IPPF welcomes the opportunity to engage with the PMNCH consultation on the Global Financing Facility (GFF).
We welcome opportunities for the GFF to mobilize the long-awaited international and domestic resources for scale up of Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) services. However, IPPF would like to raise potential risks of current proposals as they stand on the delivery of Sexual and Reproductive Health and Rights services. They include:
- There is a potential danger that donor funds may, instead of adding to global health funding, be transferred from existing programmes to the GFF which is as yet untested and unknown. Greater clarity is needed to understand how the GFF will interact with current RMNCAH financing architecture.
- The GFF must cover financing for the full range of SRHR. There is a potential challenge that more controversial issues may be side-lined.
- It is not certain that national government applications to GFF will match national pledges made, for example to Family Planning 2020 (FP2020).
- GFF funding needs to strike a balance between medium/long term investments, including those that are likely to reduce costs across other parts of the continuum of care, and shorter term health interventions.
- It is believed that the GFF could become the main financing mechanism for any post-2015 framework targets on SRHR, although greater clarity is needed on time-scales.
We make the following recommendations in relation to the design and implementation of the GFF:
- The GFF should include a dedicated financing window for SRHR to achieve universal access by 2030.
a) Funding must support all aspects of SRHR and ensure increased funding for family planning (FP) commodities. Family planning is the most cost-effective public health and development intervention and should be included as a ‘best buy’ intervention.
b) The GFF must deliver additional investment.
c) There must be no gap in funding for SRHR, or interruption to supply chains, while the GFF is operationalised.
d) No country should be discouraged from supporting all aspects of SRHR by the GFF financing architecture.
- GFF mechanisms, including results-based financing approaches, must be rights-based and equitable, putting client rights at the centre.
- Civil society must participate in the setting up of the GFF, in the creation of national plans and financing maps, and have a strong role in ensuring accountability. Civil society involvement needs to be built in as a critical part of development and validation of country RMNCAH plans and financing roadmaps.
- The GFF indicator framework must have strong SRHR indicators such as Contraceptive Prevalence Rate and those included in IDA.
About us: The International Planned Parenthood Federation (IPPF) is a global service provider and leading advocate of sexual and reproductive health and rights for all. We are a worldwide movement of national organizations working with and for communities and individuals. For our recent work on the World
Contact: Preethi Sundaram, Policy and Advocacy Officer, IPPF: email@example.com