At a Glance 2011-12

At a glance

Our results We provide comprehensive services to the most vulnerable groups.

2011–12

33m

7 out of 10

people received services from IPPF

Our key achievements

people we serve are poor, marginalized, socially-excluded and/or under-served.

89.6m 116 sexual and reproductive health services provided

2.6m

unintended pregnancies averted*

Looking ahead

policy and/or legal changes in support of sexual and reproductive health and rights

People who use drugs

Sex workers

People living with HIV

Displaced populations

Sexually diverse groups

Men who have sex with men

42.5m Contraceptive

People with disabilities

47.1m

Non-contraceptive services provided

services provided

710,000

Survivors of gender-based violence

IPPF’s Change Goals: Unite, Deliver and Perform provide us with focus and priority to achieve accelerated results by 2015 and to maximize impact for those people with the greatest unmet needs for sexual and reproductive health and rights. These goals reflect our zero-tolerance to human rights violations, and they ensure accountability to our partners and donors, to the public and to ourselves.

unite

unsafe abortions averted

0.2m

a global movement fighting for sexual rights and reproductive rights for all

Urological

5%

Implants

0.3m

Who we are

Infertility

IPPF is a global service provider and a leading advocate of sexual and reproductive health and rights for all.

We are a worldwide movement of national organizations working with and for communities and individuals.

1.6m

89.6m

2%

Others**

Abortionrelated

2.3m

SRH medical

Sexual and reproductive health (SRH) services provided

7.8m

11%

Injectables

41

Specialized counselling

14

Intrauterine devices (IUDs)

29

9

15%

23

153

Maternal and child health

169m

21%

Voluntary surgical contraception (vasectomy and tubal ligation)

Member Associations

Millions 30,000+ of volunteers

staff

85%

78%

69%

48%

of Member Associations have at least one young person on their governing board.

of Member Associations have at least one staff member who is under 25 years old.

Condoms distributed

16%

10.5m

Condoms

57%

Long-acting and permanent methods

Gynaecological

43%

Short-acting methods

2.6m

9.1m

of our funding goes to countries with low or medium levels of human development.

of Member Associations have volunteers and/or staff openly living with HIV.

Couple years of protection,* by method

Location of our 65,000 service delivery points

Maternal health

perform

15.1m

unintended pregnancies averted*

HIV-related

a relevant and accountable Federation

710,000

unsafe abortions averted

54%

46%

Peri-urban and rural

Urban

4 out of 10

of our services are provided to young people under 25 years old.

If you would like to support the work of IPPF or any of our Member Associations by making a financial contribution, please visit our website www.ippf.org or contact IPPF Central Office in London, UK. Published in August 2012 by the International Planned Parenthood Federation

Our work contributes to four Millennium Development Goals: Child mortality

access for all: to reduce unmet need by doubling IPPF services

9.2m

Oral contraceptive pill

37

Gender equality

deliver

31%

4 Newhams Row, London SE1 3UZ United Kingdom

HIV and AIDS * Couple years of protection refers to the total number of years of contraceptive protection provided to a couple. The number of unintended pregnancies averted is based on a conversion factor of 0.288 pregnancies averted for each couple year of protection.

** Including emergency contraception

UK Registered Charity No. 229476

tel +44 (0)20 7939 8200

web

fax +44 (0)20 7939 8300

email info@ippf.org

www.ippf.org

Advocacy results 2005–11 451

From 2005 to 2011, Member Associations contributed to

in support of sexual and reproductive health and rights in

policy and/or legislative changes

IPPF’s advocacy creates an enabling environment to increase access to services, promote sexual rights and gender equality, and reduce stigma and discrimination. Member Associations make a significant difference to the lives of millions by advocating for changes to laws and policies in support of sexual and reproductive health and rights, and opposing those that are harmful.

130 countries.

