FINANCING THE PROGRAM
FINANCING THE PROGRAMFINANCING THE PROGRAM | FP2020 THE WAY AHEAD 2016-2017 /en/fp2020-in-countries/financing-the-program
Mobilizing sustainable resources for family planning is a critical area of work for the entire FP2020 community, and is of urgent concern for countries in the midst of developing and implementing their programs. In an era of heightened uncertainty and shifting donor priorities, countries and partners are exploring new financing models to support existing programs and underwrite new initiatives.
The long-term development trend is toward self-sufficiency, and a number of FP2020 countries are leading the way with larger financial commitments and innovative approaches to funding. Several countries are investigating possibilities.
In an era of heightened uncertainty and shifting donor priorities, countries and partners are exploring new financing models to support existing programs and underwrite new initiatives.
for greater private sector involvement in program funding, commodity sourcing, and delivery channels. The World Bank’s Global Financing Facility (GFF) is a new development model that is designed to support the transition to long-term sustainable domestic financing for the Global Strategy for Women’s, Children’s and Adolescents’ Health. The GFF is tightly linked with countries’ own International Development Association (IDA) credits, with additional funding from the GFF Trust Fund becoming available if countries choose to use IDA to invest in reproductive, maternal, newborn, child, and adolescent health (RMNCAH).
- India announced at the Summit that it was committed to increasing its total allocation for family planning over the 2012–2020 period from US$2 billion to more than US$3 billion. The country will continue the implementation of costed plans for RMNCH+A,b including family planning, at national and sub-national levels.
- All nine countries of the Ouagadougou Partnership are committed to increasing their budget allocations for contraceptive purchases by at least 10% per year. The countries are also committed to building an inclusive approach to resource mobilization involving regional and local authorities, to ensure their accountability for financing the health of their populations.
- As a GFF frontrunner country, the Democratic Republic of Congo is using the GFF opportunity to address underfunded RMNCAH areas, particularly family planning and nutrition, and to strengthen its health systems, including commodity supply chains and public finance management. The government is also preparing a sustainable health financing strategy that focuses on increasing domestic resource mobilization, enhancing the alignment of domestic and external resources, and attracting additional and complementary funding.
- Liberia is a second-wave GFF country, and is investing in adolescent health interventions, maternal and neonatal health, community engagement, and health system strengthening. The GFF is also supporting the development of a health financing strategy, which will lead to a national contributory health scheme for sustainable and equitable financing of health services.
- Nigeria has pledged to ensure a total disbursement of US$56 million for family planning to the states through its GFF and IDA loans. The government is also collaborating with states, donors, and other stakeholders on a health insurance scheme to make household family planning expenditures reimbursable.
- Indonesia is drawing on the private sector to expand access to family planning services under its Universal Health Coverage scheme. The strategy is three pronged: 1) increase the role of private sector doctors and midwives in providing family planning; 2) increase the role of private companies in providing family planning services in the workplace; and 3) improve the quality and accessibility of family planning services at private health facilities. The government is also on track to increase its total budget allocation for family planning from US$255 million in 2015 to US$458 million in 2019, for a total outlay of US$1.6 billion over the 2015–2019 period.
- Kenya is planning to partner with the private sector (including the for-profit sector) for a total market approach to optimizing the use of family planning funding. The total market approach will differentiate population segments according to ability to pay and identify which market players are best placed to reach each segment. Kenya is also committed to ensuring that all 47 counties have a family planning budget line by 2020.
- Guinea is enlisting the support of its mining industry to help fund the country’s family planning program. Based on the national family planning strategy and a gap analysis identifying the resources needed, the Ministry of Health is asking each mining company to help cover the cost of contraceptive commodities and services in the districts where it operates.
A number of countries made commitments at the Summit to expand their domestic budget allocations for family planning (refer here). The World Bank hosted a Summit roundtable that was attended by eight finance ministers from FP2020 countries, all of whom offered strong arguments for the economic value of investing in family planning.
