20 February 2019
Children’s Investment Fund Foundation (CIFF)
2018 Commitment Progress
Since 2012, the Children’s Investment Fund Foundation (CIFF) has committed more than $900 million to support the vision of a world where women and adolescent girls have the freedom to control their reproductive choices, every pregnancy is wanted, every birth celebrated, and every mother and child thrives today and in the future. In 2018, we disbursed $149 million towards these goals, bringing our total disbursement in the period of 2015-2018 to $460 million.
In 2018, we continued to invest in nutrition, including through the Power of Nutrition, a partnership of investors and implementers aiming to protect 10 million children from stunting and more than 100,000 lives. In 2018, Power of Nutrition implemented a nutrition programme in Rwanda, covering roughly 560,000 children under five, and 1.1 million women of reproductive age with community care and nutrition interventions.
In 2018, we and eight partners including Action Against Hunger (ACF), UNICEF and World Food Programme (WFP) finalised the No Wasted Lives Coalition, whose purpose is to discover and disseminate effective ways to prevent and treat severe acute malnutrition, mobilise additional funding and maximise the effectiveness of current spending. The Council for Research and Technical Advice on Acute Malnutrition was assembled under No Wasted Lives, and it has already identified research areas with high potential impact on the effective management of acute malnutrition, and where further research and evidence generation is critically needed.
There was significant progress throughout 2018 on CIFF’s programme for HIV self-testing, with completion of user preferences and willingness-to-pay studies in Kenya. Self-tests were rolled out through private sector clinics in Kenya, and global procurement of self-tests accelerated from roughly 500,000 in 2017 to approximately five million in 2018. Part of CIFF’s HIV prevention work has also included a new partnership to develop the world’s first combination pill for pregnancy and HIV prevention. This will confirm the feasibility of co-formulating the daily oral contraceptive pill with PrEP solutions, forming the basis for further funding of such an intervention in the following few years.
By the end of 2018, CIFF completed the $13.5 million ‘Choice4Change’ programme that provided contraception to over 165,000 adolescent girls in Kenya who previously had an unmet need. This included a model that strategically targeted adolescent girls, successfully reaching more than 84,000 adolescent girls – almost all of which had never used contraception before.
In addition to behaviour change success, our $43 million Sayana Press programme is making progress, with ten high-priority countries in the advanced stages of national scale-up planning for use of the self-injectable contraception, including eight which have already committed to including self-injection.
CIFF has committed $20 million to the establishment of Clean Air Fund, an initiative working towards reducing air pollution – a clear and urgent danger to the health of children, adolescents and pregnant women worldwide. Clean Air Fund will deploy philanthropic capital to a variety of interventions – including monitoring air quality, developing policies for clean energy and transport, mobilising the public and supporting communications campaigns. This will pave the way for additional investments to address broader environmental health challenges, bolstering progress towards the SDGs.
2017 – London Family Planning Summit
CIFF revitalized its commitment to FP2020, in support of Every Woman Every Child. CIFF’s strategic plan from 2017 to 2021 commits us to working with others to shape an AIDS-free generation where every adolescent can realise their sexual and reproductive rights with access to the information and services they need. Since January 2017 we have more than doubled our funding for sexual and reproductive health with new investments totalling $72 million. Our work is focused on putting adolescents at the centre of the design of SRH programmes; increasing choice with different types of contraception that respond to teenagers’ preferences, especially user-controlled choices; digital innovations to better connect young people with more accountable services; and amplifying youth voices within debates on the issues that affect them most. Looking to the future, CIFF investments will be more targeted, bolstering what works best, reducing unit costs and tackling taboos head on. Specifically:
(1) We will build a community of practice on human-centred design to inject urgency into changing the way adolescent SRH programmes and sex education is delivered;
(2) We will strengthen country leadership and capacity to deliver on their commitments to adolescents, through country-driven technical assistance and results-based financing, within our broader investments;
(3) We will be an exemplar for integration, maximising ways to layer user-controlled contraception, HIV prevention and safe abortion or post-abortion care;
(4) We will continue to invest in measurement, capturing age and sex-disaggregated data across our SRH programmes;
(5) Above all, we will be a better ally to young people, maximising youth leadership, youth-led accountability and participation in decision-making processes including within our own organisation.
