Fp2020 pARTNERSHIp IN ACTION 2012-2013 - Family Planning 2020

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                             IN   ACTION

                             ISSUED NOVEMBER 2013
TABLE OF   Executive Summary                                       5
                                                                     CONTENTS   Foreword                                                7

                     When women have the
                                                                                FP2020 PROGRESS                                         9
                                                                                FP2020: Commitments and Accountability                  11

                     tools they need to plan
                                                                                FP2020: Innovation and partnership                      37
                                                                                FP2020: Measuring Progress                              57

                  their families—information,
                                                                                FP2020 Reference Group & Working Group Members          95

                    access to contraceptives,
                                                                                FP2020 Commitment Makers                                99
                                                                                69 Focus Countries                                      101

                     and high-quality health
                                                                                acronyms                                                102

                   care—they are much more
                       likely to finish their
                  education. That gives them
                   the opportunity to do what
                   they do best: build thriving
                     families, communities,
                           and nations.
                                       Melinda Gates
                         Co-Chair, Bill & Melinda Gates Foundation

Partnership in Action                                     3                         4                                            Partnership in Action
EXECUTIVE               At the 2012 London Summit on
                        Family Planning, the leaders of
                                                                     initiated a number of activities to
                                                                     establish the systems and infra-
SUMMARY                 150 countries, international agen-
                        cies, civil society organizations,
                                                                     structure necessary to monitor the
                                                                     impact of family planning programs
                        foundations, the research and                and to strengthen accountability for
                        development community, and the               implementing financial, policy, and
Our goal is to          private sector endorsed the goal
                        of expanding access to family
                                                                     programming commitments. This
                                                                     undertaking included the selection
expand access           planning information, services,              of core indicators, collating corre-

to contraceptives       and supplies to an additional 120
                        million women and girls in the
                                                                     sponding baseline data, improving
                                                                     the way in which family planning
to an additional        world’s poorest countries by 2020.           expenditures are tracked, and
                                                                     launching electronic data collection
120 million women       Family Planning 2020 (FP2020)
                        carries forward this momentum.
                                                                     in select countries.

and girls in the        Since its launch, more than 25,000
                        individuals and organizations
                                                                     Importantly, FP2020 also laid the
                                                                     groundwork to develop a transfor-
world’s poorest         have expressed interest in joining           mative framework to measure and

countries by 2020.      FP2020, and the constellation
                        of stakeholders who are vested
                                                                     report on the autonomy, equity, and
                                                                     human rights–based dimensions of
                        in improving women’s and girls’              family planning programs.
                        lives continues to grow.
                                                                     Countries have made progress
                        One-quarter of FP2020 commitment-            in addressing supply and demand
                        making countries have launched               barriers to accessing family planning.
                        detailed, costed national fam-
                        ily planning plans. One-third of             This report describes significant
                        commitment-making countries have             actions taken in the past year,
                        increased their national budget              including price reduction agree-
                        allocations for family planning              ments, innovations in contraceptive
                        services or supplies. Half of com-           technology, improvements in ser-
                        mitment-making countries have held           vice delivery and commodities
                        national family planning conferences         distribution models, and outreach
                        to emphasize high-level political            to vulnerable and marginalized
                        support and to accelerate progress           groups, in the global effort to con-
                        on family planning strategies.               tinue to expand access and choice
                                                                     for millions of women and girls.
                        Preliminary data on international
                        donor expenditures indicate an               The progress documented in this
                        increased level of disbursements             report demonstrates that we
                        on family planning programs.                 are moving forward—program by
                        Concrete examples of progress                program, clinic by clinic, and com-
                        on the local, national, and regional         munity by community—toward a
                        levels are detailed throughout               future in which all women, no
                        this report.                                 matter what their circumstances,
                                                                     will have the information, services,
                        A rigorous measurement and evalu-            and supplies they need to decide
                        ation agenda has been established            freely and for themselves whether,
                        as a means of guiding progress in            when, and how many children they
                        delivering on the promise set forth in       want to have.
                        London. Over the past year, FP2020

                                                                                                                  Stephanie Freid-Perenchio
                                                                                                                  photography/SFP STUDIO

Partnership in Action                                            5                                            6            Partnership in Action
FOREWORD                It may defy the rules of mathematics,
                        but there is truth to the observation
                                                                      that harnessed market incentives to
                                                                      solve formerly intractable problems.
                                                                                                                  tion, and a lack of appreciation for
                                                                                                                  cultural sensitivities and personal
                                                                                                                  preferences are all formidable barri-
                        that a whole can be greater than              Millions of women in the world’s
                        the sum of its parts. This insight lies       poorest countries will now have             ers. Family planning strategies will
Under the right         at the heart of the Family Planning
                        2020 (FP2020) initiative. We believe
                                                                      access to long-acting, reversible
                                                                      contraceptive methods thanks to the
                                                                                                                  not succeed unless they are embed-
                                                                                                                  ded in a continuum of care, protect
conditions,bringing     that, under the right conditions,
                        bringing together a broad, diverse
                                                                      vision and dedication of colleagues
                                                                      representing governments, NGOs,
                                                                                                                  human rights, and promote gender
                                                                                                                  equality. No plan can be said to
together a broad,       group can yield results far greater           pharmaceutical companies, donors,           serve the needs of women and girls

diverse group can       than the participants would achieve
                        on their own.
                                                                      and multilateral organizations.             if it does not respect their agency.

yield results far       Last year, leaders from govern-
                                                                      Accurate, timely, accessible informa-
                                                                      tion is the lifeblood of this initiative.
                                                                                                                  As we present FP2020’s first annual
                                                                                                                  progress report, we look forward
greater than the        ments, civil society, multilateral
                        organizations, donors, the private
                                                                      That’s why FP2020 is committed
                                                                      to expanding participation in the
                                                                                                                  to the year ahead. We are inspired
                                                                                                                  by the power and promise of infor-
participants            sector, and the research and
                        development community converged
                                                                      practices of measurement, evalu-
                                                                      ation, and adjustment, which for
                                                                                                                  mation, the dynamic intelligence
                                                                                                                  and creativity of our colleagues in
would achieve           at the London Summit on Family                many countries are in their infancy.        all sectors, and our shared dedica-

on their own.           Planning to agree upon one extraor-
                        dinary—but absolutely vital—goal:
                                                                      For the first time, this report docu-
                                                                      ments the results of our collective
                                                                                                                  tion to achieving our common goal.
                                                                                                                  Reaching 120 million additional
                                                                                                                  women and girls with life-saving
                        expand access to family planning              effort to establish a measurement
                        information, contraceptives, and              framework for the initiative. The           contraceptives in just eight short
                        services to an additional 120                 indicators, methodologies, and              years is an ambitious goal, but
                        million women and girls in the                data presented here will serve as           together we will succeed.
                        world’s 69 poorest countries by the           the baseline to gauge our progress
                        year 2020. Seventy commitments                in future years. This is especially
                        were made, and donors and the                 important because, though the
                        private sector pledged US$2.6                 world is spending more on family
                        billion in new funding.                       planning, funding is still inadequate.
                                                                      Budgets for international assistance
                        FP2020 carries forward the momen-             have been cut and programs are                       Dr. Chris Elias
                        tum of the Summit. It is not a                under greater pressure than ever            President, Global Development
                        new NGO, nor is it a vertical fund.           before. Through careful analysis we         BilL & Melinda Gates Foundation
                        Instead, it is a different way of work-       will diminish inefficiencies, leverage
                        ing together: a creative network of           economies of scale, and focus on
                        cooperation that revolves around              plans that work.
                        a hub to promote knowledge
                        sharing and emergent thinking.                Expanding access to contracep-
                        Rather than duplicating efforts or            tives for an additional 120 million
                        pushing organizations into a new              women and girls will require the
                        hierarchy, FP2020’s structure                 equivalent of US$4.3 billion over             Dr. Babatunde Osotimehin
                        encourages partners to align their            the next eight years, over and
                                                                                                                        Executive Director
                        agendas, pool their talents, and              above the US$10 billion necessary
                        utilize existing structures in new            to sustain current use. FP2020 will         United Nations Population Fund
                        and complementary ways. One                   actively seek new funding, policy,
                        year after the Summit, we have                and service delivery commitments.
                        successfully formed new alliances             We will promote accountability for
                        among a broad range of partners               those commitments by tracking
                        from all sectors. We must now hold            and reporting progress, linking with
                        ourselves accountable.                        the UN Secretary General's Global
                                                                      Strategy for Women's and Children's
                        We believe that the family planning           Health, Every Woman, Every Child.
                        community’s greatest resource is
                        the human energy of our diverse               Insufficient funding is just one
                        leaders, experts, advocates, and              reason family planning programs
                        implementers. Some of the most                may fail to reach women and girls.
                        exciting progress of the past year            Social and cultural factors such
                        came from innovative partnerships             as gender inequality, discrimina-

