Strength inSolidarity
Forging Futures, Ensuring Choice
Annual Performance Report 2023

Who we are

Foreword4

The International Planned Parenthood Federation(IPPF) is a global healthcare provider and aleading advocate of sexual and reproductive
health and rights for all. We are a worldwide
Federation of national organizations working withand for communities and individuals in more than150 countries.

150

Member Associations
and Collaborative
Partners

15,378 31,681
Staff

Service delivery
points worldwide

Acknowledgements
We would like to express thanks to the IPPF volunteers and staff of Member Associations
and the Secretariat who have contributed to this report.

Editorial

Production and coordination

Sarah Hyde

Stefanie Wallach

Manuelle Hurwitz

James Newton

LayoutDavid Foster

Throughout this report, the terminology ‘Member Association (MA)’ includes IPPF
Member Associations and Collaborative Partners.
Due to rounding, numbers presented in this report may not add up exactly to totals
provided. Percentages reflect absolute and not rounded figures, and may not add up to
100 per cent.

Cover photo: IPPF/Hannah Maule-ffinch/Nepal

2

IPPF’s Strategy and Results Framework

6

Pillar 1 Center Care on People

10

Expand Choice
Widen Access
Advance Digital and Self-Care
IPPF’s Humanitarian Programme
Middle East Regional ResponseWar in Sudan
Locally-led Humanitarian Action
Innovative Approaches to Expand Access to Abortion Self-Care in Cameroon

12
14
15
16
17
18
19
20

Pillar 2 Move the Sexuality Agenda

22

Ground AdvocacyShift Norms
Act with Youth
Shifts in perception and attitudes in relation to gender equality
and inclusion across the Federation and the communities we serve
Quality, reach and impact of comprehensive sexuality education, youth-centred care andprogress in youth engagement in the Federation
Decriminalizing Same-Sex Relations
Crackdown on LGBTIQ+ Rights in Uganda
Advocacy at the UN Human Rights Council on Maternal Mortality

23
24
25

28
30
32
34

Pillar 3 Solidarity for Change

36

Support Social Movements
Build Strategic Partnerships
Innovate and Share Knowledge
IPPF’s contribution in supporting social movements and defending activists
Partnerships to Expand Access to Abortion Care in MexicoCampaigning to Improve Young People’s Health and Wellbeing in North Macedonia

37
38
39
40
42
44

Pillar 4 Nurture our Federation

46

Chart our Identity
Grow our Federation
Walk the Talk
Ensuring Alignment with IPPF’s StrategyRooting Out Racism
Championing Youth Leadership in Kyrgyzstan
Scaling Up Social Enterprise

47
48
49
50
52
54
56

26

Annexes58
References65
Thank you66
Board of Trustees
673

Foreword

115

Last year saw a relentlessassault on human rights,
leaving many feeling anxious
and pessimistic about theprospects for people from allwalks of life to come together.
It was a year of wartime
atrocities livestreamed onto
billions of smartphones inreal time. And if climate,security and human rights
fared poorly, the economy
did not do much better andmany countries cut theiraid budgets.

Against this backdrop, we launched our new

global north organizations on ‘controversial’ topics

IPPF has again proven itself well-placed to delivercompetencies to best support the implementation

unchecked. IPPF’s advocacy work carried out bydemonstrated our resilience, commitment andstrategy, Come Together, and repurposed ourSecretariat through a major reorganization. We
now have a Secretariat that has the skills andof our strategy. And a whole lot more diversity
and energy.

As you will see in this report, IPPF Member
Associations (MAs) were still able to deliver a totalof 222.4 million sexual and reproductive healthservices during 2023. We served 71.2 million clients.
Pretty impressive in such a challenging year inwhich we embarked on our strategy and consistent
with an income of US$120.9 million generated by
the Secretariat.

is preventing a generation from seeing our issues
as relevant. Men’s use of violence persists in thehome and by the hands of the state, unabated andMember Associations and the Secretariat informed
legislative, policy and judicial processes, and is acentral plank of our strategy, Come Together. In
2023, IPPF significantly contributed to securing a
total of 115 advocacy wins to support or defend
sexual and reproductive health and rights inlegislation or policy.

environment, we reached 12.5 million people inhumanitarian settings, an increase of 26 per centcompared to the previous year.

We transitioned into the first year of our six-year
strategic period at a relentless pace. We delivered
person-centred care and agitated for sexualin Ukraine, Myanmar, Ethiopia and the Sahel havecaused tremendous suffering. In this challenging

backlashes in many places, and silence by manysexual andreproductive healthservices delivered

quality sexual and reproductive health services
to those most excluded and marginalized, and to
those suffering in humanitarian crises. We havepassion. I remain in awe of the expertise andcourage of our frontline healthcare workers andactivists and am enormously grateful to all our

supporters – without you, we would not have beenable to show up as we have. THANK YOU.
In solidarity,

To measure performance against our strategy,
IPPF has developed a new Results Framework. This

A key commitment in our new strategy is to keep
improving how we reach those in greatest need.
Renewed hostilities between Israel and Hamas, war
crimes in Gaza and Sudan and ongoing conflicts

Act in Uganda. Our work is becoming morepolarized. Across regions, autocrats have worked
to erode the independence of key institutions vitalfor protecting human rights. The rights of womenand girls and LGBTIQ+ communities faced harsh
Foreword

people reachedin humanitariansettings

contains 12 indicators that track progress alongeach of the four pillars of the strategy. Most of theindicators are quantitative, but in three areas wehave conducted qualitative impact studies acrossa sample of MAs so that we can fully capture andunderstand the work being carried out and the2023 was marked by the victory of progressive
forces in a Polish election where the right toabortion featured very prominently, and in contrast,
the passing of the egregious Anti-Homosexuality

4

advocacy winsin legislation orpolicy12.5m 222.4m

Dr Alvaro Bermejo
Director-General, IPPF

difference it is making.

and reproductive health, rights and justice forwomen, girls and marginalized populations. We
reached even more people in need of potentiallylife-saving sexual and reproductive healthcare in
humanitarian crises. We built exciting partnerships

and supported social movements. We mobilized
voters and they turned up at polls in Poland,
Spain and elsewhere to vote for their sexual andreproductive rights. We worked to define our values
and shape a new brand.
Foreword

5

IPPF’s Strategy
and Results
Framework“Let’s come together, for sexual andreproductive dignity for all – for eachand every one of us, to the exclusion ofnone of us, in the interests of all of us.”
Kate Gilmore
Chair, Board of Trustees, IPPF

2023 marks the first year in which IPPF is

IPPF has developed a new Results Framework

Of the 12 indicators, some are new, some have been

Most indicators are numeric, however, three relate

2023–2028. Our new strategy comprises fourinterconnected pillars, three of which faceoutwards and one inwards. Each pillar contains

designed in parallel with the strategy, as part of theextensive consultation with MAs and partners.

strategy is linked to specific indicators (as detailed
below and in the diagram on page 58):

studies that will explore complex issues such as
shifts in attitudes to gender equality, including
preventing sexual and gender-based violence;

implementing its ambitious strategy, Come
Together,1 which covers the six-year perioda goal and three critical pathways: the actions
needed to achieve each goal. The pathways areaccompanied by specific commitments to beachieved by 2028. Vital cross-cutting areas, suchas gender equality, young people, human rights,
equity and humanitarian action, run through theentire strategy.
Under Pillar 1, Centre Care on People, IPPF will deliver
quality, person-centred care to all who need it,
while prioritizing marginalized people. We will focus
resources on providing a full range of integrated,affordable sexual and reproductive health services.
Under Pillar 2, Move the Sexuality Agenda, IPPF will
inform policy, change harmful norms and defend
rights through feminist action and international
solidarity. We will work closely with young people
to bring about change. Under Pillar 3, Solidarity for

Change, we will support social movements, forge
deeper alliances, innovate and share research.
Under Pillar 4, Nurture our Federation, IPPF commits
to replenishing the Federation, modernizing
systems, challenging discrimination and promoting
youth and female leadership.
6

IPPF’s Strategy and Results Framework

to monitor progress in achieving the goals andcommitments laid out in the strategy. It was

We incorporated lessons learnt – positive andnegative – from the previous Results Framework

amended from the previous Results Framework,and some are unchanged. Each pillar of the new•(2016–2022). In the past, some indicators werechallenging to measure. We were too dependent
on a small number of MAs to achieve overall
results. In addition, collecting and reporting somedata was onerous for MAs. Therefore, in this Results
Framework, we have kept the number of indicators
to a minimum (just 12) to reduce the burdenof data collection and reporting on MAs while

tracking results against each of our main strategic
pathways.
IPPF is keen to enrich the detail and depth of data,
where possible. Since MAs have different resourcesand data capacities, we have adopted a morenuanced, segmented approach to collecting data.
Recognizing that in a large, diverse federation like

IPPF, one size does not fit all, not every MA will haveto report against all indicators. For some indicators,a small number of MAs will be asked to provide
data in greater depth.

Under Pillar 1, indicators 1-4 relate to service
delivery. Indicator 1 not only measures the

proportion of MAs providing a broad range of
key integrated services, but also quality of carethrough client satisfaction. Other indicators
measure the number of clients served and thenumber of services provided, broken down by
type of service and model of care, and MAs’•••contribution to national service delivery.
Under Pillar 2, indicators 5-7 measure thenumber of advocacy wins, changing attitudes
to gender equality and inclusion, as well as
the quality and reach of comprehensive

sexuality education, youth-centred care andyouth engagement.
Under Pillar 3, indicators 8-10 measure IPPF’s
contribution to social movements, the numberof campaigns delivered, and the proportion

to impact studies. Indicators 6 and 7 (under Pillar2) and 8 (under Pillar 3) are based on researchrespectful youth-centred care; and MAs’ rolein amplifying social movements. We chose thisapproach to offer greater insight and analysis thanthat provided by conventional indicators.
To capture a wide range of contexts andexperiences, MA selection is based on several
factors, including geographic diversity,

demographic indicators and their activities. Studies
will be conducted two or three times across the
six-year strategic period, with lessons learnt sharedwidely within the Federation and our broader
sector.

of research generated by MA-led Centers of
Excellence and Learning.
Under Pillar 4, indicator 11 tracks the proportionof MAs receiving less than half their total
income from one donor. Indicator 12 assesses
Secretariat performance.

IPPF’s Strategy and Results Framework

7

8

9

Pillar 1: Key Results

Pillar 1
Center Careon People
Photo: IPPF/Record Media/Yemen

In a world where attacks
on sexual and reproductive
health and rights continue tointensify and where conflicts
and climate disasters present
ever greater challenges, IPPF
MAs remain committed toproviding person-centredcare to the people who need
it most. To achieve this, weare following three criticalpathways: expand choice,widen access and advancedigital and self-care.

In our new strategy, MAs made a deliberate

decision to focus on areas and people specifically
excluded from SRH services and responses. Thisrequired adjusting programme approaches andmodels of care, as well as identifying different, andmore challenging, quantitative and qualitative
indicators for measuring outcomes and impact.

In 2023, IPPF MAs delivered a total of 222.4 million
services to 71.2 million clients which represents
a two per cent decrease in the volume ofservices compared to 2022 overall. This can be
accounted for by some service-providing MAs
and collaborative partners no longer reporting

data because they either left the Federation(Bangladesh, Myanmar and Zimbabwe) or weresuspended (Namibia). In addition, IPPF’s largest

service provider, the MA in Nigeria, recorded a 21
per cent decline in service delivery due in part todisruptions caused by national elections. However,MAs in Sudan (+19 per cent), Pakistan (+25 percent) and Cameroon (+43 per cent) among others
reported significant increases. MAs in the Africa
Region contributed 41 per cent of total services in
2023, with Arab World MAs delivering a further 31
per cent.

10

Center Care on People

Center Care on People

11Pillar 1: Key Results

Expand Choice

5.9m 29.1m
abortion‑related
services

STI/RTI
services

Our commitment to people making decisions

allocation requests fully met through national andby 11 per cent from 2022, to a total of 52.4 million.

must score at least +50% on the net promoter

challenging context, IPPF delivered 5.9 million
abortion-related services in 2023, a significant

in the country, and a general shortage of condoms.
Conflict in Sudan, where a large shipment of

Our strengthened data collection systems haveenabled greater disaggregation of data in 2023,

to provide a range of vital services across different
areas, comprising contraception, HIV, sexually

about their bodies, sexuality and reproductive
health is of particular relevance at a time whenthose rights are increasingly under attack. In thisincrease of 17 percent compared to 2022. Of the614,297 abortions provided, 64 per cent were via
medical methods, while 36 per cent were surgicalabortions.
IPPF’s new strategy encompasses infertility care,reflecting the importance of serving people in all
their diversity and throughout their lifecycle. IPPF

MAs provided a total of 1.8 million fertility-related
services during 2023, including 161,533 infertility
treatment services.
Providing contraceptive choice is an integral partof the quality, person-centred care offered by MAs.
In 2023, IPPF delivered 75.7 million contraceptive
services of which 36.5 million were contraceptive

counselling. Couple years of protection (CYP), theestimated protection from pregnancy provided bycontraceptive methods over a one-year period, fellby 34 per cent to 17.5 million. Supply issues were afactor in this decrease for some MAs (for instance,
Ethiopia, DRC and India) who did not have their
12

Expand Choice

UNFPA commodity mechanisms or received their
UNFPA allocation late in the year. Nigeria saw adecline in CYP due to the election-related instability

supplies was stolen by armed forces, has also had
a major impact on total CYP. Long-acting reversible
methods accounted for exactly two-thirds (66per cent) of total CYP, with permanent methods
contributing a further seven per cent.
There were some significant increases in CYPs in
the MAs of Ghana (+54 per cent), Pakistan (+15

per cent) and Vietnam (+62 per cent) as MAs
expanded their demand generation activities
and ensured contraceptive commodities security
through new local partnerships.

