ANNUAL

PERFORMANCE
REPORT
2017
 41

15

33 9 25
41

WHO WE ARE
The International Planned
Parenthood Federation (IPPF)
is a global service provider
164 Member Associations and
collaborative partners

and a leading advocate of

sexual and reproductive health
and rights for all. We are
a worldwide movement of
national organizations working
7 Secretariat offices

with and for communities

29,600
and individuals.

staff

Acknowledgements
We would like to express
thanks to Member Association,
82% of Member Associations have
at least one young person
on their governing body

81%
Regional Office and Central
Office volunteers and staff who
have contributed to this report. of Member Associations
Editorial
Dr Heidi Gagnebe-Marriott
have a written gender
Annalisa Camozzi equality policy
Data analysis
Fuchsia Watson
Gervais Thompson Throughout this report, the terminology ‘Member Association’ includes IPPF Member Associations
and collaborative partners.
Design and production Due to rounding, numbers presented in this report may not add up exactly to totals provided.
Sue MacDonald Percentages reflect absolute and not rounded figures, and may not add up to 100 per cent.
 IPPF ANNUAL PERFORMANCE REPORT 2017 1

FOREWORD
IPPF’s Annual Performance Report 2017 highlights progress made in the second
year of our Strategic Framework 2016–2022. Performance remains strong in
most areas, and we continue to maximize our impact across the globe.

I am pleased to introduce this report in my new role as IPPF’s IPPF delivered 208.6 million sexual and reproductive health services
Director-General. I join the organization at a time of great in 2017, an increase of 14 per cent from 2016, with 88.6 million
opportunity, but also at a time when we must defend hard‑won or 42 per cent of these services reaching young people under 25
gains. The following sections present the key performance results years. The majority of IPPF services are delivered in peri‑urban and
for 2017. Additional case studies highlight the work we do to rural areas, and many are in places where there are no other health
champion rights, empower communities, serve people, and to care providers present. An estimated 8 in 10 of IPPF’s service users
unite and perform. were poor and vulnerable, including 3.1 million people affected
by a humanitarian crisis. IPPF provided 21.1 million couple years of
IPPF’s advocacy is most effective when we work in partnership protection in 2017, a 12 per cent increase from 2016. This averted
with civil society organizations, policy makers and communities an estimated 6.6 million unintended pregnancies and 1.7 million
to ensure that laws and policies support sexual and reproductive unsafe abortions.
health and rights and gender equality. We face a well‑funded
and organized opposition determined to undermine progress on In 2017, total income generated by the Secretariat decreased
sexual and reproductive health and rights. Nevertheless, in 2017, slightly while Member Associations' locally‑generated income
we contributed to 146 advocacy successes at national, regional remained stable, with 48 per cent raised through social enterprise
and global levels, and on a variety of issues ranging from budget activities. Recognizing the need for increased income as critical
allocations for sexual and reproductive health, to preventing sexual to IPPF’s success in reaching our ambitious goals, we continue to
and gender‑based violence and ending child marriage. Recognizing invest in new business development across the Federation.
that working in partnership with other stakeholders is critical to
success, we also actively engaged with 1,015 youth and women’s The results presented here demonstrate the unwavering efforts
groups to take public action in support of sexual and reproductive of IPPF’s volunteers, staff and partners. I acknowledge with deep
health and rights. appreciation all that has been achieved under the leadership of
my predecessor, Tewodros Melesse. Continued success will come
With positive change in public attitudes as well as effective from working together effectively as a locally owned, globally
mechanisms to hold leaders and decision makers to account, connected Federation of civil society organizations. It has been a
people will be empowered to act freely on their sexual and privilege and honour to join IPPF, and I have confidence that with
reproductive health and rights. We recognize the importance your support, together we will champion, protect and improve
of providing young people with knowledge and skills to be able sexual and reproductive health and rights for all.
to realize their rights. For young people, this means access to
information, services and comprehensive sexuality education, and
in 2017, 31.3 million young people completed a sexuality education
programme delivered by IPPF in both formal and non‑formal
education settings. We also reached 140.7 million people with
positive messages in support of sexual and reproductive health and
rights through offline and online channels of distribution, including
social media. These messages are rights‑based, consistent with
IPPF’s values, and critical in raising awareness and ensuring Dr Alvaro Bermejo
public support. Director‑General, IPPF

CONTENTS

CHAMPION EMPOWER SERVE UNITE AND NEXT STEPS ANNEXES

RIGHTS COMMUNITIES PEOPLE PERFORM

2 6 8 14 16 18
2 CHAMPION RIGHTS

CHAMPION RIGHTS
100
OUTCOME 1

governments Priority objective 1: Priority objective 2:

respect, protect Galvanize commitment and secure Engage women and youth leaders
and fulfil sexual and legislative, policy and practice as advocates for change
reproductive rights improvements
and gender
equality

IPPF’s advocacy influences governments In 2017, at the Family Planning 2020 FIGURE 1
to respect, protect and fulfil sexual and Summit, IPPF released a report entitled OUTCOME 1: PERFORMANCE RESULTS, 2017
reproductive health and rights and gender Under‑served and over‑looked:
equality. IPPF works in partnerships Prioritizing contraceptive equity of the Indicator 1: Number of successful
and coalitions at international, regional poorest and most marginalized women policy initiatives and/or legislative
and national levels including with and girls. This report highlights the changes in support or
United Nations agencies, civil society need to create political will to ensure defence of SRHR
and gender
organizations, and with youth and women equitable access to contraception for all.
equality to which

146
advocates and leaders to increase the
IPPF advocacy
effectiveness of advocacy initiatives. In 2017, the global SheDecides
contributed
Figure 1 presents IPPF's 2017 results for movement was created as an immediate
Outcome 1 priority objectives. response to the reinstatement of the
Global Gag Rule and the concomitant Indicator 2: Proportion of
In 2017, the IPPF Secretariat and Member loss of significant amounts of funding countries that are on track
Associations across the world contributed for sexual and reproductive health with their SDG
to 146 policy and legislative changes and rights from the United States
targets improving
sexual and
in support or defence of sexual and government. IPPF was a key partner
reproductive health
reproductive health and rights. This in the first conference in March 2017 Data not
includes 26 subnational and 104 national where over US$200 million was available*
changes in 66 countries (Annex A). Our raised to bridge the gap in funding.
advocacy work also contributed to 14 Subsequently, Member Associations
regional changes and two global. from the European Network influenced Indicator 3: Number of youth and
their governments to make further women’s groups that took a public
The most common changes comprise pledges to the movement. action in support of
increased budget allocations for sexual SRHR to which IPPF
engagement
and reproductive health, education and In 2017, 92 Member Associations
contributed

1,015
services for young people, promoting conducted advocacy to influence
sexual and reproductive rights, and governments to set and deliver targets
preventing sexual and gender-based under the Sustainable Development
violence (Figure 2). IPPF promotes the Goals (SDGs). These activities called for
right of women to choose when and if governments to develop SDG workplans
to have children: sixteen of the changes and monitoring tools to track progress, In the next pages, we present IPPF’s
support access to safe abortion, and five and to allocate the budgets and success in influencing the Global Financing
increase access to contraception. IPPF resources needed to achieve the SDGs. Facility to engage with civil society, and
resists attempts by the opposition to bring three Member Association advocacy case
changes that are harmful to sexual and IPPF supported 1,015 youth and studies on sexuality education in Lithuania,
reproductive health and rights. Seven women’s groups including 456 protecting human rights in Tunisia, and
of the wins in 2017 blocked changes to women’s groups, 334 youth groups and preventing child marriage in Malawi.
limit access to contraception or to oppose 225 groups that describe themselves as
sexual and gender diversity. improving the lives of both women and
young people. Activities undertaken by
At the global level, IPPF successfully these groups include making a public
advocated for specific text relating to statement in support of sexual and
sexual and reproductive health and rights reproductive health and rights, adding
in two key documents: the final resolution the group’s name to a campaign event
of the United Nations Commission on or issuing a letter to a public official or
the Status of Women and the civil society decision maker.
engagement strategy of the Global
Financing Facility. * Data to be collected in 2019.
 IPPF ANNUAL PERFORMANCE REPORT 2017 3

FIGURE 2 NUMBER OF SUCCESSFUL POLICY INITIATIVES AND/OR LEGISLATIVE CHANGES, BY THEME, 2017

23
Budget allocations for SRH,
19 <25

Education and services

18
Promoting sexual and
17
Preventing sexual and
including contraception for young people reproductive rights gender‑based violence

16
Access to safe and
15
Promoting gender
11
Access to SRH services
8
Support for people
legal abortion equality living with HIV

6 5 5 3
+

Prioritizing SRH in Access to contraception Promoting sexual and Ending child marriage
crisis settings gender diversity

IPPF/Brenda Islas/Mexico
4 CHAMPION RIGHTS

ADVOCATING FOR CIVIL SOCIETY PARTICIPATION IN THE GFF

The Global Financing Facility (GFF) Cases. However, opportunities for civil importance of involving civil society with
is a major funding mechanism for society participation have been limited, expertise on traditionally neglected and
reproductive, maternal, newborn, child, and IPPF has emphasized the need for underfunded health and development
and adolescent health and nutrition clearer and more formalized engagement issues and target populations, including
(RMNCAH‑N). It aims to support structures. The involvement of civil society family planning and adolescents. The text
countries to achieve the health goal organizations in the different stages of proposed by IPPF on the engagement of
of the Sustainable Development Goals the implementation of GFF processes civil society stakeholders who represent
by mobilizing additional funding for at country level is particularly important marginalized population groups was also
RMNCAH‑N, including sexual and in meeting the needs of the vulnerable accepted. If implemented, the Strategy
reproductive health and rights, from populations they represent. will increase civil society participation,
four sources: domestic government; and involve stakeholders working on
World Bank; external donors; and private The GFF Investors Group, which includes sexual and reproductive health and
sector resources. It is supported through donors, focus country governments, rights and with vulnerable groups. This
a multi‑donor Trust Fund hosted at the United Nations agencies, private sector will result in strengthened country‑level
World Bank. and civil society, adopted the GFF Civil GFF processes and ensure increased
Society Engagement Strategy in April transparency and accountability.
GFF focus countries are required to 2017.1 This Strategy defines the roles and
identify priorities for funding in their
Investment Cases. This process should
responsibilities of various stakeholders
in promoting meaningful engagement
Particular focus
involve all RMNCAH‑N stakeholders, of civil society and provides guidance on will also be
including civil society. IPPF has engaged their future involvement in GFF processes. placed on the
in national and global advocacy on engagement of civil
the GFF since it was announced in As a member of a coalition of civil society
2014. For example, in four African organizations, IPPF contributed to the
society stakeholders
countries, Member Associations have drafting of the Strategy by proposing representing
monitored the roll‑out of the GFF specific text for inclusion. As a result, marginalized population
process, and have contributed to the the section on Roles and Responsibilities:
development of national Investment Civil Society contains reference to the
groups […]2

