Table 3 Summary of perceived sustainable financing strategies for priority ASRH interventions in Ghana

Tax-based strategies

The government should widen tax net to mobilise support from the informal sector, re-align/recalibrate existing tax handles in favour of ASRH interventions, and remove taxes on sanitary pads for adolescent girls.

A non-governmental organization (NGO), Development Partner (DP), Public sector, and academia/research

Policy-based strategies

Parliamentarians and Civil Society Organizations should work to promote entrench legal provisions and policies that guarantee long-term domestic financing for priority ASRH interventions and adopt policies that embrace multiple private sector partnership support for ASRH interventions.

The private sector, public sector, DP

Need-based strategies

The government and other institutions providing ASRH services should deploy needs assessment mechanisms when allocating scarce resources and services for ASRH interventions. They should allow those who can afford to pay for the service pay for them and those who cannot afford to be given free or subsidised services.

Hospital-based service providers, NGOs, public sector

Implementation-based strategies

Some interventions must be co-created by ASRH service providers and target beneficiaries, and data driven to reduce costs and garner support of policymakers for domestic resource allocations for ASRH interventions. Deliver preventive interventions via digital platforms for LMICs.

NGO, DP, Private sector

Support of religious groups

As evidenced by religious group support for COVID-19 interventions in Ghana, the government can leverage the Christian Council of Ghana to support priority ASRH interventions.

Private sector, NGO

Funding through adolescent sporting activities

The Ministry of Youth and Sports should organize national adolescent sporting activities to generate sustainable revenue for priority ASRH interventions.

Civil society organization