2020 Family Planning Market Report

14th December 2020

The 2020 Family Planning Market Report is now published. The report – jointly produced by the Clinton Health Access Initiative and the Reproductive Health Supplies Coalition – is now in its sixth iteration and features family planning shipment data from 16 suppliers, 15 of which also participated in previous reports. The 2020 report provides visibility into family planning procurement in the 69 FP2020 focus countries and synthesizes recent supplier and procurement data as well as five-year trends from 2015 to 2019.

Analysis from the 2020 Family Planning Market Report shows that the value of the public-sector market in FP2020 countries remained largely stable from 2018 to 2019. Despite a decline in market value for IUDs and injectables, the market value of orals, condoms, and implants all increased, with implants reaching a five-year high. An increase in UNFPA procurement spend and a decline in USAID procurement spend were observed relative to 2018.  Uncertainties over longer-term donor funding and growing funding gaps, as highlighted by the 2019 RHSC Global Contraceptive Commodity Gap Analysis, remain critical factors in determining the health of this market.

Drawing on discussions with stakeholders, the report also proposes an explanation for two prominent trends observed in 2019. First, the number of couple years of protection (CYPs) shipped during 2019 decreased by 13% relative to 2018, even while market value remained largely stable. This comparatively large decrease in CYPs shipped was due to a decrease in IUD volumes, following a large spike in volumes in 2018. Since IUDs have a relatively low per unit cost and a relatively large CYP factor relative to other family planning methods, this decline in IUD volumes primarily drove the reduction in the number of CYPs shipped in 2019 versus 2018, while only having a more marginal impact on market value. Secondly, while IUD volumes decreased in 2019 versus 2018, implant procurement volumes reached their highest level in 2019 over the 2015-2019 period. Accordingly, LARCs continued to comprise approximately two thirds all CYPs shipped in 2019, as they did in 2018.

A webinar on January 28, 2021 will discuss the report's findings in more details.

The report, a product of the Global Markets Visibility Project, provides the community with the most comprehensive and reliable view into public-sector family planning procurement across the 69 FP2020 focus countries. The report includes insightful data and analysis for donors, Ministries of Health (MoH), implementing organizations, and suppliers to develop and implement more effective strategies aimed at increasing access to family planning products and services in low-resource settings. We thank the 16 participating suppliers for their important contribution in this initiative and FCDO for funding this valuable project.

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