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Worldwide, the availability of reproductive health (RH) supplies, including contraceptives, medicines for prevention and treatment of sexually transmitted infections and HIV/AIDS, and medicines to ensure healthy pregnancy and delivery, falls short of current demands. No single set of factors can fully explain this reality. But the following three factors are of particular significance. They also form the basis for each of the Coalition's three strategic goals.

The demand for reproductive health supplies is greater than ever and with the share of development assistance dropping, ensuring adequate donor resources has become critical to meeting the supply challenge.

With more responsibilities brought by a shift towards greater country ownership of the development process, it is more and more difficult to find a way through an environment that is more and more complex.

Coordination and harmonization of tools at the global level are necessary to combat against resource shortfalls and failing to make the most of existing resources. Global political will and advocacy are critical to give priority to reproductive health.