Progress on activities recommended by UN

Commission on Life Saving Commodities for Women and

Children

Progress on activities recommended by UN

Commission on Life Saving Commodities for Women and

Children

Lisa HedmanWorld Health OrganizationDepartment of Essential Medicines and Health ProductsIPC, Geneva, May 30-31All photos courtesy of Lisa Hedman unless otherwise noted.

“Each year, millions of women and children die from preventable causes. These are not mere statistics. They are 

people with names and faces.”  ‐ UN Secretary‐General Ban Ki‐Moon

Phot

o: D

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Sene

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, AEM

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10 Recommendations10 Recommendations

Improved markets for life-saving

commodities

• Shaping global markets

• Shaping local delivery markets

• Innovative financing

• Quality strengthening

• Regulatory efficiency

Improved national delivery of life-saving

commodities

• Supply and awareness

• Demand and utilization

• Reaching women and children

• Performance and accountability

Improved integration of private sector and

consumer needs

• Product innovation

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13 commodities13 commoditiesRMNCH Continuum of Care Commodity UsageReproductive health Female Condoms Family planning/Contraception

Implants Family planning/Contraception

Emergency Contraception Family planning/Contraception

Maternal Health Oxytocin Post-Partum Hemorrhage

Misoprostol Post-Partum Hemorrhage

Magnesium sulfate Eclampsia and Severe Pre-Eclamsia/Toxemia of Pregnancy

Newborn Health Injectable antibiotics Newborn SepsisAntenatal Corticosteroid (ANCS) Respiratory Distress Syndrome for

preterm babiesChlorhexidine Newborn Cord CareResuscitation Equipment Newborn Asphyxia

Child Health Amoxicillin PneumoniaOral Rehydration Salts (ORS) DiarrheaZinc Diarrhea

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Progress to date in the area of policyProgress to date in the area of policy

The WHO Model List of Essential Medicines: CHX and antenatal corticosteroids submitted

Guidelines: Compendium of evidence-based guidelines on MNCH prepared;

Resolution to the WHO Executive Board approved to support the UNCoLSC

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Progress to date in regulatory efficiencyProgress to date in regulatory efficiency

6 viable manufacturers of zinc, ORS, and amoxicillin scheduled for PQ inspections

Medicine and device regulators developing regulatory pathway and procurement specifications in June

ERP response for multiple commodities received (9 for amoxi)

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Progress to date in market advancementsProgress to date in market advancements

Advance market commitment by BMGF/CHAI for contraceptive implants

Preliminary commitments to produce CHX from large companies and countries already planning introduction

Market intelligence activities on other products are in advanced stages

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StatusStatus

Emphasis on coordination across RMNCH programs through an overarching steering committee

RMNCH Fund established (UNFPA) to provide catalytic and incremental funding to address gaps

Strategy and Coordination Team established (hosted by UNICEF) to support Steering Committee1 and manage the Fund

11 countries will complete plans in July (Dakar, 2-4 July)

1) The Steering Committee will initially be made up of senior representatives from Nigeria, Ethiopia, Indonesia, Senegal, Tanzania, US, UK, Canada, Sweden, Norway, France, UNFPA, UNICEF, WHO, World Bank, Gates Foundation, CHAI and PMNCH. The UN Foundation and the Executive Office of the Secretary-General will participate as observers.

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3 Medical devices for UN Co LS C

3 Medical devices for UN Co LS C

Female Condom UNFPA

Injectable Antibiotics– Need delivery systems– Syringes

Neonatal Resuscitation devices

– Mask, valve and bag

Meeting in Geneva 10-12 June to define:

– Regulatory pathway

– Technical specifications

– 8 AFRO country representati

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Country survey: RMNCH information (m1-6)+ Quality product + regulatory agency (m8)

Country survey: RMNCH information (m1-6)+ Quality product + regulatory agency (m8)

Module 7a on procurement agency assessment– Types of procurement, logistic management systems, etc.

For Recommendation – 4: quality control– 5: Regulatory efficiency

Module 8a on regulation agency quick assessment

Module 8b, commodity specific regulatory assessment

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Tools for country assessment v1

Tools for country assessment v1

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Thank you to allThis presentation was prepared with materials developed

from multiple teams within the WHO Departments of Essential Medicines

and Health Products, Reproductive Health and Research (HRP+)

and UNICEF