ANNUAL REPORT 2018

ONE VISION

THREE ZEROS

ANNUAL REPORT 20183

Foreword

6

Towards ZERO unmet need for family planning

10

Towards ZERO preventable maternal deaths

14

Towards ZERO gender-based violence and harmful practices

18

Africa, East and Southern22

Africa, West and Central

26

Arab States

30

Asia and the Pacific34

Eastern Europe and Central Asia

38

Latin America and the Caribbean

42

Resources, management and partnerships

Photo cover: © Getty Images/Uwe Krejci
Photo left: © Andrea Bruce/NOOR

1

2©  Ki-hoon Kim

FOREWORD

Accelerating thepromise of Cairo
Women have a right to make their own decisions
about whether, when or how often to become pregnant.
That right was reaffirmed in 1994 in Cairo at thelandmark International Conference on Population
and Development (ICPD), where 179 governments
also agreed that sexual and reproductive health is thefoundation for economic and social development.
I remember being in Cairo for that conference.
I remember the excitement, the sense of purpose andof being witness to something truly extraordinary—countries from all regions of the world committing
to enabling people to make informed choices about
their sexual and reproductive health as a matter offundamental human rights and as a foundation for
individual and collective well-being.

Since 1994, governments, activists, civil society
organizations and institutions such as UNFPA haverallied behind the Programme of Action and pledged
to tear down barriers that have stood between womenand girls and their rights and choices. Despite theremarkable gains made since 1994, we still have a long
way to go before we can claim to have lived up to thepromises we made in Cairo. Too many women and girls
are not yet enjoying their rights.

The ICPD’s Programme of Action promoted a visionof integrated development that foreshadowed theUnited Nations 2030 Agenda for Sustainable
Development and emphasized the same principles
that underpin today’s Sustainable Development Goals:
non-discrimination and universality; the centralityof health, education and women’s empowerment
to sustainable development; and the collective needto ensure environmental sustainability.

©  UN Photo©  UN Photo3

This is what the world would look like if it had realized thevision of Cairo:
The more than 800 women who die every day inpregnancy or giving birth would survive.
The 214 million women who want to prevent pregnancy
would have access to modern contraception.
The one in three women who are subjected to physical orsexual violence in their lifetime would live in safety, withrespect and dignity. The 200 million girls and women who
have been subjected to female genital mutilation would
never have been harmed, and the 33,000 girls who areforced to marry every day would be deciding for themselves
as adults whether or when to enter into a relationship.
In 2018, we at UNFPA set in motion a strategic effort,
based on quality data, to achieve three zeros by 2030:
zero unmet need for contraception; zero preventablematernal deaths; and zero gender-based violence andharmful practices, such as child marriage and female
genital mutilation.
Our ambition looks towards 2030 because that is when
the Sustainable Development Goals are to be achieved.
Success towards these goals depends on success inempowering all women and girls to enjoy their rights andto have real choices in all aspects of their lives.
We began reorienting our programmes around theworld in 2018, in keeping with the focus on making

TOWARDS

contraception accessible to women and young people,
enabling women to have healthy pregnancies and safe
births, and protecting women and girls from harm.
Because these efforts must be based on quality data, we
also strengthened our capacities for data analysis anddissemination to help governments formulate policies
that close gaps in services, particularly for those whohave been left behind. This report shows the impact ourprogrammes have had on the lives of women and girls in
155 countries and territories in 2018.
UNFPA cannot, however, achieve these three zeros on ourown. Governments, civil society, and individuals must all
be part of the movement. They will have an opportunity
to join the next leg of the journey towards rights andchoices for all at the Nairobi Summit on ICPD25 in Kenyain November of this year. The Governments of Kenya andDenmark, co-conveners together with UNFPA, will callon all donors, all countries, all civil society organizations,
all community and youth leaders, all parliamentarians,
all international financial institutions and the private
sector to recommit to the principles and objectives of
the Programme of Action—to make our three zeros
everyone’s three zeros, and to complete the unfinishedbusiness of Cairo.
Universality is a guiding principle of the ICPD Programmeof Action: everyone has a right to sexual and reproductive
health, regardless of where they live, their income levelor their circumstances—even if they are displaced byconflict or disaster. Last year, UNFPA and its partners

