gpc-与CNET和Spectrum避孕套需求估算的一致性和互补性

TheUNAIDSCondomNeedsEstimationTool(CNETv6.1)

Alignmentwithandcomplementaritybetween:CNET&SpectrumCondomneedsestimatesHenkVanRenterghemUNAIDSCountryDirectorCôted’Ivoire(outgoing)Preventiontargetsfor2030CNETitisbothaquantification&programmingtool,developedto:Supportashiftincondomprogrammingawayfromcommoditydrivencondomprogrammingtowardsadifferentiated,people-centred,outcome-andimpact-focusedapproach(condomusetargets&reducingnewHIV,STIandunwantedpregnancies).Ensurethatthecondomneedsofpriorityat-higherriskpopulations(oftenvulnerable,hardtoreach,and/orfaceaccessbarriers)areadequatelyquantifiedandmet.Bridgethegapbetween“quantification”and“programmedesignandservicedelivery”

designingpeople-centredservicesstartswithpeople-centredneedsquantification!Usedin35+countriesWhydoesitmatter1?Sub-optimalcondomprogrammingisamissedopportunityfordifferentiatedpeople-centredCombinationPrevention<60%Condomuse<60%ordecreasing

missedopportunitytostrengthentheimpactofHIVprevention&SRHWhydoesitmatter2?Condomprogrammesareriddledbyinequities!Incondomprogrammingalldimensionsofinequityarehardatwork:gender,age,wealth(poverty),education,urban/rural,location/geographic,stigma&discrimination,GBV,KPcriminalisation,PLHIV,bureaucracy,restrictiveregulationsandproceduresetc.Womeninthelowestwealthquintiles,whoareleasteducatedandmostvulnerablereportthelowestcondomuselevelsathigherrisksex(non-regularpartnerCondomprogrammedesignisnotadequatelyaddressingtheobservedinequalitiesandtheunderlyinginequities:1ststep–improvingpeople-centredcondomneedsestimatesSubsequentlymakethebridgebetweenestimatesandprogrammedesignanddeliveryCNETTheCNETcontrolcentre:“3.Condomrequirementssheet”SpectrumPreventionNeedsEstimatesforcondoms2025-2030CNET6.12025-2030Alignment&complementarity:CNET&SpectrumCondomneedsestimatesFEATURESBasedonandalignedwiththeCNETmethodology(populations,formula,defaultvalues&proxies,targets,timeframe)PartofSpectrumsuiteoftoolsUser-readyestimateCoversSpectrumcountries(174),includingcountriesthatdonothave“DHIS”orotherpopulation-basedsurveys(MICs,PHIA,etc.)theprovidedataonsexualactivityandcondomuseuses“countryproxies”fromneighboring/similarcountriesHarmonisedandregularlyupdatedSpectrumdatasets(differenceswithCNETexist–tobefurtherexplainedandharmonised)AllowsforuserinputofestimatesscenarioCut&pasteofresultsintoCNETorExcelFEATURESGoesbeyond“needsestimate”into“programmedesign”

withadditionalfunctions

Intendedtobeappliedasamulti-stakeholderownershipandpartnershipbuildingprocess(User-guide)Appliedin35+countriesandcapacitybuildLimitedtocountries(80)thathave“DHIS”orotherpopulation-basedsurveys(MICs,PHIA,etc.)toprovidedataonsexualactivityandcondomuseusessomedefaults&proxiesformissingvaluesAllowsuserfullcontroloveralldataandassumptionsthatareusedtoconductestimatesUses“stakeholderknowledgeandconsensusbuildingtoovercomedatagapsanduncertainties”Allowsforinclusionofadditionalpopulationsandcanbeadapted/tailoredtospecificcountyneedsandcontext(Thailand)Includesmultitudeoftables&figuresthatcanbecut&pasteTranslationmodule:French,Portuguese,SpanishUseboth–compareCountrieswithConcentratedEpidemic:UseSpectrumEstimateTransferdataintoCNETUpdateSPECTRUMestimatewithvalidated“CNETestimates”TheCNETallowscountries,inpartnershipwithkeystakeholdersandcommunitiesandinformedbydata,toestimatetheannualTotalCondomNeedsforHIV,STIandFPfor2026-2030basedonthespecificcondomneedsofprioritypopulationsatrisk:IdentifyanddefinePrioritypopulationsforcondomprogramming

