THE FAMILY PLANNING SUMMIT FOR SAFER HEALTHIER AND EMPOWERED FUTURES
THE FAMILY PLANNING SUMMIT FOR SAFER HEALTHIER AND EMPOWERED FUTURESTHE FAMILY PLANNING SUMMIT FOR SAFER HEALTHIER AND EMPOWERED FUTURES | FP2020 THE WAY AHEAD 2016-2017 /en/fp2020-and-global-partners/the-family-planning-summit-for-safer-healthier-and-empowered-futures
The Family Planning Summit for Safer, Healthier and Empowered Futures convened in London on July 11, 2017, the fifth anniversary of the 2012 London Summit that launched FP2020. Co-hosted by the UK Government, UNFPA, and the Bill & Melinda Gates Foundation, in close partnership with the FP2020 Secretariat, the Summit was a moment of solidarity, celebration, and renewal for the entire FP2020 community. In parallel with the Summit in London, more than 3,000 people gathered at 34 satellite events in Afghanistan, Cameroon, Côte d’Ivoire, Democratic Republic of Congo, Ethiopia, Ghana, India, Indonesia, Iran, Kenya, Liberia, Madagascar, Malawi, Myanmar, Nepal, Nigeria, Pakistan, Sierra Leone, Tanzania, Thailand, and Uganda.
The Summit was organized around six major themes:
- Adolescents and Youth
- Humanitarian Settings
- Contraceptive Method Choice
- Supply Chain Strengthening
- Financing Solutions
- Private Sector Networks
Each theme was the focus of intense collaboration leading up to and during the Summit, reflected in numerous commitments, consultations, calls to action, evidence briefs, technical commentaries, side events, and spotlight sessions. Eleven Global Goods were announced (see box), each linked to one of the major Summit themes.
The Summit was the occasion for the announcement of 11 Global Goods: a diverse set of group initiatives in the reproductive health sector involving various combinations of governments, donors, organizations, and multilateral agencies. Each Global Good is of vital importance to the family planning community and was highlighted at the Summit. The Global Goods are featured throughout this report:
Youth Accountability Framework
Global Adolescent Data Commitment
Partnership to Strengthen Country Capacity
Minimum Initial Service Package (MISP)
Global Roadmap for Improving Data, Monitoring, and Accountability for Family Planning and Sexual and Reproductive Health in Crises
DMPA SubQ Collaboration
Global Visibility Analytics Network (VAN)
Adoption of Global Data Standards (GS1)
Bridge Funding Mechanism for UNFPA Supplies
Pathways to Sustainable Domestic Financing for Family Planning/SRHR
A total of 74 commitment makers stepped forward with new and renewed pledges, including 25 new partners making FP2020 commitments for the first time:
- 3 new and 33 renewing FP2020 focus countries;
- 3 new and 8 renewing donor countries;
- 6 new and 3 renewing civil society organizations;
- 13 new and 3 renewing private sector partners; and
- 2 renewing foundations.
Summaries of all the commitments are available on the Summit website, along with related calls to action, publications developed for the Summit, and coverage of the events.
These outcomes and commitments are just the beginning. The Summit served as a nexus for critical conversations about how to strengthen the framework for family planning, accelerate progress on FP2020 goals, and create a brighter future for every woman and girl. The results will help carry the family planning community forward for decades.
An important goal of the Summit was to mobilize global attention to the family planning needs of crisis-affected women and girls. More than 32 million women and girls of reproductive age worldwide are in dire need of humanitarian aid. Millions have been forced from their homes by violence and persecution; millions more are fleeing natural disasters, drought, and famine. For women and girls living in refugee camps and crisis zones, modern contraception is an essential lifesaving intervention.
Access to contraception is often overlooked as an emergency relief priority but, in fact, the need for family planning services and supplies becomes more acute in emergency settings. Women and girls affected by armed conflict and natural disasters are at increased risk of sexual violence and unintended pregnancy. Childbirth is fraught with danger: the rate of maternal death and injury in crisis zones is almost double the world average. Making voluntary contraception available in these settings isn’t an option; it’s a requirement.
