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发布日期:2021年10月28日
Women’s Health

The private sector has an important role to play in contributing to the achievement of the United Nations’ Sustainable Development Goals (SDGs) regarding women’s health.

Highlights
  • Initiated a significant expansion project for our IMPLANON NXT® (etonogestrel) manufacturing capabilities
  • Pledged to provide IMPLANON NXT training applicators available at no cost during product launches in a country
  • Together with the Bill & Melinda Gates Foundation, we extended our commitment to Family Planning 2020 (FP2020) for an additional two years through the end of 2025
  • Added 2D matrix and serialization to the packaging of IMPLANON NXT; surpassing the request to complete serialization by June 2022
Our commitments
  • Support efforts to accelerate access to our products and ensure that reproductive health and rights are included in global, regional and country strategies
  • We seek to ensure global access to our contraceptive products by obtaining and maintaining up-to-date product registrations around the world

While progress regarding women’s health has been made since the launch of the Millennium Development Goals, rates of maternal mortality and unintended pregnancy remain high in many countries, and access to modern contraceptive methods remains limited, especially among the poorest and most vulnerable women and girls.

As the global community embraces the UN SDGs, we continue to support efforts to accelerate access to our products and ensure that reproductive health and rights are included in global, regional and country strategies.

Planned spin-off of women’s health, legacy brands and biosimilars into a new company

In February 2020, our company announced its intention to spin-off products from its women’s health, trusted legacy brands and biosimilars businesses into (Organon & Co.).

International nonproprietary name (IN) Date of prequalification
MARVELON 28Ethinylestradiol + Desogestrel October 21, 2010
EXLUTONLynestrenol June 18, 2010
IMPLANON NXTEtonogestrel May 23, 2013

Pricing and commercialization
The success of reproductive health programs in the developing world relies upon the close cooperation and coordination of many partners. Those include pharmaceutical companies like ours that discover, develop and manufacture contraceptive products; national governments that seek to support family planning through policies that increase the use of contraception and through investment in both procurement and capacity-building; international, bilateral and multilateral donors that finance the purchase of reproductive health commodities and invest in service delivery management and implementation; NGOs that support implementation of such programs; and health care professionals and health extension workers who counsel and provide care for women around the world.

As one of many partners, we take the following steps to support family planning programs and to help increase awareness of and access to a broad choice of contraceptive products:

  • Requests for quotation
  • Pricing
  • Partnering for implementation
  • Public advocacy

Our company receives and responds to “Requests for Quotation” from developing countries’ governments seeking supplies for their own programs (financed by government funds, by multilateral organizations or through bilateral aid); from donor country aid agencies (e.g., , DFID and KfW, a German government-owned development bank) seeking to purchase reproductive health commodities that will be donated to programs in one or more countries; from multilateral agencies, such as 风流医生 韩国电影最新章节列表_风流医生 韩国电影最新章节 风流医生 韩国电影最新章节列表_风流医生 韩国电影最新章节 ,alexagrace小女最新章节_alexagrace小女最新章节目录 alexagrace小女最新章节_alexagrace小女最新章节目录 ,四房开心色播无弹窗全文阅读_四房开心色播最新章节列表 四房开心色播无弹窗全文阅读_四房开心色播最新章节列表 , donating to one or more countries; or from nongovernmental agencies seeking supplies for programs that they manage in one or more countries.

In responding to these requests, we adhere to the specific guidelines of each proposal and act in full compliance with local and international laws and requirements, as well as with our own high ethical standards.

For contraceptive product pricing, we consider a nation’s level of economic development and other relevant factors, including the types of family-planning programs implemented by the local government and maternal mortality rates.

In upper-middle-income and high-income countries, we provide our products at prices that take into account the innovation and value they represent. With a commitment to making our contraceptive products available to the public sector, we also offer discounts to organizations that serve women of all income levels, like Planned Parenthood affiliates, so that the women who rely on their services have routine access to contraceptive options that include non-daily and long-acting reversible methods.

We believe that our pricing approach will help improve product availability while also allowing the company to continue to invest in research, development and production of our products.

Programs and initiatives

Health care provider training

In February 2015, we announced, as part of our commitment to health care provider training, that we would provide IMPLANON NXT training applicators at no cost in FP2020 countries through 2018 as part of the product launch in these countries. Also, in 2019, our company pledged to make these training applicators available at no cost during product launches in a country. In cases not related to a product launch, IMPLANON NXT training applicators were made available at a reduced price.

Partnering for implementation

Given the scope and complexity of resolving the enormous unmet needs for contraceptives in the access markets, partnership with the international community is of huge importance. For example, to ensure the most efficient use of available products and funding, cooperation and alignment is needed to avoid overstocking in certain countries and leaving other countries without product. We continue to work with partners such as UNFPA, USAID, Collaborative Supply Planning Group/RHSC and many others to avoid such unbalances and ensure reproductive health supply chain security.

