Gates Foundation publishes annual reports. Family Planning is its own line item, separate from maternal health, vaccines, or nutrition.
| Year | Family Planning | Total Budget |
|---|---|---|
| 2022 | $241 million | $8.3 billion |
| 2023 | $154 million | $7.7 billion |
| 2024 | $150 million | $8.0 billion |
Why it matters: Family Planning sits in the Gender Equality division. It's not folded into Global Health or Global Development. The Foundation treats fertility management as a separate strategic priority with its own budget and targets.[1][2][3]
January 2026: Foundation announced $9 billion annual budget, biggest ever. Plans to spend down entire endowment by 2045. Bill Gates pledged roughly $100 billion of his remaining wealth. Annual spend will hit roughly $10 billion per year for the next two decades.[4]
11 July 2012, World Population Day. Gates Foundation and UK government co-hosted the London Summit on Family Planning. UNFPA also organised.[5]
The goal: Get contraceptives to 120 million more women and girls in the world's poorest countries by 2020.
The money: 26 countries and private donors pledged $2.6 billion total. Gates Foundation pledged $560 million.[6]
Specific targets: 200,000 fewer women dying in pregnancy, 110 million fewer unintended pregnancies, 50 million fewer abortions, 3 million fewer infant deaths by 2020.
Note the date: World Population Day, not International Women's Day. The framing was demographic management, not women's rights.
Same summit, same day. A specific product deal was announced.[7][8]
Partners: Gates Foundation, Pfizer, USAID, UNFPA, UK government, PATH.
The product: Sayana Press. A reformulation of Pfizer's Depo-Provera combined with a single-use injection device. Prevents pregnancy for three months. Can be given by community health workers or self-injected.
Initial target: 12 million doses to roughly 3 million women in sub-Saharan Africa and South Asia, 2013-2016.