A/CONF.171/13
English
Page 98
and the prevention of sexually transmitted diseases, as well as other basic
actions for collecting and analysing population data, will cost: $17.0 billion
in 2000, $18.5 billion in 2005, $20.5 billion in 2010 and $21.7 billion in 2015;
these are cost-estimates prepared by experts, based on experience to date, of
the four components referred to above. These estimates should be reviewed and
updated on the basis of the comprehensive approach reflected in paragraph 13.14
of the present Programme of Action, particularly with respect to the costs of
implementing reproductive health service delivery. Of this, approximately
65 per cent is for the delivery system. Programme costs in the closely related
components which should be integrated into basic national programmes for
population and reproductive health are estimated as follows:
(a) The family-planning component is estimated to cost: $10.2 billion in
2000, $11.5 billion in 2005, $12.6 billion in 2010 and $13.8 billion in 2015.
This estimate is based on census and survey data which help to project the
number of couples and individuals who are likely to be using family-planning
information and services. Projections of future costs allow for improvements in
quality of care. While improved quality of care will increase costs per user to
some degree, these increases are likely to be offset by declining costs per user
as both prevalence and programme efficiency increase;
(b) The reproductive health component (not including the delivery-system
costs summarized under the family-planning component) is estimated to add:
$5.0 billion in 2000, $5.4 billion in 2005, $5.7 billion in 2010 and
$6.1 billion in 2015. The estimate for reproductive health is a global total,
based on experience with maternal health programmes in countries at different
levels of development, selectively including other reproductive health services.
The full maternal and child health impact of these interventions will depend on
the provision of tertiary and emergency care, the costs of which should be met
by overall health-sector budgets;
(c) The sexually transmitted diseases/HIV/AIDS prevention programme is
estimated by the WHO Global Programme on AIDS to cost: $1.3 billion in 2000,
$1.4 billion in 2005 and approximately $1.5 billion in 2010 and $1.5 billion in
2015;
(d) The basic research, data and population and development policy
analysis programme is estimated to cost: $500 million in 2000, $200 million in
2005, $700 million in 2010 and $300 million in 2015.
13.16. It is tentatively estimated that up to two thirds of the costs will
continue to be met by the countries themselves and in the order of one third
from external sources. However, the least developed countries and other
low-income developing countries will require a greater share of external
resources on a concessional and grant basis. Thus, there will be considerable
variation in needs for external resources for population programmes, between and
within regions. The estimated global requirements for international assistance
are outlined in paragraph 14.11.
13.17. Additional resources will be needed to support programmes addressing
population and development goals, particularly programmes seeking to attain the
specific social- and economic-sector goals contained in the present Programme of
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