Partnership in Action                                             7                                                                                       8   Partnership in Action
FP2020                  07.12       • London Summit on Family              02.13   • Niger launches costed national     08.13   • FP2020 Rights & Empowerment
Progress                              Planning. 70 commitments made
                                      toward increasing access to
                                                                                     family planning plan
                                                                                   • FP2020 Stakeholders meet
                                                                                                                                  Working Group convenes for first
                                                                                                                                  full meeting, Washington, D.C.
                                      family planning for additional 120           • Agreement to reduce price of               • Burkina Faso launches
                                      million women and girls, including             Jadelle® contraceptive implant               Consolidated Action Plan
2012-2013                             pledges amounting to US$2.6
                                      billion and commitments by more
                                                                                                                                  for Family Planning

                                      than 20 governments                  03.13   • FP2020 Reference Group
                                    • Announcement to expand access
                                      to Sayana® Press injectable
                                                                                     meets for the second time,
                                                                                     Washington, D.C.
                                                                                                                        09.13   • Indonesia holds National Family
                                                                                                                                  Planning Summit, Jakarta
                                      contraceptive                                                                             • Senegal launches nationwide
                                                                                                                                  scale-up of Informed Push Model
                                                                           05.13   • FP2020 commitment makers                     of distribution for contraceptive
                        10.12       • Kenya launches costed national
                                      family planning plan
                                                                                     at Women Deliver Third Global
                                                                                     Conference, Kuala Lumpur
                                                                                                                                • Zambia launches Costed Eight-
                                    • Ghana holds national family                  • PMA 2020 and Track 20                        Year Integrated Family Planning
                                      planning conference, Kumasi                    projects launch                              Scale-up Plan
                                                                                   • Agreement to reduce price of               • FP2020 Reference Group
                                                                                     IMPLANON® and IMPLANON NXT®                  Meeting, New York
                        11.12       • Ethiopia holds National Family                 contraceptive implants                     • Family Planning Association
                                      Planning Symposium, Bahir Dar                • FP2020 Reference Group meets                 of Pakistan holds Towards
                                    • India holds National Review                    for the third time, Kuala Lumpur             Realizing Family Planning Vision
                                      Meeting on Family Planning,                                                                 2020 seminar
                                      New Delhi
                                    • Nigeria holds National Family        06.13   • Burkina Faso launches national
                                      Planning Conference, Abuja
                                    • Senegal launches National
                                                                                     family planning plan
                                                                                   • Memberships of FP2020 Country
                                                                                                                        10.13   • Tanzania holds national
                                                                                                                                  family planning conference,
                                      Strategic Plan for Family                      Engagement, Performance                      Dar-es-Salaam
                                      Planning Promotion                             Monitoring & Accountability, and           • FP2020 Market Dynamics
                                    • Kenya amends National Family                   Rights & Empowerment Working                 Working Group membership
                                      Planning Service Provision                     Groups announced                             announced
                                      Guidelines, allowing trained
                                      community health workers to
                                      offer injectable contraceptives
                                      at community level
                                                                           07.13   • Uganda’s Parliament approves the
                                                                                     National Population Council Bill
                                                                                                                        11.13   • Third International Conference
                                                                                                                                  on Family Planning, Addis Ababa.
                                                                                   • One-year anniversary of the                  New FP2020 commitments
                                                                                     London Summit on Family                      announced
                        12.12       • Responsible Parenthood and
                                      Reproductive Health Act signed,
                                                                                   • FP2020 Country Engagement
                                    • Malawi approves National
                                                                                     Working Group convenes for first
                                                                                     full meeting, Washington, D.C.
                                                                                                                        12.13   • Uganda to hold national family
                                                                                                                                  planning conference
                                      Population Policy                            • FP2020 Performance Monitoring
                                    • FP2020 Reference Group meets                   & Accountability Working Group
                                      for the first time, New York                   convenes for first full meeting,

Partnership in Action           9                                                           10                                                          Partnership in Action
                                                  Family planning programs have had a     many decision makers, funding and
                             SECTION 01           profound impact in a relatively short
                                                  period of time. In the developing
                                                                                          implementing these programs were
                                                                                          no longer priorities.
                                                  world, the contraceptive prevalence
                             Commitments          rate (modern methods) rose from
                                                  negligible levels in the 1960s to
                                                                                          Today, this work remains far from
                                                                                          finished. There are more than 220
                             and Accountability   55% in 2000.1 Although many
                                                  groups were underserved, steady
                                                                                          million women in developing countries
                                                                                          who don’t want to get pregnant but
                                                  progress was manifest.                  lack access to the family planning
                                                                                          information, services, and supplies
                                                  But the gains stopped, and the          they need. Nothing short of our full
                                                  contraceptive prevalence rate           dedication is required to surmount
                                                  leveled off. Support for family         the logistical, financial, geographical,
                                                  planning and reproductive health        and other barriers they face. It is
                                                  remained high, but the sense of         to these women that FP2020 is
                                                  urgency had waned. For far too          ultimately accountable.

                                                                                                               Singh S and Darroch JE,
                                                                                                               Adding It Up: Costs and
                                                                                                               Benefits of Contraceptive
                                                                                                               Services, Estimates for 2012,
                                                                                                               New York: Guttmacher Institute
                                                                                                               and United Nations Population
                                                                                                               Fund (UNFPA), 2012, http://

