Inadequate or insufficient resources to meet increasing demand

Due to the successes of family planning programmes and the growing number of men and women of reproductive age, the demand for reproductive health (RH) supplies is greater than ever. The funds needed to purchase them are expected to increase from approximately US$ 1.8 billion in 2000 to US$ 3.4 billion in 2015. Historically, international development assistance has accounted for approximately 20 percent of the total market worldwide for RH supplies. But that percentage has been falling - especially so in the case of family planning which, since 2000, has seen a decline of 39 percent relative to spending for other areas of population assistance. 

Ensuring adequate donor resources is critical to meeting the supply challenge. Accessing those resources once they arrive is equally critical - and often equally precarious. The trend towards greater country ownership of the development process has shifted the responsibility for financing supplies to countries themselves. Unfortunately, the national players needed to complete this transition are not always on board. Many countries with funds that could be used to guarantee supply security are instead allocated elsewhere. Many of these countries lack national budget lines for supplies; and many of those with line items still see unspent funds.

Household resources represent yet another often underexploited opportunity to narrow the supply gap. For those who can afford to do so, purchasing goods and services outside the public sector frees up scarce funds for those who do not have the means to do so. Unfortunately, the potential role of the marketplace and private sector generally is often undermined by indifference or, at worst, punitive policies and practices. The imposition of heavy tax barriers, the application of complex regulatory requirements, and the occasional widespread release of free commodities all undermine the "total market" and the flow of household resources.  

Look at our Strategic Plan to find out what we are doing.

In the developing world, the cost of contraceptives and condoms was estimated at $200 million in 1992, $700 million in 2000, and an estimated $1.5 billion in 2015. This graph compares donor contributions of contraceptives and condoms (in millions of dollars) relative to worldwide public sector demand. Click on the image to enlarge.


Donor Gap Report

In 2009, Coalition members updated a report entitled Contraceptive Projections and the Donor Gap. Find out more and download the updated report here.