Commitments, Progress & Transparency

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Madagascar - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2015:The government of Madagascar commits to increasing the state budget devoted to family planning, including contraceptive purchasing and delivery, by at least 5 percent annually.

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Ethiopia - Financial

DateJuly 11, 2017

2017 Update: The Ethiopian government will increase its financing of family planning services by continuing to earmark incrementally funds from its SDG pool fund for its FP budget and using the National Health Account to track expenditures for FP.

2012: Ethiopia commits to increasing budget allocation for family planning each year. The current funding gap is 50%.

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DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Cote d'Ivoire commits to increasing resources allocated to family planning, including contraceptive commodities.

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Senegal - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Senegal commits to increasing the yearly budget allocation to reproductive health from 2.5 percent to 5 percent; increasing budget allocation for contraceptive commodities by 200 percent; and increasing the budget for management of the family planning program by 100 percent. In addition, Senegal has plans to mobilize increased donor and private sector financing for family planning and to put in place coordination mechanisms to improve engagement with donors and for optimized fund allocation.

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Sierra Leone - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Sierra Leone commits to increasing the annual health budget from 8 percent to 12 percent by 2013 and gradually increase until the Abuja target of 15 percent is achieved. The Government of Sierra Leone will increase the family planning budget line from 0.42 percent in 2012 to 1 percent by 2020, recognizing that this will be 1 percent of a projected increasing budget for health overall and secure additional funding for family planning by partnering with donors.

Benin - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

 

2012:Benin commits to progressively increasing the budget allocation for contraceptive purchase through 2018 to CFA 250 million. 

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Bangladesh - Financial

DateJuly 11, 2017

2017 Update: 

  • Bangladesh commits to mobilize at least USD 615 million from its development budget for the family planning program implemented by the Directorate General of Family Planning as part of its 4th Health, Population and Nutrition Sector Programme (2017-2021). This is a 67% increase from the allocation in the 3rd Health, Population and Nutrition Sector Programme (2012-2016).

2012: The Government of Bangladesh commits US $400 million to cover 39.4 million eligible couples by 2021. In an effort to minimize the resource gap for family planning services by 50% from the current level by 2021, the government pledges US $40 million per year or $380 million total by 2021.

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Uganda - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Uganda commits to increasing its annual budget allocation for family planning supplies from US $3.3 million to US $5 million for the next five years and to mobilize an additional US $5 million a year through donor financing (even with this effort there will be a resource gap of approximately US $10 million per year).

Uganda will design a plan to reorganize health financing and develop a health insurance plan for the country, as well as promote voucher programs as a form of demand-side financing to increase use of family planning and safe motherhood services among the poor.

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Tanzania - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:The Government of Tanzania will increase its financial allocation for family planning, while strengthening partnerships to continue implementing the National Family Planning Costed Implementation Program. 

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Kenya - Financial

DateJuly 11, 2017

2017 Update: The Government of Kenya commits to increase the portion of the national budget for family planning services, specifically through a budget line allocated to the family planning.  It is noted that contraceptives are not included in the National Health Insurance Fund (NHIF)-funded free maternity programme, for example. Inclusion of contraceptives in the existing health insurance schemes will increase access to FP for insured individuals, bolstering equitable access to Family Planning. The government will ensure post-partum family planning services are included as part of its Free Maternity Policy—Linda Mama programme—in which the Government invest 3 billion ksh annually to ensure mothers access free care at the point of delivery.

Kenya will broaden access and choice, especially in poorer regions such as Northern Kenya, by strengthening public and private health providers and through increasing the availability of long-acting and permanent methods of family planning. The Government will also scale up its efforts to equip health providers with skills on provision of long-acting methods with close partnership with private sector providers.

The Government reaffirms its commitment to expand access to youth-friendly services for adolescents and young people—specifically by improving existing service provision channels for accurate information and services on a wide range of contraceptive methods that respond to the diverse needs of adolescents. The government will ensure all pregnant adolescents, including the poor and hard-to reach, have access to skilled care during pregnancy, delivery and postpartum. The government will also enhance effective referrals to relevant services for pregnant adolescents.