Partnership in Action   11                        12                                                                    Partnership in Action
Women and                                                                                                                     FAMILY
Girls at                                                                                                                      PLANNING
the Heart                                                                                                                     2020
of FP2020
Bridget Anyafulu is the                 was caught taking a pill, his wrath,         She went from village to village and     The 2012 London Summit on                countries to adhere to a new
founder and executive director          and the wrath of his family, could           home to home, talking with leaders       Family Planning was intended to          reporting regime. FP2020 does not
of the International Centre for         be formidable.                               and individual husbands about            reenergize the global family planning    divert attention from its constituent
Women’s Empowerment and Child                                                        the benefits of family planning.         community, but the enthusiasm it         stakeholders, but rather magnifies
Development (ICWECD). She is            The women devised a plan. They               She persuaded them that having           unleashed far exceeded expecta-          their ability to mobilize resources
based in Delta District, Nigeria.       bundled up their contraceptives              fewer children, who are healthy and      tions. Leaders from 150 donor and        and deliver life-saving services.
She is a member of the FP2020           and hid them in a tree near the              educated, is a better legacy than        developing countries, international
Rights & Empowerment Working            river. Every day, on their way to            having many children whose pros-         agencies, civil society organizations,   FP2020 structure
Group, with whom she shared             fetch water, they could take their           pects are dim. She helped them           foundations, and the private sector
this story.                             pills out of sight of the men.               understand that when a mother            joined together to endorse the goal      FP2020 is governed by a Reference
                                                                                     dies in childbirth, the whole family     of expanding access to contracep-        Group that sets the overall strategic
A project that brings fresh running     Then the pipes came. Now, with               and the community suffer.                tives to an additional 120 million       direction and drives coordination
water to a remote, impoverished         running water not 200 meters from                                                     women and girls in the world’s           among the partnership’s stakehold-
village — how could it be anything      their doorsteps, the women had               It took many years of hard work,         poorest countries.                       ers. The Reference Group has 18
other than a blessing?                  no excuse to visit the tree by the           but today, attitudes in Delta District                                            members representing govern-
                                        river. They didn’t want to get caught        have changed. Family size is smaller,    FP2020 carries forward this momen-       ments, multilateral organizations,
The local women didn’t see it           by their husbands, but no woman              and there are fewer maternal and         tum. Since its launch, more than         civil society, and the private sector.
that way.                               wants to die in childbirth or lose           newborn deaths. There is still a         25,000 individuals and organiza-
                                        her newborn.                                 long road ahead, but the lessons         tions have expressed interest in join-   The current Co-Chairs of the Refer-
In a small village in the Delta                                                      are clear. Services should never         ing FP2020, and the constellation        ence Group are Dr. Babatunde
District of Nigeria, women would        So they came up with a new                   be implemented without a deep            of stakeholders continues to grow.       Osotimehin, Executive Director
walk up to four kilometers every day    plan. The women vandalized the               understanding of the needs of all                                                 of UNFPA, and Dr. Chris Elias,
to get water from the nearest river.    water pipes.                                 members of a community. Building         FP2020 has developed a platform          President of the Global Develop-
These women had a secret.                                                            a pipeline is not enough. For            that recognizes change must occur        ment Program at the Bill & Melinda
                                        When Bridget saw what had                    change to take root, we must place       on multiple levels, across multiple      Gates Foundation. To date, the
Many were desperate to delay            happened, she knew the problem               women’s empowerment at the               sectors, by enabling a broad range       Reference Group has met four
getting pregnant. Local people          was neither the pipes nor the                center of the development agenda.        of allies to participate in their        times: in December 2012 and in
believed husbands should decide         women. She understood that                                                            area of expertise. The structure of      March, May, and September 2013.
how many children to have, and          the root of the trouble was the                                                       FP2020 fosters the cross-pollina-
men preferred big families. It was      husbands’ attitude toward family                                                      tion of ideas and creates a space        FP2020 has a Task Team respon-
not unusual for women to give birth     planning, and the cultural norms                                                      to reach consensus, especially on        sible for the implementation of day-
eight, nine, or 10 times. Motherhood    that kept women disempowered.                                                         crucial matters such as indicators       to-day activities. It is led by Valerie
started early; one assessment           She also knew that if this was a                                                      to monitor progress.                     DeFillipo, reports to the Reference
found that approximately 50% of the     problem in one village, it was likely                                                                                          Group, and is hosted by the UN
village’s girls already had a child.    a problem in other Delta District                                                     Equally important are the things         Foundation. The Task Team moni-
Tragically, maternal and child deaths   communities.                                                                          FP2020 does not do. It does not          tors overall progress for reporting
were common.                                                                                                                  create bottlenecks by funneling all      to countries and to the Reference
                                        Bridget’s strategy was to convince                                                    participants into one-size-fits-all      Group, coordinates across other
If a woman could get to a hospital,     husbands that women have the right                                                    strategies. In recognition that          entities and external groups, and
she could get access to contracep-      to live and to see their children grow                                                duplicative reporting structures         supports Working Group strategies
tives. But getting there was only       and thrive. To do that, women need                                                    create significant administrative        and implementation.
part of the problem. By taking          to space their pregnancies and have                                                   burdens, FP2020 does not require
contraceptives, a wife was usurping     fewer children.
her husband’s authority. If she

Partnership in Action                                                           13                                            14                                                                  Partnership in Action
The imperatives of human rights            guidance, best practices, and tools
and public health are not merely           to ensure that a rights-based
compatible; they are indivisible.          approach underpins the design,
FP2020 has four Working Groups             implementation, monitoring, and
that mirror the lateral, organic
interrelation of the forces that
                                           evaluation of family planning
                                           programs. RE WG will collaborate                 The London Summit on Family
contribute to rights-based family
planning programs.
                                           with other Working Groups and
                                           partners to address the full range           Planning last year was a starting point
• Countries vary in the type of
                                           of barriers that limit or prevent
                                           many women from using family                 for determined global action on family
  support they need to develop,
  implement, and monitor transfor-
                                           planning information, services,
                                           and supplies, and to prioritize            planning. Public, private and civil society
                                                                                       partners from around the world agreed
  mational national family planning        human rights principles such as
  strategies. The Country Engage-          participation, accountability, non-
  ment Working Group (CE WG) works         discrimination, empowerment,
  with partners to provide support
  to accelerate the implementation
                                           transparency, and sustainability in
                                           all FP2020 activities.                           to a goal of giving an additional
  of country plans within the context
  of their reproductive, maternal,       • FP2020’s Market Dynamics                   120 million girls and women in the world’s
  newborn, and children’s health
  strategies. CE WG facilitates
                                           Working Group (MD WG) will
                                           improve global and national                  poorest countries access to voluntary
  access to technical, funding, and
  other assistance, and coordinates
  information sharing and peer-
                                           markets to sustainably ensure
                                           choice and equitable access to
                                           a broad range of high-quality,
                                                                                               family planning by 2020.
  to-peer support. CE WG works             affordable contraceptive methods.
  with the Performance Monitoring
  & Accountability Working Group
                                           MD WG is driven by the need
                                           to ensure that family planning           Investing in girls and women in this way is also
                                                                                    the smart thing to do. It is about giving women
  (PMA WG) to measure the impact           commodities are available for an
  of family planning programs and          additional 120 million women
  to strengthen countries’ efforts         and that the market is healthy
  to collect and utilize data on an
  ongoing basis to inform decision
                                           enough to sustain this demand
                                           after 2020. A well-coordinated,           in developing countries the choice over when
  making.                                  expert working group focused on
                                           addressing tensions and infor-           to get married and how many children to have,
• Substantial and consistent moni-
  toring and evaluation efforts are
                                           mation gaps in the market can
                                           unlock new and important oppor-          control over their lives and their job prospects,
  central to FP2020’s efforts to track
  advances, identify gaps and chal-
  lenges, and promote accountability.
                                           tunities to ensure that access
                                           to contraceptive supplies and
                                           services is expanded. That is the
                                                                                           and a voice in their communities.
  The PMA WG strives to improve the        aim of market shaping, whether

                                                                                    I welcome the progress the FP2020 movement
  quality and availability of informa-     it is achieved by making products
  tion for use at the community,           more affordable, ensuring appro-
  country, and global levels and to        priate product design, securing
  further explore methodologies to
  measure service quality, encour-
                                           adequate and sustained supplies,
                                           improving product quality, or              has made so far and the UK will continue to
  age the use of data in program
  management and policy develop-
                                           increasing product availability.
                                                                                       play its part. Our goal must be for all girls
  ment, and embed human-rights
  approaches recommended by the
                                         Each Working Group has an
                                         affiliated Consultative Network of              and women to have the opportunity to
  Rights & Empowerment Working
  Group (RE WG).
                                         stakeholders who will be engaged
                                         periodically for input on Working
                                         Group activities. The Consulta-
                                                                                                 shape their own future.
• FP2020 envisions a world where         tive Networks provide additional
  the right of women and girls,          expertise and are instrumental in
  no matter where they live, to          identifying critical resources and                  The Right Honourable Justine Greening
  decide whether and when to have        materials that highlight success                    MP, Secretary of State for International
  children is respected, protected,      stories, high-impact practices, and                       Development, United Kingdom
  and fulfilled. The RE WG acts          innovations to share with decision
  as a resource for expertise,           makers at the country level.

