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Highlights

  • Reproductive Health Impact Study
  • Adding It Up
  • Abortion Worldwide
  • Guttmacher-Lancet Commission
  • US policy resources
  • State policy resources
  • International Perspectives on Sexual and Reproductive Health (1975–2020)
  • Perspectives on Sexual and Reproductive Health (1969–2020)

Reports

  • Global
  • United States

Articles

  • Global research
  • US research
  • Policy analysis
  • Guttmacher Policy Review
  • Opinion

Fact Sheets

  • Global
  • United States
  • US State Laws and Policies

Tools

  • Interactive Map: US Abortion Policies and Access After Roe
  • Family Planning Investment Impact Calculator
  • Monthly Abortion Provision Study Dashboard
  • State legislation tracker
  • Public-use data sets

Global

  • Abortion
  • Contraception
  • Pregnancy
  • Teens

US

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  • Contraception
  • Pregnancy
  • Teens

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Global | Contraception

Costs and Benefits

Select a country profile

Investing in modern contraception is not only the right thing to do; it's also a smart investment. For every additional $1 invested in contraceptive services in low- and middle-income countries, the cost of pregnancy-related and newborn care is reduced by about $3.

Portrait of Elizabeth Sully

Elizabeth A. Sully

Director of International Research

Focusing on developing countries—and the poorest countries, in particular—the Guttmacher Institute calculates the global, regional and country-level health costs associated with unmet need for contraception and the public health and economic benefits of meeting women’s contraceptive needs. 

Resources

  1. Adding It Up global report
    October 2025 Report

    Adding It Up 2024: Investing in Sexual and Reproductive Health in Low- and Middle-Income Countries

    Elizabeth A. Sully, Jessica D. Rosenberg, Mira Tignor, Christina E. Geddes, Ana Dilaverakis Fernandez and Chelsea Polis
  2. Person-focused measure policy analysis
    October 2025 Policy Analysis

    It Is Time to Take a New Approach to Measuring Contraceptive Need Globally: Adopting a Rights-Based Measure in Adding It Up 2024

    Elizabeth A. Sully, Jessica D. Rosenberg and Floriane Borel
  3. Just the Numbers UK preview image
    May 2025 Policy Analysis

    Just the Numbers: The Impact of UK International Assistance for Family Planning and HIV, 2024

    Jessica D. Rosenberg, Elizabeth A. Sully, Bethan Cobley, Julia Kassem and Bekky Taylor
  4. A dollar symbol is crossed out against a world map
    March 2025 Opinion

    Foreign Aid Cuts Will Lead to 34,000 More Pregnancy-Related Deaths in Just One Year

    Elizabeth A. Sully and Amy Friedrich-Karnik Ms. Magazine
  5. Just the Numbers Special Analysis preview image
    January 2025 Policy Analysis

    Family Planning Impact of the Trump Foreign Assistance Freeze

    Elizabeth A. Sully, Onikepe Owolabi and Jessica D. Rosenberg
  6. Euro symbol next to a blue globe on a lilac background
    October 2024 Policy Analysis

    Just the Numbers: The Impact of Dutch International Assistance for Family Planning and HIV, 2024

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