ZERO

unmet need for family planning4

reached an estimated 18 million people in over 55
countries with humanitarian assistance. This included
the implementation and coordination of the minimum
initial service package for reproductive health to ensurethat women and girls affected by humanitarian crisis
have their needs addressed in line with humanitarian andhuman rights principles and priorities.
UNFPA continued to strengthen our capacity to respondquickly in emergencies. We established a Humanitarian
Response Office and will aim to have it fully staffed in
mid-2019. We also established a new Humanitarian
Action Thematic Fund to streamline donor support for
our life-saving programmes.
UNFPA in 2018 continued to prioritize innovation tocreate and scale up data-driven, sustainable, open
solutions to bring about transformative change forwomen, adolescents and youth. For example, welaunched a Population Data Platform, which allows
planners to identify and map where needs are greatest
and where interventions need to focus to reach thosefurthest behind. By allowing for combining different
sources of data, such as census and surveys, thePopulation Data Platform can help highlight, for example,
which districts in a country have the highest rates ofchild marriage, or where demand for contraceptives
outstrips supply.
Innovation is also contributing to UNFPA efforts to renew
itself and to strengthen our relationships with United
Nations partner agencies so that we all deliver moreand deliver better for women and girls in developing
countries. In support of reform of the United Nations
development system and to best equip UNFPA todeliver on its strategic plan, we made strides in ourcomprehensive change process. This will ensure that
we have the organizational culture, structure, systems
and skills necessary to achieve our three zeros and help
realize the 2030 Agenda for Sustainable Development.
In this year, our 50th, as we look back on 2018, we echo
the words of Dr. Nafis Sadik. Describing the path tosustainable development, she said:“People are at the heart of the process, as
agents and as beneficiaries. We have it inour power to lighten their burdens, remove
obstacles in their path and permit them thefull flowering of their potential as humanbeings. That is the moral and ethical basisof the ICPD.”
People-centred sustainable development remains themoral and ethical cornerstone of our work to ensure
rights and choices for all. We at UNFPA will do ourutmost to finish the unfinished business of ICPD andthereby fulfill the promise of sexual and reproductive
health and rights for everyone, everywhere.
Dr. Natalia Kanem
Under-Secretary-General and Executive Director
UNFPA, the United Nations Population FundZERO ZERO
preventable maternal deaths

gender-based violence andharmful practices
5

TowardsZERO

unmet needfor familyplanning
The unmet need for family planning has dropped by about
half since 1969, the year UNFPA was established. At the sametime in developing countries, the share of married womenusing a modern method of contraception since that time has
nearly tripled, to about 57 per cent.
To achieve zero unmet need for family planning by 2030,
governments will have to accelerate actions to expand
access to all.
In 2018, UNFPA continued making the full range of quality
contraceptives and services accessible, enabling millions of
women to make their own decisions about whether, when or
how often to become pregnant. To support countries’ familyplanning initiatives, UNFPA procured the equivalent of ayear’s worth of contraception for about 68 million couples indeveloping countries.

6© UNFPA/Yenny Gamming

7

TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING

TODAY

12%

8

VISION 2030

per cent of women worldwide
who are married or in a union
who want to prevent or delay
pregnancy but are not using
contraception0PROGRESS IN 2018
GLOBAL IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA*

30,100,000
8,900,000

Unintended pregnancies prevented
Unsafe abortions averted
CONTRACEPTIVES SUPPLIED BY UNFPA

1,137,592,368

Male condoms
Female condoms

11,612,802

Oral contraceptives (the pill)

66,439,084

Doses of injectables

56,551,105

Implants

8,240,488

Intrauterine devices

3,302,564

Emergency contraceptives

1,010,719* Estimate

UNMET NEED FOR FAMILY PLANNING(women, ages 15-49, married or in a union)
ActualProjection (if current trends continue)

UNFPA vision

30

Percentage of women

25

21.5

20

19.8

18.1

16.5

15

14.9

13.5

12.5

12.1

11.8

11.5

11.5

11.0

10
5
0

0
1970

1975

1980

1985

1990

1995

2000

2005

2010

2015

2020

2025

2030

Year
© Brian Sokol/Panos Pictures

9

Towards

ZERO

preventablematernal
deaths
While progress towards reducing the maternalmortality ratio in developing countries continued
in 2018, it is not at the rate required to achieve the
UNFPA goal of zero preventable maternal deaths by
2030. To reach that goal, developing countries must
accelerate their annual rates of reduction by at least
7.5 per cent.
UNFPA is helping lower the number of preventablematernal deaths through programmes that reduce
inequities in access to quality sexual, reproductive,
maternal and newborn health care, ensuring universal
health coverage that includes sexual and reproductive
health care, and strengthening health systems.

10© Mads Nissen/Politken/Panos Pictures

11

TOWARDS ZERO PREVENTABLE MATERNAL DEATHS

TODAY

216

12

VISION 2030

maternal deaths
per 100,000 live births
worldwide0

PROGRESS IN 2018Maternal deaths averted*

73,500global impact of contraceptives supplied by UNFPA

Safe deliveries assisted

1,000,000

in humanitarian and fragile settings

Health facilities that provided emergency
obstetric care

2,520

in humanitarian and fragile settings

Midwives trained and educated**

15,000with support from UNFPA* Estimate** Estimate as of 14 May 2019

MATERNAL MORTALITY
Actual
400

Sustainable Development Goal target
385

369

Deaths per 100,000 live births

350

UNFPA vision

341
288

300

246

250

216

200
150
100

70

50
0

0
1990

1995

2000

2005

2010

2015

2020

2025

2030

Year

©  Lynsey Addario for Time13

Towards

ZERO

gender-based
violenceand harmful
practices
About one in three women worldwide will haveexperienced physical or sexual violence at some point in
her lifetime. And, every day, tens of thousands of girls
are subjected to the harmful practices of female genital
mutilation and child marriage.
The rate of female genital mutilation has declined overthe past three decades. But to achieve the 2030 target ofending this harmful practice, the rate of reduction must
accelerate thirteen-fold over the current rate.
The rate of child marriage has also declined, but to meetthe 2030 target, progress must be 12 times faster than
the rate of the past decade.

