Fp2020 pARTNERSHIp IN ACTION 2012-2013 - Healthy Newborn Network

 
fp2020
                            PARTNERSHIP
                            IN   ACTION
                            2012-2013

Stephanie Freid-Perenchio
photography/SFP STUDIO      www.familyplanning2020.org
fp2020
                             PARTNERSHIP
                             IN   ACTION
                             2012-2013

WWW.FAMILYPLANNING2020.ORG
TABLE OF   Executive Summary                                       7
                                                                      CONTENTS   Foreword                                                9

                      When women have the
                                                                                 FP2020 PROGRESS                                         11
                                                                                 FP2020: Commitments and Accountability                  13

                      tools they need to plan
                                                                                 FP2020: Innovation and Collaboration                    39
                                                                                 FP2020: Measuring Progress                              57

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

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

                      and high-quality health
                       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                                      5                         6                                            Partnership in Action
EXECUTIVE               At the 2012 London Summit on
                        Family Planning, the leaders of 150
                                                                   FP2020 initiated a number of activi-
                                                                   ties to establish the systems and
SUMMARY                 countries, international agencies,
                        civil society organizations, founda-
                                                                   infrastructure necessary to monitor
                                                                   the impact of family planning pro-
                        tions, the research and develop-           grams and to strengthen account-
                        ment community, and the private            ability for implementing financial,
Our goal is to          sector endorsed the goal of ex-
                        panding access to family planning
                                                                   policy, and programming commit-
                                                                   ments. This undertaking included
expand access           information, services, and supplies        the selection of core indicators,

to contraceptives       to an additional 120 million women
                        and girls in the world’s poorest
                                                                   collating corresponding baseline
                                                                   data, improving the way in which
to an additional        countries by 2020.                         family planning expenditures are
                                                                   tracked, and launching electronic
120 million women       Family Planning 2020 (FP2020)
                        carries forward this momentum.
                                                                   data collection 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 com-                 in addressing supply and demand
                        mitment-making countries have              barriers to accessing family
                        launched detailed, costed national         planning.
                        family planning plans. One-third of
                        commitment-making countries have           This report describes significant
                        increased their national budget            actions taken in the past year,
                        allocations for family planning ser-       including price reduction agree-
                        vices or supplies. Half of commit-         ments, innovations in contracep-
                        ment-making countries have held            tive technology, improvements in
                        national family planning conferenc-        service delivery and commodities
                        es to emphasize high-level political       distribution models, and outreach to
                        support and accelerate progress on         vulnerable and marginalized groups
                        family planning strategies.                in the global effort to continue
                                                                   to expand access and choice for
                        Preliminary data on international          millions of women and girls.
                        donor expenditures indicate an
                        ins on family planning programs.           The progress documented in this
                        Concrete examples of progress              report demonstrates that we are
                        on the local, national, and regional       moving forward—program by pro-
                        levels are detailed throughout             gram, clinic by clinic, and community
                        this report.                               by community—towards a future in
                                                                   which all women, no matter what
                        A rigorous measurement and evalu-          their circumstances, will have the
                        ation agenda has been established          information, services, and supplies
                        as a means of guiding progress in          they need to decide freely and for
                        delivering on the promise set forth        themselves whether, when, and how
                        in London. Over the past year              many children they want to have.

                                                                                                               Stephanie Freid-Perenchio
                                                                                                               photography/SFP STUDIO

Partnership in Action                                          7                                           8             Partnership in Action
FOREWORD                It may defy the rules of mathematics,
                        but there is truth to the observation
                                                                  exciting progress of the past year
                                                                  came from innovative partnerships
                                                                                                            Insufficient funding is just one
                                                                                                            reason family planning programs
                                                                                                            may fail to reach women and girls.
                        that a whole can be greater than          that harnessed market incentives
                        the sum of its parts. This insight        to solve formerly intractable prob-       Social and cultural factors such
Under the right         lies at the heart of the Family Plan-
                        ning 2020 (FP2020) initiative. We
                                                                  lems. Millions of women in the
                                                                  world’s poorest countries will now
                                                                                                            as gender inequality, discrimina-
                                                                                                            tion, and a lack of appreciation for
conditions,bringing     believe that, under the right condi-
                        tions, bringing together a broad,
                                                                  have access to long-acting revers-
                                                                  ible contraceptive methods thanks
                                                                                                            cultural sensitivities and personal
                                                                                                            preferences are all formidable
together a broad,       diverse group can yield results far       to the vision and dedication of           barriers. Family planning strategies

diverse group can       greater than the participants would
                        achieve on their own.
                                                                  colleagues representing govern-
                                                                  ments, NGOs, pharmaceutical
                                                                                                            will not succeed unless they are
                                                                                                            embedded in a continuum of care,
yield results far       Last year, leaders from govern-
                                                                  companies, donors, and multi-
                                                                  lateral organizations.
                                                                                                            protection of human rights, and
                                                                                                            promote gender equality. No plan
greater than the        ments, civil society, multi-lateral
                        organizations, donors, the private        Accurate, timely, accessible infor-
                                                                                                            can be said to serve the needs
                                                                                                            of women and girls if it does not
participants            sector, and the research and de-
                        velopment community converged
                                                                  mation is the lifeblood of this initia-
                                                                  tive. That’s why FP2020 is com-
                                                                                                            respect their agency.

would achieve           at the London Summit on Family            mitted to expanding participation         As we present FP2020’s first annual