Partnership in Action                                                          15                    16                                 Partnership in Action
Progress on
to FP2020

The enthusiasm that emerged                                     FP2020 Commitment Makers
at the London Summit on Family
Planning is yielding tangible results,
and it is clear that countries2 are
leading the way. As of July 2013,
countries comprised one-third of the
70 commitment makers to FP2020.

The FP2020 commitment-
making countries are:
Bangladesh                      Pakistan
Burkina Faso                    Philippines                      6%
Côte d’Ivoire                   Rwanda
Ethiopia                        Senegal
Ghana                           Sierra Leone
India                           Solomon Islands
Indonesia                       South Africa3
Kenya                           Tanzania
Liberia                         Uganda
Malawi                          Zambia
Mozambique                      Zimbabwe
Niger                                                            27%


2                               3
                                                                Low- and Middle Income     Donor Countries,
FP2020's goal is to enable      South Africa's GNI does not     Countries (24): 34%        Foundations, Private
an additional 120 million       qualify as one of the world’s
women in the world's poorest    poorest based on the World                                 Sector (19): 27%
countries (FP2020 focus         Bank 2010 classification
countries) to use modern        using the Atlas Method.
contraception by 2020. These                                    Civil Society              Multilaterals and
countries—69 in total—are
defined as those with a                                         Organizations (23): 33%    Partnerships (4): 6%
gross national income (GNI)
of $2,500 per year or less
(based on the World Bank
2010 classification using the
Atlas Method).
                                                                                                                       Stephanie Freid-Perenchio
                                                                                                                       photography/SFP STUDIO

Partnership in Action                                                                 17                          18            Partnership in Action
Progress is driven by the govern-
ments of these countries, in
                                        Snapshot of Country-Led Progress
collaboration with civil society
organizations, service providers,
                                        Burkina Faso                                                                           Pakistan
advocates, industry leaders, and
                                        National family planning plan launched                                                 National budget for family planning increased for fiscal years 2012-2013
experts. Multilateral organizations,
                                        Introduction plan for Sayana® Press approved                                           Provinces currently developing budget frameworks for financing of family planning
foundations, and other members
of the global family planning
community provide support and           ethiopia                                                                               SENEGAL
technical assistance.                   National Family Planning Symposium                                                     National Strategic Plan for Family Planning Promotion launched
                                        National budget for family planning increased                                          Informed Push Model of distribution scaled up nationwide
One-quarter of FP2020 commit-           Community Health Extension program expansion continued                                 Introduction plan for Sayana® Press approved
ment-making countries have
launched detailed, costed national
                                        GHAna                                                                                  Sierra Leone
family planning plans. One-third
                                        National Family Planning Conference                                                    National budget for family planning increased
of commitment-making countries
have increased their national                                                                                                  Voucher system implemented for family planning services for the poor
budget allocations for family plan-     india                                                                                  School for Husbands initiative launched
ning services or supplies. Half         National Review Meeting on Family Planning                                             Civil society organizations supported to monitor distribution of
                                                                                                                               reproductive health commodities
of commitment-making countries
have held national family plan-
ning conferences to emphasize                                                                                                  South Africa
high-level political support and to     National Family Planning Summit
                                                                                                                               Revised policy to require public health facilities to offer all contraceptive methods
accelerate progress on family plan-     National budget for family planning increased
ning strategies. Preliminary data on    Family planning services and supplies available free of charge in national insurance
                                        program, commencing January 2014                                                       Tanzania
international donor expenditures
                                        National resources redirected to smaller islands and areas with greatest unmet need    National family planning conference
indicate an increased level of
disbursements for family planning                                                                                              National budget for family planning increased
programs. Concrete examples of                                                                                                 Framework contract for procurement of contraceptives endorsed by government
progress on the local, national, and                                                                                           Guidelines approved to allow NGOs direct access to Medical Stores Department
                                        Costed national family planning plan launched
regional levels are detailed through-   National budget for family planning services and commodities both increased
out this report.                        Guidelines changed to allow community health workers to provide injectables            Uganda
                                        Increased access to family planning services for the impoverished and youth            Stakeholders meeting to develop FP2020 action plan
                                                                                                                               National budget for family planning supplies increased
                                                                                                                               Reproductive health subaccount established to track resource flows
                                                                                                                               Unified, costed, national family planning plan under development
                                        National Population Policy approved
                                                                                                                               Policy changed to allow health worker task sharing and administration of injectables
                                                                                                                               Introduction plan for Sayana® Press approved
                                        Niger                                                                                  Vouchers for postpartum IUDs
                                        Costed national family planning plan launched                                          Planning under way for first national family planning conference (December 2013)
                                        Introduction plan for Sayana® Press approved                                           Parliament passed bill to establish National Population Council
                                        Meeting of 80 traditional chiefs convened by government and UNFPA to
                                        discuss family planning
                                        School for Husbands initiative expanded                                                Zambia
                                                                                                                               Costed Eight-Year Integrated FP Scale-up Plan 2013-2020 launched
                                                                                                                               Pilot study on allowing community health workers to provide contraceptive injections
                                                                                                                               Implementing scale-up of mobile health services
                                        National Family Planning Conference organized
                                        National budget for family planning commodities and services increased
                                        Gombe State plan to expand access to family planning launched
                                        Policy change to allow community health workers to provide injectable contraceptives
                                        Cluster model of integrated services implemented by Nigeria Planned Parenthood
                                        President launched Saving One Million Lives initiative
                                        Family planning trainings scaled up
                                        Trainings of community health workers on injectable contraceptives begin
                                        Distribution of contraceptives to the last mile using review-resupply meeting model
                                        BCC and media campaign to increase knowledge and awareness of female condoms
                                        Detailed implementation plan to expand use of modern contraception developed

Partnership in Action                                                   19                                                                                                        20                                   Partnership in Action

                             Family planning is
                           not a privilege, but a
                                                            Ghana’s Commitment                     Ghana has a diverse and inspiring         As the delegation toured the facility,
                                                            to FP2020                              range of family planning and              they happened to notice one person
                                                                                                   maternal health programs. The             who wasn’t taking part in the excite-
                                                            Ghana is committed to making           city of Tamale, for example, has          ment. Her name was Afia, pictured

                            basic human right.
                                                            family planning free in the            a brand-new Marie Stopes clinic           here, and she sat very quietly in a
                                                            public sector and to supporting        situated in the middle of an              corner, on a hard, wooden bench.
                                                            the private sector in providing        enormous open-air market. Fully           A midwife was by her side.
                                                            services. Services will be available   stocked with a range of family

                           By enabling women,
                                                            for young people through youth         planning information and modern           Afia’s face was etched in pain, but
                                                            promoters and adolescent-friendly      contraceptive options, it makes           her cries were muted. With quiet
                                                            services. Improved counseling and      access easy for the women who             dignity, and few of the trappings that
                                                            customer care will be prioritized.     work in the crowded midday market.        attend births in wealthier countries,

                           particularly the most
                                                            Contraceptive choices are being                                                  they found out she was in labor
                                                            expanded to include a wider range      Worlds away from the bustle of            to deliver her first child. She had
                                                            of longer-acting and permanent         the city, there are clinics such as       reason to be scared.

