State of World Population 2012 - Country Page List - UNFPA

Extending access to meet
the unmet need
Providing contraceptives to the current 645
million users in the developing world costs $4
billion a year. Improving the quality of these
services would cost an additional $1.1 billion
a year, according to the recent Guttmacher
Institute estimates. Providing modern methods
of contraception, with improved services, to the
222 million women with unmet need would
raise costs an additional $3 billion a year. Thus,
the cost of fully meeting the needs of all women
in developing countries and improving the quality
of services would together total $8.1 billion a
year. Meeting all need for modern contraception,
coupled with improving the quality of services,
would raise the average annual cost per user
in the developing world from $6.15 to $9.31
(Singh and Darroch, 2012).
The cost of meeting unmet need is highest
in sub-Saharan Africa and the poorest countries
of other regions where capacities for delivering
services are weakest. Committing to meeting the
unmet need would therefore require a shift in
the allocation of donor resources. The 69 poorest
countries now receive about 36 per cent of
donor resources for family planning. That share
would need to increase to about 51 per cent.
Providing modern contraceptives to
all who need them in 2012would mean
increasing current costs by $4.1 billion
Direct costs
Contraceptive commodities and supplies
Health worker salaries
Programme and system costs (P&S)
U.S. dollars (billions)
Current level of P&S cost
Added P&S cost for current users
P&S for serving women with unmet need
10
8
6
4
$4.0
Billion
TO MEET
100%
OF THE
NEED FOR
MODERN
METHODS
WOULD
INCREASE
COSTS
$4.1
BILLION
$8.1
Billion
CASE STUDY
Accountability in Sierra Leone
Corruption is enormously costly to any health
system. Before and after the end of Sierra Leone’s
civil war, more than 50 per cent of drugs and
medical supplies destined for public health facilities
went unaccounted for (UNFPA, 2011a).
The supply chain faced a lack of transparency,
poor record keeping, poor management of
drugs and theft of drugs from the public system
that were then resold to private pharmacies.
2
0
Current level
of care
Source: Singh & Darroch 2012
To meet 100%
of the need for
family planning
THE STATE OF WORLD POPULATION 2012
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