Transcript This is the Title Slide of the Presentation

Adding It Up:
The Costs and Benefits of Investing in
Sexual and Reproductive Health 2014
Authors: S Singh, JE Darroch and L Ashford
Presenter: Ann Starrs, President, Guttmacher Institute
Berlin, Germany
April 16, 2015
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Key Findings on
Women’s Need for Sexual and
Reproductive Health Services,
2014
Modern contraceptive use grew by a large
margin over the last decade...
No. of women wanting to avoid pregnancy (millions)
Using modern
contraception
510
2003
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596
652
2008
2014
… but unmet need did not decline
No. of women wanting to avoid pregnancy (millions)
877
817
720
220
225
Unmet need
210
510
(71%)
2003
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596
652
(73%)
(74%)
2008
2014
Using
modern
contraception
Prevalence of key reasons for nonuse
of contraception, by region
50
Unaware of methods
40
Lack of access
30
PP amenorrhea/
breastfeeding
Infrequent or no sex
20
Opposition
10
0
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Side effects/ health
risks
LAC
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Asia
Africa
Pregnancy-related care increased between
2008–2014, but millions of women
still lack essential services
No. of women giving birth (millions)
123
125
123
60
54
55
125
43
Unmet need
82
71
68
(51%)
(57%)
(55%)
(66%)
2008
2014
2008
2014
63
4+ antenatal care visits
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Received
care
Facility delivery
More than one-third of pregnant women living with
HIV receive no antiretroviral medication
None
26%
38%
Antiretroviral
care to prevent
transmission
only (Option B)
Ongoing
antiretroviral
care (Option B+)
36%
1.5 million pregnant women living with HIV
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In developing regions, an estimated eight in
10 women with a curable STI received no
medical care
Had symptoms
Received care
17%
Did not have
symptoms
Had symptoms
Did not receive care
83%
204 million women with a curable STI, 2014
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Across developing regions, unmet need
for delivery in a health facility is highest
among the poorest women
% of women giving birth who do not delivery in a facility, 2014
100
80
71
68
61
60
54
50
42
37
40
29
27
18
20
8
0
Africa
Wealth quintile: Poorest
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Asia*
Poorest
12
5
3
1
Latin America and the
Caribbean
Middle
Rich
Richest
*Excludes Eastern Asia and Oceania.
Levels of unmet need for modern
contraception are highest among the
poorest women
% of women wanting to avoid pregnancy who have an unmet need, 2014
100
80
60
73
65
60
53
40
46
20
40
35 32
30 29
31
25 23
19 19
Sub-Saharan Africa
Wealth quintile:
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Asia*
Poor
Latin America & Caribbean
Middle
Rich
Richest
*Excludes Eastern Asia and Oceania
Millions of women and newborns don’t receive
essential pregnancy and delivery care
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Investing in Sexual and
Reproductive Health Care
is Cost-Effective
Providing women the modern contraceptive
services they need yields cost savings
2014 U.S. dollars (in billions)
$40.0
40
$37.5
Cost of care for
intended
pregnancies
30
$25.3
$25.3
$18.4
20
$9.9
10
$10.5
$4.3
$4.1
$4.1
Current care
Expanded MNH care only
0
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$2.7
$9.4
Expanded contraceptive
and MNH care
Cost of care for
unintended
pregnancies
Cost of modern
contracetive
care
Providing sexual and reproductive services
for all women: a smart investment
Providing women the care
they need would cost just
$25
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per woman
per year
If all 225 million women with unmet need used
modern methods, each year there would be:
24 million
52 million
fewer
unintended
pregnancies
600,000
fewer
stillbirths
fewer
abortions
(15 million of
which would
be unsafe)
21 million
6 million
fewer
miscarriages
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fewer
unplanned
births
Conclusions
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Investing in sexual and reproductive health
care saves lives and is cost-effective
• Substantial progress has been made in the
past decade
• However, large gaps still remain
• Enormous benefits would result from
investing in sexual and reproductive
services
• Investing in SRH services is a “best buy”
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We gratefully acknowledge the
financial support of UK aid, the Bill &
Melinda Gates Foundation and UNFPA
Findings and conclusions are those of the authors and do not
necessarily reflect positions or policies of these donors.
Connect with Guttmacher
For more information, visit www.guttmacher.org
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