Since 2012, the Children’s Investment Fund Foundation (CIFF) has committed more than $1.1 billion to support the vision of a world where every pregnancy is wanted, every birth celebrated, and every mother and her child survives and thrives today and in the future. Another major focus of our work is to help protect and secure a healthy and sustainable future for children in a climate-safe world.
Our $900 million commitment in direct support of the Global Strategy includes specific programmes to improve maternal and newborn survival and adolescent reproductive health, and scale up better nutrition for mothers and children and school-based deworming. In the period September 2015 to December 2017, we disbursed $311 million towards these goals.
We continued to invest in nutrition, including through the Power of Nutrition, a partnership of investors and implementers aiming to protect 10 million children from stunting and save at least 100,000 lives. In 2017, Power of Nutrition raised $34.2 million, far exceeding its target of $20-25 million, and expanded its programming to Asia. As of December 2017, the partnership maintained three active programmes across Sub-Saharan Africa reaching 7 million children and 1 million women with nutrition services. It also approved three additional programmes, representing a total of $216.4 million for nutrition programming in Madagascar, Cote d’Ivoire and Rwanda.
CIFF is committed to working with others to shape an AIDS-free generation where every adolescent can realise their sexual and reproductive rights with access to the information and services they need. In July 2017, CIFF revitalised its commitment to FP2020 with new investments totalling $72 million. These focused on digital innovations to promote accountable adolescent sexual and reproductive health services, and amplify youth voices; accelerating availability of depot medroxyprogesterone acetate administered via subcutaneous injection (DMPA-SC); and support for self-care choices, such as contraceptive self-administration. New evidence indicates that self-injected contraception may be a game-changer in dramatically increasing continuous use, which can therefore deliver demonstrably better health outcomes for women and girls. Thanks in part to an effectiveness study CIFF supported, several countries are introducing policies to permit self-injection.
We are also championing the use of accountability tools, such as scorecards, to drive performance across key maternal and child health outcomes. With support from CIFF, WHO and UNICEF, the African Leaders Malaria Alliance (ALMA) has successfully embedded 29 country scorecards for Accountability and Action in malaria control as well as in reproductive, maternal, newborn, child and adolescent health interventions within their own countries and beyond. Scorecard data have been used to action tangible improvements at policy and operational levels, such as resolving stock outs on key commodities and supplies, and they promote an integrated approach to maternal, child and adolescent health by combining indicators on a range of key sectors in a single scorecard. Regionally, ALMA has successfully championed a multi-country scorecard, which is reviewed by the Heads of State and senior decision-makers and enables cross-country comparison and South-to-South sharing of practical lessons on improving key maternal, child and adolescent health.
Since 2012, the Children’s Investment Fund Foundation (CIFF) has committed more than USD $1,100,000,000 to support the vision of a world where every pregnancy is wanted, every birth celebrated, and every mother and her child survives and thrives today and in the future. We expect that from 2016 about USD $900,000,000 of these committed funds will directly support the new Global Strategy. Specific investments include programmes to improve maternal and newborn survival and adolescent reproductive health, and scale up better nutrition for mothers and children and school-based deworming. We are working to help protect and secure a healthy and sustainable future for children in a climate-safe world. For most of our grants, we work with partners to measure and evaluate progress to achieve large scale and sustainable impact. Only by investing in data and evidence can we measure the impact of what we do. Without measurement we are guessing. In line with the new Global Strategy, we are committed to sharing as much information as possible about what we are learning alongside our partners. Contributing to the global knowledge bank will help all of us speed up the transformational change required.
CIFF is also a commitment maker to FP2020 in support of the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). More information on their FP2020 commitment can be found here.
