Reproductive Health Aid: A Delicate Balancing Act

In this contribution the authors show that development assistance targeting reproductive health overwhelmingly concentrates on HIV/AIDS at the expense of family planning elements. Data on financial contributions disbursed by governments and private foundations are used as collected by the Resource Flows project as initiated by UNFPA/NIDI. The current allocation of aid does not accord well with the plans made in Cairo at the International Conference on Population and Development in 1994. Part of the explanation is that future health needs are difficult to predict, but it also shows how strong the influence of one donor, i.e. the United States, is in this setup. The landscape of population assistance is a highly volatile one, brought about not only by political issues like the Global Gag Rule, but also issues of collective action design as assistance under the heading of the Millennium Development Goals crowds out family planning. A complicating factor is that development assistance for reproductive health is at some points ill-adjusted towards the needs of developing countries.