FP2020 STAKEHOLDER CONSULTATION

Transcription

1 FP2020 STAKEHOLDER CONSULTATION TUESDAY, DECEMBER 9, 2014 #AskFP2020

2 AGENDA Welcome and Introductions Commitments to FP2020 Moving from Commitments to Action Partnership in Progress Expanding Access to Contraceptive Options Rights & Empowerment Principles for Family Planning Q&A

3 FP2020 COMMITMENTS #AskFP2020

4 Ellen Starbird Director, Office of Population and Reproductive Health USAID

5 Purnima Mane President and CEO Pathfinder International

6 Dr. Chloé Ndayikunda Assistant to the Minister, Ministry of Public Health and the Fight against AIDS Government of Burundi

7 Julia McDowell Program Director, Family Planning Clinton Health Access Initiative

8 Dr. Robinson Mbu Director of Family Health, Ministry of Public Health Government of Cameroon

9 Sarah Clark Vice President and Director, Center for Policy and Advocacy Futures Group

10 Dr. Gado Agarassi Napo-Koura Secretary General, Ministry of Health Government of Togo

11 FP2020 COMMITMENTS #AskFP2020

12 Dr. Jacqui Darroch Member, Board of Managers Brush Foundation

13 Pamela Barnes President and CEO EngenderHealth

14 FROM COMMITMENTS TO ACTION #AskFP2020

15 Dr. Babatunde Osotimehin FP2020 Reference Group Co-Chair Executive Director United Nations Population Fund

16 FP2020 PROGRESS #AskFP2020

17 FAMILYPLANNING2020.ORG/PROGRESS

18

19 COUNTRY COMMITMENTS & PROGRESS UPDATES: A SUMMARY FP2020 : PARTNERSHIP IN PROGRESS

20 FAMILY PLANNING 2020 In the two years since the 2012 London Summit on Family Planning, the FP2020 initiative has made important strides. 32 countries have made commitments to FP2020, including three new commitments in One half of all FP2020 commitment countries have formal, detailed plans to guide national family planning strategies All nine Ouagadougou Partnership countries have costed implementation plans One dozen FP2020 commitment countries hosted meetings or conferences on family planning in 2013 alone including countries that have never done so before

21 A CLOSER LOOK: BURKINA FASO Burkina Faso, through the leadership and advocacy of the first lady, pledges to take action in terms of policy, funding and programming. Implementing a strategic plan to secure reproductive health supplies ( ) with the support of the UNFPA s Global Programme to Enhance Reproductive Health Commodity Security (GPRHCS). The government has also increased its budget allocation for family planning, from US$0.9 million in 2008 to US$3 million in Source: UNFPA FP2020 : PARTNERSHIP IN PROGRESS

22 A CLOSER LOOK: DR CONGO DR Congo is committed to revitalizing family planning services by implementing and financially supporting the national strategic plan for family planning, reforming laws that pose barriers to planned births, and empowering women. In the 12 months since DR Congo s November 2013 announcement that it would triple the number of women with access to modern contraception, allocate millions of dollars to family planning and develop programs and policies to empower women and protect girls, the government has moved briskly on its commitments with the launch of the National Strategic Plan for Family Planning, unveiled in February The plan lays out the roadmap for the next six years, with detailed objectives, timetables and clear guidelines for budget allocations and policy provisions. FP2020 : PARTNERSHIP IN PROGRESS

23 DONORS Disbursements of family planning funds have increased substantially over the past year and action is being accelerated towards the realization of FP2020 commitments. FP2020 : PARTNERSHIP IN PROGRESS

24 DONOR SPOTLIGHT BILL & MELINDA GATES FOUNDATION BLOOMBERG PHILANTHROPIES In 2013, the Bill & Melinda Gates Foundation invested US$133.6 million in family planning and is on track to provide US$148.9 million in support for The Foundation s annual budget is projected to be US$140 million per year from The Foundation recently completed a new family planning strategy in support of the global FP2020 goal and the long-term vision of accelerating universal access to modern contraceptives. It will focus its investments in: India, Nigeria, Indonesia, Pakistan, Ethiopia, and the DR Congo, as well as two Ouagadougou Partnership countries, Senegal and Niger. In March 2014, Bloomberg Philanthropies announced the full allocation of its US$50M commitment made at the London Summit and has since finalized and rolled out a three-pronged investment strategy. In addition to augmenting its support in Tanzania, Bloomberg Philanthropies is preparing to make investments in four more FP2020 focus countries, including Burkina Faso, Nicaragua, Senegal and Uganda. It also established the FP2020 Rapid Response Mechanism. 1 FP2020 commitment self-report, 2014: Bill & Melinda Gates Foundation 2 FP2020 commitment self-report, 2014: Bloomberg Philanthropies FP2020 : PARTNERSHIP IN PROGRESS