on their own.           Planning to agree upon one extraor-
                        dinary—but absolutely vital —goal:
                                                                  in the practice of measurement,
                                                                  evaluation, and adjustment, which
                                                                                                            progress report, we look forward
                                                                                                            to the year ahead. We are inspired
                                                                                                            by the power and promise of infor-
                        expand access to family planning          for many countries is in its infancy.
                        information, contraceptives, and          For the first time, this report docu-     mation, the dynamic intelligence
                        services to an additional 120 million     ments the results of our collective       and creativity of our colleagues in
                        women and girls in the world’s 69         effort to establish a measurement         all sectors, and our shared dedica-
                        poorest countries by the year 2020.       framework for the initiative. The         tion to achieving our common goal.
                        70 commitments were made, and             indicators, methodologies, and data       Reaching 120 million additional
                        donors and the private sector pledged     presented here will serve as the          women and girls with life-saving
                        US$2.6 billion in new funding.            baseline to gauge our progress in         contraceptives in just eight short
                                                                  future years. This is especially im-      years is an ambitious goal, but
                        FP2020 carries forward the mo-            portant because, though the world         together we will succeed.
                        mentum of the Summit. It is not a         is spending more on family plan-
                        new NGO, nor is it a vertical fund.       ning, funding is still inadequate.
                        Instead, it is a different way of         Budgets for international assis-
                        working together: a creative net-         tance have been cut and programs
                        work of cooperation that revolves         are under greater pressure than
                        around a hub to promote knowl-            ever before. Through careful analy-
                        edge-sharing and emergent think-          sis we will diminish inefficiencies,
                        ing. Rather than duplicating efforts      leverage economies of scale, and                    Dr. Chris Elias
                        or pushing organizations into a           focus on plans that work.                  President, Global Development
                        new hierarchy, FP2020’s structure                                                    BilL & Melinda Gates Foundation
                        encourages partners to align their        Expanding access to contracep-
                        agendas, pool their talents, and          tives for an additional 120 million
                        utilize existing structures in new        women and girls will require the
                        and complementary ways. One year          equivalent of US$4.3 billion over
                        after the Summit, we have success-        the next eight years, over and
                        fully formed new alliances among          above the US$10 billion necessary
                        a broad range of partners from all        to sustain current use. FP2020 will
                        sectors. We must now hold our-            actively seek new funding, policy,           Dr. Babatunde Osotimehin
                        selves accountable.                       and service delivery commitments.                Executive Director
                                                                  We will promote accountability to          United Nations Population Fund
                        We believe that the family planning       those commitments by tracking
                        community’s greatest resource is          and reporting progress, linking with
                        the human energy of our diverse           the UN Secretary General's Global
                        leaders, experts, advocates, and          Strategy for Women's and Children's
                        implementers. Some of the most            Health, Every Woman, Every Child.

Partnership in Action                                         9                                                                                    10   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
                                       towards 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
                                                                            05.13   • FP2020 commitment-makers                     Model system of distribution for
                        10.12        • Kenya launches costed national
                                       family planning plan
                                                                                      at Women Deliver Third Global
                                                                                      Conference, Kuala Lumpur
                                                                                                                                   contraceptive commodities
                                                                                                                                 • 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 seminar
                                     • India holds National Review                    for the third time, Kuala Lumpur             Towards Realizing Family
                                       Meeting on Family Planning,                                                                 Planning Vision 2020
                                       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
                                                                                                                                   conference, Dar-es-Salaam
                                       Strategic Plan for Family                      Engagement, Performance                    • FP2020 Market Dynamics
                                       Planning Promotion                             Monitoring & Accountability, and             Working Group membership
                                     • Kenya amends National Family                   Rights & Empowerment Working                 announced
                                       Planning Service Provision                     Groups announced
                                       Guidelines allowing trained
                                       community health workers to                                                       11.13   • Third International Conference
                                       offer injectable contraceptives
                                       at community level
                                                                            07.13   • Uganda’s Parliament approves the
                                                                                      National Population Council Bill
                                                                                                                                   on Family Planning, Addis Ababa.
                                                                                                                                   New FP2020 commitments
                                                                                    • One year anniversary of the                  announced
                                                                                      London Summit on Family
                        12.12        • Responsible Parenthood and                     Planning
                                       Reproductive Health Act signed,
                                       Philippines
                                                                                    • FP2020 Country Engagement
                                                                                      Working Group convenes for first
                                                                                                                         12.13   • Uganda to hold national Family
                                                                                                                                   Planning Conference
                                     • Malawi approves National                       full meeting, Washington, D.C.
                                       Population Policy                            • FP2020 Performance Monitoring
                                     • FP2020 Reference Group meets                   & Accountability Working Group
                                       for the first time, New York                   convenes for first full meeting,
                                                                                      Geneva

Partnership in Action           11                                                           12                                                           Partnership in Action
01
                                                  Family planning programs have had       urgency had waned. For far too
                             SECTION 01           a profound impact in a relatively
                                                  short period of time. In the develop-
                                                                                          many decision-makers, funding and
                                                                                          implementing these programs were
                                                  ing world, the contraceptive preva-     no longer priorities.
                             Commitments          lence rate (modern methods) rose
                                                  from negligible levels in the 1960s     Today, this work remains far from
                             and Accountability   to 55% in 2000.1 Although many
                                                  groups were under-served, steady
                                                                                          finished. There are more than 220
                                                                                          million women in developing coun-
                                                  progress was manifest.                  tries who don’t want to get preg-
                                                                                          nant but lack access to the family
                                                  But the gains stopped, and the          planning information, services, and
                                                  contraceptive prevalence rate           supplies they need. Nothing short
                                                  leveled off. Support for family         of our full dedication is required to
                                                  planning and reproductive health        surmount the logistical, financial,
                                                  remained high, but the sense of         geographical, and other barriers
                                                                                          they face. It is to these women that
                                                                                          FP2020 is ultimately accountable.

                                                                                                              1
                                                                                                              Singh S and Darroch JE,
                                                                                                              Adding It Up: Costs and
                                                                                                              Benefits of Contraceptive
                                                                                                              Services, Estimates for 2012,
                                                                                                              New York: Guttmacher Insti-
                                                                                                              tute and United Nations Popu-
                                                                                                              lation Fund (UNFPA), 2012,
                                                                                                              http://www.guttmacher.org/
                                                                                                              pubs/AIU-2012-estimates.pdf

