The Repositioning Family Planning Initiative's focus areas include Mobilizing Assets, both technical and financial, to ensure that countries have the support needed to accelerate progress towards their national goals and commitments for family planning. This includes leveraging resources for family planning through partnership, and ensuring the inclusion of family planning services in mechanisms such as Universal Health Insurance and Performance-Based Incentives/Results-Based Financing (PBI/RBF).
Mobilizing additional financial and technical assets
In the long run, domestic (country government) resources will provide the largest portion of funds for attaining family planning objectives. Domestic resource mobilization is, thus, one of the highest priority areas for focused attention for the Repositioning Family Planning team. Both the public and the private sectors can potentially contribute to the resources required. Domestic resource mobilization efforts to expand and improve family planning programs will need to be complemented by a significantly greater provision of financial and technical resources by the international community and new approaches will be required in countries undergoing decentralization/devolution.
Funding for family planning through internally generated sources such as taxes, fees, and levies continues to be extremely low. Where budget lines for family planning do exist, they are most often negligible and underspent. Current efforts towards universal health coverage in a number of countries may provide an opportunity for assuring increased domestic resources in family planning, efforts to ensure inclusion of family planning will be critical.
Efforts to increase domestic investment will include working with partners to identify and build the capacity of civil society to advocate for and track higher levels of domestic spending for family planning through the following:
- Effective approaches in targeted and informed advocacy;
- Easy to use approaches for expenditure tracking which civil society can utilize to hold governments accountable for their family planning commitments;
- Technical Assistance on development, implementation, and monitoring of fiscal policies which ensure growing domestic allocation and expenditure for family planning over time;
- Identify countries where tax resources could be used for family planning;
- Expanded line items for commodities.
At the 2012 London Summit on Family Planning an additional $4.6 billion was pledged to help reach the goal of 120 million new users by 2020. The Repositioning Family Planning team will work with partners to help ensure that additional financial and technical resources that have been committed are being used to advance country programs. The Repositioning Family Planning team will continue to support the Costed Implementation Plan process and further to that will identify gaps in plans and leverage both financial and technical resources through working with the following partnerships:
- Ouagadougou Partnership
- International Conference on Family Planning
- Private sector partnerships
Inclusion of family planning into financing mechanisms
In addition to working with partners and USAID Missions to ensure available financial and technical resources, the Repositioning Family Planning team will continue efforts to include family planning into financing mechanisms such as Universal Health Insurance and Performance-Based Incentives/Results-Based Financing (PBI/RBF) consistent with US regulations regarding voluntarism and informed consent.
- Universal Health Insurance - continue to build the evidence base for inclusion of family planning into health insurance and assist Missions and build capacity of civil society and other actors to advocate at the country level.
- Performance Based Incentives/Results Based Financing - identify opportunities and solutions to challenges to incorporating family planning into PBI/RBF in country through working together with Missions, and offices within USAID as well as with other partners such as the World Bank, Norad, and DFID, to ensure consistent guidance on inclusion of family planning at the country-level.