Indeed, many more will lose eligibility for support in the coming years for example, eleven countries are projected to see their Global Fund money terminate by 2025. Since 2014, more than a dozen countries have seen their funding from Gavi end and over ten countries have had financial support from the Global Fund come to a halt. ![]() In the late 1990s and early 2000s, family planning programs in several countries, notably in Latin America and the Caribbean, transitioned from USAID support. Many middle-income countries have transitioned or are transitioning away from donor support for family planning, HIV, tuberculosis, malaria, immunization, and polio programs, among others. Transition from donor aid is the new reality Reflecting on last week’s conference and our forthcoming research on family planning transitions, this blog highlights some of our key initial takeaways. The family planning community must place transition much higher on its agenda and act quickly to prepare for it, especially in the two dozen middle-income countries (MICs) where our previous and ongoing research suggests that transition is likely to happen soon. If not managed well, these looming changes could undermine hard-won gains and threaten progress on family planning-a key contributor to advancing health, gender equality, and women’s economic opportunities. Country governments and development partners must contend with the reality of transitions from donor aid and plan strategically to sustain equitable, affordable, and high-quality family planning programs with increased domestic spending. Given these projected financing needs, we were hoping to see one issue-which has the potential to stall progress on the family planning (FP) community’s important goals-take a more central role in the discussions: transitions in global health aid and their implications for family planning. While many donors and private sector partners made financial commitments at the conference, research presented there suggests an anticipated $68.5 billion in total resource requirements over the next decade to meet unmet need for family planning in 120 low- and middle-income countries. This month’s Nairobi Summit, which marked the 25 th anniversary of the International Conference on Population and Development (ICPD25), convened country governments, donors, advocates, and other development partners who championed sexual and reproductive health and rights as critical to the Universal Health Coverage (UHC) agenda. In recent years, global health mechanisms such as the Global Fund and Gavi have begun to develop and implement transition policies and plans-though mostly in silos-but the family planning community has lagged behind. Together with broader development challenges like rising debt levels, these transitions exacerbate budget pressures across the health sector. ![]() ![]() Many low- and middle-income countries are facing multiple aid transitions, with middle-income countries at particularly high risk of a complex transition landscape. Transition from donor aid is no longer a distant prospect, but now a reality that defines the current global health landscape.
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