25 CIVIL SOCIETY ORGANIZATIONS Civil society organizations have a substantial capacity to accelerate change in the family planning community. They are key players in advocacy and service provision and provide an invaluable voice in holding governments to account. FP2020 : PARTNERSHIP IN PROGRESS

26 ADVOCACY PHILIPPINES A 15-year campaign by civil society advocates and political leaders has finally paid off. The Responsible Parenthood and Reproductive Health Act was signed into law in December 2012, guaranteeing universal access to contraception, sex education and maternal care. UGANDA The long-awaited National Population Council bill was signed into law in June Advocates in Uganda have been working toward this result for more than a decade. INDONESIA Advocates worked with Advance Family Planning to develop an evidence-based approach to five district mayors. SIERRA LEONE Marie Stopes Sierra Leone (MSSL) led a successful effort to streamline the process for securing duty waivers on the import of contraceptive commodities. FP2020 : PARTNERSHIP IN PROGRESS

27 RAISING AWARENESS INDIA Population Foundation of India (PFI) has developed a multimedia edutainment serial called Main Kuch Bhi Kar Sakti Hoon (I, a woman, can achieve anything). BURKINA FASO Journalists are being enlisted to help raise awareness of family planning. The Press Caravan initiative is a joint project between UNFPA, the government and the media. NIGER The Hewlett Foundation is using commercial marketing techniques to raise awareness and create demand for family planning. FP2020 : PARTNERSHIP IN PROGRESS

28 REACHING OUT TO YOUTH AND INVESTING IN INNOVATION PAKISTAN The Rahnuma-Family Planning Association of Pakistan (Rahnuma- FPAP) has begun hosting tea parties where girls can talk about reproductive health with their peers, often for the first time. KENYA Deutsche Stiftung Weltbevoelkerung (DSW) is partnering with Bayer Health to bring information about reproductive health and rights to young adolescents aged 10 to 14 years. MOZAMBIQUE Pathfinder s mcenas! project uses text messages to educate young people (15 to 24 years old) about contraception. ZAMBIA The Hewlett Foundation is funding a human-centered design project to increase youth engagement with reproductive health services. Sayana Press is labeled for delivery by trained community health workers and is being rolled out for pilot projects in Burkina Faso, Niger, Senegal, and Uganda. FP2020 : PARTNERSHIP IN PROGRESS

29 Donor Government Assistance for Family Planning Jen Kates, PhD Vice President; Director, Global Health & HIV Policy Kaiser Family Foundation

30 The Kaiser Family Foundation Non-profit, private operating foundation Not grant-maker Develops and runs independent research and communications programs Focuses on major health care issues facing the U.S. and U.S. role in global health policy Serves as non-partisan source of facts, information, and analysis for policymakers, the media, and community Not associated with Kaiser Permanente or Kaiser Industries

31 Introduction & Background While financial resources from all sectors are needed to help fulfill family planning needs, donor governments provide a significant share of global funding for family planning services Kaiser Family Foundation initiated a family planning resource tracking project last year, adapting the methodology it has long used to monitor donor government spending on HIV Data for the project were first provided for 2012, establishing a baseline for monitoring commitments towards FP2020 This year s report is based on 2013 funding data, the most recent period available

32 Methodology Data represent 2013 disbursements 26 members of the OECD DAC that reported ODA in 2013 Direct data collection from ten donors: Australia, Canada, Denmark, France, Germany, Netherlands, Norway, Sweden, U.K., U.S. Data for all other OECD DAC member governments from: OECD CRS database (collectively, these donors account for less than 2% donor government bilateral assistance for FP) Bilateral Funding: Any earmarked (FP-designated) amount Data validated by ten donors from whom data was directly collected Multilateral Funding: Donor core contributions to the United Nations Population Fund (UNFPA) Not possible to identify a family planning specific amount

33 Findings - Bilateral Assistance Donor governments disbursed US$1,307.8 million for family planning activities in 2013, an increse of US$211.4 million (19%) above 2012 levels (US$1.1 billion) Seven donors (Canada, Denmark, Netherlands, Norway, Sweden, U.S., and U.K.) increased bilateral funding in 2013 (after exchange rate fluctuations are taken into account) while one (Australia) essentially remained flat. Two donor governments (France and Germany) decreased funding for family planning in 2013

34 Findings- Bilateral Assistance Most of the bilateral increase was driven by the U.S., followed by the U.K. and the Netherlands U.S. largest bilateral donor, accounting for almost half (45%) of total bilateral funding in 2013 U.K. second largest bilateral donor (23%), followed by the Netherlands (12%), Sweden (4%), and Canada (3%)

