Presentation made by Dr Joachim Chijide on Sustainable Family Planning Financing and Agenda 2030 : Emerging Approaches and Tools at the 2nd Sexual and Reproductive Health Community of Practice (SeRHCoP) Webinar, 23rd September 2021

1. Sustainable FP Financing and Agenda 2030 :
Emerging Approaches and Tools
Dr. Joachim Chijide
2nd Sexual and RH Community of Practice (SeRHCoP)
Webinar

2. Objectives
1. Provide a brief general overview of the FP Funding landscape globally and then
in Nigeria
2. Highlight the pride of place of FP Financing Sustainability in Agenda 2030
3. Share the UNFPA Supplies Sustainability Conceptual Framework
4. Introduce emerging approaches and tools for FP Financing Sustainability
The Sustainability Readiness Assessment Tool
Incorporation of Country Transitioning
The Match Fund
5. Illustrate the Match Fund

3. Agenda 2030: Prioritizing Sustainable FP Financing
• Agenda 2030: The vision framework for FP2030 sets out five key focus areas, one
of which centers on financing for family planning: “Increase, Diversify, and
Efficiently Use Financing.” Success by 2030 is articulated as: “Family planning
financing is sufficient and resilient, with countries increasingly able to sustainably
finance their family planning work.”
• 3 Pillars for attaining sustainable financing
1. Increased Allocation of public revenues to Family Planning
2. Improved efficiency on the use of Family Planning
3. Sustainability of financing for Family Planning

4. 4
Global FP Financing
Landscape (Short Term)
• We are facing a global funding crisis for
FP particularly RH commodities.
• Partners estimate a $92m shortfall for
contraceptives in UNFPA Supplies
countries by March 2022.
• Some Partnership countries have an
unsustainably high reliance on donors.
• FP commodity procurement is often
deprioritized within national health
budgets

5. Overview of the FP Funding Landscape in Nigeria
 The National Basket Fund for the procurement of
contraceptives was established in 2011
 Over the last decade the Basket Fund has
mobilized over US$149,000,000 for this important
intervention
 Largely donor-dependent within a context of
impending donor fatigue
 Funding gap for the procurement of contraceptives
has continued to widen
 In 2021, the funding gap amounts to US $12.17
million
 COVID-19 Pandemic has impacted on the global
economy and resources available
 Nigeria is likely to experience 50-80% funding cuts
in 2022
Estimated Consequences of the 2021 Funding
Gap
CYP Deficit 3,884,701
1Unin432,273 unintended pregnancies
504,502 unsafe abortions
7
7,535 maternal deaths
7
$98,398,566 health savings unattained
About 9,830,650 women with unmet need
for Family Planning
$

6. Nigeria Pooled Basket Fund Performance Pledge 2011 -
2021
Disbursed
2011 - 2021
FCDO 40,000,000 46,435,755
Federal Ministry
of Health (no
pledge 2015 -
2016) 27,000,000 16,457,518
Federal
Government
SURE-P
(dissolved in
2015) 8,350,000 1,869,741
Canada 4,800,000 4,580,801
UNFPA 37,000,000 60,478,465
USAID 19,900,000 19,900,000
Total
137,050,000 149,721,928

7. UNFPA Supplies financial sustainability conceptual framework

8. Emerging FP Financing Sustainability Approaches and Tools
• Some of the Financing Sustainability approaches include
o Improved Domestic Financing- this includes increased budget allocation, budget execution as well as
efficiency. This can lead to increased availability, equity, access and use of quality FP services
o Sustainability Readiness Assessment Tool- used to assess the level of sustainability reached by the
RH/FP program at any specific moment and assist in identifying main challenges and opportunities
across the sustainability continuum
o UNFPA Supplies Partnerships Transition Country Groupings - countries move through stages along a
pathway towards sustainable transition. The three stages along the pathway are full programme,
modified support and technical support
o The Match Fund- Incentive and performance-based financing mechanism which could foster
sustainability

9. Nigeria is a group 3 Country
Country Group Reduction by Group
Group 1
Group 2
Group 3
Group 4
Carryover
Total Reduction 34%