(user-definedpopulationscanbeadded)Reviewandvalidatecondomavailabilitybaselinefor2025Reviewandvalidatecondomusebaselinesfor2025Estimatecondomneedsforeachprioritypopulationandtotal(national)condomneedReviewanddefinecountry-ownedCondomneedsestimatesscenarioSetCondomusetargetsfor2030foreachpopulation

ReviewandsetnumberofsexualactsassumptionsforeachpopulationReviewandsetcondomwastageassumptionsforeachpopulationDefinecommoditymixandestimateneedsforeachpopulationEstimateMaleandFemale

condommix/needsperpopulationSpecialty

condomsshare/needsperpopulationEstimateextraLubricantneed

perpopulationInformpeople-centredprogrammedesign&servicedeliverySettargetsandestimateFreecondomshare/needs

perpopulationDevelopcondomTotalMarket(TMA)scenario

andcondomsneedsperpopulationperTMApillar:PublicFreedistribution,Socialmarketingnon-profitsales,Privatesectorfor-profitsales.EstimateCommodityprocurementcostsperpopulation,TMApillar,condomproductmix(Male,Female,Specialty,Lubricant);Basedonunit-costssourcefromtheUNFPAprocurementcatalogueandprice-listCNET–complementaryfunctionalitiesThe“2.Demographicdata”sheetThe“6.Results–Commodities”sheetGFGC8condomguidanceEstimatefreecondomneedsbasedonactualusebylow-incomepopulations,nottotaldemand.UseCondomNeedsEstimationTool(18)tobalancefreeandsoldsupplyandengagecommercialandsocialmarketingbrandstoservethosewhocanpay.TheCNETUserGuide/en/resources/condom-needs-estimation-tool-user-guide/en/resources/condom-estimations-commodities-peoples-lensItisintendedtosupportcountryteamsandfacilitatorsnavigatethroughaparticipatoryprocesswhichengagesstakeholdersinthedevelopmentofcondomestimatesforprogramuse.UnderstandkeyprinciplesandbuildingblocksoftheCNETandprocess.Developdata-drivencondomestimatesbasedonprioritypopulation’sneeds.Navigatethrougharecommendedcountry-ledprocessusingtheCNET.Usetheestimatestoidentifynextstepsforprogramandpolicydirections.Determinewhentechnicalsupportisneededforcustomizationofthetool/adaptationsforcountryuse.RecommendationsPeople-centredcondomprogrammingisacriticalcomponentofthedifferentiatedandpeople-centredcombinationpreventionSpectrumCondomsNeedsEstimatesareusingthesamemethodologyandarecomplementary–withCNETbridgingthegapfromestimatestoprogrammedesignandservicedeliverySomefinetuning/harmonisationisstillneededUsebothtools(GC8)–giveusfeedbackProcessandmulti-stakeholderinvolvementarecriticalforqualityandsustainabilityOptional-Exercise1)DownloadCNETv6.1:/en/resources/condom-needs-estimation-toolupdated2)OpenCNETandsaveacopyunderanewname3)Gotosheet“Dashboard”andselectyourcountry4)Gotosheet“3.CondomRequirements”5)Familiariseyourselfwiththeestimatestableandthegraphs6)Makemodificationstothevaluesfor:condomusetarget;thenbrofsexacts;thewastageObservethechangesintheestimates7)GototheDemographicssheet:updatesomeinformationintherightsideofthetableObservethechangesinthepopulationsizesandthecondomusebaselineinthe“estimatessheet”andthechangesintheetsimates8)NavigatetotheothersheetsFemalecondoms&+/en/resources/condom-needs-estimation-toolupdated,Specialtycondoms&LubricantFreecondomsTMACommodityunitcostsCommodityneedsThankyouItistargeted–toatriskprioritypopulationsforcondomprograms.

Itisevidencebased–usingve