CASE STUDY: LAO PDR
Lao PDR’s approach to family planning is captured by the title of its First National Conference on Family Planning, held in May 2017: “Investing in Family Planning for Economic Prosperity.”
Family planning is recognized as a reproductive right and central to the health and well-being of women and their children. But it’s also seen as vital to building a skilled workforce that can sustain the country long-term.
Lao PDR joined the FP2020 initiative in 2016, and quickly set to work developing a costed implementation plan. The CIP, which was developed with support from the RRM and with the technical assistance of Track20, is distinctive for its use of extensive modeling to identify the most cost-effective interventions under various scenarios.
The final CIP outlines what is required to help Laos achieve its family planning goals and, along the way, graduate from Least Developed Country status. The government will need to invest US$15 million over four years across 18 provinces, with a focus on expanding the range of available methods to include long-acting reversible contraception, increasing the number of midwives able to provide such contraception, improving capacity at health centers, and developing campaigns to reach young people.
INVOLVING THE PRIVATE SECTOR
As pharmaceutical companies and manufacturers of contraceptives, the private sector has always been central to family planning. But there is a growing movement toward a new kind of engagement, as corporations choose to invest in the health of their employees and contribute to broader health initiatives that benefit the entire community.
Forging new partnerships with private sector partners was one of the themes of the Summit, with the spotlight on companies from outside the traditionally engaged health and pharmaceutical industries. These commitments illustrate the different ways in which private sector partners can use their networks, assets, and expertise to reach millions of women and girls:
WORKPLACE HEALTH PROGRAMS
Lindex, the Swedish fashion chain with 480 stores throughout 17 markets, has launched a three-year program worth €430,000 to provide technical, financial, and health training, including family planning, to 83,500 workers (including more than 50,000 women) in their supply chain in Bangladesh.
Similarly, NST, a Philippines-based apparel supplier for global brands such as Ann Taylor, Ralph Lauren, and J. Crew, together with its subsidiaries, Hamlin and Reliance Producers Cooperative, announced its commitment to reach 6,000 employees—4,500 of whom are women—with family planning information and services.
Twinings, the international tea company, is expanding its current women’s health program, which includes family planning, from 6,000 to 40,000 women workers and farmers (representing 60% of their supply chain in Kenya) by 2020.
CLIENT SERVICES AND COMMUNITY BUILDING
CARD-MRI, the largest micro-finance institute in the Philippines, will use its significant micro-finance network to reach at least four million women with reproductive health and family planning information and services by 2020. Together with UNFPA, CARD-MRI will train all its doctors and nurses on modern family planning methods and deploy 17 nurses around the country to provide family planning services.
Spark Minda, a leading Indian automobile manufacturer, aims to reach approximately 3,000 women from lower socio-economic strata and rural areas in the states of Uttar Pradesh, Maharashtra, Tamil Nadu, and Uttarakhand with educational workshops on family planning, reproductive health, and menstrual hygiene.
These commitments illustrate the different ways in which private sector partners can use their networks, assets, and expertise to reach millions of women and girls.
The MTV Staying Alive Foundation, in partnership with Viacom International Media Networks, plans to launch groundbreaking media campaigns addressing youth sexual health—tied to the hugely popular “Shuga” television show—in Nigeria, Egypt, and India, reaching 224 million young people by 2020.
Vodafone Foundation announced US$1 million in support of the Adolescents 360 program in Tanzania, partnering with Population Services International (PSI) in collaboration with the Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation. Through its mobile platform, the Vodafone Foundation will help identify where services are needed and reach over 15,000 adolescents to connect with 150 youth-identified friendly providers.
Deploying their global reach and expertise, Reckitt Benckiser and its Durex brand will share the findings and data from their 4th Global Sex Survey—the largest and most comprehensive global attitudinal survey on social and cultural sex mores, covering all ages across 41 countries—to help governments and health institutions reduce sexual violence, unwanted pregnancies, and sexually transmitted infections.
The acronym RMNCH+A was specifically developed by the Government of India, and has the same meaning as the more commonly-used RMNCAH acronym.