In developing countries, because rural-to-urban migrants are often poor, and many refugees and internally displaced persons have virtually nothing at all, most people who move cannot afford to pay for reproductive health care themselves (42, 97, 117, 185, 225, 303). In some places private agencies may be able to provide more services (315), while in others, large-scale employers may be able to provide wider insurance coverage or health benefit packages (10). Migrants, however, are among those least likely to have adequate health insurance (34, 241, 326). Refugees and internally displaced persons do not have insurance. For the most part, poor people will always have trouble obtaining adequate services from the private sector and will need to rely on public programs, private voluntary agencies, and international assistance agencies (158).

International assistance agencies have provided substantial support for reproductive health care and have urged that more attention be paid to care for refugees and displaced persons. It is not clear who can provide additional funds, however (25). The UN has urged that at least some reproductive health needs should be met in the emergency phase of refugee situations but that resources should not be diverted from dealing with other priorities (299). Resources available for refugee programs as a whole may be declining, while current reproductive health programs are overburdened (335). Funding for refugee programs needs to become more diversified if reproductive health programs for refugees are to be developed and sustained (279).