In August, the government of Senegal committed to adopting a new strategy for increasing access to contraceptives, and other life-saving medicines. The government’s decision was based on the highly successful results of an innovative supply chain model that MSD for Mothers* has supported over the past three years. Providing broad, reliable access to contraceptives is one of the most cost-effective ways to prevent women from dying during pregnancy and childbirth. Moving forward, essential products for maternal and child health, HIV/AIDS, tuberculosis and malaria will also be made more reliable available throughout the country as they are integrated into the supply chain model – improving the health and well-being of millions of girls, women and their families.
Adapted from the commercial sector, the Informed Push Model shifts responsibility for forecasting, ordering and delivering supplies at the primary care level from overworked health providers to third-party logistics providers (3PL).
In 2011, nearly 30 percent of women in Senegal had an unmet need for contraceptive products. These products were available but they sat inside central warehouses, never making it to the ‘last mile’ primary care facilities where girls and women of reproductive age seek pregnancy-related care.
In response, MSD for Mothers, the Bill & Melinda Gates Foundation, IntraHealth International and Senegal’s Ministry of Health and Social Action (MoHSA) invested in scaling up the Informed Push Model with 3PLs as key partners to its success.
Over the last few years, stock-out rates of contraceptives dropped to less than 2 percent nationally from up to 80 percent and more than 3 million women across Senegal now have reliable access to high quality modern contraceptives.
Building on this success, MSD for Mothers, the Gates Foundation and IntraHealth are working to transition the model to the Government of Senegal. Now called “Yeksi-naa” (“I arrived”), the new strategy integrates the private sector into the public health supply chain.
MSD for Mothers’ goal is to apply the company’s business and scientific expertise to improve the health and well-being of women around the world and ensure that these approaches are sustainable. In Senegal, we will continue to work in partnership with the Government so that quality products are accessible to all women.
Read more about the launch and plan for Senegal’s Yeksi-naa in Le Soleil here. (Please find an English translation of the article here.)
*MSD for Mothers is known as Merck for Mothers in the United States and Canada.