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Total Market Approach

In Eastern Europe and Central Asia, progress has been made in recent years in improving sexual and reproductive health (SRH). But significant challenges and barriers still limit universal access to SRH services and commodities, as called for by the International Conference on Population and Development Programme of Action and Millennium Development Goals 5 and 6, in particular for vulnerable populations.

The initiative to introduce the total market approach in the region as an innovative tool to improve access to SRH commodities emerged from a multi-country study conducted by UNFPA and the International Planned Parenthood Federation’s European Network in 2011 and the recommendations from a high-level consultative meeting with government representatives held in 2012.

The total market approach (TMA) looks at what the public sector, commercial suppliers and non-governmental organizations can do to ensure a reliable supply of reproductive health commodities, in particular for family planning and HIV prevention. It takes into account that not all population groups are able or willing to pay the full market price for such commodities, and foresees subsidies or free supplies for those who cannot afford them. This helps ensuring that the entire population has access to a wider range of affordable quality contraceptives, including marginalized or otherwise under-served groups.

The TMA is particularly suitable for middle-income countries wishing to lower their dependency on development assistance for covering supplies of SRH commodities while ensuring access for all population groups. Eighteen of the 20 countries in Eastern Europe and Central Asia are middle-income countries.

Related Documents

Policy Advocacy for Total Market Approaches for Family Planning
EECA Regional Workshop, May 2014:

Final Report (in English)
Final Report (in Russian)
Strategies: Final Ideas Exchange (in English)
Strategies: Final Ideas Exchange (in Russian)
Facilitators' Guide (in English)
Facilitators' Guide (in Russian)

Road-Mapping a Total Market Approach
EECA Workshops, April 2013:

Final Report (in English) 
Final Report (in Russian)
Workshop Materials
National Action Plans