement and Supply Management (GHSC-PSM), Reproductive Health Supplies Coalition (RHSC) • Desired Results: Fewer stockouts and excess inventory within recipient country supply chains, improved forecasting and communication about supply and demand, thus reducing risk for all parties

3. The CSP Funding Gap Analysis shows country specific funding gaps and can be used as a resource mobilization tool Background • CSP is effective at shifting orders to meet country needs, but this is contingent on funding to cover the orders. Where there is no identified funding source and orders are needed, CSP uses a systematic process to quantify funding needs. Objectives • To determine country- and product-specific funding gaps for the current year in order to support resource mobilization by CSP members and by key partners (such as FP2020) • To assist countries in resolving all family planning commodity funding gaps for the current year to prevent shortages and stockouts Process • Use country quantification and funding commitment data to quantify contraceptive commodity needs and funding gaps. • Vet analysis with in country stakeholders to ensure the data is accurate and seek MOH approval prior to sharing Justification • According to the Copenhagen Consensus, investing in contraception has one of the highest ROIs; for every dollar spent towards achieving universal access to contraception, there are $120 dollars worth of social, economic, and environmental benefits.

4. In 2016, CSP began this process and used the initial experience and successes to refine our process in 2017 for estimating funding gaps and sharing with partners • CSP identified supply gaps for 8 countries that would potentially limit access to family planning for over 3 million women • Through sharing our analysis with CSP members and partners, an additional USD $10.8 million for FP product procurement in 2016 was mobilized for 4 of these countries, mitigating major shortages for several product categories 2016 2017 (as of July 28th) • Preliminary results from our 2017 analysis has resulted in an additional USD $2.8 million of orders of implants to fill identified gaps in 4 countries • This support was possible by flagging known gaps early in the year, working with CSP members, donors, and other partners to estimate needs and prioritize countries to receive additional funding and create shipments

5. The CSP Funding Gap analysis is an iterative process and the analysis will be updated as new information becomes available N=23; number of countries where we have data or know the data exists, but still waiting for updates. Open to including more countries if the right data is available (see slide 16).

6. Across four countries alone, up to 10 million women may lack access to family planning due to commodity funding constraints PRELIMINARY 2017 Commodity Funding Gap – Number of Women Impacted (Millions) 4.3 3.3 1.9 0.4 0.0 Kenya Mozambique Nigeria Tanzania Uganda 1Number of women is calculated by dividing procurement quantities by the corresponding CYP factors

7. Preliminary results indicate five countries will face significant shortages across FP commodities if the ~$35M1funding gap is not addressed PRELIMINARY 2017 FP Commodity Need2 (Millions, USD) Unfunded Potential Funding $32 Funded $26 $15 $14 $17 $2 $15 $11 $4 $1 $17 $15 $12 $11 $10 Kenya Mozambique Nigeria Tanzania Uganda 1Potential funds are not confirmed and thus included in the total funding gap 2Need timeline varies by country based on country supply planning processes- Kenya represents 2017 and excludes condoms; Mozambique represents 2017; Nigeria represents 2017; Tanzania represents Q3 2017-Q1 2018; Uganda represents Q1 2017-Q2 2018

8. Kenya needs ~$4M1to minimize 2017 FP commodity shortages Kenya 2017 FP Commodity and Funding Requirements $2.9 $4.3 $3.7 $0.1 $3.7 $0.1 $0.0 Unfunded Funded One-Rod Implants Two-Rod Implants 3-month injectable IM IUDs Orals Orals - Emergency Standard Days Method 1Excludes male and female condoms as these are primarily funded under the HIV program

9. Kenya needs ~$8M1to minimize 2018 FP commodity shortages Kenya 2018 FP Commodity and Funding Requirements $2.9 $2.8 $3.5 $0.0 $2.9 $0.0 $0.0 Unfunded Funded One-Rod Implants Two-Rod Implants 3-month injectable IM IUDs Orals Orals - Emergency Standard Days Method 1Excludes male and female condoms as these are primarily funded under the HIV program

10. Mozambique needs ~$1M to minimize 2017 FP commodity shortages Mozambique 2017 FP Commodity and Funding Requirements $3.7 $2.3 $0.1 $1.9 $1.1 $0.0 $1.4 Unfunded Funded Condoms - Male Condoms - Female One-Rod Implants Two-Rod Implants 3-month injectable SQ IUDs Orals

11. Nigeria needs ~$2Mto minimize 2017 FP commodity shortages Current funded figures include ~$3M gov’t commitment (not yet released); DFID plans to commit $4.5M if gov’t funding is released. If gov’t funding is not released, funding gap figure would be ~$5M Nigeria 2017 FP Commodity and Funding Requirements $3.1 $0.9 $5.8 $2.8 $2.3 $0.8 $1.0 $0.7 5% Unfunded Funded Condoms - Male Condoms - Female One-Rod Implants Two-Rod Implants 3-month injectable IM 2-month injectable Orals Standard Days Method Note: This analysis doesn’t include UNFPA funded DMPA SQ orders (2.5M units) since DMPA SQ is not included in the national supply plan

12. Tanzania1 needs ~$14M to minimize 2017 FP commodity shortages Funded figures include ~$2.2M released 2016 government funding and recently mobilized RMNCH Trust Fund money, but do not include unreleased ~$6.2M 2017 government commitment; if the $6.2M is released, it would be used for procurement likely arriving in mid 2018. Thus, ~$14M is still required now in addition to government funding. Tanzania 2017 FP Commodity and Funding Requirements PRELIMINARY $1.9 $0.3 $4.3 $11.8 $12.1 $0.1 $1.3 Unfunded Funded Condoms - Male Condoms - Female One-Rod Implants Two-Rod Implants 3-month injectable IM IUDs Orals 1Tanzania requirements include shipments from Q3 2017 to Q1 2018 because funding is needed in 2017 to ensure the Q1 2018 shipments arrive in time

13. Uganda1 needs ~$14M2to minimize 2017/18 FP commodity shortages Supply plan goes through June 2018 to align with fiscal year. However funding is needed now to ensure orders arrive on time. Uganda 2017/18 FP Commodity and Funding Requirements PRELIMINARY $6.0 $0.5 $6.4 $5.5 $3.1 $1.8 $0.1 $2.7 $0.1 $0.1 Unfunded Funded Condoms - Male Condoms - Female One-Rod Implants Two-Rod Implants 3-month injectable IM 3-month injectable SQ IUDs Orals Orals - Emergency Standard Days Method 1Uganda programs exclude SMO. Uganda gap analysis will be updated again following the quantification workshop panned for Q3 2017. 2 Uganda funding includes GFF commitment of .7M, however this isn’t confirmed so the gap could be larger if the commitments don’t materialize

14. Appendix

15. Countries with anticipated funding gaps but require more data or further vetting

16. Countries where more information is required to assess whether or not there is a funding gap

17. Countries that do not have funding gaps for 2017 based on available data

18. Countries where CSP does not have data or data does not meet criteria Awaiting up-to-date quantification results • Bangladesh • Benin • Burkina Faso • Burundi • Chad • Mali • Mauritania • Myanmar • Pakistan • Papua New Guinea Data does not meet criteria • Guinea