Unfpa.org.mn
ANNEX 1. TERMS OF REFERENCE
SURVEY ON AVAILABILITY OF MODERN CONTRACEPTIVES AND ESSENTIAL LIFE SAVING
MATERNAL/REPRODUCITVE (RH) HEALTH MEDICINES IN SERVICE DELIVERY POINTS IN MONGOLIA
I. INTRODUCTION AND OBJECTIVE
The Reproductive Health Commodity Security project has been implemented in Mongolia since 2008 under
the UNFPA Global Programme on Reproductive Health Commodity Security (GPRHCS). The implementation
of the GPRHCS should be assessed through indicators outlined in the Monitoring and Evaluation Framework
at country, regional and global levels.
In order to provide the basis for aggregating relevant regional and global level indicators, there is need to
conduct a survey to obtain data for the following
country level indicators:
a) Percentage of Service Delivery Points (SDPs) offering at least three modern methods;
b) Percentage of SDPs where 5 life-saving maternal/RH medicines from UNFPA list of priority
medicines are available;
c) Percentage of SDPs that have experienced no stock out of the contraceptive methods offered to
clients in the last 6 months.
SAMPLING DESIGN AND SAMPLE SELECTION
With the aim to provide a standardized framework for all the GPRHCS Stream 1 Countries for the conduct
of the survey, Commodity Security Branch, UNFPA Headquarters has formalized the survey methodology
(
Attachment A) and hence proposed a standardized sampling procedure, a questionnaire (
Attachment B)
and indicator definitions and notes matrix (
Attachment C). Therefore, the research entity should adapt the
proposed standard methodology in Mongolian context and use them for this proposed survey. For the
market segmentation part of the survey, the research entity wil develop methodology and questionnaire.
Category of Service Delivery Points/Facilities
The survey will cover the following broad categories of Service Delivery Points (SDPs) that provide family
planning services/modern methods of contraceptives and maternal/RH services as stratums:
a) Primary Level Care SDPs – Family Group Practitioners for contraceptives and Soum Health Centers for
contraceptives and maternal/RH medicines;
b) Secondary level care SDPs/facilities – RH/Antenatal Care (ANC) cabinets of District/Sub-district Health
Centers (Ulaanbaatar) and Aimag General Hospitals (AGH) for contraceptives; and Maternity Hospitals
(Ulaanbaatar), Maternity Wards of AGH for maternal/RH medicines for maternal/RH medicines;
c) Tertiary level care SDPs/facilities – National Centre for Maternal and Child Health for contraceptives
and maternal/RH medicines.
d) Private Obstetric and Gynecological clinics and hospitals, and NGO-run RH clinics
Sampling Frame
e) The categories and number of all primary, secondary and tertiary care service delivery points/facilities
in each of the administrative units of the country by level of health care, and number of private
Obstetric and Gynecological clinics and hospitals and NGO-run clinics will serve as a frame for the
selection of samples of above-mentioned service delivery points/facilities providing family planning and
maternal health services/delivery to be covered by this survey (Reference: Health Indicators, 2011,
Department of Health, Ministry of Health and data obtained directly from the city and aimag health
Use of Sampling Formula to obtain Sample Size
Taken the types of the SDPs (primary, secondary and tertiary) as the main attributes, therefore the total
sample should contain a minimal number of each type of facility to support good estimation of the
parameters of the population. It is in this respect, it is recommended to use the proposed formula to
calculate the sample size (number of SDPs/facilities to be covered by the survey).
The formula is used to obtain the minimal sample size for the proportions of each category of
SDPs/facilities under the assumptions of normal distribution and hence lends the data to comparison
between populations.
The formula adopts an approach that gives large (tertiary and secondary facilities) a higher probability of
inclusion in the survey because of their smal number and provides a guide for choosing a sample of the
primary facilities.
The steps for sampling, proposed formula, step by step guide for using the formula to derive sample sizes
and example of using the formula are attached to this Terms of Reference.
OUTLINES OF THE REPORT
A chapter outline for the sections discussed below is attached to this Terms of Reference as
Attachment D.
The report wil be divided into three basic sections:
Preliminary sections of the report
The preliminary section of the report will be as follows:
• The Forward and Acknowledgement wil each be at most one page;
• The Meaning of abbreviations used in the document wil be compiled and presented in alphabetical
order in the Acronyms;
• Lists of tables, charts, boxes and appendices will be provided alongside the table of contents;
• A succinct summary of the main findings of the report wil be presented in the Executive Summary.
Main body of the report
The second section wil be the main body of the report. It will present the findings of the survey and this
wil be divided into six parts. This section wil be based on the topics addressed in the questionnaire.
• Part One will be the Introduction and wil provide country background information; rationale and
objective of the survey; research methodology including sampling procedure, questionnaire,
fieldwork/data collection and data analysis; and, the limitations of the study.
• Part Two will provide general information about health facilities. It will discuss the classification of
facilities, and provide information on the management and location. Where this is possible, a map on
the geographic locations of the facilities in each region could be presented.
• Part Three wil discuss the modern contraceptives offered by the facilities. It will examine national and
sub national level variations with respect to the various types/categories of SDPs/facilities in the
country. Tables, diagrams and maps (where this is possible) indicating the service delivery points
offering at least three types of contraceptives wil be used to further illustration the finding of the
research. A sub section wil discuss the reasons why three modern methods of contraceptives are not
provided in some facilities. In addition to giving a general picture, peculiar reasons and as they related
to specific methods could be highlighted.
• Part Four will discuss the availability of maternal RH medicines bringing out the national and sub
national dimensions in the discussion. The discussion wil also capture the key essence of the indicator
(availability of the 5 medicines) in the various types/categories of SDPs in the country. Again tables and
diagrams will be used to further explain the research findings. In this section, the reasons why the
medicines are not available will be provided; bringing out the sub national dimension and the
peculiarity of these reasons to specific service delivery points.
• Part Five will discuss the incidence of ‘no stock out' of modern contraceptives, bearing in mind that ‘no
stock out' is taken to mean the
a situation in which a family planning service delivery facility/service
delivery point in a country does not run out of supplies of any one or more of the modern methods of
contraceptives at any point in time over the last/previous 6 months and therefore had supplies on hand
to serve clients at al times. The discussion wil focus on the occurrence of ‘no stock out' in last six
months as well as the occurrence of ‘no stock out' on the day/moment of the survey. In addition the
occurrence of product specific ‘no stock out' for each contraceptive method will be examined; where
possible with the aid of tables, diagrams and maps. Also, the reasons why the stock outs occurred will
• In Part Six, the conclusions and key recommendations, based on the findings wil be presented and wil
generally focus on each of the three indicators.
A list of possible tables to be generated for the analysis is presented in
Attachment E and the structures of
the tables are indicated in
Attachment H.
Closing sections of the report
This section wil contain lists of documents consulted and cited under the Bibliography; Methodological
explanatory notes; the survey instrument; and additional tables and diagrams, etc. will all form part of the
annex of the report.
CONTRACT
For the purpose of carrying out this assignment, UNFPA will select research entity through a transparent
bidding process. UNFPA will execute a contract as per organizational rules and regulations with the selected
entity that will be effective from the date of contract signing. Payments to selected contractor will be made
upon completion of activities specified in Deliverables.
English version of final survey narrative report
Final certified financial statement
All database files including Excel or SPSS, observation sheets, questionnaires with responses, checklists
and interview guides
TERMS OF PAYMENT
Upon signing of contract – 50%
Upon completion of field work and primary research – 20%
Upon submission of draft report with data analysis - 15%
Upon submission of final narrative report and financial statement, and acceptance by UNFPA staff in
charge of this survey – 15%
BIDDING PROCESS
The fol owing steps wil be undertaken in conducting the bidding process and selecting the study entity.
UNFPA will constitute the review panel for review and evaluation of proposal responses. Evaluation
criteria and a point-based scoring system to be used for assessment of the proposals is included within
Upon receipt of proposals by set deadline, review panel members wil independently review and score
all proposals. Scores will be calculated for technical component of each proposal.
The review panel will then meet and collective scores based on the individual assessments will be
calculated subsequent to which the financial proposals wil be opened and selected entity wil be
notified.
The research entities are requested to submit technical and financial proposals separately in
sealed envelopes.
REQUIREMENTS FOR RESPONDING
Technical proposal
Statement of research entity (entity)'s organizational capabilities including:
Entity business license (notarized);
Certified and notarized financial statements for the last 2 years (no translation into English is required);
Background summary/brochure/information leaflet of the entity outlining areas of expertise;
Current list of clients and any direct experience to the entity has working on similar studies as per
Attachment J;
Information indicating that proposed personnel will be available to the tasks required to implement
the study activities;
Description of who will be assigned to the tasks and how the project will be managed.
Detailed CV of
the proposed personnel must be enclosed as per
Attachment K;
Detailed description of how the entity will approach, plan and complete work outlined in TOR.
In
particular, the entity must specify the modalities and methodology proposed to be used to conduct
the study.
Proposed time table or work plan outlining the specific steps to be undertaken (refer to
Attachment F
and
Attachment G).
Financial proposal
Depending on the technical approach, number of professional days of core personnel and their charges, the
cost of hired personnel, their travel and transport in completing field activities will have to be budgeted
and each of the budget line items with costs have to be submitted as per enclosed
Annex 3. Price Schedule
Form (Financial Proposal) to proposal document. Any other cost that may not be covered in the attached
format may be added under "Any Other Cost". Travel to the field of proposed personnel will have to be
indicated and will be reimbursed on actual basis.
Proposals received after the deadline wil not be considered and wil be disqualified.
EVALUATION CRITERIA
Evaluation criteria for selecting the winning entity will include both technical and cost (financial)
components consistent with scope of work. The criteria and the scores are as fol ows:
Description
(1) Entity background and experience (extensive knowledge on family 15 points
planning and maternal health/RH services including solid understanding
on availability and use of modern contraceptives and maternal/newborn
(2) Knowledge and experience of similar studies (proven experience in 10 points
conducting similar studies at national level)
(3) Technical approach and management plan to conduct the survey 20 points
(Compliance to proposed work plan outlined in Attachment C and time
table outlined in Attachment D)
(4) Knowledge and experience of personnel proposed for conducting the 25 points
study in the RH/family planning area
(5)
Technical Total (1) + (2) + (3) + (4)
70 points
(6)
Financial Total (total budget and rates)
30 points
Grand Total (5) + (6)
100 points
AWARD OF CONTRACT
UNFPA Mongolia reserves the right to accept or reject any proposal, and to annul the solicitation process
and reject all proposals at any time prior to award of contract, without thereby incurring any liability to the
affected offeror or any obligation to inform the affected offeror or offerors of the grounds for UNFPA's
Prior to expiration of the period of proposal validity, UNFPA Mongolia will award the contract to the
selected entity whose proposal after being evaluated is considered to be the most responsive to the needs
of UNFPA Mongolia and activity concerned.
UNFPA Mongolia reserves the right at the time of award of contract to vary the quantity of services and
goods specified in the RFP without any change in price or other terms and conditions.
Within 7 days of receipt of the contract, the successful entity shall sign and date the contract and return it
to UNFPA Mongolia.