Partnership in Action   13                        14                                                                    Partnership in Action
Women and                                                                                                                   FAMILY
Girls at                                                                                                                    PLANNING
the Heart                                                                                                                   2020
of FP2020
Bridget Anyafulu is the founder         her husband’s authority. If she was          She went from village to village and   The 2012 London Summit on                 their ability to mobilize resources
and executive director of the           caught taking a pill, his wrath,             home to home, talking with leaders     Family Planning was intended to           and deliver life-saving services.
International Centre for Women’s        and the wrath of his family, could           and individual husbands about the      re-energize the global family plan-
Empowerment and Child Develop-          be formidable.                               benefits of family planning. She       ning community, but the enthusi-          FP2020 structure
ment (ICWECD). She is based in                                                       persuaded them that having fewer       asm it unleashed far exceeded
Delta District, Nigeria. She is a       The women devised a plan. They               children who are healthy and edu-      expectations. Leaders from 150            FP2020 is governed by a Reference
member of the FP2020 Working            bundled up their contraceptives              cated is a better legacy than having   donor and developing countries,           Group which sets the overall stra-
Group on Rights & Empowerment,          and hid them in a tree near the              many children whose prospects          international agencies, civil society     tegic direction and drives coordina-
with whom she shared this story.        river. Every day, on their way to            are dim. She helped them under-        organizations, foundations, and           tion among the partnership’s stake-
                                        fetch water, they could take their           stand that when a mother dies in       the private sector joined together        holders. The Reference Group has
A project that brings fresh running     pills out of sight of the men.               childbirth, the whole family and the   to endorse the goal of expanding          18 members representing govern-
water to a remote, impoverished                                                      community suffer.                      access to contraceptives to an            ments, multi-lateral organizations,
village — how could it be anything      Then the pipes came. Now, with                                                      additional 120 million women and          civil society, and the private sector.
other than a blessing?                  running water not 200 meters from            It took many years of hard work,       girls in the world’s poorest countries.
                                        their doorsteps, the women had               but today, attitudes in the Delta                                                The current Co-Chairs of the Ref-
The local women didn’t see it           no excuse to visit the tree by the           District have changed. Family size     FP2020 carries forward this mo-           erence Group are Dr. Babatunde
that way.                               river. They didn’t want to get caught        is smaller and there are fewer ma-     mentum. Since its launch, more            Osotimehin, Executive Director of
                                        by their husbands, but no woman              ternal and newborn deaths. There       than 25,000 individuals and organi-       UNFPA, and Dr. Chris Elias, Presi-
In a small village in the Delta         wants to die in childbirth, or lose          is still a long road ahead, but the    zations have expressed interest           dent of the Global Development
District of Nigeria, women would        her newborn.                                 lessons are clear. Services should     in joining FP2020, and the constella-     Program at the Bill & Melinda Gates
walk up to four kilometers every                                                     never be implemented without a         tion of stakeholders continues            Foundation. To date, the Reference
day to get water from the nearest       So they came up with a new                   deep understanding of the needs of     to grow.                                  Group has met four times: in De-
river. These women had a secret.        plan. The women vandalized the               all members of a community. Build-                                               cember, 2012; and in March, June,
                                        water pipes.                                 ing a pipeline is not enough. For      FP2020 has developed a platform           and September, 2013.
Many were desperate to delay                                                         change to take root, we must place     that recognizes change must occur
getting pregnant. Local people          When Bridget saw what had hap-               women’s empowerment at the center      on multiple levels, across multiple       FP2020 has a Task Team respon-
believed husbands should decide         pened, she knew the problem was              of the development agenda.             sectors, by enabling a broad range        sible for the implementation of day
how many children to have, and          neither the pipes nor the women.                                                    of allies to participate in their         to day activities. It is led by Valerie
men preferred big families. It was      She understood that the root of the                                                 area of expertise. The structure of       DeFillipo, reports to the Reference
not unusual for women to give birth     trouble was the husbands’ attitude                                                  FP2020 fosters the cross-pollina-         Group, and is hosted by the UN
eight, nine, or ten times. Mother-      toward family planning, and the                                                     tion of ideas and creates a space         Foundation. The Task Team moni-
hood started early; one assess-         cultural norms that kept women                                                      to reach consensus, especially on         tors overall progress for reporting
ment found that approximately 50%       disempowered. She also knew                                                         crucial matters like indicators to        to countries and the Reference
of the village’s girls already had a    that if this was a problem in one                                                   monitor progress.                         Group, coordinates across other
child. Tragically, maternal and child   village, it was likely a problem in                                                                                           entities and external groups, and
deaths were common.                     other Delta District communities.                                                   Equally important are the things          supports Working Group strategies
                                                                                                                            FP2020 does not do. It does not           and implementation.
If a woman could get to a hospital,     Bridget’s strategy was to convince                                                  create bottlenecks by funneling
she could get access to contracep-      husbands that women have the                                                        all participants into one-size-fits-      The imperatives of human rights
tives. But getting there was only       right to live, and to see their chil-                                               all strategies. In recognition that       and public health are not merely
part of the problem. By taking          dren grow and thrive. To do that,                                                   duplicative reporting structures          compatible; they are indivisible.
contraceptives, a wife was usurping     women need to space their preg-                                                     create significant administrative         FP2020 has four Working Groups
                                        nancies and have fewer children.                                                    burdens, FP2020 does not require          that mirror the lateral, organic
                                                                                                                            countries to adhere to a new re-          interrelation of the forces that
                                                                                                                            porting regime. FP2020 does not           contribute to rights-based family
                                                                                                                            divert attention from its constituent     planning programs.
                                                                                                                            stakeholders, but rather magnifies

Partnership in Action                                                           15                                          16                                                                    Partnership in Action
• Countries vary in the type of           with other Working Groups and
  support they need to develop,           partners to address the full range
  implement, and monitor transfor-        of barriers that limit or prevent
  mational national family planning       many women from using family
  strategies. The Country Engage-
  ment Working Group (CE WG)
                                          planning information, services
                                          and supplies and to prioritize                   The London Summit on Family
  works with partners to provide
  support to accelerate the imple-
                                          human rights principles such
                                          as participation, accountability,            Planning last year was a starting point
  mentation of country plans within
  the context of their reproductive,
                                          non-discrimination, empowerment,
                                          transparency, and sustainability             for determined global action on family
  maternal, newborn, and children’s
  health strategies. CE WG facili-
                                          in all FP2020 activities.
                                                                                     planning. Public, private and civil society
                                                                                      partners from around the world agreed
  tates access to technical, fund-       • FP2020’s Market Dynamics Work-
  ing, and other assistance, and           ing Group (MD WG) will improve
  coordinates information sharing          global and national markets to
  and peer-to-peer support. CE WG
  works with the Performance Moni-
                                           sustainably ensuring choice and
                                           equitable access to a broad                     to a goal of giving an additional
  toring & Accountability Working
  Group to measure the impact of
                                           range of high quality, affordable
                                           contraceptive methods. MD WG is           120 million girls and women in the world’s
  family planning programs, and
  to strengthen countries’ efforts
                                           driven by the need to ensure that
                                           family planning commodities are             poorest countries access to voluntary
  to collect and utilize data on
  an ongoing basis to inform
  decision-making.
                                           available for an additional 120
                                           million women and that the mar-
                                           ket is healthy enough to sustain
                                                                                              family planning by 2020.
                                           this demand after 2020. A well-
• Substantial and consistent moni-
  toring and evaluation efforts are
                                           coordinated expert working group
                                           focused on addressing tensions          Investing in girls and women in this way is also
                                                                                   the smart thing to do. It is about giving women
  central to FP2020’s efforts to           and information gaps in the market
  track advances, identify gaps and        can unlock new and important
  challenges, and promote account-         opportunities to ensure that
  ability. The Performance Monitoring
  & Accountability Working Group
                                           access to contraceptive supplies
                                           and services is expanded. That           in developing countries the choice over when
  (PMA WG) strives to improve the
  quality and availability of informa-
                                           is the aim of market shaping,
                                           whether it is achieved by making        to get married and how many children to have,
  tion for use at the community,
  country, and global level and to
                                           products more affordable, ensur-
                                           ing appropriate product design,         control over their lives and their job prospects,
  further explore methodologies to
  measure service quality, encour-
  age the use of data in program
                                           securing adequate and sustained
                                           supplies, improving product quality,
                                           or increasing product availability.
                                                                                          and a voice in their communities.
  management and policy develop-