Kenya will work with the national supply agency (Kenya Medical Supplies Agency) to ensure family commodities are costed before distribution to counties. The government commits to increase demand for and access to family planning among those counties in the northern arid lands (NAL) with the lowest mCPR and highest unmet need and to improve contraceptive commodity security. This will be done with support from partners and through the NHIF .

The expected results are:

  • National Costed Implementation Plan (CIP) revised by June 2017 and launched in July, followed by county-level dissemination by October 2017
  • 47 counties will have costed implementation plans by 2020 and include specific goals and strategies for adolescents
  • Domestic financing for family planning commodities maintained at $7 million for the next two years and then double it thereafter; this will be tracked annually
  • Family planning fully implemented under the NHIF Linda Mama programme by end of 2018.
  • All 47 counties have a FP budget line by 2020
  • Health facilities offering youth-friendly services increased from 10% to 30% by 2020 and 50% by 2025.

Proportion of women with an unmet need or discontinue methods declines by 10% in 10 lowest mCPR counties each year.

2012: The Kenyan national government budget for family planning has increased from US $6 million in 2011 to US $8 million for 2012-2013. Budget allocation for family planning commodities has grown from US $2.5 million for 2005-2006 to US $6.6 million in for 2012-2013. This leaves Kenya an estimated funding gap of 60%. Kenya will continue to work closely with development partners to secure increased financing for family planning commodities and services. (DFID has a new family planning program of £31 million, 2013-2017).

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Kenya - Policy & Political

DateJuly 11, 2017

2017 Update:  The government of Kenya commits to strengthening partnership with the private sector (including the for-profit sector) through a total market approach (TMA) to optimize the use FP funding, differentiating population segments according to ability to pay and which market players are best placed to effectively reach the different population groups with the most appropriate services and products. The Government wants to explore an all-sector strategy, using the total market approach that splits service delivery between the public and private sectors and a robust plan to improve market conditions and to support the implementation of the selected approaches. A Palladium-led, DFID-funded project Enabling Sustainable Health Equity for Family Planning (ESHE) carried out a diagnostic study of Kenya’s FP market and has recently concluded a study on Kenya’s FP supply chain. Willingness-to-pay studies, total market approach (TMA) cost-benefit analyses, and scenario planning are also being conducted by the end of 2017.  These studies will inform efforts to segment and improve efficiencies in FP service delivery.  Most critically, the analyses will provide evidence on what is needed to implement a Total Market Approach for FP in Kenya. 

The indicators will be:

  • Revised reproductive health policy to enable a TMA by 2018.
  • Increased market share of the commercial sector products because of TMA approach by 2020.

2012: Kenya's Constitution states that "every person has the right to the highest attainable standard of health, which includes the right to health care services, including RH care." Sessional Paper No. 3 of 2012 on Population Policy for National Development requires all political parties competing to form a government after a general election to formulate their programs consistent with Kenya Vision 2030. This means that for Kenya's long term socio-economic development path, including family planning has been ring-fenced against future changes in the political landscape. The Sessional Paper contains clearly spelt out strategies for family planning demand, creation, and service delivery including roles and responsibilities of the multi-sector stakeholders.

In addition, Kenya will work to implement the Reproductive Health Policy and the National Gender and Development Policy. The Kenyan Government currently provides free contraceptives to all registered private health facilities. The Health Sector Services Fund will enhance participation of local communities, including the private sector, in managing the funds and prioritizing their health needs including family planning.