Attachment A. PROPOSED Survey METHODOLOGY FOR GPRHCS OUTCOME INDICATORS 3, 4 AND 5
The implementation of the GPRHCS will be assessed through indicators outlined in the Monitoring and
Evaluation Framework. Three Outcome indicators in the framework will be assessed through a special
study to be conducted in the GPRHCS Stream 1 countries. At the global/regional level the three
Number of stream 1 countries with Service Delivery Points (SDPs) offering at least three modern methods of contraceptives
Number of stream 1 countries where 7 life-saving maternal/RH medicines (Magnesium Sulphate and Oxytocin plus any other five) from the WHO listis available in all facilities providing delivery services
Number of Stream 1 Countries with Service Delivery Points with ‘no stock outs' of contraceptives within last 6 months
The survey wil be conducted to obtain data for the following
country level indicators
a) Percentage of SDPs offering at least three modern methods
b) Percentage of stream 1 countries where 7 life-saving maternal/RH medicines (Magnesium
Sulphate and Oxytocin plus any other five) from the WHO list is available in all facilities providing
delivery services
c) Percentage of SDPs that have experienced no stock out of the contraceptive methods offered to
clients in the last 6 months
The indicator definitions and notes matrix is provided as Attachment C of Terms of Reference for your
THE QUESTIONNAIRE
The Questionnaire (which is an annex to this document) is divided into 5 sections (A to E) with a total of
• Al SDPs are required to respond to items is sections A and B
• Only SDPs that offer family planning services should be required to respond to Items in Sections C
• Only SDPs that offer delivery services only are to respond to items in Section D
• Where an SDP offers both family planning and delivery services then they are obliged to respond to
the whole questionnaire.
Reference to national guidelines, protocols and laws
The crux of the matter for Sections C, D and E of the questionnaire is that the current national
guidelines, protocols and laws should be the yardsticks against which the SDPs should be assessed in
1 According to the WHO Priority life-saving medicines, for women and children, 2012; the priority medicines are: i) Oxytocin, ii) Misoprostol, iii) Sodium chloride, iv) Sodium lactate compound solution, v) Magnesium sulphate, vi) Calcium gluconate, vii) Hydralazine, viii) Methyldopa, ix) Ampicillin, x) Gentamicin, xi) Metronidazole, xii) Mifepristone, xiii) Azithromycin, xiv) Cefixime, xv) Benzathine Benzylpenicillin, xvi) Nifedipine, xvii) Dexamethasone, xviii) Betamethasone, and ixx) Tetanus toxoid. The list can be accessed at
Rev – July 2012
terms of the commodities (contraceptives and maternal health medicines) they provide. Therefore the
questionnaire now makes reference to this and requires; first, an investigation into which commodities
the SDPs are expected to offer or have available; and second, which of those (they are expected or
mandated to offer or have available) do they actually offer or have available.
For instance, where the guideline, protocol and/or law prohibit the provision of a particular
contraceptive at a given level of service delivery, the SDP should not be assessed as not offering the
contraceptive. Rather an appropriate response is that the issue is not applicable – as per national
guidelines, protocols and/or laws. An option to this effect is now provided for in the tool. The survey
team is therefore required to be fully conversant with the existing national guidelines, protocols, and/or
laws governing family planning service provision relevant to their country. To underscore the
importance of the guidelines, protocols and laws, the survey report as provided for in Section II of the
Annotated Outline document (which is an annex to this document), now requires a brief summary of the
national guideline, protocols, and/or laws regarding the provision of contraceptives and maternal/RH
medicines at various SDPs levels for each country.
Caution for assessing availability of male/female sterilisation and contraceptives
The availability and stock out of female or male sterilization should be based on the fact that a client
would walk into the SDP and be able to receive male/female sterilization if he/she demands it. It should
not be restricted to the availability of the equipment and medicines alone. Also important to note is
that the availability or stock out of medicines and contraceptives should not be judged base on the
brand, dosage or hormonal constitution.
Analysis of responses
The sections relating to the availability of contraceptives and their stock out should be analysed with
reference to only those sampled SDPs that offer family planning services. Similarly, the section relating
to the availability of maternal/RH medicines should be should be analysed with reference to the
sampled SDPs that offer delivery services.
CHANGE IN PRIORITY LIFE-SAVING MEDICINES LIST
A major section of the survey instrument which has been revised is Section D, which relates to the
essential life-saving maternal/RH medicines list. On the new list of WHO priority life-saving medicines
for women and children 2012 (See
Attachment L of the Terms of Reference), there are now
19 individual
medicines which can be constituted into 17 componentof medicines compared to ten on the previous
list. This list is also included as annex to this document. A notable deletion from the list is Ergometrine
which was previous one of the three mandatory drugs.
The related GPRHCS indicator has been duly revised and the questionnaire adapted accordingly to
include all the medicines on the new list. As per the new indicator definition SDPs are expected to have
available seven (7) life-saving maternal/RH medicines which must include two mandatory medicines
(Magnesium Sulphate and Oxytocin) and any other 5 medicines on the WHO list.
2 Please note that although there are 19 individual medicines on the WHO list; a) Sodium chloride and Sodium lactate compound solution are alternates; and that b) Dexamethasone is an alternate to Betamethasone. This therefore applies to this survey; hence the reference to 17 components maternal/RH medicines
Rev – July 2012
SAMPLING DESIGN AND SAMPLE SELECTION
The survey will consider the following broad categories of Service Delivery Points (SDPs) that provide
modern methods of contraceptives and maternal/RH services as stratums:
a) Primary Level Care SDPs/facilities (or equivalent to country context) b) Secondary level care SDPs/facilities/hospitals (or equivalent) c) Tertiary level care SDPs/facilities/hospitals (or equivalent)
In addition to the distribution of these SDPs in the administrative units of each country, the type of
services they provide (some may provide one and some both) will be relevant to the study. The aim of
this procedure is to provide a standardised framework for all the GPRHCS Stream 1 Countries for the
conduct of the survey.
Sampling Frame
Ideally, the ministry in charge of health or an appropriate government agency should have a list of all
service delivery points (providing Family Planning and Maternal Health services) in each of the
administrative units of the country. This list will serve as a frame for the selection of samples in each
Use of Sampling Formula to obtain Sample Size
Taken the types of the SDPs (primary, secondary and tertiary or equivalent) as the main attributes,
therefore the total sample should contain a minimal number of each type of facility to support good
estimation of the parameters of the population. It is in this respect that the following formula is
minimal sample size for each domain
Z score that corresponds to a confidence interval
the proportion of the attribute (type of SDP) expressed in decimal
per cent confidence level in decimal
This proposal is made because facility based surveys often take into consideration the categories of
health service delivery points, which may vary from country to country, in the selection of an
appropriate sample size. In some instances facility data are linked with data on clients and service
providers which affect the sample size and the manner in which it is chosen. The proposed study
focuses on the type of facilities as ‘standalones' and therefore does not collect data on staff, clients or
the population. The formula is used to obtain the minimal sample size for the proportions of each
category of SDPs under the assumptions of normal distribution and hence lends the data to comparison
between populations.
Rev – July 2012
The formula adopts an approach that gives large (tertiary and secondary facilities) a higher probability of
inclusion in the survey because of their small number and provides a guide for choosing a sample of the
primary facilities.
Following are step by step guide for using the formula to derive sample sizes.
ILLUSTRATION USING COUNTRY DATA
To il ustrate the use of the formula, it has been applied to data on Ethiopia (see Tables 1), provided by
country office staff.
Table 1: Types of Service Delivery Point providing modern methods in Ethiopia by Administrative Units
Types of Service Delivery Points
Primary Level Care
SDPs/facilities (or
SDPs/facilities/
SDPs/facilities/
equivalent to country
Administrative Units
Benishangul-Gumuz Region
Southern Nations,
Nationalities and Peoples'
Steps for Sampling SDPs for the GPRHCS Survey
5.1.1 Step 1) Calculate relative proportion for the types of SDPs
The relative proportion for Tertiary level SDPs is calculated as follows:
[Total number of tertiary SPDs]÷[Total number of SDPs on the sample frame]. From the information in
Table 1a this is 41÷799= 0.05. The procedure is repeated for secondary and tertiary institutions and the
results presented in Table 3.
Rev – July 2012
Table 3: Relative Proportion of Categories of SDPs in Ethiopia
Tertiary level care
Primary Level Care
SDPs/facilities (or
equivalent to country
es/hospitals context)
5.1.2 Step 2) Apply the formula above to obtain the minimal sample size for each Type of SDP
By proposing the use of a confidence interval, the formula provides a range of values where a given true
population parameter is likely to be. The range of value is also determined by the confidence limit or
the precision of the estimated value. In the example below the confidence interval is set at Z-score = 95
per cent and 5 per cent confidence limit.
Minimal sample size for Tertiary level care SDPs/facilities/hospitals (or equivalent) (95% confidence
interval and 5% confidence limit)
Minimal sample size Secondary level care SDPs/facilities/hospitals (or equivalent) (95% confidence
interval and 5% confidence limit)
Minimal sample size for Primary Level Care SDPs/facilities (or equivalent to country context) (99%
confidence interval and 5% confidence limit)
Rev – July 2012
Table 3: Minimal sample sizes for Ethiopia based on 95 per cent confidence interval (Z-score = 1.96) and
5 per cent confidence limit)
Minimal Sample Size of Service Delivery Point Tertiary level
Secondary level Primary Level
SDPs/facilities/ SDPs/facilities/
Confidence Interval and
Confidence Limit
[95% confidence interval (Z =
1.96) and 5% confidence limit
The highlighted cells in Table 3 show that the minimal sample size obtained is more than the population
size (in table 1). This should be corrected
5.1.3 Step 3: Correction for abnormal-oversize samples
Where the minimal sample size obtained is greater than the population size as in Table 3, the whole
population of the category under consideration should be included in the sample. This abnormality
usual y occurs when the size of the population is too small for the assumptions of normal distribution of
the population to prevail using a given confidence interval and confidence limit.
The abnormal sample size is therefore corrected by replacing the oversized samples by the population
sizes shown in Table 4. The total sample size for all categories should also be recalculated to reflect this
Table 4: Corrected minimal sample sizes for Ethiopia based on the 95 per cent confidence interval and 5
per cent confidence limit
Corrected Minimal Sample Size of Service Delivery Point Tertiary level
Secondary level Primary Level
SDPs/facilities/ SDPs/facilities/
Confidence Interval and
Confidence Limit
[95% confidence interval (Z =
1.96) and 5% confidence limit
This means that for Ethiopia;
• All the 41 Tertiary level care SDPs/facilities/hospitals (or equivalent) will be included in the
• All the 47 Secondary level care SDPs/facilities/hospitals (or equivalent) will be included in the
• 150 of the 711 Primary Level Care SDPs/facilities (or equivalent to country context) will be
included in the sample
Rev – July 2012
• Thus a total of 238 SDPs will be sampled from the population of 799 SDP
5.1.4 Step 4: Distribution of Sample Sizes for Administrative Units
The total sample size for each category of SDPs has to be distributed among the administrative units
according to the administrative unit's share of a particular category of SDP. This requires the calculation
of the relative proportions for each domain. For example the Proportion of Referral and Regional
Hospital in Addis Ababa = Number of Tertiary level care SDPs/facilities/hospitals (or equivalent) in Addis
Ababa ÷ Total of Tertiary level care SDPs/facilities/hospitals (or equivalent) = 12 ÷ 41 = 0.2927 (This
indicates that 29.27 per cent of all ‘Tertiary level care SDPs/facilities/hospitals (or equivalent)' are
located in Addis Ababa.) The results are presented in Table 5.