14© UNFPA/Omar Gharzeddine

15

TOWARDS ZERO GENDER-BASED VIOLENCE AND HARMFUL PRACTICESTODAYVISION 203018%

per cent of women and girls ages 15 orolder worldwide subjected to physical,
sexual or psychological violence by acurrent or former partner in past 12
months03,900,000

number of girls worldwide subjected tofemale genital mutilation annually0

12,000,000

number of girls worldwide who aresubjected to child marriage annually

016

PROGRESS IN 2018
Women and girls subjected to violence
who had access to medical or psychologicalsupport services

893,000

Girls who received child-marriage prevention
or protection services

1,840,000

Girls and women who accessed services toprevent or address the impact of female
genital mutilation

470,000

INTIMATE PARTNER VIOLENCE
Sustainable Development Goal target

UNFPA vision

Proportion of women/girls aged 15+

20

15

10

5

0

0
2018

2020

2022

2024

2026

2028

2030

Year

© UNFPA/Omar Gharzeddine

17

AFRICAEAST AND SOUTHERNTODAY

VISION 2030

22%

per cent of womenwith an unmet needfor family planning*

0455maternal deaths
per 100,000
live births

028%

per cent of womenand girls subjected
to gender-based
violence**0*Women aged 15-49 who are married or in a union**Women, girls, age 15 or older subjected to physical, sexualor psychological violence by current of former partnerin past 12 months

18© UNFPA/Douglas Waudo

PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Unsafe abortions averted
Unintended pregnancies averted

3,192,020
13,789,567

TOWARDS ZERO PREVENTABLE MATERNAL DEATHSIMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Maternal deaths averted
NUMBER OF

Health professionals trained on the minimum initial service package

38,243
2,078

TOWARDS ZERO GENDER-BASED VIOLENCEAND HARMFUL PRACTICESWITH SUPPORT FROM UNFPA

Women subjected to violence who have accessed services

300,093

Girls who received services related to child, early and forced marriage

800,148

Girls and women who received services related to female genital mutilation

298,391
19

AFRICA, EAST AND SOUTHERN
Of the 85,000 preventable maternal deaths in East and Southern Africa every year, about one quarter are among
adolescents and more than half take place in humanitarian settings. UNFPA in 2018 helped reduce preventablematernal deaths in the region through greater access to emergency obstetric care; antenatal, safe-delivery andpostnatal care; and modern contraception. Actions included training midwives in 16 countries to provide highquality, integrated, reproductive, maternal, neonatal, child and adolescent health care. Actions also included
collection and analysis of maternal mortality data to identify—and fill—gaps in services.
UNFPA aimed to reduce the unmet demand for family planning, especially among young people and marginalized
populations, by improving the quality and reliability of services and by offering a range of contraceptive options.
UNFPA programmes in 2018 advanced gender equality and women’s empowerment and addressed the physicaland psychological impact of gender-based violence.
20© Brian Sokol/Panos Pictures2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Angola2.6

Mauritius

0.1

Botswana

1.0

Mozambique

26.0

Burundi

4.7

Namibia

1.1

Comoros

0.7

Rwanda3.0

Democratic Republic of the Congo

20.8

South Africa

2.2

Eritrea

1.4South Sudan

21.4

Eswatini

1.1

Uganda12.8

Ethiopia

15.2

United Republic of Tanzania

13.4

Kenya

8.1

Zambia9.3

Lesotho

1.1

Zimbabwe

16.2

Madagascar

5.2

Malawi

10.7

Country/territory activities

178.1

Regional activities

6.7

Total programme expenses

BY PURPOSE $MILLIONS

184.8

Core

Non-core

Total

Sexual and reproductive health and rights

32.3

95.5

127.8

62.4%

Youth and adolescents

3.9

13.4

17.3

8.4%

Gender equality and women's empowerment

3.8

14.7

18.5

9.0%

Data for development

7.1

13.7

20.8

10.2%

Organizational efficiency and effectiveness

0.3

0.1

20.5

10.0%

21

AFRICA
WEST AND CENTRALTODAYVISION 2030

24%

per cent of womenwith an unmet needfor family planning*

0676

maternal deaths
per 100,000
live births

016%

per cent of womenand girls subjected
to gender-based
violence**0*Women aged 15-49 who are married or in a union**Women, girls, age 15 or older subjected to physical,
sexual or psychological violence by current of former
partner in past 12 months

22© UNFPA/Robbie LawrencePROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Unsafe abortions averted

2,432,009

Unintended pregnancies averted

7,011,215

TOWARDS ZERO PREVENTABLE MATERNAL DEATHSIMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Maternal deaths averted
NUMBER OF