                                                                                   I welcome the progress the FP2020 movement
  ment, and embed human rights           Each Working Group has an af-
  approaches recommended                 filiated Consultative Network of
  by the Rights & Empowerment            stakeholders who will be engaged
  Working Group.                         periodically for input on Working
                                         Group activities. The Consultative           has made so far and the UK will continue
• FP2020 envisions a world where
  the right of women and girls, no
                                         Networks provide additional exper-
                                         tise and are instrumental in identify-       play its part. Our goal must be for all girls
  matter where they live, to decide
  whether and when to have chil-
                                         ing critical resources and materials
                                         that highlight success stories, high-          and women to have the opportunity to
  dren is respected, protected and
  fulfilled. The Rights & Empower-
  ment Working Group (RE WG)
                                         impact practices, and innovations to
                                         share with decision-makers at the
                                         country level.
                                                                                                shape their own future.
  acts as a resource for expertise,
  guidance, best practices and tools
  to ensure that a rights-based                                                             The Right Honourable Justine Greening
  approach underpins the design,                                                            MP, Secretary of State for International
  implementation, monitoring and                                                                  Development, United Kingdom
  evaluation of family planning
  programs. RE WG will collaborate

Partnership in Action                                                         17                    18                                 Partnership in Action
Progress on
Commitments
to FP2020

The enthusiasm that emerged                                       FP2020 Commitment Makers
at the London Summit on Family
Planning is yielding tangible re-
sults, 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.                                   34%

The FP2020 commitment-
making countries are:

                                                                  32%
Bangladesh                       Pakistan
Burkina Faso                     Philippines
Côte d’Ivoire                    Rwanda
Ethiopia                         Senegal
Ghana                            Sierra Leone
India                            Solomon Islands
Indonesia                        South Africa3
Kenya                            Tanzania                         7%
Liberia                          Uganda
Malawi                           Zambia
Mozambique                       Zimbabwe                         32%
Niger
Nigeria

                                                                   Low Income Countries (23)
2                                3
FP2020's goal is to enable an    South Africa's GNI does not
additional 120 million women     qualify as one of the world’s     Middle Income Countries (1)
in the world's poorest coun-     poorest countries based
tries (FP2020 focus countries)   on the World Bank 2010
to use modern contraception
by 2020. These countries—69
                                 classification using the Atlas
                                 Method.
                                                                   Donor Countries, Foundations, Private Sector (19)
in total—are defined as those
with a Gross National Income
(GNI) of $2,500 per year or
                                                                   Multilaterals and Partnerships (5)
less (based on the World Bank
2010 classification using the                                                                                               Stephanie Freid-Perenchio
Atlas Method).                                                     Civil Society Organizations (22)                         photography/SFP STUDIO

Partnership in Action                                                                     19                           20             Partnership in Action
Progress is driven by the
governments of these countries,
                                       Snapshot of Country-Led Progress
in 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 year 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                  Community Health Extension program expansion continued                                 Introduction plan for Sayana® Press approved
commitment-making countries
have launched detailed, costed
national family planning plans.        GHAna                                                                                  Sierra Leone
One-third of commitment-making         National Family Planning Conference                                                    National budget for family planning increased
countries have increased their                                                                                                Voucher system for family planning services for the poor implemented
national budget allocations            india
                                                                                                                              School for Husbands initiative launched
for family planning services or        National Family Planning Review Meeting
                                                                                                                              Civil society organizations supported to monitor distribution of
supplies. Half of commitment-                                                                                                 reproductive health commodities
making countries have held national
family planning conferences to         indonesia                                                                              South Africa
emphasize high-level political
                                       National Family Planning Summit                                                        Revised policy to require public health facilities to offer all contraceptive methods
support and accelerate progress
                                       National budget for family planning increased
on family planning strategies.
                                       Family planning services and supplies available free of charge in national insurance
Preliminary data on international      program, commencing January 2014                                                       Tanzania
donor expenditures indicate an         National resources redirected to smaller islands and areas with greatest unmet need    National family planning conference
increased level of disbursements
                                                                                                                              National budget for family planning increased
on family planning programs.
                                                                                                                              Framework contract for procurement of contraceptives endorsed by government
Concrete examples of progress          kenya
                                                                                                                              Guidelines approved to allow NGOs direct access to Medical Stores Department
on the local, national, and regional   Costed national family planning plan launched
levels are detailed throughout         National budget for family planning services and commodities both increased
this report.                           Guidelines changed to allow community health workers to provide injectables
                                       Increased access to family planning services for the impoverished and youth            Uganda
                                                                                                                              Stakeholders meeting to develop FP2020 action plan
                                                                                                                              National budget for family planning supplies increased
                                       malawi
                                                                                                                              Reproductive health sub-account established to track resource flows
                                       National Population Policy approved
                                                                                                                              Unified, costed, national family planning plan under development
                                                                                                                              Policy changes to allow health worker task-sharing and administration of injectables
                                       Niger                                                                                  Introduction plan for Sayana® Press approved
                                       Costed national family planning plan launched                                          Vouchers for post-partum IUDs
                                       Introduction plan for Sayana® Press approved                                           Planning underway for first national family planning conference (December 2013)
                                       Meeting of 80 traditional chiefs convened by government and UNFPA to                   Parliament passes bill to establish National Population Council
                                       discuss family planning
                                       School for Husbands initiative expanded                                                Zambia
                                                                                                                              Costed Eight-Year Integrated FP Scale-up Plan 2013-2020 launched
                                       NigerIA                                                                                Pilot study on allowing community health workers to provide contraceptive injections
                                       National Family Planning Conference organized                                          Implementing scale-up of mobile health services
                                       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                                                  21                                                                                                        22                                   Partnership in Action
A CLOSER LOOK:
                                                            GHANA

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

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

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

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

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

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

                         informed choices about
                                                            Acceleration Framework, including      Not long ago, UNFPA Ghana wel-            girl, and both mother and child were
                                                            advocacy and communications to         comed a delegation of leaders             happy and, most importantly, healthy.
                                                            improve male involvement, such         at the isolated clinic. To get there,
                                                            as the "Real Man" campaign.            they rode by bus from the nearest         In the coming months and years,

