ArticleBMJ public health2026
Historic and future spending estimates of maternal health and family planning in 139 low- and middle-income countries, 2000-2030: a modelling study.
Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: While estimates of donor-provided resources for maternal health and family planning are readily available, government and household spending on these activities is limited. This study aims to generate comprehensive estimates of spending on maternal health and family planning for 139 low- and middle-income countries. Methods: Data sources used to generate the spending estimates include data from WHO National Health Accounts (NHA), Institute for Health Metrics and Evaluation's Financing Global Health database, TRACK20's family planning spending assessment and Family Planning (FP) 2030's annual reports. We used spatio-temporal Gaussian regression modelling techniques to generate a complete series of historic estimates. For estimates of future spending, we focused solely on expected donor spending and based estimates on total development assistance for health that accounted for announced cuts in aid. Results: In 2022, total spending on maternal health and family planning across 139 low- and middle-income countries was $35.6 billion (95% uncertainty interval of US$31.0-$41.0 billion) and US$14.1 billion (US$12.4-$17.2 billion), of which $10.7 billion (US$9.0-$12.8 billion) and US$8.8 billion (US$8.8-8.9 billion) was spending in China. By 2030, total donor funding provided for maternal health across the countries included in this study is projected to reach $505.0 million (compared with US$470.4 million in 2000), while total donor funding for family planning is projected to be $349.2 million (compared with US$929.4 million in 2000). Conclusion: Aid cuts announced in 2025 will likely exacerbate the gap between available funding and need unless national governments of impacted countries proactively respond.
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