Family planning programs in FP2020 countries are funded by a range of sources, from development aid furnished by international donors to out-of-pocket purchases made by ordinary citizens. Part of FP2020’s core mandate is to unlock global resources for family planning—including funding for humanitarian crises and resilience efforts—while supporting the development of sustainable financing within each country.
For the past six years we have reported annually on bilateral donor funding for family planning. During that time we’ve also worked to develop better tracking of family planning expenditures in FP2020 focus countries. With this year’s report we present the most comprehensive view yet of the total financial landscape.
Domestic government expenditures on family planning are being reported this year for the first time, with validated data from 31 FP2020 focus countries (FP2020’s Core Indicator 12). This is a groundbreaking achievement for the family planning sector. It has taken years of work and a wide-ranging effort to establish the necessary methodologies to collect, analyze, and validate these expenditures.
Global donor funding has risen slightly since the last report—from US$1.20 billion in 2016 to US$1.27 billion in 2017—but remains below the peak of US$1.43 billion in 2014. Five donors increased their disbursements in 2017: Canada, Denmark, the Netherlands, Sweden, and the UK. Funding is continuing to shift across the sector as a result of the Protecting Life in Global Health Assistance policy (PLGHA is an expansion of the Mexico City Policy). Funding shortfalls at UNFPA imperil a number of programs, including sexual and reproductive health care for populations affected by crises.27
With better data on domestic government expenditures, we’re able to present a more accurate picture of total spending on family planning across all 69 FP2020 countries. We estimate that in 2016, total spending for family planning stood at US$3.4 billion. Of this total, 48% was from donors, 34% was from domestic governments, 14% was out-of-pocket, and the remaining 4% was from corporations, NGOs, and other domestic organizations. It should be stressed that these are total figures; the domestic government percentage is heavily weighted by seven large countries (India, Indonesia, Bangladesh, Pakistan, Egypt, the Philippines, and Kenya, which account for half of all domestic expenditures), and should not be considered representative of most FP2020 countries.
We also present an overview of financial commitments from FP2020 countries, with progress notes on Burkina Faso, Côte d’Ivoire, India, Madagascar, and Zambia. These countries provide instructive examples of governments that are on track to achieve their FP2020 financial commitments.
A final highlight is an update on the Global Financing Facility (GFF) in support of Every Woman Every Child. There are now a total of 27 countries eligible for GFF investments, all but one of them FP2020 focus countries.