INCREASING ACCESS TO SEXUALITY EDUCATION IN SCHOOLS

Family Planning and Sexual Health Association of Lithuania (FPSHA)
Sexuality education has long been a When the programme was under revision language was removed from both the
contested topic in Lithuania. There is more again in 2016, FPSHA, in collaboration curriculum and the government website
awareness now of the need for sexuality with other non‑governmental for teachers. FPSHA continues to work
education programmes to support organizations, called for a science‑based with the Ministry of Education and will
young people to exercise their sexual sexuality education curriculum that be providing teacher training on the new
and reproductive health and rights, and removed all anti‑choice and religious sexuality education components.
to ensure the well‑being of children and content. FPSHA reviewed and analysed
young people. As a result, comprehensive information that was publicized on the
sexuality education (CSE) is increasingly government website, and developed
seen as a factor which will contribute to strategies to influence the government
lower rates of unintended pregnancies3 to move towards a pro‑choice approach.
and sexually transmitted infections,4 as During a six‑month period, protest
well as reducing sexism and homophobia.5 letters were sent to the Ministry of
Education, demonstrations were
CSE goes beyond
When the Family Planning and Sexual organized, and pro‑choice organizations information, helping
Health Association of Lithuania (FPSHA) were asked to pose questions to the young people to
started to advocate for the introduction working group and parliamentarians who nurture positive values
of comprehensive sexuality education were in charge of reviewing the sexuality
in schools, it soon became clear that education curriculum.
about their sexual
the Ministry of Education was under health. It includes
pressure from Catholic and other As a result of this campaign, in 2017, discussions about
anti‑choice organizations to provide a revised Health and Sexuality and
abstinence‑only information. In 2007, Family Life Education curriculum was
family life, relationships,
a review of the curriculum resulted in approved with new content covering culture and gender roles,
another conservative programme, and as contraception, abortion and the rights and addresses rights and
it was not mandatory, many young people
received no sexuality education at all.
of lesbian, gay, bisexual and transgender
people. All religious and anti‑choice
gender equality.6
 IPPF ANNUAL PERFORMANCE REPORT 2017 5

PROTECTING HUMAN RIGHTS THROUGH TUNISIAN LAW REFORM

Association Tunisienne de la Santé de la Reproduction (ATSR)
Adopted in 2014, Tunisia’s new to the President, and meetings held in the Tunisian President led a change
Constitution enshrines freedom of religion parliament contributed to success in the to allow Muslim women to marry
and women’s rights. However, Tunisian following areas. non‑Muslim men, increasing their
laws and policies that were incongruous freedom to choose who to marry and
with the new Constitution needed to Tunisia’s first national law to combat ensuring the same rights as those
change and new ones adopted. violence against women was adopted given to men.
in 2017, covering economic, sexual,
In the area of sexual and reproductive political and psychological violence, The Tunisian government noted, but did
health and rights, these changes were as well as protection from acts of not accept, a recommendation made by
driven by advocacy efforts of the Civilian violence committed by husbands and the UPR to improve the sexual rights of
Coalition for Individual Freedoms. relatives. The law also calls for practical lesbian, gay, bisexual and transgender
Founded in January 2016, the Coalition assistance for survivors, including the people. Consensual sex between adults
comprises 28 non‑governmental provision of sexual and reproductive of the same sex remains criminalized,
organizations, including the Association health services, and legal and with homosexuality punishable by three
Tunisienne de la Santé de la Reproduction psychosocial support. years in prison. However, ATSR strongly
(ATSR). ATSR produced leaflets and defended the UPR’s recommendations
briefings to distribute to relevant Article 227 in Tunisia’s Penal Code to prohibit anal testing. Subsequently,
stakeholders, including parliamentarians, previously enabled any man to Tunisian doctors were instructed by
ministers, civil society organizations, escape prosecution if he married the the National Council of the Medical
United Nations agencies and activists. woman he had sexually assaulted; this Order to inform people accused of
During the pre‑session of the Universal included young women under the age homosexuality of their right to refuse
Periodic Review (UPR) in 2017, ATSR of 15 years. The coalition’s advocacy anal exams, and that such a refusal
advocated with permanent delegations work called for an amendment of is no longer considered as proof of
from different states to call for the this Article, and sex offenders can homosexuality. The Minister of Human
revision of a number of harmful now be prosecuted and sentenced Rights later confirmed that forced anal
articles in Tunisia’s Penal Code. Media to a minimum of five years in prison. exams will no longer be conducted in
campaigns, press releases, an open letter Also in support of women’s rights, homosexuality prosecutions.

SUPPORTING YOUNG GIRLS TO MARRY LATER

Family Planning Association of Malawi (FPAM)
Child marriage has strong negative end of child marriage. The Family Planning teachers, parents and young people.
effects on the health of girls due to risks Association of Malawi (FPAM) builds the During 2017, 91 active groups were
associated with early pregnancy, including capacity of young people to advocate formed to raise awareness of the
maternal mortality, obstetric fistula, for their rights at both community and consequences of early marriage and to
premature birth and anaemia. Girls are national levels. On the Day of the African take action to prevent child marriage;
often forced to leave school when they Child, FPAM supported their Youth Action 4,000 young people were educated
marry and this decreases their chances Movement to present a communiqué to on their sexual and reproductive rights
of economic independence and success. the First Lady of Malawi and a petition to and the law on child marriage; and 250
Child marriage also increases the risks the Parliamentary Caucus on Population, leaders were engaged to bring about
of sexual and gender‑based violence. urging the government to retain focus on change in attitudes in their communities.
The younger the age at marriage, the the issue of child marriage. A significant achievement for FPAM was
greater the impact.7 Malawi has one of the annulment of 175 child marriages that
the highest rates of child marriage in the Research has shown that a decline in had previously taken place in Liwonde.
world, with nearly half of girls married underage marriage is influenced by many
before the age of 18 years, and nearly 10 factors, including economic, cultural
per cent before 15 years.8 A significant and social factors, rather than a change
obstacle to ending child marriage in in law alone.10 Thus, to ensure that
Malawi is poverty, with girls being married more young people are able to remain
at a young age to improve the family’s unmarried before the age of 18 years,
financial status.9 and to annul child marriages that had FPAM builds the
taken place previously, FPAM implements capacity of young
In 2017, the Malawian Constitution raised a community outreach programme and people to advocate
the age of marriage to 18 years for both works with schools and parents to support
boys and girls. Previously, marriage could girls to remain in or return to education.
for their rights at both
take place at 15 years with parental community and national
consent. More advocacy work is required In Liwonde, FPAM held sensitization levels.
to ensure that this law contributes to the sessions with community leaders,
6 EMPOWER COMMUNITIES

EMPOWER COMMUNITIES
OUTCOME 2

1 billion Priority objective 3: Priority objective 4:

people act freely Enable young people to access Engage champions, opinion
on their sexual and comprehensive sexuality education formers and the media to promote
reproductive health and realize their sexual rights health, choice and rights
and rights

IPPF supports people to act freely on their and reproductive health and rights. FIGURE 3
sexual and reproductive health and rights The partners produced resources to OUTCOME 2: PERFORMANCE RESULTS, 2017
by increasing access to comprehensive support young advocates to campaign
sexuality education (CSE) for young for comprehensive sexuality education Indicator 4: Number of young people
people, and by making information on and provided funding opportunities who completed a quality‑assured
sexual and reproductive health and rights for young people to develop their CSE programme
widely available. With the world’s largest own awareness‑raising campaigns.
ever population of young people, there Furthermore, a diverse group of young

31.3m
is growing global recognition of the people was invited to contribute to
importance of comprehensive sexuality the review of the United Nations
education for ensuring international goals International Technical Guidance on
relating to education and health are met.11 Sexuality Education, which was launched
Performance results for Outcome 2 are in early 2018. Indicator 5: Proportion of young people
presented in Figure 3. who completed a quality‑assured
IPPF believes that by providing accurate CSE programme
IPPF implements comprehensive sexuality information on sexual and reproductive who increased their
SRHR knowledge
education programmes for young people health and rights, more people will not
and their ability to
both in and out of school settings. In only be able to realize their own rights, Data not
exercise their rights
2017, Member Associations provided but will be encouraged to become available*
comprehensive sexuality education to 31.3 champions and influence public attitudes
million young people, an increase of 3.2 and opinions. IPPF reached an estimated
million, or 12 per cent, from 2016. This 140.7 million people with positive Indicator 6: Estimated number of
includes 26.9 million youth who received messages on sexual and reproductive people reached with
comprehensive sexuality education from health and rights in 2017. This represents positive SRHR
the China Family Planning Association. an increase of 27.9 million, or 25 per messages
Many other Member Associations also cent, from 2016. The European Network

140.4m
reached significant numbers of young and Western Hemisphere regions
people in 2017, including Burkina Faso, together reached 66 per cent of the
Germany, Mozambique, Sierra Leone and global total. Messages are distributed
the United States of America. via IPPF online (social media, websites)
and offline (publications, public events,
In July 2017, IPPF published the drama) channels. The global results show marginalized young people. Both
Deliver+Enable Toolkit: Scaling up that more people are reached through programmes illustrate the importance
comprehensive sexuality education.12 offline (53 per cent) than online channels of working with a wide range of
This document provides guidance and (47 per cent); although in two regions, stakeholders, including the government,
resources for Member Associations significantly more people are reached via teachers, parents and young people, to
and other stakeholders to deliver online channels (European Network and ensure access to comprehensive sexuality
programmes in both formal and East and South East Asia and Oceania). education for all young people.
non‑formal education settings, and to
develop and implement comprehensive Two programme successes are presented
sexuality education policies. here to illustrate IPPF’s work in expanding
access to comprehensive sexuality
Working in partnership with UNESCO education. The first case from Uruguay
and the PACT for Social Transformation focuses on creating more inclusive
in the AIDS Response (The PACT), video resources on sexuality education
IPPF engages with youth‑led and for young people with disabilities.
youth‑focused organizations to The second example highlights work
champion comprehensive sexuality undertaken by the Albanian Member * IPPF is currently developing and testing a methodology to
education and young people’s sexual Association to reach vulnerable and measure Indicator 5.
 IPPF ANNUAL PERFORMANCE REPORT 2016
2017 7

