Analysis of the Political Economy and Financing of Family Planning in Togo: Challenges, Opportunities, and Prospects

Background: Sexual and reproductive health (SRH), including family planning (FP), is crucial for human development and the reduction of maternal and infant mortality. In Togo, although progress has been made in accessing SRH services, significant disparities persist, particularly in rural areas and among youth. The funding for FP largely relies on international partners, which jeopardizes the sustainability of interventions. Methods: The study employed a methodological approach combining a literature review and interviews with key stakeholders involved in the budgeting process. The analysis examined political commitments, available funding sources, and public expenditures specifically allocated to FP, while identifying major constraints and opportunities for resource mobilization. Results: The findings indicate that over 80% of FP funding comes from external partners. Togo has made political commitments regarding FP, but budget execution and domestic resources remain inadequate. Unmet needs for contraception affect 24.1% of women of reproductive age, and challenges persist in accessing services, particularly for youth and in rural areas. Conclusions: Despite notable advancements, FP funding in Togo remains heavily dependent on external financing, posing risks to the sustainability of programs. It is crucial to increase national investments, improve coordination among stakeholders, and diversify funding sources to ensure equitable and sustainable access to reproductive health services.