Flow of Contraceptives

THE FLOW OF COMMODITIES FROM INTERNATIONAL ORGANIZATIONS TO IMPLEMENTING ORGANIZATIONS

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USAID and UNFPA, the primary funders of contraceptives in the country, ensure that USAID/UNFPA funded projects and organizations receive contraceptive supplies within the serviced health zones/provinces, although sometimes this supply is inadequate to account for need.

Contraceptives enter the country from UNFPA or USAID via plane or ship and are brought to a central warehouse of implementing partners (MSH/PROSANI or PSI in the case of USAID and the regional distribution centers in the case of UNFPA). Since UNFPA no longer has its own central warehouses as of 2011, it transports contraceptives directly to existing regional distribution centers (CDRs- Centrale de Distribution Regionales) in major cities (i.e., Kinshasa, Lumbumbushi, Goma). Once received at the national level, quality control is performed (sampling, checking the correct concentration and dosage of active ingredient). Then, contraceptives are transported to the regional warehouse or headquarters, where staff takes inventory and contraceptives are checked for expiration. Contraceptives are then transported from the regional (provincial or health zone) level to either the district hospital or the Health Zone Central Bureau, where staff and community-based distributors are hired or contracted to transport contraceptives.

Community-based distributors are responsible for transporting the contraceptives to health centers, health posts, or directly to clients, increasing access and coverage of health services offered at health centers at an operational level. The district hospitals and local health centers or posts provide contraceptives to clients. The procedures of contraceptive procurement often vary per implementing agency, depending on the size and reach of their USAID/UNFPA funded family planning program.

FLOW OF CONTRACEPTIVE COMMODITIES IN THE DRC

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Source: Projet DELIVER/USAID, The Logistics Management of Health Commodities

*Cameskin, Asrames et Camelu sont des exemples de Centrales de Distribution Régionale qui achetent et distribuent des médicaments
dans les entrepôts centraux et sont basés à Kinshasa, Goma et Lubumbashi

*OSC- Overseas Strategic Consulting.