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

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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Publication Details

Journal
African Journal of Reproductive Health
Published
2026-04-17
DOI
https://doi.org/10.29063/ajrh2026/v30i7s.1
Primary Topic
Global Maternal and Child Health
Type
article
Field-Weighted Citation Impact
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article

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

Matthew Cummins
African Journal of Reproductive Health
Global Maternal and Child Health
article

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

Matthew Cummins
article en

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.

African Journal of Reproductive HealthVol. 30(7s)
United Nations Population Fund (US)
Openalex Percentile: Top 6%
Global Maternal and Child Health
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From evidence to action: Investment cases for strengthening sexual and reproductive health and rights financing in West and Central Africa — Matthew Cummins · African Journal of Reproductive Health (2026) | TGRS Research Map | TGRS