Contraceptive provision by IPPF MAs saved
lives, helping to prevent 8.2 million unintended
pregnancies and avert 2.5 million unsafe abortions,

IPPF delivered 2.1 million HIV-related treatment andmanagement services in 2023, of which 192,000
involved the provision of anti-retroviral therapy.

allowing us to track the provision of pre-exposure
prophylaxis, post-exposure prophylaxis and theprevention of vertical transmission. STI/RTI services
increased from 28.4 million in 2022 to 29.1 million in
2023, including 270,000 vaccinations against HPVand hepatitis.

score that measures client satisfaction, while also
meeting eight criteria for the Integrated Packageof Essential Services Plus (IPES+). This requires MAs

transmitted infections, infertility, gynaecology,
sexual and gender-based violence, sexual healthand well-being, and safe abortion care. IPES+ is amore rigorous set of criteria than IPPF’s previous
IPES model. For example, MAs must now be able
to provide anti-retroviral therapy or documented

Ensuring people have access to comprehensive,referrals for treatment for people living with HIV
as well as post-exposure prophylaxis. As a result,measuring clients’ satisfaction with the services
delivered, but also the range of essential services
available through MA clinics. To qualify, an MA

will be supported to provide the full set of IPES+
services, with the aim of significantly strengthening
compliance with the criteria over time.

integrated, quality care so that they have real
choice is at the heart of IPPF’s strategy. Indicator 1
in the Results Framework captures this by not only

only four per cent of MAs currently meet all criteria
for this indicator. This data will be used to identify
opportunities for capacity building and MAs

while saving US $519 million in direct costs to healthsystems.
HIV-related services delivered by MAs – comprising
counselling, testing, management and treatment ofsexually transmitted infections including HIV – rose

Expand Choice13

Pillar 1: Key Results

Widen Access

Advance Digitaland Self-Care

IPPF prioritizes reaching those most in need ofSince the COVID-19 pandemic, an increasing

provision of medical abortion pills and follow-up

and implementation of new models of care,leveraging progress in technology and increasing

increase from 2022.

quality sexual and reproductive healthcare. MAs
use mobile clinics, community-based service
delivery and subsidized fees to ensure thatmarginalized people in remote areas have accessto the services they need. In 2023, 85 per cent ofour clients were marginalized or excluded. IPPF’s
updated vulnerability assessment guide supports
MAs to identify key excluded groups among thepeople they serve and to use this to track theirreach to these communities.
IPPF MAs are often the sole or main national
civil society provider of sexual and reproductive

healthcare in the countries in which they operate.
In 2023, IPPF MAs were the sole national civil society
provider of SRH services in 54 countries, and themain provider in a further 19. Under Indicator 4 of
the Results Framework, in 2023, MAs provided 11
per cent of contraception as measured throughCouple Years of Protection (CYP), aggregatedacross a sample of 13 countries. MAs also provided

an average of 4 per cent of abortion services
globally. This demonstrates the vital role MAs playin ensuring under-served people can access sexualand reproductive healthcare.

14

Widen Access

Providing youth-friendly, tailored services andaccessible information is critical to our youthcentred approach. In 2023, just under half (46per cent) of services provided by IPPF MAs weredelivered to people under the age of 25, to an
estimated 28.2 million clients. Of these, 9.5 million
were aged 10–19, showing MAs’ commitment todeliver services to adolescents, who are often
unable to access essential, stigma-free andconfidential services.
Some of the most marginalized people wereached last year were in humanitarian settings.
During conflicts and crises, women and girls faceheightened risks, yet sexual and reproductive
health needs are often overlooked. In 2023, IPPF
MAs delivered life-saving sexual and reproductive

healthcare to 12.5 million people in humanitariansettings, an increase of 26 per cent compared tothe previous year. See page 16 for an update on ourhumanitarian work.

number of MAs have accelerated the development

support: this represents a remarkable 48 per centrecognition of self-care in sexual and reproductive
health. This included providing counselling services

In September 2023, a global meeting brought
together IPPF Secretariat staff, MAs and partners

delivering comprehensive sexuality education toyoung people via online platforms. IPPF has added
digital and telehealth as a separate category in
its service data reporting platform, allowing these
services to be disaggregated and tracked. In 2023,

abortion: the Global Care Consortium, comprising
13 MAs and partners led by Profamilia the IPPF MA
in Colombia, and IPPF’s flagship abortion restricted
funded programme. Discussions focused on
self-care, with participants sharing experiences,

online, sharing information via WhatsApp orMAs reported 225,000 digital health services. IPPF
is also designing a framework for digital healthinterventions across the Federation so that existing
expertise can be scaled up to support MAs indeveloping their use of digital technology.

A number of MAs facilitate self-care, which isa crucial part of IPPF’s rights-based approach.
Empowering women and pregnant people to selfmanage abortion puts them at the centre, enabling

to share lessons from two major initiatives on

including ways to integrate digital health andtelemedicine with abortion self-care. Participantsalso highlighted the critical need to strengthen
partnerships with public health institutions, otherNGOs, pharmacies, and most importantly, thecommunities and people we serve.

them to choose whether and how they accesssupport from health workers through the abortion
process. In 2023, IPPF MAs provided 20,946 abortion
self-care services, encompassing counselling,

Advance Digital and Self-Care

15

Pillar 1: Case Study 1

IPPF’sHumanitarian
Programme
Climate change and conflicts are widely expected
to result in a massive increase in humanitarianneed in the near future, exacerbating genderinequalities and limiting people’s access to sexualand reproductive healthcare. The United Nations
and partner organizations estimate that nearly 300
million people will require humanitarian assistanceand protection in 2024.2
Women and girls are disproportionately affectedby conflict and humanitarian emergencies, during
which they face greater risk of sexual and gender-

As a locally-led, feminist, humanitarianorganization, IPPF continues to build the capacity
and readiness of our Member Associations
to deliver life-saving sexual and reproductive
healthcare. In 2023, our humanitarian reachgrew more than ever, responding in 44 countries
and reaching over 12.5 million people (a 26 percent increase compared to 2022) throughout
humanitarian and fragile settings.

based violence. Their sexual and reproductive
health and rights, and choices, are often severely

Middle East
Regional
Response
Following the attacks of 7 October 2023 andThe MAs and partners of the six countries mostbeen working with our local MA in Palestine,
the Palestinian Family Planning and Protection

region – Palestine as well as the deepening crisis
across Syria, Lebanon, Jordan, Egypt and Yemen

the escalation of violence in Gaza , IPPF has

Association (PFPPA), to offer support, identify thesexual and reproductive health needs of womenand girls in both Gaza and the West Bank andplan for humanitarian support in Gaza once
conditions allow. PFPPA’s Gaza service centre wasdestroyed by an airstrike in the first week of fighting
in October, but providers nonetheless continued
to operate in extreme circumstances. In the West
Bank, we have increased support to PFPPA tokeep static clinics and mobile clinics operational

impacted by a crisis, as these services areunavailable and often deprioritized. During conflictand humanitarian emergencies, spikes in maternal

affected by the escalation of the conflict in the– have required intensive support and resources.
IPPF has developed contingency plans including
logistics and supplies and offered psychologicalsupport to MA staff and service providers.

LebanonIsraelPalestine

following the uptick in violence also in this area
since October 2023 which has affected MA staff
mobility. Stream 3, IPPF’s internal humanitarianmortality and morbidity occur as well as increasedtransmission of HIV and other sexually transmitted
infections (STIs).

funding mechanism, supported Open Door, theIsrael Family Planning Association, to offer services
to displaced Israeli populations, reaching 3,300
people within their first month.

Syria

Jordan

Egypt

Yemen

Photo: IPPF/Record Media/Yemen

16

IPPF’s Humanitarian Programme

Middle East Regional Response

17War in Sudan

Locally-led
Humanitarian
ActionSudan

Since the start of the brutal armed conflict between

Imams, champions, SFPA youth network and peer

Locally-led action is critical for effective

Stream 3 funding is intended to support timely,

girls in Sudan has significantly increased. Sexual
violence in Sudan has led to a surge in unintended

SFPA continues to provide care in areas with a large
number of internally displaced persons. Services

overwhelming crises.

on the length and the severity of the crisis andother variables – MAs are able to establish local

the Sudan Armed Forces and the paramilitary
Rapid Support Forces in April 2023, conflict-related
rape and sexual violence against women andpregnancies and STIs. In conflict-affected areas,
shortages of supplies, interrupted transportation,
power and water supply and attacks on service
providers and clients have substantially restricted
the accessibility and delivery of crucial sexual andreproductive healthcare.

Since the start of the war, six health facilities run byeducators to raise awareness and run educational
campaigns on sexual and gender-based violence.

include clinical management of rape, diagnosis
and treatment of HIV and other STIs, antenatal
and post-natal care, prevention of unintended
pregnancies and post-abortion care. These vital
services are available through SFPA’s static clinics,
mobile clinics, mobile team, community-based
distributors and a 24/7 call centre.

IPPF MA, Sudan Family Planning Association (SFPA),
have suffered unprovoked attacks that havedestroyed clinics, supplies, medical files and post-community mobilizers, religious leaders and local
18

War in Sudan

A core activity for IPPF’s humanitarian programme
is working with MAs so that they are better
prepared to respond to a crisis. This takes placethrough in-person and remote training in the
Minimum Initial Service Package for sexualand reproductive health (a set of life-saving

activities to be implemented at the onset of every
humanitarian crisis), clinical management of rape,
safety and security, sexual and gender-based
violence and simulation exercises (SimEx) for crisis
response. In 2023, the humanitarian team rolled

abortion care units. SFPA staff are on the frontline,
providing medical and psychological support towomen, including clinical management of rapeand referrals for survivors of sexual and genderbased violence. In partnership with the Ministryof Health, SFPA has created and shared – via
social media – a database including information
about operational midwives and health facilities
to help women find healthcare providers that areeasier and safer to reach. SFPA has also involved

humanitarian programming. Our vision is a networkof local organizations delivering essential, quality
sexual and reproductive healthcare in the face ofout 81 trainings, reaching 4,562 staff across theFederation.

In 2023, our internal humanitarian funding
mechanism, Stream 3, achieved a greater global

Photo: IPPF/SFPA/Sudan

reach than ever, responding to 18 crises andreaching 241,389 people. Responses included thewar in Ukraine, earthquakes in Syria and Turkey,
flooding in Mozambique and Ecuador, a cyclone inZambia and the Manipur conflict in India.

life-saving sexual and reproductive healthcare
in humanitarian settings. As well as a grant of
between US$50,000 and US$200,000 – depending

partnerships for service delivery and other key
priorities. As an example, during the Cyclone
Freddy response, the Family Planning Associationof Malawi worked in partnership with agencies
including UNFPA and UNICEF, as well as district
health officers in each region. IPPF’s MA in thePhilippines agreed a partnership with Norfil
Foundation to expand access to accurate andnon-judgmental sexual reproductive healthinformation and services for people with disabilities,
while the MA in Vanuatu partnered with the
Vanuatu Society for People with Disabilities and
VPride (a LGBTIQ+ organisation) during the Tropical
Cyclone responses. The sexual and gender-based
violence (SGBV) referral pathways were managed
in collaboration with the Vanuatu Women’s Crisis
Centre, Community Against Violence Against
Women (CAVAW) which has a presence on eachisland where the humanitarian teams operated.

