Shaping
our future
Annual Performance Report 2021

Who we are
The International Planned Parenthood
Federation (IPPF) is a global healthcare
provider and a leading advocate ofsexual and reproductive health andrights for all. We are a worldwide
Federation of national organizations
working with and for communities andindividuals in more than 140 countries.

143

Member Associations
and Collaborative
Partners

20,025 41,085
Staff

Service delivery
points worldwide

Acknowledgements

We would like to express thanks to the IPPF volunteers andstaff of Member Associations and the Secretariat who havecontributed to this report.

Editorial

Manuelle Hurwitz
Sarah Hyde

Data analysis

Gervais Thompson

Production and coordination
James Newton
Priti Prabhughate
Mahua Sen

DesignConfederation StudioThroughout 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 andnot rounded figures, and may not add up to 100 per cent.
2

Cover photo: IPPF/Xaume Olleros/Benin

Foreword

4

Outcome 1

8

Securing the right to legal abortion in Benin

12

Decriminalizing abortion in Mexico

16

The Arab Council for Population and Development

20

Advocacy at the UN Human Rights Council

24

Outcome 2

28

Delivering comprehensive sexuality educationin the Philippines after Typhoon Goni

32

Combating female genital mutilation in Mauritania

36

Outcome 3

40

IPPF’s Humanitarian Programme in 2021

46

Saving lives from cervical cancer in Togo

52

Digital health platforms expand access to abortion
self-care in Cambodia

56

Outcome 4

60

Optimizing clinic management information systems
in the Caribbean

64

Ensuring a steady supply of commodities

68

Updates from IPPF

72

Harnessing the potential of digital health74

Centers and Funds update

82

Movement Accelerator Platform

86

IPPF’s Anti Racism Programme of Action

90

Safeguarding and Incident Management

94

IPPF’s next Strategy

98

Annexes106

References

113

Thank you114

Board of trustees

1153Foreword
IPPF has always done the utmost toadvance sexual and reproductive
health and rights for all. In 2021, IPPF
Member Associations (MAs) continued
to demonstrate their resilience andadaptability to carry on serving people
in spite of the severe disruption causedby the COVID-19 pandemic.
A total of 231.4 million services were delivered, a six
per cent increase on 2020. Despite comprising fewer
MAs, IPPF recovered more than half the decreasecaused the previous year by clinic closures andother restrictions. Couple years of protection (CYP)
increased by eight per cent to reach 29 million –higher than in any year prior to the pandemic.
MAs haven’t just worked against the clock to reopen
static clinics safely. They have also pivoted to reachmore clients closer to where they live and work,
using mobile clinics and providing services in thecommunity. More than half the MAs that provide
services used online or other remote methods toreach clients in 2021, with an estimated total of over
six million services delivered digitally.
We remained present and steady in humanitariancrises, providing life-saving care to marginalized
and vulnerable people, including sexual andgender-based violence services.

4

Young people stand at the centre of IPPF and what
we do. In 2021, IPPF MAs provided 34.8 million young
people with quality-assured comprehensive sexuality
education and trained over 100,000 educators toprovide comprehensive sexuality education.
In an increasingly polarized world, IPPF MAs were at
the forefront of challenging unjust laws and policies
that prevent people from realizing their sexual andreproductive rights. Our collective advocacy efforts
helped bring about change in abortion laws andpolicies in Argentina, Benin, Mexico, South Korea andThailand. Our support led to Botswana becoming
the fifth country in Africa to decriminalize same-sex
relations. IPPF achieved 121 advocacy wins in 2021
to support or defend sexual and reproductive
health and rights and gender equality, of which
18 were at a global level, 25 at a regional level, 54
at a national level and 24 at a sub-national level.
The US Administration repealed the Global Gag Rule,but we have not yet achieved its permanent repeal.

And now we have to ready ourselves for a mostharmful Supreme Court decision to overturn Roe v.
Wade that will likely lead to abortion being restrictedeven in the most extreme cases in 26 US states.
Given the economic climate, IPPF’s financial results
were exceptional. We did not make use of any ofthe business support measures made available
by the UK Government – and in fact were hard hit by
the catastrophic cuts to their official development
assistance. Income raised for the year by the
Secretariat (US$164.7 million) fell by only 0.8 per cent
(US$1.4 million) from 2020. Unfortunately, the drop inincome was felt more in middle- and lower-income
countries, where income raised locally by grantreceiving MAs fell by 12 per cent to US$190.6 million.
With tighter management in a unified Secretariat
and less travel, total expenditure (US$147.3
million) decreased by 7.6 per cent (US$12.3million)
compared to 2020.
This report measures IPPF’s performance against
our current Strategic Framework, which runs from2016 to 2022 and is outlined on page 7. Throughout
2021 and the first half of 2022, we have beendeveloping an ambitious new strategy for theperiod 2023–2028, welcoming ideas and input fromacross the Federation. This strategy will ensurethat we can work more effectively as a Federation
to meet the needs of the clients of the future. It
reimagines sexual and reproductive health andrights to encompass more than just the basics of‘choice’. And it shapes a pathway to a future thatcelebrates pleasure, sexuality and bodily autonomy
in a just and equal world.

6%

increase in services
delivered in 2021

8%

increase to Couple
years of protection(CYP) – higher thanin any year prior to
the pandemic.

IPPF’s outstanding results and successes are due to theresilience, determination and strength of the people
who form the Federation. I humbly acknowledge
and show immense gratitude for the expertiseand courage of our frontline healthcare workers
and activists, the MAs that supported sweeping
governance reforms and resource allocation
changes that strengthened our Federation, and theexceptional support received from funding partners
and supporters as we set about this transformation.
Thank you for accompanying us.

Dr Alvaro Bermejo
Director-General, IPPF

5

Our Vision
All people are free to make choices about their sexuality
and well-being, in a world without discrimination

Outcome 1

Outcome 2

Outcome 3

Outcome 4100

1 billion

2 billion1

governments respect,
protect and fulfil sexualand reproductive
rights and genderequality

people act freely
on their sexual andreproductive healthand rights

quality integrated
sexual andreproductive healthservices delivered

high-performing,
accountable andunited Federation

Galvanizecommitment andsecure legislative,
policy and practice
improvements

Enable young people to

Deliver rights-based
services including
safe abortion and HIV

Enhance operational
effectiveness anddouble national andglobal income

Enable services
through public andprivate healthprovidersGrow our volunteer
and activist
supporter baseaccess comprehensive

sexuality education andrealize their sexual rights

Engage champions,
opinion formers andthe media to promotehealth, choice
and rights

Engage women andyouth leaders as
advocates for change

IPPF’s Mission
All to lead a locally owned globally connected civil society movementthat provides and enables services and champions sexual andreproductive health and rights for all, especially the under-served

Our Values
SocialInclusion

6

Photo: IPPF/Hannah Maule-ffinch/Sudan

Volunteerism

PassionDiversity

Accountability

7

Photo: IPPF/Xaume Olleros/Benin

Outcome 1:
Championrights100 governments respect, protect
and fulfil sexual and reproductive
rights and gender equality

89Outcome 1:
Champion rights
During 2021, IPPF continued to engage in advocacy
at inter-connected levels – globally, regionally,nationally and locally – as an effective tool touphold sexual and reproductive rights for all. IPPF
leverages the expertise and knowledge of MAs andother partners to identify key issues, shift opinion
and foster widespread support among decisionmakers, influencers and the general public.
IPPF contributed to a total of 121 policy and legislativechanges in support or defence of sexual andreproductive health and rights (SRHR) and genderequality in 2021. That’s over two wins a week. 78 ofthese advocacy wins were due to work carried out
by MAs, of which 54 were at the national level and 24
at the sub-national level. A further 43 were recordedby the IPPF Secretariat, with 18 at the global leveland 25 regionally. Of the 121 wins, 23 policy andlegislative changes related to increasing access tosexual and reproductive health services, 17 promoted
sexual and reproductive rights, and 19 focused on
preventing sexual and gender-based violence.
Seventeen of IPPF’s advocacy wins promoted
access to safe and legal abortion, many of themhigh-profile, hard-fought battles. Case studies on
the following pages describe advocacy successes
in Benin and Mexico. The situation in the UnitedStates is however increasingly of concern. IPPF
welcomed President Biden’s decision in January
2021 to rescind the Global Gag Rule (GGR). This
harmful policy prohibited foreign non‑governmentalorganizations (NGOs) who receive US global healthassistance from providing legal abortion services
or referrals, while also barring advocacy for abortion
law reform – even if carried out with the NGO’s own
funds. This fuelled an increase in unintended, highrisk pregnancies, unsafe abortions and maternal

