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Domestic Resource Allocation Said to Be Crucial to Achieve FP 2020 Goals

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Domestic Resource Allocation Said to Be Crucial to Achieve FP 2020 Goals

Participants of the high level meeting

Participants of a high level meeting on stock taking and acceleration towards FP 2020 goals underlined the need for domestic resource allocation for family planning (FP) to achieve FP 2020 goals. The meeting was held on June 29, 2017 in Addis Ababa.

In his key note speech, CCRDA Executive Director, Dr. Meshesha Shewarega, said the government needs to give priority to domestic financing of FP services. The Executive Director said, “Only two countries are committed to provide 67% of the funds needed for the realization of FP 2020 goals. And only three countries out of the 69 that are working to achieve FP 2020 goals provided 79% of the resource needed to realize FP 2020 goals. According to the CCRDA Executive Director, the fact that 68 countries are competing with Ethiopia for the meager resources, shows the fierce competition to get foreign resources. He said the budget reduction trend from four major donor countries is a clarion call to focus and aggressively engage in domestic resource mobilization.

CCRDA Executive Director Dr. Meshesha Shewarega while making his speech

Jyoti Tewari, DFID, Health, Population and Nutrition Partners Co-Chair also underscored the importance of domestic financing of FP. Currently partners spend around 50 million US dollar per year on family planning, but to meet all the unmet need, at least 80 million US dollar is needed per year, he said. Mr Tewari further said, “A few partners and global initiatives, including GFF, She Decides and the UK, are planning additional investment in family planning, and some on-going funding appears uncertain.”

Another participant recalled that after the London Summit, in July 2012, the late Ethiopian Prime Minister, Meles Zenawi, and Rwandan President, Paul Kagame, had issued a publication in which they wrote that if Africa had to develop, there should be family planning service. They also underlined the need to domestically finance FP, the participant said. Africa should have allocated more budget since then, but it is only now, when foreign donors reduced their financial support that the importance of domestic resource mobilization is being raised, he noted. Women who don’t want to give birth have to get the service, he underlined.

The Way Forward

At the conclusion of the high level meeting on FP 2020 Goals, CCRDA Executive Director, Dr Meshesha Shewarega, said there are three important areas and six enablers to be mentioned as way forward.

Listing the three important areas Dr Meshesha said, first, based on the discussion and presentations at the meeting, it was understood that FP coverage in some regions, particularly in Afar and Somali are very low. As a way forward, Dr Meshesha said FP service has to be expanded in the regions where the FP service coverage is low. And there is a need for FP scale up initiative giving special attention to the youth.

The second most important point raised by various participants was the need for sustainable financing of FP. Dr Meshesha summarized the discussion points and underscored the need for domestic resource mobilization in addition to the foreign fund received from donors.

The third most important issue of concern is FP commodity security. Dr Meshesha put as a way forward the need to tackle the problem of supply chain of FP commodities.

As enablers, based on the discussion and presentations of the meeting, Dr Meshesha said awareness creation is very important both at the Federal and regional level for the realization of FP 2020. And he underlined the need for CSOs to work hand in hand with the government.

He further said there should be joint involvement of MPs, CORHA, CCRDA so that all closely follow up of FP 2020.  He mentioned as advantages the presence of FP 2020 Goals as a reference point and also the presence of FP focal person at Federal Ministry of Health.

The CCRDA Executive Director further noted that there should be regular evaluation of FP 2020, annual review mechanism of FP 2020 both at federal and regional levels.

CSOs Contribution to Family Planning in Ethiopia

Also during the high level meeting, Executive Director of Consortium of Reproductive Health Associations (CORHA), Abebe Kebede said CSOs contribution for FP and RH is more than half a century old.

He recalled that FP program was initiated in Ethiopia by Family Guidance Association of Ethiopia (FGAE) in 1966. FP service integrated as part of Maternal and Child Health in public health system only in 1980; and since then the conducive policy environment encouraged establishment of CSOs working on FP/RH. Following this population policy, and health policy were issued in 1993, Abebe said. He further said that the establishment of consortiums on Family Planning/Reproductive Health (FP/RH), such as CORHA, were aimed at boosting CSOs contribution to FP by strengthening their capacity.

The Executive Director said CSOs made contributions to FP in technical (in the development of national policies, strategies and guidelines), programmatic (facility improvement support and capacity building for public health facilities), supplies and infrastructural (FP and infection prevention commodities), demand creation (increasing awareness of the public about FP) and service delivery (targeted interventions to reach under-served population groups) areas.

Last Updated on Thursday, 17 August 2017 08:55