- About
- Focus Areas
Focus Areas
Learn moreWorking towards global reproductive freedom, healthcare access, and education.
- Regional Hubs
- Commitment Makers
Commitment Makers
Learn moreCreating a future for women and girls with the freedom and ability to lead healthy lives.
- Data Hub
- Impact
- Knowledge Center
Impact
Empowering accessible rights-based, family planning.
Learn More
Domestic Government Expenditure
Domestic government expenditures reflect a government’s commitment to its family planning program and indicate the prospects for its long-term financial sustainability. Domestic expenditures are defined as all government expenditures that support family planning, including commodity purchases, demand creation campaigns, investments in training and research, and service delivery.
Each country estimate in the table is for the most recent available fiscal year, in most cases 2019, 2020 or 2021. The expenditures reported come from three sources:
WHO/SHA.
WHO has been implementing data collection on health expenditures under the System of Health Accounts (SHA) 2011 for several years as part of a joint effort with the OECD and Eurostat. Government-approved estimates are published on the WHO Global Health Expenditure Database. These data include directly measured expenditures, when available for 2019, or estimates based on trends from measurements in previous years. New estimates are released each December, so information for 2020 may be available for some countries at that time.
FPSA (Family Planning Spending Assessment)
Track20 collects data on family planning expenditures in low- and lower-middle-income countries using a modified version of health accounts that focuses strictly on family planning. These analyses collect information from the main funders and implementing organizations to describe sources and uses of funds. Results are disseminated to governments and other stakeholders. The FPSA methods were first tested in Kenya with 2017 data and have since been extended to 38 countries.
UNFPA
UNFPA and NIDI (Netherlands Interdisciplinary Demographic Institute) tracked domestic government expenditures for family planning from 2014 to 2019. NIDI worked with national UNFPA offices to engage local consultants to review records and interview government officials. Results were checked for completeness and quality by NIDI. Final results were approved for release by the organizations contributing data and, in most cases, by appropriate government agencies.
TABLE 3
DOMESTIC GOVERNMENT EXPENDITURES ON FAMILY PLANNING
Fund;
WHO/SHA: World Health Organization System of Health Accounts; * Federal government only Demographic Institute/United Nations Population
Fund;
WHO/SHA: World Health Organization System of Health Accounts; * Federal government only
Government Expenditure on Family Planning
| COUNTRY | ESTIMATE | YEAR | SOURCE |
| Afghanistan | $995,876 | 2019 | NIDI/UNFPA |
Assessing Trends in Domestic Expenditures: Mali, Madagascar, and Côte d'Ivoire
Estimates of government expenditures are sensitive to the approaches used, especially for allocating shared expenditures such as human resources. As a result, estimates for individual countries may vary from year to year without necessarily indicating real changes. As these efforts have become more mature, the approaches have become more consistent, allowing comparisons of changes over time.
Figure 13 shows estimates for 2020 and 2021 for three countries that applied a consistent approach with FPSA: Côte d’Ivoire, Madagascar, and Mali. All three showed significant increases with consistent allocation of total spending. In Mali expenditures rose from US$5.1 million in 2020 to US$10.1 million in 2021 , in Madagascar from US$1.6 million in 2020 to US$3.4 million in 2021, and in Côte d’Ivoire from US$26.6 million in 2020 to US$35.8 million in 2021.
Figure 13
DOMESTIC GOVERNMENT EXPENDITURES IN CÔTE D'IVOIRE, MADAGASCAR, AND MALI
For more information, analysis and reports:
For more information, analysis and reports:
We’re dedicated to advancing the rights of people everywhere to access reproductive health services safely & on their own terms.
Join our effort to build the future we want.
Get Involved
FP2030 | United Nations Foundation
1750 Pennsylvania Ave NW Suite 300 Washington, DC 20006
FP2030 is a diverse, inclusive, and results-oriented partnership encompassing a range of stakeholders and experts with varying perspectives. As such, the views expressed and language used on our website do not reflect those of all members.
This website is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents are the sole responsibility of FP2030 and do not necessarily reflect the views of USAID or the United States Government.