Health professionals trained on the minimum initial service package

30,1202,311

TOWARDS ZERO GENDER-BASED VIOLENCEAND HARMFUL PRACTICESWITH SUPPORT FROM UNFPA

Women subjected to violence who have accessed services

53,110Girls who received services related to child, early and forced marriage

164,240

Girls and women who received services related to female genital mutilation

141,446
23

AFRICA, WEST AND CENTRALUNFPA scaled up services to help girls in West and Central Africa make a safe and healthy transition fromadolescence to adulthood. Through a Sahel Women’s Empowerment and Demographic Dividend, or SWEDD,
project, UNFPA expanded safe spaces for girls who are not in school and at risk of the harmful practice of childmarriage. A demographic dividend is the additional potential for economic growth that can result from shifts in a
population’s age structure when the share of the working-age population expands relative to the non-working-age
population.
Also as part of the SWEDD project, UNFPA supported a new programme to train midwives and nurses with theaim of reducing preventable maternal deaths. Three new Centres of Excellence for the Masters in Nursing and
Obstetrics were established in Côte d'Ivoire, Mali and Niger.
UNFPA, through the Ouagadougou Partnership to end unmet need for family planning in nine West Africancountries, helped 1.4 million women gain access to modern contraception between 2016 and 2018.
24© UNFPA/Robbie Lawrence2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Benin

5.0

Guinea6.5

Burkina Faso

7.3

Guinea Bissau

1.1

Cabo Verde

0.6

Liberia

6.4

Cameroon

7.7

Mali

9.5

Central African Republic

4.2

Mauritania

1.5

Chad

7.3

Niger

13.1

Congo

1.8

Nigeria

20.0

Côte d’Ivoire

6.1

São Tomé and Príncipe

0.8

Equatorial Guinea

2.3

Senegal

5.8

Gabon

0.6

Sierra Leone

20.3

Gambia (Republic of The)

1.3

Togo

2.6

Ghana

4.0

Country/territory activities

135.8

Regional activities

9.7

Total programme expenses

BY PURPOSE $MILLIONS

145.5

Core

Non-core

Total

Sexual and reproductive health and rights

26.2

67.9

94.1

57.0%

Youth and adolescents

4.6

13.5

18.1

11.0%

Gender equality and women's empowerment

5.4

12.2

17.6

10.6%

Data for development

7.3

5.1

12.4

7.5%

Organizational efficiency and effectiveness

0.8

2.5

23.0

13.9%

25

ARAB STATESTODAYVISION 2030

15%

per cent of womenwith an unmet needfor family planning*0

162

maternal deaths
per 100,000
live births

014%

per cent of womenand girls subjected
to gender-based
violence**0*Women aged 15-49 who are married or in a union**Women, girls, age 15 or older subjected to physical, sexual or
psychological violence by current of former partner in past 12 months

26© Hayat Outemma

PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Unsafe abortions averted

1,261,844

Unintended pregnancies averted

3,464,681

TOWARDS ZERO PREVENTABLE MATERNAL DEATHSIMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Maternal deaths averted
NUMBER OF

Health professionals trained on the minimum initial service package

1,933
1,715

TOWARDS ZERO GENDER-BASED VIOLENCEAND HARMFUL PRACTICESWITH SUPPORT FROM UNFPA

Women subjected to violence who have accessed services

245,438

Girls who received services related to child, early and forced marriage

178,429

Girls and women who received services related to female genital mutilation

27,19927

ARAB STATES
Nine Arab States are responding to humanitarian emergencies, including in Yemen, Syria and Iraq.
To save women’s lives in the region’s humanitarian settings, UNFPA supported 131 mobile clinics
and 152 emergency obstetric care facilities.
To address gender-based violence in humanitarian settings, UNFPA supported 162 facilities thatprovided clinical management of rape and 242 safe spaces that provided protection, informationand support to survivors.
UNFPA also supported 236 communities in the region in their abandonmentof female genital mutilation.
In an effort to reduce the unmet need for family planning, UNFPA expanded
the coverage of high-quality, reliable and stigma-free services across the region.
28© UNFPA2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Algeria

0.4

Oman

1.1

Djibouti

0.8

Palestine

4.0

Egypt

6.9

Somalia

20.2

Iraq

37.0

Sudan

10.2

Jordan13.7

Syrian Arab Republic

34.7

Lebanon

5.2

Tunisia

1.2

Libya

3.9

Yemen

25.0

Morocco

1.4

Country/territory activities

165.7

Regional activities

5.7

Total programme expenses

BY PURPOSE $MILLIONS

171.4

Core

Non-core

Total

Sexual and reproductive health and rights

10.9

70.4

81.3

44.3%

Youth and adolescents

2.1

8.1

10.2

5.6%

Gender equality and women's empowerment

5.2

64.9

70.1

38.3%

Data for development

3.7

5.6

9.3

5.1%

Organizational efficiency and effectiveness

0.3

0.2

12.2

6.7%

29

ASIA ANDTHE PACIFICTODAY

VISION 2030

10%

per cent of womenwith an unmet needfor family planning*0127maternal deaths
per 100,000
live births

021%

per cent of womenand girls subjected
to gender-based
violence**0*Women aged 15-49 who are married or in a union**Women, girls, age 15 or older subjected tophysical, sexual or psychologicalviolence by current of former
partner in past 12 months

30© UNFPA/Yenny Gamming

PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

597,127

Unsafe abortions averted
Unintended pregnancies averted

2,088,203

TOWARDS ZERO PREVENTABLE MATERNAL DEATHSIMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Maternal deaths averted
NUMBER OF