PROVIDING SEXUALITY EDUCATION TO ADOLESCENTS WITH DISABILITIES

Iniciativas Sanitarias (IS)
People living with disabilities are more The AMAZE project developed a set of accessible and can be viewed in private.
likely to experience physical and sexual sexuality education videos for 10–14 In addition, IS developed a practical guide
abuse, and are more at risk of coercion, year olds.14 These are published under to accompany the videos and assist in
including forced sterilization and a Creative Commons license, and are face‑to‑face sessions between educators,
abortion.13 A lack of targeted resources, freely available online. The videos aim to parents and young people. The guide
including those on sexuality education, develop positive attitudes and behaviour, addresses specific topics in depth, and
increases vulnerability. Many schools and to increase the knowledge of young presents case studies to help explain the
do not have the resources needed to people as they transition from childhood information using real‑life examples.
help children who are deaf or blind to to adulthood.
learn, and this leads to higher rates of IS is also working with the Secondary
illiteracy. Ensuring all teaching resources, IS worked with Uruguay’s National Education Council to support the
including those on comprehensive Commission on Sexuality Education, inclusion of deaf students in sexuality
sexuality education, are available to young educators, parents, young people and education classes provided in lower
people with disabilities is critical to their a non‑governmental organization secondary schools. The videos developed
learning potential, self‑esteem, and ability specializing on disability, to choose six of by IS with sign language will ensure that
to protect themselves from all forms of the AMAZE videos that are most relevant these students are able to participate in
sexual and gender‑based violence in the Uruguayan context. The topics programmes provided in schools.
and abuse. cover healthy relationships; identity and
expression; long‑acting contraception; IS is now working to reach another group
Since 2006, a national programme on masturbation; puberty for girls; and of young people who have limited access
comprehensive sexuality education has puberty for boys. Once selected, IS to comprehensive sexuality education
been implemented within the formal adapted the videos to provide the content by adapting the video content for young
education system in Uruguay. In 2017, in sign language to enable young people people who are blind or have limited
the government signed a partnership with auditory disabilities to access the vision. This will involve adapting resources
agreement with Iniciativas Sanitarias (IS) information. The videos can be used in in Braille, amplifying text and images, and
to develop additional resources in video both formal and non‑formal education using three‑dimensional materials.
format for young people with disabilities. settings. As they are online, they are easily

PROVIDING SEXUALITY EDUCATION IN SCHOOLS

Albanian Centre for Population and Development (ACPD)
In 2012, in partnership with the Sexual the country‑wide implementation, ACPD completed the programme, acquiring
and Reproductive Health Coalition, trained 100 teachers to use the integrated much‑needed knowledge on a range of
the Albanian Centre for Population sexuality education modules in their sexual and reproductive health and rights
and Development (ACPD) successfully classes. In turn, they were then able to issues, life skills such as decision‑making,
advocated for the Ministry of Health to train a further 200 teachers. negotiation and communication, and
adopt an act entitled Approval of the risk reduction strategies. Information
Positioning Paper on Comprehensive Working with parents, media, decision on where to go to access sexual and
Sexuality Education for Young People in makers, teachers and the public, ACPD reproductive health services was provided.
Albania. Consequently, ACPD was able also raises awareness on the importance Following the programme, the majority of
to gain support in its advocacy efforts of providing youth with comprehensive the young people who had completed the
to influence the Ministry of Education to sexuality education in both formal and course (64 per cent) had accessed at least
develop a sexuality education programme, non‑formal education settings, and in one sexual and reproductive health service
based on the It’s All One Curriculum.15 particular, the need to incorporate content from an ACPD clinic.
on sexual pleasure, sexual violence and
The Albanian government’s approach sex‑positive messages. ACPD has also developed comprehensive
is to integrate the content of sexuality sexuality education training for parents.
education within traditional subjects In 2017, ACPD delivered a comprehensive The programme explains the benefits
to normalize conversations on sex and sexuality education programme to of talking to children about sexuality.
relationships, and to empower young 948 young people, including 110 peer It also provides guidance on how to
people with the skills and knowledge educators who will use this training to discuss topics such as puberty, first sexual
needed to realize their sexual rights. work in their communities with other experience, diversity, contraception, risk
Teachers and educational professionals youth. ACPD focuses on the provision reduction, consent and boundaries.
have been involved in reviewing the of sexuality education to the most
curriculum, and the different components vulnerable young people: those who sell
will be incorporated into a range of sex, inject drugs; live in poverty or in rural
lessons, such as biology, health and communities; and Roma youth. Of the
physical education. In 2017, ahead of 948 in total, 785 vulnerable young people
8 SERVE PEOPLE

SERVE PEOPLE
2 billion
OUTCOME 3

quality, integrated Priority objective 5:

Deliver rights‑based services
Priority objective 6:
Enable services through public
sexual and
reproductive health including safe abortion and HIV and private health providers
services, delivered by
IPPF and partners

In the second year of IPPF’s Strategic An estimated eight in ten of IPPF’s FIGURE 4
Framework 2016–2022, IPPF continues service users are poor and vulnerable OUTCOME 3: PERFORMANCE RESULTS, 2017
to make impressive progress in delivering (59.1 million). The majority of IPPF health
sexual and reproductive health facilities are located in peri‑urban and Indicator 7: Number of SRH
services, and in reaching those most rural areas (60 per cent). This ensures services provided
in need, including people affected by access for the under‑served to services
humanitarian crises. in places where fewer government and
other private providers are present. An

163.9m
Figure 4 presents IPPF’s 2017 results estimated 3.1 million people received
for Outcome 3 priority objectives. In services from IPPF in humanitarian settings
2017, a total of 208.6 million sexual in 2017, with the largest proportion from
and reproductive health services were two countries, Sudan and Syria in the
delivered, an increase of 26.1 million Arab World region. Indicator 8: Number of couple
or 14 per cent from 2016. This includes years of protection
163.9 million services provided by IPPF In 2017, IPPF provided 21.1 million couple
directly (Indicator 7), and a further years of protection (CYP), an increase
44.7 million services that IPPF enabled of 12 per cent from 2016. The provision

21.1m
through partnerships with public and of contraceptive services averted 6.6
private providers (Indicator 11). The million unintended pregnancies and 1.7
service types that contributed most to million unsafe abortions. The regions
the growth were gynaecology, sexually contributing the most to IPPF’s CYP
transmitted infections, paediatrics, global total include Africa (43 per cent) Indicator 9: Number of first‑time
obstetrics and specialized counselling. and the Western Hemisphere (34 per users of modern
Although providing smaller numbers cent). Intrauterine devices and implants contraception
overall, both urology and infertility constitute 66 per cent, or 11.8 million,
also experienced significant increases of IPPF’s total CYP. The number of

6.1m*
between 2016 and 2017 (51 per cent first‑time users of modern contraception
and 26 per cent respectively). in the 57 Family Planning 2020 focus
countries where IPPF works was 6.1
While the Africa region continues to million in 2017, a drop of 200,000 from
deliver the largest proportion of IPPF’s 2016. This decrease was due to results Indicator 10: Proportion of
services, the two regions with the in one country with performance in the IPPF’s clients who would
greatest percentage of annual growth other countries remaining strong. The recommend our
were the Arab World (59 per cent) and proportion of IPPF clients who say they
services to family
or friends
South Asia (24 per cent). Globally, 85 would recommend services to family or

92%
per cent of IPPF services are delivered in friends increased slightly from 90 per cent
countries identified by the United Nations in 2016 to 92 per cent in 2017.
Development Programme’s Human
Development Index as having low or The next section provides an overview
medium levels of human development.16 of IPPF’s service statistics with further Indicator 11: Number of SRH
analyses and case studies of Member services enabled
IPPF delivered 88.6 million (42 per cent Association programmes: two from
of IPPF's total) sexual and reproductive the Pacific region on reaching people
health services to young people in 2017. affected by natural disasters in Vanuatu

44.7m
The most common service types were and Tonga; the provision of reproductive
contraception (35 per cent), HIV‑related cancer screening in India; and increasing
services, including sexually transmitted access to communities with high unmet
infections (23 per cent), paediatrics (13 per need through social franchise clinics * IPPF is reporting the number of first‑time users from FP2020
cent), and gynaecology (nine per cent). in Ethiopia. focus countries only, as per our published commitment to
reach 60 million first‑time users between 2012 and 2020.
 IPPF ANNUAL PERFORMANCE REPORT 2017 9

Reaching those most in need gender identity or expression; HIV status; service users are able to access sexual
In 2017, IPPF provided services to language; religion; education; disability; and reproductive health information
an estimated 59.1 million poor and or migrant status. Access may be denied and services locally. IPPF also supplies
vulnerable people, representing eight because of service provider attitudes, contraceptive commodities to nearly
in 10 of all services users. This includes stigma, discrimination or restrictive laws 11,100 public and private providers,
an estimated 3.1 million people in and policies. including pharmacies and private
humanitarian crises. physicians. We have formal partnerships
We delivered services and commodities with over 4,500 associated health
Without IPPF, access to sexual and in more than 40,000 service delivery facilities where we provide training,
reproductive health services for many points, including 24,500 IPPF‑owned technical assistance, commodities,
people would be severely constrained due static clinics, mobile and outreach monitoring and quality assurance.
to the lack of political will, expertise or facilities, and community‑based
institutional capacity. Certain populations distributors. Sixty per cent of IPPF’s people‑centred approach and
are more under‑served than others. This IPPF‑owned service delivery points are values ensure that nobody is turned
can be due to a range of characteristics: located in peri‑urban and rural areas, away, and that tailored service delivery
age; gender; ethnicity; residence; ability and 82 per cent are community‑based interventions meet the needs of the most
to pay; employment; sexual orientation; distributors. This means that many vulnerable groups.