Table 5: Proportion of Categories of Service delivery Points by Administrative Units
Category of Service Delivery Point Tertiary level care
SDPs/facilities/hospit level care
als (or equivalent)
SDPs/facilities/ SDPs/facilities (or
country context)
Administrative Units
Benishangul-Gumuz
Southern Nations,
Nationalities and
5.1.5 Step 5: Distribution of Sample Sizes for Administrative Units
The samples for each category of SDP are distributed among the various administrative regions by
applying the proportions in Table 5 to the minimal sample sizes for each type of SDP indicated in Table
4. The results are presented in Table 6 for Ethiopia.
Table 6: Distribution of minimal sample sizes for each category of SDPs in Ethiopia Z(95% 0.05)
Administrative Sub
Category of Service Delivery Point
Rev – July 2012
Tertiary level care
Primary Level Care
SDPs/facilities/
SDPs/facilities/
country context)
Benishangul-Gumuz
Southern Nations,
Nationalities and
* difference as a result of rounding off
Table 6 presents the minimal samples size for each type of SDPs that are to be sampled from each
administrative unit in Ethiopia (under Z score for 95 per cent confidence interval and 5 per cent
confidence limit). The outcome of the procedure means that al the Tertiary level
SDPs/facilities/hospitals (or equivalent) and the Secondary level SDPs/facilities/hospitals (or equivalent)
should be included in the sample and surveyed. Likewise, 14 of the 64 Primary Level
SDPs/facilities/hospitals (or equivalent to country context) in Addis Ababa should be systematically
selected; and, 2 out of the 10 Primary Level Care SDPs/facilities/hospitals (or equivalent to country
context) in Gambela Region should be systematically selected for inclusion in the sample of SDPs to be
FINAL STEP: SYSTEMATIC RANDOM SAMPLING OF TYPES OF SDPS FOR EACH ADMINISTRATIVE
With the list of SDPs for each domain at hand, the final step is to choose the specific SDPs to be included
in the study. The fol owing steps can be fol owed:
For each domain the facilities should be listed without any order or regard to any
A Sampling Interval (i) should be determined for each domain. This is done by dividing the
total number of facilities in the domain by the sample size for that domain:
sampling interval for the domain
number of SDPs in the domain
Rev – July 2012
sample size for that domain
Select a starting point K by randomly selecting a number between 1 and i (the sample
interval). Note that K becomes the first SPD in the domain to be chosen.
Then select successive SDPs for inclusion in the sample by moving at the interval K+i; K+2i;
K+3i; K+4i; K+5i; etc until you have chosen the required sample size from the domain.
Steps 1 to 4 should be repeated for each domain in the population
RECOMMENDED CONFIDENCE INTERVAL AND CONFIDENCE LIMIT
It is recommended that al GPRHCS Stream 1 countries should carry out the sampling procedure based
on Z value for 95 per cent confidence level and at 5 per cent confidence.
FACTOR TO INFLATE SAMPLE SIZE
NOTE: Al owance should be made to compensate for possible non-response or non-existence of SDPs
that provide a particular service (contraceptive or delivery). In such a case, and where necessary, the
sample size could be slightly inflated by a factor (say 10 per cent).
ASSOCIATED DOCUMENTATION
A questionnaire and a report outline have been prepared by CSB and made available to GPRHCS Stream
1 countries for the conduct of the survey.
Rev – July 2012
Attachment B. SURVEY QUESTIONNAIRE
AVAILABILITY OF MODERN CONTRACEPTIVES AND ESSENTIAL LIFE SAVING MATERNAL/RH
MEDICINES IN SERVICE DELIVERY POINTS IN GPRHCS STREAM 1 COUNTRIES
INFORMATION ABOUT THE INTERVIEW
Date of the Survey (year and month) ………………………………………….……………………………………………….……………
Questionnaire checked and attested to be properly completed
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
SECTION A: NAME, LOCATION AND DISTANCE
Name of Service Delivery Point…………………………………………………………….………. …….………………
A) Location (Name of Settlement)……………………………………………………………… B) Location (Name of Administrative Unit)…………………………………………………………
C) Please indicate whether the SDP is located in an urban area or a rural settlement (as per your country's classification; 1 Urban 2 Rural
A) What is the distance between the location of the health centre and the nearest warehouse or store or facility which this SDP receives its regular supplies? / /
B) Please indicate distance is in; 1 Kilometers 2 Mile
SECTION B: SDP TYPE AND SERVICES PROVIDED
Level of Service Delivery Point(Tick the option that is applicable to your country)
1 Primary Level Care SDPs/facilities (or equivalent to country context)
2 Secondary level care SDPs/facilities/hospitals (or equivalent )
3 Tertiary level care SDPs/facilities/hospitals (or equivalent)
Management of Service Delivery Point: 1 Government 2 Private 3 NGO
4 Others (please specify…………………………)
Does this facility provide family planning services? 1 Yes
(If No, then items in Section C and E (that is 009 to 012 and 017 to 022) should NOT be administered)
Does this facility provide delivery services? 1 Yes
(If No, then items in Section D (that is 0013 to 016 ) should NOT be administered)
Does this facility provide any HIV/AIDS services (e.g. VCT, PMTCT, ART, etc.)? 1 Yes
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
SECTION C: MODERN CONTRACEPTIVE METHODS OFFERED AT SDPs
Please note that for the SDP to respond to items in this section, it should have indicated in Item 006 above that ‘Yes' it provides family planning services
Male condoms
Female Condoms
Oral Pills
Injectables
Implants
Sterilisation for
Sterilisation for Male
1 Yes, this SDP is
Yes, this SDP is
Yes, this SDP is
Yes, this SDP is
Yes, this SDP is
Yes, this SDP is
Yes, this SDP is
Yes, this SDP is
With respect to each of the contraceptive expected /supposed to expected /supposed to expected /supposed to expected /supposed to expected /supposed to expected /supposed to expected /supposed to expected /supposed to
methods, please state whether the SDP is provide this method provide this method provide this method provide this method provide this method provide this method provide this method provide this method
supposed/ expected to offer it, in line with
the current national protocols, guidelines
and/or laws specific for this level* of
2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT
service delivery. Please discuss with the expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to
respondent and then record your
provide this method provide this method provide this method provide this method provide this method provide this method provide this method provide this method
conclusion before proceeding.
(* Please recal SDP level as recorded in
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
item 004 above)
010
If ‘Yes' in item 009 ( i.e., this DSP is
supposed/ expected to offer this method), 2 No
please state whether the SDP
actual y offers it to clients
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
(because "No" to item (because "No" to item (because "No" to item (because "No" to item (because "No" to item (because "No" to item (because "No" to item (because "No" to item
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
NOTE: If this SDP
NOTE: If this SDP
NOTE: If this SDP
NOTE: If this SDP
NOTE: If this SDP
NOTE: If this SDP
NOTE: If this SDP
NOTE: If this SDP
supposed./expected supposed./expected supposed./expected supposed./expected supposed./expected supposed./expected supposed./expected supposed./expected
to OFFERS the
to OFFERS the
to OFFERS the
to OFFERS the
to OFFERS the
to OFFERS the
to OFFERS the
to OFFERS the
contraceptive method contraceptive method contraceptive method contraceptive method contraceptive method contraceptive method contraceptive method contraceptive method
but it is currently out but it is currently out but it is currently out but it is currently out but it is currently out but it is currently out but it is currently out but it is currently out
available at the time of available at the time of available at the time of available at the time of available at the time of available at the time of available at the time of available at the time of
the survey, please
the survey, please
the survey, please
the survey, please
the survey, please
the survey, please
the survey, please
the survey, please
record as "Yes" (i.e.; record as "Yes" (i.e.; record as "Yes" (i.e.; record as "Yes" (i.e.; record as "Yes" (i.e.; record as "Yes" (i.e.; record as "Yes" (i.e.; record as "Yes" (i.e.;
the method is actual y the method is actual y the method is actual y the method is actual y the method is actual y the method is actual y the method is actual y the method is actual y
offered, although it is offered, although it is offered, although it is offered, although it is offered, although it is offered, although it is offered, although it is offered, although it is
not currently in stock not currently in stock not currently in stock not currently in stock not currently in stock not currently in stock not currently in stock not currently in stock
If this SDP is supposed/expected to offer
this method to clients (in line with current
national guidelines, etc.) but the response
to 010 is "No", please indicate the reason(s)
012
From responses provided to Item 010,
1 This SDP offers up to two modern contraceptive methods
2 This SDP offers three and more (at least three) modern contraceptive methods
discuss with the respondent and record the
conclusion by ticking one of the following
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
SECTION D: AVAILABILITY OF MATERNAL/RH MEDICINES
Maternal/RH Medicines
Please note that for the SDP to respond to items in this section, it should have indicated in Item 007 above that ‘Yes' it provides delivery services
Ampicillin
Benzathine
Calcium gluconate
Cefixime
Gentamicin
Hydralazine
Magnesium sulfate
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
With respect to each of the expected /supposed expected /supposed expected /supposed to expected /supposed expected /supposed to expected /supposed expected /supposed expected /supposed expected /supposed
to have available this to have available this have available this
to have available any have available this
to have available this to have available this to have available this to have available this
Medicines, please state
or both of these
whether the SDP is supposed Medicine
have it available; in line with
the current national
protocols, guidelines and/or 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT 2 No, this SDP is NOT
laws specific for this level* of expected/ supposed expected/ supposed expected/ supposed to expected/ supposed expected/ supposed to expected/ supposed expected/ supposed expected/ supposed expected/ supposed
service delivery. Please
to have available this to have available this have available this
to have available any have available this
to have available this to have available this to have available this to have available this
discuss with the respondent Maternal /RH
or both of these
and then record your
conclusion before proceeding
(* Please recal SDP level as (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
recorded in in item 004
above)
014
1 Yes (for any or
If ‘Yes' in item 013 ( i.e., this
SDP is expected/ supposed to
have available the maternal 2 No
2 No (for any or
/RH medicine) please state
whether the medicine is
currently available at the SDP 3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
(because "No" to
(because "No" to
(because "No" to item (because "No" to
(because "No" to item (because "No" to
(because "No" to
(because "No" to
(because "No" to
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
If this SDP is supposed/
expected to have available
this medicine (in line with
current national guidelines,
etc.) but the response to 013
is "No", please indicate the
SECTION D CONTINUES ON NEXT PAGE
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
SECTION D: AVAILABILITY OF MATERNAL/RH MEDICINES
Maternal/RH Medicines
Please note that for the SDP to respond to items in this section, it should have indicated in Item 007 above that ‘Yes' it provides delivery services
Methyldopa
Misoprostol
Nifedipine
Oxytocin