Locally-led Humanitarian Action

19

Pillar 1: Case Study 2

Innovative
Approaches to
Expand Access to
Abortion Self-Carein Cameroon

The restrictive abortion law in Cameroon limits
access to quality care. Faced with an unintended
pregnancy, many women are forced to resort tounsafe abortion, which puts their lives and healthat risk and is often shrouded in secrecy, shameand stigma. Unsafe abortion remains a leading
cause of preventable maternal mortality in the
country, accounting for around a quarter of allmaternal deaths.3

To address these challenges, IPPF MA, theCameroon National Planning Association for Family
Welfare (CAMNAFAW) has stepped up delivery ofabortion care services. As well as offering care inits clinics, the MA is using innovative approaches towiden access: enabling more women – especially

young women – to self-manage medical abortion.
Its strategy encompasses:•

Using digital health interventions to facilitate
self-care. CAMNAFAW has created several

online platforms (Facebook, WhatsApp, hotlines
and a website) to provide information, offer
counselling and support, refer people to delivery“I took advantage of your abortion
service and everything went well. I was
afraid of the process of doing it myself,
but with the information I received andthe constant monitoring by your nurses,
everything went smoothly and I’mhealthy now. Thank you very much.”

points where they can obtain quality medical
abortion pills and ensure follow-up. Through•This strategy has proved highly successful. In 2023,
CAMNAFAW facilitated abortions through selfcare to 925 people, and home abortion services
to 2,945 people. This is in addition to the 29,957
induced abortion services provided by the MA
through its 36 clinics. During 2023, 48 per cent of
CAMNAFAW’s abortion services were provided
to young people and the MA also reached 21,767
young people online and 17,896 young people
in the community with comprehensive sexuality

education sessions including information about
unintended pregnancy.
These results show that women are increasingly
seeking new approaches to manage theirabortion, including self-care. Abortion self-care

extends choice, and, as such, is an integral partof IPPF’s person-centred model that supports andempowers women, girls and everyone who has

the capacity to become pregnant.4 Self-managed
medical abortion is safe and effective,5 upholds
dignity and privacy, and can bust the stigma
surrounding abortion, particularly for young andmarginalized people.

accessible educational talks online, young
people gain knowledge and skills.
A community-based approach including faceto-face awareness-raising talks in and outof school and advocacy with women’s andgirls’ groups to mobilize support for abortion
care. In addition, CAMNAFAW has not only built
partnerships with clinics and community-basedorganizations that refer clients, but also with

Anonymous client•

Cameroonpharmacies that dispense medical abortion
pills.
Greater uptake of home-based medical
abortion care. Women benefiting from thisservice are closely monitored by healthcare

providers until the final stage. In 2023, 70 per
cent of clients who had a medical abortion
chose home-based care.

Photo: IPPF/Xaume Olleros/Cameroon

20

Innovative Approaches to Expand Access

Innovative Approaches to Expand Access21

Pillar 2: Key Results

Pillar 2
Move theSexuality
AgendaAs the global anti-rights movement seeks to reverse
hard-won gains in sexual and reproductive healthand gender equality, IPPF continues to fight to securesocietal and legislative change. We want all people toexercise their rights to make their own decisions about
their bodies and their sexual and reproductive health, toaccess the information they need, and to live their lives
to the full. To that end, under this pillar we will follow
three critical pathways: ground advocacy, shift norms
and act with youth.

GroundAdvocacy

Across the globe, IPPF champions sexual andreproductive rights, influencing decision-makers,
shaping policies and holding governments toaccount. IPPF contributed to a total of 115 policy

and legislative changes in support or defence ofsexual and reproductive health and rights in 2023.

Of these wins, 91 related to advocacy activities
carried out by MAs, with 77 relating to national-levelchanges and 14 at the sub-national level. The IPPF
Secretariat contributed to a further 24 changes; 11of these were at the global level and 13 regionally.
As well as effecting positive change to law andpolicy that secures sexual and reproductive rights,

IPPF’s advocacy activities also focus on preventing
potentially negative changes that may restrict
rights. This is particularly important in the current

environment, in which an emboldened oppositionis pushing to enact illiberal, repressive legislation
in a number of countries around the world. In 2023,
106 of IPPF’s advocacy wins related to positivechange, while nine blocked a negative change
from occurring.

22

Move the Sexuality Agenda

Photo: IPPF/Hannah Maule-ffinch/Hungary

Ground Advocacy

23

Pillar 2: Key Results

Shift Norms

Act with Youth

Rigid gender roles and expectations uphold maleand smear campaigns. Through the East Africa

All young people have the right to clear, accurate

In the new Results Framework, IPPF has taken ansocial norms and attitudes towards sexuality andgender, IPPF is committed to crafting winningnarratives and delivering compelling messages

Regional Office to support MAs in the region, which
are experiencing severe attacks on sexual andreproductive health and rights. Both these centres

empowers them to make responsible choices
about their own lives and bodies and to develop
respectful relationships. However, this right is underresults alone, we are conducting research studies
in three areas of work, looking at the differences
made across a sample of MAs. Within Pillar 2, we

privilege, reinforce inequality and drive sexual andgender-based violence. In order to change harmful

through online and offline communications
channels. Two of IPPF’s Centers and Funds havebeen essential to this work: the Winning Narratives
Centre, based in IPPF European Network Regional
Office, and the Countering Opposition Centre,
hosted by Planned Parenthood Global.

Opposition Mitigation and Advocacy Strategy,
the centre also worked closely with IPPF Africa

completed their work in July 2023, while additional
resources and approaches have been identified as

threat, as coordinated and well funded oppositiongroups step up disinformation campaigns to

The Winning Narratives Centre aimed to create

Combating sexual and gender-based violence
is a crucial element of IPPF’s work to shift harmful
norms, as is embedding these changes in law andpolicy. In 2023, IPPF’s advocacy efforts delivered 12

attack comprehensive sexuality education
provision and promote an anti-gender ideology
based on patriarchal values. In response, IPPF MAs
are at the forefront of providing evidence-based
comprehensive sexuality education to young
people in and out of school. In 2023, MAs delivered

equality by targeting the ‘moveable middle’ of
public opinion through value-based messaging.
In 2023, this centre mainstreamed its work – first

3.5 million services relating to sexual and genderbased violence, with key contributions from MAs in
Pakistan, Colombia and Morocco. We have revised

increase compared to 2022. Nine of our advocacy
successes in 2023 related to education for young
people.

sustained, broad public support for sexual andreproductive health and rights and genderpiloted in 2022 – monitoring and researching antigender, anti-rights discourses and developing
counter-narratives. It expanded targeted audience
segmentation and tested messages as well as
providing support to MAs in Indonesia, Mexico andSpain on developing their own narratives.

The Countering Opposition Centre consolidated
work carried out in 2022 on creating awarenessand training MAs. It supported HERA, the MA in North
Macedonia, which was facing opposition attacks
24

Shift Norms

part of IPPF’s alignment with its new strategy.

information about their bodies, relationships,
sex, sexuality and reproductive health. Education

policy or legislative changes relating to sexual andgender-based violence. IPPF MAs also delivered

the definitions for sexual and gender-based
violence services to allow us to better track andunderstand how MAs are providing effective firstline support for survivors and appropriate referrals
to clinical, psychosocial and protection services.

alternative approach with three indicators. Rather
than measure achievement through numericalare using this approach to explore gender equality
and inclusion (Indicator 6), and the quality, reachand impact of comprehensive sexuality education,access to youth-centred care and progress inyouth engagement in the Federation (Indicator 7).
The results of the first phase of these studies aredetailed in the following sections.

quality comprehensive sexuality education to a
total of 36.5 million young people, a four per centYouth-centred care is essential to enable young
people to access the tailored, non-judgemental
services they require. In 2023, 46 per cent of all
sexual and reproductive health services were

provided to young people under the age of 25.
Globally, 14 per cent of clients were adolescents
between the ages of 10 and 19, and this proportion
was higher in countries such as Cameroon (22 percent), Syria (22 per cent) and South Sudan (24 percent).

Photo: IPPF/SFPA

Act with Youth25

Pillar 2: Indicator 6 Research Study

Shifts in perception and attitudes
in relation to gender equality andinclusion across the Federationand the communities we serve
IPPF’s study for Indicator 6 aimed to deepen
understanding of the approaches used to promote
gender equality and inclusion under the current

Key findings

enablers faced by Member Associations, thetools and resources used, support needs andspecific approaches to assist survivors of sexual

strategy. We focused on identifying barriers andand gender-based violence, particularly inhumanitarian contexts.
Data was collected through a desk review
of relevant documents and interviews withstakeholders from the IPPF Secretariat andrepresentatives of four MAs: Association pour leBien-Etre Familial/Naissances Désirables (ABEF-ND,
Democratic Republic of the Congo), Association
Mauritanienne pour la Promotion de la Famille(AMPF, Mauritania), Fundación Mexicana para laPlaneación Familiar (Mexfam, Mexico) and theFamily Planning Association of Nepal (FPAN, Nepal).
The next rounds of research for Indicator 6 will also
include the perspectives of community members
and partner organizations at the country level.

If we can provide assistance locally, we do it. We
have some counsellors. And [we do it through the
helpline], that’s where we do the referrals. And if it’ssomething that we can’t deal with institutionally,
we make the referral. We have a catalogue ofallied people and institutions to be able to makereferrals.
MA representative

26

Shifts in perception and attitudes

We have been facing problems to provide services to marginalizedgroups of people because there are some communities still where

we need to make people know that they have the right to good
reproductive health, to come and do their normal check-ups, toconceive a baby when they want or not to conceive. It is up to them.
MA representative

Most MAs have worked for decades in the sexual

Societal and cultural norms and legal frameworks
that are not supportive of sexual and reproductive
health and rights present significant obstacles

MAs generate and use quality evidence toenhance the effectiveness of their work to improve
gender equality and inclusion. Mexfam relies

high levels of trust from their partners andcommunities. This long-standing presence helps
them establish effective working relationships

approach to address these challenges is advocacy
by MAs to improve the legal framework relating
to sexual and reproductive health and rights in

adapt its work, inform its social programmes
and develop content for its communication
activities. ABEF-ND regularly monitors data to

and reproductive health and rights field, earningwith a wide range of public and private partners,
including government agencies, UN bodies, civilsociety organizations and international NGOs.
These partnerships enhance the visibility andimpact of their messages and interventions.

MAs engage closely with their peers, champions

and community networks, providing support tosmall community-based organizations in the formof capacity building or institutional strengthening.
This community focus is essential to address themultiple, intersecting forms of social discriminationand inequality experienced by some individuals
when accessing sexual and reproductive
healthcare. For instance, Mexfam’s youth

programme provides a broad range of services
beyond sexual and reproductive health, addressing
young people’s holistic needs. ABEF-ND supports

organizations of people with disabilities to integrateprevention of sexual abuse and exploitation into
their activities.

to gender equality and inclusion. One crucial

their countries, including combating norms that
violate the rights of people with diverse sexual

orientations, gender identities, gender expressions
and sex characteristics. For example, FPAN’s policy
and advocacy efforts in Nepal have recently

contributed to the legal recognition of same-sex
marriage. Additionally, MAs aim to raise awarenessof existing laws that are often overlooked or
unknown by those who could benefit from them.
This is illustrated by ABEF-ND’s efforts to promoteawareness of a law passed in 2022 that grants
survivors of sexual and gender-based violence theright to compensation from a dedicated reparation
fund.

MAs strive to prevent female genital mutilation(FGM), a practice often justified by religious
arguments. In Mauritania, IPPF’s reference centre

on FGM has successfully lobbied religious leadersof different faiths to issue public statements
denouncing FGM as a harmful practice. Thisapproach leverages the influence of religious
leaders to change community attitudes towards

FGM. These efforts contributed to 45 villages in
Mauritania declaring that they would abandon thepractice.

extensively on participatory action research topromote learning, and FPAN has recently begun todisaggregate data by gender to better understandthe impact of its work. The IPPF Arab World
Regional Office supports the reference centre on
FGM in Mauritania to generate and disseminate

knowledge on FGM and position itself as a thought
leader on this issue.
MAs employ comprehensive strategies to support
survivors of sexual and gender-based violence
and combat the social norms that sustain it.
Prevention and awareness-raising activities
are conducted in schools, communities andmarketplaces, covering topics such as sexual
abuse, FGM and reproductive coercion. In the

Democratic Republic of the Congo, ABEF-ND refers
survivors to partner organizations for psychological,
medical and legal support as well as community
reintegration. Mexfam is adapting its approaches
to combat new forms of violence, such as digital
violence, by providing remote support throughsocial media and helplines.

The strong focus on gender equality and diversity
in IPPF’s strategy, Come Together, aligns with MAs’
own priorities and efforts. Despite facing significant
barriers, MAs continue to advance gender equality
and inclusion through innovative strategies.
Shifts in perception and attitudes

27

Pillar 2: Indicator 7 Research Study

Quality, reach and impact
of comprehensive sexuality
education, youth-centredcare and progress in youth
engagement in the Federation
Indicator 7 encompasses the quality, reach andimpact of comprehensive sexuality education
and access to youth-centred care across theMAs deliver comprehensive, integrated sexualand reproductive healthcare to young people.
This is underpinned by IPPF’s Client-Centred Clinicalstaff and youth volunteers from four MAs (AlbanianCenter for Population and Development, Family
Planning Association of Malawi, Samoa Family

outreach and peer models as well as youth-friendly
providers in clinics.