                            the number, timing
                                                                                                   city 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
                                                                                                   enthusiasm and excitement. About          the information and contraceptives

                           and spacing of their
                                                                                                   200 people —village elders, moth-         she needs to plan her family and
                                                                                                   ers and fathers, grandmothers and         her future.
                                                                                                   grandfathers, children—had come

                          children, we help them
                                                                                                   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                                23                                            24                                                                   Partnership in Action
A CLOSER LOOK:
                                                                     INDONESIA
                      The London Summit
                     on Family Planning was                          Indonesia’s commitment
                                                                     to FP2020
                                                                                                             Fathonah serves on FP2020’s CE
                                                                                                             WG, and Dr. Roy Tjiong of the Indone-
                                                                                                                                                     One highlight of the Summit was
                                                                                                                                                     a panel of young people who

                       a defining event for
                                                                                                             sian Planned Parenthood Association     discussed the needs of youth in
                                                                     Starting January 1st 2014, family       serves on PMA WG. All three played      Indonesia, and challenged the
                                                                     planning services and supplies will     an active role in designing and ex-     government to increase the legal
                                                                     be available free of charge through     ecuting the Indonesia Summit.           age for marriage from 16 to 18

                  Indonesia's family planning
                                                                     Indonesia’s universal health cover-                                             years old. They asked for more at-
                                                                     age system, and efforts are under-      Historically, Indonesia had one of      tention and resources for sexuality
                                                                     way to improve 23,500 clinics and       the world’s most successful fam-        education, and greater support for
                                                                     strengthen human resources in           ily planning programs. However,         young people, especially the poor

                   program. Our commitment
                                                                     order to meet increased demand.         progress has decelerated over the       and most vulnerable. The Minister
                                                                     Resources are being reallocated         last decade, and the contraceptive      of Health, Dr. Nafsiah Mboi, spoke
                                                                     to focus on the most densely            choices available for women have        of the critical importance of family
                                                                     populated areas, and efforts will be    diminished. Today, fewer women          planning in reducing maternal and

                 there crystallized actions we
                                                                     concentrated on reaching popula-        are using IUDs and implants than        infant mortality, and underlined the
                                                                     tions in rural areas and the smaller    15 years ago. Responding to this        need to collaborate across gov-
                                                                     islands. The government is com-         stagnation, Indonesia committed         ernment programs to support the
                                                                     mitted to working with national

                      were considering for
                                                                                                             to improving the quality of its fam-    needs of women and girls. Attend-
                                                                     and international partners to pro-      ily planning program at the London      ees applauded midwives for their
                                                                     vide the technical support needed       Summit on Family Planning.              heroic efforts to improve maternal
                                                                     to provide gender-sensitive, high                                               health and for the pivotal role they

                    revitalizing our program.
                                                                     quality family planning information     Responding to this commitment,          play in improving access to family
                                                                     and services to all people, includ-     BKKBN convened four FP2020              planning and expanding contracep-
                                                                     ing unmarried women, youth, and         country meetings. The meetings,         tive options.
                                                                     the poor.                               which were co-chaired by USAID

                    FP2020 continues to be
                                                                                                             and UNFPA, had a catalytic impact       Another high point was the an-
                                                                     Indonesia’s Family Planning Sum-        on the reproductive community           nouncement that BKKBN and the
                                                                     mit and Commemoration of World          and reframed and reinforced the         Population Commission of the Phil-
                                                                     Contraception Day, held on Sep-         government’s revitalization efforts.    ippines had signed a memorandum

                   a catalyst, as was evident
                                                                     tember 26, 2013, in Jakarta, was                                                of understanding to support south-
                                                                     a resounding success. More than         BKKBN’s new chair, Dr. Fasli Jalal,     to-south collaboration with a focus
                                                                     1,700 participants were in atten-       told the Indonesia Family Plan-         on Mindanao Island, a conflict
                                                                     dance. The Vice President of Indone-    ning Summit attendees that family       area in the Philippines with a large

                  during Indonesia's Summit
                                                                     sia, Dr. Boediono, opened the meet-     planning must be prioritized as a       majority Muslim population. Areas
                                                                     ing by reiterating the government’s     long-term, multi-sector development     of collaboration include strengthen-
                                                                     strong commitment to family plan-       issue. To do so, it is essential to     ing the role of faith-based organiza-

                       on Family Planning.
                                                                     ning and personally pledging his full   build support in the local govern-      tions, sharing lessons on decen-
                                                                     support. Five government Ministers      ments of more than 500 districts.       tralization and local advocacy, and
                                                                     presided over the opening and high      Some significant actions discussed      sharing best practices.
                                                                     level panel discussions.                during the Summit include increas-
                                                                                                             ing access to long-acting methods
                                                                     Dr. Julianto Witjaksono, Deputy of      of contraception, improving and
                                                                     Family Planning and Reproductive        increasing midwifery services; and
                                                                     Health of Indonesia’s National Popu-    mounting a communication cam-
                                 Dr. Julianto Witjaksono             lation and Family Planning Board        paign to raise awareness of family
                        Deputy of Family Planning and Reproductive   (BKKBN) serves on the FP2020            planning choices.
                         Health of Indonesia’s National Population   Reference Group. BKKBN’s Dr. Siti
                            and Family Planning Board (BKKBN)

Partnership in Action                                  25                                                    26                                                               Partnership in Action
Allocated
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                      contraceptive services and supplies       innovation supported by govern-

                                                                                                                                                                                                                                              EXPENDITURE
                                                                                                                            MILLION USD

                                                                                                                                                                                                                                              PROJECTED
to FP2020                                in the country, strategized to use a      ment policy. These innovations
                                         total market approach to coordinate       include task sharing for contracep-
At the London Summit on Family           service delivery and increase access      tive procedures and provision of
Planning, Uganda committed to            to a full range of contraceptive          contraceptive injectables by village                   9
reduce unmet need for family             methods for all. Donors, govern-          health teams, and post-partum
planning from 40% to 10% by              ment, and others assessed the             availability of IUDs through voucher                   8
2022. Uganda will increase the           realities of speeding delivery of         programs. PPDARO will lead efforts

                                                                                                                                                                                                                                            6.8
                                                                                                                                                                                                                                                  6.8
annual government allocation             services and supplies to ensure           to track the continued fulfillment                     7
for family planning supplies from        universal access to quality, volun-       of the commitment. The first-ever
USD$3.3 million to USD$5 million         tary family planning services.            Ugandan family planning confer-                        6
for the next five years and improve                                                ence will take place in December
accountability for procurement           Within a year, the three main pillars     2013, coordinated by the Ministry                      5
and distribution. The government         of the commitment—increased               of Health, the UFPC, and others,
will develop and implement a             national government investment in         with support from UNFPA.                               4