10|

Outcome 1: Champion rights

121
Result 1

successful policy and/or
legislative changes in support
or defence of sexual andreproductive health and rights
and gender equality

deaths, particularly impacting the poorest andmost marginalized people. With IPPF MA, Planned
Parenthood Federation of America (PPFA), we havebeen calling for a permanent end to the GGR.
To this end, PPFA worked with champions in Congress
to reintroduce the Global Health, Empowerment andRights Act. Through coordinated coalition efforts,
including leadership from PPFA, the bill gained
unprecedented support in the House, Senate andfrom a wide range of organizations. Throughout
2021, PPFA built momentum for a permanent repeal,
including instigating a joint statement with IPPF
that was signed by over 200 organizations from 88
countries.1 The MA also secured media coverage andprovided timely briefings for policymakers, donors
and coalition members. These efforts resulted in the
inclusion of language to permanently repeal the
Global Gag Rule passed in the House and introducedin the Senate. But disappointingly this was not partof the final spending bill for the fiscal year 2022. Now,
with the Supreme Court draft opinion heralding thepotential overturning of Roe v Wade, the right to safe,
legal abortion is at serious risk in America. Working
with PPFA, we will keep fighting for people’s liberty,
bodily autonomy and rights.

552
Result 3

youth and women’s groups
supported to take a public
action on sexual andreproductive health and rights

Photo: IPPF/CJ Clarke/India

An important element of IPPF’s advocacy work
is supporting women’s and youth groups to takepublic action to promote or defend sexual andreproductive health and rights. This includes
encouraging groups taking part in demonstrations
to advance SRHR; raising a group’s awareness of
an issue to lead them to make a public statement;
or training a group, which then briefs decisionmakers on sexual and reproductive health andrights. In 2021, IPPF supported a total of 552 youth
and women’s groups to take a public action on
SRHR, of which 310 were women’s groups, 155 wereyouth groups and 87 were groups supporting both.
IPPF’s Advocacy Common Agenda sets out ajoint vision for advocacy across the Federation. 2
The ambitious roadmap aims to bring about
national political change, placing accountability
at the centre. There are five priority high-levelchanges to achieve and nine expected results,
with six pathways in place. In 2021, a comprehensive
mid-term review was carried out to assess
progress so far and identify any changes required.
It found that IPPF has achieved key milestones
towards the overall goals and that the Advocacy
Common Agenda has united different parts of
the Federation engaged in advocacy to agree onshared priorities. Challenges include the impact of
COVID-19 on advocacy: for example, travelling andmeeting decision-makers in person has become
more difficult. The mid-term review recommended
a greater focus on innovation to adapt to new
circumstances, increased youth leadership in
advocacy and stronger operational planning.
IPPF has taken these findings on board and havedrawn up a set of detailed recommendations
for the Secretariat and MAs to implement.
At the Generation Equality Forum, held in Mexico
City and Paris in 2021, IPPF was proud to co-lead theAction Coalition on Bodily Autonomy and Sexualand Reproductive Health and Rights. The coalition
agreed bold action on comprehensive sexuality
education, abortion and the ability of all people,
including women, to make autonomous decisions
about their bodies free from coercion, violenceand discrimination. IPPF made commitments at
the Forum to accelerate universal access to safe
abortion care by expanding provision of abortion
care, integrating abortion care into humanitarian
responses, and advocating for the decriminalizationof abortion and the removal of coercive policies andlegislation on abortion in 25 countries.3

11Outcome 1: Case study

Securing the rightto legal abortionin Benin

In a landmark vote in October 2021, MPs legalized
abortion in Benin in most circumstances. Under
the previous highly restrictive law on sexual andreproductive health, abortion was only permitted
if the pregnancy posed a risk to the woman’s life,
was a result of rape or incest, or if there was a foetal
abnormality. Many women experiencing unintended
pregnancy had to resort to unsafe abortion, with
the Ministry of Health estimating that complications
caused 20 per cent of maternal deaths.

Benin

However, new legislation has extended the grounds
under which women can access an abortion in thefirst 12 weeks of pregnancy beyond the stipulationsof the Maputo Protocol, enabling them to claim their
human right to make decisions about their own
bodies. It is a huge step forward, with abortion still
highly restricted in most countries in West Africa.

IPPF MA, Association Béninoise pour la Promotion
de la Famille (ABPF), was instrumental in changing
the law, despite opposition from religious leaders.
For many years, ABPF has been a powerful advocate
for safe abortion in the country. With support fromthe David and Lucile Packard Foundation, the MA
has reduced the stigma faced by people who
seek, provide or support abortion. ABPF has also
partnered with the IPPF-hosted Safe Abortion Action
Fund to expand access to abortion care. In a recent
project, Sa Santé, Ses Choix, supported by Rutgers– IPPF MA in the Netherlands, the MA joined forces
with gynaecologists, midwives, female lawyers andhigh-profile figures in advocating for policymakers
to create a favourable environment for accessto abortion care.

12|

Securing the right to legal abortion in Benin

Photo: IPPF/Xaume Olleros/Benin13

Photo: IPPF/Xaume Olleros/BeninABPF secured support from a wide rangeof partners and decision-makers, especiallyparliamentarians, to change the law onsexual and reproductive health. The MA
implemented various advocacy strategies,
including organizing a visit by over twenty
MPs to its clinics. As a result, there wasgreater awareness and support fromparliamentarians to sexual and reproductive
health and rights, with a commitment
to revisit the law.

This was also accompanied by technical workshop,
attended by parliamentarians, government officials
and women’s and youth organizations, during whicha roadmap to legal reform was agreed. And in early
October 2021, ABPF briefed parliamentarians on key
sexual and reproductive health issues, including
comprehensive sexuality education.
In addition, ABPF took part in a committee thatrevised the legislation, enabling the MA to gain
access to influential MPs and government officials.
In collaboration with UN organizations, such as
UNFPA and WHO, ABPF is also seeking to strengthen
the implementation of the new law. Finally, ABPF
brought together the press and civil society in aroundtable event to encourage accurate reportingof the new legislation in the media.

01
14

|

Securing the right to legal abortion in Benin

Photo: IPPF/Xaume Olleros/Benin

0215

Outcome 1: Case study

Decriminalizing
abortion in Mexico

In September 2021, Mexico’s Supreme Court
ruled that punishing women and pregnant
people who terminate early pregnancies
is unconstitutional. The highest judicial
authority in the land voted unanimously todecriminalize abortion in the northern stateof Coahuila. Previously, people seeking andproviding an abortion could be prosecuted,
with penalties ranging from a fine to
imprisonment.

Significantly, the Court recognized reproductive
autonomy as a human right. The ruling was awatershed moment in Mexico, the world’s second
largest Catholic country.
The decision is a major victory for feminists anddefenders of human rights and reproductive
justice. It follows years of advocacy and activism
by women’s rights movements and civil society
organizations, including IPPF MA, Fundación
Mexicana para la Planeación Familiar (Mexfam).
In 2019, the Supreme Court considered a claim
submitted by Mexfam highlighting the failureof the state of Veracruz to decriminalize abortion.

Photo: IPPF/Brenda Islas/Mexico
Photo: IPPF/Brenda Islas/Mexico

16|

Decriminalizing abortion in Mexico

17

The MA used rights-based arguments, including froma sexual and reproductive rights and gender equality
perspective, to make the case for decriminalization.
For over two years, the claim went through the Court.
During this period, Mexfam and other civil society
organizations put forward arguments and discussed
them with the Court’s judges. When the Supreme
Court ruled in 2021, Mexfam saw that some concepts
relating to bodily and reproductive autonomy had
been taken on board, illustrating the MA’s contribution
to the final decision.
The ruling sets an important precedent, which
advocates hope will pave the way for decriminalizing
abortion across the country and in the region.
Yet the battle for reproductive rights is not over,as the decision does not necessarily mean increased
availability of quality abortion care. Mexfam andits allies are pushing for the ruling to be observed
throughout Mexico.
The MA will pursue litigation to uphold women’s
rights if they are denied access to abortion careand prosecuted. It is also providing legal support toministries of health at the state level so that they canoffer abortion care. In addition, Mexfam is advocating
for more states to decriminalize abortion.

