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Financing for Family Planning
Technical briefing for FP2020
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Presentation Overview
1. GFF partner countries and goals
2. Family planning situation in GFF countries
3. GFF Trust Fund investments in FP
4. GFF Replenishment
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Global Financing Facility
Broader health and development framing
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What results do we want to achieve?
Overall objective:
End preventable maternal, newborn, child and adolescent deaths and improve the health, nutrition and quality of life of women, adolescents and children
SDG targets:
► MMR <70/100,000
► U5MR <25/1,000
► NMR <12/1,000
► Universal access to SRHR services
► Nutrition: prevalence of stunting & malnutrition
► Universal health coverage
Closing the financing
gap would prevent
24-38 million deaths
by 2030
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The GFF model: Countries lead the way
The 26 countries account for 59% of the total financing gap across all GFF
countries
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Status of investment cases
Investment case in development
Investment case complete
Investment case being implemented
Malawi
Cote d’Ivoire
Burkina Faso
Madagascar
Bangladesh
Vietnam
Guatemala
KenyaUganda
Tanzania
Cameroon
Haiti
Cambodia
Indonesia
Rwanda
Afghanistan
Guinea
Ethiopia
Nigeria
CAR
DRC
Liberia
Myanmar
Senegal
Sierra Leone
Mozambique
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Global Financing Facility
Family planning situation
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Status in GFF Countries: Additional Users and Financing
50
70
90
110
130
150
170
2016 2017 2018 2019 2020
FP U
sers
Mill
ion
s
Projected FP Users in 26 GFF Countries
FP 2020 TargetScenarioAdditional Users
Current TrendsAdditional Users
2016 Base
31%
10%59%
Source of Financing for FP Supplies in 26 GFF Countries (2014)
Donors
Governments
Individuals/Private Sector
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• Rates are high against country group comparators• Important focus for adolescent health, maternal
health, child health, and nutritional outcomes• Early fertility is both caused by and implicated in
high rates of child marriage across a number of GFF countries.
• Clear linkages to human capital agenda: empowerment, opportunity, violence reduction
Status in GFF Countries: Adolescent Health and Fertility
0
10
2030
40506070
80
% m
arri
ed b
y ag
e
Child Marriage
Married by 15 Married by 18
0 50 100 150 200 250
Vietnam
Myanmar
Rwanda
Lower middle income
Indonesia
Cambodia
Haiti
Senegal
Afghanistan
Ethiopia
Guatemala
Kenya
Low Income
Sub Saharan Africa Average
Bangladesh
Cameroon
Cote d'Ivoire
Burkina Faso
Tanzania
Uganda
Congo Democratic Republic
Malawi
Sierra Leone
Nigeria
Guinea
Liberia
Madagascar
Central African Republic
Mozambique
Age specific fertility rate: 15-19
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GFF Trust Fund
Trust fund and IDA/IBRD linked investments in FP
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GFF Trust Fund to Date
Nearly $7.50 from IDA and IBRD financing for every $1.00 from the GFF TF
$0
$200
$400
$600
$800
$1,000
$1,200
$1,400
$1,600
$1,800
$2,000
2015 2016 2017 2018
Mill
ion
s (U
SD)
Global Financing Facility Portfolio Over Time (Committments)
GFF TF IDA IBRD
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Family planning specific investments(Non-exhaustive)
• Afghanistan: Total project value is $600 million with an MDTF, IDA, and the GFF TF. FP will get fee for service treatment under BPHS contracts to non-state actors.
• Bangladesh: Disbursement linked indicator (DLI) on post-partum FP expansion worth $32.725 million.
• Cameroon: $13 million for FP subsidies paid to facilities through RBF. Linked to DPL to shift budget resources to primary level and increase tax efficiency to support DRM.
• DRC: $30 million for FP supplies in addition to FP purchased through RBF covering 60% of the country.
• Ethiopia: DLI focused on increasing rural mCPR worth $17 million.• Guinea: FP purchased through RBF package with supply side support for FP
supplies procurement.• Kenya: $20 million for FP supplies and increasing county level mCPR is one of
four indicators used to determine resource allocation to counties.
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Family planning specific investments(Continued)
• Liberia: Family planning counselling will be paid through the facility level RBF scheme with $1 million allocated to addressing adolescent health in target districts.
• Mozambique: DLI on couple years of protection and expansion of school-based health and FP provision valued at $27 million.
• Nigeria: FP in the BHCPF fee-for service window (pipeline), FP paid out through RBF (NSHIP), large scale adolescent health effort to be financed in 1 state to address early fertility and inadequate spacing (ANRIN).
• Rwanda: Additional financing for national RBF package which includes FP (nutrition sensitive).
• Tanzania: Family planning included at facility and subnational RBF schemes. Discussions ongoing about strengthening adolescent health elements.
• Uganda: At least $2.27 million for instrument sets for LARC. Likely support for implant procurement. FP is included in the RBF and support to front-line healthcare workers.
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GFF Comparative Advantage and support for FP2020
Is there a plan to channel financing* or
purchase from this channel?
Is there a QA / QI strategy for the
package and channel?
Are there demand side efforts to support the
package?
How best to purchasefamily planning and RMNCAH (rights + VfM)
Family planning commodity financing scale-up and transition
Demand side strategies and SP; Scalable and cost-effective platforms/interventions for ASRH;
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GFF Replenishment
Update
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GFF Replenishment Roadmap
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Discussion
17