Financial Flows for Family Planning, Countdown to 2015 Women Deliver Conference

Financial Flows for Family Planning,

Countdown to 2015 Women Deliver Conference

Stan BernsteinUNFPA

Objectives of the Presentation

Highlight Donor financial resources flow trends for Family Planning (1999 – 2008) in the context of population and reproductive health programmes;

Address Resource Requirements for Family Planning in relation to the ICPD and the Millennium Development Goals;

Further inform the Policy Dialogue (global, country) in positioning and leveraging for Family Planning as part of an integrated package of services. 2UNFPA Presentation: Resource Flows

Methodology

Resource Flows, based on the UNFPA publication “Financial Resource Flows for Population Activities in 2007” (Oct. 09) and 2008 (Preliminary).

Family Planning Future Resource Requirements taken from the High Level Taskforce on Innovative International Financing for Health Systems, ‘Constraints to Scaling-Up Health related MDGs: Costing & Financial Gap Analysis’ (WHO) and UNFPA, ‘Revised Cost Estimates for the Implementation of the Programme of Action of the ICPD: A Methodological Report’ (2009).

3UNFPA Presentation: Resource Flows

Why Monitor Financial Resource Flows?

Monitoring financial resources is critical for: – Country planning and budgeting processes;– Reviewing & assessing financial performance;– Informing the policy dialogue (country, global);

Tracking financial resources is key to:– addressing where and how funds are utilised :– monitoring equity, efficiency, and effectiveness issues;– strengthening mutual accountability;– advocating to mobilise additional resources.


Challenges in tracking Family Planning Financial Data

With the integration of services its difficult to disaggregate individual components such as Family Planning from a comprehensive package of services;

Harmonised donor financing modalities, such as Joint Financing, Basket Funding, Sector Budget Support and General Budget Support make it complex to track the level of funding going to Family Planning.


Family Planning Financial Flows


Trends in FP Financing

7

1999 2000 2001 2002 2003 2004 2005 2006 2007 20080%

5%

10%

15%

20%

25%

30%

35%

40%

$0

$100

$200

$300

$400

$500

$600

$700

$800

TRENDS IN TOTAL DONOR FINANCING FOR FAMILY PLANNING (1999-2008)

As % of Total Donor Funding for SRH

Absolute US $ (Mil-lions)

UNFPA Presentation: Resource Flows

Trends in Total Donor Financing for Basic RH-Services

8

1999 2000 2001 2002 2003 2004 2005 2006 2007 20080%

5%

10%

15%

20%

25%

30%

35%

$0

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600Absolute US $ (Mil-lions)As % of Total

Donor Funding for SRH

TRENDS IN TOTAL DONOR FINANCING FOR BASIC RH-SERVICES(1999-2008)


Trends in Total Donor Financing for STIs & HIV/AIDS

9

1999 2000 2001 2002 2003 2004 2005 2006 2007 20080%

10%

20%

30%

40%

50%

60%

70%

80%

90%

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000 Absolute US $ (Mil-lions)

As % of Total Donor Funding for SRH

TRENDS IN TOTAL DONOR FINANCING FOR STIs & HIV/AIDS(1999-2008)


Donor Spend for Population Assistance, incl. Family Planning 2007


11

Resource Requirements for Family Planning


High Level Taskforce on Innovative International Financing for Health Systems: WHO Estimates

HLTF calculations for 49 IDA countries (subset of the total). Costs were divided into programs and systems costs.

Programs (26% of total costs)Management of childhood illnessImmunizationsMaternal HealthFamily PlanningTBMalariaHIV/AIDSEssential Drugs (NCD, MH, Parasitic Diseases)

Systems (74% of total costs)GovernanceInfrastructureEquipment and VehiclesHuman ResourcesSupply Chain/LogisticsHealth Information SystemsFinancing

Programs costs comprised 76% of the total costs. Family planning costs were less than $1 per capita per year.

$18.15

$0.82

$1.16

$0.25 $0.61

$0.47 $0.71

$1.48 $0.93

Health Systems

Family Planning

Maternal Health

Management of childhood illness

Immunizations

TB

Malaria

HIV / AIDS

Essential drugs

• Family Planning program costs were estimated to cost a total of $8.4 B from 2009-2015 in order to achieve Universal Access, less than $1 per capita per year.

• Universal Access was defined as reducing current unmet need to 0 while assuming the same contraceptive method mix

• These 49 IDA countries had a population of around 1.5 Billion or about 20-25% of the population in less developed and least developed countries.

ICPD @ 15 Costing

The ICPD costing exercise estimated the costs for developing countries was estimated using 5 cost categories: Family planning related activities belonged to two of those categories

Cost Categories(1) HIV/AIDS(2) Basic Research/ Data/Policy Analysis

Sexual/Reproductive Health/Family Planning(3) Maternal Health Direct Costs(4) Family Planning Direct Costs(5) Programmes and Systems Related Costs related to maternal health and family planning

Family planning direct costs (drugs supplies and personnel) were projected to rise to around $4 B by 2015. These costs were significantly smaller than 3 of the other 4 cost categories.

2010 2011 2012 2013 2014 2015$0

$10

$20

$30

$40

$50

$60

$70

$80

Family Planning Direct Costs

Basic Research/ Data/Policy Analysis

HIV/AIDS

Family Planning and Maternal Health: Programmes and Systems Related Costs

Maternal Health Direct CostsCost

Pro

jecti

on to

Ach

ieve

ICPD

Goa

ls ($

B)

Family planning direct costs were projected to be significantly smaller than the health systems costs needed to support family planning and maternal health.

2010 2011 2012 2013 2014 2015$0

$5

$10

$15

$20

$25

$30

$35

Programmes and Systems Related Costs Maternal Health Direct Costs Family Planning Direct Costs

Cost

Pro

jecti

on to

Ach

ieve

ICPD

Goa

ls ($

B)

The majority of the family planning direct costs were projected to be in Asia and the Pacific with sub-Saharan Africa’s percent increasing over time

16%

59%

13%

8% 4%

23%

53%

13%

8% 4%

Sub-Saharan Africa

Asia and the Pacific

Latin America and Car-ibbean

Western Asia and North Africa

Eastern and Southern Europe

2010 2015

The majority of the family planning direct costs were projected to be in Asia and the Pacific with sub-Saharan Africa’s percent increasing over time

2010 2011 2012 2013 2014 2015$0.0

$0.5

$1.0

$1.5

$2.0

$2.5

$3.0

$3.5

$4.0

$4.5

Eastern and Southern EuropeWestern Asia and North AfricaLatin America and CaribbeanAsia and the PacificSub-Saharan Africa

Cost

Pro

jecti

on to

Ach

ieve

ICPD

Goa

ls ($

B)

Financial Flows for Family Planning, Countdown to 2015 Women Deliver Conference

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