Speaking at the opening of the
41st session of the UN Commission on Population
and Development (7-11 April,UN,New York), UNFPA
Executive Director Dr Thoraya Obaid made extensive
comments on the current status of resource mobilization
for population and devlopment.
The following is extracted from
her statement:
The good news is that donor
assistance to population activities continues
to increase. Once all data are in, donor assistance
is expected to reach $8.1 billion in 2006. We
estimate domestic resources in 2006 to be $23
billion. And we expect continued increases in
donor and domestic resources in both 2007 and
2008.
Rising support to the ICPD Programme
of Action is demonstrated by rising contributions
to UNFPA and a widening donor base. In 2007,
a record 182 donor countries provided voluntary
contributions, including all countries in Africa
and in Latin America and the Caribbean. This
is a powerful symbol of the importance that
Member States attach to the issues of population
and development. And it attests to the commitment
of less developed countries.
Despite their commitment, most
less developed countries cannot mobilize sufficient
resources to fund population, gender and reproductive
health programmes. They continue to rely on
donor countries. We see this clearly as countries
embark on the 2010 round of censuses. This is
the most expensive exercise in national statistics,
and it is threatened by lack of financing. The
need for increased resources to undertake censuses
has been expressed to UNFPA by many countries
to which we provide support.
As you know, censuses provide
the data needed to guide development. And UNFPA
is working with the United Nations Statistics
Division and other partners on the 2010 census
round. Solid data are also necessary for monitoring
the achievement of the Millennium Development
Goals. This includes the new target, under MDG
5 to improve maternal health, of universal access
to reproductive health by 2015.
Despite the central importance
of data to development, it is important to note
that resource mobilization continues to be dependent
on a few key players. Population assistance
originates with a few major donors and the majority
of domestic resources are mobilized in a few
large developing countries. This creates a situation
that is far from optimal in terms of predictability,
reliability and sustainability.
While the flow of resources
for population assistance is on the rise, which
is most welcome and I thank all governments
for their contributions, I would like to caution
that, even if estimates and projections hold
and the financial targets are surpassed, the
resources mobilized will not be sufficient to
meet current needs, which have grown dramatically
since the ICPD targets were agreed upon a decade
and a half ago.
At that time, the population
and health situation in the world was much different
from what it is today. For one thing, no one
had foreseen the escalation of the AIDS pandemic
from 14 million people living with HIV in 1994
to 33 million people today. Since 1994, health-care
costs have increased substantially, while the
value of the dollar has gone down.
As a result, the ICPD financial
target of $18.5 billion in 2005 is not sufficient
to meet current developing-country needs in
the areas of family planning, sexual and reproductive
health, sexually transmitted infections and
HIV/AIDS, and basic research, data and population
and development policy analysis.
HIV/AIDS activities continue
to receive by far the largest proportion of
population assistance and funding for family
planning lags far behind. In fact, donor assistance
for family planning as a percentage of all population
assistance has decreased considerably since
Cairo, from 55 per cent in 1995 to 7 per cent
in 2005. If not reversed, the lack of financing
for family planning threatens efforts to reduce
poverty, improve health and advance women?s
empowerment.
The victims of this funding
gap are poor women in poor countries who cannot
exercise their reproductive rights and plan
their families. It is a serious problem that
needs to be urgently addressed. Today, there
are 200 million women in the developing world
with unmet need for effective contraception
and the highest unmet need is in Africa. The
result is increasing numbers of unwanted pregnancies,
rising rates of unsafe abortion, and increased
risks to the lives of women and children.
The benefits of reproductive
health care, including family planning, cannot
be overstated. We will not attain the Millennium
Development Goals, especially MDG 5 on maternal
health, if we do not ensure universal access
to reproductive health. Sexual and reproductive
health is essential to women?s empowerment and
gender equality. Family planning is key to maternal
and child health. It is estimated that ensuring
access to family planning alone would reduce
maternal deaths by 20 to 35 per cent and child
deaths by 20 per cent.
One of the key messages here
is that, if not reversed, the trend towards
less funding for family planning and reproductive
health will have serious implications for the
ability of countries to address unmet need for
such services and could undermine efforts to
attain universal access to reproductive health
by 2015. This in turn affects population dynamics
and conditions for development, especially poverty
reduction.