Family Planning in Asia and the Pacific - International Council on ...

TableTable8TableTable9Malaysia, about three quarters of women who underwentsterilization had <strong>the</strong> procedure performed at privatehospitals <strong>and</strong> cl<strong>in</strong>ics, <strong>and</strong> close to 6 of every 10 pill usersobta<strong>in</strong>ed <strong>the</strong>ir supplies from non-programme sources.Even among married couples, <strong>the</strong> majority of condom usersobta<strong>in</strong>ed <strong>the</strong>ir condom supplies from commercial sources.It should be mentioned that <strong>the</strong>re is no law or regulation<strong>in</strong> Malaysia prohibit<strong>in</strong>g <strong>the</strong> sale of condoms to unmarriedpersons.Commodity securityA partnership <strong>and</strong> collaborative system is <strong>in</strong> place <strong>in</strong>volv<strong>in</strong>gNPFDB, <strong>the</strong> M<strong>in</strong>istry of Health <strong>and</strong> FRHAM <strong>in</strong> provid<strong>in</strong>gfamily plann<strong>in</strong>g <strong>and</strong> o<strong>the</strong>r reproductive health services.The M<strong>in</strong>istry of Health <strong>in</strong>tegrates family plann<strong>in</strong>g services<strong>in</strong>to rural health services, while NPFDB, FRHAM <strong>and</strong><strong>the</strong> private sector provide for family plann<strong>in</strong>g services <strong>in</strong>urban areas.The availability of a range of contraceptive methods iscentral to <strong>the</strong> quality of services <strong>in</strong> <strong>the</strong> family plann<strong>in</strong>gprogramme. The three key agencies (M<strong>in</strong>istry of Health,NPFDB <strong>and</strong> FRHAM) are <strong>in</strong>volved <strong>in</strong> family plann<strong>in</strong>gefforts nationwide <strong>and</strong> all three have <strong>the</strong>ir own system/supply cha<strong>in</strong>s, from <strong>the</strong> procurement (<strong>in</strong>clud<strong>in</strong>g storage)of contraceptives to <strong>the</strong> distribution/dissem<strong>in</strong>ation offamily plann<strong>in</strong>g commodities/contraceptives to users.For <strong>the</strong> M<strong>in</strong>istry, logistics management of <strong>the</strong> familyplann<strong>in</strong>g programme is decentralized to all respective statehealth departments: <strong>the</strong> M<strong>in</strong>istry allocates specific budgetsto state health departments for purchas<strong>in</strong>g contraceptivesupplies. The amount depends on <strong>the</strong> state’s requirements,which vary accord<strong>in</strong>g to <strong>the</strong> forecast number of femaleclients of reproductive age. Each state programmemanager is responsible for manag<strong>in</strong>g his or her familyplann<strong>in</strong>g logistics systems, from <strong>the</strong> po<strong>in</strong>t of purchas<strong>in</strong>g<strong>and</strong> deliver<strong>in</strong>g supplies to <strong>the</strong> health cl<strong>in</strong>ics, which are <strong>the</strong>service delivery po<strong>in</strong>ts. Data are collected on <strong>the</strong> client’scontraceptive <strong>in</strong>formation <strong>and</strong> on stock-keep<strong>in</strong>g.NPFDB forecasts its contraceptive requirements based onprevious <strong>and</strong> current performance <strong>in</strong> terms of contraceptiveusage. Procurement is carried out centrally every threeyears, with staggered deliveries every six months <strong>in</strong> orderto ma<strong>in</strong>ta<strong>in</strong> a cont<strong>in</strong>uous fresh supply to all three states.Additional requests are allowable, subject to approval.Operational budgets for family plann<strong>in</strong>g services are ma<strong>in</strong>lyfrom <strong>the</strong> Board’s annual operational budget, which as252