Photo: IPPF/Brenda Islas/Mexico

Photo: IPPF/Brenda Islas/Mexico“This historic ruling by the Supreme
Court of Mexico is thanks to the feminist
movement in Mexico and in the region,
who have been relentless in their fightfor the law to recognize the dignity andhumanity of people seeking access toabortion. This decision will continue
the Green Wave ripple effect across theregion – we look at Argentina last year
and now Mexico and Colombia, these
movements give us hope and motivation
to continue to fight for sexual andreproductive health and rights for all.”— Eugenia López Uribe,
IPPF Regional Director for the Americas and Caribbean

Mexico18|

Decriminalizing abortion in Mexico

19Outcome 1: Case study

The Arab Council
for Population andDevelopment
Photo: IPPF/Samar Abu Elouf/Palestine20|

The Arab Council for Population and Development

Thanks to its effective partnership with
the League of Arab States, IPPF Arab World
Regional Office was invited to take part in
the third annual session of the Arab Council
for Population and Development (ACPD),
held in Cairo, Egypt in December 2021.
The ACPD, which was launched in Amman, Jordan
in 2019 under the umbrella of the League of ArabStates and with the support of IPPF Arab World Region,
comprises national heads of population councils
and ministers of health. Its remit includes addressing
development challenges and population dynamics
in the region and accelerating the 2030 Agenda for
Sustainable Development.

Photo: IPPF/Hannah Maule-ffinch/Lebanon

21At the meeting of the ACPD last year, theArab World Regional Office put forward
compelling arguments and persuasive
statements calling for reproductive healthto be integrated into the Council’s priorities.
As a result of these advocacy efforts, the ACPD adopted
a resolution in its final report regarding capacity buildingof national population councils and committees in thefield of reproductive health. The resolution outlines threeactions, which specify collaboration with the IPPF Arab
World Region. Namely, the resolution requests the ACPD
Secretariat to:

1
3
22

|

This resolution is highly significant. It provides anentry point for IPPF to work closely with national
population councils and committees in identifying
reproductive health needs, young people’s needs
and development issues at the national level
and across the region. It also creates a valuable
opportunity for the IPPF Arab World Region to help
train national population council staff.

Photo: IPPF/Hannah Maule-ffinch/Sudan

This will not only strengthen cooperation between
IPPF MAs and national councils and committees,
but also foster advocacy to prioritize sexual andreproductive health within national populationand development policies. In addition, the guide foryoung people on reproductive health – instigatedand endorsed by the ACPD and IPPF – will serve
as a powerful educational and advocacy tool.

Prepare, in partnership with UNFPA and IPPF, adocument that will be circulated to member states
to identify key reproductive health issues anddevelop proposals for initiatives based on the needsof each country.

2

Facilitate, in partnership with IPPF and Partners forPopulation and Development, a training workshop for
staff in national population councils and committees
to identify reproductive health issues at national andregional levels.

Develop, in partnership with IPPF, a guide for young
people on reproductive health.

The Arab Council for Population and Development23Outcome 1: Case study

Advocacy at the
UN Human Rights
Council

The resolution highlights the increased risk of violence
faced by women and girls with disabilities, including
sexual and gender-based violence, reproductive
violence such as forced sterilization, forced abortionand forced contraception, and the denial of sexualand reproductive healthcare. It also draws attention
to the multiple, intersecting forms of discriminationand violence experienced by women and girls withdisabilities in public, private and family settings.
Significantly, the resolution includes a reference
to intimate partner violence as one of the mostcommon forms of violence against women.
It recognizes that the COVID-19 pandemic has
fuelled the risk of violence, including sexual andgender-based violence, domestic violence andintimate partner violence. In addition, the text refers
to ‘safe abortion when not against national law’instead of ‘where’. This matters because it suggeststhat contexts – rather than countries – determine
the circumstances under which women may accesssafe abortion care.

The United Nations Human Rights Council,
meeting at its 47th session from 21 June
to 14 July 2021, adopted an importantresolution on preventing and responding
to all forms of violence against womenand girls with disabilities.

24|

Advocacy at the UN Human Rights Council

25

The Human Rights Council is the foremostinter-governmental body within the
UN responsible for strengthening thepromotion and protection of humanrights around the globe and addressing
human rights violations. Althoughdecisions are not legally binding, they
do send important political messages.

Photo: IPPF/Isabel Corthier/Mozambique

Led by Canada, the resolution was adopted byconsensus. This was despite two hostile amendments,
tabled by conservative states in an attempt to water
down language relating to sexual and reproductive
health and reproductive rights and delete a reference
to comprehensive sexuality education.
IPPF was actively engaged in the Human Rights
Council, working hard to shape the resolution
and mobilize support. The Federation followed
negotiations closely and provided strategic input
and timely comments to strengthen the draft
resolution. IPPF held bilateral discussions withMember States, core group members and other civilsociety organizations, offering evidence, guidance
and language suggestions. Working in collaboration
with allies, IPPF also helped defend the text against
hostile amendments and defeat efforts to oppose
progressive language.

Resolutions adopted by the Human Rights Council
can be used at national and regional levels
to advance a progressive agenda, promoteaccountability and, ultimately, bring aboutchange. This landmark resolution can be utilized
by advocates and human rights defenders toincorporate a rights-based approach to disability
and reaffirm sexual and reproductive healthand reproductive rights, free from coercion,
discrimination and violence.

Photo: IPPF/Kathleen Prior/India

26|

Advocacy at the UN Human Rights Council

27

Photo: IPPF/Omar Havana/Cambodia

Outcome 2:
Empower
communities
1 billion people act freely on their sexualand reproductive health and rights

28

29

Outcome 2:
Empower
communities
IPPF believes that everyone should be able to
make their own informed decisions about theirbodies and their sexual and reproductive health.
These are basic human rights. Yet around theworld people – especially young people – aredenied access to accurate, non-judgemental
information. That’s why delivering quality, rightsbased comprehensive sexuality education toyoung people, especially the most vulnerable andmarginalized, is an essential part of our work.
In 2021, IPPF MAs provided comprehensive sexuality
education to a total of 34.8 million young people,
representing a 36 per cent increase on 2020.
While IPPF MA in China contributed 89 per cent of
this total, the number of young people who received
comprehensive sexuality education in other countries
also grew from 3.4 million in 2020 to 4.0 million in 2021:
an 18 per cent increase. This growth was partly due togovernments around the world easing or removing
COVID-19 restrictions, which enabled groups togather in-person and tuition to take place in schools.
Many MAs that shifted to online comprehensive
sexuality education during the pandemic continue
to see the benefits of remote learning. Sixty-two MAs
are providing comprehensive sexuality education
virtually, combining online and face-to-face methods
to reach the widest audience possible.

Result 4

34.8m

young people completed aquality-assured comprehensive
sexuality education programme

During COVID-19 pandemic lockdowns, violenceagainst women, including intimate partner
violence, domestic violence and sexual violence,
escalated and many women were forced to stayat home with their abusers without access to vital
healthcare and support.4 As we move beyond themost critical phase of the pandemic, sexual andgender-based violence remains a serious problem.
But violence against women is not inevitable.
Increasingly, comprehensive sexuality education
is being recognized as an important tool to tackle
sexual and gender-based violence, as it encourages
young people to reflect critically on social norms
and power dynamics. In 2021, IPPF European Network
produced the Safe from Sexual and Gender-based
Violence toolkit.5 Designed by young people,
it is aimed at comprehensive sexuality education
providers and other professionals working withyoung people, especially those at risk of violenceand discrimination on the basis of their genderor sexual orientation. The toolkit includes valuable
theoretical and practical content to help young
people prevent and respond to sexual and genderbased violence. Its ultimate goal is to enable young
people to enjoy their sexual rights and express theirsexuality free from coercion, stigma or shame.

Photo: IPPF/Disha Arora/India

Result 5

100,629

In 2021, IPPF MAs trained more than 100,000 young
people to provide comprehensive sexuality
education, eight per cent less than the previous year.
Almost half (49 per cent) were trained in the Americas
and Caribbean region, 20 per cent in the Africa region
and 13 per cent in the European Network.

people trained by MAs toprovide comprehensive
sexuality education

Recently, IPPF approved a new global gendertransformative youth programme. At its heartlies youth-centred action, including advocacy,building movements, transforming communities
and improving access to sexual and reproductive
healthcare and education for young people in all
their diversity. In line with the Call to Action of IPPF’s
Youth Manifesto,6 ‘ Nothing for us, without us’, young
people from across the Federation participated in thelistening and co-design phases of the programme.
This exciting two-year initiative will boost youth
activism and be run and led by young people.
Photo: IPPF EN/Jon Spaull/Macedonia

30|

Outcome 2: Empower communities

31Outcome 2: Case study

Delivering
comprehensive
sexuality educationin the Philippines
after Typhoon Goni

Realizing the sexual and reproductive healthand rights of adolescents and young people in ahumanitarian crisis is essential. And yet, their needs
are often overlooked. During a crisis, adolescents
experience the breakdown of family life, schools andcommunities, and are at heightened risk of violence,
sexual abuse and exploitation. Rates of adolescentpregnancy and STIs rise at the same time as accessto services is suspended or restricted.

