State of World Population 2012 - UNFPA Haiti

Extending access to meetthe unmet needProviding contraceptives to the current 645million users in the developing world costs $4billion a year. Improving the quality of theseservices would cost an additional $1.1 billiona year, according to the recent GuttmacherInstitute estimates. Providing modern methodsof contraception, with improved services, to the222 million women with unmet need wouldraise costs an additional $3 billion a year. Thus,the cost of fully meeting the needs of all womenin developing countries and improving the qualityof services would together total $8.1 billion ayear. Meeting all need for modern contraception,coupled with improving the quality of services,would raise the average annual cost per userin the developing world from $6.15 to $9.31(Singh and Darroch, 2012).The cost of meeting unmet need is highestin sub-Saharan Africa and the poorest countriesof other regions where capacities for deliveringservices are weakest. Committing to meeting theunmet need would therefore require a shift inthe allocation of donor resources. The 69 poorestcountries now receive about 36 per cent ofdonor resources for family planning. That sharewould need to increase to about 51 per cent.Providing modern contraceptives toall who need them in 2012would meanincreasing current costs by $4.1 billionDirect costsContraceptive commodities and suppliesHealth worker salariesProgramme and system costs (P&S)U.S. dollars (billions)Current level of 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 of Sierra Leone’scivil war, more than 50 per cent of drugs andmedical supplies destined for public health facilitieswent unaccounted for (UNFPA, 2011a).The supply chain faced a lack of transparency,poor record keeping, poor management ofdrugs and theft of drugs from the public systemthat were then resold to private pharmacies.20Current levelof careSource: Singh & Darroch 2012To meet 100%of the need forfamily planningTHE STATE OF WORLD POPULATION 201291