Tetanus toxoid
Sodium lactate
compound solution
Sodium chloride
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
1 Yes, this SDP is
With respect to each of the
expected /supposed to expected /supposed to expected /supposed to expected /supposed to expected /supposed to expected /supposed expected /supposed to expected /supposed to
maternal/ RH Medicines, please have available this
have available this
have available this
have available this
have available this
to have available this have available any or
have available this
state whether the SDP is
Maternal /RH Medicine Maternal /RH Medicine Maternal /RH Medicine Maternal /RH Medicine Maternal /RH Medicine Maternal /RH
both of these Maternal Maternal /RH Medicine
supposed have it available; in line
with the current national
protocols, guidelines and/or laws 2 No, this SDP is NOT
2 No, this SDP is NOT
2 No, this SDP is NOT
2 No, this SDP is NOT
2 No, this SDP is NOT
2 No, this SDP is NOT 2 No, this SDP is NOT
2 No, this SDP is NOT
specific for this level* of service expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed to expected/ supposed expected/ supposed to expected/ supposed to
delivery. Please discuss with the have available this
have available this
have available this
have available this
have available this
to have available this have available any or
have available this
respondent and then record your Maternal /RH Medicine Maternal /RH Medicine Maternal /RH Medicine Maternal /RH Medicine Maternal /RH Medicine Maternal /RH
both of these Maternal Maternal /RH Medicine
conclusion before proceeding
(* Please recal SDP level as
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
(Tick only one option)
recorded in in item 004 above)
1 Yes (for any or both) 1 Yes
If ‘Yes' in item 013 ( i.e., this SDP
is expected/ supposed to have
available the maternal /RH
2 No (for any or both) 2 No
medicine) please state whether
each medicine is currently
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
3 Not Applicable
available at the SDP
(because "No" to item (because "No" to item (because "No" to item (because "No" to item (because "No" to item (because "No" to
3 Not Applicable
(because "No" to item
(because "No" to item
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
(Tick only one option)
If this SDP is supposed/ expected
to have available this medicine (in
line with current national
guidelines, etc.) but the response
to 013 is "No", please indicate the
1 Yes - this SDP has available the seven (7) lifesaving maternal/RH medicines (which included the 2 No- this SDP does not have available the seven (7) lifesaving
From responses provided to Item 014 above, please
two mandatory medicines [Magnesium Sulfate and Oxytocin] and any other five of the remaining maternal/RH medicines (which included the two mandatory medicines
discuss with respondent and record the conclusion by
medicines on the list - bearing in mind that; a) Sodium chloride and Sodium lactate compound
[Magnesium Sulfate and Oxytocin) and any other five of the remaining
ticking one of the fol owing statements
solution are alternate; and b) Dexamethasone is an alternate to Betamethasone
medicines on the list - bearing in mind that; a) Sodium chloride and Sodium
lactate compound solution are alternate; and b) Dexamethasone is an alternate to Betamethasone
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
INTERVIEWER VERIFICATION for ITEM 014
Medicines
Ampicillin
Benzathine
Calcium gluconate
Cefixime
Gentamicin
Hydralazine
Magnesium sulfate
benzylpenicillin Betamethasone
For each response provided for
Inventory taken,
Inventory taken,
Inventory taken,
item 014, the interviewer should taken, Medicine is taken, Medicine is taken, Medicine is taken, any or both taken, Medicine is taken, Medicine is Medicine is in stock
Medicine is in stock Medicine is in stock
validate the response by a
of the medicine(s) in stock
physical Inventory and note the
appropriate finding
Inventory taken,
Inventory taken,
Inventory taken,
taken, Medicine is taken, Medicine is taken, Medicine is taken, any or both taken, Medicine is taken, Medicine is Medicine is NOT in
Medicine is NOT in Medicine is NOT in stock
of the medicine(s) NOT in stock
is/are NOT in stock
Medicines
Methyldopa
Misoprostol
Nifedipine
Oxytocin
Tetanus toxoid
Sodium chloride
Sodium lactate
compound solution
For each response provided for
Inventory taken, Medicine is in stock
item 014, the interviewer should taken, Medicine is taken, Medicine is taken, Medicine is taken, Medicine is taken, Medicine is taken, Medicine is taken, any or both of
validate the response by a
the medicine(s) is/are
physical Inventory and note the
appropriate finding
Inventory taken, Medicine is NOT in stock
taken, Medicine is taken, Medicine is taken, Medicine is taken, Medicine is taken, Medicine is taken, Medicine is taken, any or both of
the medicine(s) is/are
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
SECTION E: NO STOCK OUT OF MODERN CONTRACEPTIVE METHODS AT SDP
Please note that for the SDP to respond to items in this section, it should have indicated in Item 006 above that ‘Yes' it provides family planning services
Male condoms
Oral Pills
Implants
Injectables
Female Condoms
Sterilisation for Male Sterilisation for
(i): NO STOCK-OUT IN THE LAST SIX MONTHS BEFORE THE SURVEY
1 Yes; this method has 1 Yes; this method has 1 Yes; this method has 1 Yes; this method has 1 Yes; this method has 1 Yes; this method has 1 Yes; this method has 1 Yes; this method has
With respect to each of the
been out-of- stock
been out-of- stock
been out-of- stock
been out-of- stock
been out-of- stock
been out-of- stock
been out-of- stock
been out-of- stock
contraceptive methods that the
(STOCK-OUT) on a
(STOCK-OUT) on a
(STOCK-OUT) on a
( STOCK-OUT) on a
(STOCK-OUT) on a
(STOCK-OUT) on a
(STOCK-OUT) on a
(STOCK-OUT) on a
SDP is supposed/expected to
given day at this SDP in given day at this SDP in given day at this SDP in given day at this SDP in given day at this SDP in given day at this SDP in given day at this SDP in given day at this SDP in
provide in line with the current
the last six months the last six months the last six months the last six months the last six months the last six months the last six months the last six months
national protocols, guidelines
and/or laws specific for this level* 2 No; this method has 2 No; this method has 2 No; this method has 2 No; this method has 2 No; this method has 2 No; this method has 2 No; this method has 2 No; this method has
of service delivery (as indicated in not been out-of-
Item 009 above); please indicate stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT)
whether it has been out of stock at on any given day at
on any given day at
on any given day at
on any given day at
on any given day at
on any given day at
on any given day at
on any given day at
this SDP on any given day, within this SDP in the last six this SDP in the last six this SDP in the last six this SDP in the last six this SDP in the last six this SDP in the last six this SDP in the last six this SDP in the last six
the last six months preceding the months
survey, and therefore the
contraceptive method was not
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
available to give/provide to clients
at this SDP
(* Please recal SDP level as
recorded in in item 004 above)
One or more of the contraceptive methods offered by this SDP has
Al contraceptive method offered by this SDP has been available/ in-
From responses provided to Item 017 above, please discuss with respondent and been out-of- stock on a given day in the last six months preceding the stock on al days in the last six months preceding the survey.
record the conclusion by ticking one of the following statements
Therefore, this SDP did not experience stock out in the last six
Therefore, this SDP experienced stock out in the last six months
months [NO-STOCK-OUT WITHIN THE LAST SIX MONTHS]
[STOCK-OUT WITHIN THE LAST SIX MONTHS]
If "Yes" to Item 17 (that this
method has been out of
stock (STOCK OUT) at this SDP on
any given day within the last six
months (in line with current
national guidelines, etc.) please
indicate the reason(s)
(ii): NO STOCK-OUT AT THE TIME OF THE SURVEY
1 Yes; this method is 1 Yes; this method is 1 Yes; this method is 1 Yes; this method is 1 Yes; this method is 1 Yes; this method is 1 Yes; this method is 1 Yes; this method is
With respect to each of the
currently out-of- stock currently out-of- stock currently out-of- stock currently out-of- stock currently out-of- stock currently out-of- stock currently out-of- stock currently out-of- stock
contraceptive methods that the
(STOCK-OUT) at this (STOCK-OUT) at this (STOCK-OUT) at this (STOCK-OUT) at this (STOCK-OUT) at this (STOCK-OUT) at this (STOCK-OUT) at this (STOCK-OUT) at this
SDP is supposed/expected to
provide in line with the current
national protocols, guidelines
2 No; this method is 2 No; this method is 2 No; this method is 2 No; this method is 2 No; this method is 2 No; this method is 2 No; this method is 2 No; this method is
and/or laws specific for this level* currently not out-of- currently not out-of- currently not out-of- currently not out-of- currently not out-of- currently not out-of- currently not out-of- currently not out-of-
of service delivery (as indicated in stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT) stock (NO STOCK OUT)
(Rev – July 2012)
Commodity Security Branch, Technical Division, UNFPA
Global Programme to Enhance Reproductive Health Commodity Security
Item 009 above); please indicate at this SDP
whether it is currently out of stock
at this SDP and therefore the
contraceptive method was not
(Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option) (Tick only one option)
available to give/provide to clients
at this SDP
(* Please recal SDP level as
recorded in in item 004 above)
021
One or more of the contraceptive methods offered by this SDP is
ALL contraceptive method offered by this SDP are currently in-
From responses provided to Item 017 above, please discuss with respondent and currently out-of- stock at this SDP.
stock/available at this SDP.
record the conclusion by ticking one of the following statements
Therefore, this SDP is experiencing stock out on the day the survey Therefore, this SDP did not experiencing stock out on the day of the
[STOCK-OUT ON DAY OF SYRVEY]
survey [NO-STOCK-OUT ON DAY OF SYRVEY]
If "Yes" to Item 20 (that this
method is out-of-stock(STOCK
OUT) at this SDP (in line with
current national guidelines, etc.)
please indicate the reason(s)
INTERVIEWER VERIFICATION for ITEM 020
Male condoms
Oral Pills
Implants
Injectables
Female Condoms
Sterilisation for Male
Sterilisation for
For each response provided for
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
item 020, the interviewer should contraceptive is in
contraceptive is in
contraceptive is in
contraceptive is in
contraceptive is in
contraceptive is in
contraceptive is in
contraceptive is in
validate the response by a physical stock
Inventory and note the appropriate
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
Inventory taken,
contraceptive is NOT in contraceptive is NOT in contraceptive is NOT in contraceptive is NOT in contraceptive is NOT in contraceptive is NOT in contraceptive is NOT in contraceptive is NOT in
(Rev – July 2012)
Goal 2 of UNFPA Strategic Plan 2008-2012: Universal access to reproductive health by 2015 and universal access to comprehensive HIV prevention by 2010 for improved quality of life
1
Adolescent birth rate
The number of births occurring
This is MDG Indicator 5.4 relating to
Data for this indicator will be sourced
Data obtained from the secondary source has
during a given year to girls aged 15-
Target 5B (Achieve, by 2015, universal
from; i) global MDG reporting
already been computed
19 per 1,000 girls in this age group
access to reproductive health)
platforms; and, ii) where available, the
most recent nation-wide survey results
National and disaggregated figures by age and
The indicator measures the incidence of
(eg. DHS & MICS)
geographic entities will be required
childbirth among young people, which
has implications for prevalence of
unprotected sex, early marriage and disruption of schooling among adolescents.
