Pinpointing bottlenecks to accessing essential commodities

Pinpointing bottlenecks to accessing essential commodities
Dr. Mulugeta Tsefaye, MD, consults his patients, Tiberich Molal, 27, and her 5-year-old son at Korem Hospital in Tigray Region of Ethiopia 21 August 2013. ©UNICEF/Ose


Using the UNCoLSC recommendations and 13 commodities as tracers, the RMNCH Strategy and Coordination Team (SCT) developed a standardized assessment tool – an RMNCH Landscape Synthesis to identify barriers to accessing specific RMNCH commodities and services.

The RMNCH Landscape Synthesis is intended for use by by policy makers, donors and practitioners to help prioritize strategic planning and implementation.

This tool brings together data from established information sources including Ministry of Health documents, health facility assessments, health and logistics management information systems, and household surveys.  This is complemented with semi-structured interviews with Ministry of Health officials, procurement and regulatory agencies, and in-country partners to assemble a more comprehensive view of RMNCH programs and the state of commodity manufacturing, import, procurement, regulation, quality control, supply and utilization.

Between January 2013 and May 2015, the RMNCH Landscape Synthesis was carried out in 10 countries in sub-Saharan Africa (Cameroon, Ethiopia, Kenya, Malawi, Mali, Nigeria, Senegal, Sierra Leone, Tanzania, and Uganda) with the help of local government, in-country UN personnel, the SCT and USAID.  An additional nine countries will conduct Lanscape Synthesis by mid-2015.  Follow-up assessments are planned for each country on approximately an annual basis in order to document change over time.

For additional information on the RMNCH Landscape Synthesis and timelines, please contact Mr. Bennett Nemser (


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