Philippines

In November 2020, Typhoon Goni
devastated the central part of thePhilippines, causing landfall and heavy
floods. A total of 68 health facilities weredamaged, homes were destroyed, families
displaced and at least 25 people died.
Schools served as evacuation centres,
depriving young people of their education.

Photo: IPPF/ FPOP/Philippines

32|

Delivering comprehensive sexuality education in the Philippines after Typhoon Goni

33

In response, IPPF MA, Family Planning
Organization of the Philippines (FPOP),
carried out medical missions tomaintain access to life-saving sexualand reproductive health services andinformation.

Youth volunteers helped design the humanitarian
response and took the lead in delivering
comprehensive sexuality education to theirpeers and community members during medical
missions. Young people tailored the modules toaddress the high rate of adolescent pregnancy
in the area. Sessions covered a range of topics,
such as antenatal and newborn care; sexual andreproductive healthcare, including contraception;
gender-based violence; and STIs, including HIV.
Young people weren’t the only ones to benefit:
their parents also gained valuable knowledge.

A range of services including HIV prevention andcontraceptive services were provided, with a further
focus on delivering antenatal care, postnatalcare, counselling, post-partum contraception andinformation to pregnant and breastfeeding women.
Over a three-month period, and despite COVID-19
restrictions, FPOP delivered sexual and reproductive
healthcare through the Minimum Initial Service
Package and information to 1,759 vulnerable people,
including 747 young people aged 10-24. The MA
also distributed 6,240 information, education andcommunication materials on COVID-19 and sexualand reproductive health and rights.

Photo: IPPF/ FPOP/Philippines“During the medical mission with
FPOP, I learned a lot of things thatchanged my perspective about
life. I learned that even though
all of us experience the same
disaster, we don’t experience
the same level of its effect.”

Photo: IPPF/ FPOP/Philippines

This case study demonstrates that trained young
people can play an active role in delivering
comprehensive sexuality education in a crisis,increasing the knowledge and awareness of
their peers, and helping them to develop the life
skills they need to support healthy choices. IPPF
has provided useful guidance for the provision ofcomprehensive sexuality education in protracted
humanitarian crises.6— 20-year-old youth volunteer, FPOP

34|

Delivering comprehensive sexuality education in the Philippines after Typhoon Goni

Photo: IPPF/Peter Caton/Philippines

35Outcome 2: Case study

Combatingfemale genital
mutilationin Mauritania

About two-thirds of women aged 15-49
have undergone female genital mutilation(FGM) in Mauritania. Despite numerous
campaigns, legislation and a fatwa by
religious leaders banning it, the practicepersists, particularly in rural areas.

Change is possible but it requires
action and commitment.
IPPF Member Association, Mauritanian Association
for the Promotion of the Family (AMPF), has seenthat its fight against gender-based violence,
including FGM, is having an impact.

Mauritania

36|

Combating female genital mutilation in Mauritania

The MA focuses on: Delivering respectful,compassionate care and support for survivorsof FGM. This encompasses counselling, screening,
medical care, psychosocial support, referrals,
income generating activities and hotlines. AMPF
reaches the most vulnerable and marginalized
women, including Malian refugees in the M’berra
camp. Engaging in advocacy and raising awarenesswithin communities to transform the harmful social
norms that sustain FGM.

37

“Thanks to this project, we havebeen given an alternativeand some money to begin a
new occupation different frompracticing excision. With thisincome generating activity,
I have been able to buy a sheep
and a goat, and the sale of theirmilk products has helped me
take care of my children.”242

women who had undergone
FGM provided with rightsbased medical care in 2021

25

AMPF has achieved impressive results.
In collaboration with UNFPA, in 2021 AMPF provided
rights-based medical care to 242 women who had
undergone FGM and trained 25 health workers tooffer psychosocial support. The MA also initiated 37
public community declarations to abandon FGM,
signifying an important shift towards communities
ending this tradition.
In addition, in a programme funded by the
Norwegian Agency for Development Cooperation(Norad), AMPF engaged 20 decision-makers tocommit to end FGM. The MA delivered information,
education and communication materials to 3,500
women. AMPF also offered alternative livelihoods
to 25 former practitioners of FGM to encouragethem to abandon the practice.

health workers trained tooffer psychosocial support— Former practitioner of FGM
In recognition of its outstanding workin the field, in October 2021, AMPF,
in partnership with IPPF Arab World
Regional Office, launched an FGM
centre of excellence.

3500
women provided with information,
education and communicationmaterials on FGM

38|

Combating female genital mutilation in Mauritania

The centre is based on a model that supports
women and girls and equips them with theskills they need to prevent and address sexualand gender-based violence, as well as engage
in advocacy.
The centre of excellence aims to build NGO
capacity to end FGM, promote the social andeconomic empowerment of survivors of FGM,
improve the quality of sexual and reproductive
healthcare and care for survivors, and conduct
evidence-informed advocacy to end the practice.
The centre will also offer peer support to MAs inother countries where FGM is widespread, suchas Egypt, Mali, Somaliland and Sudan.

39

Photo: IPPF/Rebecca Conway/India2

Outcome 3:
Serve people
2 billion quality, integrated sexualand reproductive health services,delivered by IPPF and its partners

40

41

Outcome 3:
Serve people

During 2021, we served more people than ever: an
estimated total of 72.2 million. This is an impressive
17 per cent increase compared to 2020. IPPF seeks
to ensure equitable access to services, focusing on
excluded people who would otherwise be left behind.
Of the total number of people we served in 2021, 85
per cent were poor and/or vulnerable, while 45 percent were under the age of 25.
Sexual and reproductive health needs and rights areoften forgotten when disasters, humanitarian crises
and conflicts strike, at a time when people, especiallywomen and girls, face greater exposure to sexual
violence. In response, in 2021, IPPF expanded its reach

IPPF Member Associations have continued to adapt
their service delivery models to the changing yet
ongoing challenges of COVID-19. While restrictions
and closures have been relaxed in many parts of
the world, the pandemic has still been leading tohigh levels of mortality and morbidity and affecting
how MAs operate. Continued supply chain problems
and the rise in global inflation have also proved
challenging for many MAs.
Service delivery data clearly reflect MAs’ resilience,
strength and flexibility. A total of 231.4 million
services were delivered globally in 2021, a six per
cent increase from 2020. This means that mostof the fall in service delivery occurring since
the start of the COVID-19 pandemic has now
been recovered. For the first time, the 2021 figures
exclude data from 14 former MAs that were part of
the Western Hemisphere Region – if these were
included, the total number of services delivered
would have been close to 2019 levels. MAs in the
Africa region contributed just under half (47 percent) of all sexual and reproductive health services
delivered, while the Arab World region delivered
24 per cent and South Asia region 14 per cent.

|Outcome 3: Serve people

Ensuring person-centred care is the cornerstoneof our rights-based approach. This includes
delivering a range of services, with a choiceof methods; providing skilled, respectful, nonjudgemental care for all individuals; and delivering
accurate information and counselling. To assessclients’ satisfaction with the care they receive, MAs
introduced the net promoter score to ask them how
likely they would be to recommend the service tosomeone else. In 2021, this resulted in an averagescore of 64%.