                                                                                                                                                                                                                    3.3
                                                                                                                                                                                                                          3.3

                                                                                                                                                                                                                                3.3
                                                                                                                                                                                                                                      3.3
campaign for integration of fam-         family planning, more donor sup-

                                                                                                                                                                                                              2.7
ily planning into other services.        port, and systems strengthening—          Though Uganda’s family planning                        3
This will include partnerships with      had been accomplished. Specifical-        needs are acute, there is renewed

                                                                                                                                                                                                        1.9
the private sector and scaling up        ly, the allocation for family planning    optimism that progress is possible                     2
of innovative approaches, such           supplies increased from USD$3.3           and health and development pros-

                                                                                                                                              0.78

                                                                                                                                                                                         0.75

                                                                                                                                                                                                 0.65
                                                                                                                                                            0.74

                                                                                                                                                                          0.73
as community-based distribution,         million to USD$5 million in the cur-      pects will be significantly improved.                  1

                                                                                                                                                                                 0.28
                                                                                                                                                     0.29

                                                                                                                                                                   0.17
social marketing, social franchising,    rent budget. UNFPA, USAID and DFID        With gains made toward fulfillment of
and youth friendly service provi-        exceeded the additional $5 million        the FP2020 commitment, universal                       0
sion. Uganda will strengthen the         called for from donors. Finally, a        access to family planning is in reach.                     2005/         2006/         2007/         2008/   2009/   2010/       2011/       2012/       2013/
institutional capacity of public and     reproductive health sub-account                                                                      2006          2007          2008          2009    2010    2011        2012        2013        2014
community-based service delivery         was established to track reproduc-
points to increase choice and            tive health resource flows and im-
quality of care at all levels.           prove the National Medical Stores’
                                         ability to distribute reproductive
In September 2012, the Ugandan           health supplies and commodities.
Ministry of Health brought stake-
holders together to begin an inten-      The government and its partners
sive, collaborative effort to capital-   are now working to create a unified
ize on President Yoweri Museveni’s       and costed national plan for family
commitment to FP2020. Partners           planning using the FP2020 commit-
in Population and Development            ment as a guide and to firmly ground
Africa Regional Office (PPDARO)          the plan in Uganda’s development
convened members of parliament           priorities. The plan is expected to
to share the President’s commit-         be completed with implementation
ment and devise an action plan           underway by the end of 2013.
to hold the government account-
able. The Uganda Family Planning         The UFPC and Advance Family Plan-
Consortium (UFPC), comprised             ning have already begun expanding
of all major private providers of        access to family planning through

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

Partnership in Action                                                         27                                                                                                          28                                                                          Partnership in Action
HIGHLIGHT                     Accountability:
                                                                                     from Commitments
                                                                                     to Progress

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

                        Uganda’s FP2020
                                                       At the London Summit          that institutions will understand and    periods. (See page 92.)
                                                       on Family Planning on         respect the needs of all the people
                                                       Family Planning, UNFPA        who are affected by their actions,       Tracking Donor Expenditures
                                                       committed to increasing       and will operate in a way that

                      commitment presents              the proportion of its
                                                       resources focused on
                                                       family planning from 25%
                                                                                     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
                                                       to 40% based on fund-         by tracking progress on existing         limited in their ability to provide
                                                       ing levels at that time. It   and new commitments. There has           real-time information specific to family
                                                       calculates this will bring    been a surge of investment as            planning assistance and do not fully
                                                       new funding for fam-          a result of FP2020 to establish          account for all resource flows.

                  forward on family planning.
                                                       ily planning of at least      mechanisms to monitor the imple-
                                                       USD$174 million per year      mentation of commitments and             Beginning in 2014, the Kaiser
                                                       from 2013 to 2019. In         elevate civil society voices in          Family Foundation (KFF) will report
                                                       2012, UNFPA spent ap-         policy debates to shape country-         annually on global family planning

                    We have already met the
                                                       proximately 40% of its        level policies and programs.             disbursements from all public and
                                                       total resources on fam-                                                private sources. KFF will adapt
                                                       ily planning (~USD$272        While it did not have the infra-         the comprehensive methodology
                                                       million) and approximately    structure in place to do so this         it uses to monitor global spending

                  main first-year components
                                                       70% on sexual and repro-      year, FP2020 does intend to track        on HIV/AIDS to measure family
                                                       ductive health (~USD$470      financial, policy, and service deliv-    planning financing. This year, KFF
                                                       million).4                    ery commitments going forward.           began to track donor government
                                                                                     FP2020’s methodology will be             disbursements for family planning

                  of the commitment and now                                          informed by feedback from countries,
                                                                                     lessons learned from the Partner-
                                                                                     ship for Maternal, Newborn and
                                                                                                                              in an effort to establish the base-
                                                                                                                              lines necessary to monitor progress
                                                                                                                              towards meeting FP2020 financial

                   we must work together to
                                                                                     Child Health’s monitoring of com-        commitments.
                                                                                     mitments to the Global Strategy,
                                                                                     and expertise from the Commission        While support from all sectors is
                                                                                     on Information and Accountability        critical to meeting our goal, donor

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

Partnership in Action                           29                                   30                                                                      Partnership in Action
Donor Government Family Planning Disbursements, 2012                                                                                                                                                                                         Kaiser Family Foundation Preliminary
                                                                                                                                                                                                                                             Analysis: Donor Government

                                                                                             mutlilateral - unfpa
                                                                                                                                                                                                                                             Assistance for Family Planning

                                                                                             core contributions
                                                                                             (us$ millions) *
                                                                            (us$ Millions)
                  commitments

