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How will the Global Financing Facility deliver for sexual and reproductive health and rights? Sexual and reproductive health must be at the forefront of the health agenda.


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Sexual and reproductive health must be at the forefront of the health agenda. Despite family planning being the most cost-effective public health and development intervention, ificant challenges remain in making access to services and commodities a reality for all. Fulfilling the unmet need for family planning alone would preventmaternal deaths andnew-born deaths globally each year. Every dollar spent on family planning can save up to seven dollars in direct health costs according to global think tank the Copenhagen Concensus.

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Delivery of family planning services should be non-negotiable and included in even the most frugal universal health coverage plans. A failure to invest in prevention will ultimately drive the need for an even higher investment in curative care. Why put women and girls in need of curative services unnecessarily?

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The GFF presents real opportunities to make change happen by mobilising additional international and domestic resources for scale up of sexual and reproductive health services, as well as the prioritisation of funding for these areas at the national level. Given the breadth of sub-sectors the GFF will be funding, there is a risk that funding across RMNCAH will become competitive and funding for sexual and reproductive health may become politicised.

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There is also a potential danger that donor funds may, instead of adding to global health funding, be transferred from existing programmes and there is uncertainty as to how the GFF will interact with current RMNCAH financing architecture. Within discussions on sexual and reproductive health, there is often an exclusive focus on maternal health. This approach ignores the sexual and reproductive health needs of all people; of adolescent girls, older women, men and transgender people.

We must use the GFF architecture as an opportunity to serve the needs and protect the rights of marginalised groups. The SRHR community has been calling for official involvement of civil society in both the de and implementation of the GFF, including in the creation of national plans and financing maps. A business planning group is rapidly developing de and implementation plans and in-country consultations in Kenya, Tanzania, Ethiopia and the Democratic Republic of Congo are underway.

We wait to see how sexual and reproductive health will be prioritised in the consultations and what this will mean for increasing national financing in these areas. The World Bank and the donor community must ensure that there is a transparent and robust system in place to monitor progress and track resources at both the national and the global levels.

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The GFF should support countries to achieve their commitments by helping them to strengthen their health systems holistically, to deliver a range of high-quality supplies and services with no further perpetuation of siloed programing. Simply put, we must invest in SHRH. We cannot afford not to.

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