*Chomba, a 29-year-old mother of four now has access to family planning information and services. This is the first time she has accessed the services since she got married 10 years ago. She shared that the nearest health facility is a two-hour walk from her village, which made it difficult for her to access reproductive health services for her to space her children appropriately and attend antenatal appointments.
*Chomba and the stories of millions like her, are a demonstration to the promises made over thirty years ago. At a revolutionary meeting in Cairo, Zambia stood with 178 other countries and boldly proclaimed ‘NO MORE!’ – no more women dying during childbirth, no more women and girls failing to realize their full potential as a result of a lack of family planning commodities, no more discrimination, violence, and abuse based on gender.
The International Conference on Population and Development (ICPD) affirmed that population, development, and sexual reproductive health and rights are inseparable, which is a principle guiding Zambia’s progress today.
Working with the United Nations Population Fund (UNFPA), the Government has made notable progress in implementing the ICPD Programme of Action. This is evident in several ground-breaking policies and programmes, such as the Compact of Commitment towards increasing domestic funding for reproductive health commodities, such as family planning methods and maternal health commodities which are critical in safe childbirth.
In February 2023, the government,through its Minister of Finance and National Planning, Minister of Health, and the Zambia Medicines and Medical Supplies Agency (ZAMMSA), signed a Memorandum of Understanding in relation to the provision of safe and effective sexual and reproductive health commodities with UNFPA. This agreement was designed to boost local funding for these essential supplies. Since the compact was signed, the government has disbursed over USD 11.4 million from the national treasury, with USD4.3 million in 2025, to procure these commodities through UNFPA.
Commodities reaching communities
Using the UNFPA procurement system has come with several benefits. As a result of its extensive experience in procurement of reproductive health commodities and riding on its long-term agreements with World Health Organization prequalified manufacturers and suppliers, UNFPA guarantees the provision of quality-assured commodities at relatively lower prices that are delivered within the shortest possible lead times.
Use of local funds to procure reproductive health commodities using the UNFPA procurement system has also seen Zambia qualifying for what is referred to as the Match Fund. The Match Fund simply refers to additional funds released by UNFPA to match government contributions towards the procurement of quality assured commodities. In the current agreement, for every dollar spent by the government over and beyond the agreed threshold, UNFPA releases additional two dollars to the maximum of $2 million. It is applaudable that the Government has for the third consecutive year since 2023 contributed towards procurement of reproductive health commodities beyond the agreed threshold, thereby qualifying for the maximum match fund applicable.
As a result of these procurements, availability of reproductive health commodities has been improving steadily. This has not gone without notice by both service providers as well as beneficiaries of reproductive health services. According to ZAMMSA medical supplies at public health facilities have reached over 70 per cent, above the recommended World Health Organisation benchmark.
We have seen an increase in availability of family planning commodities from about 30 - 40 per cent at the beginning of 2024 to over 90 per cent in 2025. This improved availability empowers women with a wider variety of family planning options, which is crucial for promoting choice, a core principle of the family planning programme narrates a pharmacist from Mansa district.
Despite these successes, challenges to ensure full access to vital sexual and reproductive health commodities and other medicines, remain. This includes institutional governance gaps and the last mile distribution due to significant funding constraints, poor road infrastructure and intermittent network connectivity. UNFPA has therefore also stepped up its support by providing third-party logistics support to ZAMMSA to supplement distribution efforts. As of 2025, this support accounts for about 7 per cent of ZAMMSA's total distributions to regional hubs and selected district health offices, helping to move commodities closer to where they are needed.
Investing in sexual and reproductive health commodities is not just a health issue; it is a powerful economic one. When women are empowered to make their own choices about their bodies and their families, they can pursue education and careers with greater freedom. This reproductive agency does not just benefit individual women; it builds a more dynamic workforce and ultimately drives the entire nation's prosperity forward,” states Seth Broekman - UNFPA Country Representative.
