Country Profiles
European
Institutions

Context
According to the OECD DAC, the EU and its 27 Member States continued increasing their Official Development Assistance (ODA) to partner countries around the world to 82.45 billion Euros in 2023. This is the equivalent of 0.51% of collective Gross National Income (GNI). As a result, the EU and its Member States collectively, defend their position as the world’s leading donor in development assistance, providing 40% of global ODA.
Policies & funding
The EU Institutions’ consistent commitment to the promotion of sexual and reproductive health and rights (SRHR) is apparent in their major policies and international cooperation and development documents. For example, in October 2022, the European Commission adopted its Youth Action Plan (YAP), which is its guiding policy framework to promote youth engagement and empowerment as part of the EU’s external action. The YAP specifically recognises SRHR as one of the key priority areas for youth empowerment, with a commitment to ‘’promote universal access to youth-friendly SRHR, with quality and affordable services and information, including comprehensive sexuality education, HIV and AIDS prevention and treatment, focusing on adolescent girls, marginalised and LGBTIQ young people’’. Council Conclusions from November 2022, expressed strong political support for the proposed actions and the implementation of the YAP.
Strong commitments to SRHR are also included in the EU’s Gender Action Plan (GAP III), which provides the framework to promote gender equality through EU and EU Member States’ external action. The GAP III, adopted in November 2020, includes SRHR as one of the key thematic areas for the promotion of gender equality, with specific objectives and indicators. As a result, several EU partner countries have identified SRHR as a priority sector for the GAP III implementation. In addition, GAP III reaffirms the EU’s commitment to dedicate 85% of external cooperation projects to the promotion of gender equality, ensuring that 85% of initiatives include at least one action with gender equality as a principal or significant objective; applying to all EU Delegations. The Mid-Term Evaluation of the implementation of the GAP III, published in April 2023, confirmed that the policy has helped to continue increasing the strategic importance of gender equality and women’s empowerment (GEWE) in EU external action. However, it also found that the level of ambition and impact of GAP III varies from country to country. In November 2023, the European Commission published its joint mid-term report on the implementation of the Gender Action Plan, which included input from EU Member States, UN agencies and CSOs. Based on this report, the EU has decided to extend the GAP III implementation period until 2027 and thus align the duration with the 2021-2027 MFF and the NDICI.
In November 2022, the European Commission also adopted a new Global Health Strategy (GHS) that put health back on the EU’s political agenda as a key priority. SRHR is recognised as a fundamental component of the strategy. This entails supporting universal access to SRHR as a key action necessary to deliver better health, and improving equitable access to health services. The GHS also puts a focus on promoting SRHR for women and girls, youth, and people with disabilities, making a specific reference to youth-friendly services. In early 2024, the Council of the EU adopted Conclusions on this Strategy, stressing the importance of SRHR as part of the efforts to promote global health.
The EU’s Multi-Annual Financial Framework 2021 – 2027 (MFF) attributes 79.5 billion Euros to the ‘Neighbourhood, Development and International Cooperation Instrument /Global Europe (NDICI/GE), which is the main instrument for EU international cooperation. The NDICI/GE, adopted in 2021, and its legal basis includes specific references to SRHR as an important area to be funded, thereby providing a solid basis for the future implementation of EU programmes on SRHR. These commitments are also reflected in the programming of the funding: in Sub-Saharan Africa, the Multiannual Indicative Programmes (MIPs) of 21 countries include references to Sexual and Reproductive Rights. Other countries might not have prioritised SRHR specifically, but include references to SRHR-related issues such as human development, Universal Health Coverage, gender equality and women’s empowerment (GEWE), and the fight against sexual and gender-based violence (SGBV). Following the midterm review of the NDICI in 2024, the financial allocation to the instrument was reduced by 2 billion Euros, with cuts negatively impacting both thematic and geographic programs. This will limit the financial resources that the EU will be able to mobilise in the final years of NDICI implementation, until 2027.