With millions of women and girls living in crisis settings, FP2020 commitments and rights-based principles cannot be fulfilled without deliberate efforts to reach these vulnerable populations. Twenty-one FP2020 partners made commitments at the Summit to deliver lifesaving family planning services to women and girls in humanitarian settings and other hardest-to-reach populations, and three Global Goods were announced:
GLOBAL GOOD: Minimum Initial Service Package (MISP)
The Minimum Initial Service Package (MISP) is the international standard for reproductive health care in crisis settings, developed and vetted over the past two decades by the global humanitarian community. The MISP defines a set of lifesaving priority activities that are to be implemented at the onset of every humanitarian crisis, with the goal of ensuring effective coordination and leadership in responding to crisis, preventing and managing the consequences of sexual violence, reducing HIV transmission, preventing excess maternal and newborn morbidity and mortality, and planning for comprehensive sexual and reproductive health care as the situation permits. UNFPA is the custodian of the Reproductive Health kits that are an essential element of the MISP, and ensures that the kits are available to all actors in various humanitarian settings around the world.
An updated version of the MISP, with a new specific objective on the prevention of unintended pregnancies, was announced at the Summit. The revised MISP was launched at the 17th Inter-Agency Working Group for Reproductive Health in Crises (IAWG) annual meeting in Athens, Greece, in November 2017.
GLOBAL GOOD: Global Roadmap for Improving Data, Monitoring, and Accountability for Family Planning and Sexual and Reproductive Health in Crises
The global community needs to improve our ability to deliver for women and girls in crises, and we need to be held accountable. The Global Roadmap for Improving Data, Monitoring, and Accountability for Family Planning and Sexual and Reproductive Health in Crises will address the lack of information that lies behind the failure to reach these most vulnerable women. This game-changing initiative means that, by 2019, we will have more evidence on what methods work in these contexts, and we will be able to gather vital data to enable better outcomes for women and girls.
The roadmap outlines an inclusive process to develop a global data, monitoring, and accountability framework by 2019, and to support the implementation of that framework once developed. The process will include consultation across the humanitarian and development sectors, review of existing data and mechanisms, development of tools and methodologies to use in humanitarian settings, selection of a set of core indicators, and agreement on reporting mechanisms.
DONOR FINANCING INITIATIVES
The Summit featured the announcement of two new donor-led initiatives to address persistent financing challenges in the family planning sector:
GLOBAL GOOD: Bridge Funding Mechanism for UNFPA Supplies
As the world’s largest provider of donated contraceptives, UNFPA Supplies is committed to providing countries with the family planning commodities they need as efficiently as possible. However, in line with UN rules, UNFPA Supplies can only procure family planning supplies with cash on hand—yet the timing of donors’ funding disbursements and countries’ requests for commodities does not always match up. This means that contraceptive orders cannot be placed until donor funding arrives, which results in delayed orders, higher prices and, at worst, shortages and stock-outs at the community level.
That’s why UNFPA Supplies is working with the Bill & Melinda Gates Foundation and DFID to develop a Bridge Funding Mechanism. The proposed Bridge Funding Mechanism would provide a revolving pool of financing of up to US$80 million that UNFPA Supplies can use to place commodity orders to meet country needs. The pool would be replenished when committed donor funding is disbursed later in the year.
The Bridge Funding Mechanism is expected to speed up the procurement process, lower the cost of commodities, and ultimately reduce up to 50% of UNFPA-related commodity stock-outs—delivering better results for countries, donors, and the women and families they serve.
GLOBAL GOOD: Pathways to Sustainable Domestic Financing for Family Planning/SRHR
DFID, Global Affairs Canada, and the Bill & Melinda Gates Foundation will collectively invest US$90 million in mechanisms that enable sustainable domestic financing for family planning. DFID and Global Affairs Canada will invest through the Global Financing Facility to accelerate efforts to achieve sexual and reproductive health outcomes including family planning. The Bill & Melinda Gates Foundation, also an investor in the GFF, will contribute additional, complementary financing to support technical assistance in countries to expand the impact of the DFID and Global Affairs Canada investments.
