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State of World Population 2012 - UNFPA Haiti

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Extending access to meetthe unmet needProviding contraceptives to the current 645million users in the developing world costs $4billion a year. Improving the quality <strong>of</strong> theseservices would cost an additional $1.1 billiona year, according to the recent GuttmacherInstitute estimates. Providing modern methods<strong>of</strong> contraception, with improved services, to the222 million women with unmet need wouldraise costs an additional $3 billion a year. Thus,the cost <strong>of</strong> fully meeting the needs <strong>of</strong> all womenin developing countries and improving the quality<strong>of</strong> services would together total $8.1 billion ayear. Meeting all need for modern contraception,coupled with improving the quality <strong>of</strong> services,would raise the average annual cost per userin the developing world from $6.15 to $9.31(Singh and Darroch, <strong>2012</strong>).The cost <strong>of</strong> meeting unmet need is highestin sub-Saharan Africa and the poorest countries<strong>of</strong> other regions where capacities for deliveringservices are weakest. Committing to meeting theunmet need would therefore require a shift inthe allocation <strong>of</strong> donor resources. The 69 poorestcountries now receive about 36 per cent <strong>of</strong>donor resources for family planning. That sharewould need to increase to about 51 per cent.Providing modern contraceptives toall who need them in <strong>2012</strong>would meanincreasing current costs by $4.1 billionDirect costsContraceptive commodities and suppliesHealth worker salariesProgramme and system costs (P&S)U.S. dollars (billions)Current level <strong>of</strong> P&S costAdded P&S cost for current usersP&S for serving women with unmet need10864$4.0BillionTO MEET100%OF THENEED FORMODERNMETHODSWOULDINCREASECOSTS$4.1BILLION$8.1BillionCASE STUDYAccountability in Sierra LeoneCorruption is enormously costly to any healthsystem. Before and after the end <strong>of</strong> Sierra Leone’scivil war, more than 50 per cent <strong>of</strong> drugs andmedical supplies destined for public health facilitieswent unaccounted for (<strong>UNFPA</strong>, 2011a).The supply chain faced a lack <strong>of</strong> transparency,poor record keeping, poor management <strong>of</strong>drugs and theft <strong>of</strong> drugs from the public systemthat were then resold to private pharmacies.20Current level<strong>of</strong> careSource: Singh & Darroch <strong>2012</strong>To meet 100%<strong>of</strong> the need forfamily planningTHE STATE OF WORLD POPULATION <strong>2012</strong>91

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