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Malawi - Financial

DateJuly 11, 2017

2017 Update: To address the challenge of having limited resources for full implementation of the Malawi’s CIP, the government commits to:

  • Mobilise financial and technical resources to fully ensure that adolescents and young people have universal access to voluntary and informed contraception for all those sexually active who need it with demand satisfied (15-49 years) from 75% (MHDS, 2015), with focus on addressing the bottlenecks to contraceptive use among youth, and other underserved population sub-groups. This will be done through intensive; quality and balanced counselling by the trained Family planning health providers. This means the clients will be counselled according to target group.
  • Lobby with NSO for disaggregated FP/DHS data by age (10-14, 15-19, 20-24 years) to track adolescent FP and SRH indicators for 2020.
  • Continue to lobby for increased funding on FP budget and services guided by the CIP funding gap analysis.
  • Promote FP public-private partnerships

2012: Malawi will create a family planning budget line in the main drugs budget by 2013-2014. Malawi commits to demonstrating accountability in utilization of available resources, and to increase financial allocation for health systems supporting family planning.

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Pakistan - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2012: Annual public spending for family planning services for 2011-2012 was US $151 million. Pakistan will increase this to $197.7 million in 2012-2013, with further increases annually to ensure universal access by 2020.

The private sector share is $40.8 million. Greenstar Social Marketing, Family Planning Association Pakistan, and Marie Stopes International provide the main share of private sector family planning services.

2011-2012 spending on family planning was $1.21 per capita (public sector share: $0.84; private sector share: $0.37). In 2012-2013, the public sector share will increase to $1.07 per capital (total: $1.55 per capita). The goal is to reach $2.50 per capita by 2020.

Contraceptive requirements for both Government and Greenstar social marketing are covered by USAID until 2014. Subsequently, the government will need to import approximately $13 million worth of contraceptives yearly. This number will increase to $35 million annually by 2020, as we reach CPR 55 percent. The 2013-2020 resource gap for contraceptive commodities is $186 million.

The provinces are currently developing medium term budgetary frameworks, aligned with health sector strategy, to ensure financing of programs including family planning. The next step is to have a specified line item for family planning in their health budgets. Provinces will raise additional resources to increase access to quality services by training staff in client centered services and ensuring the availability of contraceptive supplies.

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Niger - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2012:Niger committed to quadrupling the family planning budget in 2013, from 55 millions FCFA in 2012 to 200 millions FCFA. Niger also committed to increasing country health budgets from 8.1 percent in 2012 to 15 percent (in alignment with the Abuja Declaration) in 2013, of which 25 percent will be allocated to reproductive health, and 10 percent of the reproductive health budget will be allocated to family planning.

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Myanmar - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2013: In fiscal year 2011-2012, Myanmar committed USD $1.29 million for the purchase of contraceptives during the 2012-2013 financial period. Myanmar pledges to increase the health budget to cover nearly 30 million couples by 2020. The Myanmar Ministry of Health commits to working toward increasing the resources allocated to family planning in state budgets. The government is also committed to ensuring results-based management through new initiatives for effective fund flow mechanisms and internal auditing.

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Myanmar - Policy & Political

DateJuly 11, 2017

2017 Update: Read the commitment here

2013: Myanmar aims to strengthen the policy of providing clinical contraceptive methods by trained/skilled nurses, midwives and volunteers through better collaboration among multi-stakeholders within the context of Nay Pyi Taw Accord. The Government of Myanmar also pledges to implement people-centered policies to address regional disparity and inequity between urban and rural and rich and poor populations. In addition, Myanmar commits to expanding the forum of family planning under the umbrella of the Health Sector Coordinating Committee and to creating an Executive Working Group on Family Planning as a branch of the Maternal Newborn and Child Health Technical Strategic Group.

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Mozambique - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2014:Mozambique will use the budget line for family planning in the Ministry of Health budget to procure contraceptive supplies, and will cover 5 percent (2012), 10 percent (2015), and 15 percent (2020) of contraceptive needs in the federal budget. The Government plans to secure additional funding needed to implement the national Family Planning and Contraceptives Strategy by 2015 through partnerships with the private sector and donors to cover the current funding gap of $15 million.

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Mauritania - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2013:Beginning in 2014, the Government of Mauritania commits to allocating health commodity security funds for family planning. It also commits, along with partners, to mobilizing additional resources for the implementation of the national action plan on family planning.

