APEC Health Working Group / Report / May 2026

Financing women’s health as demographic resilience

A practical route for APEC economies to fund women’s health and family formation through capital markets. The Framework turns policy commitments into bankable, verifiable programmes, paid against measurable results.

Up to 9x
Return on modern contraception. Every GBP 1 invested can save up to GBP 9 in future health and social care costs.
Public Health England, 2018
USD 1 trillion a year
Could be added to the global economy by closing the women’s health gap.
McKinsey Health Institute, 2024
USD 8 trillion and rising
The size of the global sustainable finance market economies can draw on today.
Public Health England, 2018
What is inside

Six policy domains, made investable

The Framework builds on the APEC Smart Families Menu of Policy Options, endorsed by APEC Health Ministers in 2023. Each domain carries measurable indicators, so ministries of finance can tie repayments or coupons to verified results.

01.

Women’s health access

Reducing unintended pregnancy and widening access to modern contraception.

02.

Maternal health quality

Safer, timelier care through the perinatal period.

03.

Childcare and early years

Affordable childcare and early childhood development that returns parents to work.

04.

Family-friendly workplaces

Conditions that let households plan and stay in the labour market.

05.

Housing affordability

Lowering the time and cost of family formation.

06.

Data systems

The disaggregated data that verification and investor reporting depend on.

Free report

APEC Smart Families Innovative Financing Framework

Publisher

APEC Secretariat, Health Working Group

Published

May 2026

Length

34 pages, PDF, approx 1 MB

Reference

APEC#226-HT-01.3

Working group

Health Working Group

Project

HWG 101 2025A

Copyright 

2026 APEC Secretariat. All rights reserved

Source and official copy 

apec.org

The mechanics

Instruments that pay for outcomes, not intentions

The Framework sets out the labelled and outcome-linked instruments economies can use, then a six-step roadmap that moves a programme from diagnosis to results with independent verification at each stage. It closes with two working precedents: the In Their Hands programme in Kenya, and the Kobe City social impact bond in Japan.

Sustainability and gender bonds
Ring-fenced proceeds for women’s health, maternal services, and childcare.
Sustainability-linked bonds
Coupons that move with verified demographic indicators.
Results-based financing
Payment only on independently confirmed outcomes.
Blended finance
Concessional capital that reduces risk and draws in private investors.
Who it is for

A shared structure across finance and health

Ministries of finance
Classify, issue, and report against a common taxonomy.
Ministries of health
Turn goals into verifiable indicators and delivery.
Development banks
Structure, de-risk, and crowd in capital.
Investors and foundations
Compare issuers and back measurable impact.
Our contribution

We helped shape the thinking. APEC owns the work.

Human Planet contributed to this Framework alongside the APEC Health Working Group and a group of voices from development banks, multilateral institutions, and the sustainable finance market. Our role was to help frame women’s health as a macroeconomic strategy, and to connect measurable outcomes to capital that can be structured and repaid.

The report is a publication of the APEC Secretariat. We are one of its contributors, not its owner or publisher.

“Investing in women's health is not just a moral imperative but a macroeconomic strategy. When we blend public, philanthropic, and private capital with outcomes-based accountability, we convert intent into measurable progress that scales.”

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