Federation. Over 30 interviews were carried out with

Guidelines and delivered through youth-focused
7

Health Association and Association Tunisienne
de la Santé de la Reproduction in Tunisia) andMAs create linkages between the provision ofcomprehensive sexuality education and delivery

This initial phase of the study focused on
establishing a baseline in the first year of IPPF’s

sexuality education lessons are paired with amobile service unit set up by the MA close to

their partner organizations, as well as staff fromthe Secretariat.

strategy, with impact to be fully measured acrosssubsequent phases. Youth engagement will beconsidered in future assessments, once young
people within IPPF have defined youth engagement
and agreed the terms of the investigation.

Key findings
Comprehensive sexuality education within IPPF
is designed and delivered according to a rights-

based approach, guided by IPPF’s comprehensive
sexuality education framework6 and nationalor regional curricula and guidelines. In somecountries, MAs train teachers and provide
information for comprehensive sexuality educationin schools. The coverage of essential components
varies according to the context, facilitator’s
knowledge, delivery platform and intended
audience.

of services to young people, with the approaches
used varying according to circumstances.
For example, in Malawi, in-school comprehensive

the school, allowing students to access services
and products following the session. Outreachcampaigns and events targeted at young
people involve providing information on sexualand reproductive health and rights, followed byincreasing the availability of integrated, youth-

friendly health services via mobile outreach vans
staffed by a team of healthcare providers.

If the youth hasn’t had the courage to ask before,
when we have gone back to the school for asecond time, we have noticed a change in theirinteraction, they have started asking more andseeking more information. This is what I like. And

at the same time, I have noticed teachers anddirectors to welcome us, being more open to takeinformation from us and to demand from us todeliver our services.
Comprehensive sexuality education educator

28

Quality, reach and impact

Assessing the contribution these approaches
make in quantitative terms is an avenue for MAs
to pursue further. Some young people participatingin comprehensive sexuality education sessions
become youth volunteers or peer educators for theMA, supporting the uptake of youth-centred careamong their peers.

those young people who would otherwise not
be able to access services and information. MAs
also recommend strengthening the meaningful
engagement of young people in all stages ofthe design, delivery and implementation ofcomprehensive sexuality education and youthcentred care.

Youth leadership is seen as a vital element ofdelivering comprehensive sexuality education,
particularly peer educators, with youth clubs,
youth councils and national or regional youth
networks all playing an important role. In somesettings, peer educators distribute contraceptive

methods and connect their peers to youth-centred
care.

[Youth] are consulted, but they are not fully
informed and fully participate in decision-making.
Consultation is not enough in decision-making, it’s
good to consult, but their ideas should be taken
into consideration when making decisions.
Youth volunteer

MAs face multiple challenges in the course ofdelivering this work. Stigma is a key issue, with the

IPPF’s strategy, Come Together, is seen as a guideboth an enabling and limiting factor in MAs’ ability
to deliver comprehensive sexuality education. For
some MAs, the implementation of comprehensive

involved in this study felt that it was too early to see
specific progress resulting from the new Strategy
in 2023. MAs understand the importance of anational policy and social environment acting as

sexuality education guidelines by the government
makes it straightforward to widen provisionand they are heavily involved in delivering thecurriculum. However, certain topics – in particular,
sexuality and pleasure – are stigmatized. SomeMAs find that compromises on content may benecessary, especially for in-school materials, due
to cultural sensitivities and discomfort from thecommunity, parents or teachers.

that sets standards for MAs, although thoseFederation like IPPF setting clear strategic directions
and welcome increased Federation-wide exchange
of knowledge and skills.

The new strategy is really going to play a very big

Funding challenges include the predictability
and sustainability of resources, and thetendency towards ‘project-ization,’ leading torole in the work that the Member Association isgoing to be doing moving forward...We have ouryouth grouping, our youth volunteers, how best
can we improve their ability, their capacities withregards to delivering comprehensive sexuality
education amongst themselves, their peers, butacross the MA’s programmatic work. Reachingmarginalized and excluded young people is anadditional challenge, with rural youth being one ofat district level or lower community levels. So,
we really feel that this strategy is really going tochange or shape our comprehensive sexuality

comprehensive sexuality education becoming
siloed in a project rather than fully integrated

the hardest groups to reach with comprehensive
sexuality education and services.

A number of MAs in the study use innovative
approaches such as digital platforms, especiallyalso to other youth groupings and youth networks
that these young people interact or network witheducation programming for the greater good in
the long run.
MA representativesocial media, to reach young people withinformation about sexual and reproductive healthand rights. Reaching out beyond health facilities,
using peer educators and lay providers, is also
seen as a crucial way to provide comprehensive
sexuality education and youth-centred care to

Quality, reach and impact

29

Pillar 2: Case Study 1

Decriminalizing
Same-Sex
Relations“The public uproar was amazing.
Business owners, members of the generalpublic, basically everyone was outraged
the government was going to do this.
The government truly underestimatedthe public. Everybody had an opinion,social media was flooded, and pride
flags started going up overnight.”
Dean Tangata
Humanitarian Focal Point, CIFWA and President, Pride Cook Islands

Around the world, opposition groups are stepping

Nearly half the countries that criminalize same-sex

law the draconian Anti-Homosexuality Act in May
2023, prompting widespread condemnation.

decriminalized same-sex relations9 in October
2023, ruling that the laws banning gay sex were

up coordinated attempts to threaten sexual andreproductive health and rights and gender equality.
In Uganda, President Yoweri Museveni signed into

But IPPF is fighting back. At the forefront ofcoalitions of civil society organizations, MAs are
standing up for human rights. In the Cook Islands
and Mauritius, MAs were instrumental in overturning
legislation that criminalized same-sex relations.
In April 2023, in a major victory for the LGBTIQ+

consensual sexual acts between men. Advocacy

The Cook Islands and Mauritius have joined

Crown Law Office, facilitating consultations andpresenting submissions to parliamentary hearings.
CIFWA has also collaborated with local LGBTIQ+
organizations, the Te Tiare Association and Pride
Cook Islands, to mobilize a groundswell of public

positive change for marginalized communities.

by IPPF MA, the Cook Islands Family Welfare
Association (CIFWA), contributed significantly tothis landmark decision. For over ten years, the MA
has engaged with policymakers, including drafting
a formal submission on decriminalization to the30

Decriminalizing Same-Sex Relations

unconstitutional, reflecting a colonial era rather
than indigenous values. IPPF MA, Mauritius Family
Planning and Welfare Association, collaborated
with local NGOs – including Collectif Arc-en-Cielthat supported the individual who brought thelawsuit – building their capacity on sexual andreproductive health and rights. The MA also createda platform for LGBTIQ+ groups to amplify theircommunity, the Parliament of the Cook Islands
removed laws from the Crimes Act that prohibited

Photo: IPPF/Hannah Maule-ffinch/Cook Islands

relations are in Africa,8 bucking the global trend
towards decriminalization. However, attitudes are
slowly changing. In Mauritius, the Supreme Court

voices in local and national meetings.

a growing movement of countries that are
making progress in protecting human rights for
all, including LGBTIQ+ people. These examples
show that by forging alliances and strategic
partnerships, sustained advocacy can bring about

opinion in favour of law reform.

Decriminalizing Same-Sex Relations

31

Pillar 2: Update

Crackdown on
LGBTIQ+ Rights in
UgandaUnder international human rights law, all people– regardless of their sexual orientation or gender

Inevitably, this hostile environment will deter
LGBTIQ+ people from accessing vital sexual

reproductive rights is gaining pace. Anti-rights
movements, with funding from extremist groups
in the USA, EU, and Russia are attempting to erode
gains in rights and gender equality in Africa.
And, in some cases, despite concerted efforts by

obstructed from providing quality care in a safe,
confidential setting. As such, the law will restrict
uptake of life-saving services and undermine thecountry’s HIV response.

identity and expression – are protected against
discrimination. However, around the world, a
relentless effort to rollback hard won sexual andadvocates and activists, they are succeeding.

In April 2024, Uganda’s Constitutional Court
upheld one of the strictest anti-LGBTIQ+ laws in
the world. Same-sex relations were already illegal

IPPF is deeply concerned about this blatant assault
on human rights as well as attempts to passanti-LGBTIQ+ legislation across the continent andglobally. We remain inspired by the courage ofhuman rights defenders, advocates and activists inexperiencing discrimination and harassment. But
the highly controversial Anti-Homosexuality Act
goes further: anyone convicted of homosexuality

We stand in solidarity with the LGBTIQ+ community
and allies in Uganda and worldwide. IPPF will keep
advocating for the sexual and reproductive healthin the country, with LGBTIQ+ people routinely“The IPPF Africa Region vehemently
condemns the Anti-Homosexuality
Act 2023, which targets the LGBTIQ+
community and their allies in Uganda.
This law marks a sorrowful day for
Uganda and its people. Targeting acommunity based solely on their sharedcharacteristics is extremely dangerous
and an undeniable violation of humanrights. Instead, we should strive toempower all members of our society
to be positive contributors, rather
than driving them into hiding andmarginalization.”
Marie-Evelyne Petrus-Barry
Africa Regional Director, IPPF

and reproductive healthcare and information,
including HIV prevention, testing and treatment, STI
testing and contraception. Health workers will be

now faces a sentence of up to life imprisonment.
Passed by Parliament in March 2023 and approvedby President Yoweri Museveni in May 2023, therepressive legislation bans any form of samesex sexual relations as well as “promotion”

Uganda who are fighting the law despite the risks.

and rights of all, against regressive laws that curtail
people’s human rights and freedom.

of homosexuality.

This punitive law will have far-reachingrepercussions for LGBTIQ+ people, their families andcommunities. It violates many fundamental humanrights, including the rights to non-discrimination,
privacy and freedom of opinion and expression.
The law also contravenes the rights to bodily
autonomy and the highest attainable standardof health.

The draconian law has already fuelled stigma anddiscrimination against marginalized communities.

UgandaSince March 2023, IPPF has witnessed an escalationin violent attacks, arrests and harassment against
LGBTIQ+ people. Civic space is shrinking, as civilsociety organizations that defend LGBTIQ+ rights
are being threatened. Emboldened by the law, hatespeech targeting LGBTIQ+ individuals and their
allies is increasing.

32

Crackdown on LGBTIQ+ Rights in Uganda

Crackdown on LGBTIQ+ Rights in Uganda

33

Pillar 2: Case Study 2

Advocacy at the
UN Human Rights
Council on Maternal
Mortality
Every two minutes, awoman dies frompreventable causes
related to pregnancy
and childbirth.10 Making
maternal health andmotherhood safe is ahuman rights imperative.

Photo: IPPF/Hannah Maule-ffinch/Thailand

34

Advocacy at the UN Human Rights Council on Maternal Mortality

In October 2023, the UN Human Rights Council
passed an important resolution on preventablematernal mortality and morbidity and humanrights. Led by Colombia, Estonia and New Zealand,

well as delete references to bodily autonomy
and comprehensive sexuality education. All weresoundly defeated.

health and reproductive rights; and guarantee
universal access to sexual and reproductive
health services, evidence-based comprehensive
sexuality education and safe, effective methods ofmodern contraception.

missions of Colombia, Estonia and New Zealand in
Geneva. We informed the zero draft and provided
arguments, data and agreed language to Member
States. During negotiations, IPPF advocated for
key points, countered false narratives put forward

the resolution was adopted by consensus after
challenging negotiations. In the resolution, theCouncil urges all states to eliminate preventablematernal mortality and morbidity; respect,
protect and fulfil sexual and reproductive

IPPF had substantial input to the resolution,
coordinating efforts between the global advocacy
team and Profamilia, MA in Colombia. To shape andsupport the resolution, Profamilia worked closely at
the national level, while IPPF engaged with the UN

This resolution goes further than the 2021 resolution
on the same subject. Not only does it retain
important language on bodily autonomy andsafe abortion, but it also refers to comprehensive

by opposition organizations and defended thetext against hostile amendments. In addition, IPPF
co-drafted and co-sponsored a joint civil society
statement on abortion at the Human Rights
Council to mark International Safe Abortion Day on

health and reproductive rights without qualifying
the text, as previously. The resolution includes newreferences to obstetric violence and post-abortion

While not legally binding on its Member States,
UN resolutions nevertheless have considerable

sexuality education and sexual and reproductive

care. Significantly, a new paragraph notes theleading causes of maternal mortality identified by
WHO, including unsafe abortion.

Five hostile amendments were tabled in an attempt
to weaken language on abortion and sexual andreproductive health and reproductive rights, as

28 September.

political force. They are powerful tools that reaffirm
commitment to international treaties. As such, they
can and should be used at national and regional
levels to advance sexual and reproductive healthand rights.

Photo: IPPF/Mauritania

Advocacy at the UN Human Rights Council on Maternal Mortality

35

Pillar 3: Key Results

Pillar 3
Solidarity for
ChangeOpposition to sexual and reproductive
health and rights and gender equality is
growing more confident and coordinated– with the impact seen in countries suchas the United States and Uganda, bothonline and face-to-face. Therefore, IPPF
must stand firmly in solidarity with allgroups and networks fighting for rights
and for change. This means we must
support social movements and activists,
amplifying their messages and theirwork, and build strategic partnerships
with organizations both within our sector
and outside. It also means we must
innovate and share knowledge: only by
experimenting and collaborating will wefind new ways to advance sexual andreproductive health and rights for all.