35 INTERNATIONAL FAMILY PLANNING ASSISTANCE: DONOR GOVERNMENTS AS A SHARE OF BILATERAL DISBURSEMENTS, 2013 TOTAL US$ BILLION BILATERAL DISBURSEMENTS AUSTRALIA $39.5 NETHERLANDS $153.7 DENMARK $18.8 SWEDEN $50.4 GERMANY $38.2 U.S. $585.0 CANADA $45.6 NORWAY $20.4 FRANCE $37.2 UK $305.2 OTHER DAC COUNTRIES $13.8

36 Findings- Multilateral Assistance Donor governments provided US$454 million in core contributions to the United Nations Population Fund (UNFPA), a US$22 million (5%) increase over 2012 (US$432.2 million) Among donors profiled, Norway provided the largest core contribution to UNFPA in 2013 (US$70.6 million), and drove most of the increase Sweden was the second largest donor (14%) followed by the Netherlands (12%), Denmark (9%), the U.K. (7%), and the U.S. (6%)

37 INTERNATIONAL FAMILY PLANNING ASSISTANCE: DONOR GOVERNMENTS AS A SHARE OF UNFPA CORE CONTRIBUTIONS, 2013 Netherlands 11.5% Sweden 14.5% Norway 15.6% Denmark 8.9% U.K. 6.9% U.S. 6.4% Other DAC Countries 24.0% Canada 3.5% France 0.0% Germany 5.3% Australia 3.4%

38 FP2020 Progress & Conclusion Among the donors profiled, eight made commitments at the London Summit: Australia, Denmark, France, Germany, the Netherlands, Norway, Sweden, and the U.K. All eight have made progress towards fulfillment of FP2020 commitments Future increases in bilateral family planning funding and complete fulfilment of FP2020 commitments are uncertain FP2020 : PARTNERSHIP IN PROGRESS

39 FP2020 CORE INDICATORS: KEY FINDINGS Emily Sonneveldt Director, Track20 Project Futures Institute

40 DATA: FROM SOURCE TO REPORT SERVICE STATISTICS MODELING FP2020 : PARTNERSHIP IN PROGRESS

41 KEY TENETS PARTNERSHIPS AND COMPARABILITY Impact methodology Stockout indicator ANNUAL ESTIMATES Leveraging available data Innovative methodologies Country involvement FP2020 : PARTNERSHIP IN PROGRESS

42 ADDITIONAL USERS OF MODERN CONTRACEPTION BY REGION CENTRAL AFRICA 308,000 EASTERN AND CENTRAL ASIA 90,000 WESTERN AFRICA 476,000 MIDDLE EAST AND NORTHERN AFRICA 529,000 LATIN AMERICA AND CARRIBEAN 95,000 TOTAL ADDITIONAL USERS OF MODERN METHODS OF CONTRACEPTION IN FP2020 FOCUS COUNTRIES 8,400,000 Numbers are rounded. South Africa not included in regional total. EASTERN AND SOUTHERN AFRICA 1,872,000 SOUTH ASIA 4,148,000 SOUTHEST ASIA AND OCEANIA 908,000

43 ANNUAL GROWTH RATES IN mcpr 2012 & Not included: Solomon Islands, Western Sahara

44 DATA: DISAGGREGATION BY CONTRACEPTIVE METHOD COMMITMENT MAKING COUNTRIES IN WHICH O MODERN METHODS ACCOUNT FOR 20% OF THE METHOD MIX DR CONGO COMMITMENT MAKING COUNTRIES IN WHICH 1 MODERN METHOD ACCOUNTS FOR 20% OF THE METHOD MIX BANGLADESH BENIN ETHIOPIA GUINEA INDIA KENYA MAURITANIA NIGERIA PHILIPPINES RWANDA SOUTH AFRICA TANZANIA UGANDA ZIMBABWE COMMITMENT MAKING COUNTRIES IN WHICH 2 MODERN METHOD ACCOUNTS FOR 20% OF THE METHOD MIX BURKINA FASO COTE D IVOIRE GHANA INDONESIA LIBERIA MALAWI MYANMAR NIGER PAKISTAN SENEGAL SIERRA LEONE SOLOMON ISLANDS ZAMBIA COMMITMENT MAKING COUNTRIES IN WHICH 3 MODERN METHOD ACCOUNTS FOR 20% OF THE METHOD MIX MOZAMBIQUE FP2020 : PARTNERSHIP IN PROGRESS