                                                                                                                    (us$ millions)
                                                                            bilateral
country

                  summit

                                                                                                                                          notes
                                                                                                                    total
Australia        Plans to spend an additional AUD$58 Million over 5         $42.7            $14.9                  $57.5                 Australia identified USD$44.6 in FY11/12 using                                                     This analysis establishes a baseline     Findings
                 years on family planning, doubling annual contributions                                                                  the FP2020-agreed methodology, which includes a                                                    level of disbursements5 in 2012
                 to AUD$53 million by 2016. This commitment will form                                                                     percentage of a donors 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 pro-
                 reproductive and child health (at least AUD 1.6 billion                                                                  adjusting its total funding level to take into account                                             national assistance funding levels         vided US$900 million for bilateral
                 over five years to 2015).                                                                                                its UNFPA contribution.                                                                            for family planning6 over time as          family planning programs and an
                                                                                                                                                                                                                                             well as specific donor government          additional USD$432 million in
Canada                                                                      $41.5            $17.4                  $58.9                 Bilateral funding is for family planning and reproductive                                          progress in meeting London Summit          core contributions to the UNFPA.
                                                                                                                                          health activities (including life skills education) in FY12.                                       on Family Planning commitments.
                                                                                                                                                                                                                                                                                      • The U.S. was the largest bilateral
                                                                                                                                                                                                                                             It includes an analysis of funding         donor providing USD$485 million
Denmark          An additional USD$13 million over eight years.             $13.0            $44.0                  $57.0                 Bilateral funding is family planning specific in FY 11, the                                        provided by the 24 governments             and accounting for more than half
                                                                                                                                          most recent year available, and includes a specific con-
                                                                                                                                          tribution (in addition to its core contribution) to UNFPA;s
                                                                                                                                                                                                                                             who were members of the Organ-             (54%) of total bilateral funding in
                                                                                                                                          "Reproductive Health Commodities Fund."                                                            isation for Economic Co-operation          2012. The U.K. (USD$99 million,
                                                                                                                                                                                                                                             and Development (OECD) and                 11%) was the second largest
France           An additional €100 million on Family Planning within       $49.6            $0.5                   $50.1                 Bilateral funding is for a mix of family planning, repro-
                                                                                                                                                                                                                                             Development Assistance Commit-             bilateral donor followed by the
                 the context of reproductive health through to 2015,                                                                      ductive health and maternal/child health activities in                                             tee (DAC) in 2012.7                        Netherlands (USD$65.5 million,
                 in nine countries in francophone Africa.                                                                                 FY12.                                                                                                                                         7%), France (USD$49.6 million,
                                                                                                                                                                                                                                             Of these, eleven made specific             6%), and Germany (USD$47.6
Germany          €400 million ... to Reproductive Health and Family         $47.6            $20.7                  $68.3                 Bilateral funding is family planning specific in FY11,                                             commitments at the Summit to               million, 5%).
                 Planning over 4 years, of which 25% (€100 million...)                                                                    the most recent year available.
                 are likely to be dedicated directly to Family Planning,
                                                                                                                                                                                                                                             increase funding for family plan-
                 depending on partner countries priorities.                                                                                                                                                                                  ning including: Australia, Denmark,      • Sweden (US$66.3 million)
                                                                                                                                                                                                         * All UNFPA core contribu-
                                                                                                                                                                                                                                             the European Commission, France,           was the largest donor to UNFPA
                 €370 million in 2012 for sexual and reproductive           $65.5            $49.0                  $114.5                The Netherlands provided a total of USD$484.8 million
                                                                                                                                                                                                           tions are for FY2012.             Germany, Japan, Korea, the Neth-           followed by Norway (USD$59.4
Netherlands                                                                                                                                                                                              ** Austria, Belgium,
                 health and rights, including HIV and health, and [plans]                                                                 in FY12 for "Sexual and Reproductive Health & Rights,            European Union, Finland,          erlands, Norway, Sweden, and the           million), the Netherlands
                 to extend this amount from €381 million in 2013 to                                                                       including HIV/AIDS" of which an estimated USD$65.5               Greece, Ireland, Italy,
                                                                                                                                                                                                           Japan, Korea, Luxembourg,
                                                                                                                                                                                                                                             United Kingdom. In addition, there         (USD$49.0 million), and Denmark
                 €413 million in 2015.                                                                                                    million was for family planning specific activities. In FY
                                                                                                                                          13, the Netherlands increased funding for "Sexual and
                                                                                                                                                                                                           New Zealand, Portugal,            are several other donor govern-            (USD$44.0).
                                                                                                                                                                                                           Spain and Switzerland.
                                                                                                                                          Reproductive Health & Rights, including HIV/AIDS" to             Czech Republic, Iceland           ments, particularly the United
                                                                                                                                          USD$504.1 million.                                               and Slovak Republic
                                                                                                                                                                                                           became DAC members in
                                                                                                                                                                                                                                             States and Canada, which, while          • While complete funding data for
                                                                                                                                                                                                           2013 and therefore not            not making specific commitments            2013 is not yet available, two
                                                                                                                                                                                                           included in analysis.
                                                                                                                                                                                                                                             at the Summit, also provide funding        donor governments (Norway and
Norway           Doubling its investment from USD$25 million to             $3.3             $59.4                  $62.7                 Bilateral funding is family planning specific in FY12.
                 USD$50 million over eight years.                                                                                         For FY13, the Norwegian budget provides an estimated
                                                                                                                                                                                                                                             for family planning activities.            the U.K.) have already budgeted
                                                                                                                                          USD$25 million in "new" (additional) family planning           5                                                                              increased levels of funding for
                                                                                                                                                                                                         A disbursement is the actual
                                                                                                                                          funding as well as a slight increase in its UNFPA              release of funds to, or the                                                    family planning in 2013.
                                                                                                                                          contributions.                                                 purchase of goods or services
                                                                                                                                                                                                         for, a recipient. Disbursements
                                                                                                                                                                                                         in any given year may include                                                • In addition, while family-planning-
                                                                                                                                                                                                         disbursements of funds
Sweden           Increasing spending on contraceptives from its 2010        $41.2            $66.3                  $107.5                Bilateral funding is for family planning and reproductive      committed in prior years and                                                   specific funding is not yet avail-
                 level of USD$32 million per year to US$40 million per                                                                    health in FY12.                                                in some cases, not all funds
                                                                                                                                                                                                         committed during a govern-
                                                                                                                                                                                                                                                                                        able, the Netherlands increased
                 year, totaling an additional US$40 million between
                 2011 and 2015.
                                                                                                                                                                                                         ment fiscal year are disbursed                                                 funding in 2013 for "Sexual and
                                                                                                                                                                                                         in that year.
                                                                                                                                                                                                                                                                                        Reproductive Health & Rights,
                 Committing £516 million (US $800 million)                  $99.4            $31.8                  $131.2                Bilateral funding is family planning specific in FY12/13.
                                                                                                                                                                                                                                                                                        including HIV/AIDS" to
U.K.
                 over eight years.                                                                                                        Family planning specific funding is estimated to increase      6                                                                              USD$504.1 million, fulfilling
                                                                                                                                                                                                         Family planning services
                                                                                                                                          in FY13/14.                                                    including counselling; informa-                                                its Summit commitments.
                                                                                                                                                                                                         tion, education and communi-
                                                                                                                                                                                                         cation (IEC) activities; delivery
                                                                            $485.0           $30.2                  $515.2                USAID stipulates that specified bilateral subtotal is fam-     of contraceptives; capacity
U.S.                                                                                                                                                                                                     building and training.
                                                                                                                                          ily planning specific in FY12.