36

Solidarity for Change

Support Social
Movements

A key priority of our strategy is to reach beyond

As part of this work, IPPF supports and defends

social movements and activists in support ofsexual and reproductive health and rights. IPPF

may encounter danger including physical threats
due to their action. In 2023, the LGBTIQ+ Safety andthe boundaries of the Federation and work withhas reconfigured the Secretariat structure andcreated new roles to bring the disruptive energy ofsocial movements into the heart of the Federation.

One of the research study indicators in the Results
Framework looks at IPPF’s engagement with social
movements and activists, identifying some of theopportunities and challenges faced in approaching
this work, and how IPPF can position itself mosteffectively to amplify the vital role of social
movements.

activists inside and outside the Federation who

Security project identified ten organizations fromaround the world, including MAs and other activist
groups IPPF partners with, who address LGBTIQ+

issues in a conservative environment and as aresult face risks. The project conducted a context
analysis to understand key threats and risks facing
IPPF’s country partners, and carried out security
and safeguarding assessments for each MA or
partner. This offers IPPF a better understanding of
the safety and security needs of our partners at

the national level, with a focus on LGBTIQ+ activists,social movements, and the MAs who work withthem, as well as MAs who are considered as activist
organisations in this area themselves.

Support Social Movements

37

Pillar 3: Key Results

Build StrategicPartnerships

Innovateand Share
Knowledge

Faced with an organized, well-funded opposition,

Public campaigns are a key part of IPPF’s strategy

IPPF’s Centers and Funds are a set of initiatives

The Sexual and Gender Diversity Centre wasThis entails working with other organizations in thefield of sexual and reproductive health and rights,

collaboration with other organizations whose aims
are aligned, but who may have different skills andexpertise across the Federation and share effective,
innovative practices by disseminating knowledge.

and Oceania regions, which were used to establish
regional networks for LGBTIQ+ organizations and

IPPF cannot hope to defend sexual andreproductive rights, let alone make gains in new
areas, without forming strong, broad coalitions.

as well as those external to the sector for one-off
campaigns, ongoing activities and longer-term
partnerships, and at all levels from individual MAs
to the entire Federation.

to win support for sexual and reproductive rights
and bring about real change. We know that the
impact of campaigns is greatly amplified by

the ability to reach other target audiences with
their messages. In 2023, IPPF led or participated in
48 public campaigns on a wide variety of themes
including SGBV, access to sexual and reproductive
health services, abortion and sexual and gender
diversity. Of these, 28 involved collaboration with

The Centre of Excellence on Comprehensive
Sexuality Education is hosted across four reference

events to position LGBTIQ+ populations as equal
members of society and to raise the visibility of theissue.

education, developed online platforms to delivercomprehensive sexuality education and brought
together communities of practice to shareknowledge and experiences.

The MA in Jamaica, Jamaica Family Planning

Association, worked in coordination with thecountry’s National Family Planning Board on a
campaign to counter sexual and gender-based
violence. The MA helped to produce short videos toraise awareness on violence in the home.
Build Strategic Partnerships

They also help to direct resources and funding for
research-related activities to areas more in needof support. In 2023, 56 per cent of research andevidence initiatives generated by MA-led centres oflearning were based in the global south.

other sexual and reproductive health and rights
organizations, while 12 involved working withorganizations from outside the sector. Colectivo
Rebeldía, IPPF’s MA in Bolivia, led the ‘Estamos’ (‘WeAre’) campaign which produced videos and held38

hosted by Member Associations or the Secretariat,
aimed at accelerating progress in vital areas.
These enable IPPF to harness existing skills andcentres in the Netherlands, Colombia, Ghana andTogo. In 2023, these centres provided technicalsupport to other MAs on comprehensive sexuality

hosted by Sex og Politikk, IPPF MA in Norway. In
2023, this centre conducted meetings in the Arab
World, South Asia and East and South East Asia

discuss gender-affirming, trans-friendly healthcare. The meetings also enabled MAs to identify
healthcare needs and opportunities, share bestpractices and learn from each other.

At the Centre of Excellence for the Elimination of
Female Genital Mutilation, based in Mauritania,
IPPF’s MA Association Mauritanienne pour la

Promotion de la Famille (AMPF) is developing astrategy to eliminate the practice, which they will
implement together with MAs in Africa and SouthEast Asia. Through the centre, AMPF produces
information and educational materials on FGM
and delivers care, guidance and counselling tosurvivors.

Finally, the Social Enterprise Acceleration
Programme is based in IPPF’s MA in Sri Lanka,
Family Planning Association of Sri Lanka. Moreinformation on this centre can be found in the casestudy on page 45.
Innovate and Share Knowledge

39

Pillar 3: Indicator 8 Research Study

IPPF’s contribution in
supporting social movements
and defending activists
IPPF’s study for Indicator 8 focused on theapproaches used by MAs to engage with social
movements and activists (referred to here as‘social movement actors’). Research sought toidentify the barriers and enablers faced by Member
Associations and Collaborative Partners in working
with these groups and gather learning on how

Key findings

Data was collected through a desk review
of relevant documents and interviews withstakeholders from the Secretariat andrepresentatives of MAs in three countries and social
movement actors in one country. In subsequent
rounds of research for Indicator 8, we will broaden

Service delivery (education and awarenessraising, providing healthcare and peer

The networks MAs have with national and subnational government bodies provide them withstrategic access to advocacy spaces. They use

MAs have not consistently put in place measures
to protect their own staff, including clinical staff,
and volunteers from physical and psychologicalorganizations that have links and/or provide
specific services (psychosocial or sexual andreproductive health) to these community

as well as threats, to get buy-in from other actors
and to mobilize support for issues. This strengthens
knowledge exchange between MAs and socialsocial movement actors, including:•counselling) for marginalized communities,
including partnering with community-based

common aims. Importantly, given the context
in which IPPF and partners work, the study also
explored what measures are in place and whatharassment.

We need to strengthen the approach to security
to ensure that MAs/Collaborative Partners andthe social movement actors they collaborate with

MAs use a number of modalities to engage with

MAs/Collaborative Partners and social movement
actors can work together effectively towards

is needed to ensure service providers and social
movement actors are protected from violence andMAs’ track record, technical expertise in sexualand reproductive health and rights and strong
networks in-country give them credibility and•••the perspectives of social movement actors.

members.
Technical expertise and support related tosexual and reproductive health and rights.
Capacity exchange with partner organizations
in areas such as organizational strengthening,
grant acquisition, training, workshops,
mentorship, advocacy skills and strategies andevidence-informed approaches.
Connecting community-based organizations
and communities, especially those with
marginalized identities, with government
at national and local level, and with otherorganizations that can provide support, for•example, legal advice. This can be in the formof facilitating ‘a seat at the table’ for partners or
amplifying their voices.
Jointly developing and implementing projects
and leading networks or coalitions where
advocacy goals are shared at national, local
and regional levels.

facilitate their work with social movements.

these long-standing networks to keep their finger
on the pulse of progress towards advocacy goals

movement actors and builds collective capacity
for advocacy actions, for example, policy briefs,
influencing policymakers, education and publicawareness-raising.

are protected from violence and harassment.

violence, harassment and online threats by
opposition groups. MAs also do not consistently

recognize or address threats faced by social
movement actors they partner with. In some cases,
this is due to MAs not being fully aware of the needto put these measures in place. In other cases, theytend to address safety and security on an adhoc basis as threats arise rather than having anestablished approach.

MAs/Collaborative Partners may not berecognized as operating in the advocacy space
due to their positioning as ‘family planning service

A number of measures can be put in place tobolster support for and engagement with social
movements. This includes increasing dedicatedMAs act strategically when positioning themselvesin the advocacy space. They seek to carefullybalance their relationships and reputation in order

Implementing clear, context-specific strategies
for MAs/Collaborative Partners to support social
movements and prioritizing direct engagement

delivery’ rather than ‘sexual and reproductive
health and rights advocacy’ organizations.

to protect funding and support from national
authorities and, crucially, to ensure that they do notjeopardize their ability to continue providing criticalservices, particularly to marginalized communities.
MAs that mainly focus on service provision areless likely to adopt a more outspoken role, whichsocial movement actors and activists may occupy,
such as challenging authority, claiming rights
and criticizing the government, as they needto maintain a balanced relationship with thetechnical resources, fostering cross-learningand establishing spaces for sharing experiences.

with activists would help to strengthen regionaland global support. Additionally, leveraging IPPF’s
global network to connect social movement actors
with influential stakeholders can amplify theirimpact. Collectively, these measures will enable
IPPF to provide more robust and sustained support
for social movements, driving coordinated andpowerful advocacy efforts globally.

government.
40

IPPF’s contribution in supporting social movements and defending activists

IPPF’s contribution in supporting social movements and defending activists

41

Pillar 3: Case Study 1

Partnerships toExpand Access to
Abortion Care in
MexicoPhoto: IPPF Americas and the Caribbean

In September 2023, Mexico’s Supreme Court
decriminalized abortion, removing it from thefederal penal code. The Court unanimously ruled

The MA also participated in producing anddisseminating training materials for staff infederal health facilities in Hidalgo and Guerrero toThis momentous decision is a major victory forabortion rights activists. Previously, even in thesubmitted evidence, advocating for guaranteedaccess to safe abortion. Since the Court ruling,Mexfam has fostered understanding via socialthat laws prohibiting abortion were unconstitutional
and a violation of human rights.

Mexican states that had decriminalized abortion,federal healthcare providers could not legally offer

Mexicoabortion services. However, the ruling means that
all federal health facilities must provide abortion
care to anyone who requests it and, importantly,
people seeking or providing an abortion will beprotected against criminal charges.

The feminist organization, Grupo de Información
en Reproducción Elegida (GIRE), brought the legal

challenge, with the support of advocates, activists
and civil society organizations including IPPF MA,
Mexfam. The MA played a key role in creating

reduce stigma surrounding abortion. In addition,as an active member of civil society, the MA has

media of what the ruling means in practicefor women and people with the capacity to
get pregnant.

These victories are hard-fought. The journey
to expand access to abortion care can takeyears and is not without its challenges. For MAs,
success requires perseverance, collaboration andcoordination with grassroots activists and partners,
with each contributing their expertise, experienceand unique approaches.

a supportive environment for the court ruling,
advocating for the removal of barriers to abortion
care at both the state and federal level.
Mexfam collaborated with GIRE in expanding

the legal framework to promote access to safe
abortion care in the country. In the states of
Hidalgo and Veracruz, advocacy activities included
developing abortion guidelines for health workers,
officials, civil society organizations and people
seeking abortions, as well as conducting training.
42

Partnerships to Expand Access to Abortion Care in Mexico

Partnerships to Expand Access to Abortion Care in Mexico

43

Pillar 3: Case Study 2

Campaigning to
Improve Young
People’s Health andWellbeing in North
Macedonia

Globally, COVID-19 had a major impact onaccess to essential healthcare.11 In most European
countries, the pandemic disrupted the delivery ofhealth services, including sexual and reproductive

Young people were at the heart of this work: taking
the lead as researchers, members of the projecttask force and focus groups, advocates andcampaigners. They helped devise the campaign

The Health Education and Research
Association (HERA), IPPF MA in North Macedonia,
created a powerful campaign in 2023 to learn
from COVID-19 and promote access to youth-

and online safety, mental health, and access tocontraception. Young people were invited to share
their experiences; for example, how hard it was
to find accurate information about sexual andreproductive health because they were ‘drowning

Drawing on data from a national survey, HERA
highlighted the challenges faced by young people

Six billboards were placed near key institutions andpolitical parties for a two-week period in May-June
2023. Young people shared their personal stories on

healthcare and mental health services. Youngpeople were among those hardest hit. Weaknesses
in health systems were laid bare, exposing
the fact that countries are unprepared for the
next pandemic.

centred sexual and reproductive healthcare
and information.

during the COVID-19 crisis in accessing sexualand reproductive healthcare and information
as well as mental health services. To raiseawareness, the MA – working closely with young
people – communicated compelling messages
on billboards and social media. The primary

audiences were young people, policymakers anddecision-makers, followed by the general public.

slogan – ‘For the next crisis, no reprise’ – with six
topics covering: access to sexual and reproductive
health information, access to sexual andreproductive health services, bullying and lack ofcomprehensive sexuality education, digital violencein an ocean of information about the virus’.

Facebook, with each post featuring an infographic
to illustrate the issue or propose a solution.

The reach was impressive: the billboards wereseen by around 250,000 people and the campaign
reached 61,015 people on Facebook. Since then, theMA has continued engaging with policymakers,
including being invited to contribute to the national
strategy for sexual and reproductive healthand rights.