Photos, left to to right: Priti Patel, Secretary of State for International Development, Government of the United Kingdom Dr. Natalia Kanem, Executive Director, United Nations Population Fund Bottom photo: See full list here 19
A total of 43 partners announced specific, quantifiable financial commitments at the Summit, including 17 FP2020 countries, 14 donors, 7 civil society organizations, and 5 private sector partners. The FP2020 Secretariat and partners have since worked with governments, FP2020 focal points, and in-country partners to better understand and contextualize these commitments.
FP2020 COUNTRIES: Mobilizing domestic resources for family planning is vital to the long-term sustainability of family planning services, and 17 FP2020 countries made domestic financing commitments at the Summit. These pledges total approximately US$3.8 billion, and mark a growing commitment by countries to fund their own programs. For example:
- Senegal committed to increasing their domestic budget allocation for the purchase of contraceptives from 300 million to 500 million West African CFA francs by 2020.
- Bangladesh committed to mobilizing US$615 million from its development budget for the family planning program implemented by the Directorate General of Family Planning as part of its 4th Health, Population and Nutrition Sector Program (2017–2021). This is a 67% increase from the allocation for family planning in the 3rd Program (2012–2016).
- Indonesia increased its total budget allocation for family planning to US$1.6 billion over the 2015–2019 period. This includes an almost two-fold increase in budget allocation from US$255 million in 2015 to US$458 million in 2019. Additional funding assistance for health programs, including family planning, will be provided to local governments in the amount of US$1.7 billion per year. Indonesia has also committed to maintaining a steady increase in its Family Planning Operational Fund between 2018 and 2020, from US$136 million to US$174 million.
Most of the domestic funding pledged at the Summit (96%) comes from three countries: Bangladesh, India, and Indonesia. There continue to be overall challenges in the tracking of domestic expenditures on family planning (see, for example, the discussion here), but efforts are underway by UNFPA, WHO, and others to have validated numbers available in 2018. That will enable greater transparency and accountability as countries’ domestic financing commitments are fulfilled.
DONORS: A total of US$2.6 billion was pledged by 14 donors at the Summit, including commitments by four first-time commitment makers: Canada, Belgium, Finland, and Iceland. Increased financial commitments were also announced by Australia, Denmark, the European Commission, Luxembourg, Netherlands, Norway, Sweden, and the United Kingdom, as well as by the Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation. At this stage, it is estimated that around US$1.25 billion of this constitutes “new funding” that has been pledged in addition to existing baseline spending. This equates to approximately US$400 million per year through 2020.
CIVIL SOCIETY ORGANIZATIONS: Five CSOs announced financial commitments totaling approximately US$64 million, with US$6 million of this coming from a new commitment maker, Comic Relief, which is not donor-funded.
PRIVATE SECTOR PARTNERS: Seven new partners from the private sector made financial commitments totaling almost US$19 million, with investments in workplace health programs, media outreach, and client and community services.
Photo taken at the 2017 Family Planning Summit on July 11th. From left to right:
- Edouard Keita, Ouagadougou Partnership Young Ambassador, Mali
- Margaret Bolaji, FP2020 Reference Group,Nigerian Urban Reproductive Health Initiative
- Pauline Anyona, Organization of African Youth,Kenya
- Qaisar Ahmed, Y-PEER Pakistan, Pakistan
- (kneeling) Isidore Djifa Kuessan, IPPF (AIBEF), Togo
- Melinda Gates, Bill & Melinda Gates Foundaiton
- Amanda Banura, IYAFP, Uganda
- (behind) Franklin Anand, Restless Development and Women Deliver Young Leader, India
- Patrick Mwesigye, Uganda Youth and Adolescents Forum, Uganda
- Halima Lila, TAYARH and RHSC Youth Caucus,Tanzania
- Jona Claire Turalde, University of the Philippines Diliman and SheDecides, Philippines.