Fp2020 pARTNERSHIp IN ACTION 2012-2013 - Healthy Newborn Network
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fp2020
PARTNERSHIP
IN ACTION
2012-2013
Stephanie Freid-Perenchio
photography/SFP STUDIO www.familyplanning2020.orgfp2020
PARTNERSHIP
IN ACTION
2012-2013
WWW.FAMILYPLANNING2020.ORGTABLE 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 ActionEXECUTIVE 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 ActionFOREWORD 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 ActionFP2020 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 Action01
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 ActionWomen 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 ActionProgress 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 ActionProgress 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 ActionA 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 ActionA 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 ActionAllocated
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 ActionHIGHLIGHT 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$470 financial, policy, and service deliv- planning financing. This year, KFF
million).4 ery commitments going forward. began to track donor government
FP2020’s methodology will be disbursements for family planning
of the commitment and now informed by feedback from countries,
lessons learned from the Partner-
ship for Maternal, Newborn and
in an effort to establish the base-
lines necessary to monitor progress
towards meeting FP2020 financial
we must work together to
Child Health’s monitoring of com- commitments.
mitments to the Global Strategy,
and expertise from the Commission While support from all sectors is
on Information and Accountability critical to meeting our goal, donor
see them bear fruit.
and the independent Expert governments provide a significant
Review Group. share of global funding for family
planning services. Preliminary data
This report includes preliminary from KFF’s research indicates donor
data on donor expenditures. Early government disbursements for
results demonstrate that many family planning increased in 2013.
donor governments have already
Dr. Collins Tusingwire budgeted increased levels of fund-
Assistant Commissioner For ing for family planning in 2013, and
indicate progress towards fulfilling
Reproductive Health, financial commitments made at the
Uganda Ministry of Health London Summit on Family Planning.
These figures (See chart on page
33.) are provisional and for indica- 4
tive purposes only. The FP2020 Internal UNFPA analysis from
interim FP expense tracking.
tracking methodology will be im- SRH overall estimates from
proved to include, as far as pos- UNFPA Country Programme
Documents approved by
sible, a standard definition of family UNFPA Executive Board
Partnership in Action 29 30 Partnership in ActionDonor Government Family Planning Disbursements, 2012 Kaiser Family Foundation Preliminary
Analysis: Donor Government
mutlilateral - unfpa
Assistance for Family Planning
core contributions
(us$ 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 ActionDonor 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 ActionBloomberg 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 ActionYou can also read