                            disadvantaged and
                                                            methods, along with task shifting      the one Planned Parenthood of
                                                            options and improvement of post-       Ghana, built in an isolated village       In Ghana, for every 100,000
                                                            partum and post abortion family        north of Bolgatanga. It offers an         women who go into labor, 350 die
                                                            planning services. The government      integrated mix of family plan-            while giving birth or because of

                        hardest to reach, to make
                                                            has put in place a comprehensive       ning and other health education           pregnancy-related complications.
                                                            multisector program to increase        services. The local people are
                                                            demand for family planning as a        proud of their clinic. It is their        The following day, the delegation
                                                            priority intervention in the MDG 5     only source of medical care.              learned that Afia had had a lovely

                         informed choices about
                                                            Acceleration Framework, including                                                baby girl, and both mother and
                                                            advocacy and communications to         Not long ago, UNFPA Ghana                 child were happy and, most impor-
                                                            improve male involvement, such         welcomed a delegation of leaders at       tantly, healthy.
                                                            as the “Real Man” campaign.            the isolated clinic. To get there, they

                            the number, timing
                                                                                                   rode by bus from the nearest city         In the coming months and years,
                                                                                                   for three hours on unpaved roads.         the Planned Parenthood of Ghana
                                                                                                                                             clinic will help Afia keep herself and
                                                                                                   The delegation was greeted with           her baby healthy, and will give her

                           and spacing of their
                                                                                                   enthusiasm and excitement. About          the information and contraceptives
                                                                                                   200 people —village elders, moth-         she needs to plan her family and
                                                                                                   ers and fathers, grandmothers and         her future.

                          children, we help them
                                                                                                   grandfathers, children—had come
                                                                                                   out to show support for their clinic.
                                                                                                   They talked about the difference the
                                                                                                   clinic was making in their lives.

                            exercise this right.
                               Dr. Babatunde Osotimehin                                            The Planned Parenthood of

                                Executive Director, UNFPA                                          Ghana clinic will help Afia keep
                                                                                                   herself and her baby healthy.

                                                                                                   Stephanie Freid-Perenchio
                                                                                                   photography/SFP STUDIO

Partnership in Action                                21                                            22                                                                  Partnership in Action
                     The London Summit
                    on Family Planning was                           Indonesia’s commitment
                                                                     to FP2020
                                                                                                            on the FP2020 Reference Group.
                                                                                                            BKKBN’s Dr. Siti Fathonah serves
                                                                                                                                                     One highlight of the summit was
                                                                                                                                                     a panel of young people who

                      a defining event for
                                                                                                            on FP2020’s CE WG, and Dr. Roy           discussed the needs of youth
                                                                     Starting January 1, 2014, family       Tjiong of the Indonesian Planned         in Indonesia and challenged the
                                                                     planning services and supplies will    Parenthood Association serves on         government to increase the legal
                                                                     be available free of charge through    PMA WG. All three played an active       age for marriage from 16 to 18

                 Indonesia's family planning
                                                                     Indonesia’s universal health           role in designing and executing the      years old. They asked for more
                                                                     coverage system, and efforts are       Indonesia summit.                        attention and resources for sexuality
                                                                     underway to improve 23,500 clinics                                              education and greater support for
                                                                     and strengthen human resources in      Historically, Indonesia had one          young people, especially the poor

                  program. Our commitment
                                                                     order to meet increased demand.        of the world’s most successful           and most vulnerable. The Minister
                                                                     Resources are being reallocated        family planning programs. However,       of Health, Dr. Nafsiah Mboi, spoke
                                                                     to focus on the most densely           progress has decelerated over the        of the critical importance of family
                                                                     populated areas, and efforts will      last decade, and the contraceptive       planning in reducing maternal and

                there crystallized actions we
                                                                     be concentrated on reaching            choices available for women have         infant mortality, and underlined the
                                                                     populations in rural areas and on      diminished. Today, fewer women           need to collaborate across govern-
                                                                     smaller islands. The government        are using IUDs and implants than         ment programs to support the
                                                                     is committed to working with

                     were considering for
                                                                                                            15 years ago. Responding to this         needs of women and girls. Attend-
                                                                     national and international partners    stagnation, Indonesia committed          ees applauded midwives for their
                                                                     to provide the technical support       to improving the quality of its family   heroic efforts to improve maternal
                                                                     needed to provide gender-sensitive,    planning program at the London           health and for the pivotal roles

                   revitalizing our program.
                                                                     high-quality family planning infor-    Summit on Family Planning.               they play in improving access to
                                                                     mation and services to all people,                                              family planning and expanding
                                                                     including unmarried women, youth,      Responding to this commitment,           contraceptive options.
                                                                     and the poor.                          BKKBN convened four FP2020

                  FP2020 continues to be a
                                                                                                            country meetings. The meetings,          Another high point was the
                                                                     Indonesia’s Family Planning            which were co-chaired by USAID and       announcement that BKKBN and
                                                                     Summit and Commemoration of            UNFPA, had a catalytic impact on the     the Population Commission of the
                                                                     World Contraception Day, held on       reproductive health community and        Philippines had signed a memoran-

                   catalyst, as was evident
                                                                     September 26, 2013, in Jakarta,        reframed and reinforced the govern-      dum of understanding to support
                                                                     was a resounding success. More         ment’s revitalization efforts.           south-to-south collaboration, with a
                                                                     than 1,700 participants were in                                                 focus on Mindanao Island, a conflict
                                                                     attendance. The Vice President of      BKKBN’s new chair, Dr. Fasli Jalal,      area in the Philippines that has a

                 during Indonesia's Summit
                                                                     Indonesia, Dr. Boediono, opened        told the Indonesia Family Planning       majority-Muslim population. Areas of
                                                                     the meeting by reiterating the         Summit attendees that family             collaboration include strengthening
                                                                     government’s strong commitment         planning must be prioritized as a        the role of faith-based organizations,

                      on Family Planning.
                                                                     to family planning and by person-      long-term, multisector development       sharing lessons on decentralization
                                                                     ally pledging his full support. Five   issue. To do so, it is essential to      and local advocacy, and sharing
                                                                     government ministers presided          build support in the local govern-       best practices.
                                                                     over the opening and high-level        ments of more than 500 districts.
                                                                     panel discussions.                     Some significant actions discussed
                                                                                                            during the summit include increas-
                                                                     Dr. Julianto Witjaksono, Deputy        ing access to long-acting methods
                                                                     of Family Planning and Repro-          of contraception, improving and
                                 Dr. Julianto Witjaksono             ductive Health of Indonesia’s          increasing midwifery services,
                        Deputy of Family Planning and Reproductive   National Population and Family         and mounting a communications
                         Health of Indonesia’s National Population   Planning Board (BKKBN), serves         campaign to raise awareness of
                            and Family Planning Board (BKKBN)                                               family planning choices.

Partnership in Action                                  23                                                   24                                                                 Partnership in Action
A CLOSER LOOK:                                                                                                         Government of Uganda Funding for FP/RH Commodities:
                                                                                                                       Allocation Versus Expenditures, 2005/06 – 2013/14                                                                Spent
UGANDA                                                                                                                 (US$ Millions)

Uganda’s Commitment                  private providers of contraceptive        policy. These innovations include

to FP2020                            services and supplies in the country,     task sharing for contraceptive