In support of the Global Strategy, CIFF committed about USD $900,000,000 to support the vision of a world where every pregnancy is wanted, every birth celebrated, and every mother and child survives and thrives, today and in the future. Specific milestones for 2016 include:
- CIFF joined Action Against Hunger, the European Commission, the UK government and UNICEF, as a founding member of No Wasted Lives, a new international coalition to prevent, manage and treat acute malnutrition. We continued to fund one of the largest severe acute malnutrition programmes globally – supporting UNICEF and the Government of Nigeria to deliver life-saving treatment to children in northern Nigeria. This contributed to the treatment of 480,000 severely malnourished children in 2016.
- There were impressive results from WHO Safe Childbirth Checklist programme in Rajasthan where 101 health facilities across seven districts implemented the toolkit. This resulted in 11% fewer stillbirths and very early newborn deaths compared to control facilities. The Government of India has responded to this success by launching the national ‘Dakshata’ initiative in 8 other states.
- We have invested more than 24 million USD in youth-centred solutions to sexual and reproductive health and rights that will improve delivery, access and accountability.
- We extended our partnership with the Bill & Melinda Gates Foundation, Pfizer and other partners to accelerate introduction of sub-cutaneaous contraception (Sayana Press) that offers the potential for self-injection. Sayana Press was introduced in twelve countries, where we have supported services that have reached over a million girls and women.
- In September 2016, phase one of the Accelerating Children’s Treatment initiative (ACT), a joint CIFF and PEPFAR initiative, concluded. ACT supported 556,645* children living with HIV in nine countries in Africa to access high quality treatment, and produced stronger health systems and improved practices across the HIV treatment cascade for children.
*Figure reported has been updated to 561,610 children reached by ACT as of November 2017.
2014- Every Newborn Action Plan
The Children’s Investment Fund Foundation (CIFF) strongly supports the goals of the Every Newborn Action Plan to end preventable newborn deaths and stillbirths. Accelerating newborn survival is a key priority for CIFF in delivering on its mission to achieve transformational impact for children. CIFF has committed over USD $45 million since 2012 to improve access to and quality of maternal and newborn care in high burden countries, particularly around childbirth. Building on this commitment, CIFF will support the development and implementation of the Every Newborn monitoring framework by 2015. This will define outcome metrics and measurable indicators of coverage and quality of high impact newborn interventions, which are fundamental for effective programmatic action and tracking progress towards country targets. Furthermore, CIFF will seek to maximize the impact of its investments to prevent unintended pregnancies and mother to child transmission of HIV, and improve the nutritional status of women before, during, and between pregnancies to help achieve the Every Newborn Action Plan targets.
2012—London Family Planning Summit
The Children’s Investment Fund Foundation (CIFF) enthusiastically supports the goals set by the London Summit on Family Planning, as integral to the broader program of support to the UN Secretary General’s Every Women Every Child initiative. In conjunction with the global family planning initiative, CIFF will pursue landscaping and develop an action plan in the area of reproductive health with the intention of contributing strategically, tangibly and at scale to further the aims of this initiative. CIFF recently provided both funding and human resources to ensure greater accessibility of long-acting and reversible methods of contraception, and will continue their work to enable women and governments to acquire these products at affordable prices. CIFF is compelled by evidence on the need to address reproductive health concerns of adolescents, as these girls and young women and their offspring are most severely impacted by failures to access the knowledge and tools for family planning. CIFF urges those leading this initiative to join in ensuring that this population is reached. CIFF will apply its expertise in program monitoring and impact measurement to help in the development of a robust monitoring and accountability process, to help track progress towards stated Summit goals.
The Children’s Investment Fund Foundation (CIFF) commits to supporting the Global Strategy through new multi-year investments on a national scale prioritizing child survival, educational achievement, and nutrition and hunger issues through efforts in the deworming of schoolchildren, prevention of mother-to-child transmission of HIV/AIDS, achievement in early childhood education, reduction of neonatal mortality and severe acute malnutrition.