Health professionals trained on the minimum initial service package

1,576
966

TOWARDS ZERO GENDER-BASED VIOLENCEAND HARMFUL PRACTICESWITH SUPPORT FROM UNFPA

Women subjected to violence who have accessed services

119,752

Girls who received services related to child, early and forced marriage

535,82931

ASIA AND THE PACIFIC
UNFPA in Asia and the Pacific stepped up efforts in 2018 to end unmet need for family planning, preventablematernal deaths and gender-based violence and harmful practices against women and girls.
UNFPA strengthened programmes to reduce preventable maternal death in countries with higher maternalmortality ratios, contributing to reaching targets under the Sustainable Development Goals by 2030. These
countries are Afghanistan, Bangladesh, Cambodia, Lao People’s Democratic Republic, Myanmar, Nepal, Pakistan,
Papua New Guinea and Timor-Leste.
To help meet the goal of ending unmet need for family planning, UNFPA advocated for increased investments incontraceptives and for programmes that enhance reproductive rights in lower-income countries, such as Cambodia
and the Lao People’s Democratic Republic.
Under the multi-year “kNOwVAWdata” initiative, UNFPA supported the collection, analysis and communication ofdata about the prevalence of violence against women in the region and created a curriculum to train enumerators
in carrying out surveys that protect women’s privacy. In addition, UNFPA increased support for programmes to end
the harmful practice of child marriage in South Asia.
32© UNFPA/Yenny Gamming

2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Afghanistan

13.5

Mongolia

2.0

Bangladesh

27.8

Myanmar12.5

Bhutan0.5

Nepal

Cambodia

1.6

Pacific Islands (multicountry)

6.9

China

1.7

Pakistan

10.2

Democratic People's Republic of Korea

1.0

Papua New Guinea

3.4

India

7.1

Philippines

4.3

Indonesia

6.3

Sri Lanka

1.1

Iran (Islamic Republic of)

1.2

Thailand

0.7

Lao People’s Democratic Republic

2.9

Timor-Leste

1.7

Malaysia

0.7

Viet Nam

2.8

Maldives

0.4

7.2
1

Country/territory activities

117.5

Regional activities

6.3

Total programme expenses

BY PURPOSE $MILLIONS

123.8

Core

Non-core

Total

Sexual and reproductive health and rights

23.0

41.5

64.5

44.9%

Youth and adolescents

6.9

6.9

13.8

9.6%

Gender equality and women's empowerment

7.3

21.4

28.7

20.0%

Data for development

10.7

5.2

15.9

11.1%

Organizational efficiency and effectiveness

0.9

-

20.6

14.4%

* Cook Islands; Fiji; Kiribati; Marshall Islands; Federated States of Micronesia; Nauru; Niue; Palau; Samoa; Solomon Islands; Tokelau; Tonga; Tuvalu; and Vanuatu.

33

EASTERN EUROPE AND
CENTRAL ASIATODAY

VISION
2030
VISION
2030

10%
68

per cent of
womenmaternal
deathswith100,000
an unmet needperfor family
livebirths planning*

00

25
10%

maternalof
womendeaths
with anper
100,000
unmet need forlive births
familyplanning*

00

12%
28%

perwomencent ofand
women
of
girls
and
girls
subjected
subjected toto gender-based
gender-based
violence**
violence**00*Women aged 15-49 who are married or in a union**Women, girls, age 15 or older subjected tophysical, sexual or psychological violence by
current of former partner in past 12 months

34© Maks LevinPROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Unsafe abortions averted

330,868

Unintended pregnancies averted

752,100

TOWARDS ZERO PREVENTABLE MATERNAL DEATHSIMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Maternal deaths averted
NUMBER OF

Health professionals trained on the minimum initial service package

207
1,144

TOWARDS ZERO GENDER-BASED VIOLENCEAND HARMFUL PRACTICESWITH SUPPORT FROM UNFPA

Women subjected to violence who have accessed services

66,553Girls who received services related to child, early and forced marriage

29,57035

EASTERN EUROPE
AND CENTRAL ASIA
In Eastern Europe and Central Asia, UNFPA helped countries make progress towards reaching zero unmet need forfamily planning and zero preventable maternal deaths. But emphasis was placed on ending gender-based violence,
which prevents women and girls from enjoying their rights, including reproductive rights.
In 2018, UNFPA joined an initiative led by the Organisation for Security and Co-operation in Europe to generate,
for the first time in the region, comparable data on violence against women and girls. The survey revealed that70 per cent of women had been subjected to some form of violence, and one in three had experienced physicalor sexual violence.
UNFPA stepped up efforts to assist the countries of the region in establishing systems that bring together health care,law enforcement and criminal justice to support survivors, and to strengthen services in humanitarian settings. UNFPA
also worked across the region to help prevent violence through programmes that raised awareness and promoted
behaviour change.
UNFPA also helped engage men and boys in preventing violence, but also more broadly in achieving genderequality, through programmes such as the “Let’s Talk!” campaign, which challenges taboos around women’s
health, and through gender-sensitive policies that allow both parents to have careers and share household andcare responsibilities.
36© UNFPA/Almir Budimlic