8 in 10 3.1m
of IPPF’s service users are people served in
82%
of IPPF‑owned service
poor and vulnerable humanitarian settings delivery points are
community‑based distributors

Young people People who Sex workers People living with People in Sexually and Survivors of People with
use drugs HIV crisis settings gender diverse gender‑based disabilities
groups violence

Investing in countries with the FIGURE 5 NUMBER OF SRH SERVICES DELIVERED IN COUNTRIES WITH LOW OR MEDIUM HUMAN
greatest need DEVELOPMENT, BY TYPE, 2017

The majority of our unrestricted funding Specialized counselling services

supports Member Associations in All other
SRH services
7.0m
countries with low or medium levels of
human development.17 These countries 11.6m
typically have disproportionately high
levels of maternal and child morbidity HIV-related services
and mortality, unmet need for 39.7m
contraception, HIV prevalence, and early
marriage and childbearing. MCH services
26.0m

177.9m
In 2017, Member Associations in the
69 countries with low or medium
levels of human development delivered
177.9 million sexual and reproductive
health services (Figure 5). The highest
numbers were HIV‑related services,
including sexually transmitted
infections, contraception, contraceptive
counselling, gynaecology, and maternal Gynaecological
Contraception
and child health (MCH). 26.3m 39.5m

Contraceptive counselling
27.9m
10 SERVE PEOPLE

Ensuring reproductive choice Contraceptive counselling is an legal environments, harm reduction

In 2017, IPPF provided 21.1 million couple essential primary healthcare service that consultation services are provided to
years of protection (CYP) which averted supports women, and men, to make reduce the risk of unsafe abortion for
6.6 million unintended pregnancies and their own decisions on which method women with unwanted pregnancies.
1.7 million unsafe abortions globally. of contraception is most appropriate
The methods of contraception that for them. Access to contraceptive Between 2016 and 2017, the number
contributed to growth in CYP in 2017 counselling services is also critical of abortion‑related services decreased
were injectables, implants and intrauterine in supporting reproductive choice, from 4.8 million to 4.6 million, mostly
devices, with annual growth rates of 23, including whether to have children, how due to abortion consultation services and
18 and 17 per cent, respectively. After many to have, and how long to space surgical abortion. The numbers of medical
a significant increase in CYP from oral between births. In 2017, IPPF delivered abortion and treatment of incomplete
contraceptive pills in 2016, there was a 31.2 million contraceptive counselling abortion services increased by eight and
slight decrease of one per cent in 2017. services, an increase of nine per cent four per cent, respectively (Table 1).
Figure 6 illustrates IPPF’s global CYP by from 2016. The majority of these were
method. The contribution to CYP by provided in Africa and South Asia where The provision of contraception after
condoms remained the same at 11 per there is the greatest unmet need for abortion is a critical component of
cent, but more condoms were distributed contraception, and where there is least comprehensive abortion care as it
in 2017; 284.9 million in comparison to access to information, services and reduces the risk of a subsequent
251.3 million in 2016, and a 13 per cent commodities. unintended pregnancy. In a sample of
annual growth rate. The proportion of 121 static clinics, the proportion of service
long‑acting methods contributing to IPPF delivers a range of abortion‑related users accepting a modern method of
CYP increased slightly (by two per cent), services, including pre‑ and post‑abortion contraception after an abortion (excluding
short‑acting remained the same, and counselling, surgical and medical abortion, condoms, or a partner's vasectomy) was
permanent methods decreased (by two and treatment for incomplete abortion. 77 per cent, with 53 per cent choosing a
per cent) between 2016 and 2017. In countries with highly restrictive long‑acting method.

TABLE 1 NUMBER OF ABORTION‑RELATED

FIGURE 6 COUPLE YEARS OF PROTECTION (CYP), BY METHOD, 2017
SERVICES DELIVERED, 2016–2017
Others, including TYPE OF SERVICE 2016 2017
Voluntary surgical contraception emergency contraception
(vasectomy and tubal ligation)
1%
8% Pre‑abortion
1,303,697 1,293,446
counselling
Injectables
Post‑abortion
11% counselling
812,093 848,053

Intrauterine

21.1m
devices
Surgical abortion 612,966 586,025
34%
Condoms

CYP
Medical abortion 481,713 519,851
11%
Treatment of
117,953 122,226
incomplete abortion

Oral contraceptive pills Abortion

1,436,618 1,215,569
consultation services
12% Implants
22% Total 4,765,040 4,585,170

6.6m 1.7m 284.9m

unintended unsafe condoms
pregnancies abortions distributed
averted* averted*

* Using Marie Stopes International’s Impact 2 (version 4) estimation model.

 IPPF ANNUAL PERFORMANCE REPORT 2017 11

Focusing on the needs of women FIGURE 7 NUMBER OF GYNAECOLOGICAL, OBSTETRIC AND PAEDIATRIC SERVICES DELIVERED,
and girls 2015–2017
The majority of IPPF’s services address the
sexual and reproductive health needs of 35

women and girls. In 2017, an estimated

30
78 per cent of all IPPF service users were
female. In addition to contraception and
25
abortion‑related services, IPPF delivered
32.3 million gynaecological services in
20
2017, a significant increase of 7.2 million,

Millions
or 29 per cent, from 2016 (Figure 7), 15
and with increases in all six regions.
These services include breast and pelvic 10
examinations, biopsies, imaging and
cancer screening. The number of breast 5
and cervical cancer services grew from
14.1 million to 17.0 million between 2016 0
Gynaecological services Obstetric services Paediatric services
and 2017, an annual growth rate of
21 per cent. As the case study from India 2015 2016 2017
highlights, raising people’s awareness of
the importance of reproductive cancer
screening, as well as ensuring access to Delivering HIV‑related services Meeting young people’s needs
services in low‑resource settings, is IPPF delivered 46.6 million HIV‑related IPPF delivered 88.6 million sexual and
critical to reducing morbidity and services in 2017, comprising 25.0 million reproductive health services to young
mortality rates. sexually transmitted infection services people in 2017; this represents 42 per cent
and 21.6 million HIV services. This of all services delivered by IPPF. The most
Figure 7 also illustrates the increase of 16 represents an increase of 4.6 million, common services were contraception (35
per cent in obstetric services delivered: from or 11 per cent, from 2016. Five regions per cent); HIV‑related services, including
14.2 million to 16.5 million between 2016 reported annual growth: Africa (five sexually transmitted infections (23 per
and 2017, with Sudan in the Arab World per cent); the Arab World (77 per cent); cent); and paediatric services (13 per cent).
region contributing to the majority of this European Network (three per cent);
growth, including the provision of vaginal South Asia (19 per cent); and Western IPPF’s Provide: a self‑assessment tool
delivery services by community‑based Hemisphere (10 per cent). for youth‑friendly services18 describes
health workers. Similarly, the number of a systematic approach to measure the
paediatric services rose from 8.1 million to Sexually transmitted infections youth‑friendliness of our services, with a
12.0 million between 2016 and 2017, a 48 contribute greatly to the global sexual focus on quality of care. The components
per cent increase, with three regions, Africa, and reproductive health burden, that are assessed include institutional
Arab World and South Asia, contributing to including pelvic inflammatory disease, commitment; facilities; providers; service
this growth. infertility, cervical cancer, and adverse package; information, education and
neonatal outcomes. The number of communication; youth participation;
Women and girls are at greatest risk of sexually transmitted infection services rights; and continuity of care. In line with
sexual and gender‑based violence, and IPPF delivered by IPPF increased by 19 per IPPF’s youth‑centred approach, young
delivered 3.4 million prevention, screening cent between 2016 and 2017. This result people are included on the assessment
and counselling services and referrals in reflects a long‑standing commitment to team and in the development of action
2017, an increase of nine per cent from improving access to prevention, testing plans. Useful feedback from young
2016. The majority of these services were and treatment services. Growth was also service users is also collected during focus
provided in three regions: Africa (39 per seen in all categories of HIV services with group discussions and exit interviews,
cent), Western Hemisphere (26 per cent) the largest in testing (four per cent), and via suggestion boxes, and from youth
and South Asia (24 per cent). treatment services (14 per cent). members of clinic advisory committees.

3.4m 46.6m 88.6m

sexual and HIV‑related SRH services
gender‑based services delivered to
violence services delivered young people
provided
12 SERVE PEOPLE

MEETING SEXUAL AND REPRODUCTIVE HEALTH NEEDS DURING EMERGENCIES

Vanuatu Family Health Association (VFHA)
Tonga Family Health Association (TFHA)
Conflict and crises have dire consequences
for women’s and girls’ sexual and
reproductive health and rights.
Disintegrating health systems, unsafe
environments and prohibitive costs mean
that services are limited or inaccessible.
Unintended pregnancies, unsafe abortions,
sexual and gender‑based violence, and
maternal morbidity and mortality all
increase as a result.