Maternal mortality ratio
The number of women who die from
This is MDG Indicator 5.1 relating to
Data for this indicator will be sourced
Data obtained from the secondary source has
any cause related to or aggravated by
Target 5A (Reduce by three quarters,
from; i) global MDG reporting
already been computed
pregnancy or its management
between 1990 and 2015, the maternal
platforms; and, ii) where available, the
(excluding accidental or incidental
mortality ratio)
most recent nation-wide survey results
National and disaggregated figures by
causes) during pregnancy and
(eg. DHS & MICS)
geographic entities will be required
childbirth or within 42 days of
The indicator, monitors deaths related
termination of pregnancy,
to pregnancy and used to monitor
irrespective of the duration and site
changes in health conditions related to
of the pregnancy, per 100,000 live
the health of women and reproduction
Youth HIV prevalence rate
The proportion of population aged
This is MDG Indicator 6.1 relating to
Data for this indicator will be sourced
Data obtained from the secondary source has
15-24 living with HIV out of total
Target 6A (Have halted by 2015 and
from; i) global MDG reporting
already been computed
population in this age group
begun to reverse the spread of
platforms; and, ii) where available, the
most recent nation-wide survey results
National and disaggregated figures by
(eg. DHS & MICS)
geographic entities will be required
The indicator measures the incidence of the HIV epidemic among young people15 to 24 years of age and provides an indication of the potential effect of the disease on the youth
Outcome: Increased availability, access and utilization of RHCs1 for voluntary family planning, HIV/STI prevention and maternal health services in the GPRHCS focus countries
1
Unmet need for family
Percentage of women currently
This is MDG Indicator 5.6 relating to
Data for this indicator will be
Data obtained from the secondary source has already been
married, or in a consensual union,
Target 5B (Achieve, by 2015,
sourced from; i) global MDG
aged 15-49 who want to stop having
universal access to reproductive health)
reporting platforms; and, ii) where
children or to postpone the next
available, the most recent nation-
National and disaggregated figures by geographic entities
pregnancy for at least two years, but
It provides an indication of the
wide survey results (eg. DHS &
will be required
who are not using contraception.
existence of obstacles, other than
physical access to services, which prevents women from using family planning. This often leads to unintended pregnancies that pose risks for women, their families, and societies.
Contraceptive prevalence rate-
The proportion of women aged 15-
This is MDG Indicator 5.3 relating to
Data for this indicator will be
Data obtained from the secondary source has already been
49 who are using, or whose sexual
Target 5B (Achieve, by 2015,
sourced from; i) global MDG
partners are using, any modern
universal access to reproductive health)
reporting platforms; and, ii) where
method of contraception.
available, the most recent nation-
National and disaggregated figures by geographic entities
The indicator is useful in tracking
wide survey results (eg. DHS &
will be required
progress towards health, gender and
poverty goals. It also serves as a proxy measure of access to reproductive health services
Number of GPRHCS Stream 1
The number out of the total of
The indicator accesses progress made
A special survey based on a
National and disaggregated figures by a) type of facilities,
Countries with service delivery
GPRHCS Stream 1 Countries where
by the countries in making available a
standard methodology will be
and b) by geographic entities will be required
points (SDPs) offering at least
at least three modern contraceptives
minimum number of modern
conducted in all Stream 1
3 modern methods of
are provided to clients
contraceptives from which clients can
Countries to provide data for this
For each country a percentage of the number of SDPs
providing at least three methods of contraceptives out of
SDPs will be assessed with reference
the total number of SDPs will be calculated. ([Number of
to the national protocols, guidelines
SDPs surveyed provide at least three methods of
and/or laws which mandate them to
contraceptives]÷[Total Number of SDPs surveyed that
offer or not offer specific modern
provide any modern contraceptives to clients]×100)
methods of contraception. Therefore
SDPs in a given country will be
A country will be judged as having satisfied the
assessed with reference to what the
conditions for this indicator if the percentage of SDPs
national guidelines, protocols and/or
providing at least three methods of contraceptives; in line
laws mandate them to offer.
with current national guidelines, protocols and laws; is at least 75 per cent At the regional and global levels the indicator will be computed by adding up the number of countries that have at least 75 per cent of their SDPs providing at least three methods of contraceptives.
Number of GPRHCS Stream 1
The number GPRHCS Stream 1
The indicator assesses progress made
A special survey based on a
Countries will be assessed with reference to the WHO
Countries where 7 life-saving
Countries where life-saving
by countries in making essential
standard methodology will be
Priority List of Life- saving medicines, 2012. It is noted
maternal/RH medicines
maternal/RH medicines are available
medicines available for saving
conducted in all Stream 1
that on this list a) Sodium chloride and Sodium lactate
(Magnesium Sulphate and
in all facilities that provide delivery
Countries to provide data for this
compound solution are alternate medicines for the
Oxytocin plus any other five)
treatment of post-partum haemorrhage; and, b)
1 Modern contraceptive methods, essential life-saving maternal/RH medicines and related equipments 2 The modern methods under consideration are i) Male condoms, ii) Female Condoms , iii) Oral Pills , iv) Injectables , v) IUDs , vi) Implants, vii) Sterilisation for Females and viii) Sterilisation for Male
Outcome: Increased availability, access and utilization of RHCs1 for voluntary family planning, HIV/STI prevention and maternal health services in the GPRHCS focus countries
from the list of priority
Dexamethasone and Betamethasone are alternates for the
medicines3are available in all
SDPs will be assessed with reference
management of preterm labour.
facilities providing delivery
to the national protocols, guidelines
and/or laws which mandate them to
Therefore the assessment criteria is that all the SDPs
have available or not to have
surveyed must have available the seven (7) medicines
available specific medicines. Since
which must include the following; i) two mandatory
different levels of service delivery
medicines - Magnesium Sulphate and Oxytocin, and ii)
will not be expected to provide the
any other five of the remaining medicines on the list
full range of priority medicines, they
bearing in mind that a) Sodium chloride will count as an
will be assessed with reference to
alternative for Sodium lactate compound solution; and b)
what the national guidelines,
Dexamethasone will also count as an alternative to
protocols and/or laws mandate them
At the country level the percentage of SDPs that provide seven life-saving medicines will be calculated with respect to the total number of SDPs providing delivery services. ([Number of SDPs surveyed that have the required variety of seven life-saving medicines available] ÷[Total Number of SDPs surveyed that provide delivery services]×100) A country will be judged as having satisfied the conditions for this indicator if the seven life-saving medicines are provided in ALL (100 per cent) of the surveyed SDPs that provide delivery services Disaggregated figures by a) type of facilities, and b) by geographic entities will be provided At the regional and global levels the indicator will be computed by adding up the all countries where 100 per cent of SDPs provide the seven priority medicines (i.e. the two mandatory and any other five from the priority list of medicines)
Number of Stream 1 Countries
The number of GPRHCS Stream 1
The indicator provides a measure of the
A special survey based on a
National and disaggregated figures by a) type of facilities,
with Service Delivery Points
Countries, where 60 per cent of the
availability of the contraceptives at
standard methodology will be
b) type of contraceptive and c) by geographic entities will
with ‘no stock outs' of
SDPs have experienced no stock out
SDPs and hence assesses the whether
conducted in all Stream 1
contraceptives within last 6
in the last 6 months preceding the
the contraceptives have been out of
Countries to provide data for this
stock at any point of times during the
For each country i) the percentage of SDPs that did not
last 6 months preceding the survey
experience stock out of any modern contraceptive
SDPs will be assessed with reference
method, at any point during the last 6 months ([Number of
3 According to the WHO Priority life-saving medicines, for women and children, 2012; the priority medicines are: i) Oxytocin, ii) Misoprostol, iii) Sodium chloride, iv) Sodium lactate compound solution, v) Magnesium sulphate, vi) Calcium gluconate, vii) Hydralazine, viii) Methyldopa, ix) Ampicillin, x) Gentamicin, xi) Metronidazole, xii) Mifepristone, xiii) Azithromycin, xiv) Cefixime, xv) Benzathine Benzylpenicillin, xvi) Nifedipine, xvii) Dexamethasone, xviii) Betamethasone, and ixx) Tetanus toxoid. The list can be accessed at http://www.who.int/reproductivehealth/publications/general/emp_mar2012.1/en/index.html Please note that from this list a) Sodium chloride and Sodium lactate compound solution are alternates; and b) Dexamethasone is an alternate to Betamethasone
Outcome: Increased availability, access and utilization of RHCs1 for voluntary family planning, HIV/STI prevention and maternal health services in the GPRHCS focus countries
to the national protocols, guidelines
SDPs surveyed that did not experience stock out of any
and/or laws which mandate them to
modern contraceptive method during the last 6
offer or not offer specific modern
months]÷[Total Number of SDPs that provide modern
methods of contraception. Therefore
contraceptives methods]×100
‘no stock-out' will be measured
based on what the national
A country will be judged as having satisfied the
guidelines, protocols and/or laws
conditions for this indicator if at least 60 per cent of SDPs
mandate the SDPs to offer.
canvassed have experienced no stock out of any
contraceptive they distribute or provide, at any given
Here, ‘no stock out ‘is taken to mean
time, in the last 6 months.
a situation in which a FP service
delivery facility/point in a country
At the regional and global levels the indicator will be
did not run out of supplies of any
computed by adding up all countries where at least 60 per
one or more of the modern methods
cent of SDPs have experienced no stock out of
of contraceptives at any point in time
contraceptives they are expected to provide in line with
over the last/previous 6 months and
current national guidelines, protocols and laws; at any
therefore had supplies on hand to
given time, in the last 6 months.
serve clients at all times during 6
months preceding the survey.
Method specific rates will also be calculated as follows; ([Number of SDPs surveyed that did not experience stock out of a particular contraceptive (e.g. condom) during the last 6 months]÷[Total Number of SDPs that provide the particular modern contraceptive method (e.g. condom)]×100
Funding available globally for
The total amount in US$ that is
The indicator measures the level of
The data for this indicator will be
At the global level the indicator will be computed by
contraceptives including
provide by donors in support of
external assistance to countries and the
provided by CSB from the annual
adding up all amounts (US$) for each donor (for 88
countries that depend on external
availability of donor funds for
donor support report
countries as per health coalition supply list)
assistance for the procurement of
procurement of contraceptives
contraceptives including condoms
including condoms
Number of countries where
Number, out of a total of 45
The indicator seeks to assess the
Data is sourced by content
The indicator is computed by determining the inclusion of RHCS
RHCS strategy is integrated
GPRHCS countries where core
holistic approach adopted by each
analysis of the various thematic
issues in all the thematic strategies RH, HIV/AIDS and Gender).
with national RH/SRH,
RHCS issues4 are included in
country in implementing thematic,
strategies to ascertain the
HIV/AIDS, Gender &
various national efforts in the
but often very related and
inclusion of RHCS issues.
A Country will be judged as having satisfied the conditions for this
Reproductive Rights strategies
area of RH, HIV AIDS and
complementary interventions.
indicator if it is ascertained that a) it has the three thematic
Gender and Reproductive Rights
The indicator should be provided
strategies in place; b) all the RHCS core issues are included in the
for each of the three thematic
RH/SRH and HIV/AIDS strategies, and c) any two core issues are
included integrated in the Gender and reproductive right strategies. At the regional and global levels the indicator will be computed by adding up all the countries that are judged as having satisfied the criteria for the indicator as stated above
Number of countries with
Number, out of a total of 45
In addition to ascertaining the
Data is sourced from UNFPA
At the country level, the indicator will be provided by assessing the
strategy implemented (National
GPRHCS countries which have
existence of a RHCS strategy, the
country office response to key
annual work plans for the MOH and other stakeholders to ascertain
strategy/action plan for RHCS
RHCS Strategy and action plan
indicator determines whether
the implementation of RHCS strategies and action plans
is being implemented by all
actions are being taken to
responsible parties named in the
implement the strategies and
It is expected that the information
strategy and action plan
action plans in each of the 45
will also be sourced from the
At the regional and global levels the indicator is computed by
COAR and other programme
summing up all the countries that were assessed to be implementing
progress reports
their RHCS strategies and action plans.