2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Albania0.9

North Macedonia

0.5

Armenia

0.7

Republic of Moldova

0.9

Azerbaijan

0.6

Serbia*1.1

Belarus

0.8

Tajikistan

1.1

Bosnia and Herzegovina

1.0

Turkey23.5

Georgia

1.3

Turkmenistan

0.6

Kazakhstan

0.9

Ukraine

3.8

Kyrgyzstan

1.5

Uzbekistan

1.1Country/territory activities

40.3

Regional activities

4.2

Total programme expenses

44.5

BY PURPOSE $MILLIONSCore

Non-core

Total

Sexual and reproductive health and rights

5.3

18.0

23.3

45.3%

Youth and adolescents

2.2

1.6

3.8

7.4%

Gender equality and women's empowerment

2.9

10.2

13.1

25.5%

Data for development

2.3

0.8

3.1

6.0%

Organizational efficiency and effectiveness

1.2

-

8.1

15.8%

* Includes amount for Kosovo.

37

LATIN AMERICA
AND THE CARIBBEANTODAYVISION 2030

per cent of womenwith an unmet needfor family planning*

068maternal deaths
per 100,000
live births

012%

per cent of womenand girls subjected
to gender-based
violence**

010%*Women aged 15-49 who are married or in a union**Women, girls, age 15 or older subjected to physical, sexual or
psychological violence by current of former partner in past 12 months

38© Daniel Baldotto

PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Unsafe abortions averted

1,006,629

Unintended pregnancies averted

2,831,600

TOWARDS ZERO PREVENTABLE MATERNAL DEATHSIMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA

Maternal deaths averted
NUMBER OF

Health professionals trained on the minimum initial service package

1,134
3,145

TOWARDS ZERO GENDER-BASED VIOLENCEAND HARMFUL PRACTICESWITH SUPPORT FROM UNFPA

Women subjected to violence who have accessed services

107,490

Girls who received services related to child, early and forced marriage

129,539

39

LATIN AMERICA AND THE CARIBBEAN
Maternal and neonatal mortality rates have decreased in Latin America and the Caribbean but access to quality
care is still out of reach for many pregnant women. In response, UNFPA supported evidence-based interventions
that improved the quality of maternal health care, especially in the prevention and management of obstetriccomplications and emergencies. UNFPA also helped strengthen midwifery training programmes.
UNFPA supported the region’s efforts to end unmet need for family planning by increasing supplies ofcontraceptives and bolstering capacities to procure and manage supplies of contraceptives and monitor quality.
UNFPA also supported the introduction of subdermal implants in four countries.
In collaboration with national stakeholders and partner organizations, UNFPA helped improve coordination ofservices for survivors of gender-based violence among the health and criminal justice sectors.
40© UNFPA/Maxence Bradley2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Argentina

0.1

Guatemala36.1

Bolivia (Plurinational State of)

4.5

Haiti

12.5

Brazil2.3

Honduras

4.9

Caribbean (multicountry)2

2.3

Mexico

2.6

Chile

0.2

Nicaragua

0.8

Colombia

1.7

Panama0.4

Costa Rica

0.4

Paraguay

0.9

Cuba

0.9

Peru

1.4

Dominican Republic

1.0

Uruguay

1.7

Ecuador

1.0

Venezuela, Bolivarian Republic of

0.7

El Salvador

1.6Country/territory activities

78.0

Regional activities

4.9

Total programme expenses

82.9

BY PURPOSE $MILLIONSCore

Non-core

Total

Sexual and reproductive health and rights

9.1

14.7

23.8

24.8%

Youth and adolescents

4.5

4.1

8.6

9.0%

Gender equality and women's empowerment

3.5

3.1

6.6

6.9%

Data for development

4.9

38.8

43.7

45.6%

Organizational efficiency and effectiveness

0.2

–

13.1

13.7%

*Includes Anguilla; Antigua and Barbuda; Aruba; Bahamas; Barbados; Belize; Bermuda; British Virgin Islands; Cayman Islands; Curacao; Dominica; Grenada; Guyana; Jamaica; Montserrat; Netherlands
Antilles; St. Lucia; St. Kitts and Nevis; Saint Maarten (Dutch); Saint Vincent and the Grenadines; Suriname; Turks and Caicos; and Trinidad and Tobago

41

RESOURCES,MANAGEMENT
AND PARTNERSHIPS© UNFPA/Giovanni Bello

Revenue and expenses 2018*$MILLIONSREVENUE

EXPENSESCore resourcesCore resources

Contributions to core resources

378.8

Other revenue

78.5

Total core resources revenue

457.3

Non–core resources
Contributions to non-core resources, gross(5.0)

Indirect costs(47.5)

Other revenue

8.7

TOTAL REVENUE

42

212.4

Institutional budget

162.5

Corporate

42.7

Total core resources expenses

417.6

876.8

Refunds to donors

Total non-core resources revenue

Country programmes, global and regional
interventions and other programme activities

833.0
1,290.3

Non–core resourcesCountry programmes, global and regional
interventions and other programme activities
Corporate
Total non-core resources expenses
TOTAL EXPENSES