IPPF’s Humanitarian Programme works

to ensure that sexual and reproductive
health needs and rights are not forgotten
in emergency situations. In 2017, an
experienced humanitarian team with
technical and leadership skills was
established in two sites (Bangkok and
Fiji). The team works closely with all other
humanitarian staff based in Member
Associations and IPPF Regional Offices
to ensure effective emergency response
by implementing the Minimum Initial
Service Package (MISP) for Reproductive
Health in Crises.19 The IPPF Humanitarian
Programme connects key elements
of humanitarian action (prevention,
preparedness, response, recovery and
resilience) with sustainable human
development, conducts advocacy to
ensure an enabling environment that is
supportive of sexual and reproductive were reached across Ambae Island, held conversations with women in the
health and rights in emergencies, and 1,932 beneficiaries (18 per cent privacy of their homes, dispelling myths
and builds capacity to implement of the population) received sexual and and encouraging women to use the
MISP effectively. reproductive health services. Even when available services, including contraception,
there is no emergency, access to health counselling and testing for HIV and other
A person living in Asia and the Pacific is facilities on the island is very limited, and sexually transmitted infections, and
five times more likely to be affected by for some beneficiaries, this was the first pap smears.
natural disasters than anyone living outside time they had ever received sexual and
the region.20 Vanuatu is the most at‑risk reproductive health services.
country in the world.21 In September
2017, volcanic activity on Ambae Island Tonga is the world's second most
caused the government to declare a state at‑risk country.22 In February 2018, the
of emergency and evacuate the entire Tonga Family Health Association (TFHA) Today at this
population to nearby islands. Upon return instigated an emergency response within [mobile health]
to Ambae in October, the Vanuatu Family days of the severe tropical cyclone known clinic I had an
Health Association (VHFA) deployed as Gita. Teams travelled to Eua, one of
a response team to deliver sexual and the most affected islands, and in the first
antenatal check‑up
reproductive health services, in addition month, reached 385 beneficiaries, or and received
to general health services, during the first eight per cent of the population. TFHA medicine for my
10 days of the humanitarian response. At conducted awareness sessions, with a
this time, no other healthcare organization focus on reproductive health, sexual and
pregnancy. Normally,
was present on the island. The team later gender‑based violence and the rights of to access health care
worked collaboratively with the National lesbian, gay, bisexual and transgender I have to travel far, it’s
Health Cluster, community leaders and
volunteers, provincial health workers
people, and those with disabilities.
Like in Vanuatu, for many women on
expensive by truck, or a
and other civil society organizations Eua, this was the first time they had two‑hour walk.
to efficiently coordinate and deliver access to sexual and reproductive health IPPF service user, West Ambae, Vanuatu
humanitarian services. In total, 23 villages information and services. TFHA staff
 IPPF ANNUAL PERFORMANCE REPORT 2017 13

EXPANDING ACCESS TO REPRODUCTIVE CANCER SCREENING

Family Planning Association of India (FPAI)
In India, breast and cervical cancers of prevention and screening. Health require specialist providers and facilities
account for 49 per cent of all cancer cases education sessions are held in static and that are not widely available throughout
in women.23 High costs of treatment make mobile clinics, and media campaigns India. Also, with VIA and VILI, the test
it unaffordable for many, awareness of help to ensure information reaches as results are almost immediate. With pap
cancer as a treatable disease remains low, many as possible, including the most smears, the results are available much
and access to diagnosis and treatment vulnerable groups. The Association later as samples are assessed by laboratory
services is limited.24 When cancers provides counselling and screening technicians, and not in situ.
are diagnosed at an advanced stage, services, including HIV and other sexually
mortality rates are high. However, with transmitted infection tests, and manual Between 2013 and 2017, there was
early detection and treatment, breast and breast examinations. A formal referral substantial growth in the number of
cervical cancers both have much lower protocol with other healthcare facilities manual breast examinations provided
morbidity and mortality rates. enables follow up of clients and provision by FPAI, from 28,593 to 120,317. At
of emotional support. the same time, the number of cervical
The human papillomavirus can be cancer screening services using the
transmitted through sexual contact To increase choice and access to cervical visual inspection methods also increased
and, depending on the virus type, can cancer screening, FPAI trained mid‑level significantly from 2,301 to 22,636.
lead to cervical cancer. This highlights the healthcare providers to perform visual
importance of preventing transmission
of the virus, as well as management of
inspection tests with acetic acid (VIA) or
Lugol’s iodine (VILI). FPAI supervises newly
Visual inspection of
genital warts and cervical pre‑cancer trained staff to increase their confidence. the cervix with acetic
caused by the human papillomavirus, Refresher training and regular monitoring acid is a feasible and
before cervical cancer develops. contribute to lower numbers of positive suitable screening
test results and unnecessary referrals.
The Family Planning Association of India The alternative option to VIA and VILI test for cervical cancer
(FPAI) has worked hard to raise awareness screening tests is the pap smear where in under‑resourced
of the link between cervical cancer and cells are removed from the cervix and settings.25
unprotected sex, and the importance then examined in a laboratory. Pap smears

REACHING UNDER‑SERVED COMMUNITIES THROUGH SOCIAL FRANCHISE

Family Guidance Association of Ethiopia (FGAE)
In Ethiopia, an estimated 24 per cent of comprising location (peri‑urban or In terms of performance, between 2014
women have an unmet need for modern rural), availability of other public health and 2017, the number of FGAE social
contraception,26 and rural communities facilities, and distance from an FGAE static franchise clinics increased from 40 to 326.
in particular have limited access to sexual clinic. This selection process ensures the The number of contraceptive services
and reproductive health services. Since franchise clinics are located in areas with provided grew more than tenfold, from
2013, Family Guidance Association of few or no other public health facilities. In 231,358 to 2,550,430 during the same
Ethiopia (FGAE) has implemented a addition to counselling and testing for HIV period. In 2017, the franchise clinics
social franchising programme to increase and other sexually transmitted infections, delivered 33 per cent of FGAE's sexual
access to quality, affordable services for referral for antiretroviral therapy and and reproductive health services,
low‑income populations in peri‑urban and comprehensive abortion care services, the almost 50 per cent of its contraceptive
rural areas. social franchise clinics provide short‑ and services, and 25 per cent of its couple
long‑acting contraceptive methods, and years of protection.
In 2017, a review of FGAE’s programme referrals for permanent methods.
was conducted to document the model
and develop a guide to support other The costing analysis undertaken for
Member Associations to replicate it. The the review of FGAE’s social franchise
review also analysed the cost‑effectiveness programme estimated the cost per
This initial analysis
of the programme. couple year of protection to be between indicates that the
US$0.73 and 1.77. The estimated social franchising
FGAE’s network of social franchise
clinics is supported and managed by
average cost per DALY‑averted* ranged
from US$1.38 to 3.30. Further research
model is a cost‑effective
the organization’s own static clinics, is required to provide comparative approach to reducing
with clear agreements on obligations data, but this initial analysis indicates unmet needs for
relating to commodity supplies, training that the social franchising model is a contraception.
and technical assistance, branding and cost‑effective approach to reducing
data management. Franchise clinics are unmet needs for contraception, * A DALY (disability‑adjusted life year) is a measure of disease
selected according to a set of criteria especially in under‑served communities. burden.27
14 UNITE AND PERFORM

UNITE AND PERFORM

OUTCOME 4

1 Priority objective 7: Priority objective 8:

high‑performing, Enhance operational effectiveness and
double national and global income
Grow our volunteer and activist
supporter base
accountable and united
Federation

In 2017, IPPF continued to invest in and delivering sexual and reproductive FIGURE 8
new systems to increase organizational health services. In the five regions OUTCOME 4: PERFORMANCE RESULTS, 2017
effectiveness and respond to new using the performance‑based funding
opportunities and challenges in the system in 2017, five per cent of IPPF’s Indicator 12: Total income generated by
external environment. Performance unrestricted income was awarded to the Secretariat
results for Outcome 4 are presented in high‑performing Member Associations.
Figure 8. IPPF’s total income (restricted
and unrestricted) generated by the IPPF was supported by nearly 233,000 US$
125.1m
Secretariat was US$125.1 million, volunteers in 2017, an increase of 35
US$5.3 million less than in 2016. per cent from 2016. Volunteers make a
This four per cent decrease reflects significant contribution to the work and
a reduction in restricted multilateral performance of IPPF as peer educators,
funding, partially offset by increased medical professionals, members of Indicator 13: Total income generated
unrestricted government funding. governing bodies, legal advisers and locally by unrestricted
The majority, 76 per cent, of IPPF’s fundraisers. In 2017, a Volunteer Database grant‑receiving

US$
unrestricted income was invested in Management System was developed Member Associations
countries with low or medium levels of to support Member Associations to

291.7m
human development.28 Countries in the manage information on volunteers and
Africa and South Asia regions received communicate more easily with groups
41 per cent and 19 per cent of IPPF’s and/or individuals. The database enables
unrestricted funding, respectively. Member Associations to coordinate
volunteer programmes more effectively Indicator 14: Proportion of IPPF
Member Associations generate and and to allocate resources more efficiently. unrestricted funding used
diversify their own income streams to reward Member
through sales of commodities, patient Opposition groups are a constant
Associations through
a performance‑based
fees, provision of training, for example threat to the gains achieved by the
funding system

5%
to government health workers, and by sexual and reproductive health and
raising funds from local and international rights movement. IPPF responds by
sources, including government. In 2017, engaging activists who support and
unrestricted grant‑receiving Member defend sexual and reproductive health
Associations generated a total income of and rights. In 2017, 11.2 million activists Indicator 15: Number of
US$291.7 million, a 0.2 per cent increase agreed to take action for political and IPPF volunteers
from US$291.2 million in 2016. Nearly half social change in support of IPPF’s work,
(48 per cent) of this income was raised an increase of over one million, or 10
through social enterprise activities. per cent, from 2016. Actions taken

232,881
by activists include participating in
In 2017, IPPF’s performance‑based campaigns, sharing positive messages
funding system was used in five in support of sexual and reproductive
regions to make data‑driven decisions health and rights on social media, and
about resource allocation to Member educating and empowering others to Indicator 16: Number of
Associations. For each Association, realize their rights. IPPF activists
unrestricted grants were adjusted
according to performance measured On the next page, we present
by a number of key indicators. The examples of initiatives that improve IPPF

11.2m
system rewards Member Associations effectiveness and accountability, and
that are most effective in implementing an overview of our investment in social
advocacy and education programmes, enterprise programmes.
 IPPF
IPPF ANNUAL
ANNUAL PERFORMANCE REPORT 2017
PERFORMANCE REPORT 2017 15