Result 7

155.7msexual and reproductive
health services provided
directly by IPPF MAs

Result 8

29.0m

7.3m
Result 9

first-time users ofmodern contraception

Extending contraceptive choice
In 2021, IPPF MAs provided quality contraception
to clients at higher rates than ever before. A totalof 29.0 million couple years of protection (CYP) – theestimated protection from pregnancy provided
by contraceptive methods over a one-year period– was recorded. This is an eight per cent increaseover 2020 and a higher level than in 2019 before the
COVID-19 pandemic began. This shows how MAs
have continued delivering sexual and reproductive
healthcare to their clients, using partner networks
to expand their reach, with associated healthfacilities being a vital channel for increased
contraceptive provision.
Over half (56 per cent) of total CYP was provided by
MAs from the Africa region, while another 24 per centcame from the Arab World region. By delivering a
range of contraceptive, IPPF helped people avoid 12.5
million unintended pregnancies and avert 3.8 million
unsafe abortions in 2021, saving lives and enabling
individuals to realize their reproductive rights. A totalof 1.4 million maternal disability adjusted life years
were averted and over US$500 million in direct costs
to health systems saved as a result of these services.

couple years of protection

A total of 155.7 million services were provided
by MAs through a wide range of service delivery
points, while 75.7 million services were enabledthrough partners’ health facilities. Significant
growth was reported from both mobile clinics
and community-based providers, illustrating how
MAs have continue to reach out to people where
they live and work. Mobile clinics are particularly
effective at reaching remote areas and serving
marginalized communities, such as people living
in urban slums.

42

in emergency and disaster situations, serving
6.1 million people in humanitarian settings.

Photo: IPPF/Xaume Olleros/Mali

43

Delivering abortion care
IPPF MAs delivered a total of 4.5 million abortionrelated services in 2021 including 583,000 clinicalabortion services relating directly to abortion
procedures. The proportion of medical abortions
continued to increase, reaching 63 per cent in
2021, up from 57 per cent in 2020. This reflects
the growing demand and availability of medical
abortion globally and reinforces the importanceof offering clients a choice of method.
For the first time, MAs are now able to report
the number of services provided that supportclients to self-manage their abortions. Self-care
is an evidence-based approach that places
women, girls and everyone who has the capacity
to become pregnant firmly at the centre of theabortion process.7 Abortion self-care empowers
pregnant people to exercise control over theirown bodies, overcomes the stigma surrounding
abortion and challenges gender norms that limit
their autonomy.
MAs and partner organizations in 11 countries
are part of the Global Care Consortium, whichaims to facilitate abortion self-care by designingand testing innovative, person-centred models
of care, reducing stigma and promoting an
enabling environment for the self-care approach.
The consortium will create a global network forthe exchange of information and resources on
implementing self-care models. Led by IPPF MA in
Colombia, Profamilia, the Global Care Consortium
will run until 2023.
The new World Health Organization Abortion Care
Guideline, released in March 2022 and developed with
input from IPPF, represents the latest evidence-based
best practice in abortion care.8 It brings together over
50 recommendations spanning clinical practice,service delivery and legal and policy interventions,
all firmly grounded in principles of human rights.
The guideline contains clear recommendations
on simple primary care level interventions, including
task sharing by a wider range of health workers
and ensuring access to medical abortion pills.
For the first time, WHO guidelines cover the use oftelemedicine to support access to medical abortion
care. IPPF will ensure that these new guidelines arewidely implemented and used, both within IPPF andby governments and partners, to expand accessto quality, person-centred abortion care and create
an enabling environment for abortion care.

44|

Outcome 3: Serve people

64%
Result 10

average Net Promoter
Score for client satisfaction

75.7m
Result 11

sexual and reproductive
health services enabled

6.1m

Addressing the needsof women and girls

Reaching under-served
people and youth

IPPF served an estimated total of 59.3 million womenand girls during 2021, making up 82 per cent of
total clients. Obstetric services, covering essential
care required before, during and after pregnancy
and childbirth, increased from 20.6 million to 25.7
million between 2020 and 2021. The Arab World
region was responsible for most of this growthand now provides 51 per cent of all IPPF’s obstetricservices globally. IPPF also delivered 31.2 million
gynaecological services during 2021, of which the
Africa region provided 38 per cent and the Arab
World region 30 per cent. These services comprisebreast and pelvic examinations, biopsies, diagnostic
imaging and cancer screening, and menstruationrelated services.

IPPF MAs are committed to reaching marginalized
communities who would not otherwise be able toaccess services. The proportion of services provided
through mobile, outreach and community-based
channels rose from 24 per cent in 2020 to 28 percent in 2021. And the estimated total of poor andvulnerable people we served increased substantiallyfrom 50 million to 61.5 million.
In 2021, IPPF delivered 98.7 million services to young
people under the age of 25 – that’s 43 per cent of
all services. We provided sexual and reproductive
healthcare to an estimated 32.3 million young
people in 2021, empowering them to determine
their own futures.

Since the onset of the pandemic, sexual and genderbased violence has escalated around the world.
COVID-19 has intensified gender discrimination andincreased the vulnerability of women and girls andLGBT+ people to violence and abuse. In response,
IPPF provided a total of 5.0 million sexual and genderbased violence services, comprising screening andcounselling: an increase of 11 per cent over 2020.

Result 17

clients served inhumanitarian settings

Delivering HIV care
Under IPPF’s broad definition of HIV-related
services, which encompasses counselling, testing,management and treatment of sexually transmitted
infections including HIV, services delivered rosesignificantly from 41.3 million in 2020 to 51.4 million
in 2021. This was driven by increased HIV counselling(25 per cent rise) and testing (34 per cent rise),although growth was reported across all categories.
Pre-exposure prophylaxis, post-exposure prophylaxis
and prevention of mother-to-child transmission of
HIV increased by 8 per cent from 2020 to 2021, whileprovision of antiretroviral therapy for people livingwith HIV went up by 20 per cent. MAs in the Africa
region were responsible for the largest increase
in HIV-related services; this region now delivers justover half (54 per cent) of IPPF’s global total.
Photo: IPPF/Brenda Islas/Mexico45Outcome 3: Case study

IPPF’sHumanitarian
Programmein 2021

Women and girls are among the mostvulnerable in humanitarian settings andtheir sexual and reproductive health andchoices are often severely impacted bya crisis. IPPF’s humanitarian programme
is in a unique position to respond to
the needs of women and girls in crisis
settings as our Member Associations
are established, local, autonomous
organizations.

6.1m
humanitarian clientsreached in 2021

This also means we can bridge the humanitariandevelopment nexus during the preparedness phasefor humanitarian response, and recovery.
The IPPF humanitarian strategy focuses on four
overarching priority areas: promoting localized
humanitarian action; ensuring access to lifesaving
sexual and reproductive health services, including
safe abortion care; responding to sexual andgender-based violence in emergencies andresponding to the intersection of the climate
crisis and sexual and reproductive healthcare.
In 2021, IPPF launched the new Stream 3 funding
mechanism; core funding designed to enable
our MAs to respond to crisis in a timely manner.
Along with our other humanitarian projects andprogramming, our humanitarian reach grew morein 2021 than any previous year, responding to crises
in an unprecedented 42 countries across acute andprotracted settings.

Photo: IPPF/Hannah Maule-ffinch/Sudan

46|

IPPF’s Humanitarian Programme in 2021

47

These pages show a sample of the responses
the Humanitarian Programme delivered in 2021:

COVID-19
response

Cyclone Seroja
and theKalimantan
flood response
Indonesia

Papua New Guinea

Indonesia was struck by a series of disasters in early
2021, caused by Tropical Cyclone Seroja, including
flash floods and landslides which swept the East
Nusa Tenggara Province in April 2021. Thousandsof lives, as well as infrastructure, were affected bythese disasters. The Indonesia Planned Parenthood
Association (IPPA) responded by setting up a static
clinic in the affected area.
IPPA reached people in 39 villages in four subdistricts, providing medical services through static
clinics (SRH tents), mobile clinics as well as digital
approaches for health education and promotion
and psychological support. As part of the response
to Cyclone Seroja, a total of 13,371 services were
provided to 8,686 clients, with a further 18,966
services provided to 11,090 clients through thesubsequent earthquake and flooding response.

Papua New
GuineaCOVID-19 impacted maternal and reproductive
outcomes as resources were prioritised toaddress the pandemic and access to services
severely restricted.
The Papua New Guinea Family Health Association(PNGFHA) has been working to mitigate the impact
of COVID-19 on SRH related mortality and morbidity
through their response which ran from July 2020
through to October 2021, reaching a total of 38,339
people with 147,508 services. The response teamconsisted of midwives, health extension officers,
nursing officers and community health workers.
Other outreach support staff included youth
volunteers who assisted with awareness-raising.

