21 November 2016



Burundi-Commitment-Letter Page 1 313x452

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The government of Burundi commits to repositioning family planning with the global objective of fostering sustainable development and addressing population growth and ensuring equal access to all women to the contraceptives of their choice and to quality services.


  • Achieve CPR of 40 percent by 2015, representing an increase of 18 percentage points since 2010 and reach a CPR of 50 percent by 2020
  • Increase the number of acceptors of modern contraception from 322,312 in 2012 to 644,628 individuals 2015

Policy & Political Commitments

In addition to repositioning family planning, Burundi commits to exploring the possibilities of integrating population, health, and environment objectives into a single approach with a vision of improving family planning. The government also pledges to establish coordination mechanisms to improve the financial and active engagement by donors and an optimized fund allocation. In particular, it seeks to create a national population board to coordinate all activities related to family planning, population, and development. The government also pledges to improve the regulatory framework to improve public-private partnerships and expand family planning service points.

Financial Commitments

Burundi also commits to increase the budget line allocations for reproductive health and family planning and to increase donor and private-sector financing for family planning. In addition, the government pledges to increase the annual government allocation for contraceptives to 10 percent each year from 2015 to 2020.

Program & Service Delivery Commitments

Burundi pledges to improve quality of family planning services by training health workers at the all public health sector facilities and by increasing access to services by establishing health posts for family planning in geographically inaccessible areas, including clinics run by religious organizations that do not offer modern contraceptive methods. The government of Burundi also commits to integrating services with other programs, such as immunization and HIV. 

The government also commits to scaling up community based services through community mobilization and provision of family planning methods including task shifting by training Health Promotion Technicians and community health workers (CHWs) to offer injections. In addition, it commits to improving continuity of contraceptive use by training health workers to provide long acting reversible contraceptive methods and permanent methods.

Burundi commits to generating demand by raising awareness about the importance of family planning through various communication channels and approaches. In particular, it seeks to improve access to reproductive health and family planning information and services for adolescents and young people, amongst others via information and communication technologies and invest in comprehensive sexuality education for the youth both in primary and secondary schools.

Burundi also pledges to strengthen performance-based financing and extending it to the community level with the support of partners.


Burundi commits to increase the allocation to health sector from 8% in 2011 to 15% in 2015, with a focus on women and children’s health; increase the number of midwives from 39 in 2010 to 250, and the number of training schools for midwives from 1 in 2011 to 4 in 2015; increase the percentage of births attended by a skilled birth attendant from 60% in 2010 to 85% in 2015. Burundi also commits to increase contraception prevalence from 18.9% in 2010 to 30%; PMTCT service coverage from 15% in 2010 to 85% with a focus on integration with reproductive health; and reduce percentage of underweight children under-five from 29% to 21% by 2015.

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