The USG International Family Planning Landscape: Defining Approaches to Address Uncertainties in Funding and Programming - Discussion Summary
Summary
FP2020, FP2020: The Way Ahead, 2017, Available at: http://progress.familyplanning2020.org/user/data/resources/download/FP2020_ProgressReport_PRINT_Single_LoRes.pdf, see page 6.
For more information, see CGD’s Aligning to 2020 Working Group Report (Silverman R, Glassman A, Aligning to 2020: How the FP2020 Core Partners Can Work Better, Together, Center for Global Development, 2016. Available at: https://www.cgdev.org/sites/default/files/Aligning-to-2020.PDF).
For an overview of current efforts to track domestic government expenditures for family planning see Track20’s report (Stover J, Chandler R, Expenditures on Family Planning in FP2020 Focus Countries in 2015, Track20, December 5, 2017. Available at: http://www.track20.org/download/pdf/Expenditures_Assessment_12.5.17.pdf).
Discussion Overviews
Wexler A, Kates J, Lief E, Donor Government Funding for Family Planning in 2016, Kaiser Family Foundation, December 5, 2017. Available at: https://www.kff.org/global-health-policy/report/donor-government-funding-for-family-planning-in-2016/.
Kaiser Family Foundation, President Signs FY18 Omnibus Bill, March 22, 2018. Available at: https://www.kff.org/news-summary/congress-releases-fy18-omnibus/.
Kaiser Family Foundation, White House Releases FY 2019 Budget Request, February 13, 2018. Available at: https://www.kff.org/news-summary/white-house-releases-fy19-budget-request/.
Family Planning Countries, USAID, last updated February 8, 2018. Available at: https://www.usaid.gov/what-we-do/global-health/family-planning/countries.
Kaiser Family Foundation analysis of data from OECD CRS database, accessed January 8, 2018.
Kaiser Family Foundation, UNFPA Funding & Kemp-Kasten: An Explainer, May 12, 2017. Available at: https://www.kff.org/global-health-policy/fact-sheet/unfpa-funding-kemp-kasten-an-explainer/.
Kaiser Family Foundation, The Mexico City Policy: An Explainer, June 1, 2017. Available at: https://www.kff.org/global-health-policy/fact-sheet/mexico-city-policy-explainer/.
Moss K, Kates J, How Many Foreign NGOs Are Subject to the Expanded Mexico City Policy? Kaiser Family Foundation, December 4, 2017. Available at: https://www.kff.org/global-health-policy/issue-brief/how-many-foreign-ngos-are-subject-to-the-expanded-mexico-city-policy/.
For more information, refer to USAID’s Family Planning Program Overview (USAID, Family Planning Program Overview, April 2013. Available at: https://www.usaid.gov/sites/default/files/documents/1864/fp_overview.pdf). In 2003, an initial set of 13 priority countries was selected based on USAID’s allocation formula; 11 countries were added to the priority list under the Obama administration’s Global Health Initiative. More details can be found on page 8 of CGD’s Working Group Report (Silverman R, Glassman A, Aligning to 2020: How the FP2020 Core Partners Can Work Better, Together, Center for Global Development, 2016. Available at: https://www.cgdev.org/sites/default/files/Aligning-to-2020.PDF).
See Track20’s one-pager on mCPR growth (Track20, The S-Curve: Putting mCPR Growth in Context, October 2017. Available at: http://www.track20.org/download/pdf/S_Curve_One_Pager.pdf).
A list of FP2020’s focus countries can be found on the FP2020 website (FP2020, All Countries. Available at: http://www.familyplanning2020.org/entities).
Rose S, Collinson E, Kalow J, Working Itself Out of a Job: USAID and Smart Strategic Transitions, Center for Global Development, December 2017. Available at: https://www.cgdev.org/sites/default/files/working-itself-out-job-usaid-and-smart-strategic-transitions.pdf.
More information on SheDecides can be found at: https://www.shedecides.com/.
For details on the FP2020 Reference Group, see the FP2020 website (FP2020, The FP2020 Reference Group. Available at: http://www.familyplanning2020.org/about-us/reference-group).
See page 83, Figure 5 of FP2020’s latest progress report (FP2020, FP2020 The Way Ahead, 2017. Available at: http://progress.familyplanning2020.org/user/data/resources/download/FP2020_ProgressReport_PRINT_Single_LoRes.pdf).
For a more detailed description, refer to Track20’s report on family planning expenditures (Stover J, Chandler R, Expenditures on Family Planning in FP2020 Focus Countries in 2015, Track20, December 5, 2017. Available at: http://www.track20.org/download/pdf/Expenditures_Assessment_12.5.17.pdf).
