Sensoa International's annual audit of the expenditures by the Belgian Directorate General for Development Cooperation and Humanitarian Aid (DGD) shows that spending on health and reproductive health in 2019 was at its lowest level in four years. DGD spent a total of 11.08% of its budget on health and reproductive health in 2019, whereas support halted at 13.29% in 2017 and 12.84% in 2016. 

Particularly worrying is DGD's declining support for HIV prevention and treatment, for which the budget was cut in half during the previous government term. Support has been falling since 2017, with substantially less attention for HIV in Belgium’s bilateral cooperation and less support for multilateral organisations that take the lead in the global 'HIV response', such as UNAIDS and the Global Fund to Fight Aids, Tuberculosis and Malaria (GFATM). Multilateral support did increase in 2019, but not enough to turn the tide. 

The policy declaration and note of new Minister for Development Cooperation Meryame Kitir builds on the lessons learned from the COVID-19 pandemic. This crisis demonstrates the importance of strong public sectors, such as health care, education and social protection.


​ODA makes up a crucial lever to ensure sustainable recovery, so the declaration reads. The Belgian government has committed to a growth path to reach 0.7% by 2030. 

The Parliamentarians for the 2030 Agenda and UNFPA jointly launched the 2020 State of the World Population report in Belgium through an online interactive webinar. Invited speakers to the launch included newly appointed Minister of Development Cooperation, Meryame Kitir, director for Plan International Niger Ramatou Kane, co-director of GAMS Belgium, Stephanie Florquin, as well as representatives of the Directorate-General Development Cooperation. Els Van Hoof, chair of the parliamentary group took on the moderation.
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UNFPA Brussels director, Sietske Steneker, presented the report, aptly entitled ‘Against my will’, discussing the harmful practices against women and girls around the world. These harmful practices include female genital mutilation, child marriage and sex selection. They are exacerbated by the COVID-19 pandemic and the absolute number of girls subjected to these practices is still growing, even after decades of hard work by advocates and grassroots organisations.

In the 2020 Contraception Policy Atlas, Belgium stands out with a whopping 96.4% score, leaving the 2nd in rank – France – far behind. Belgium beat France by improving women’s access to emergency contraception and reimbursing contraception for women under the age of 25. Former Chair of the 'Parliamentarians for the 2030 Agenda' and recently appointed Minister of Pensions in Belgium’s new federal government, Karine Lalieux has been one of the driving forces behind the new reimbursement schemes.
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The Contraception Policy Atlas developed by EPF compares 46 countries by looking at their policies regarding access to contraceptives, including the reimbursement schemes and family planning counselling as well as at the available public online information. 

The ‘Parliamentarians for the 2030 Agenda’ see to the implementation of the Sustainable Development Goals, and Belgium’s role therein. During a webinar on September 29th the parliamentarians looked at where we are 5 years into the 2030 Agenda and enquired into the impact of the COVID-19 pandemic on its realisation. 

​Prof. Dr. Olivier Degomme, Director of the International Centre for Reproductive Health (ICRH-Ghent University) took stock of the consequences of the pandemic on SDG3, ‘good health and well-being for all’. He showed the worldwide measurements have serious consequence for the access to contraceptives, family planning services and maternal health. Recent research of the WHO indicated that 90% of all countries reported interruptions of essential health services, and 68% reported interruptions of family planning services. 

The new Minister of Development Cooperation is Meryame Kitir, member of the Flemish social-democratic party and a popular politician from the province of Limburg. She has a migration and working-class background and grew into politics through her involvement as a labour unionist. Her parliamentary work focused on social affairs, which will be an asset when engaging with Belgium’s international development cooperation. 

Guttmacher’s recently published 2019 “Adding it Up” report captures the shortages in sexual and reproductive health services in low and middle income countries (LMIC). The research institute calculated what it would take to bridge the gap.

In September 2015 the United Nations General Assembly adopted the 2030 Agenda for Sustainable Development, setting forward 17 Sustainable Development Goals, with no less then 169 targets to be achieved by 2030. What progress has been made since? 

Gains made in preventing mother-to-child transmission of HIV could be reversed, with new HIV infections among children up by as much as 162% and setting the clock on AIDS-related deaths back to 2008, a modelling group convened by the World Health Organization and UNAIDS estimated. If no efforts are made to mitigate and overcome interruptions in health services and supplies during the COVID-19 pandemic, a six-month disruption of antiretroviral therapy could lead to more than 500,000 extra deaths from AIDS-related illnesses in sub-Saharan Africa in 2020–2021.

The crisis affects every country, every individual person, but we still need to guarantee a global approach. More than ever, this crisis demonstrates how our lives are interconnected. In other words, a solidary, joint response will be necessary.

Sensoa International works with other organisations, including umbrella organisation IPPF, Belgian health and development organisations to steer the policy of Belgium, other EU member states and partner countries. We inform policymakers and advocate to safeguard sexual and reproductive rights, also in times of Covid-19.

The weakness of healthcare structures in developing countries will now become painfully clear and be a major threat to the global spread of the virus. Together with its partners, Sensoa International is therefore focusing on the importance of strengthening health systems, ensuring the continuity of care, and the promotion of universal healthcare coverage, which should include sexual and reproductive health services and family planning.  

Sensoa International advocates to keep up and increase the necessary financial support. Existing official development assistance (ODA) should not be diverted to tackle the current crisis, as this creates new problems. Instead, new funds should be set up to counter the spread of Covid-19 and to address the large-scale side effects of the approach in a spirit of solidarity.

Measures to deal with the pandemic should not result in restrictions of human rights, democracy and the critical role of civil society and media. Jointly with our civil society partners in Belgium and abroad, we are watching and alerting policy makers when human rights, and particularly sexual and reproductive rights are at risk.