Number of countries with
Number, out of a total of 45
The indicator provides a measure
Data is sourced from UNFPA
For a Country to be judged as having a functioning coordination
functional co-ordination
GPRHCS countries with bodies
for the existence and the
country office response to key
mechanism, the mechanism must satisfy all of the following
mechanism on RHCS or RHCS
or entities that facilitate the
effectiveness of an entity for
is included in broader
interaction of stakeholders and
bringing partners together to work
i) have a membership with representation from at least the
coordination mechanism
oversees joint planning and
Information on this may also exist
following a) government, b) NGOs, c) Private Sector (including
decision making on RHCS
in the COAR and other sources
social marketing organisations), d) technical and donor agencies,
and academic institutions; ii) be under the leadership of a government agency; iii) have a terms of term of reference specifying activities to be carried out in coordinating RHCS issues; iv) meet at least 2 times a year; and v) have minutes of meetings available At the regional and global levels the indicator will be computed by aggregating all countries that are judged as having satisfied all the criteria stated above
Number of countries with
Number, out of a total of 45
The indicator provides a measure
The source of the data is the EML
For a Country to be judged as having satisfied the criteria for this
essential RH commodities in
GPRHCS countries that have a
for the progress made by
for a particular country which will
indicator, the following three conditions must be met
EML (Contraceptives and life-
national Essential Medicine
GPRHCS countries in i)
be made available for content
a) an official national EML must exist for the country; b) all the
saving maternal/RH medicines
Lists available and that the list
establishing an EML, and ii) the
modern contraceptive methods must be on the list; and c) all the 10
contains modern contraceptive
inclusion of contraceptives and
priority RH medicines must be on the list
methods and essential life-
priority reproductive health
saving medicines.
medicines on the national EML
At the regional and global levels the indicator will be computed by aggregating all countries that are judged as having satisfied all the criteria stated above
4 The core RHCS issues are 1) capacity - including institutional strengthening and training of nationals; 2) coordination of stakeholders and interventions; 3) mobilization and utilization of resources for RHCs; 4) procurement ; 5) Logistics and Supply Chain Management; and, 6) demand creation
Funding mobilised for GPRHCS
The total amount (in US$)
The indicator will provide information
The data for this indicator will be
At the global level the indicator will be judged as
on a reliable basis (e.g. multi-
mobilized from various donors for
on actual resources mobilized from
provided by CSB from the GPRHCS
achieved if CSB mobilizes a) at least 60 per cent
implementation of the GPRHCS
pledges made by donors for GPRHCS.
Annual Report which will indicate the
of the annual budgeted funds; and b) 80 per cent
level of funding mobilized from various
of the pledged funds for the year
UNFPA signed MOUs with
Number out of GPRHCS Stream 1
The indicator assess the existence of an
Information is derived from the signed
For a Country to be judged as having achieved
Stream 1 country governments
countries in which a government
agreement between government and
MOU document for each country
this indicator, a copy of the signed MOU for that
agency has signed an MOU with
UNFPA on the implementation of
country should be available at CBS New York
UNFPA for the implementation of
the GPRHCS activities
At the regional and global levels the indicator is computed by a physical count of all copies of signed MOUs available at CSB, New York
RHCS mainstreamed in regional
Number of partner institutions
The indicator assess the outcome of the
Data is sourced from GPRHCs
Each regional office of UNFPA will provide
policies and strategies through
with RHCS core issues (see
collaboration between UNFPA and
programme reports on collaboration with
information on the achievements made in their
UNFPA work with global,
footnote 4) mainstreamed into
other institutions in the area of RHCS,
other partner institutions
bilateral and regional
policies/strategies through
most importantly the role of UNFPA in
organizations/partners
collaboration with UNFPA
building RHCS capacity in these
At the regional and global levels the indicator is
institutions (including regional
computed by adding up the number of partner
economic communities)
institutions with whom UNFPA collaborates on any of the six core RHCS issues
Number of countries that have
Number, out of a total of 45
The indicator gauges the level of
Data is sourced by content analysis of the
A Country will satisfy the conditions for this
included RHCS priorities in;
GPRHCS countries where core
commitment and importance attached
PRS and the National Health Sector
indicator if it is ascertained that a) any of the
RHCS issues (see foot note 4) are
to RHCS issues at country level
policy/plan for the type of RHCS issues
RHCS core issues are integrated in the PRS; and
included in a) the poverty
addressed in each of the documents
b) all of the issues are in the Health sector policy
reduction strategy; and b) the
b) Health sector policy and plan
Health sector policy and plan
At the regional and global levels the indicator
will be computed by adding up all countries that are judged to have satisfied both the criteria stated above
Number of countries
Number, out of a total of 45
The indicator measure the commitment
Data is sourced by content analysis of
A Country will satisfy the conditions for this
maintaining allocation within
GPRHCS countries where
of governments to RHCS and their
government budgets for the existence of
indicator if it is ascertained that a line exists in
SRH/RHCs budget line for
governments have budget lines for
willingness to provide resources for the
budget line for the procurement of
the national budget for the procurement of
contraceptives in the national
procurement of contraceptives
contraceptives and that the amount so budgeted
budgets and the amount allocated
has not decrease compared to last year
has not decreased compared to the
At the regional and global levels the indicator
will be computed by aggregating all countries
that are judged to have satisfied the criteria stated above
Number of countries using
Number, out of a total of 45
The indicator measures the extent to
Data is sourced from responses received
A Country will satisfy the conditions for this
AccessRH5 for procurement of
GPRHCS countries that are using
which AccessRH has been adopted by
from countries that are using Access RH
indicator if a) it is using Access RH and b) if it
AccessRH for the procurement of
countries for the procurement of RHCs
and also from AceessRH data sources
reports that the length of time between placing an
RHCs and where this has resulted
and the extent to which this has reduced
order and the arrival of the commodities in the
in 20 percent reduction of time
the lead time by 20 percent (time
country has reduced by at least 20 percent
between placing order for the
between ordering the commodity and
commodities and their arrival in the
its arrival in the country)
At the regional and global levels the indicator
country (e.g. from 8 to about 6
will be computed by adding up all countries that
are judged to have satisfied both the criteria
Number of pre-qualified
Number manufacturers judged
The indicator measures the progress
Information is derived from the joint
At the global level the indicator will be computed
suppliers of IUDs and condoms
under the joint UNFPA-WHO
made by manufactures to meet the pre-
UNFPA-WHO reports on the assessment
by a count of the suppliers/ manufacturers that
for use by UNFPA and partners
partnership as qualified to supply
qualification standards for the two
of supplier/manufacturers for condoms
are pre-qualified by UNFPA-WHO
IUDs and condoms
commodities and from which the
and IUDs on various criteria including a)
commodities can be procured
the number of complaints on quality of condoms and IUDs received from countries from previous years, and b) the percentage of reduction in the rejected batches of condoms and IUDs
Number of Stream 1 Countries
Number, out of GPRHCS Stream 1
The indicator assesses the ability of the
Information is derived from a) the CSB
The indicator is computed by a physical count of
making ‘no ad hoc requests' to
countries that have made good
countries in effectively planning their
records; and b) PSB reports on the
countries that make requests in line with their
UNFPA for commodities (non-
annual procurement plans and
RHC at the beginning of the year such
requests made by countries for RH
annual procurement plans (except for countries
made actual procurement according
that no requests are made outside the
that experience humanitarian and emergency
to the plan (except in the case of
plans (except for emergency and
emergency and humanitarian
humanitarian situations)
At the regional and global levels the indicator
By April of the subsequent year
will be computed by adding up all the countries that are judged to have satisfied the criteria
Number of Stream 1 Countries
Number, out of GPRHCS Stream 1
For each country, the indicator
The information is derived from
A Country will satisfy the conditions for this
forecasting for RHCs using
countries in which the staff
ascertains the existence of nationals
responses provided by UNFPA country
indicator if the forecasts of RHC needs a) are
national technical expertise
responsible for forecasting RHC
responsible for forecasting RHC needs
offices to a GRHCS country
done by nationals, and b) working in a
needs are nationals and they work
in a government agency
questionnaire and from other reporting
government agencies.
in a government agency
At the regional and global levels the indicator will be computed by adding up all countries that are judged to have satisfied the two criteria
Number of Stream 1 Countries
Number, out of GPRHCS Stream 1
For each country, the indicator
The information is derived from
A Country will satisfy the conditions for this
managing procurement process
countries in which the staff
ascertains the existence of nationals
responses provided by UNFPA country
indicator if the management of procurement of
with national technical expertise
responsible for managing
responsible for procurement of RHCs in
offices to a GRHCS country
RHCs; a) is done by nationals, and b) they work
procurement of RHCs are nationals
a government agency
questionnaire and from other reporting
in a government agencies.
and they work in a government
At the regional and global levels the indicator will be computed by adding up all countries that are judged to have satisfied the two criteria
Number of Stream 1 Countries
Number, out of GPRHCS Stream 1
The indicator measures the
The information is derived from analysed
A Country will satisfy the conditions for this
with functioning LMIS
countries with a Logistics
effectiveness of the LMIS in providing
responses provided by UNFPA country
indicator if a) it has an LMIS and the system; and
Management Information System
relevant information about the
offices to a GRHCS country
b) at the central level the LMIS provides i)
that generates up to date
procurement and distribution of the RH
questionnaire and from other reporting
current and up to date data on stock levels ; ii) up
information about the procurement
to date data on distribution of essential life-saving
and distribution of the RH
medicines; iii) up to date data on distribution of
modern contraceptives; iv) number of users for each modern contraceptive method; and, v) product particulars including expiry date At the regional and global levels the indicator will be computed by adding up all the countries that are judged to have satisfied all the criteria above
Number of Stream 1 Countries
Number, out of GPRHCS Stream 1
The indicator assesses the existence of
The information is derived from
A Country will satisfy the conditions for this
with coordinated approach
countries that have a system in
a unified procurement and distribution
responses provided by UNFPA country
indicator if it has a) a unified mechanism for
towards integrated health
place for the procurement and
system for health supplies that includes
offices to a GRHCS country
managing all health supply systems; b) the
supplies management system
distribution of health supplies,
RHCs (modern contraceptives and
questionnaire and from other reporting
system takes into account the procurement of
which includes contraceptives and
priority medicines)
RHCs (modern contraceptives and priority
medicines); and, c) the system takes into account
the distribution of RHCs (modern contraceptives
and priority medicines)
At the regional and global level, the indicator will
be computed by adding up all countries that are
judged to have satisfied all the criteria above
Number of stream 1 countries
Number, out of GPRHCS Stream 1
The indicator provides a measure for
The information is derived from
A Country will satisfy the conditions for this
adopting/adapting a Health
countries where any form of
the existence of a computerised health
responses provided by UNFPA country
indicator if it has a computerised health supply
Supply Chain Management
computerised health supply chain
supply chain management information
offices to a GRHCS country
chain management information system.
information tool (e.g.
management information tools is in
system in the country (such as
questionnaire and from other reporting
CHANNEL, PIPELINE) into
CHANNEL, PIPELINE or any other
At the regional and global level, the indicator will
be computed by adding up all countries that are judged as having satisfied the criteria stated above
Expenditure of UNFPA/CSB core Resources for
The percentage of UNFPA/CBS
The indicator assesses UNFPA's
The data for this indicator will be
At the regional and global level, the indicator
core resources (in US$)
commitment to ensuring an increase in
acquired from UNFPA Finance
will be judged as achieved if UNFPA/CSB
expended on RHCS issues
the amount of core resources expended
expenditure of core resources for the year
increases compared to the
increases compared to last year
GPRHCS planning takes into account lessons
Number, out of a total of 45
The indicator assesses whether countries
The information is derived from
A Country will satisfy the conditions for this
learned in RHCS mainstreaming
countries, where GPRHCS
make use of key lessons learned to plan
responses provided by UNFPA
indicator if, of the lessons learned in
planning for current year takes
and implement GPRHCS activities
country offices to a GRHCS country
implementing RHCS issues, at least one is
into consideration lessons
questionnaire and from other
used for GPRHCS planning.
