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April 19, 2026African Journal of Reproductive Health0 citationsOpen Access

From evidence to action: Investment cases for strengthening sexual and reproductive health and rights financing in West and Central Africa

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MCMatthew CumminsUnited Nations Population Fund

Key Points

  • The aim is to evaluate investment cases for improving sexual and reproductive health financing in West and Central Africa.
  • Analysis of investment cases in Chad, Ebonyi State (Nigeria), Gabon, Ghana, Guinea, Nigeria (federal level), and Sierra Leone.
  • Quantification of costs, benefits, financing gaps, and fiscal opportunities related to sexual and reproductive health services.
  • Examination of policy changes and budget allocations facilitated by evidence-informed advocacy.
  • Demonstrated high economic returns from investment in sexual and reproductive health services.
  • Identified substantial long-term losses if investments are not made.
  • Noted increased domestic funding and stronger stakeholder engagement in sexual and reproductive health financing.

Abstract

This article provides an overview of UNFPA's investment case approach in West and Central Africa, drawing on national and subnational analyses from Chad, Ebonyi State (Nigeria), Gabon, Ghana, Guinea, Nigeria (federal level), and Sierra Leone. Across these settings, the investment cases quantify the costs, benefits, financing gaps, and fiscal space opportunities associated with scaling priority sexual and reproductive health and rights (SRHR) services. The evidence demonstrates consistently high economic returns and substantial long-term losses associated with inaction. It also highlights early policy traction through evidence-informed advocacy, including the creation of new budget lines, increased domestic allocations, and stronger stakeholder engagement around SRHR financing. Together, the findings provide a roadmap for integrating SRHR investment into national planning and public financial management systems, offering governments and development partners actionable strategies to advance sustainable and domestically financed SRHR programmes across West and Central Africa.

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Cite This Study

Matthew Cummins (2026) studied this question.

synapsesocial.com/papers/69e47250010ef96374d8e70dhttps://doi.org/10.29063/ajrh2026/v30i7s.1
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