This report provides an overview of the main mechanisms used by donors to incentivise domestic resource mobilisation for sexual and reproductive health and rights in partner countries, presents a critical analysis of risks and opportunities associated with these mechanisms, and offers recommendations for advocacy efforts and global health programming.
The COVID-19 pandemic had an economic fallout across the globe, limiting the ability to increase investments across the many competing priorities in health and beyond. As countries move towards the recovery phase, it becomes even more urgent to strengthen the dialogue on domestic resource mobilisation for health, and in particular for sexual and reproductive health and rights.
But what is domestic resource mobilisation? Domestic resource mobilisation is the process through which governments raise and collect funds for public spending. In global health, it has gained momentum since the early 2000s as a needed step to strengthen health systems and a key strategy in the transition away from aid.
The report comprises two main parts: an overview of the concepts of domestic resource mobilisation and sexual and reproductive health and rights and an analysis of levers used by donors and strategies implemented at country level for domestic resource mobilisation. We also take a closer look at support from European donors and discuss key actors and financing functions at country level. The report concludes with key recommendations for donors, practitioners, and advocates.