In addition to the inclusion of these commitments in the NDICI/GE and the important references to SRHR and related issues in the MIPs, the EU, in coordination with Member States and partner countries, has been embracing a new “Team Europe” approach and implementing “Team Europe Initiatives” (TEIs). These envisage greater coordination between EU Institutions and its Member States, to improve consistency and coherence in their external action. A TEI on SRHR in sub-Saharan Africa, with a particular focus on adolescent girls and young women, brings together the European Commission, Belgium, Czech Republic, Denmark, Finland, France, Germany, Ireland, Luxembourg, the Netherlands and Sweden, as well as three African Regional Economic Communities: the East African Community (EAC), the West African Health Organization (WAHO) of the Economic Community of West African States (ECOWAS), and the Southern African Development Community (SADC). Launched in late 2022, the TEI on SRHR aims to strengthen political commitments and capacities (through joint education and health sector responses for SRHR outcomes), to improve regional mechanisms to better address supply-side constraints and drive access to quality assured SRHR commodities, and to build advocacy and social accountability around regional commitments on SRHR (including data availability).
Total disbursed funding
According to the Countdown 2030 tracking, in 2023 the EU Institutions disbursed nearly 75 million Euros to sexual and reproductive health and family planning (SRH/FP). This amounts to 0.2% of the EU institutions’ total ODA spending (this figure does not include ODA from EU Member States), and represents a decrease of about 33% compared to the previous year.
EU Institutions’ broader ODA expenditure on SRHR, additionally accounting for essential interventions beyond SRH/FP such as projects related to the promotion of comprehensive sexuality education (CSE), HIV prevention and SGBV, amounted to 137.5 million Euros in 2023, equivalent to 0.4% of its total ODA. This figure also represents a reduction compared to 2022, amounting to a 43% decrease in financing.
Earmarked multilateral funding
European Institutions provide a significant amount of their funding for health and SRHR to multilateral institutions through specific earmarked projects. UNFPA is a recurrent recipient of EU funding, having received 38 million Euros in 2023 for SRHR, which was the same amount specifically allocated to SRH/FP alone (a subset of SRHR). EU funding to UNFPA also decreased by 47% in 2023 compared to the previous year, which can partially be explained by a multiyear disbursement of 45 million Euros to the UNFPA Supplies Partnership 2022. While the EU made this commitment in 2021, the contribution itself only happened in 2022.
Other EU supported multilaterals that are of relevance to SRHR include UNICEF, UNWOMEN and UNDP. UNDP received lower financing compared to previous years due to curtailed disbursements specifically to the Spotlight Initiative to fight violence against women and girls in the ACP countries, in Asia and in Latin-America.
Forecast
It is challenging to identify a financial forecast for the EU’s support to SRH/FP or SRHR in the coming years. Following the midterm review of the NDICI, the financial allocation to the instrument was reduced by 2 billion Euros, with cuts negatively impacting both thematic and geographic programs. This will limit the financial resources that the EU will be able to mobilise in the final years of NDICI implementation, until 2027. However, as the Team Europe Initiative on SRHR in sub-Saharan Africa is currently being implemented, we might expect an increase in funding to SRHR for the year 2024, as 40 million Euros were committed for that financial year though the sub-Saharan regional program. In addition, many EU partner countries have included components of SRHR among the priority areas for their bilateral cooperation: in the coming years, we might then expect more bilateral programs addressing SRHR.

Key documents
- Funding and policy factsheet 2023-2024-EU.pdf
- Negotiated text of the Post-Cotonou Agreement
- Regulation of the European Parliament and of the Council establishing the Neighbourhood, Development and International Cooperation Instrument – Global Europe (NDICI/GE)
- Joint Communication ‘Youth Action Plan (YAP) in EU external action 2022 -2027: Promoting meaningful youth participation and empowerment in EU external action for sustainable development, equality and peace’
- Council Conclusions on the Youth Action Plan in EU external action
- Joint Communication ‘EU Gender Action Plan (GAP) III – An ambitious Agenda for Gender Equality and Women’s Empowerment in EU external action
- European Parliament own-initiative report on GAPIII
- Presidency Conclusions on the Gender Action Plan (GAP) III 2021-2025 – An ambitious Agenda for Gender Equality and Women’s Empowerment in EU external action
- Mid-Term Evaluation of the Implementation of the EU Gender Action Plan III.
- European Commission, EU Aid Explorer
- EU Global Health Strategy
- Council Conclusions on the EU Global Health Strategy