Many governments in aid-dependent countries fail to invest sufficiently in family planning services and supplies since donors provide significant funding for these purposes. Particularly in sub-Saharan Africa, government ownership of family planning has lagged behind, as evidenced by the small share of government investment as a percentage of the total funding needed to ensure quality family planning programs. Through the Government Accountability initiative, PAI’s civil society partners in six countries—Burkina Faso, Côte d’Ivoire, Malawi, Tanzania, Uganda, and Zambia—conduct budget monitoring and advocacy to increase government investments in family planning and ensure that the funds are being properly disbursed and used. They also engage in advocacy on budget transparency and accountability, to ensure that the data they need to monitor family planning allocations and expenditures are available.
Below are PAI resources from the Government Accountability initiative:
- Third Annual Family Planning Expenditure Tracking Meeting Report (April 2019)
- The Common Framework [and summary] (February 2018)
- Towards a Common Framework for Measuring Government Spending on Family Planning (July 2016)
Country Family Planning Budget Scorecards
In recent years, there have been great successes toward increasing government funds for family planning, but there has been little progress in tracking whether such allocations are spent. In response to this, PAI, in collaboration with Advance Family Planning (AFP) and budget experts from eight African countries, developed a Common Framework for tracking government expenditures on family planning.
Over the last year, PAI’s civil society partners in Malawi, Tanzania, Uganda and Zambia piloted the Common Framework, collecting data on family planning and contraceptives funding needs, allocations, disbursements, and expenditures and assessing the transparency of these data. Each partner has developed an advocacy tool—the Family Planning Budget Scorecard—to highlight their findings and evaluate the performance of their government on both investments in family planning and the transparency of family planning budget data.
Below are related materials:
- Seizing the Moment: How Zambian Sexual and Reproductive Health Advocates are Accelerating Progress on Universal Health Coverage Financing (April 2019)
- Where Can African Sexual and Reproductive Health and Rights Advocates Still Engage in UHC Processes – Infographic (April 2019)
- CSOs Ensure That Malawi Increases Contraceptive Budget Line, Funding Is Spent (January 2016)
- Addis’ Biggest Missed Opportunities: Tax Body and Illicit Financial Flows (August 2015)
- The 11 Step Guide to Ensuring Public Sector Contraceptive Financing and Expenditure (March 2014)