                                                                                                                       US$ MILLIONS

                                     strategized a total market approach       procedures and provision of contra-
At the London Summit on Family       to coordinate service delivery and        ceptive injectables by village health
Planning, Uganda committed to        increase access to a full range of        teams, and postpartum availability
reduce unmet need for family         contraceptive methods. Donors,            of IUDs through voucher programs.
planning from 40% to 10% by          government, and others assessed           PPDARO will lead efforts to track the
2022. Uganda will increase the       the realities of speeding delivery of     continued fulfillment of the commit-
annual government allocation         services and supplies to ensure           ment. The first-ever Ugandan family

for family planning supplies from    universal access to quality, voluntary    planning conference will take place
US$3.3 million to $5 million for     family planning services.                 in December 2013, coordinated by
the next five years and improve                                                the Ministry of Health, UFPC, and
accountability for procurement       Within a year, the three main pillars     others, with support from UNFPA.
and distribution. The government     of the commitment—increased
will develop and implement a         national government investment in         Though Uganda’s family planning
campaign for integration of family   family planning, more donor support,      needs are acute, there is renewed


planning into other services. This   and systems strengthening—had             optimism that progress is possible

will include partnerships with       been accomplished. Specifically,          and that health and development
the private sector and scaling       the allocation for family planning        prospects will be significantly

up of innovative approaches,         supplies increased from US$3.3            improved. With gains made toward



such as community-based

                                     million to $5 million in the current      fulfillment of the FP2020 commitment,

distribution, social marketing,      budget. UNFPA, USAID, and DFID            universal access to family planning

social franchising, and youth-       exceeded the additional $5 million        is within reach.
friendly service provision. Uganda   called for from donors. Finally, a
will strengthen the institutional    reproductive health subaccount was                                                                   2005/     2006/     2007/    2008/   2009/   2010/       2011/   2012/   2013/
capacity of public and community-    established to track reproductive                                                                    2006      2007      2008     2009    2010    2011        2012    2013    2014
based service delivery points to     health resource flows and improve
increase choice and quality of       the National Medical Stores’
care at all levels.                  capability to distribute reproductive
                                     health supplies and commodities.
In September 2012, the Ugandan
Ministry of Health brought           The government and its partners
stakeholders together to begin       are now working to create a unified
an intensive, collaborative effort   and costed national plan for family
to capitalize on President Yoweri    planning using the FP2020 commit-
Museveni’s commitment to             ment as a guide and to firmly ground
FP2020. Partners in Population       the plan in Uganda’s development
and Development Africa Regional      priorities. The plan is expected to
Office (PPDARO) convened             be completed and implementation
members of parliament to share       underway by the end of 2013.
the President’s commitment and
devise an action plan to hold the    The UFPC and Advance Family Plan-
government accountable. The          ning have already begun expanding
Uganda Family Planning Consortium    access to family planning through
(UFPC), comprising of all major      innovations supported by government

                                                                                                                                                                                                                                   Reproductive Health Financing
                                                                                                                                                                                                                                   for Uganda: Commitment to
SOURCE                                                                                                                                                                                                                             Action. Partners in Population
Advance Family Planning,                                                                                                                                                                                                           and Development Africa
September 2013.                                                                                                                                                                                                                    Regional Office, June 2013.

Partnership in Action                                                     25                                                                                             26                                                                  Partnership in Action
HIGHLIGHT                     Accountability:
                                                                                     from Commitments
                                                                                     to Progress

                                                       UNFPA Disbursements           Accountability is an aspect of          ning expenditures, consistent data
                                                                                     justice: it invokes the expectation     sources, and common reporting

                        Uganda’s FP2020
                                                       At the London Summit          that institutions will understand and   periods (see page 90).
                                                       on Family Planning, UNFPA     respect the needs of all the people
                                                       committed to increasing       who are affected by their actions,      Tracking Donor Expenditures
                                                       the proportion of its         and will operate in a way that

                      commitment presents              resources focused on
                                                       family planning from
                                                       25% to 40%, based on
                                                                                     promotes equity and inclusion.

                                                                                     FP2020 will promote accountability
                                                                                                                             Tracking donor expenditures is
                                                                                                                             critical to accountability, yet current
                                                                                                                             financial tracking mechanisms are

                  a great opportunity to move
                                                       funding levels at that        by tracking progress on existing        limited in their ability to provide real-
                                                       time. It calculates that      and new commitments. There has          time information specific to family
                                                       this will bring new funding   been a surge of investment as           planning assistance and do not fully
                                                       for family planning of at     a result of FP2020 to establish         account for all resource flows.

                  forward on family planning.
                                                       least US$174 million per      mechanisms to monitor the
                                                       year from 2013 to 2019.       implementation of commitments           Beginning in 2014, the Kaiser
                                                       In 2012, UNFPA spent          and elevate civil society voices in     Family Foundation (KFF) will report
                                                       approximately 40% of its      debates to shape country-level          annually on global family planning

                    We have already met the
                                                       total resources on family     policies and programs.                  disbursements from all public and
                                                       planning (~US$272 million)                                            private sources. KFF will adapt
                                                       and approximately 70% on      While it did not have the infra-        the comprehensive methodology it
                                                       sexual and reproductive       structure in place to do so this        uses to monitor global spending on

                  main first-year components
                                                       health (~US$470 million).4    year, FP2020 does intend to             HIV/AIDS to measure family plan-
                                                                                     track financial, policy, and service    ning financing. This year, KFF began
                                                                                     delivery commitments going              to track donor government disburse-
                                                                                     forward. FP2020’s methodology           ments for family planning in an effort

                  of the commitment and now                                          will be informed by feedback from
                                                                                     countries, lessons learned from the
                                                                                     Partnership for Maternal, Newborn
                                                                                                                             to establish the baselines necessary
                                                                                                                             to monitor progress toward meeting
                                                                                                                             FP2020 financial commitments.

                   we must work together to
                                                                                     and Child Health’s monitoring
                                                                                     of commitments to the Global            While support from all sectors is
                                                                                     Strategy, and expertise from the        critical to meeting our goal, donor
                                                                                     Commission on Information and           governments provide a significant

                       see them bear fruit.
                                                                                     Accountability and the independent      share of global funding for family
                                                                                     Expert Review Group.                    planning services. Preliminary data
                                                                                                                             from KFF’s research indicate donor
                                                                                     This report includes preliminary        government disbursements for
                                                                                     data on donor expenditures. Early       family planning increased in 2013.
                                                                                     results demonstrate that many
                                                                                     donor governments have already
                            Dr. Collins Tusingwire                                   budgeted increased levels of funding
                          Assistant Commissioner For                                 for family planning in 2013, and
                                                                                     indicate progress toward fulfilling
                             Reproductive Health,                                    financial commitments made at the
                           Uganda Ministry of Health                                 London Summit on Family Planning.
                                                                                     These figures (see chart on page 31)
                                                                                     are provisional and for indicative      4
                                                                                     purposes only. The FP2020 track-        Internal UNFPA analysis from
                                                                                                                             interim FP expense tracking.
                                                                                     ing methodology will be improved        SRH overall estimates from
                                                                                     to include, as far as possible,         UNFPA Country Programme
                                                                                                                             Documents approved by
                                                                                     standard definition of family plan-     UNFPA Executive Board

Partnership in Action                           27                                   28                                                                     Partnership in Action
Donor Government Family Planning Disbursements, 2012                                                                                                                                                                                         Kaiser Family Foundation Preliminary
                                                                                                                                                                                                                                              Analysis: Donor Government

                                                                                               mulTilateral – unfpa
                                                                                                                                                                                                                                              Assistance for Family Planning

                                                                                               core contributions
                                                                                               (us$ millions) *

                                                                                                                      (us$ millions)
                                                                              (us$ Millions)