North Macedonia

Photo: IPPF EN/Jon Spaull/Macedonia

44

Campaigning to Improve Young People’s Health and Wellbeing in North Macedonia

Campaigning to Improve Young People’s Health and Wellbeing in North Macedonia

45

Pillar 4: Key Results

Pillar 4
Nurture ourFederation
The fourth pillar is about us, theFederation. The focus is on our values,
efficiency, and sustainability. It is
about building a better Federationthat is able to cope with the demandsof the 21st century and deliver ourambitious strategy.
To Nurture our Federation, we follow
three critical pathways: chart ouridentity, grow our Federation and walkthe talk.

Chart ourIdentity

As part of ongoing efforts to renew the Federation,

From the highly participatory discussions, IPPF drew

and the IPPF rebrand. The charter of values –defined by MAs and the Secretariat – will express

have a Federation that is passionate about sexualand reproductive health, rights and justice, thatin 2023, an identity initiative was launched tomap out changes to how IPPF defines itself. This
comprises a charter of values for the Federation

who IPPF is at its core and what beliefs motivate its
work: it defines “the heart” of the Federation. The
IPPF rebrand will reflect this as “the face” we want
to show to the world.
We have engaged in intensive consultations,embraces diversity and equity, that is committed
to being transformational, that acts in solidarity
with others, that is courageous and demonstrates
integrity in all its work. Consultations on the rebrandgenerated strong consensus on a direction thatemphasizes IPPF as a Federation that advances

all IPPF regions were consulted via mixed methods.
This involved 34 digital consultations across thefour IPPF languages,​including webinars, focus

of solidarity and community to make changes inall spaces and the momentum of small actions
adding up to a movement that impacts us all.

discussions and research on this topic. In 2023, over
900 stakeholders from over 120 countries acrossgroups, youth spaces, a survey, ten face-to-faceconsultations in eight languages​with MA staff,
volunteers, young people and local communities,
and 12 in-depth one-on-one interviews with key
subject experts.

46

Nurture our Federation

up a shortlist of six possible values, with suggested
definitions and associated actions. People who
were consulted clearly expressed the desire tosexual and reproductive rights across the globe.
People wanted a brand that underlines the power

In 2024, IPPF will consult with experts and visionarychange makers to map out the future of sexualand reproductive health, rights and justice and
IPPF’s role in the world. And we will explore theimplications of a potential new name. This entails
returning to MAs for Federation-wide consultations
and buy-in, with the final outcomes ready for theNovember 2025 General Assembly in Indonesia.

Chart our Identity

47

Pillar 4: Key Results

Grow our
Federation

Walk the Talk

MAs’ financial sustainability is essential for the
long-term health of the Federation. Therefore, theareas where it can better meet the needs of MAs,
the Secretariat Accountability Mechanism was

The way we operate and communicate as aFederation is a crucial part of living by our values.

AoC supports five to eight MAs and many have atechnical or thematic speciality they can apply

sources, 66 per cent received less than 50 per centof their total income from a single donor. This is aefficiency and communication, and governanceand leadership, which were assessed against

within IPPF and beyond. IPPF’s Anti-Racism Working
Group, described on page 54, is steering this critical

Secretariat, ensuring MA capacities and knowledge
are shared and their needs and voices are at the

Secretariat not only supports MAs to increase theirincome but also to widen their funding base. In
2023, out of the MAs which reported their funding

new indicator in IPPF’s Results Framework, which
will be monitored across the duration of the sixyear strategy to encourage increased diversity
in funding mobilized bv MAs. In an increasingly
challenging funding environment, the total income
raised by the Secretariat in 2023 was US$120.9
million.

Growing the membership of the Federation is vitalto ensure that IPPF can keep playing a leading rolein promoting sexual and reproductive health andrights where the need is greatest. Work is underway
to map priority countries – where indicators suchas unmet needs for contraception are highest andwhere the anti-gender/anti-rights movement isthreatening sexual and reproductive rights – toidentify where establishing a new IPPF presence
would have the greatest impact.
To ensure that the existing membership canhold the Secretariat accountable and identify
48

Grow our Federation

launched in the second half of 2023. This survey
covered seven accountability areas, including
technical leadership and capacity sharing,four criteria: timeliness, relevance, quality andeffectiveness. Results from the survey are being
analysed and a management response and action
plan will be developed.

This means actively challenging discrimination
and racism in all their forms, championing genderequality and supporting sexual diversity in our work,

To function effectively as a Federation, IPPF requires

work. Our safeguarding and incident management
teams continue to investigate complaints, deliver
training and build a zero-tolerance approach tosafeguarding-related harm across the Federation.
Training on safeguarding was provided to 61 staff
across three MAs and induction training wasits new structure and capabilities to best deliver
the strategy. Following this process, IPPF is now
streamlining systems to boost efficiency, improve

were closed, while 58 new cases across five othersubject matters were reported to our reporting
mechanism IPPF SafeReport and 75 were closed.

high-quality systems. In 2023, the Secretariat
underwent a profound transformation, aligning

access to crucial data and underpin the support
offered to MAs by the Secretariat. Indicator 12 of
the Results Framework measures this work throughthe Secretariat Efficiency Score, a compilation of
10 sub-indicators tracking various aspects of theSecretariat’s work. Four of these, which are basedon data already collected, are reported in thisyear’s Results Framework; the remaining six will bebased on key performance indicators aligned with
Secretariat plans.

delivered to 111 new Secretariat staff. In 2023, seven
new safeguarding cases were recorded and fiveDuring 2023, the Secretariat was reorganised
to align its structure with the strategy – to work
more closely and effectively with MAs, to increase
youth representation and to develop stronger

partnerships with grassroots organisations andcommunities. New MA-facing posts known as
Architects of Cooperation (AoCs), supported byBusiness Analysts and led by a dedicated director
in each region, were created to act as key liaison
points between the Secretariat and MAs. Eachto their work with their cluster of MAs and thewider Federation. AoCs broker access, seek out
opportunities, and raise the profile of MAs in thecentre of our work. To strengthen our engagementwith grassroots organisations and activists, newCommunity Engagement and Partnerships posts
have been established. These will allow us to build
strategic partnerships with marginalised andexcluded groups, bringing external perspectives
and experiences into the Federation and actively
questioning IPPF’s own hierarchies and power
structures.

Our values are underpinned by a commitment toyouth leadership at all levels, which is essential toembed the change we need. IPPF has therefore
recruited a cohort of youth networkers to be
champions for youth-centred action in the
Secretariat and amplify youth voices, as wellas supporting MAs to develop their own youth
networks and support youth-led programming.
Our update on page 56 provides details of the work
carried out by the Kyrgyzstan MA to foster youth
leadership.
Walk the Talk

49

Pillar 4: Case Study 1

Ensuring
Alignment with
IPPF’s Strategy

Photo: IPPF/Isabel Corthier/Mozambique

To advance sexual and reproductive health,across the 12 focal areas, which helped identify

unanimously adopted by IPPF Member Associationsin November 2022, articulates how we will do

Between August and October 2023, theSecretariat facilitated six regional workshops

Secretariat and, crucially, MAs across the globe.

and youth volunteers, the meetings promoted
a sense of shared ownership, engagement andrights and justice for those who are left behind,
we need to bring about real change. Our new
strategy, Come Together (2023–2028), which wasthis. However, the challenge ahead lies in putting
our strategy into action. This requires the buy-inand commitment of the united Federation: theIn January 2023, the Secretariat kickstarted

this process by recruiting staff and initiating
discussions on rebranding IPPF and developinga charter to affirm common values. The priority
was to ensure all MAs operationalise the strategy
and Results Framework, adapting the way theywork accordingly. The Secretariat worked with
MAs to update their own national strategies toalign with the critical pathways set out in Come
Together. National strategies should not replicate
the shared IPPF strategy; rather, they should

respond to national needs and be informed by key
stakeholders, including local communities.

50

Ensuring Alignment with IPPF’s Strategy

on strategic alignment to bring MAs at the coreof this process of organizational and strategicchange. Attended by senior MA team members

accountability. One session focused on moving

out of “our comfort zone”. MAs performed dramas
to bring to life vital issues affecting marginalized
communities, including abortion rights, LGBTIQ+
rights and sex workers’ rights, sparking debate
on the importance of pushing boundaries andpledging radical change. Following the workshops,
all MAs drew up strategic alignment plans outlining
specific objectives they had defined. To ensure
achievements against strategic commitments andobjectives are measured, training was provided
on the indicators and methodologies set out in the
new Results Framework.

The Secretariat put forward 12 focal areas –core thematic issues such as abortion care,

We are continuing the process of strategicalignment this year, with ongoing efforts toand sustainability – to measure the extent to which
MAs’ strategies and business plans harmonizedwith IPPF’s strategy. Alignment was scoredbest practices. In 2025-26, a mid-term review
will allow IPPF to not only learn from over two
years of implementation of Come Together, butalso to identify and address any challenges andopportunities.

marginalized populations, harmful laws and norms,

Photo: IPPF/Hannah Maule-ffinch/Maldiveswhere additional support and accompaniment
was required.

leverage and build MA capacities and share

Ensuring Alignment with IPPF’s Strategy

51

Pillar 4: Case Study 2

Rooting Out
Racism“Together, through genuine dedication and unitedefforts, we can create a world where fairness,
opportunity and equality prevail for all. With
collaborative efforts, we can turn the tide against
discrimination, shaping a world where every voice
is heard and valued. Let’s stand together against
discrimination, embracing diversity as the key tosustainable development.”
Norma Yeeting
Executive Director, Kiribati Family Health Association“We need to go beyond an individualcommitment. We need an institutional
commitment that raises awareness,
provides guidance and generates
knowledge. We need internal culturechange. Diversity begins at home.”
Marta Royo
Executive Director, Profamilia

To embody our values, uphold social justice•Championing anti-racist sexual anddynamics and transforming norms. It means
challenging bias, strengthening accountability,•

Incorporating anti-racism measures in
IPPF’s safeguarding policies to create a safe,

for all and protect human rights, we need toactively confront racism within the Federation.
Fundamentally, this requires shifting power

empowering staff and having open,
honest conversations.

Examining and addressing racism and colonial
legacies within IPPF is often uncomfortable. It is noteasy – nor should it be.

to amplify voices from the Global South,
coupled with developing anti-racist language
and terminology.

Presented to all IPPF regional offices in late 2023, theAnti-Racism Programme of Action has prompted
discussions on the historical dimensions of racism
within IPPF, various manifestations of racism andimportant work in this area is known as the AntiRacism Programme of Action.

the South Asia regional meeting, participants
shared their experiences of racism and joined insessions such as a power walk to gain a deeper

In August 2023, IPPF’s Anti-Racism Working Groupmet to move the programme forward. The groupdeveloped a theory of change that sets out thepriority areas for action needed to transformthe Federation:•

Rooting Out Racism

respectful and supportive environment for staff
and volunteers.
Promoting decolonization in research

Our commitment to recognize and dismantle
racism is included in the strategy, Come Together.
Walk the Talk – one of the three pathways in
Pillar 4, Nurture our Federation – outlines how wewill tackle the interconnected forms of racismand discrimination within IPPF and beyond. Our

52•

reproductive health programming andintersectionality as core IPPF values, positioning
IPPF as a global leader in this field.

Ensuring access to equitable opportunities
for IPPF staff and volunteers, alongsideembedding anti-racism in recruitment andinduction practices.

discrimination, and anti-racist approaches thatcan be applied to human rights advocacy. At

understanding of the impact of racism.

The journey to becoming an anti-racist
organization takes time. It is not a one-off initiative:
it requires ongoing reflection and learning. In 2024,
we will roll out online training in anti-racism acrossthe Federation and engage with MAs in identifying
ways to decolonize research. Throughout the year,
we will advance the Anti-Racism Programme of
Action, promoting social justice, inclusivity andequity within IPPF and beyond.

Rooting Out Racism

53

Pillar 4: Case Study 3Championing
Youth Leadershipin Kyrgyzstan
Photo: Erbol/Reproductive Health Alliance of Kyrgyzstan

Promoting youth leadership is a crucial element ofvolunteerism within IPPF and a priority action under
Pillar 4 (Nurture our Federation) of our six-year

involvement in the Youth Coalition and YSAFE (IPPF’s
network of young volunteers in Central Asia andEurope) created a platform for young people to

IPPF MA, Reproductive Health Alliance of Kyrgyzstan(RHAK), is fully committed to fostering youth
leadership in the country. The MA undertakes a

training in advocacy, the Youth Coalition put
forward a series of recommendations aimed atpolicymakers and donors, calling for young people

strategy, Come Together.

wide range of activities, including supporting theestablishment of youth groups and strengthening

Kyrgyzstan

young people’s capacity to provide comprehensive
sexuality education, influence decision-making anddevelop social media content to promote sexualand reproductive health and rights.

pledged to respond to young people’s needs
and involve them in designing, implementing,monitoring and evaluating health programmes.