660.0
8.4
668.4
1,086.0

Top 20 core donors to UNFPA for 20181$$

Sweden83,038,766

Belgium

10,752,688

Norway63,767,377

Australia

7,362,550

Netherlands

37,500,000

New Zealand

5,252,303

Denmark

37,061,440

Ireland4,231,942

United Kingdom of Great Britain
and Northern Ireland

25,510,204

Germany

25,190,281

Finland20,000,000

Japan

18,960,910

Switzerland

15,952,144

Canada11,755,840

Luxembourg

3,193,961

Italy

2,484,472

China

1,600,000

France674,847

Spain

582,751

Saudi Arabia

500,000

Top 20 non-core donors to UNFPA for 20182$
United Nations and Interorganizationaltransfers

163,979,217

United Kingdom of Great Britain
and Northern Ireland

127,661,079

Canada116,859,851

Norway63,731,976

European Commission

63,630,399

Netherlands

55,491,656

Australia

51,252,018

Denmark

46,397,745

Sweden22,675,493$
Cameroon

19,002,066

Japan

14,253,351

Guatemala13,212,404

Republic of Korea

12,900,090

Haiti

12,000,000

Indonesia

9,300,028

Italy

7,632,839

Bill & Melinda Gates Foundation

5,766,853

Belgium

5,245,984

REC Foundation

5,124,844

Luxembourg

4,958,517* All figures are provisional, subject to external audit and, as a result of rounding, may not add up to the totals.
1 These amounts represent the contribution revenue recorded for 2018 core resources.
2 The amounts represent gross contribution revenue for trust funds. They includes multi-year co-financing agreements which were recognized in 2018, in accordance with UNFPA
accounting policies. Programme implementation continues to be linked to actual receipt of resources.

43

RESOURCES AND MANAGEMENT

2018 UNFPA programme and institutional budget expenses by purpose$ MILLIONS

Core
resources

Non-core
resources

Sexual and reproductive health and rights

112.1

400.4

Youth and adolescents

25.2

Gender equality and women's empowerment
Data for development

Total

Total bypercentage

­—

512.5

49.5%

48.0

—

73.2

7.1%

29.8

132.8

—

162.6

15.7%

40.3

71.8

—

112.1

10.8%

5.0

7.0

162.5

174.5

16.9%

212.4

660.0

162.5

1,034.9

100.0

Core
resources

Non-core
resources

Institutional
budgetTotal

Total bypercentage

East and Southern Africa

47.4

137.4

20.1

204.9

19.8%

West and Central Africa

44.3

101.2

19.7

165.2

16.0%

Arab States

22.2

149.2

11.7

183.1

17.7%

Asia and the Pacific

48.8

75.0

19.7

143.5

13.9%

Latin America and the Caribbean

22.2

60.7

12.9

95.8

9.2%

Eastern Europe and Central Asia

13.9

30.6

6.9

51.4

5.0%

Global and regional interventions - global

13.6

—

—

13.6

1.3%

—

105.9

71.5

177.4

17.1%

212.4

660.0

162.5

1,034.9

100.0

Organizational efficiency and effectiveness
TOTAL

Institutional
budgetProgramme and institutional budget by region$ MILLIONS

Global activities
TOTAL

44

Programme expenses by implementing agency$ MILLIONS

Core
resources

Non-core
resources

Total

Total bypercentage

Governments

19.6

87.3

106.9

12.3%

Non-governmental organizations

17.4

185.2

202.6

23.2%

United Nations organizations

1.2

4.4

5.6

0.6%

UNFPA

174.2

383.1

557.3

63.9%

TOTAL

212.4

660.0

872.4

100.0

Expenses by gender marker$ MILLIONS

Core
resources

Non-core
resources

Total

Total bypercentage

Primary objective of the activity is contribution
to gender equality and/or women’s empowerment(gender stand-alone)

19.9

103.4

123.3

14.1%

Significant contribution to gender equality(gender mainstreaming)

92.5

370.6

463.1

53.1%

Some contribution to gender equality and/or
women’s empowerment

83.8

165.2

249.0

28.6%

No contribution to gender equality and/or
women’s empowerment

16.2

20.8

37.0

4.2%

TOTAL

212.4

660.0

872.4

100.0

45

RESOURCES AND MANAGEMENT

Donor commitments 2018*
CONTRIBUTIONS TOWARDS CORE RESOURCES

DONOR

$

DONOR

$

Albania

500

Estonia

71,090Andorra11,823Finland20,000,000

Angola20,000France674,847

Australia

7,362,550

Austria

231,481

Georgia

20,000

Bahamas1,000

Germany

25,190,281

Bangladesh

35,000

Guatemala2,002

Barbados

15,000Guinea Bissau

2,970

Belgium

10,752,688

Gambia (Republic of The)

8,389

Guyana

998

Benin

3,204

Honduras

2,664

Bhutan5,950

Iceland317,694

Bolivia (Plurinational State of)