Australia         Plans to spend an additional AU$58 million over five        $42.7            $14.9                  $57.5                 Australia identified US$44.6 in FY11/12 using                                                     This analysis establishes a base-         Findings
                  years on family planning, doubling annual contributions                                                                   the FP2020-agreed methodology, which includes a                                                   line level of disbursements5 in 2012
                  to AU$53 million by 2016. This commitment will form                                                                       percentage of a donor’s core contribution to UNFPA.
                  a part of Australia's broader investments in maternal,                                                                    Australian bilateral funding was determined by                                                    that can be used to track total inter-    •	In 2012, donor governments
                  reproductive, and child health (at least AU$1.6 billion                                                                   adjusting its total funding level to take into account                                            national assistance funding levels for      provided US$900 million for
                  over five years to 2015).                                                                                                 its UNFPA contribution.                                                                           family planning6 over time, as well as      bilateral family planning programs
                                                                                                                                                                                                                                              specific donor government progress          and an additional US$432 million
Canada                                                                        $41.5            $17.4                  $58.9                 Bilateral funding is for family planning and reproductive                                         in meeting London Summit on Family          in core contributions to UNFPA.
                                                                                                                                            health activities (including life skills education) in FY12.                                      Planning commitments.
                                                                                                                                                                                                                                                                                        •	The U.S. was the largest bilateral
                                                                                                                                                                                                                                              It includes an analysis of funding          donor, providing US$485 million
Denmark           An additional US$13 million over eight years                $13.0            $44.0                  $57.0                 Bilateral funding is family planning–specific in FY11,                                            provided by the 24 governments              and accounting for more than half
                                                                                                                                            the most recent year available, and includes a specific
                                                                                                                                            contribution (in addition to its core contribution) to
                                                                                                                                                                                                                                              that were members of the Organisa-          (54%) of total bilateral funding in
                                                                                                                                            UNFPA’s Reproductive Health Commodities Fund.                                                     tion for Economic Co-operation and          2012. The UK was the second-
                                                                                                                                                                                                                                              Development (OECD) and Develop-             largest bilateral donor (US$99.4
                  An additional €100 million on family planning within        $49.6            $0.5                   $50.1                 Bilateral funding is for a mix of family planning,
                                                                                                                                                                                                                                              ment Assistance Committee (DAC)             million, 11%), followed by the
                  the context of reproductive health through 2015,                                                                          reproductive health, and maternal/child health                                                    in 2012.7                                   Netherlands (US$65.5 million,
                  in nine countries in francophone Africa                                                                                   activities in FY12.                                                                                                                           7%), France (US$49.6 million,
                                                                                                                                                                                                                                              Of these, 11 made specific commit-          6%), and Germany (US$47.6
Germany           €400 million to reproductive health and family planning     $47.6            $20.7                  $68.3                 Bilateral funding is family planning–specific in FY11,                                            ments at the Summit to increase             million, 5%).
                  over four years, of which 25% (€100 million) is likely to                                                                 the most recent year available.
                  be dedicated directly to family planning, depending on                                                                                                                                                                      funding for family planning: Australia,
                  partner countries’ priorities                                                                                                                                                                                               Denmark, the European Commission,         •	Sweden was the largest donor to
                                                                                                                                                                                                           *	All UNFPA core
                                                                                                                                                                                                                                              France, Germany, Japan, Korea, the          UNFPA (US$66.3 million), followed
                  €370 million in 2012 for sexual and reproductive            $65.5            $49.0                  $114.5                The Netherlands provided a total of US$484.8 million
                                                                                                                                                                                                              contributions are for           Netherlands, Norway, Sweden, and            by Norway (US$59.4 million), the
Nether-                                                                                                                                                                                                       FY2012.
lands             health and rights, including HIV and health, and [plans]                                                                  in FY12 for “Sexual and Reproductive Health & Rights,          **	Austria, Belgium, European      the United Kingdom. In addition,            Netherlands (US$49.0 million), and
                  to extend this amount from €381 million in 2013 to                                                                        including HIV/AIDS” of which an estimated US$65.5                 Union, Finland, Greece,
                                                                                                                                                                                                              Ireland, Italy, Japan,
                                                                                                                                                                                                                                              there are several other donor               Denmark (US$44.0 million).
                  €413 million in 2015                                                                                                      million was for family planning–specific activities. In
                                                                                                                                            FY13, the Netherlands increased funding for “Sexual
                                                                                                                                                                                                              Korea, Luxembourg, New          governments, particularly the United
                                                                                                                                                                                                              Zealand, Portugal, Spain,
                                                                                                                                            and Reproductive Health & Rights, including HIV/AIDS”             and Switzerland. Czech          States and Canada, which, while not       • While complete funding data for
                                                                                                                                            to US$504.1 million.                                              Republic, Iceland, and
                                                                                                                                                                                                              Slovak Republic became
                                                                                                                                                                                                                                              making specific commitments at the          2013 is not yet available, two
                                                                                                                                                                                                              DAC members in 2013             Summit, also provide funding for            donor governments (Norway and
                                                                                                                                                                                                              and therefore not included
                                                                                                                                                                                                              in analysis.                    family planning activities.                 the UK) have already budgeted
Norway            Doubling investment from US$25 million to US$50             $3.3             $59.4                  $62.7                 Bilateral funding is family planning–specific in FY12.
                  million over eight years                                                                                                  For FY13, the Norwegian budget provides an estimated
                                                                                                                                                                                                                                                                                          increased levels of funding for
                                                                                                                                            US$25 million in “new” (additional) family planning            5                                                                              family planning in 2013.
                                                                                                                                                                                                           A disbursement is the actual
                                                                                                                                            funding as well as a slight increase in its UNFPA              release of funds to, or the
                                                                                                                                            contributions.                                                 purchase of goods or services
                                                                                                                                                                                                           for, a recipient. Disbursements
                                                                                                                                                                                                                                                                                        •	In addition, while family planning
                                                                                                                                                                                                           in any given year may include                                                  –specific funding is not yet avail-
                                                                                                                                                                                                           disbursements of funds
Sweden            Increasing spending on contraceptives from 2010 level       $41.2            $66.3                  $107.5                Bilateral funding is for family planning and reproductive      committed in prior years,                                                      able, the Netherlands increased
                  of US$32 million per year to US$40 million per year,                                                                      health in FY12.                                                and in some cases, not all
                                                                                                                                                                                                           funds committed during a
                                                                                                                                                                                                                                                                                          funding in 2013 for “Sexual and
                  totaling an additional US$40 million between 2011
                  and 2015
                                                                                                                                                                                                           government fiscal year are                                                     Reproductive Health & Rights,
                                                                                                                                                                                                           disbursed in that year.
                                                                                                                                                                                                                                                                                          including HIV/AIDS” to US$504.1
                  Committing £516 million (US$800 million)                    $99.4            $31.8                  $131.2                Bilateral funding is family planning–specific in FY12/13.      6
                                                                                                                                                                                                                                                                                          million, fulfilling its summit
                  over eight years                                                                                                          Family planning­–specific funding is estimated to              Family planning services                                                       commitment.
                                                                                                                                                                                                           including counseling;
                                                                                                                                            increase in FY13/14.                                           information, education, and
                                                                                                                                                                                                           communication (IEC) activities;
                                                                                                                                                                                                           delivery of contraceptives;
                                                                              $485.0           $30.2                  $515.2                USAID stipulates that specified bilateral subtotal is          capacity building; and training.
                                                                                                                                            family planning–specific in FY12.
                                                                                                                                                                                                           Since 2012, three other
Other DAC                                                                     $11.0            $98.0                  $109.1                Bilateral funding was obtained from the Organisation           governments have become
Countries**                                                                                                                                 for Economic Co-operation and Development (OECD)               DAC members: Czech
                                                                                                                                            Credit Reporting System (CRS) database and represents          Republic, Iceland, and
                                                                                                                                                                                                           Slovak Republic.
                                                                                                                                            funding provided in 2011, the most recent year available.