Other DAC                                                                   $11.0            $98.0                  $109.1                Bilateral funding was obtained from the Organisation for       7
Countries                                                                                                                                 Economic Co-operation and Development (OECD) Credit            Since 2012, three other
**                                                                                                                                        Reporting System (CRS) database and represents fund-           governments have become
                                                                                                                                                                                                         DAC Members: The Czech
                                                                                                                                          ing provided in 2011, the most recent year available.          Republic, Iceland, and the
                                                                                                                                                                                                         Slovak Republic.

Total                                                                       $899.8           $432.3                 $1,332.1

Partnership in Action                                                                                                                31                                                                                                      32                                                                  Partnership in Action
Donor Government Disbursements for Family                                                                                                                                                                                                                                               Methodological Note                       unidentified. For purposes of this
                                                                                                                                                                                                                                                                                                                                  analysis, we worked closely with the
Planning in 2013 (Totals in USD Millions)                                                                                                                                                                                                                                               The financial data presented in this      largest donors to family planning
                                                                                                                                                                                                                                                                                        analysis represent disbursements,         to identify such family-planning-
                                                                                                                                                                                                                                                                                        and are a significant step forward,       specific funding where possible
                                                                                                                                                                                                                                                                                        in terms both of currency and sub-        (see Table notes). Going forward, it
                        07
                                                                                                                                                                                                                                                                                        stance. However, in the wake of the       will be important to efforts to track
01
                                                                                                                                                                                                                                                                                        London Summit on Family Planning,         donor government support for family

                                                               01. OTHER DAC COUNTRIES* $11 1%

                                                                                                 02. australia $42.7 5%

                                                                                                                                              03. canada $41.5 5%

                                                                                                                                                                    04. denmark $13 1%

                                                                                                                                                                                         05. france $49.6 6%

                                                                                                                                                                                                                                06. GErmany $47.6 5%
                                                                                                                                                                                                                                                             07. netherlands $65.5 7%
                                                                                                                                                                                                                                                                                        tracking financing for family plan-       planning if such funding was more
$11                     $65.5                                                                                                                                                                                                                                                           ning in the developing world should
                                                                                                                                                                                                                                                                                        be considered a work in progress.
                                                                                                                                                                                                                                                                                                                                  systematically identified within other
                                                                                                                                                                                                                                                                                                                                  activity categories by primary finan-
Other DAC               Netherlands                                                                                                                                                                                                                                                     The data presented was obtained           cial systems.
Countries                                                                                                                                                                                                                                                                               through direct communication with
                                                                                                                                                                                                                                                                                        donor governments, analysis of raw        Additional Note
02                      08                                                                                                                                                                                                                                                              primary data, and from the OECD
                                                                                                                                                                                                                                                                                        Creditor Reporting System (CRS).          In advance of the London Summit
$ 43                    $3                                                                                                                                                                                                                                                              UNFPA core contributions were
                                                                                                                                                                                                                                                                                        obtained from United Nations Ex-
                                                                                                                                                                                                                                                                                                                                  on Family Planning, a number of
                                                                                                                                                                                                                                                                                                                                  donors including the United King-
Australia               Norway                                                                                                                                                                                                                                                          ecutive Board documents; however,         dom agreed to use an adapted
                                                                                                                                                                                                                                                                                        we were unable to determine what          version of the G8 Muskoka meth-
03                      09                                                                                                                                                                                                                                                              share of these core contributions         odology8 for tracking donor support
                                                                                                                                                                                                                                                                                        are attributable to family planning       to maternal, newborn and children’s
$42                     $41                                                                                                                                                                                                                                                             specifically (since such funding is
                                                                                                                                                                                                                                                                                        also used to support broader repro-
                                                                                                                                                                                                                                                                                                                                  health, which does take into ac-
                                                                                                                                                                                                                                                                                                                                  count the fact that reproductive
Canada                  Sweden                                                                                                                                                                                                                                                          ductive health and related efforts).      health often includes significant
                                                                                                                                                                                                                                                                                                                                  spend on family planning as an in-
04                      10                                                                                                                                                                                                                                                              Similarly, it is also difficult in some   tegrated service, as well as a small
                                                                                                                                                                                                                                                                                        cases to disaggregate bilateral fam-      percentage of other health codes.
                                                                                                                                                                                                                                                                                        ily planning funding from broader         The total family planning disburse-
$13                     $99                                                                                                                                                                                                                                                             reproductive and maternal health
                                                                                                                                                                                                                                                                                        totals, and the two are sometimes
                                                                                                                                                                                                                                                                                                                                  ments reported by donors using
                                                                                                                                                                                                                                                                                                                                  this methodology will likely be higher
Denmark                 U.K.                                                                                                                                                                                                                                                            represented as integrated totals.         than the figures given here, which
                                                                                                                                                                                                                                                                                        In addition, family-planning-related      are mainly for funds coded to family
05                      11
                                                                                                                                                                                                                                                                                        activities funded in the context          planning alone. Please see refer-
                                                                                                                                                                                                                                                                                        of other official development as-         ence on page 30.
$50                     $485                         TOTAL = $899.8 MILLION
                                                                                                                                                                                                                                                                                        sistance sectors (e.g. education,
                                                                                                                                                                                                                                                                                        civil society) have remained largely
France                  U.S.
06

                        *Includes the other 14

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

Germany                                                                                                                                                                                                                                                08. NORWAY $3.3 < 1%
                                                                                                                                                                                                                          09. sweden $41.2 5%
                                                                                                                                                                                                     10. U.k. $99.4 11%
                                                                                                                          11. u.s. $485 54%

                                                                                                                                                                                                                                                                                                                                                      8
                                                                                                                                                                                                                                                                                                                                                      Official G8 Health Working
                                                                                                                                                                                                                                                                                                                                                      Group Methodology for Calcu-
                                                                                                                                                                                                                                                                                                                                                      lating Baselines and Commit-
                                                                                                                                                                                                                                                                                                                                                      ments: G8 Member Spending
                                                                                                                                                                                                                                                                                                                                                      on Maternal, Newborn and
                                                                                                                                                                                                                                                                                                                                                      Child Health

Partnership in Action                                     33                                                                                                                                                                                                                            34                                                                      Partnership in Action
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 grant       high-quality care means
               builds on a maternal health         fewer maternal
                     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           35                     36                            Partnership in Action
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