Experience in Latin America shows that progress of family planning programs was sustained following USAID graduation and phase-out, driven by institutionalizing family planning in the public, NGO and private sector. Many governments increased procurement budgets or developed line items, and sustained their commitments over the years. See pages 54-55 in MEASURE Evaluation’s report on Family Planning in Latin American and the Caribbean (Bertrand J, Ward V, Santiso-Galvez R, Family Planning in Latin America and the Caribbean: The Achievements of 50 Years, MEASURE Evaluation, 2015. Available at: https://www.measureevaluation.org/resources/publications/tr-15-101).
More information can be found in a UNICEF press release (UNICEF, New funding will allow countries to secure sustainable vaccine supplies and reach children more quickly, December 13, 2017. Available at: https://www.unicef.org/media/media_102311.html).
More information can be found on PAHO’s Revolving Fund website at: http://www.paho.org/hq/index.php?option=com_content&view=article&id=1864&Itemid=4135.
More information on the International Finance Facility for Immunization can be found at: https://www.iffim.org/.
More details are in the FP2020 progress report (FP2020, “Indicator 12: Domestic Government Expenditures On Family Planning” in FP2020 The Way Ahead, 2017. Available at: http://progress.familyplanning2020.org/en/measurement-section/domestic-government-expenditures-on-family-planning-core-indicator-12).
Commitments from three countries, India, Bangladesh, and Indonesia account for the lion’s share of the $4 billion pledged by lower-middle-income country governments; though it is important to note that some countries have not yet delivered on commitments made at the 2012 Summit. For more information, refer to a CGD blog (Silverman R, Family Planning Summit Raises Much-Needed Funds. Now It’s Time for Donors to Stop Being Polite and Start Getting Real, Center for Global Development Global Health Policy Blog, July 13, 2017. Available at: https://www.cgdev.org/blog/family-planning-summit-raises-much-needed-funds-now-its-time-donors-stop-being-polite) and a Devex article (Edwards S, How significant were the pledges at the London Family Planning Summit?, Devex, July 26, 2017. Available at: https://www.devex.com/news/how-significant-were-the-pledges-at-the-london-family-planning-summit-90688).
FP2020, FP2020: The Way Ahead, 2017, Available at: http://progress.familyplanning2020.org/user/data/resources/download/FP2020_ProgressReport_PRINT_Single_LoRes.pdf, see page 83.
For a list of these recommendations, refer to MFAN’s two-pager (MFAN, Principles for Strategic Transitions from Development Aid, November 2017. Available at: http://modernizeaid.net/wp-content/uploads/2017/11/MFAN-Principles-for-Strategic-Transitions.pdf).
Per USAID’s current strategy to transition family planning programs, as outlined in a 2006 technical note, the trigger indicators used to start the process are total fertility rate less than or equal to 3.4 and modern contraceptive prevalence rate 48 percent or greater. USAID’s Office of Population and Reproductive Health is currently revising its strategy. In addition, USAID is also developing agency-wide transition metrics.
Examples of countries in the LAC region that have successfully graduated from USAID Family Planning assistance include Brazil, Chile, Colombia, Mexico, Jamaica, El Salvador, Nicaragua, Honduras, Peru, Paraguay, and the Dominican Republic. Refer also to MEASURE Evaluation’s 2015 report (Bertrand J, Ward V, Santiso-Galvez, Family Planning in Latin America and the Caribbean: The Achievements of 50 Years, MEASURE Evaluation, 2015. Available at: https://www.measureevaluation.org/resources/publications/tr-15-101).
More information on K4H is at: https://www.k4health.org/.
Reproductive Health Supplies Coalition, Global Contraceptive Commodity Gap Analysis, 2017. Available at: https://www.rhsupplies.org/uploads/tx_rhscpublications/Global_Contraceptive_Commodity_Gap_Analysis_2016.pdf.
Estimate compiled by USAID, based on Avenir Health data and Global Contraceptive Commodity Gap Analysis Reproductive Health Supplies Coalition, 2016. For more information, refer to the CGD blog on family planning funding (Silverman R, Global Family Planning Funding – What Should Funders Be Thinking About Now?, Center for Global Development Global Health Policy Blog, December 20, 2016. Available at: https://www.cgdev.org/blog/global-family-planning-funding-what-should-funders-be-thinking-about-now).
Reproductive Health Supplies Coalition, Global Contraceptive Commodity Gap Analysis, 2017. Available at: https://www.rhsupplies.org/uploads/tx_rhscpublications/Global_Contraceptive_Commodity_Gap_Analysis_2016.pdf, see page 5.
In line with FP2020 indicator 4: “Percentage of women whose demand is satisfied with a modern method of contraception.”