Indonesia

Photo: IPPF/Kalo Fainu/Papua New Guinea

48|

IPPF’s Humanitarian Programme in 2021

Photo: IPPF/Jenny Frans Pongrangga/Indonesia

49Escalation in
hostilities in
the Gaza Strip

Tigray Crisis
Ethiopia

In the Northern Ethiopian regions of Tigray, Amhara
and Afar, an estimated 5.2 million people are in direneed of humanitarian assistance, and an estimated
3.5 million people from these regions have been
displaced since the conflict broke out in November
2020. The number of refugees further increased
as fighting intensified in late 2021. IPPF launcheda regional humanitarian response to the Tigray
crisis, including assisting refugees who have fled
to neighbouring countries Sudan and Djibouti.
Sudan currently hosts 59,511 refugees who fledfrom the civil war in Tigray. The country’s alreadyweak health system has been stretched by theongoing COVID-19 pandemic, further challenging
the ability to cope with the arrival of high numbersof Ethiopian refugees. In one of the camps, Um
Rakuba, which hosts 19,073 refugees, the Sudan
Family Planning Association has established asexual and reproductive health clinic. As of 1 March
2022, this response had reached 2,112 clients withclinical SRH services.

Gaza Strip,
Palestine

50|

IPPF’s Humanitarian Programme in 2021

Between 1 June and 30 September 2021, PFPPA’s
staff and project team successfully reached
802 homes in Gaza through their humanitarian
response. 5,219 women and girls were provided withessential sexual and reproductive healthcare in theirhomes, such as contraceptives, HIV and STI testing,counselling (including pre and post abortion
counselling) and prenatal care. The response also
included youth volunteers to look after children,
allowing the medical team to provide private
services to women undisturbed.

Photo: IPPF/Hannah Maule-ffinch/Sudan

In Ethiopia, the insecure operating environment
initially impeded the efforts of the Family
Guidance Association of Ethiopia (FGAE) to provide
humanitarian assistance to displaced populations.

Ethiopia

On 10 May 2021, an escalation of hostilities in the
Gaza Strip resulted in more than 220 fatalities,
the demolition of buildings, and over 75,000
internally displaced people. At the time there
were an estimated 87,000 pregnant women in
Gaza. 60 per cent of the Ministry of Health clinics
were forced to close, whilst only 16 of the 22 UNRWA
primary health care clinics remained open.

A field assessment on the safety and security of
the implementation areas, the towns of Dessie andKombolcha, was conducted. Based on the findings,
a security management plan was developed,
and humanitarian safety and security training wasprovided for all field and project staff. The responsecommenced at the end of October 2021. More than450 IDPs have received sexual and reproductive
health and sexual and gender-based violenceservices in FGAE clinics and outreach sites,
and medical and emergency supplies including
sanitary materials were distributed.

802homes in Gaza reached5,219
women and girls were
provided with essential
sexual and reproductive
healthcare in their homes

Photo: IPPF/Samar Abu Elouf/Palestine51

Outcome 3: Case study

Saving lives fromcervical cancer
in TogoGlobally, cervical cancer is the fourthmost common cancer among women.
The vast majority of deaths (90 percent) occur in low- and middle-income
countries, where many women facebarriers in accessing vaccination,screening and treatment.9 And yet,cervical cancer is largely preventable.
When detected early, and treatedeffectively and promptly, it can be cured.

In Togo, IPPF MA, Association
Togolaise pour le Bien-Etre
Familial (ATBEF), is saving women’s
lives from cervical cancer.
In 2017, with the support of the IPPF Japan Trust Fund,
ATBEF pioneered a low-cost, community-based
programme combining screening and treatmentof pre-cancerous lesions. The MA trained service
providers at two of its four clinics and used mobile clinic
campaigns to reach women in remote, rural areas.

Togo

52

|

Preventing and treating cervical cancer in Togo

Photo: IPPF/Xaume Olleros/Togo53

16,218

women ATBEF screened349

pre-cancerous
lesions diagnosed

60

treated using
thermal ablation

Building on this considerable success, ATBEF
launched a second project in July 2020 aimed
at scaling up prevention nationally and making
services more affordable. ATBEF expanded
screening and treatment in all four of its clinics.
The MA distributed leaflets and posters withincommunities and used radio to increase awarenessof the importance of cervical cancer screening,
disseminating information to 16,000 women from
July 2020 to June 2021. ATBEF also delivered cervicalcancer prevention services to just under 11,000
women in this period.
With the support of the Bill & Melinda Gates
Foundation, the MA introduced a new technique –thermal ablation – a safe, effective and inexpensive
method to treat pre-cancerous lesions. The
lightweight, portable device is more user-friendly
than cryotherapy, which requires a heavy gas
cylinder, and is therefore more suitable for mobile
and outreach services. An additional benefit isthat thermal ablation can be provided by primary
healthcare workers, such as trained midwives andmedical assistants – not only doctors. In September
2021, a team from Uganda trained ten service
providers in the use of thermal ablation. From
January to December 2021, ATBEF screened 16,218
women and diagnosed 349 pre-cancerous lesions,60 of which were treated using thermal ablation.

“Clients preferred thermal ablation
to cryotherapy. Thank you to IPPF
for bringing this innovation to
our country. We are the first to
implement this type of treatment
in Togo. This technique is simple,
easy to use and transport,
especially in hard-to-reach areas.”— Dr Bingo M’Bortche,
Head of Medical Division, ATBEF

ATBEF has also scaled up screening and treatment
in its mobile clinics and plans to work with partners
in advocating for more government resources
to end preventable deaths from cervical cancer,
including a human papillomavirus rollout
programme.
Photo: IPPF/Xaume Olleros/Togo

11,000

women received cervicalcancer prevention services

54|

Preventing and treating cervical cancer in Togo

Photo: IPPF/Xaume Olleros/Togo55

Outcome 3: Case study

Digital healthplatforms expand
access to abortion
self-care in
Cambodia

Evidence shows that self-managed medical
abortion is safe and effective up to 12 weeks
of pregnancy.10, 11 Enabling women and girls
to make informed decisions about their healthand take control of their own bodies can also
be empowering.
A holistic approach to abortion self-careencompasses delivering accurate, accessible
information; facilitating access to quality
medical abortion pills; and providing careand support if requested. Digital healthinterventions enable access to abortion selfcare and are often popular with young people,
as they offer privacy and confidentiality.
During the COVID-19 pandemic, IPPF MA, Reproductive
Health Association of Cambodia (RHAC), harnessed
digital health technology to increase accessto quality self-managed medical abortion andinformation. RHAC used Facebook and Telegram toprovide information and counselling about abortion
self-care, as well as platforms such as Google Meet
and texts featuring hotline contact numbers. Trained
youth activists and champions promoted the digitalplatforms within their communities and networks,
fostering awareness of self-managed medical
abortion and supporting their peers to accessquality abortion care.

Photo: IPPF/Omar Havana/Cambodia

56|

Digital health platforms expand access to abortion self-care in Cambodia

57

“The digital platform is very helpful
to ensure wide dissemination andaccess to information. I’ve learnt
a lot from digital content suchas posters and video clips andI’ve shared links on abortion andhotline counselling topics.”— Malay, 15-year-old youth champion

Photo: IPPF/Omar Havana/Cambodia

22,955people reached with social
media content related toself-managed abortion

Photo: IPPF/Omar Havana/Cambodia

To expand access to abortion selfcare, the MA worked closely with healthcentres, hospitals and pharmacists,and operated three hotlines.

RHAC produced 83 pieces of social media content
related to self-managed abortion, which reached
22,955 people. Women’s champions and youth
activists held over 500 in-person education
sessions which 4,400 people participated in,as well as 37 online sessions, and booklets andflyers with information on self-managed abortions
were distributed to young people.

Between August and December 2021, RHAC
supported 232 women and girls to access selfmanaged medical abortion care and information.
Health centre providers and RHAC hotline counsellors
provided follow-up, with findings suggesting thatabortion self-care is a safe and effective option for
women and girls. Feedback from a random sample
of women and girls who accessed self-managed
medical abortion care showed that the vast majority
reported a positive experience.