In 2023, RHAK trained 165 peer educators ineducation sessions to their peers, empowering
them to understand their rights, equipping themwith the skills needed to make informed decisions

podcasts, social media posts, TikTok videos,Instagram stories, comics and animated videos topromote sexual and reproductive health and rights

about their bodies and facilitating access to youthfriendly services. In 2023, peer educators reacheda remarkable total of 12,310 young people acrossthe country.
RHAK builds young people’s capacity as advocatesso that they can speak out on issues that matter tothem, such as HIV prevention and comprehensive
sexuality education. With the support of the
Pact/UNAIDS, the MA set up a network of youth

organizations, known as the Youth Coalition. RHAK’s
Championing Youth Leadership in Kyrgyzstan

to have a greater voice in shaping national policies
on HIV prevention and health. Decision-makers

In addition, in collaboration with YSAFE, young
volunteers from RHAK were trained to develop

sexual and reproductive health and rights. The
young people delivered comprehensive sexuality

54

contribute to high-level discussions on sexual andreproductive health and rights. After undergoingsocial media strategies. Using innovative digital
approaches, young people created accessible

to a wider audience.

In Kyrgyzstan, RHAK is playing a vital role insupporting the next generation of leaders. When
we invest in young people by building their skills

and unlocking opportunities, everyone benefits.
This not only nurtures young people’s development,
but also strengthens the work of MAs and theentire Federation, while creating ripple effects
across society.
Championing Youth Leadership in Kyrgyzstan

55

Pillar 4: Case Study 4

Scaling Up
SocialEnterprise
Photo: IPPF/Tommy Trenchard/Malawi

As core funding for sexual and reproductive

healthcare becomes increasingly uncertain,•building resilient MAs that can generate income,reduce their dependence on donors and achievefinancial and organizational sustainability is crucial.
Several MAs are therefore diversifying their funding
sources through social enterprise.

IPPF’s Social Enterprise Acceleration Programme(SEAP) was set up to strengthen MAs’ capacity toapply entrepreneurial best practices in the healthsector with the aim of delivering social value and•improving lives. One of our Centers and Funds, it
is hosted by The Family Planning Association of Sri

Lanka (FPASL), whose dedicated team is known as
the Social Enterprise Hub.
FPASL shares its expertise and experience of
successful social enterprise, promoting learning
across the Federation. In 2023, 24 MAs benefited
from the Social Enterprise Hub’s technical supportand resources. Highlights included:

56

Scaling Up Social Enterprise

Seed grants to support three MAs’ social

Plans for 2024 are aligned with IPPF’s strategy andsupport a range of projects, including traditional
handicrafts led by women survivors of SGBV andto enhance business acumen. In addition, theSocial Enterprise Hub will support MAs to use its

enterprise projects in the period July 2023 –June 2024. Grants were awarded to MAs in
Bhutan, Palestine and Trinidad and Tobago tolaboratory services.
Online capacity building workshops to shareknowledge, experience and tips on building astrong business. Thirty people from 16 affiliatedorganizations from all six IPPF regions took partin an advanced two-week workshop, which

equipped participants with the skills to develop
their start-up ideas and expand their social•

enterprise projects.
Face-to-face technical assistance visits by
the Social Enterprise Hub. Onsite visits provide

a valuable opportunity for the FPASL team tounderstand firsthand the local challenges andfactors affecting businesses, and tailor theirsupport accordingly. In 2023, the Hub conductedsite visits to six MAs in Ghana, Kenya, Laos, Nepal,
Philippines and Somaliland, offering technicalsupport and capacity building.

include tailored technical assistance, focused
support for nine MAs that have shown the greatest
potential for growth and an online global workshop

e-commerce store, Planet361°, where they can sell
their products and services and, ultimately, deliversocial impact.
Family Planning Association of Trinidad andTobago (FPATT) is one example of an MA supported
through SEAP which has successfully taken asocial enterprise approach. Recognising a gap

in the market between free but overcrowded
public health, and expensive private care, FPATT
launched a new diagnostic clinic. The clinic

provides integrated sexual and reproductive
health services including the early detection andtherefore treatment of reproductive cancers, offers
an economical alternative to private healthcare
and addresses the access gap for marginalized
populations. The clinic recouped its costs in thefirst year of operation and continues to offer asustainable income source to the MA.

Scaling Up Social Enterprise57

Annex A
IPPF’s Results
Framework 2023-28
CENTER CARE
ON PEOPLE
Expand Choice
Widen Access
Advance Digital & Self Care

MOVE THESEXUALITYAGENDA
Ground Advocacy
Shift Norms
Act with YouthSOLIDARITY
FOR CHANGE
Support Social Movements
Build Strategic Partnerships
Innovate & Share Knowledge

NURTURE OUR
FEDERATION

1. Proportion of [service providing] MAs/CPs providing
IPES-plus AND meeting quality standards.
2. Number of clients served by type of services
and model of care (including Digital HealthInterventions (DHIs), facilitated self-care) withfocus on adolescents and young people, people inhumanitarian settings and other marginalized andexcluded people.
3. Number of services provided by type of services andmodel of care (including DHIs, facilitated self-care)with focus on adolescents and young people, people
in humanitarian settings and other marginalized
and excluded people.
4. Aggregated proportion of MAs’/CPs’ contribution to
the national SRH services provided in their countries.
5. Number of successful policy initiatives andlegislative changes in support or defence of SRHR.
6. Shifts in perception and attitudes in relation togender equality and inclusion across the Federationand the communities we serve.
7. Quality, reach and impact of CSE, youth-centredcare, and progress in youth engagement in theFederation.

8. IPPF’s contribution in supporting social movements
and defending activists.
9. Number of intra- and inter-sector campaignsdelivered by the federation in support or defence of
SRHR, through a diversity and decolonization lens.
10. Proportion of research and evidence initiatives
generated by MA-led centres of learning that arefrom the global south.
11. Proportion MAs/CPs receiving less than 50% of theirincome from one single donor.
12. Overall Secretariat Efficiency Score.

Walk the Talk
Chart our Identity
Grow our Federation
58

Annex A IPPF’s Results Framework 2023-28

Pillar 1
Center Care on PeopleMAsreporting2023
result2022
result% change

109

4%

n/a

n/a

109

71,431,400

71,546,413-1%

Aged 10-19

109

9,838,994

10,019,051-2%

Aged 10-24

109

28,227,132

27,751,040

2%

Poor and marginalised

109

60,672,123

61,728,357-2%

Female109

58,737,811

59,976,224-2%

Served in humanitarian contexts

44

12,511,533

9,959,295

26%

109

222,428,995 226,907,307-2%

Aged 10-24

109

102,113,394

100,981,569

1%

Self-care12

20,88914,03749%

Digital health interventions (DHI)

18

225,389

No datan/a1

Proportion of [service providing] MAs/CPs providing
IPES-plus AND meeting quality standards

2

Number of clients served by type of services and model of care
Total clientsof which:3

Number of services provided by type of services and model of care
Total servicesof which:

4

Aggregated proportion of MAs’/CPs’ contribution to the national SRH services provided in their countries
Proportion of contraception provided by IPPF MAs*

13

10.8%

n/a

n/a

Proportion of abortion services provided by IPPF MAs**

52

3.9%

n/a

n/a

Pillar 2
Move the Sexuality AgendaMAsreporting2023 result

2022
result5

Number of successful policy initiatives and legislativechanges in support or defence of SRHR

44

115

150

6

Shifts in perception and attitudes in relation to genderequality and inclusion across the Federation and thecommunities we serve

4

Results of study reported
on page 26

n/a

7

Quality, reach and impact of CSE, youth-centred care,and progress in youth engagement in the Federation

4

Results of study reported
on page 28

n/a

MAs
reporting2023 result

2022
resultPillar 3
Solidarity for Change
8

IPPF’s contribution in supporting social movements
and defending activists

4

Results of study reported
on page 42n/a9

Number of intra- and inter-sector campaignsdelivered by the federation in support or defence of
SRHR, through a diversity and decolonization lens.

20

48

n/a

10

Proportion of research and evidence initiatives
generated by MA-led centres of learning that are fromthe global south

9

56%

n/a

MAs
reporting2023 result

2022
result66%

n/aPillar 4
Nurture our Federation
11

Proportion MAs/CPs receiving less than 50% of theirincome from one single donor

56

12Overall Secretariat Efficiency Score-n/aAnnex A IPPF’s Results Framework 2023-28

59Annex B
Services and CYP

Table B2
Number of couple years of protection provided, by region, by method,2022 and 2023
MethodImplant

Table B1
Number of sexual and reproductive health services delivered, by region,
by service type, 2022 and 2023
Service
category
Contraceptive
Services
STI/RTI

Obstetrics

Gynaecology

HIV/AIDS

Paediatrics
Specialised
SRH
Abortion

Urology

SRH Other

Subfertility

Total
Number of
responses

60

Year

ACR

AR

AWR

EN

ESEAOR

SAR

Total

2023

4,141,885

37,616,512

22,766,448

208,330

5,485,616

5,481,421

75,700,212

2022

4,336,549

51,087,581

10,104,238

197,554

6,273,833

8,947,681

80,947,436

2023

5,363,698

12,545,869

4,436,856

269,4903,439,537

3,011,577

29,067,027

2022

4,830,761

13,054,260

3,825,059

205,616

3,504,090

3,017,654

28,437,440

2023

1,618,270

6,975,172

16,194,205

27,622

841,3142,927,252

28,583,835

2022

1,425,483

5,168,311

16,014,914

19,916

1,250,166

4,360,074

28,238,864

2023

2,763,727

9,489,572

9,525,111

146,1122,575,607

3,562,593

28,062,722

2022

2,859,583

10,878,628

7,729,267

83,9703,214,945

3,529,323

28,295,716

2023

1,117,210

15,074,294

2,425,058

176,498

1,714,308

2,835,708

23,343,076

2022

1,035,819

10,417,796

2,787,085

146,518

1,820,115

2,535,195

18,742,528

2023

19,531

1,752,401

7,996,683

766

167,792

2,439,303

12,376,476

2022

37,136

1,967,036

8,057,770

850

243,492

2,886,339

13,192,623

2023

540,540

1,804,140

2,750,231

307,619

1,814,608

1,001,765

8,218,903

2022

596,992

4,664,636

1,644,557

86,0181,767,195

934,098

9,693,496

2023

1,360,441

2,345,679

1,341,386

123,354528,911

198,513

5,898,284

2022

1,201,298

1,966,179

799,563

128,808

572,490361,7315,030,069

2023

427,265

1,363,817

2,765,534

5,035

271,071753,694

5,586,416

2022

478,565469,665

2,201,212

5,609

389,095

728,599

4,272,745

2023

83,682

708,542

1,057,799

47,694

44,183

1,855,668

3,797,568

2022

70,666932,2444,744,181

133,293

71,547

1,592,831

7,544,762

2023

136,582

418,560

1,013,386

4,282

112,510

109,156

1,794,476

2022

132,254

813,920

1,126,195

2,929

238,608

181,965

2,495,871

2023

17,572,831

90,094,558

72,272,697

1,316,802

16,995,457

24,176,650

222,428,995

2022

17,005,106

101,420,256

59,034,041

1,011,081

19,345,576

29,075,490

226,891,5502023(n=18)(n=34)(n=12)(n=17)(n=22)(n=6)(n=109)2022(n=17)(n=37)(n=12)(n=19)(n=24)(n=7)(n=116)

Annex B Services and CYP

Intrauterine
devices
Injectables
Oral
contraceptives
pills
Condoms
Voluntary surgicalcontraception(vasectomy andtubal ligation)
Emergency
Contraception
Other hormonal
methods
Other barrier
methods
Total
Number of
responses

Year

ACR

AR

AWR

EN

ESEAOR

SAR

Total

2023

1,313,713

4,975,773

240,179

1,048

79,68391,5616,701,957

2022

1,325,775

6,276,377

1,521,856

1,035

116,403

97,607

9,339,053

2023

861,293

1,995,189

1,665,431

23,544

250,770

133,677

4,929,904

2022

1,000,992

3,075,581

2,632,689

22,231

342,735

176,765

7,250,993

2023

580,815

1,087,575

115,275

141

29,72868,765

1,882,299

2022

898,566

2,272,809

109,031115

43,459184,435

3,508,415

2023

404,970

363,784

268,563559

99,360179,130

1,316,366

2022

430,946

1,591,496

451,297909

68,144

308,0362,850,828

2023

225,859448,804

60,842

6,337

299,043

259,874

1,300,759

2022

205,186

1,313,494

78,385

6,242

274,192

331,7102,209,209

2023

794,860

39,77079,860420

15,616

249,561

1,180,087

2022

732,720

48,37040,990100

17,850366,249

1,206,279

2023

34,144

14,379

4,669

93

590

96,424150,2992022

33,017

8,369

6,172

72

1,092

84,282133,0042023

31,961

0

10

36

321

0

32,3272022

33,912

0

0

35

322

0

34,269

2023

1

358

20

33

797

0

1,209

2022

1

582

60

37

881

0

1,561

2023

4,247,616

8,925,632

2,434,849

32,211775,908

1,078,992

17,495,207

2022

4,661,115

14,587,078

4,840,480

30,776

865,078

1,549,084

26,533,611

2023(n=18)(n=34)(n=12)(n=14)(n=22)(n=6)(n=106)2022(n=16)(n=37)(n=12)(n=15)(n=24)(n=7)(n=111)

Annex B Services and CYP

61

Annex C

Component 3: Finance systems strengthening

Indicator 12: Secretariat Efficiency Score
Component detail: components measured in 2023
Component

2022

2023

Result1

Total number of MAs or CPs in top 25 countries withlowest HDI or highest SRHR unmet need

86%

86%

No change

7

Proportion of MAs/CPs with 80% or more static clinics
with Clinic Management Information Systems including
client-based electronic health records

83%

89%

Improvement

8

Proportion of unrestricted Secretariat income allocatedto youth-led programming/ interventions

No data

1%

n/a

9

Overall financial resource mobilized$121.8m$120.9m

No change (<1%)

Component detail: components measured via KPIs (2024 baseline)
Year

KPI

2024

• Phase 1: Improvement of financial planning,budgeting, accounting and reporting for thesecretariat.