DENMARK

FINL AND

SWEDEN

N O R WAY UNITED KINGDOM

ESTONIA

NETHERL ANDS LITHUANIA POLAND

IREL AND

CZECH REPUBLIC

B E LG I U M

CANADA

GERMANY

LUXEMBOURG

SERBIA

FR ANCE SWITZERL AND

M E X I CO

BOSNIA AND HERZEGOVINA

M O R O CCO DOMINICAN REPUBLIC

HAITI ANTIGUA & BARBUDA S T. L U C I A

ISR AEL

GRENADA S T. V I N C E N T NICAR AGUA

PA N A M A

MALI

VENEZUEL A

CHAD

N E PA L

CO L O M B I A

INDIA

YEMEN ETHIOPIA

CENTR AL A F R I C A N R E P.

VIETNAM

THAILAND

PHILIPPINES

CAMBODIA UGANDA

GHANA

LIBERIA

J A PA N

SUDAN

NIGERIA SIERR A LEONE

KO R E A , R E P. O F

BANGL ADESH

NIGER

GAMBIA

GUINEA

SURINAME

KO R E A ( D P R )

PA K I S TA N

BAHRAIN

EGYPT

B U R K I N A FA S O BENIN

GUINEABISSAU

P U E R T O R I CO

CO S TA RICA

SENEGAL

CHINA

TA J I K I S TA N

IRAN

PA L E S T I N E M A U R I TA N I A

G U AT E M A L A

E L S A LVA D O R

K Y R G Y Z S TA N

SYRIA

MACEDONIA (FYR) ALBANIA

CUBA HONDURAS

GEORGIA

ARMENIA

AUSTRIA TUNISIA

BAHAMAS

MONGOLIA

B U LG A R I A

PORTUGAL

BELIZE

K A Z A K H S TA N

UKRAINE S L O VA K I A M O L D O VA ROMANIA

H U N G A RY

S PA I N USA

RUSSIA L AT V I A

M A L AY S I A

CAMEROON TOGO

K E N YA

CO N G O (DR)

MALDIVES

CO N G O

ECUADOR

R WA N D A

BRAZIL

INDONESIA TA N Z A N I A

SAMOA

CO M O R O S ANGOL A BOLIVIA

ZAMBIA M A L AW I

MADAGA SCAR

VA N U AT U

MAURITIUS PA R A G U AY

FIJI AUSTR ALIA

NAMIBIA MOZ AMBIQUE

LESOTHO

U R U G U AY

Advocacy successes by theme 2011

65

Member Associations contributed to

116

policy and/or legal changes in support of sexual and reproductive health and rights.

NEW ZEAL AND

Western Hemisphere

Africa

European Network

Arab World

South Asia

East and South East Asia and Oceania

Combating gender‑based violence

Increasing financial commitment to contraception

Ensuring access to safe and legal abortion

Supporting people living with HIV

Upholding women’s rights

Providing comprehensive sexuality education

In Latin America, up to a third of women have suffered physical violence in their lifetime, and up to 16 per cent have experienced sexual violence.1 Legally, women’s rights in the region are least protected in the private and domestic realms, where the majority of gender-based violence occurs. In many countries, domestic violence remains hidden and beyond the scope of law.2

Nearly a quarter of the 222 million women worldwide who have an unmet need for modern contraception live in sub-Saharan Africa.3 Inadequate financial support from international donors and national governments has led to a funding gap for contraception.

Every year, 47,000 women and girls die from unsafe abortion,4 and evidence shows that restrictive abortion laws contribute to maternal mortality from unsafe abortion.5

The number of new HIV infections in the Middle East and North Africa more than doubled from 2001 to 2009,6 and up to 90 per cent of people living with HIV go untreated for fear of stigma and discrimination.7 There is an urgent need for targeted programmes for marginalized groups at risk of HIV infection.

In Pakistan, strong opposition from religious and other conservative groups threatens women’s rights.

IPPF’s approach to comprehensive sexuality education (CSE) emphasizes sexual expression, fulfilment and pleasure. CSE supports young people to make positive, healthy choices about sex and contraception.8 However, it is still not included in many school curricula.

Six Member Associations in the Western Hemisphere region, in Bolivia, Dominican Republic, El Salvador, Grenada, Guatemala and Haiti, successfully advocated for 12 policy and legislative changes to reduce sexual and gender-based violence, to recognize domestic violence as a punishable form of violence against women, and to create standards for services and support for survivors. The Associations worked with decision makers at district and national levels, civil society organizations, justice ministries and the media to bring about these significant changes.