ENSURING PERFORMANCE AND ACCOUNTABILITY

IPPF invests in systems, policies, people all employees, and supports a move In 2017, IPPF submitted its first
and processes to support a culture towards adopting common approaches Accountability Report 29 in accordance
of performance and accountability. and systems, and sharing information with the membership requirements of
For example, in 2017, IPPF Governing for the benefit of the Federation and Accountable Now. This is a global platform
Council approved a new policy on health those we serve. The strategy comprises that supports civil society organizations
information systems to provide guidelines seven enablers: culture; engagement; to be transparent, responsive to
on ethical, efficient and effective systems performance; leadership and stakeholders and focused on delivering
that collect, store and manage clients’ management; people planning; human impact. Reviewed by Accountable Now’s
information. The policy aims to ensure resources service delivery; and well‑being. independent panel, the feedback received
the use of health information systems on our report was extremely positive, and
for decision making by service providers At the end of 2016, IPPF Workplace, a IPPF will respond to ensure the highest
and clinic managers to increase clinic new social collaboration platform, was standards in accountability are maintained
efficiency and improve client‑centred launched. Built using many of the same throughout the Federation.
care. A new handbook supports Member functionalities as Facebook, its purpose is
Associations to prepare, install and use to improve internal communication and
IPPF’s clinic management information informal knowledge sharing. Staff from
systems (CMIS) and to ensure the five Regional Offices and from over a third The panel
confidentiality of all client‑based of Member Associations are now actively commends IPPF’s
information. By the end of 2017, 649 taking part in conversations on the site.
static clinics, from a sample of 45 Inappropriate content can be reported
openness about
Member Associations, were using CMIS to the Workplace Content Governing areas in which it
to manage client‑based data, including Board, ensuring all posts respect IPPF can improve and
413 clinics using the manual CMIS, and values. Workplace gives visibility to our
226 using the electronic version. work, provides an online discussion space
appreciates the
to connect with colleagues easily, and inclusion of concrete
Published in 2017, IPPF’s first ever supports our mission to lead a locally actions it plans
People Strategy aims to foster greater
collaboration and connectivity between
owned and globally connected civil
society movement.
to take.30

EXPANDING SOCIAL ENTERPRISE

IPPF is committed to supporting IPPF’s Social Enterprise Acceleration SEAP also has a site on IPPF Workplace
Member Associations to invest in social Programme (SEAP) aims to strengthen the to advertise information on the grants
enterprise programmes to generate capacity of Member Associations to apply available to Member Associations to
income, diversify funding sources, entrepreneurial best practice in the health advance and strengthen their social
operate more effectively and efficiently, sector while delivering social value and enterprise work, to connect IPPF experts
and achieve greater sustainability. improving lives. from different parts of the world, to
Member Associations use surplus income promote collaboration and to share key
generated from social enterprise to There are a number of Member resources and the latest thinking on
subsidize sexual and reproductive health Associations in IPPF who have many social enterprise.
services for those who cannot afford to years of experience implementing
pay, and to implement activities for which social enterprise programmes, and
no other funding is available. who are able to generate income
to cover most, if not all, of their
In 2017, a global research project expenditure. Recognizing this expertise Social enterprise
documented the current scale, size and as a valuable asset, a competitive is not only about
scope of social enterprise activities in process to select a Member Association generating income,
IPPF. Of the Member Associations who to manage SEAP was undertaken
responded to the questionnaire, 69 per in 2017. FPA Sri Lanka (FPASL), a
it is about adopting
cent reported social enterprise activity. well‑established Member Association best business
The most common type of social with a successful track record in social tactics to operate
enterprise was the sale of specialized enterprise, was selected as the SEAP
health and clinical services, and eight coordinator. FPASL now leads SEAP’s
more effectively and
Member Associations reported an grant management (programme and efficiently to better
income of US$1 million and above from financial management), is responsible achieve our collective
this activity. Five Member Associations
also raised more than US$1 million from
for project monitoring, documentation
of learning, and the provision of
mission.
commodity sales. technical assistance and training. Meradith Leebrick, Associate Director,
Social Enterprise Initiative, WHR
16

NEXT STEPS
IPPF’s Strategic Framework 2016–2022 and its four Outcomes will continue to
motivate, inspire and guide our work. Our mission is an ambitious one, but if
achieved, we will make a difference to millions of people’s lives now, and for
generations to come.

In the third year of IPPF’s Strategic Framework 2016–2022, we Safeguarding all those who have contact with IPPF, including
will focus our efforts by accelerating action in six areas that are beneficiaries, service users, activists, stakeholders, volunteers and
critical to the effective delivery of our Framework: staff, is a priority in our policies and organizational culture. In
2018, we are revising and expanding our safeguarding approach
• expand and strengthen the sexual and reproductive health
to include an IPPF code of conduct, new and amended policies,
and rights movement
an incident reporting service, a safeguarding learning platform
• reclaim the space from the opposition and increase political and an extensive training package. IPPF’s commitment aims to
commitment for sexual and reproductive health and rights ensure the safety and well-being of all those we work with,
• enable and empower young people through comprehensive including children, young people, and vulnerable adults, and
sexuality education programmes those who work for us. Our approach will be monitored and
• build the capacity of Member Associations to become centres assessed, and IPPF’s Governing Council will review progress on
of excellence a regular basis.
• strengthen the provision of sexual and reproductive health
Reinstated in 2017, the Global Gag Rule has devastating
information and services in emergencies
consequences on the lives of millions of people, in particular,
• develop IPPF leaders in governance and management to women, girls and the most vulnerable, because of the significant
promote a culture of performance throughout the Federation funding cuts to the sexual and reproductive health sector. The
opposition, including the political right, and an environment in
For each area, a three‑year programme of work, developed by which resources for international development are threatened,
groups of IPPF volunteers, staff and external stakeholders, will are of grave concern to an organization like ours.
guide collective action to maximize results.
This report highlighted many positive results achieved by
In 2018, we will be publishing the fourth edition of IPPF’s the Federation in key areas last year, but IPPF’s stagnating
Medical and Service Delivery Guidelines for Sexual and income has affected the positive trajectory in other areas. Of
Reproductive Health. The updated Guidelines will provide greatest concern is the impact at local levels, when clinics and
up-to-date and detailed information for service providers programmes close, trained and committed staff are made
and clinic managers to ensure adherence to quality standards redundant, and beneficiaries no longer have access to sexual
in the provision of clinical sexual and reproductive health and reproductive health information, education and services.
services. Developed in consultation with IPPF’s International
Medical Advisory Panel and external experts, and using Moving forward, we will respond and adapt with increased
the latest scientific evidence, the next edition of the focus, pace and agility to reduce this risk and ensure IPPF
Guidelines will comprise all components of an integrated and continues to deliver information and services and to champion
comprehensive service package, with new sections on sexual sexual and reproductive health and rights for all, especially
and gender‑based violence, prenatal care, infertility, Sayana the under‑served.
Press, adolescent sexual and reproductive health, referrals
and follow up.

We have a fantastic Strategic Framework. We are making progress but

we need a business plan that provides an operational roadmap to a truly
transformative IPPF. One that is externally engaged, with brave and diverse
voices, and that builds on our experience delivering sexual and reproductive
health services. So that we deliver on the strategy. So that everyone can
say: “I decide what to do with my body, with my life, with my future”.
Dr Alvaro Bermejo, Director‑General, IPPF
IPPF ANNUAL PERFORMANCE REPORT 2017 17
 18 ANNEXES

ANNEXES
Annex A: Number of successful policy initiatives and/or legislative changes, by
country, 2017
Annex B: IPPF’s Performance Dashboard results, 2016–­2017

KEY
n/a not applicable

- zero

.. data not available

IPPF/Chloe Hall/Mauritania
 IPPF ANNUAL PERFORMANCE REPORT 2017 19

ANNEX A: NUMBER OF SUCCESSFUL POLICY INITIATIVES AND/OR LEGISLATIVE CHANGES, BY COUNTRY, 2017

COUNTRY Number of COUNTRY Number of COUNTRY Number of

changes changes changes

AFRICA EUROPE EAST & SOUTH EAST ASIA & OCEANIA

Botswana 1 Albania 3 Australia 2

Cameroon 1 Belgium 3 Cambodia 1

Ghana 1 Bulgaria 1 Democratic People’s 1

Republic of Korea
Kenya 2 Denmark 1
Indonesia 2
Lesotho 1 Finland 3
Philippines 1
Malawi 2 France 3
Samoa 1
Mozambique 1 Georgia 1
Tuvalu 1
Nigeria 1 Italy 1
SOUTH ASIA
Tanzania 1 Kazakhstan 2
Bhutan 1
Uganda 8 Kyrgyzstan 3
India 1
Zimbabwe 1 Latvia 1
Iran 1
ARAB WORLD Lithuania 2
Nepal 2
Mauritania 1 Luxembourg 1
Pakistan 1
Morocco 2 Macedonia 4
WESTERN HEMISPHERE
Palestine 2 Netherlands 1
Barbados 2
Tunisia 4 Norway 1
Bolivia 8
Portugal 1
Brazil 2
Russia 2
Chile 2
Serbia 2
Colombia 3
Sweden 3
Dominican Republic 3
Switzerland 1
Ecuador 1
Tajikistan 6
Guatemala 2
Ukraine 2
Mexico 1
United Kingdom 2
Paraguay 2

Peru 3

Puerto Rico 2

Trinidad and Tobago 1

United States of America 2

Uruguay 2
ANNEX B: IPPF’S PERFORMANCE DASHBOARD RESULTS, 2016–2017
20 ANNEX B

TABLE B1: IPPF’S PERFORMANCE DASHBOARD – GLOBAL PERFORMANCE RESULTS, 2016–2017 2016 2017 Number of Member Number of Secretariat
baseline results results Associations reporting offices reporting
2017 2017
OUTCOME 1 INDICATORS
1 Number of successful policy initiatives and/or legislative changes in support or defence of 175 146 66 4
SRHR and gender equality to which IPPF advocacy contributed
2 Proportion of countries that are on track with Sustainable Development Goal targets improving sexual and .. .. n/a n/a
reproductive health*
3 Number of youth and women’s groups that took a public action in support of SRHR to which IPPF 661 1,015 86 6
engagement contributed
OUTCOME 2 INDICATORS
4 Number of young people who completed a quality-assured CSE programme 28,113,230 31,346,870 144 n/a

5 Proportion of young people who completed a quality-assured CSE programme who increased their SRHR .. .. .. n/a
knowledge and their ability to exercise their rights†
6 Estimated number of people reached with positive SRHR messages 112,516,902‡ 140,443,427 144 5

OUTCOME 3 INDICATORS
7 Number of SRH services provided 145,078,890 163,887,066 134 n/a

8 Number of couple years of protection 18,776,343 21,087,529 131 n/a

9 Number of first-time users of modern contraception 6,336,091 6,102,204 57 n/a

10 Proportion of IPPF’s clients who would recommend our services to family or friends 90% 92% 87 n/a

11 Number of SRH services enabled 37,383,977 44,709,391 61 n/a

OUTCOME 4 INDICATORS
12 Total income generated by the Secretariat (US$) 130,391,389 125,081,940 n/a 7

13 Total income generated locally by unrestricted grant-receiving Member Associations (US$) 291,198,069 291,747,796 119 n/a

14 Proportion of IPPF unrestricted funding used to reward Member Associations through a performance-based funding 6% 5% n/a 5
system
15 Number of IPPF volunteers 172,279 232,881 153 n/a

16 Number of IPPF activists 10,154,353 11,200,237 117 2

* Data to be collected in 2019.