We support the  and their efforts with the European Parliament to raise awareness and improve equity in access to contraception in Europe where access to modern contraception continues to vary significantly throughout the continent.

Beyond our research, we continue to work hard to develop sustainable business models that will help improve access to our products for the people who need them most. Our partnerships with governments, international organizations and nongovernmental organizations (NGOs) help support and implement programs and policies that improve access and promote capacity-building by helping to train health care professionals and address barriers to care.

Throughout the world, we have partnered with organizations and supported projects that work to increase women’s access to health services, reduce maternal mortality, increase awareness of reproductive/sexual health among adolescents and vulnerable populations, prevent mother-to-child transmission of HIV/AIDS, and promote women’s empowerment and access to economic opportunities.

Through these partnerships we help to expand access to highly effective modern contraception and ensure that health care workers gain access to contraception training.

Reproductive Health Supplies Coalition (RHSC)

The is a global partnership of public, private and nongovernmental organizations (NGOs) dedicated to helping all people in low- and middle-income countries gain access to and use affordable, high-quality supplies that ensure better reproductive health.

The coalition brings together diverse agencies and groups with critical roles in providing contraceptives and other reproductive health supplies. These include multilateral and bilateral organizations, private foundations, governments and civil society and private-sector representatives.

Reproductive Health Global Traceability Advisory Group

Throughout 2019, we continued to participate in the Reproductive Health Global Traceability Advisory Group, convened by USAID and UNFPA. In 2018, all our company’s contraceptive products supplied to USAID received global standardized Global Trade Item Number (GTIN) reference, which was added to individual packs and shipper boxes from mid-2019 onwards. We also added 2D matrix and serialization to the packaging of IMPLANON NXT from mid-2019 onwards, thus surpassing the request to complete serialization by June 2022. This standardization, together with 2D matrix and serialization, strengthens traceability throughout the supply chain.

Global Implant Removal Task Force

Since 2015, we have participated in the Bill & Melinda Gates Foundation-convened Global Implant Removal Task Force, which brings together multiple organizations to deliver clear evidence and best practices and offer tangible solutions for identified problems in implant removal services. This participation is still ongoing. Educational materials that include a training video with on-line access for health care professionals is being used for information and education. The medical toolsets required for both simple and complex removals are available on demand. The taskforce is also conducting studies to obtain numerical information on the number of removals and evaluate experiences.

European Parliamentary Forum for Sexual & Reproductive Rights

Access to contraception should be a key concern of governments in empowering citizens to plan their families and lives. Yet every country analyzed by the needs to do more to improve access. The findings show that for many European countries, ensuring that people have choice over their reproductive lives is not a priority.

We have established a partnership with the European Parliamentary Forum for Sexual & Reproductive Rights (EPF) to support their efforts to raise awareness of inequities in access to contraception and family-planning services among European countries.

Our company provided EPF with support to create the European Contraception Atlas, a unique new online map that scores 46 European countries on access to modern contraception, focusing on access to information and contraceptive supplies.

With criteria established by a multi-stakeholder group of experts in sexual and reproductive health and rights, the Atlas aims to provide a dynamic and robust tool to help improve access to modern contraception.

As a result of this research, the group of experts supported by EPF published a whitepaper, representing a call-to-action and providing recommendations on how to improve access to contraception in Europe. The whitepaper was launched at the European Parliament on September 26, 2018, World Contraception Day.

Now in its third edition, the Atlas keeps tracking progress in government policies on access to contraceptive methods, family planning counseling and the provision of online information on contraception across the European region. Our company continues to support the work of EPF, awaiting the 4th edition of the Atlas in 2020.

1 /sustainabledevelopment/sustainable-development-goals/
2 /news/jul19b_2011.html, /sites/default/files/report_pdf/AddingItUp2009.pdf
3Singh, S., et al., Guttmacher Institute and United Nations Population Fund; 2009.
4 /networks/life-saving-commodities
5Source Family Planning 2020.org
6There are additional unregulated markets where our products may be available that are not represented by these numbers.
7Number represents potential number of women who could be reached based on number of units provided.

Performance data

Though the numbers of product supplied are substantial, the impact of these supplies are even more significant. As an example, the potential impact of the volumes of IMPLANON NXT supplied to FP2020 countries in 2019 are reflected by the following table (Data reflects estimates, based on the MSI Impact 2 v5 tool).

IMPLANON NXT in FP2020 markets2019
Demographic impacts
Unintended pregnancies averted6,000,000
Live births averted3,000,000
Abortions averted2,200,000
Health impacts
Maternal deaths averted14,000
Child deaths averted111,000
Unsafe abortions averted1,700,000
Note: The figures above are estimates, based on the full-service lifespan (2.7 years) impacts. These estimates are based on 2019 supplies (5,053,090 units), using the Impact 2 v5 tool (2016) provided by Marie Stopes International (MSI).