Adding It Up: Investing in Sexual and Reproductive Health

Adding It Up is an ongoing Guttmacher Institute project that estimates the need for, impact of and costs associated with providing essential sexual and reproductive health services. Its component studies illustrate the investment needed to ensure these services are available to all women of reproductive age (15­–49) and their newborns—as well as to adolescents, specifically—in low- and middle-income countries.

The latest Adding It Up study for all low- and middle-income countries features an in-depth report with estimates for 2019, and it is accompanied by a detailed methodology report; fact sheets that summarize overall needs, as well as the specific needs of adolescents; and a policy analysis that focuses on the United States’ role in addressing global sexual and reproductive health needs.  

In addition, our country profiles provide data and resources focused on each of the 132 low- and middle-income countries included in the Adding It Up study. Use the “Select a country profile” box on this page to explore country-specific interactive graphics that demonstrate the need for and use of modern contraception and maternal and newborn health care, as well as the impact and cost of fully investing in comprehensive sexual and reproductive health services.

Find all of our Adding It Up resources below.




Report cover with the title Adding It Up on it and three photos of women

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Hear From An Expert

If all women of reproductive age received the sexual and reproductive health care they need, maternal and newborn deaths would drop by two-thirds