Can Advocates and Technical Partners Catalyze a Trend Shift in - PowerPoint PPT Presentation

Can Advocates and Technical Partners Catalyze a Trend Shift in Domestic Resources for Family Planning? September 15, 2020

Martyn Smith FP2020: The Need for Catalytic Investments CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

TOTAL AND ADDITIONAL USERS OF MODERN CONTRACEPTION, 2012 – 2019 CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

DISTRIBUTION OF FAMILY PLANNING EXPENDITURES IN 69 FP2020 COUNTRIES BY SOURCE OF FUNDS, 2017 CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

ANNUAL PROGRESS REPORT DOMESTIC GOVERNMENT EXPENDITURES ON FP (CORE INDICATOR 12) CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

Country Self-Reports: Financial Commitments • Self-report questionnaires Countries on track with financial commitments requested from all country commitment- makers in July 2019 5 • 40 self-reports received (44 countries total have 18 made a financial commitment) 17 On track Off track Unclear CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

INTERNATIONAL BILATERAL FAMILY PLANNING ASSISTANCE FROM DONOR GOVERNMENTS: DISBURSEMENTS, 2012 – 2018 CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

Family Planning Post-2020 Vision Framework Vision Tagline Working together for a future where all women and adolescent girls everywhere have the freedom and ability to make their own informed decisions about using modern contraception and whether or when to have children, lead healthy lives, and participate as equals in society and its development. The change we wish in the world is … Voluntary modern contraceptive use by everyone who wants it, achieved through individuals’ informed choice and agency, responsive and sustainable systems providing a range of contraceptives, and a supportive policy environment. To realize the vision, countries and partners will… Improve System Expand the Narrative Drive Data and Increase, Diversify, and Transform Social and Responsiveness to and Shape the Policy Evidence-Informed Efficiently Use Financing Gender Norms Individual Rights and Agenda Decision Making Needs Our commitments, decisions, and efforts are guided by… • Voluntary, person-centered, rights-based approaches, with equity at the core • Empowering women and girls and engaging men, boys, and communities • Build intentional and equitable partnerships with adolescents, youth, and marginalized populations to meet their needs, including for accurate and disaggregated data collection and use • Country-led global partnerships, with shared learning and mutual accountability for commitments and results

THE ROAD AHEAD: 2020-2021 JAN-NOV: Transition to architecture for new partnership JAN: NOV: • Celebration of FP2020 Launch of the partnership • Launch of the 2019-2020 at ICFP 2021 and new Annual Progress Report commitments in place • Commitment Kickoff JULY NOV MAR SEPT MAY JAN SEPT JULY NOV JUNE AUG OCT FEB APR DEC JUNE AUG OCT DEC JAN-NOV: Commitment generation and bridge year during the transition for the next phase of the partnership CATALYTIC INVESTMENTS FOR FAMILY PLANNING WEBINAR – SEPTEMBER 15, 2020

Catalytic Investments to Mobilize Domestic Resources for Family Planning Elise Lang, Health Technical Advisor September 15, 2020

Family Planning Program Areas Demand Family Planning Service Delivery Supply Chain Generation Commodities • Procurement of • Provision of FP contraceptives & • Increase clients’ • Storage & services & commodities desire to use FP methods distribution of FP commodities • Prioritize • Needed when • Prioritize when procurement of • Reinforce as mCPR is low mCPR reaches wider method accelerated mCPR increases range as mCPR growth increases 15

Example Potential Barriers to Funding Each FP Program Area FP Program Area Type of Barrier Demand Service Delivery Supply Chain FP Commodities Generation Cultural & Pro-natalist Gender Religious beliefs Social beliefs attitudes • High infant & Socioeconomic High labor & Technocratic child mortality mobility • Need for workers • No public • No public Health System Only delivers Functioning & short-acting resources resources • Insufficient • Lack of Financing contraception qualified HRH knowledge on impact on high out-of-pocket spending 16

Example Responses to Barriers FP Program Area Type of Barrier Demand Service Delivery Supply Chain FP Commodities Generation Cultural & Pro-natalist Gender Religious beliefs Cost and budget Social beliefs attitudes analysis, advocacy • High infant & Socioeconomic High labor to government & Technocratic child mortality mobility leadership, policy • Need for development workers • No public • No public Health System Only delivers Functioning & short-acting resources resources • Insufficient • Lack of Financing contraception qualified HRH knowledge on impact on high out-of-pocket spending 17

Types of Responses to Barriers Conduct targeted advocacy aimed at those responsible for or having influence over the budget Evidence generation Infuse specific capacity development activities into a domestic resource mobilization decision-making process Draft, revise, or implement a key rule, law, regulation, or policy that may promote domestic resource mobilization Reduce the risk of investing in the family planning market 18

Defining Catalytic Investments Activities, programs, or mechanisms which leverage existing political, social, and financial opportunities to increase the likelihood that decision-makers will raise allocation of domestic resources or improve execution for domestic resources. Specific Examples Analysis & advocacy for inclusion of FP into financial protection mechanisms Invest in civil society capacity to advocate for & mobilize FP funding Co-financing arrangement between donor & central government Invest in shifting wealthier FP users to commercial providers 19

Prioritizing Catalytic Investments 20

The S-Curve mCPR growth trajectory is an important factor in FP strategic planning and identifying programmatic priorities for investment. Exiting rapid Leveling off Slow growth Entering rapid Rapid growth growth growth Higher mCPR Investment in: demand generation, shifting social norms, and establishing infrastructure to deliver FP services. Demand Generation Demand Generation Lower mCPR Track20, 2017 21

The S-Curve mCPR growth trajectory is an important factor in FP strategic planning and identifying programmatic priorities for investment. Exiting rapid Leveling off Slow growth Entering rapid Rapid growth growth growth Higher mCPR Wide Range Commodity Procurement Supply Chain Service Delivery Investment in reducing barriers to access, ensuring contraceptive Demand Generation availability and high quality services, and in sustaining demand Lower mCPR generation. Track20, 2017 22

The S-Curve mCPR growth trajectory is an important factor in FP strategic planning and identifying programmatic priorities for investment. Exiting rapid Leveling off Slow growth Entering rapid Rapid growth growth growth Higher mCPR Wide Range Commodity Procurement Investment in ensuring mCPR equity, long- Supply Chain term sustainability, continued Service Delivery service improvement and expanded method choice. Lower mCPR Track20, 2017 23

Health Financing Maturity Financing Environment Areas for Domestic Characteristics Resource Mobilization Engaged commercial Explore innovative Higher sector financing maturity Health financing maturity based on Significant private sector Strengthen the private combined point score contribution sector Emerging across three dimensions: maturity Existing health insurance Integrate FP into a • Fiscal space for schemes benefit package health • Dependency on Improve efficiency Low Efficiency external funding Lower • Coverage of pre- maturity Increase national and Low Government payment scheme sub-national government contribution to FP; high contribution donor dependence The health financing system determines how a country can actually raise and 24 pool funds to pay for FP services and programs.

Health Financing Maturity Financing Environment Areas for Domestic Characteristics Resource Mobilization Barrier to Domestic Resource Mobilization Engaged commercial Explore innovative Higher sector financing maturity • Restrictive policy, law, or regulation Significant private sector Strengthen the private • Lack of supporting contribution sector Emerging information/data maturity Existing health insurance Integrate FP into a schemes benefit package Response Improve efficiency Conduct financial Low Efficiency Lower analysis and advocacy to maturity support policy to include Increase national and Low Government family planning in a sub-national government contribution to FP; high benefit package contribution donor dependence 25