45 DISAGGREGATION BY CONTRACEPTIVE METHOD FP2020 : PARTNERSHIP IN PROGRESS

46 DATA: DISAGGREGATION TO ANALYZE EQUITY COUNTRIES IN WHICH USERS OF MODERN CONTRACEPTION IN THE POOREST WEALTH QUINTILE ACCOUNT FOR LESS THAN 5% OF ALL USERS OF MODERN CONTRACEPTION CAMEROON NIGERIA 5-10% OF ALL USERS OF MODERN CONTRACEPTION BENIN DR CONGO ETHIOPIA KENYA LIBERIA MALI MOZAMBIQUE SENEGAL SIERRA LEONE UGANDA 10-15% OF ALL USERS OF MODERN CONTRACEPTION BOLIVIA BURKINA FASO COMOROS COTE D IVOIRE GHANA GUINEA INDIA LESOTHO MADAGASCAR MALAWI NEPAL NIGER PAKISTAN TANZANIA TIMOR-LESTE 15-20% OF ALL USERS OF MODERN CONTRACEPTION BANGLADESH BURUNDI CAMBODIA EGYPT HAITI HONDURAS INDONESIA PHILIPPINES RWANDA SAO TOME AND PRINCIPE ZAMBIA ZIMBABWE FP2020 : PARTNERSHIP IN PROGRESS

47 DATA: DISAGGREGATION TO ANALYZE EQUITY COUNTRIES IN WHICH THE UNMET NEED FOR MODERN CONTRACEPTION IS LOWER IN ADOLESCENT GIRLS THAN ALL WOMEN HIGHER IN ADOLESCENT GIRLS THAN ALL WOMEN BURKINA FASO BURUNDI CAMBODIA CHAD COTE D IVOIRE DJIBOUTI EGYPT GUINEA GUINEA-BISSAU INDONESIA IRAQ KYRGYZSTAN MALAWI MAURITANIA MONGOLIA MOZAMBIQUE NIGER FP2020 : PARTNERSHIP IN PROGRESS NIGERIA PAKISTAN RWANDA SIERRA LEONE SOMALIA SOUTH SUDAN SUDAN TAJIKISTAN TANZANIA TIMOR-LESTE UGANDA ZAMBIA BANGLADESH BENIN BHUTAN BOLIVIA CAMEROON COMOROS CONGO (BRAZZAVILLE) DR CONGO ERITREA ETHIOPIA GHANA HAITI HONDURAS INDIA KENYA LAO PDR LESOTHO LIBERIA MADAGASCAR MALI NEPAL NICARAGUA PHILIPPINES SAO TOME AND PRINCIPE SENEGAL SOLOMON ISLANDS SOUTH AFRICA STATE OF PALESTINE TOGO UZBEKISTAN VIETNAM YEMEN ZIMBABWE

48 CONCLUSION Progress: More women and girls are using modern methods of contraception Moving Forward: We must accelerate growth and improve program quality in order to reach our goal Challenges: Ensuring progress happens equitably, in terms of access, quality, and choice FP2020 : PARTNERSHIP IN PROGRESS

49 THANK YOU VIEW OUR FULL REPORT AT: #FP2020PROGRESS

50 EXPANDING ACCESS TO CONTRACEPTIVE OPTIONS #AskFP2020

51 Rachel Riccio Global Health Institutions Sales Planning Pfizer Inc

52 FP2020 RIGHTS AND EMPOWERMENT PRINCIPLES FOR FAMILY PLANNING #AskFP2020

53 Suzanne Ehlers FP2020 Rights & Empowerment Working Group Co-lead President and CEO Population Action International

54 Taking a human rightsbased approach to family planning means protecting the health and the ability of women and men to make their own free and fully informed choices. - Dr. Babatunde Osotemehin

55 Rights and Empowerment Principles Existing Human Rights Principles and Resources Illustrative Examples in: Policy and Programming Measurement Markets Committing to Rights and Empowerment

56 Rights and Empowerment Principles Agency and Autonomy Availability Accessibility Acceptability Quality Empowerment Equity and nondiscrimination Informed Choice Transparency and Accountability Voice and Participation

57 Principles into Practice Examples

58 Agency and Autonomy Measurement: Develop better measures to capture the right to reproductive self-determination, including indicators that touch on community norms and service providers attitudes around reproductive autonomy, as well as women s and girls awareness and confidence in their ability to access and use family planning.

59 Informed Choice Policy and Programming: Full choice includes ensuring that individuals of all ages and irrespective of marital or other status are able to obtain their preferred contraceptive method.

60 Transparency and Accountability Markets: Identify potential accountability and redress mechanisms which might be applicable in the contraceptive deliver space, including those in the private sector. Where these mechanisms already exist, ensure that they are effectively implemented and enforced.

61 If given the opportunity, [the women here] can put their strong will into creating stronger families, stronger communities. They can reduce sickness in their homes, reduce the number of women and children dying... All they need is access to family planning. From that comes health, education and economic opportunity. - Enidyjoy Daniel Nurse, Tanzania

62 THANK YOU

63 FP2020 Q&A #AskFP2020