4,400

RHAC has shared its valuable knowledge andexperiences with MAs in Cameroon and Ghana
to foster peer learning. IPPF’s IMAP Statement
on Abortion Self-Care provides further guidanceon this approach.12

people participated in an
in-person education session
Photo: IPPF/Omar Havana/Cambodia

58|

Digital health platforms expand access to abortion self-care in Cambodia

59

Photo: IPPF/Anton Nixon/Barbados

Outcome 4:
Unite andperform
A high-performing, accountableand united Federation

60

61

Outcome 4:
Unite and perform
IPPF generated a total income of US$164.7 million
across the Secretariat in 2021. This represents a slight
reduction from US$166.1 million in 2020, reflecting
an increasingly difficult funding environment inwhich sexual and reproductive health and rights
is competing for limited donor funds with COVID-19
responses and other sectors. The severe cuts madeto the UK official development assistance budget
also affected the Secretariat’s income.
Member Associations receive restricted andunrestricted funding from IPPF to carry out theiractivities, but they also raise their own funds
through a variety of channels including client
fees, commodity sales and provision of training.
In addition, they mobilize income from local andnational governments and international donors.
In 2021, MAs raised a total of US$190.6 million; this isa 12 per cent decrease overall from 2020, but thatis largely because some MAs, having resigned from
IPPF following Western Hemisphere Regional Office’s
departure, no longer contribute towards this total.
More than 80 per cent of MAs raised at least half
their total income from local sources, as opposed
to IPPF unrestricted grants. This is an increase on2020 and demonstrates how the IPPF Secretariat has
been working with MAs to diversify income sources
to reduce MAs’ dependence on IPPF grants andpromote sustainability.

Result 12$

164.7mtotal income generated
by the Secretariat

Following the restructure carried out in 2020 to unite
the Secretariat, in December 2021 the IPPF Board ofTrustees approved the 2022 Secretariat Business
Plan. For the first time, this brings together all
activities across the Secretariat into a consolidated
plan and budget. Previously, different Secretariat
offices used separate planning and budgetingsystems, operating at a different depth of detail.
Integrating these was a challenging process, which
required extensive consultations, but the rewards
will be clear moving forwards. From 2023 onwards,
a three-year budgeting cycle will be put in place
to allow more strategic planning and long-term
thinking. This is part of ongoing efforts to build
a unified, mutually accountable Federation thatcan work together to deliver impact in the future.
2021 marked the final year of IPPF’s old modelof allocating resources to MAs. From 2022, mostunrestricted funding (known as Stream 1) is sharedusing a formula that takes into account a range of
relevant criteria such as country needs including
population size and levels of poverty, and MAs’
performance,. This will be a fairer, more transparent
and responsive system, which will help ensure thatfunding reaches those people most in need.

$

190.6mOutcome 3: Serve people

IPPF volunteers

Result 18

81%

MAs receiving no
more than 50% of
their income from IPPF
unrestricted grant

For 2022 a one-year funding settlement is in place,and from 2023 onwards a three-year cycle will be
initiated. This will align with the Secretariat
planning process as well as allowing MAs to planwith greater confidence and reduce the volatilityof their income. The remainder of the unrestrictedfunding to MAs will be allocated through two further
channels. Stream 2, also known as the Strategic
Fund, provides funding for cross-cutting priorities
such as self-managed abortion or gendertransformative youth programming, selectedannually for the Federation as a whole, while
Stream 3 covers humanitarian emergencies.
In 2021, eight per cent of IPPF’s unrestricted income
was distributed using a performance-based
funding system, up from six per cent in 2020.

raised locally by unrestrictedgrant-receiving MAs

Result 14

8%Photo: IPPF/Georgina Goodwin/Burundi|

316,240

Result 13of unrestricted funding used
to reward MAs through aperformance-based funding
system62

Result 15

Over 316,000 active volunteers supported MAs in
2021, enriching the work of IPPF. Volunteers are at
the heart of our Federation and fulfil a wide rangeof roles across MAs, including peer educators,
community health workers, medical professionals,
Board members, fundraisers and advocates.

63

Outcome 4: Case study

Optimizing clinic
management
information
systems in the
CaribbeanAcross the Federation, we are continuously
striving to better capture, store, analyze anduse client data in our clinics. This will improveorganizational efficiency and ultimately
enhance quality of care for the people weserve. Many MAs have chosen OpenEMR
software as their clinic management
information system because it is flexible,
low-cost and user-friendly, and IPPF staff
can provide technical support and advice.

IPPF MA, Family Planning Association of
Trinidad and Tobago (FPATT), has used
OpenEMR for some time in all its service
delivery points. In their static clinics,
all data – from “clerical to clinical” –are recorded in real time; this means
they can also be accessed in real time.

Trinidadand Tobago

64|

Optimizing clinic management information systems in the Caribbean

Photo: IPPF/Amanda Elliot/Trinidad & Tobago

65

“Since our clinical staff are trained in thesystem, we were able to continue withthe data entry because of course withperformance-based funding every single
statistic counts. And even in those downtimes, we were still able to update oursystem whilst not being in a physicalclinic. So the OpenEMR really did workin our favour with telehealth.”

In 2021, the benefits of using OpenEMR became apparent. When
COVID-19 restrictions limited accessto life-saving sexual and reproductive
health services, OpenEMR enabled
FPATT to ensure continuity of care.
All providers, including those working from homeand delivering care via telemedicine, could accessand record clients’ data through OpenEMR. Clients’
test results for Pap smears, for example, could
be uploaded onto the system and consultations
offered to clients.
The software has other advantages too. Different
providers can use and update OpenEMR at thesame time, which promotes collaboration andquick decision-making. And because all data
are stored in one place and easily accessedby providers, clients can be tracked even if theyreceive care from another clinic.
Photo: IPPF/Ryan Riley/Jamaica— FPATT team member

OpenEMR is the main data collection system
underpinning the new Caribbean Observatory
on Sexual and Reproductive Health and Rights,
which is supported by UNFPA and led by IPPF MA,
Caribbean Family Planning Affiliation. Launchedin September 2021, the Observatory advocates forstronger policy and programmatic links between
sexual and reproductive health and rights andprevention of gender-based violence in the region.
It also generates evidence, monitors relevant
indicators and reports on progress in advancing
an integrated approach.
About two-thirds of the civil society organizations
taking part in the Caribbean Observatory alreadyuse OpenEMR to capture and analyse accurate,
disaggregated data on sexual and reproductive
health and rights. Others are considering adopting
the software. OpenEMR will collect daily data,
enabling key indicators to be updated on amonthly basis. The Caribbean Observatory will
also set up an interactive knowledge platform,
comprising a website and social media channels,
which will communicate information and progressin the region.

Photo: IPPF/Anton Nixon/Barbados

66|

Optimizing clinic management information systems in the Caribbean

67

Outcome 4: Case study

Ensuring a
steady supply
of commodities

Photo: IPPF/Anton Nixon/Barbados

IPPF ensures that MAs can accessquality commodities to respondto local needs. This includes the
procurement and distributionof life-saving medical products,
particularly sexual and reproductive
health commodities, including medical
abortion and contraceptives. Various
supply mechanisms are used tosupport MAs, such as international
and local procurements and allocationof subsidized supplies through global
partnerships such as UNFPA.

Photo: IPPF/Samar Abu Elouf/Palestine

68|

Ensuring a steady supply of commodities

69

In addition to routine supplies, we haveestablished a long-term agreementwith Sun Pharma, for the medical
abortion combi-pack that combines
mifepristone and misoprostol.
In North Macedonia, this contract enabled IPPF tosecure access to medical abortion with the supportof the Ministry of Health and the MA, Health Education
and Research Association (HERA). The combi-pack
was delivered at a fixed price far below the market
rate and without volume requirements.

North
Macedonia

Photo: IPPF EN/Jon Spaull/Macedonia

Securing equal access to commodities
is critical so that all MAs – whether large
or small, and wherever they are located– can order products for the same
price and within the same time frame,
regardless of volume.
This isn’t straightforward. Challenges include
tiered pricing mechanisms, volume requirements,
manufacturers’ limited production capacity,
regulatory hurdles in destination countries andlack of funds to fully meet MAs’ needs.

In the Caribbean, the supply chain
team reached an agreement with the
ICA Foundation to establish a logistics
hub in Antigua.
The hub will receive the intrauterine system
contraceptive device LNG-IUS, which is donated by
the Foundation, arrange customs clearance, store
the product in its warehouse and distribute it toother Caribbean destinations. IPPF firmly believes
that this model can be expanded to improve accessto a wider range of health commodities in the region.

IPPF aims to overcome these challenges by working
through a third-party procurement agent to manage
our supply chain. The agent procures commodities
from IPPF’s contracted manufacturers, ensuresquality control and provides a state-of-the-art
warehouse for storage and distribution services.
This resulted in significantly improved delivery times
and valuable cost savings.