6,000

India

495,868

Botswana

5,072

Indonesia

13,200Burkina Faso

13,259Ireland4,231,942

Burundi

541

Italy

2,484,472

Cambodia

5,000

Japan

18,960,910

11,755,840

Jordan49,930

Kazakhstan

50,000

Canada
Chile

5,000

China

1,600,000

Kenya

10,000Comoros

500

Kuwait10,000

Cook Islands

1,045

Lao People’s Democratic Republic

3,000

Costa Rica

5,037

Lesotho

6,915

Côte 'Ivoire

28,618

Liechtenstein

25,075

Cyprus

11,400

Luxembourg

3,193,961

37,061,440

Madagascar

14,694

Denmark
Dominican Republic

14,734

Maldives

10,000El Salvador

2,000

Marshall Islands

2,000

Eritrea

5,000

Mauritania

3,449

46

DONOR

$

DONOR

$

Mauritius

3,021

Slovakia

6,066

Mexico60,619Slovenia

5,682

Micronesia (Federated States of)

3,000South Africa

45,580

Mongolia

3,982

Spain

582,751

Morocco12,008

Sri Lanka

18,000

Myanmar

3,000

Sudan

30,000

4,458

Nepal

Sweden83,038,766

Netherlands

37,500,000

Switzerland

15,952,144

New Zealand

5,252,303

Tajikistan

743

Nicaragua

5,000

Thailand

153,292

North Macedonia

3,000

Togo

63,767,377

Tonga

Norway

5,120
995

Oman

10,000Trinidad and Tobago

Pakistan249,378

Turkey

Palau

5,000

Turkmenistan

3,000

Panama10,000Uganda15,000Philippines

36,359

United Arab Emirates

Portugal

108,077

United Kingdom of Great Britain and Northern Ireland

Qatar

59,950

Uruguay

5,000

Republic of Korea

102,459

Vanuatu864

Romania

10,000Viet Nam

20,000300,000

Zambia10,000Russian Federation

5,000
150,000

10,00025,510,204

Rwanda1,000

Zimbabwe

30,000

Samoa

3,000

Private Contributions

56,890São Tomé and Príncipe

9,104

Subtotal

Saudi Arabia

500,000

Serbia5,000

Singapore

5,000

Government contribution to local office costs
TOTAL

378,503,225
297,151
378,800,376*All 2018 figures are provisional as of 12 April 2019. Armenia had made acommitment for 2018 in the amount of USD 3,000.

47

PARTNERSHIPS© Shaktar Social© Tremeau, Mbour, 2018

Football Club Shakhtar

Individual Giving

Nutrition International

The partnership between UNFPAIn 2018, UNFPA piloted the online

UNFPA and Nutrition International

and Football Club Shakhtar

individual-giving programme,

partnered to integrate nutrition

promoted responsible fatherhood

which enabled members of theinto UNFPA-supported sexual andand raised awareness about gender

general public from 41 countries

reproductive health programmes ininequality in Ukraine in 2018.

to make donations to UNFPA

Nigeria and Senegal. This initiative

Through a Four Hands Happinessemergency maternal-healthpromotes healthy eating and ironawareness-raising campaign,services in Yemen and for

and folic acid supplements during

football players reached more thanRohingya refugees in Bangladesh.

pregnancy to prevent anaemia. The

1.5 million people with messages

partnership, which is expected toabout the importance of men andbenefit up to 500,000 women andwomen sharing responsibility foradolescents of reproductive age

household and care work. Also, as

by the end of 2019, is supported

a result of this partnership in 2018,

by Canada’s Nutrition Leverage

Football Club Shakhtar established aand Influence for Transformation

female football team that challenged

programme.

stereotypes about gender in sports.

48© UNFPA© EPF© UNFPA© UNFPA

Parliamentarians

Royal Philips

University of Bristol

Partnerships with

The global partnership with Royal

The partnership with theparliamentarians havePhilips aims to expand access

University of Bristol is enabling

helped build support for theto quality, affordable health

UNFPA to collaborate on

International Conference on

care, including maternal andresearch to support UNFPA

Population and Development’s

reproductive health services, forpolicies and programming aimed

Programme of Action andwomen and girls in marginalized

ending preventable maternal

the Sustainable Development

communities. Through thedeath, unmet demand for family

Goals. In 2018, more thanpartnership, Royal Philips willplanning and gender-based

100 parliamentarians from 70

help introduce technologies andviolence. The University ofcountries adopted the Ottawa

innovations that can extend theBristol is a founding member

Statement of Commitment,reach of health systems, lowerof UNFPA’s global university

pledging to mobilize theircosts and transform maternal

network, TransformU, andconstituencies and governments

health services for 50 million

hosted the United Kingdom’s

to make bold efforts to fully

women and girls by 2025. The

first youth dialogue in 2018 on

implement all aspects of thepartnership is being launched in

the unfinished business of theProgramme of Action by 2030.

Republic of the Congo with theProgramme of Action of the

Ministry of Health and Population.

International Conference on
Population and Development.

49

UNFPA programmes reached women andyoung people in 155 countries, territories
and other areas in 2018 through a
network of 136 country offices, six
regional and two subregional offices andliaison offices in Addis Ababa, Brussels,
Copenhagen, Geneva, London, Tokyo,
Seoul and Washington, D.C. These
offices combined had a total of 2,784
regular staff in 2018.

© UNFPA/Maxence BradleyEnsuring rights and choices for all since 1969
United Nations Population Fund
605 Third Avenue
New York, NY 10158
1-212-297-5000
www.unfpa.org@unfpa© UNFPA 2019
ISBN: 978-0-89714-043-0
E/1500/2019