learned in addressing RHCS
reporting platforms
issue during the previous year
At the regional and global level, the indicator will be computed by aggregating all countries that are judged as having satisfied the criteria stated above
Number of countries with RHCS priorities
Number, out of a total of 45
The indicator gauges extent to which
Data is sourced by analyzing the
A Country will satisfy the conditions for this
included in: a) CCA, b) UNDAF, c) CPD and d)
GPRHCS countries where core
UNFPA has been able to have RHCS
contents of each of the documents
indicator if it is ascertained that a) any of the
RHCS issues (see foot note 4)
issues included in country programming
(CCA, UNDAF, CPD and CPAP) to
RHCS core issues are included or mentioned
are included in current /most
ascertain the inclusion of RHCS
in the CCA and UNDAF; and b) all of the
recent a) CCA, b) UNDAF , c)
RHCS issues (footnote 4) are included in the
At the regional and global level, the indicator will be computed by aggregating all countries that are judged to have satisfied both the criteria for the indicator as stated above
Number of UNFPA Country Offices with
Number, out of a total of 45
The indicator asses trends in UNFPA
The information is derived from
A Country will satisfy the conditions for this
increasing funds allocated to RHCS
countries that have allocated
country office allocations of funds to
responses provided by UNFPA
indicator if the amount allocated to RHCS for
more funds to RHCS activities
implement RHCS activities
country offices to a GRHCS country
the current year is more than the amount for
compared to the previous year
questionnaire and from other reporting
the previous year
At the regional and global level, the indicator will be computed by aggregating all countries that are judged as having satisfied the criteria stated above
Number of countries with all the relevant joint
Number of countries with Joint
The indicator gauges extent to which
Data for this indicator will be
Only countries with joint UN programmes, for
UN programmes for SRH and MNH that
UN Programmes for SRH and
UNFPA has been able to have RHCS
provided by UNFPA country offices
example SRH and MNH, will be investigated
MNH that have core RHCS
issues included in relevant thematic joint
and will also be sourced from other
to ascertain the inclusion of at least three of
issues (see foot note 4) included
reporting platforms
the RHCS issues in the Joint UN programmes
Also, the content of the joint UN
At the regional and global level, the indicator
programme will be analysed to
will be computed by aggregating all countries
ascertain the inclusion of RHCS
that are judged as having satisfied the criteria
Number of national/regional institutions
Number of institutions, with
The indicator assesses the extent to
Data for this indicator will be
At the regional and global levels, the indicator
providing quality technical assistance on RHCS
appropriate capacity, that are
which GPRHCS has built the capacity of
provided by UNFPA ROs, SROs and
will be adding up the number of institutions
in the areas of Training and Workshops,
made to provide technical
regional institutions to provide technical
COs and will also be sourced from
that provide RHCS technical assistance to
Advocacy, Monitoring & Progress Reviews,
assistance to any of the 45
assistance provision in each of the
other reporting platforms
countries during the year
and Programme Development with countries
countries in the area of RHCS
UNFPA geographic regions
Number of countries achieving
Number, out of a total of 45
The indicator assesses the progress
The information is derived from
A Country will satisfy the conditions for this
at least 60% of work plan
countries that have implemented 60
made by countries in implementing the
responses provided by UNFPA country
indicator if it fully implements 60 per cent of the
per cent of the activities under each
activities planned for the year
offices to a GRHCS country
activities for each and every output in the
output on the GPRHCS work plan
questionnaire and from other reporting
GPRHCS work plan for the year
At the regional and global levels, the indicator will be computed by aggregating all countries that are judged as having satisfied the criteria stated above
Number of country offices with
Number, out of a total of 45
The indicator assesses the timely
The information is derived from analysed
A Country will satisfy the conditions for this
completed and budgeted Annual
countries that have a budgeted
submission of a budgeted work plans
responses provided by UNFPA country
indicator if it submits its budgeted work plan for
Work plan by end of December
annual work plan for the next year,
offices to a GRHCS country
the next year to CSB by 31st December of the
ready and submitted by 31st
questionnaire and from other reporting
December of the current year
At the regional and global levels, the indicator will be computed by aggregating all countries that are judged as having satisfied the criteria stated above
Number of country offices
Number, out of a total of 45
The indicator assesses the timely
The information is derived from analysed
A Country will satisfy the conditions for this
submitting mid-year progress
countries that have submit mid-year
submission of a mid-year progress
responses provided by UNFPA country
indicator if it submits its mid-year progress report
report to respective regional
progress reports on the
reports by countries
offices to a GRHCS country
to its regional office with copies sent to CSB by
offices by 15 June each year
implementation of planned RHCS
questionnaire and from other reporting
15th June of the current year
activities to their respective
regional offices with copies sent to
At the regional and global levels, the indicator
CBS by 15th June of the current
will be computed by aggregating all countries
that are judged as having satisfied the criteria stated above
Number of country offices
Number, out of a total of 45
The indicator assesses the timely
The information is derived from analysed
A Country will satisfy the conditions for this
submitting completed annual
countries that have submit end of
submission of end of year narrative
responses provided by UNFPA country
indicator if it submits its annual narrative
narrative program report to
year narrative progress reports and
progress reports and related country
offices to a GRHCS country
progress reports and related annual country
respective Regional Offices by
related country reporting
reporting instruments by the countries
questionnaire from and other reporting
reporting instruments to its RO with copy to CSB
instruments to their respective
by the 15th December of the current year
regional offices with copies sent to
CBS by 15th December of the
At the regional and global levels, the indicator
will be computed by aggregating all countries that are judged as having satisfied the criteria stated above
Number of country offices
Number, out of a total of 45
The indicator assesses the timely
The information is derived from analysed
A Country will satisfy the conditions for this
submitting completed financial
countries that have submit end of
submission of financial reports by the
responses provided by UNFPA country
indicator if it submits its end of year financial
report to respective Regional
year financial report to their
offices to a GRHCS country
report to its RO with copy to CSB by the 15th
Offices by 15 December
respective regional offices with
questionnaire and from other reporting
December of the current year
copies sent to CBS by 15th
December of the current year
At the regional and global levels, the indicator will be computed by aggregating all countries that are judged as having satisfied the criteria stated above
Number of Regional Offices
Number, out of a total of 5
The indicator assesses the timely
The information is derived from analysed
A Regional Office will satisfy the conditions for
submitting reviewed AWPs to
Regional Offices that will review
review and submission by Regional
responses provided Regional Offices to
this indicator if it submits reviewed AWPs to
Technical Division/HQ by mid-
and submit Annual Work Plans for
Offices of AWPs to Technical
GHRHC reporting questionnaire and
Technical Division, UNFPA-HQ BY 15th January
45 countries to Technical
Division, UNFPA-HQ
from other reporting platforms
of the current year
Division/UNFPA-HQ by 15th
January of the current year
At the regional and global levels, the indicator will be computed by aggregating all Regional Offices that are judged as having satisfied the criteria stated above
Number of Regional Offices
Number, out of a total of 5
The indicator assesses the timely
The information is derived from analysed
At the regional level a Regional Office will
submitting mid-year report by
Regional Offices that have submit
submission of both mid-year and end of
responses provided Regional Offices to
satisfy the conditions for this indicator if it a)
mid-July and annual report of
a) mid-year report by 15th July of
year reports by Regional Offices to
GHRHC reporting questionnaire and
submits the midyear report by 15th July of the
mid-January to Technical
the current year and b) end of year
Technical Division, UNFPA-HQ
from other reporting platforms
current year; and b) submits the end of report by
Division/HQ (5 Regional
annual report by 15th December of
15th December of the current year
the current year to Technical
Division/UNFPA-HQ
At the global level the indicator will be computed by adding up all Regional Offices that are judged as having satisfied the criteria stated above
Country work plans reviewed
Number, out of a total of 45
The indicator assesses the timely
The information is derived from CSB-
At the regional and global level, the indicator will
and allocation made By HQ by
country work plans reviewed and
review, approval and allocation of
TD programme implementation reports
be computed by adding up the number of country
1st week of March
for which resources are allocated
resources by CSB for work plans
and from other reporting platforms
work plans reviewed and approved and for which
by CSB by 1st March of the current
submitted by countries
resources are allocated by 1st March each year by
Semi-annual and annual
Two progress review and planning
The indicator assesses the frequency of
The information is derived from CSB-
At the global level, the indicator will be
progress review/planning
meetings (semi-annual and annual)
joint reviews and planning meetings
TD programme implementation reports
computed by verification of the conduct of both a
meeting organized for all
organised by CSB/TD for
held with GPRHCS Stream 1 countries
and from other reporting platforms
semi-annual (mid-year) and an annual (end of
GPRHCS Stream 1 counties by
GPRHCS Stream 1 countries
year) programme review and planning meeting
Consolidated annual GPRHCS
A consolidated end of year
The indicator assesses the timely
The information is derived from CSB-
At the global level the indicator will be computed
report (programmatic and
programmatic and financial
preparation of a consolidated annual
TD programme implementation reports
by the verification of the availability of a
financial) prepared by end of
GPRHCS report prepared by CSB-
GPRHCS programmatic and financial
and from other reporting platforms
consolidated end of year GPRHCS programmatic
March of following year by HQ
TD by 31st March of the following
and financial report by 31st March of the
Attachment D. TABLE OF CONTENTS
Acronyms
Contents
List of Tables and Graphs
List of Boxes and Diagrams
Executive Summary
SECTION I: INTRODUCTION
Rationale and Objective of the study
Survey organization and management
Methodology and limitations
1.4.1 Survey design and sampling of facilities
1.4.2 Data collection
1.4.3 Data analysis and presentation
1.4.4 Limitation of the survey
Outline of report
SECTION II: SURVEY FINDINGS
General Information about the facilities
2.1.1 Geographic distribution of facilities
2.1.2 Management of facilities
2.1.3 Distance of SDPs from source of supplies
Modern contraceptives offered by facilities
2.2.1 Contraceptives offered by types of facilities
2.2.2 Facilities offering at least three types of contraceptives
2.2.3 Reasons for not offering certain contraceptives
Availability of Maternal and RH Medicines
2.3.1 Maternal and RH Medicines available by types of facilities
2.3.2 Availability of Five essential life saving maternal and RH medicines
2.3.3 Reasons for not offering certain life saving maternal and RH medicines
Incidence of ‘No Stock Out' of modern contraceptives
2.4.1 ‘No Stock Out' at time of survey
2.4.2 ‘No Stock Out' in the last six months
2.4.3 Reasons for ‘No Stock Out'
SECTION III: CONCLUSION
3.1 Summary of Findings
3.2 Recommendations
BIBLIOGRAPHY
Attachment E. LIST OF GENERIC TABLES
1. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by type of facility
2. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by Administrative Unit (Region)
3. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by urban/rural residence
4. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by management of facility
5. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by distance from nearest warehouse/source of suppliers
6. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by type of facility
7. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by Administrative Unit (Region)
8. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by urban/rural residence
9. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by management of facility
10. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by distance from nearest warehouse/source
11. Percentage distribution of service delivery points with modern contraceptive methods in stock
