Family Planning Resource Requirements in Liberia

The plan outlines concrete programs and actions to achieve a unified strategy in which government and stakeholders articulate priority areas for investment, identify the necessary financial and human resources necessary to implement priorities, and estimate the impact of executing priority areas as planned. The plan details costed priority interventions to increase the modern contraceptive prevalence rate (mCPR) from 30.7 percent in 2016 to 39.7 percent by 2022. The plan is organized around five thematic areas: Service Delivery, Commodity Security, Demand Creation, Youth, and Enabling Environment. The Service Delivery thematic area aims to increase the demand for modern methods satisfied among all women and men, including adolescents, from 41.5 to 45.0 percent. The Commodity Security thematic area aims to increase facilities with no stockouts of modern contraceptives in the last three months from 33.8 to 75.0 percent. The Demand Creation thematic area aims to increase women of reproductive age demanding family planning services from 49.5 to 55.5 percent. The Youth thematic area aims to decrease teenage women who have begun childbearing from 31.0 to 25.0 percent. The Enabling Environment thematic area aims to increase the government of Liberia's annual health budget allocated to family planning from 0.0 to 5.0 percent. A financial gap analysis was conducted to determine the extent that planned activities are funded and to identify funding gaps. The analysis revealed that the total cost of the 2018 CIP was $8,925,829, while the total coverage by partners for 2018 CIP activities was $10,235,035, resulting in an overall partner funding surplus of $1,309,172. However, while some activities had a funding surplus, others had a funding gap. The thematic areas of commodity security and service delivery both experienced a surplus in partner funding, while the areas of enabling environment, demand creation, and youth activities experienced a funding gap. If analyzing only activities experiencing funding gaps, the total gap from underfunded activities was $5,119,183. The CIP includes 13 priority output-level results, outlined in Table 2. These priorities represent critical interventions to achieve CIP outcomes and ultimately meet family planning goals; they also represent areas for priority resource investment. Of these priority areas, one was adequately funded, four were overfunded, and eight were underfunded. The gap in resources equaled $2,840,608 for the underfunded priority activities. The Service Delivery thematic area includes ensuring adequate, rights-based, facility- and community-based delivery of family planning commodities and services, training of skilled service providers, engaging the private sector, and integrating family planning service delivery with postpartum care and HIV/AIDS services. While there was a funding surplus of $1,018,772, some key activities were underfunded, including providing family planning providers with supportive supervision, training, and mentoring, as well as conducting clinical outreach.