Commitment makers and their formal pledges to expand access to voluntary, rights-based, high-quality family planning are the foundation of FP2020. The partnership has grown steadily since the London Summit, and now reflects the policy, financial, and programmatic pledges of more than 90 commitment makers.
A demonstrable commitment to family planning strengthens the enabling environment that programs and policies need to thrive; it also energizes family planning stakeholders to recommit to meeting the reproductive needs of their constituents.10 But commitments are just the beginning. To ensure that pledges are transformed into progress, commitment makers must follow through with implementation and hold themselves accountable for results. Whether at the global, regional, national, or subnational levels, commitments can be the first step in a concrete, measurable process of change.
Three additional countries joined the FP2020 partnership in the past year, bringing the total number of commitment-making countries to 38.11 FP2020 is also pleased to welcome three new commitments from institutional partners, contributing fresh momentum and resources to the movement.
The Government of Afghanistan committed to:
- Reduce unmet need for family planning by 10% by 2020;
- Increase the modern contraceptive prevalence rate to 30% by 2020;
- Allocate 25% of the national health budget specifically to reproductive health; and
- Develop a Family Planning National Costed Implementation Plan for 2017–2020.
The Government of Lao PDR committed to:
- Increase the modern contraceptive prevalence rate from 42% to 65% by 2020;
- Reduce unmet need for contraception from 20% to 13% by 2020;
- Expand coverage and method mix for family planning services in health facilities with a focus on long-acting methods, such as implants and IUDs; and
- Revise the country’s reproductive health policy to promote an enabling environment for family planning.
The Government of Vietnam committed to:
- Ensure universal access to family planning;
- Increase the modern contraceptive prevalence rate for married women (ages 15 to 49 years old) from 67.5% in 2015 to 70% by 2020;
- Develop and implement youth-friendly contraceptive services and methods; and
- Improve rights-based approaches to family planning services, establishing national standards for quality of care.
Community Health And Sustainable Environment (CHASE) Africa committed to:
- Provide access to voluntary free family planning services to marginalized poor communities in Kenya and Uganda, with the aim of reaching 25,000 additional users of contraception each year; and
- Reach a total of 100,000 additional users of contraception between January 2017 and December 2020.
MARGARET PYKE TRUST, WITH THE POPULATION & SUSTAINABILITY NETWORK
Building upon the organization’s expertise in providing the UK’s most up-to-date sexual and reproductive health training courses for medical professionals, the Margaret Pyke Trust, with the Population & Sustainability Network, committed to:
- Expand training activities to reach 300 doctors and nurses in FP2020 focus countries, with training tailored to meet local capacity needs, reaching up to 9.5 million women and girls with an unmet need for family planning;
- Implement three programs that integrate sexual and reproductive health and rights within broader international development programs; and
- Advocate for the importance of universal access to comprehensive and voluntary family planning services and rights as a requirement to enable sustainable development.
POPULATION SERVICES INTERNATIONAL
Population Services International—through its global network of country programs—committed to:
- Reach 10 million people under the age of 25 with modern contraceptive methods by December 2020; and
- Collaborate with young people to reimagine and redefine the way sexual and reproductive health and rights (SRHR) programs are designed, delivered, measured, and evaluated.
Four FP2020 partners renewed their commitments this year with ambitious new objectives, pledging to build on the contributions they have already made and go even further: contributing more resources, delivering more services, reaching more women and girls.
The Government of Germany renewed its original 2012 commitment and pledged to:
- Provide a minimum of €514 million until 2019 to rights-based family planning and reproductive health (25% of Germany’s bilateral funding will likely be dedicated directly to family planning, depending on partner country priorities); and
- Support the government’s Rights-based Family Planning and Maternal Health Initiative, which includes the aim of providing information and access to modern forms of family planning to 9 million couples.
FHI 360 renewed its original 2012 commitment and pledged to:
- Increase its financial commitment from US$1 million of its own resources to US$3 million to support the development and introduction of new contraceptive technologies;
- Progress at least five new contraceptive methods through the development pipeline and support the introduction of new and affordable IUDs in FP2020 focus countries;
- Provide evidence to support contraceptive decision making for women at risk of HIV infection who also wish to avoid pregnancy; conduct research and advocacy to make family planning more accessible through task shifting; work with government stakeholders in FP2020 countries to develop, implement, and monitor costed implementation plans for family planning; and advocate for the inclusion of family planning as an essential part of an integrated approach to development.
INTERNATIONAL PLANNED PARENTHOOD FEDERATION
The International Planned Parenthood Federation renewed its original 2012 commitment and pledged to:
- Reach a further 39 million first-time users of modern contraception in the FP2020 focus countries between 2016 and 2020;
- Promote women’s empowerment and the elimination of sexual and gender-based violence, female genital mutilation, and early and forced marriage; expand access to comprehensive sexuality education; strengthen sexual and reproductive health services in humanitarian settings; and run popular campaigns to mobilize support for SRHR and citizen-led accountability.
IntraHealth International renewed its original 2012 commitment and pledged to:
- Reach 315,000 health workers annually with education, skills building, and supervisory, management, and policy support by 2020; and
- Apply its technical, programmatic, measurement, and advocacy resources and expertise to expanding equitable access for an increased number of frontline health workers globally and in 20 FP2020 priority countries, including the nine countries in the Ouagadougou Partnership, Democratic Republic of Congo, Ethiopia, India, Kenya, Liberia, Nigeria, Palestine, Tanzania, South Sudan, Uganda, and Zambia.
10. High Impact Practices in Family Planning (HIPs). Galvanizing commitment: creating a supportive environment for family planning. Washington (DC): USAID; 2015. Available from: https://www.fphighimpactpractices.org/commitment.
11. This figure does not include South Africa, which made a commitment to FP2020 but is not one of the 69 focus countries. South Africa’s GNI does not qualify it as one of the world’s poorest countries, based on the World Bank 2010 classification using the Atlas Method.