at the time of the survey by type of facility
12. Percentage distribution of service delivery points with modern contraceptive methods in stock
at the time of the survey by Administrative Unit (Region)
13. Percentage distribution of service delivery points with modern contraceptive methods in stock
at the time of the survey by urban/rural residence
14. Percentage distribution of service delivery points with modern contraceptive methods in stock
at the time of the survey by management of facility
15. Percentage distribution of service delivery points with modern contraceptive methods in stock
at the time of the survey by distance nearest warehouse/source of suppliers
16. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by type of facility
17. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by Administrative Unit (Region)
18. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by urban/rural residence
19. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by management of facility
20. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by distance from nearest warehouse/source of suppliers
21. Percentage distribution of service delivery points offering any modern contraceptive method
22. Percentage distribution of service delivery points with any Maternal/RH Medicine Available
23. Percentage distribution of service delivery points with no stock out of any modern contraceptive
method in the last six months
24. Percentage distribution of service delivery points with modern contraceptive method in sock at
the time of the survey
Attachment F. TENTATIVE ACTIVITY PLAN
Major and Sub-activity
Responsible
Location
Activity Outputs
1.0 Establish survey implementation mechanisms at country level
1.1 Establish a survey steering committee
Ministry of Health
Ulaanbaatar 4th week of Aug 2012 Steering committees established
Mongolia Country
1.2 Undertake consultations with partners at the
Ulaanbaatar 4th week of Aug 2012 Reports/minutes of consultations
1.3 Establish a survey virtual follow-up mechanism MOH, UNFPA CO
Ulaanbaatar 4th week of Aug 2012 Virtual follow-up mechanism
established with TOR
1.4 Develop and make available Listing of Health
Research entity,
Ulaanbaatar 4th week of Aug 2012 Number of listing forms printed
Facilities by category and administrative unit
RHCS focal points
1.5 Use recommended sampling procedure to
Ulaanbaatar 4th week of Aug 2012 List of sampled facilities for each
select samples for the survey from the list of
category of health facility for each
health facilities
administrative unit
1.6 Prepare manuals and forms for the receipt,
Ulaanbaatar 4th week of Aug 2012 Number of supervisors and
checking and storage of completed questionnaires
enumerators manuals forms printed
2.0 Pre-test and Finalize Survey Instruments
2.1 Recruit and train field staff enumerators and
Ulaanbaatar 1st week of
Final lists trained field staff
supervisors; and data entry staff
2.2 Adapt and pre-test the survey questionnaire
Ulaanbaatar 1st week of
Reports and recommendations on re-
(using some trained staff)
test of questionnaire
2.3 Finalize survey questionnaires, forms and
Ulaanbaatar 2nd week of
Finalized questionnaires, manuals
2.4 Print adequate number of questionnaires for
Ulaanbaatar 2nd week September
Number of survey questionnaires
Major and Sub-activity
Responsible
Location
Activity Outputs
3.0 Undertake Field data col ection
3.1 Undertake Field data col ection
3rd week of September-
Number of completed and edited
2nd week of October
3.2 Receive, verify and store completed
3rd week of October
Number of questionnaires received,
verified and stored
4.0 Undertake Data Processing and produce final tables
4.1 Undertake data entry
3rd 4th weeks of October Number of questionnaires edited and
entered into computer programme
4.2 Produce and check preliminary tables
4th weeks of October
Preliminary tables produced
4.3 Produce final tables
4th week of October,
Final tables produced
5.0 Undertake In-depth Analysis and Preparation of Final Report
5.1 Undertake report writing and prepare first
1st -2nd weeks of
First draft report prepared
draft of survey report
5.2 Circulate first draft for comments from
2nd week of November
Copies of comments from partners
5.3 Review and revise first draft and taken into
3rd week of November
The reviewed copy of first draft
consideration comments from partners
5.4 Finalize survey report
4th week of November
Final copy of survey report will be
available at UNFPA CO and MOH
6.1 Send Survey Report to respective Regional
1st week of December
Final copy of survey reports available
Offices with copy to CSB
6.2 Disseminate survey findings widely and
2nd week of December
Forums organized to disseminate
promote its utilization in country
Attachment G. TENTATIVE SUMMARY TIME TABLE
Main Activity
September
November
Week Week Week Week Week
Week Week Week
Week Week Week Week Week Week Week
1.0 Establish survey
2.0 Pre-test and
Instruments 3.0 Undertake Field
data col ection 4.0 Undertake Data
produce final tables 5.0 Undertake In-
depth Analysis and
Preparation of Final
Report 6.0 Disseminate
Attachment H. PROPOSED STRUCTURE FOR TABLES
1. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by type of facility
Type of Facility
Offering at least three
Not offering at least
modern contraceptive
three modern
contraceptive methods
Primary Level Care
(or equivalent to
country context)
Secondary level care
Tertiary level care
2. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by Administrative Unit (Region)
Administrative Unit
Offering at least
Not offering at least
three modern
three modern
contraceptive methods
3. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by urban/rural residence
Offering at least
Not offering at least
three modern
three modern
contraceptive methods
4. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by management of facility
Management of facility Offering at least
Not offering at least
three modern
three modern
contraceptive methods
5. Percentage distribution of service delivery points offering at least three modern contraceptive
methods by distance from nearest warehouse/source of supplies
Distance from nearest
Offering at least
Not offering at least
warehouse/source of
three modern
three modern
supplies (in Km)
contraceptive methods
6. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by type of facility
Five (including 3
Five (including 3
Type of Facility
essential) life-saving
essential) life-saving
maternal/reproductive maternal/reproductive
health medicines
health medicines not
available
available
7. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by Administrative Unit (Region)
Administrative Unit
Five (including 3
Five (including 3
essential) life-saving
essential) life-saving
maternal/reproductive maternal/reproductive
health medicines
health medicines not
available
available
8. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by urban/rural residence
Five (including 3
Five (including 3
essential) life-saving
essential) life-saving
maternal/reproductive maternal/reproductive
health medicines
health medicines not
available
available
9. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by management of facility
Management of facility Five (including 3
Five (including 3
essential) life-saving
essential) life-saving
maternal/reproductive maternal/reproductive
health medicines
health medicines not
available
available
10. Percentage distribution of service delivery points with five (including 3 essential) life-saving
maternal/reproductive health medicines available by distance from nearest warehouse/source of
Distance from nearest
Five (including 3
Five (including 3
warehouse/source of
essential) life-saving
essential) life-saving
supplies (in Km))
maternal/reproductive maternal/reproductive
health medicines
health medicines not
available
available
11. Percentage distribution of service delivery points with modern contraceptive methods in stock at
the time of the survey by type of facility
Modern contraceptive Modern contraceptive
Type of Facility
method in stock at
method not in stock at
the time of the survey the time of the survey
12. Percentage distribution of service delivery points with modern contraceptive methods in stock at
the time of the survey by Administrative Unit (Region)
Administrative Unit
Modern contraceptive Modern contraceptive
method in stock at
method not in stock at
the time of the survey the time of the survey
13. Percentage distribution of service delivery points with modern contraceptive methods in stock at
the time of the survey by urban/rural residence
Modern contraceptive Modern contraceptive
method in stock at
method not in stock at
the time of the survey the time of the survey
14. Percentage distribution of service delivery points with modern contraceptive methods in stock at
the time of the survey by management of facility
Management of facility Modern
Modern contraceptive
method not in stock at
method in stock at
the time of the survey
the time of the
15. Percentage distribution of service delivery points with modern contraceptive methods in stock at
the time of the survey by distance from nearest warehouse/source of supplies
Distance from nearest
Modern contraceptive
warehouse/source of
method not in stock at
supplies (in Km)
method in stock at
the time of the survey
the time of the
16. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by type of facility
No stock out of
Stock out of modern
Type of Facility
modern contraceptive contraceptive method
method in the last six in the last six month
17. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by Administrative Unit (Region)
Administrative Unit
No stock out of
Stock out of modern
modern contraceptive contraceptive method
method in the last six in the last six month
18. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by urban/rural residence
No stock out of
Stock out of modern
modern contraceptive contraceptive method
method in the last six in the last six month
19. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by management of facility
Management of facility No stock out of
Stock out of modern
contraceptive method
in the last six month
method in the last
20. Percentage distribution of service delivery points with no stock out of a modern contraceptive
method in the last six months by distance from nearest warehouse/source of supplies
Distance from nearest
No stock out of
Stock out of modern
warehouse/source of
contraceptive method
supplies (in Km)
in the last six month
method in the last
21. Percentage distribution of service delivery points offering modern contraceptive method
Modern contraceptive method
Type of Facility
Administrative Unit (Region)
Residence
Management
Distance from nearest warehouse/source of supplies
22. Percentage distribution of service delivery points with any Maternal/RH Medicine Available
Maternal/RH Medicines
Type of Facility
Residence
Management
Distance from nearest warehouse/source of supplies
23. Percentage distribution of service delivery points with no stock out of any modern contraceptive method in the last six months
No stock out of any modern contraceptive method in the last six
Type of Facility
Residence
Management
Distance from nearest warehouse/source of supplies
24. Percentage distribution of service delivery points with modern contraceptive method in sock at the time of the survey
Modern contraceptive method in sock at the time of the survey
Type of Facility
Residence
Management
Distance from nearest warehouse/source of supplies
(in Km)
0-4
Attachment J. LIST OF CLIENTS AND DIRECT EXPERIENCE
Please list major 5-10 clients' information for the last two years.
Country Contact Name
Telephone Email address
Approximate Contract
performed Reference
Attachment K. LIST OF PROPOSED PERSONNEL
Position Assigned
Researcher/ Surveyor [YES/NO]
Data entry assistant
Clerical support staff
Please add more rows if necessary
Sample CV format
Proposed Position
[only one candidate shall be nominated for each position]
[Insert company name]
[Insert full name]
[Insert birth date]
[Insert nationality]
[Indicate college/university and other specialized education of staff
member, giving names of institutions, degrees obtained, and dates of
[Insert information]
[Indicate appropriate postgraduate and other training]
Countries of Work
[List countries where staff has worked in the last ten
[For each language indicate proficiency: good, fair, or poor
in speaking, reading, and writing]
Language Speaking Reading Writing
[Indicate proficiency for each language]
Employment Record
[Starting with present position, list in reverse order every
employment held by staff member since graduation, giving for each
employment (see format here below): dates of employment, name of
employing organization, positions held.]
From [year]: To [year]: Employer: Position(s) held:
Similar Experience
[List experience or involvement in similar surveys/studies/researches
in what capacity/role.]
From [year]: To [year]: Employer: Position(s) held:
Signature of Authorized Signatory:
Attachment L. WHO priority list
Priority life-saving medicines
for women and children
2012
Improving maternal and child health is a global priority. An estimated 7.6 million children under the age of five die
every year and an estimated 1 000 women – most of them in developing countries– die every day due to
complications related to pregnancy or childbirth. Many of these deaths are due to conditions that could be
prevented or treated with access to simple, affordable vaccines, contraceptives and medicines. However, the
availability of medicines at public‐health facilities is often poor.
treatment guidelines
b. Same as above.
Source: http://unfpa.org.mn/Annex1.pdf
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