• 75% achievement of Phase 1 objectives.
• Feedback on user experience collected and used todrive continuous improvements in systems

2025• Phase 2: Improvement of financial planning,budgeting, accounting and reporting for thesecretariat.

• 80% achievement of Phase 2 objectives.
• Feedback on user experience collected and used todrive continuous improvements in systems

2026• Phase 3: Improvement of financial planning,budgeting, accounting and reporting for thesecretariat.

• 80% achievement of Phase 3 objectives.
• Feedback on user experience collected and used todrive continuous improvements in systems

2027• Phase 4: Improvement of financial planning,budgeting, accounting and reporting for thesecretariat.

• 80% achievement of objectives.
• Feedback on user experience collected and used todrive continuous improvements in systems

2028• All new solutions stabilised ensuring greater
efficiency in overseeing budgets, accounts andforecasts, vendors, travel being undertaken acrossthe secretariat.
• Clear documentation of policies, accounting
treatment and processes set up within thesecretariat – ensuring ease of handover between
teams, as and when required.

• 95% achievement of objectives of all phases.
• Feedback on user experience collected and used
to drive continuous improvements in systems (asdemonstrated by tracking progress against an
action plan based on user feedback).

Component 4: IT systems strengthening2024• Phase I: Revamping the IT environment by adopting • 50% achievement of overall objective
cloud first approach, embracing modern software• Feedback on user experience collected and usedtechnologies for enhanced security, efficient user
to drive continuous improvements in systems (asexperience aimed at streamlining data governancedemonstrated by tracking progress against an
and maximizing impact.
action plan based on user feedback).

2025• Phase II: Revamping the IT environment by adopting • 70% achievement of overall objective
cloud first approach, embracing modern software• Feedback on user experience collected and usedtechnologies for enhanced security, efficient user
to drive continuous improvements in systems (asexperience aimed at streamlining data governancedemonstrated by tracking progress against an
and maximizing impact.
action plan based on user feedback).

2026• Phase III: Revamping the IT environment byadopting cloud first approach, embracing modern
software technologies for enhanced security,
efficient user experience aimed at streamlining
data governance and maximizing impact.

• 80% achievement of overall objective• Feedback on user experience collected and used
to drive continuous improvements in systems (asdemonstrated by tracking progress against an
action plan based on user feedback).

2027• Phase IV: Revamping the IT environment byadopting cloud first approach, embracing modern
software technologies for enhanced security,
efficient user experience aimed at streamlining
data governance and maximizing impact.

• 90% achievement of overall objective• Feedback on user experience collected and used
to drive continuous improvements in systems (asdemonstrated by tracking progress against an
action plan based on user feedback).

2028• Stabilise all IT solutions, hardware, networks, andsecurity systems Cultivate a culture of continuous
improvement and adaptation to stay ahead ofevolving technology trends, market dynamics,& customer expectation. Explore emerging
technologies to drive innovation and gain acompetitive edge.

• 95% achievement of objectives of all phases• Feedback on user experience collected and used
to drive continuous improvements in systems (asdemonstrated by tracking progress against an
action plan based on user feedback).

MeasureComponent 2: HR systems strengthening2024• Identify and implement a new payroll system for the • 30% of Secretariat offices adopt the new payroll
Secretariat.
system.
• Identify a new human resources information system • Consultation conducted on user experience for(HRIS) and start implementation across Secretariat.
performance.
• Set up a staff survey and culture tool to enable• Complete staff survey and share results with leadersbetter insights and activity on engagement.

2025• Complete implementation of global payroll system.
• Implementation of new HRIS and integration withpayroll, recruitment, onboarding, performance
management, IPPF Academy and finance.

2026• Drive automation and improvement of systems to• 60% usage of new HRIS for all recruitment,
manage HR processes efficiently, including resource onboarding and core HR
management.
• Drive usage through effective comms andengagement campaign.

2027• Drive automation and improvement of systems to• 80% compliance and usage of HRIS
manage HR processes efficiently, including resource
management.
• Drive usage through effective comms andengagement campaign.

2028• Well-functioning HRIS with a Learning management • 90% compliance and usage of HRIS
system and talent processes• 100% of Secretariat offices adopt and report throughnew payroll system.
• 80% contractual compliance to tax and law in all
countries.

Component 5: Data systems strengthening
2024
2025
2026

62

Annex C

• Number of MAs implementing Enhanced Data
Reporting (providing service statistics data via
extract for import)• 30 MAs• 36 MAs• 44 MAs

2027• 52 MAs

2028• 60 MAs

Annex C

63

Component 6: Learning systems strengthening2024• Completion rate of mandatory training modules
through the IPPF Academy• 60% completion of mandatory training modules for
Secretariat staff

2025• IPPF academy upgraded and customized to meet
Secretariat and MA needs• User needs analysis and subsequent system
upgrades completed.
• 75% completion of mandatory training modules for
Secretariat staff.
• Plan developed and rolled out for MA engagement /usage of IPPF Academy.

2026• IPPF Academy integrated with HR system andperformance management system• System integration complete with
• 80% completion of mandatory training modules for
Secretariat staff

2027• IPPF academy is consistently used by IPPF staff andMAs• 50% user adoption rate of secretariat.
• MA usage as per targets in MA engagement plan.
• 90% completion of mandatory training modules for
Secretariat staff

2028• User adoption rate of IPPF Academy by Secretariat
and MAs• 70% user adoption rate of secretariat.
• MA usage as per targets in MA engagement plan
• 90% completion of mandatory training modules for
Secretariat staff

Component 10: Progress in anti-racism and anti-discrimination programme of action
2024

2025

2026

64

• Launch of online anti-racism course on Academy• Review of HR polices and processes to make themmore inclusive and anti-racist• 70% of employees complete anti-racism e-learning.
• 80% of feedback forms are positive about AR
learning sessions• Review and approval of 5 HR policies to make themmore inclusive• Inclusive language guide completed and rolled out
in all Secretariat languages• Aspirations for AR agreed and tracked through aplan of activities• Functioning Anti-racism Sub-committee of the BoT
to oversee activities in the plan
• Regular communications regarding anti-racism
and anti-discrimination efforts through SharePoint,
Townhalls, MA forum, intersectional collaboration
with IPPF Pride and gender work.

• Language guide distributed across Secretariat andMAs• Anti-racism plan finalised and disseminated• AR BoT sub-committee working with regularmeetings• Anti-racism learning curriculum included as part of • 50% staff complete Anti-racism learning within 6
induction and as a refresher course
months of joining IPPF
• Regular learning events on anti-racism held for• Feedback from affiliation group for AR in the
Secretariat and MAs
Secretariat reflected in anti-racism plan
• Affiliation group feeding back to IPPF
• Refreshed anti-racism plan activities developed and• Refreshed Anti-racism plan developed following GA
disseminated2027• Anti-racism learning curriculum as part of induction • 60% of staff complete Anti-racism learning within 6months of joining IPPF
• Anti-racism activities implemented according to
plan

2028

• Anti-racism learning curriculum as part of induction • 70% of staff complete Anti-racism learning within 6months of joining IPPF
• Anti-racism activities implemented according toplan

Annex C

References
1

IPPF (2022) Come Together: IPPF Strategy 2028. Available at:https://www.ippf.org/resource/come-together-ippf-strategy-2028

2

United Nations Office for the Coordination of Humanitarian Affairs (2024) Global Humanitarian
Overview 2024. Available at:https://www.unocha.org/publications/report/world/global-humanitarian-overview-2024enarfres

3

Moussi, C A (2023) Violence Against Women in Cameroon: The Maputo Protocol and
Cameroon’s Human Rights Obligations. Available at: https://www.svri.org/violence-againstwomen-in-cameroon-the-maputo-protocol-and-cameroons-human-rights-obligations/

4

IPPF (2021) IMAP Statement on Abortion Self-Care. Available at:https://www.ippf.org/resource/imap-statement-abortion-self-care

5World Health Organization (2022) WHO Recommendations on Self-Care Interventions:Self‑Management of Medical Abortion, 2022 Update. Available at:https://www.who.int/publications/i/item/WHO-SRH-22.1

6

IPPF (2010) Framework for Comprehensive Sexuality Education. Available at:https://www.ippf.org/sites/default/files/ippf_framework_for_comprehensive_sexuality_
education.pdf

7

IPPF (2022) Client-Centred Clinical Guidelines. Available at:https://www.ippf.org/resource/client-centered-clinical-guidelines

8

ILGA World (2024) Legal Frameworks | Criminalisation of Consensual Same-Sex Sexual Acts.
Available at: https://database.ilga.org/criminalisation-consensual-same-sex-sexual-acts

9

BBC (2024) Mauritius’ Supreme Court decriminalises same-sex relations. Available at:https://www.bbc.co.uk/news/world-africa-67015474

10 United Nations Population Fund (UNFPA) (2022) Maternal Health. Available at:https://www.unfpa.org/maternal-health#summery105917
11

World Health Organization (2021) COVID-19 continues to disrupt essential health services in 90%
of countries. Available at: https://www.who.int/news/item/23-04-2021-covid-19-continues-todisrupt-essential-health-services-in-90-of-countries

References65

Thank you

Board of Trustees
As of May 2024

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

Chair of Board of Trustees
Kate Gilmore
Vice Chair

Ulukbek Batyrgaliev
Honarary Legal Counsel (ex-officio)
Aileen McColgan

Bill & Melinda Gates Foundation

Government of the Netherlands

Bessemer Trust

Government of New Zealand

CARE International

Government of Norway

David & Lucile Packard Foundation

Government of the Republic of Korea

Erik E. and Edith H. Bergstrom Foundation

Government of Sweden

European Commission

Government of Switzerland

Global Fund to Fight AIDS, Tuberculosis and Malaria

Government of Thailand

Government of Australia

Government of United Kingdom

Government of Belgium

Government of United States of America

Government of Canada

Merck & Co.

Government of China

MSI Reproductive Choices

Government of Denmark

Open Society Foundation

Government of Finland

Organon Asia Pacific Services

Government of France

Swedish Association for Sexuality Education (RFSU)

Government of Germany (BMZ, GIZ)

United Nations Foundation

Government of Ireland

University of California San Diego

Government of Japan

William and Flora Hewlett Foundation

Government of Luxembourg

World Health Organisation

Government of Malaysia
Plus donations from generous supporters, benefactors and anonymous friends

Trustees
Isaac Adewole

Patrick Mwebesa

Rose-Marie Belle Antoine

Sami Natsheh

Hayathe Ayeva

Elizabeth Schaffer

Daren Katigbak

Rada Valchonova

Jon Lomøy

Karina Vartanova

Directors’ Leadership Team as of May 2024
Director-General | Alvaro Bermejo
Director, External Relations | Mina Barling
Director, Finance and Technology | Varun Anand
Director, People, Organization and Culture | Lucy Fernie
Director, MA Development & Impact | Manuelle Hurwitz
Africa Regional Director | Marie-Evelyne Petrus-Barry
Americas and the Caribbean Regional Director | Eugenia López Uribe
Arab World Regional Director | Fadoua Bakhadda
East and South East Asia and Oceania Regional Director | Tomoko Fukuda
European Network Regional Director | Micah Grzywnowicz

The photographs used in this publication are for illustrative purposes only; they
do not imply any particular attitude, behaviours or actions on the part of any

South Asia Regional Director | Tomoko Fukuda (interim)

person who appears in them.
66

Thank you

Board of Trustees

67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
Building on a proud history of over 70 years of achievement, we commit tolead a locally owned, globally connected civil society movement that provides
and enables healthcare and champions sexual and reproductive health andrights for all, especially the under-served.

Published in 2024 by the International Planned Parenthood Federation—
4 Newhams Row, London SE1 3UZ, UK
T: +44 (0)20 7939 8200
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www.ippf.org—
UK Registered Charity No. 229476