Total                                                                         $899.8           $432.3                 $1,332.1

 Partnership in Action                                                                                                                 29                                                                                                     30                                                                   Partnership in Action
Donor Government Disbursements for Family                                                                                                                                                                                                                       Methodological Note                       assistance sectors (e.g., education,

                                                        01. OTHER DAC COUNTRIES* $11.0 1%

                                                                                                 02. australia $42.7 5%

                                                                                                                          03. canada $41.5 5%

                                                                                                                                                    04. denmark $13.0 1%

                                                                                                                                                                           06. GErmany $47.6 5%

                                                                                                                                                                                                              05. france $49.6 6%

                                                                                                                                                                                                                                     07. netherlands $65.5 7%
                                                                                                                                                                                                                                                                                                          civil society) have remained largely
Planning in 2013 (Totals in US$ Millions)                                                                                                                                                                                                                       The financial data presented in this      unidentified. For purposes of this
                                                                                                                                                                                                                                                                analysis represent disbursements          analysis, we worked closely with the
                                                                                                                                                                                                                                                                and are a significant step forward,       largest donors to family planning
                                                                                                                                                                                                                                                                in terms both of currency and             to identify such family planning–
                                                                                                                                                                                                                                                                substance. However, in the wake           specific funding where possible
                                                                                                                                                                                                                                                                of the London Summit on Family            (see Table notes). Going forward,
                                                                                                                                                                                                                                                                Planning, tracking financing for          it will be important to efforts to
$11                     $66                                                                                                                                                                                                                                     family planning in the developing
                                                                                                                                                                                                                                                                world should be considered a work
                                                                                                                                                                                                                                                                                                          track donor government support
                                                                                                                                                                                                                                                                                                          for family planning if such funding
Other DAC               Netherlands                                                                                                                                                                                                                             in progress. The data presented           was more systematically identified
Countries                                                                                                                                                                                                                                                       were obtained through direct              within other activity categories
                                                                                                                                                                                                                                                                communication with donor govern-          by primary financial systems.
02                      08                                                                                                                                                                                                                                      ments, analysis of raw primary
                                                                                                                                                                                                                                                                data, and from the OECD Creditor          Additional Note
$43                     $3                                                                                                                                                                                                                                      Reporting System (CRS). UNFPA
                                                                                                                                                                                                                                                                core contributions were obtained          In advance of the London Summit
Australia               Norway                                                                                                                                                                                                                                  from United Nations Executive             on Family Planning, a number of
                                                                                                                                                                                                                                                                Board documents; however, we              donors, including the United Kingdom,
03                      09                                                                                                                                                                                                                                      were unable to determine what             agreed to use an adapted version of
                                                                                                                                                                                                                                                                share of these core contributions         the G8 Muskoka methodology8 for
$42                     $41                                                                                                                                                                                                                                     are attributable to family planning
                                                                                                                                                                                                                                                                specifically (since such funding is
                                                                                                                                                                                                                                                                                                          tracking donor support to maternal,
                                                                                                                                                                                                                                                                                                          newborn, and children’s health–which
Canada                  Sweden                                                                                                                                                                                                                                  also used to support broader repro-
                                                                                                                                                                                                                                                                ductive health and related efforts).
                                                                                                                                                                                                                                                                                                          takes into account the fact that
                                                                                                                                                                                                                                                                                                          reproductive health often includes
04                      10                                                                                                                                                                                                                                                                                significant spending on family
                                                                                                                                                                                                                                                                Similarly, it is also difficult in some   planning as an integrated service–
                                                                                                                                                                                                                                                                cases to disaggregate bilateral           as well as a small percentage of
$13                     $99                                                                                                                                                                                                                                     family planning funding from broader
                                                                                                                                                                                                                                                                reproductive and maternal health
                                                                                                                                                                                                                                                                                                          other health codes. The total family
                                                                                                                                                                                                                                                                                                          planning disbursements reported by
Denmark                 UK                                                                                                                                                                                                                                      totals, and the two are sometimes         donors using this methodology will
                                                          TOTAL =                                                                                                                                                                                               represented as integrated totals.         likely be higher than the figures given
                                                       $899.8 MILLION                                                                                                                                                                                           In addition, family planning–related      here, which are mainly for funds
                                                                                                                                                                                                                                                                activities funded in the context          coded to family planning alone.
$50                     $485                                                                                                                                                                                                                                    of other official development             Please see reference on page 30.
France                  U.S.

                        *Includes the other 14 donor

$48                      members of the OECD
                         Development Assistance
                         Committee in 2012.

                                                                                                                                                                                                  09. sweden $41.2 5%

                                                                                                                                                                                                                                    08. NORWAY $3.3
Bloomberg Philanthropies          Establishing health
                 is pleased to have recently          services that
                      rolled out our first     promote women's choices
                   grant from our FP2020           and the delivery of
                      commitment. This          high-quality care means
                 grant builds on a maternal          fewer maternal
                   health program we have         complications, fewer
                    supported in Tanzania         maternal deaths and
                  since 2006 and will allow       ultimately, healthier
                     for the integration of         households and
                    comprehensive family              communities.
                 planning services in some                  Dr. Kelly Henning

                    of the country's most           Director, Public Health Programs,
                                                        Bloomberg Philanthropies

                   remote health facilities.
Partnership in Action             33                     34                             Partnership in Action
Alignment with                                                                       Number of Commitments to the Global
                                                                                     Strategy for Women’s and Children’s Health
Every Woman
Every Child

Launched by UN Secretary-General        the Commission on Information &                                                                       74
Ban Ki-moon during the Millennium       Accountability framework for global
Development Goals Summit in             reporting, oversight, and account-           SKILLED ATTENDANT                                             89
September 2010, Every Woman             ability on women’s and children’s                      AT BIRTH
Every Child aims to save the lives      health and the independent Expert
of 16 million women and children        Review Group. Collaboration with                POSTNATAL CARE                                                  95
by 2015. It is an unprecedented         Every Woman Every Child, and the                   FOR MOTHER
global movement of more than 250        Partnership for Maternal, Newborn               POSTNATAL CARE
partners that mobilizes and intensi-    and Child Health (PMNCH) and                                                                     67
                                                                                          FOR NEWBORN
fies international and national         alignment with relevant UN mecha-
action by governments, multilater-      nisms are fundamental to the                         EXCLUSIVE                                   67
als, the private sector, and civil      success of FP2020.                               BREASTFEEDING
society to address the major health
challenges facing women and             Promoting Accountability                                   DTP3
children. The effort puts into action
the Global Strategy for Women’s         All political leaders have multiple,            ANTIBIOTICS FOR
and Children’s Health (Global Strat-    urgent responsibilities. Despite                                                                61
egy), which presents a road map         their best intentions, and regard-
on how to save these lives through      less of the merits of an issue, if                     IMPROVED
the achievement of MDG 4 (Reduce        stakeholders do not persistently,           SANITATION FACILITIES
Child Poverty) and MDG 5 (Improve       visibly, and persuasively hold
                                                                                     IMPROVED DRINKING
Maternal Health).                       leaders accountable, the promises               WATER SOURCES
                                        they make may never be fulfilled.
FP2020 is proud to be included in       Commitments serve to inspire;                                       0   20      40         60         80        100    120   140
this global effort. In the past two     accountability brings results.
years, family planning has gone
from being a neglected intervention     Pending ministerial approval, DFID
to receiving the largest number         will support an NGO consortium
of commitments to the Global            to serve as an accountability
Strategy. The London Summit on          secretariat for country-led efforts to
Family Planning was a major driver      hold leaders accountable for their
of recent gains. Analysis shows that    FP2020 commitments. The consor-
disbursements of both new and           tium will coordinate with FP2020’s
additional funds have increased         PMA WG and Task Team to comple-
substantially over the past year and    ment existing accountability efforts,
that many stakeholders have made        such as Advance Family Planning.
significant progress in implementing
their commitments. Further, data        With support from the Bill &
are emerging that demonstrate           Melinda Gates Foundation, a
that FP2020 is bolstering progress      consortium of European NGOs will
toward the Global Strategy goals        advocate funding for family plan-
of preventing 33 million unintended     ning as a key element of Official
pregnancies and reaching 43 million     Development Assistance for health.
new users in 49 countries in 2015.      Working in at least eight European
(Source: PMNCH)                         countries and at the EU level, it will
                                        focus on sustaining and increasing                                                                                             SOURCE
FP2020’s monitoring and account-        support for family planning above                                                                                              PMNCH
ability efforts will complement and     2012-2013 levels and on honoring
contribute to Every Woman Every         FP2020 commitments.                                                                                                            Stephanie Freid-Perenchio
                                                                                                                                                                       photography/SFP STUDIO
Child accountability efforts, through

Partnership in Action                                                          35                                      36                                                       Partnership in Action
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