MSI Analysis Examines Effective Contraception Financing

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Universal health coverage (UHC) has been called "the single most powerful concept that public health has to offer" because all people would get the health services they need without suffering financial hardship.

Achieving UHC is now considered to be the umbrella over all the health-related 2030 Sustainable Development Goals (SDGs), with massive implications for increasing governments’ role in financing health services.

These are exciting times for health, but there are also risks ahead. How will contraception, abortion and other sexual reproductive health services feature in health financing reforms? Will access be unlocked or impaired?

To know where we are going, we also need to understand where we are. MSI's Health Financing team has produced a critical analysis that summarizes typical stumbling blocks that contraceptive access faces when left to national financing systems.

It argues that these trends must be overcome. Simply advocating for contraception within UHC financing reforms will not be specific enough to improve the status quo and accelerate access. To give real contraceptive choice to those most in need, reforms must ensure the four ‘Ps’ are taken into account:

  • The right ‘People’ must be covered.
  • The right ‘Package’ extended.
  • The right ‘Providers’ contracted.
  • The right balance in ‘Payment’ approaches used to compensate diverse requirements of method provision.


We cannot take our eye off delivering high-quality services today for our clients. They needs results now. But we believe we must do this important work while being mindful of developing the financing models that will work for tomorrow.

Our Global Impact Last Year


women using a MSI
method of contraception


unintended pregnancies


unsafe abortions prevented


pregnancy-related deaths prevented