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Uganda Family Planning Budget Scorecard

Analysis

Uganda’s Family Planning Budget Commitments

In late 2021, the government of Uganda launched its new FP2030 commitments as well as its new National Family Planning Costed Implementation Plan 2020-2025, both of which detail the government’s intentions toward increasing and spending domestic resources for family planning (FP) commodities and programs. Uganda’s vision for 2030 is for a “population empowered to enjoy their SRH [sexual and reproductive health] rights for improved quality of life and enhanced productivity.”

Given the impact of COVID-19 and the U.K. Foreign, Commonwealth & Development Office (FCDO) aid cuts on donor resources for FP, domestic resource mobilization for FP has become more important than ever. The FCDO cut 85% ($180 million) of its contribution to the United Nations Population Fund (UNFPA) for fiscal year (FY) 2021/22 (April to March), most of which went to the UNFPA Supplies Partnership. According to the FCDO, the aid cuts will continue through at least FY 2023/24. Uganda has been affected by these cuts given the government’s reliance on FP commodities provided by UNFPA.

Uganda’s Performance on the FY 2020/21 Family Planning Budget Scorecard

Developed by Samasha, in collaboration with PAI, this scorecard serves as both an accountability and advocacy tool highlighting the findings of the organization’s FP budget tracking using the Common Framework, a set of indicators used for monitoring government spending on FP programs and commodities. In addition to data on indicators, the scorecard evaluates the transparency of FP budget data. The scorecard is a product of PAI’s Government Accountability for Family Planning Budgets initiative.

According to available data in FY 2020/21, the FP programs allocation as a share of the total funding need remained constant from FY 2019/20 and FY 2020/21 at 0.5% and 0.8%, respectively. There are no data for FP commodities in FY 2020/21 due to a lack of budget line. As a result, it is not possible to compare FY 2020/21 data with the two prior fiscal years when FP commodities allocation data were available.

Recommendations to strengthen government ownership of Uganda’s FP programs and to improve the transparency of FP budget data include:

  • Increase the allocations for FP programs in the annual Reproductive and Infant Health Division budget.
  • Increase the FP commodities allocation to at least 50% of the Reproductive and Infant Health Division budget under National Medical Stores Vote 116.
  • Conduct resource mapping to identify the allocation of RMNCAH resources for adolescent-responsive FP services.
  • Publish quarterly data on disbursements and expenditures for FP programs and commodities on the Ministry of Health and National Medical Stores websites within one month after the end of each quarter.
  • Disaggregate data for FP programs, particularly from allocations to expenditures, so as to ease budget tracking processes.

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