Global Programme to Enhance Reproductive Health Commodity Security
UNFPA launched the Global Fund to Enhance Reproductive Health Commodity Security as a way to catalyze national action to generated a reliable supply of essential supplies. To date, well over $300 million has been mobilized. The 12 ‘stream one’ countries (see below) receive sustained, multi-year funding. The following Progress Profiles document the results of their participation. Each profile documents the country situation, global programme support, national expenditures, goals, and outcome indicators. Specific examples of how funds were used are also provided.
Burkina Faso is taking action to ensure access to essential supplies for reproductive health. This is critical in a country with a high rate of maternal death, high fertility rate and rapid rate of population growth. One third of the 14 million people in Burkina Faso are aged 15-24, with adolescents facing a high risk of childbearing.
Ethiopia's population is estimated at 80 million and is growing by some 2 million people per year. Rapid population growth can impede sustainable development, neutralizing any gains in economic growth and expansion of basic health and education services. However, with a vision to become a middle income country, Ethiopia has implemented national programmes to accelerate economic growth, with poverty reduction as a central policy concern. Ethiopia is on track to meet the targets, with the exception of 1 and 8, of the Millennium Development Goals (MDGs).
The devastating earthquake in January 2010 that affected one third of the Caribbean nation’s 10 million people continues to take a toll, with cholera adding to adversity. Even before the quake, the lifetime risk of dying in childbirth was 1 in 47. UNFPA is working with partners to improve maternal and reproductive health, protect women and girls from gender-based violence, help young people recover, and collect data on affected populations.
Lao People’s Democratic Republic (Lao PDR) is taking steps to save lives and realize the right of women to plan and space their families. This is critical in a country with a high rate of maternal death and the highest unmet need for family planning outside of Africa. Access to family planning is severely limited in mountainous remote areas, among ethnic groups, and young and unmarried women and men.
Some 65 per cent of Mali's population of 14.5 million is under 25 years of age, making reproductive health an urgent challenge. The fertility rate is high, and 19 per cent of young women aged 15-19 are already mothers. High rates of maternal and infant death are linked to lack of skilled assistance at birth, low use of modern contraceptive methods, and a large number of women and men who want to use family planning services but lack access.
The population of Madagascar, estimated at 18 million, is likely to double within 25 years. Fertility is high, as is the number of women and men who want to use contraceptives but lack access to them. Political crisis is weakening the health system.
Remoteness and access to emergency and reproductive health care present special challenges in Mongolia, a country of 2.7 million people spread out across 1.5 million square kilometers of steppes, deserts and mountains. While significant progress has been made in many areas, maternal death rates remain high in rural areas where insufficient infrastructure and extreme seasonal cold lead to poor maternal care.
In Mozambique, with a population of 22.4 million, the health system is challenged by the rapid growth of the young population and social and economic disparities have increased. The Government is committed to addressing maternal death, high fertility and gender
inequality, and to investing in youth.
Nicaragua has shown considerable achievement in the realms of reproductive and maternal health. Continued progress is critical especially given the country’s high adolescent birth rate, which is 64.2 per cent among uneducated women – nearly twice those with primary education.
Two thirds of Niger's15 million people are younger than 25, and some 60 per cent of girls are married before the age of 15. Rapid population growth and high rates of fertility and maternal death are linked to limited use of modern methods of family planning.
With more than 161 million people, national action to slow the population growth rate and save the lives of mothers and infants is focused on reproductive health and rights. There is much to do in Africa’s most populous nation: rates of fertility and maternal and infant death are high yet use of modern contraceptive methods is low. About one third of the population is aged 10-24, making early age at first marriage and early childbearing priorities for progress.
Sierra Leone has the highest known rate of maternal death and a high fertility rate. Between the lowest and highest income groups, there are extreme disparities in the number of adolescents giving birth and couples practicing family planning.