Member Associations in Africa led advocacy campaigns to persuade their governments to close some of this gap by increasing financial commitments to contraception. In Benin, a new budget line for contraceptive supplies was created; in Senegal, Tanzania and Uganda, Member Associations convened civil society and led coalitions to convince their governments to make significant budgetary increases for contraceptive provision. Each of these Associations overcame substantial opposition by making persuasive economic and development arguments to stakeholders, including parliamentarians and officials from the minstries of health and finance, and by working with the media.

Member Associations in Europe overcame strong opposition from anti‑choice groups, religious communities, politicians and doctors to successfully advocate for changes to abortion laws in seven countries.

In Germany, Russia, Slovakia and the United Kingdom, Member Associations have fought tirelessly to block changes in legislation that would have restricted access to abortion.

In Austria, the cost of abortion is much higher in private clinics than in hospitals, and the Austrian Member Association worked with politicians to change the law to require all hospitals to provide abortion. The Member Associations in Israel and Tajikistan successfully advocated for improved quality of abortion services including safe abortion and post‑abortion care.

30

27

19

Education and services to young people

Access to SRH services

1 UN Women (2011) Factsheet: Latin America and the Caribbean. Progress of the World’s Women 2011–2012: In Pursuit of Justice. New York: UN Women.

2 UN Women (2011) Progress of the World’s Women 2011-2012: In Pursuit of Justice. New York: UN Women.

Prevention of gender‑based violence

Working in extremely conservative environments, Member Associations in Sudan and Syria successfully advocated for changes to HIV legislation in their countries. For example, in Sudan, the national HIV strategic plan now focuses more on socially-excluded populations including men who have sex with men, sex workers and prisoners. It sets out how to challenge stigma and discrimination, and outlines how to integrate reproductive health and HIV services. The plan ensures that people living with HIV can access the information, support and treatment they need in a stigma-free environment.

Despite these challenges, the unwavering efforts of Rahnuma-Family Planning Association of Pakistan (Rahnuma-FPAP) ensured that a bill was passed that criminalizes forced marriage and Swara – a practice where women and girls are given in marriage to settle disputes – and supports women’s inheritance. Rahnuma-FPAP also advocated for the Acid Control and Acid Crime Prevention Bill which ensures a 14-year to life sentence and fine for those convicted of acid‑throwing.

Rahnuma-FPAP worked in partnership with civil society, convened meetings between parliamentarians and survivors of forced marriage, provided technical support to policy makers and government officials in writing the bills, raised awareness through the media and advised key parliamentarians who then went on to table the bills.

17

12

National budget allocations for SRH

3 Singh, S and Darroch, J (2012) Adding it Up: Costs and benefits of contraceptive services – Estimates for 2012. New York: Guttmacher Institute and UNFPA. 4 World Health Organization (WHO), Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008, sixth ed. Geneva: WHO, 2011.

Access to safe and legal abortion

Key Number of policy and/or legislative changes

1 2 3

2005–2010

The Member Associations in Australia and Cambodia worked in close partnership with their respective ministries of education to incorporate CSE into school curricula. The Cambodian Association worked with international partners and trained education ministry staff and local authorities on CSE and its benefits.

Young people will now receive CSE in school, and peer educators will provide CSE to out-of-school youth.

In Australia, students in Tasmania will benefit from the new CSE component, which is aimed at reducing the high rate of unintended pregnancy and sexually transmitted infections among young people.

07

Support for people living with HIV

5 Guttmacher Institute (2012) Legalization alone does not guarantee availability of safe abortion services. 10 May 2012, New York: Guttmacher Institute.

6 UNAIDS (2010) Global Report Fact Sheet: Middle East and North Africa. Geneva: UNAIDS.

Year of policy and/or legislative change

02

Access to emergency contraception

2011

02

Access to Human papillomavirus vaccine

7 Solomon, E (2010) Interview: HIV stigma stifles outreach in Arab states. Dubai: Reuters.

8 Kirby, D, Laris, B and Rolleri, L (2005) Impact of sex and HIV programs on sexual behaviours of youth in developing and developed countries. Youth Research Working Paper Series, Paper No. 2.

New York: Family Health International.