Global Contraceptive Commodity Gap Analysis

This edition of Global Contraceptive Commodity Gap Analysis 2018 (CGA 2018), we follow the broad outlines set out in 2016. We project growth in contraceptive use along each country’s historical trajectory and revisit the four key questions:

  • How much is spent on contraceptive supplies, and what are the relative contributions of donors, governments, and individuals? 
  • How many women use each method of contraception, and what volume of supplies do they consume? How much will these figures change by 2020? 
  • What is the cost of the volume of supplies currently consumed by all users of contraception? How much greater will the cost be in 2020?
  • Will funding gaps emerge as we move closer to 2020? If public sector funding does not increase, what burden will shift to individual users of contraception? 

We also, for the first time, probe more deeply into the division between the public and private sectors. We draw on updated data from the diverse sources we used last year, and introduce entirely new data – particularly data on private sector pricing and procurement. We also reflect, in a more nuanced way, the implications of declining public sector funding for the role of the private sector, in terms of the latter’s absorptive capacity, equity, and contraceptive availability.

As our community increasingly turns its attention to operationalizing the Sustainable Development Goals, understanding better the role of donors, national governments, and the private sector will be critical. Commodity financing over the next decade will see a declining donor resource base – about that, there is little debate. Out of pocket expenditures will increase, as will the contributions of national governments. But as we plan for the coming decade, the real challenge will be to figure how to make the most of our existing resource base; how to allocate resources that maximize both comparative advantages and manageable interests. This report goes a long way to providing the evidence that will help answer these pressing questions. It reminds us, as the saying goes, to mind the gap. 

Global Contraceptive Commodity Gap Analysis 2018

The results of this analysis suggest that by 2020, there will be 493 million users of contraception in the 135 low- and middle-income countries, of whom 337 million will live in the 69 FP2020 countries. 

Download the report