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Mali - Financial

DateJuly 11, 2017

2017 Update: Read the commitment here

2015:The Government of Mali commits to substantially and regularly increasing—by 5% per year—the share of the state budget allotted for the purchase of contraceptives. Mali also pledges to improve the mobilization of state resources and partners assigned to reproductive health and family planning activities, in particular, and health, in general, in accordance with the Abuja target (10%). The government also commits to diversifying the sources of financing for reproductive health and family planning activities by especially mobilizing the private sector.

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Afghanistan - Financial

DateJuly 11, 2016

The government of Afghanistan pledges to increase the portion of the national budget dedicated to health and specifically the budget allotted to the reproductive, maternal, newborn, child and adolescent health program. It also pledges to advocate for the increasing the government’s allocation to health and nutrition services from 4.2 percent in 2012 to 10 percent by 2020. The government also commits to allocating 25 percent of the health budget specific to reproductive health and for creating a specific budget line in the Ministry of Public Health’s annual budget for the promotion of family planning and procurement of contraceptives.

Vietnam - Financial

DateJuly 11, 2016

The government of Vietnam commits to ensure an adequate budget for family planning services for the poor and marginalized, hard-to-reach, and ethnic minority groups. In addition, the government pledges to sufficiently fund the consolidation of the service provider network in alignment with technical decentralization requirements, with a special focus on the needs of marginalized and hard-to-reach people, ensuring provision of family planning and essential reproductive health services at all levels. Vietnam also commits to ensure funding to meet the needs of the Vietnamese family planning and reproductive health programs and services and the implementation of government policies. The government also commits to improve the quality of services through the issuing of technical protocols and  procedures, upgrading infrastructures, and providing equipment and training to update knowledge of service providers.

Cameroon - Financial

DateNovember 25, 2014

Cameroon commits to conducting advocacy to increase the State‘s budgetary allocation for reproductive health to 5 percent per year by 2020 and for family planning to 5 percent per year by 2020 and to mobilizing donors, including the private sector and civil society, to finance family planning.

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Burundi - Financial

DateJune 23, 2014

2017 Update: Read the commitment here

2012:Burundi also commits to increase the budget line allocations for reproductive health and family planning and to increase donor and private-sector financing for family planning. In addition, the government pledges to increase the annual government allocation for contraceptives to 10 percent each year from 2015 to 2020. 

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Zimbabwe - Financial

DateAugust 11, 2012

2017 Update: Read the commitment here

2012: Zimbabwe commits to increase the family planning budget, including the procurement of contraceptive commodities, from the current 1.7 percent to 3 percent of the health budget.

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Philippines - Financial

DateJuly 11, 2012

2017 Update: View summary here

2012: The Philippines commits $15 million in 2012 for family planning commodities for poor women with unmet need.

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Burkina Faso - Financial

DateJuly 11, 2012

2017 Update: Read the commitment here

 

2012:Burkina Faso's budget estimate for the national action plan is forecasted to be US $38 million for 2011-2015. The country will maintain government funding for contraceptive commodities at US $1 million annually and will increase the resources allocated to family planning in state budgets.

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Zambia - Financial

DateJuly 11, 2012

2017 Update: Read the commitment here

2012:Zambia commits to double the budgeted amount allocated for family planning commodities and to secure increased funding for family planning through existing donors and new partnerships.

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DateJuly 11, 2012

IPPF commits to generating support for sexual and reproductive health and rights from regional bodies, the Oil Rich States, the G20, BRICS and emerging economies, advocate to the pharmaceutical industry for affordable pricing for contraceptives and raise awareness and change the attitudes of community, political and public opinion leaders to support sexual and reproductive health and rights for all.

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DateJuly 11, 2012

International Planned Parenthood Federation (IPPF) supports the Civil Society Declaration to the London Summit on Family Planning.

IPPF will mobilize civil society and governments to improve the legislative, policy, regulatory and financial environment for family planning and will mobilize the international movement created through IPPF’s role as Co-Vice Chair of the Stakeholder Group to the London Summit on Family Planning to hold governments accountable.

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