10. STAGE
Full programme
STAGE
Modified support
STAGE
Technical support
STAGE
Standard transition
Full programme countries have
access to all resources in the
Partnership. Most countries and
most programme resources are in
Stage 1 at the start.
Countries are eligible for:
• Routine commodities
• New and lesser-used commodities
• Additional third party procurement
incentive support
• Transformative Action funding
stream
• Performance funding stream
Countries enter a stepped-down
approach while shifting to the next
stage, technical support.
Countries are eligible for:
• Step-down matching arrangements for
routine commodities
• Additional third party procurement
incentive support
• Application for new and lesser-used
commodities
• Application to the Transformative
Action funding stream
• Performance funding stream
Countries are eligible for support
through UNFPA Regional Office as
well as some Partnership resources
including:
• Technical support from Regional
Offices
• Application for matching support for
new and lesser-used commodities
(for product introduction)
• Limited procurement
support/incentive for third party
procurement
• Limited application to the
Transformative Action stream subject
to funding availability
• Limited funds from Performance
stream
Five to ten countries by 2030
A Pathway to Sustainable Transition

11. SRAT structure
• Two main sections:
DATA COLLECTION
and PRIORITIZATION
& DASHBOARD
• Each sustainability
component has 5 to 7
questions called
“trajectories”.
• Each trajectory has 5
milestones that have a
fixed score (1 to 5).
Average score results
from each component

12. Sustainability Readiness Assessment Tool (SRAT)

13. Sustainability Readiness Assessment Tool (SRAT)

14. The Match Fund

15. • The Match Fund pilot will be conducted to enable UNFPA Supplies
match domestically raised contributions for quality-assured FP/RH
commodities in 2022 and 2023.
• An objective and transparent approach will be used to determine a
Match Fund budget ceiling and tailored matching terms for every
Partnership country.
• Governments will be allocated a two-year Match Fund budget ceiling
from 2022-2023. Domestic contributions can be made on a rolling
basis in line with national budget cycles.
• Contributions will need to be made by a government entity but can
come from a range of funding sources.
Overview of the Match Fund Pilot

16. 16
What is the goal of the Match Fund pilot?
• The Match Fund pilot aims to lessen the impact of UNFPA Supplies funding cuts by supporting
governments to leverage funding for RH commodities from a range of funding sources in country.
Justification
Why now?
• Partnership countries - particularly those in the higher
groups - will need to accelerate resource mobilization
and diversify the funding base to deal with severe
funding cuts from 2022.
How do we know this will work?
• We are trialling something new and
innovative, so there is no guarantee of
success.
• However, the design of the Match Fund
draws on evidence of what works elsewhere
and allows for course correction if funding is
not fully utilized.
• If it works, the medium to longer term goal of the Match Fund could evolve to
one more explicitly linked to domestic resource mobilization.

17. 17
How much match funding can countries access?
• Countries will be allocated a two-year Match Fund budget ceiling that can be accessed
any time between January 2022-December 2023.
• Ceilings will be determined using a methodology which targets funding towards
countries facing the greatest cuts to their commodity budgets from 2022.
• Matching ratios for individual countries will be determined using a Dependency Index.
• Countries that are the most dependent on UNFPA for the financing of RH commodities
will receive the most generous matching ratios.
Programmatic Arrangements
What matching ratios will apply for different countries?

18. 18
Illustrative Country Case Study: Group 1 Country

19. 19
Illustrative Country Case Study: Carryover Country

20. Applying Lessons Learned
Domestic Financing arrangements need to be
proportionate, manageable and tailored to the country
context
Within the current context, bar should not be set too high
for countries when it comes to raising public funds
Domestic resource mobilization requires strong alignment,
coordination and diplomacy among key partners
Budget monitoring, accountability and reporting functions are
critical from the outset
Technical skills are important, but changing the status quo
also requires a deep understanding of the political economy
Budget monitoring, accountability and reporting functions
are critical from the outset

21. Key takeaways:
● The Match Fund aims to lessen the impact of UNFPA Supplies funding cuts.
● All Partnership countries will be able to access the Match Fund from 2022-2023 in the first
instance
● UNFPA will match domestic contributions from a range of funding sources, not only public
funds.
● Match Fund budget ceilings and matching ratios for individual countries will be determined
using an objective and transparent approach.
● Governments will have the opportunity to bid for additional match funding.
● Governments can make their Match Fund contributions through direct payment to UNFPA, TPP
or domestic procurement.
● In 2023, governments will first need to make their domestic financing
contribution in order to unlock access to the Match Fund.
Match Fund

22. Questions