03/11/2025
The Lancet series on Innovations in Sexual & Reproductive Health is officially live! https://authors.elsevier.com/a/1m146V-4XSikU
We are incredibly proud to have been asked to contribute a rapid review of the cost and cost-effectiveness of SRH interventions and future funding implications.
Key takeaway: Our paper summarises Who pays, and what pays off, in SRG. It provides a summary of what is known about the funding, cost, and cost-effectiveness of sexual and reproductive health and rights interventions, interrogates the likely impacts of increasing or reducing future sexual and reproductive health and rights funding, and provides recommendations for policy and regulatory changes from an economic perspective. Interventions that target HIV and sexually transmitted infections, contraceptive interventions, and abortion care are among the most cost-effective health interventions worldwide, but their funding is under severe duress. In 2023, approximately US$35 billion was spent on these intervention areas across low-income and middle-income countries—only two thirds of the $52 billion needed per year. HIV treatment and prevention, as well as contraceptive commodities, rely heavily on donor funding, which has decreased since 2017. The discontinuation of the US Agency for International Development funding in early 2025, in particular, requires that the most impacted countries will have to do more with much less going forward. We found that across interventions, cost-effectiveness was improved by expanding eligible population groups, coverage, uptake, and demand, including through community provision, as well as improving retention in care, earlier care initiation, and integrated programming. We recommend that scaling up cost-effective interventions to population-level impact will require programme and market interventions aimed at expediting to regulatory approval and the implementation of novel therapeutic and diagnostic interventions, delivery outside of facilities (including through self-care), accommodating rapidly changing options and user choice within integrated prevention systems, and closing policy and financing gaps for contraceptive and abortion care.
A huge thank you to Prof Gesine Meyer-Rath, Dr Lise Jamieson and the rest of the HE2RO team for this timely work.
Read the full paper here: https://ow.ly/ZWMu50XlRyq