†
IPPF is currently developing and testing a methodology to measure this indicator.
‡
Baseline result for 2016 was revised to include data from one Member Association, received after the Annual Performance Report was published in June 2017.
TABLE B.2 OUTCOME 1: PERFORMANCE RESULTS, BY REGION, 2016–2017

OUTCOME 1 INDICATORS Year AR AWR EN ESEAOR SAR WHR CO Total

1 Number of successful policy initiatives and/or legislative changes in support 2017 21 9 60 9 6 39 2 146
or defence of SRHR and gender equality to which IPPF advocacy contributed
2016 11 5 71 17 11 53 7 175

2 Proportion of countries that are on track with their Sustainable Development

Goal targets improving sexual and reproductive health [Data to be collected in 2019]

3 Number of youth and women’s groups that took a public action in support of 2017 88 345 141 39 45 326* 31 1,015
SRHR to which IPPF engagement contributed
2016 22 133 177 47 29 234 19 661

* Includes groups mobilized in global fora.

TABLE B.3 OUTCOME 2: PERFORMANCE RESULTS, BY REGION, 2016–2017

OUTCOME 2 INDICATORS Year AR AWR EN ESEAOR SAR WHR CO Total

4 Number of young people who completed a quality-assured CSE programme 2017 2,620,874 76,414 306,543 27,374,221 191,001 777,818 n/a 31,346,870

2016 2,238,789 41,608 239,033 25,019,365 146,242 428,193 n/a 28,113,230

5  Proportion of young people who completed a quality‑assured CSE

programme who increased their SRHR knowledge and their ability to exercise [IPPF is currently developing and testing a methodology to measure this indicator]
their rights

6  Estimated number of people reached with positive SRHR messages 2017 21,085,017 5,240,433 35,377,659 15,054,606 4,703,063 57,020,634 1,962,014 140,443,427

2016 13,042,195 1,215,088 20,045,247 11,187,889 2,663,735 62,122,748 ‡ 2,240,000 112,516,902‡

‡
Baseline result for 2016 was revised to include data from one Member Association, received after the Annual Performance Report was published in June 2017.
IPPF ANNUAL PERFORMANCE REPORT 2017 21
TABLE B.4 OUTCOME 3: PERFORMANCE RESULTS, BY REGION, 2016–2017
22 ANNEX B

OUTCOME 3 INDICATORS Year AR AWR EN ESEAOR SAR WHR CO Total

7 Number of SRH services provided 2017 74,679,705 18,568,823 1,512,617 14,831,551 23,137,235 31,157,135 n/a 163,887,066

2016 68,753,974 11,672,439 1,562,581 13,947,674 18,943,863 30,198,359 n/a 145,078,890

8 Number of couple years of protection 2017 8,976,026 1,091,185 51,696 879,287 2,878,274 7,211,062 n/a 21,087,529

2016 7,770,541 955,758 49,680 679,485 2,642,243 6,678,636 n/a 18,776,343

9 Number of first-time users of modern contraception* 2017 5,101,023 333,254 810 295,875 350,380 20,861 n/a 6,102,204

2016 5,300,920 309,261 669 347,384 347,813 30,044 n/a 6,336,091

10 Proportion of IPPF’s clients who would recommend our services to family or 2017 93% 97% 93% 83% 91% 94% n/a 92%
friends
2016 92% 94% 92% 83% 86% 91% n/a 90%

11 Number of SRH services enabled 2017 33,514,081 3,312,198 55,265 2,197,022 5,072,499 558,326 n/a 44,709,391

2016 29,951,314 2,074,995 36,212 1,056,158 3,823,911 441,387 n/a 37,383,977

* Data is from FP2020 focus countries only: this includes 57 countries in total (31 in Africa, five in the Arab World, two in the European Network, 10 in East and South East Asia and Oceania, six in South Asia, and three in the Western Hemisphere).

TABLE B.5 OUTCOME 4: PERFORMANCE RESULTS, BY REGION, 2016–2017

OUTCOME 4 INDICATORS Year AR AWR EN ESEAOR SAR WHR CO Total

12 Total income generated by the Secretariat (US$) 2017 125,081,940

[Not applicable by regional breakdown]†
2016 130,391,389

13 Total income generated locally by unrestricted grant-receiving 2017 63,998,677 7,542,360 7,772,480 56,533,159 13,606,918 142,294,202 n/a 291,747,796
Member Associations (US$)
2016 65,638,161 5,341,111 4,481,212 51,280,444 14,477,182 149,979,959 n/a 291,198,069

14 Proportion of IPPF unrestricted funding used to reward Member Associations 2017 3% 0% 6% 2% 8% 9% n/a 5%
through a performance-based funding system
2016 4% 0% 7% 3% 10% 8% n/a 6%

15 Number of IPPF volunteers 2017 49,054 5,818 11,294 48,622 70,059 48,034 n/a 232,881

2016 46,199 6,584 10,317 45,389 15,492 48,298 n/a 172,279

16 Number of IPPF activists 2017 7,440 3,156 12,463 9,464 33,012 11,112,068 22,634 11,200,237

2016 6,253 2,610 9,872 8,885 2,797 10,118,205 5,731 10,154,353

†
While resource mobilization is coordinated across the Secretariat, IPPF income is reported at the global level for the Federation as a whole.

TABLE B.6 NUMBER OF COUPLE YEARS OF PROTECTION PROVIDED, BY REGION, BY METHOD, 2016–2017

TYPE OF METHOD Year AR AWR EN ESEAOR SAR WHR Total

Intrauterine devices 2017 2,038,489 420,424 20,335 244,957 1,591,630 2,840,337 7,156,171
2016 1,424,628 497,477 19,347 199,679 1,348,074 2,651,157 6,140,360
Implants 2017 2,722,738 167,081 9,288 92,015 87,838 1,517,535 4,596,494
2016 2,437,908 130,877 7,015 79,297 79,124 1,145,216 3,879,437
Oral contraceptive pills 2017 1,367,922 374,376 2,553 69,558 210,418 543,145 2,567,971
2016 1,480,745 251,840 3,097 66,528 222,066 567,218 2,591,494
Injectables 2017 1,465,248 35,547 66 43,349 196,803 670,998 2,412,011
2016 1,065,356 31,080 89 49,564 155,627 653,097 1,954,813
Condoms 2017 1,323,108 92,436 18,259 407,725 207,557 325,143 2,374,227
2016 1,272,659 43,482 18,867 270,315 195,263 293,596 2,094,180
Voluntary surgical contraception 2017 49,460 - 890 19,980 475,982 1,201,900 1,748,212
(vasectomy and tubal ligation)
2016 76,880 - 480 12,760 537,612 1,245,480 1,873,212
Emergency contraception 2017 7,008 1,237 194 1,292 108,047 73,619 191,397
2016 9,143 557 671 1,126 104,477 81,228 197,201
Other hormonal methods 2017 38 - 66 78 - 38,135 38,317
2016 58 - 66 90 - 40,445 40,659
Other barrier methods 2017 2,016 84 46 333 - 250 2,728
2016 3,166 445 49 126 - 1,200 4,986
TOTAL 2017 8,976,026 1,091,185 51,696 879,287 2,878,274 7,211,062 21,087,529
2016 7,770,541 955,758 49,680 679,485 2,642,243 6,678,636 18,776,343
Number of responses 2017 (n=40) (n=11) (n=20) (n=25) (n=8) (n=27) (n=131)
2016 (n=40) (n=11) (n=19) (n=25) (n=8) (n=27) (n=130)
IPPF ANNUAL PERFORMANCE REPORT 2017 23
TABLE B.7 NUMBER OF SEXUAL AND REPRODUCTIVE HEALTH SERVICES DELIVERED, BY REGION, BY SERVICE TYPE, 2016–2017
24 ANNEX B

TYPE OF SERVICE Year AR AWR EN ESEAOR SAR WHR Total

Contraceptive (including counselling) 2017 49,382,792 3,701,321 365,009 7,553,130 7,061,015 8,978,165 77,041,432
2016 47,748,224 2,989,983 374,277 5,890,895 5,892,684 8,980,338 71,876,401
Gynaecological 2017 13,630,202 3,229,263 274,952 2,170,315 4,043,479 8,949,370 32,297,581
2016 9,156,910 2,323,176 150,763 1,837,816 3,123,922 8,529,057 25,121,644
STI/RTI 2017 12,413,437 1,932,467 365,622 1,957,328 2,731,715 5,572,007 24,972,576
2016 10,138,284 1,082,883 339,554 2,223,562 2,129,211 5,046,217 20,959,711
HIV (excluding STI/RTI) 2017 13,744,767 2,825,652 194,031 715,745 2,772,713 1,358,301 21,611,209
2016 14,740,366 1,610,558 200,989 719,289 2,479,808 1,269,277 21,020,287
Obstetric 2017 4,819,390 4,446,537 13,814 997,582 4,052,831 2,190,324 16,520,478
2016 4,472,388 2,344,244 43,323 1,068,801 4,043,146 2,189,092 14,160,994
Paediatric 2017 3,583,044 3,839,311 440 874,007 3,078,360 579,682 11,954,844
2016 2,897,906 2,028,557 5,947 820,613 1,772,854 555,470 8,081,347
Specialized counselling 2017 4,277,655 709,662 224,885 1,858,157 1,387,075 1,214,372 9,671,806
2016 3,550,259 561,118 336,731 1,372,224 1,008,743 1,281,102 8,110,177
SRH medical 2017 2,917,987 415,839 5,680 244,852 1,535,065 86,829 5,206,252
2016 3,116,699 269,110 5,294 380,033 1,094,769 73,213 4,939,118
Abortion-related 2017 1,336,228 207,366 114,930 458,827 488,921 1,978,898 4,585,170
2016 1,548,283 187,291 115,299 548,281 442,185 1,923,701 4,765,040
Urological 2017 908,576 372,423 2,912 58,809 714,491 432,330 2,489,541
2016 491,187 172,755 1,671 43,654 485,690 455,699 1,650,656
Infertility 2017 1,179,708 201,180 5,607 139,821 344,069 375,183 2,245,568
2016 844,782 177,759 24,945 98,664 294,762 336,580 1,777,492
TOTAL 2017 108,193,786 21,881,021 1,567,882 17,028,573 28,209,734 31,715,461 208,596,457
2016 98,705,288 13,747,434 1,598,793 15,003,832 22,767,774 30,639,746 182,462,867
Number of responses 2017 (n=40) (n=11) (n=24) (n=25) (n=8) (n=27) (n=135)
2016 (n=40) (n=11) (n=23) (n=25) (n=8) (n=27) (n=134)
IPPF ANNUAL PERFORMANCE REPORT 2016 25

