West Africa Reproductive Health Commodity Security: Regional Financing Gap

Publication date: 2005

West Africa Reproductive Health Commodity Security Study Phase 1 Task Report: 10 Regional Financing Gap West Africa Reproductive Health Commodity Security Study Phase 1 Task Report: 10 Regional Financing Gap DELIVER DELIVER, a six-year worldwide technical assistance support contract, is funded by the U.S. Agency for International Development (USAID). Implemented by John Snow, Inc. (JSI) (contract no. HRN-C-00-00-00010-00), and subcontractors (Manoff Group, Program for Appropriate Technology in Health [PATH], and Social Sectors Development Strategies, Inc.), DELIVER strengthens the supply chains of health and family planning programs in developing countries to ensure the availability of critical health products for customers. DELIVER also provides technical support to USAID’s central contraceptive procurement and management, and analysis of USAID’s central commodity management information system (NEWVERN). This document does not necessarily represent the views or opinions of USAID. It may be reproduced if credit is given to John Snow, Inc./DELIVER. Recommended Citation John Snow, Inc./DELIVER. 2005. West Africa Reproductive Health Commodity Security. “Regional Funding Gap.” Arlington, Va.: John Snow, Inc./DELIVER, for the United States Agency for International Development. John Snow, Inc. 1616 North Fort Myer Drive, 11th Floor Arlington, VA 22209 USA Phone: 703-528-7474 Fax: 703-528-7480 Email: deliver_project@jsi.com Internet: deliver.jsi.com 1 Methodology: Funding Gap UNFPA provided the information about current and past donor support for contraceptives. The projected financing needs for contraceptives were obtained from the ongoing West African Reproductive Health Commodity Security Study, and were estimated by factoring projected needs with unit cost. The software, SPECTRUM, developed by the Futures Group, was used to estimate the projected quantity needed. It applied demographic data from the most recent surveys (i.e., Demographic Health Surveys, conducted by Macro International; the Multi-Indicator Cluster Surveys, conducted by UNICEF; or the Reproductive Health Surveys, conducted by Centers for Disease Control and Prevention [CDC]) to the United Nations’ estimated fertility goals for the region. The global average was used for the unit cost of contraceptives. The recent donor support for condoms included the requirements for HIV prevention; the cost projections in the West African study did not include the requirements for HIV prevention. For data comparability, we excluded condoms from our analysis. 2 Donor Financing for Contraceptives (except condoms) Compared to Projected Needs with and without Pooled Procurement, West Africa 0 4 8 12 16 20 24 28 19 96 19 97 19 98 19 99 20 00 20 01 20 02 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10 U.S.$ in millions Past donor financing Constant donor financing (based on financing 1999-2002) 3% annual increase in financing Projected cost of contraceptives (when purchased independently by countries) Projected cost of contraceptives (under pooled procurement)

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