Reproductive System & Sexual Disorders: Current Research
Open Access
ISSN: 2161-038X
+44 1300 500008
ISSN: 2161-038X
+44 1300 500008
Bongs Lainjo
Cybernetic International, Canada
Scientific Tracks Abstracts: Reprod Syst Sex Disord
Problem Statement: Maternal and infant morbidity and mortality remain a global challenge and based on latest reports, mitigation efforts have not been encouraging. Unsustainable fertility rates continue to rise unabated in low and middle-income countries (LMICs). Significant gaps in reproductive health and rights continue unabated. According to a recent United Nations Population Fund (UNFPA) report, 225 million women do not have access to contraceptives. This short fall is universal and only acerbates an already dire situation. Inability to address these challenges has many implications including ubiquitous poor quality of health for both mother and child. Reasons for these dismal performances include limited access to quality services, qualified staff, poor logistics management and lack of commodities. These poor outcomes prompted the author to develop the model: RH Analysis and Planning System (RAPSYS). Methodology: The participatory model is based on pilot-tested results. It is defined by key determinants ��? utilization, demand, access, supply and procurement; cross cutting components ��? coordination, supervision, funding, advocacy, capacity building M and E; and all driven by an enabling environment. The systems use expert experience to develop effective strategies including: qualitative assessment, Delphi ranking, action plan, commodity projection and monitoring framework. Results: There is adequate evidence that the conventional approach in program design and implementation continues to show different levels of understanding of the expected outcomes. This model has helped vulnerable countries in streamlining their interventions, making them more result-based, efficient, effective, sustainable and accountable. It has been successfully implemented in 10 Asian countries. Conclusion: There is convincing evidence that the complications involved in designing development interventions have become more convoluted, unstructured and poorly coordinated. This outlook has resulted in many cases producing inadequate and dismal outcomes. The relevant tasks are daunting with resources becoming more and more limited. This framework is part of an initiative to help refine current processes and procedures.
Bongs Lainjo has completed his MASc in Engineering. From 1990 to 2008, he was Senior Advisor in Data Management at Columbia University; M & E and Logistics at USAID; and Program Management, Evaluation and Logistics for the UN. He has served in several countries like Africa, Asia, Pacific Island Countries and USA.
Email: bsuiru@gmail.com