IPPF/John Spaull/Nepal
26

REFERENCES

CHAMPION RIGHTS SERVE PEOPLE

1 Global Financing Facility (2017) Civil Society Engagement Strategy. 16 United Nations Development Programme (UNDP) (2016) Human
Available from: https://www.globalfinancingfacility.org/sites/ Development Report 2016: Human Development for Everyone. New
gff_new/files/documents/GFF-IG5- 5%20CS%20Engagement%20 York. UNDP.
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2 Ibid. 18 IPPF (2015) Provide: strengthening youth friendly services. Available
3 United Nations Children’s Fund (UNICEF) (2013) Innocenti Report. from: https://www.ippf.org/resource/provide-strengthening-youth-
Available from: https://www.unicef-irc.org/publications/pdf/rc11_ friendly-services [Accessed 15 May 2018].
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(STIs) and Human Immunodeficiency Virus (HIV). http://www.ulac.lt/ the Pacific (UNESCAP) (2017) Disaster Resilience for Sustainable
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core of anti-LGBT behaviour in Lithuania. http://www.media4change. Pacific%20Disaster%20Report%202017%20%28Full%29.pdf
co/news/lack-sexual-education-core-anti-lgbt-behavior-lithuania/ [Accessed 14 May 2018].
[Accessed 30 April 2018]. 21 Integrated Research on Disaster Risk (2016) World Risk Index.
6 United Nations Population Fund (UNFPA) (nd) Comprehensive Available from: http://www.irdrinternational.org/2016/03/01/word-
Sexuality Education. Available from: https://www.unfpa.org/ risk-index/ [Accessed 1 May 2018].
comprehensive-sexuality-education [Accessed 30 April 2018]. 22 Ibid.
7 Human Rights Watch (2014) I’ve never experienced happiness: 23 India Against Cancer (2017) Statistics. Available from: http://
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report/2014/03/06/ive-never-experienced-happiness/child-marriage-
24 Pramesh, C, Badwe, R, Sinha, R, (2014) The National Cancer Grid of
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India. Indian Journal of Medical and Paediatric. Oncology 35 (3), pp.
8 United Nations Children’s Fund (UNICEF) (2017) Access the data. 226-7.
Available from: https://data.unicef.org/topic/child-protection/child-
25 Nooh, AM, Mohamed, M, El-Alfy, Y, (2015) Visual Inspection of
marriage/ [Accessed 18 March 2018].
Cervix With Acetic Acid as a Screening Modality for Cervical Cancer.
9 Girls Not Brides (2018) Child Marriage around the World: Malawi. Journal of Lower Genital Tract Disease. 19 (4), pp. 340-344.
Available from: https://www.girlsnotbrides.org/child-marriage/
26 Family Planning 2020 (2017) FP2020 Ethiopia Country Data. Available
malawi/ [Accessed 9 May 2018].
from: http://www.familyplanning2020.org/entities/56 [Accessed 2
10 Girls Not Brides (2013) The contribution of laws to change the May 2018].
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27 World Health Organization (nd). Metrics: Disability-Adjusted Life
girlsnotbrides.org/wp-content/uploads/2018/04/IPU-WHO-Child-
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EMPOWER COMMUNITIES UNITE AND PERFORM

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28 United Nations Development Programme (UNDP) (2016) Human
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29 Accountable Now (2018) International Planned Parenthood
12 IPPF (2017) Deliver and Enable Toolkit. Scaling-up comprehensive
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 IPPF ANNUAL PERFORMANCE REPORT 2017 27

KEY ABBREVIATIONS

ACPD Albanian Centre for Population and Development

AR Africa region, IPPF

ATSR Association Tunisienne de la Santé de la Reproduction

AWR Arab World region, IPPF

CO Central Office

CSE Comprehensive sexuality education

CYP Couple years of protection

DALY Disability-Adjusted Life Year

EN European Network, IPPF

ESEAOR East and South East Asia and Oceania region, IPPF

FGAE Family Guidance Association of Ethiopia

FPAI Family Planning Association of India

FPAM Family Planning Association of Malawi

FPSHA Family Planning and Sexual Health Association of Lithuania

GFF Global Financing Facility

HIV Human immunodeficiency virus

IPPF International Planned Parenthood Federation

IS Iniciativas Sanitarias

MCH Maternal and child health

MISP Minimum Initial Service Package

The PACT PACT for Social Transformation in the AIDS Response

RMNCAH-N Reproductive, maternal, newborn, child and adolescent health and nutrition

SAR South Asia region, IPPF

SDG Sustainable Development Goals

SRH Sexual and reproductive health

SRHR Sexual and reproductive health and rights

STI/RTI Sexually transmitted infection/reproductive tract infection

TFHA Tonga Family Health Association

UNESCO United Nations Educational, Scientific and Cultural Organization

UPR Universal Periodic Review

VFHA Vanuatu Family Health Association

VIA Visial inspection with acetic acid

VILI Visual inspection with Lugol’s iodine

WHR Western Hemisphere region, IPPF

28

THANK YOU
With your support, millions of people, especially the poorest and most
vulnerable, are able to realize their right to sexual and reproductive
health. Without your generosity, this would not be possible.

Bill & Melinda Gates Foundation Government of Sweden

Burberry Foundation Government of Switzerland
Children’s Investment Fund Foundation Johns Hopkins University
Cordaid Joint United Nations Programme on
David and Lucile Packard Foundation HIV/AIDS (UNAIDS)

Deutsche Gesellschaft für Internationale Kabak Foundation

Zusammenarbeit (GIZ) NoVo Foundation
Erik E and Edith H Bergstrom Foundation Reckitt Benckiser
EuroNGOs Swedish Association for Sexuality
European Commission Education (RFSU)

Ford Foundation Sex & Samfund – The Danish Family

Planning Association
Government of Australia
The Summit Foundation
Government of Canada
United Nations Population Fund (UNFPA)
Government of China
United States Agency for International
Government of Denmark Development (USAID)
Government of Finland Virginia B Toulmin Foundation
Government of Germany Waterloo Foundation
Government of Japan WestWind Foundation
Government of Malaysia Wildflower Foundation
Government of the Netherlands William and Flora Hewlett Foundation
Government of New Zealand
Government of Norway
Government of the Republic of Korea Plus donations from generous supporters,
Government of South Africa benefactors and anonymous friends

Cover photos
IPPF/Tommy Trenchard/Uganda
IPPF/Proudfoot/Serbia
IPPF/Peter Caton/Sri Lanka
IPPF/Chloe Hall/Mauritania
IPPF/Omar Havana/Cambodia
Profamilia Dominican Republic

The photographs used in this publication are for illustrative purposes only; they do not imply
any particular attitude, behaviour or actions on the part of any person who appears in them.
GOVERNING COUNCIL
AS OF AS OF MAY 2018
IPPF President/Chairperson of Governing Council  |  Ms Rana Abu Ghazaleh
Treasurer  |  Mr John David Tangi
IPPF Past President  |  Dr Naomi Seboni
Honorary Legal Counsel  |  Ms Viviana Waisman
Chairperson, Audit Committee  |  Dr Esther Vicente
Chairperson, Membership Committee  |  Mr Mohamed Tarek Ghedira

ELECTED REGIONAL REPRESENTATIVES

Africa region Arab World region East and South East Asia and Oceania region
Ms Olgah Daphynne Namukuza Ms Rana Abu Ghazaleh Ms Shanshan He
Mr Antonio Niquice Mr Mohamed Tarek Ghedira Ms Euisook Kim
Mrs Clementine Guelmbaye Poloumbodje Ms Maysam Shouman Mr John Tangi

European Network South Asia region Western Hemisphere region

Ms Alice Ackermann Mr Umar Mavee Ali Ms Diana Barco
Mr Gabriel Bianchi Ms Mahtab Akbar Rashdi Ms Donya Nasser
Ms Lene Stavngaard Ms Jovana Rios

EXTERNAL ADVISERS TO GOVERNING COUNCIL

Dr Leonel Briozzo Ms Tracy Robinson
Ms Akiko Nakajo Ms Jill Sheffield
Lord Jonathan Oates Dr Sharman Stone

SENIOR MANAGEMENT
AS OF MAY 2018
Director-General  |  Dr Alvaro Bermejo
Interim Director, Corporate Resources  |  Mr David Hughes
Acting Director, External Relations  |  Mr Marek Pruszewicz
Director, Performance  |  Ms Snježana Bokulić
Director, Programmes  |  Dr Yilma Melkamu
Africa Regional Director  |  Mr Lucien Kouakou
Arab World Regional Director  |  Dr Mohammed Kamel
East and South East Asia and Oceania Regional Director  |  Ms Nora Murat
European Network Regional Director  |  Ms Caroline Hickson
Acting South Asia Regional Director  |  Mr Varun Anand
Western Hemisphere Regional Director  |  Ms Giselle Carino
LOCALLY OWNED
GLOBALLY CONNECTED:
A MOVEMENT FOR CHANGE
OUR VISION
All people are free to make choices about
their sexuality and well‑being, in a world
without discrimination.

OUR MISSION
To lead a locally owned, globally
connected civil society movement that
provides and enables services and
champions sexual and reproductive
health and rights for all, especially
the under‑served.

Published in June 2018 by the

International Planned Parenthood Federation
4 Newhams Row, London SE1 3UZ, UK

tel  +44 (0)20 7939 8200

fax  +44 (0)20 7939 8300
web  www.ippf.org
email  info@ippf.org
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