70|

Ensuring a steady supply of commodities

Photo: IPPF/Amanda Elliot/Trinidad & Tobago

71

73
72

Photo: IPPF/Jenny Frans Pongrangga/Indonesia

Updatesfrom IPPF

Harnessing thepotential of
digital health

Digital technology offers exciting opportunities
for us to reach our clients, including the mostmarginalized people, and expand accessto life-saving healthcare and information.
Digital health interventions (DHIs) consist ofdigital channels (e.g. social media platforms,
telemedicine, hotlines, texts and apps) as wellas the content shared through these channels(e.g. information, counselling, facilitated careor comprehensive sexuality education).

74|

Harnessing the potential of digital health75

Digital health technology isn’t entirely
new. We have used websites, social
media and apps for some time todisseminate information, educationand communication.
Some IPPF MAs successfully used telemedicine toincrease access to vital sexual and reproductive
healthcare. Interactive, engaging digital platforms
complement traditional delivery of comprehensive
sexuality education in schools. MAs also find text
messages and social media platforms an effective
way to reach target audiences in campaigns
and advocacy.

The COVID-19 pandemic has,
however, triggered a rapid surge
in the popularity and use of DHIs.
As clinics closed or limited their opening times andpeople had to stay at home, MAs showed flexibility
in using digital platforms to maintain contact withclients and deliver services and information.
This approach has become increasingly importantin our work and will be sustained as one of ourservice delivery models to ensure care is responsive
to clients’ needs.

MAs use a diverse range of DHIs.
During COVID-19 restrictions in India, Sudan andPakistan, Family Planning Association of India, Sudan
Family Planning Association and Rahnuma Family
Planning Association of Pakistan each provided
telemedicine including pre- and post-abortion
counselling, contraceptive counselling and services.
Toll-free phone calls and WhatsApp were used
to contact clients. Women who chose medical
abortion or needed treatment for incomplete
abortion received quality care, support and followup, and in each country, clients were satisfied withthis innovative and convenient care model.

Photo: IPPF/Tommy Trenchard/Malawi

76|

Harnessing the potential of digital healthPhoto: IPPF/Georgina Goodwin/Burundi

77

“I love that the hotline on the blogsite
is always available for me when I call.
It really helps because as a young
person, I dread going to health facilities
because I feel like there’s always that
judgmental feeling from service providers.
However, with the Youth Connect chat,
I’ve been able to speak freely about myconcerns comfortably and receive good
advice without judgment.”

In Nigeria, IPPF MA, Planned Parenthood Federationof Nigeria (PPFN), used various digital and online
platforms including texts, Facebook, WhatsApp,
Instagram, Twitter, Zoom and telephone calls tosustain provision of information and care during the
pandemic. The platforms were used to deliver live
interactive information and educational sessions,consultations and to make referrals. Clients whoneeded more services or who were not comfortable
receiving care online were linked to PPFN or partner
clinics. The MA also developed the Youth Connect
website, in collaboration with young people.13

Photo: Panos Pictures/george osodi/Nigeria— Aisha, 23-year-old, Abuja
Nigeria

In the Americas and Caribbean
region, digital counselling services
were a key strategy to reach clientsduring lockdown.
Famia Planea Aruba offered an online platform forenquiries, with pre-written replies to frequently asked
questions to allow efficient and rapid responses,
as well as respectful and confidential counselling for
more complex cases. In Peru, INPPARES also provided
online counselling, support and follow-up includingreferrals to in-person services.
The benefits of harnessing digital healthtechnology are clear. MAs are able to extend reach:both in terms of geographic scope and attaining
hard-to-reach groups. DHIs have the potential
to increase equity by reaching under-served
groups, particularly young people. Due to thestigma young people face, many of them preferto access services, information and counselling
online rather than be seen visiting a health facility.
Comprehensive sexuality education online often
appeals to young people, as it can be fun andaccessible as well as informative. And DHIs do notneed to be high-tech. Low-cost, low-tech solutions,for example a hotline that does not require internet
access, can further increase equity.
78|

Harnessing the potential of digital healthPhoto: IPPF/Xaume Olleros/Cameroon

Photo: IPPF/Tommy Trenchard/Malawi

79

Photo: IPPF/Xaume Olleros/BeninYet there are important factors
to consider when using digital
health technology.
The digital divide remains a significant challenge,
with poor and vulnerable people, those living inrural areas, refugees, and people less likely tohave access to mobile phones and the internet.
It is therefore essential to keep clients’ needs andperspectives front and central when developing
a DHI. Actively engaging a diverse range of people,
including young people, women and girls, andpeople with disabilities in the design of an app
will ultimately enhance its acceptability and use.

Quality of care is paramount, as it is when deliveringface-to-face services. This means, for example,
checking that pre-abortion counselling provided
through a hotline follows the same standards ascounselling offered in a clinic and making sure thatclient follow-up is done routinely. Ensuring data
security and confidentiality is also vital. MAs need
to be aware of laws and policies that restrict online
access to contraception and safe abortion. Finally,
securing adequate, sustainable funding for digital
health platforms is challenging.

Photo: IPPF/Hannah Maule-ffinch/Lebanon

In short, digital health technology is an important
tool that complements – rather than replaces –in-person care. After a rapid transition to DHIs, theSecretariat is now supporting MAs to learn fromeach other in navigating this relatively new digitalspace. This includes documenting and sharing bestpractices. The Secretariat is also considering how thedata collected through DHIs will be incorporated inexisting data management and reporting systems,
and how DHIs can be integrated into quality of careframeworks. Recently, the Secretariat issued usefulguidance for MAs on how best to implement DHIs
as we look ahead to a post-COVID-19 world.14, 15

62

MAs provided comprehensive
sexuality education virtuallyduring 2021

80|

Harnessing the potential of digital health0281

Photo: IPPF/Hannah Maule-ffinch/Sudan

Centers andFunds update

IPPF’s Business Plan: A Roadmap to Transform
IPPF identified six solutions to accelerate
implementation of the Strategic Framework inareas where progress lagged behind. In 2019,
we launched a series of initiatives to catalyse
action in these six solution areas, develop andshare best practice, and enhance learning.
These Centers and Funds – as they are known
within IPPF – will be active until the end of 2022.

82|

Centers and Funds update

83

The Centers of Excellence on Comprehensive
Sexuality Education.
The global centre of excellence on CSE, which is led by Rutgers, IPPF’s
Netherlands MA, works alongside three regional centers of excellence,
based in Colombia, Ghana and Togo. They are hosted by Profamilia,
supporting the Americas and the Caribbean; Planned Parenthood
Association of Ghana, supporting Anglophone Africa; and the Association
Togolaise pour le Bien-Etre Familial, supporting Francophone Africa.
The centers promote knowledge and learning around comprehensive
sexuality education and rights-based, youth-centred services. They
share their expertise and experience with other MAs and civil society
organizations, institutions, peer educators, activists and decision-makers.
Their impact extends beyond Colombia, Ghana and Togo as they
demonstrate their thought leadership on youth sexual and reproductive
health and rights throughout Africa and Latin America.

The Humanitarian Capacity Development Center
The center will significantly boost the ability of IPPF MAs to respondrapidly to crises, ensuring that vital sexual and reproductive healthneeds and rights are not overlooked in emergency situations.
Hosted by Rahnuma - Family Planning Association of Pakistan andReproductive Health Uganda, the center builds the capacity of MAs
in countries affected by protracted crises or in countries hostinglarge numbers of people from ongoing crises. This will enable MAs toscale up provision of quality sexual and reproductive healthcare thatmeets the standards of the Minimum Initial Service Package (MISP)
and deliver life-saving MISP services within 72 hours of a spikein a humanitarian emergency or in response to a new acute crisis,such as a flood, cyclone or disease epidemic.

The Women in Leadership FundThe Youth Social Venture Fund
Hosted by the Family Planning Association of India (FPA India), theYouth Social Venture Fund harnesses technology to improve existing
solutions and find new ways to address the challenges young people
face in realizing their sexual and reproductive health and rights.
The fund will create opportunities and foster an enabling environment
for young entrepreneurs, start-ups and technology innovators
globally to develop sustainable solutions that can be scaled up. FPA
India is working with MAs to identify young innovators with an idea
or prototype, train the selected MAs to mentor the young people andrun a virtual immersion programme to nurture promising solutions.
The fund will not only help successful applicants to use technology
in expanding young people’s access to sexual and reproductive
healthcare and information, but also forge linkages between MAs
and institutions of local technology and higher education.

The Global Youth Connect Platform

IPPF is committed to building diverse leadership that includes women,
girls and young people, at all levels of the Federation. The fund offers
scholarships to women in leadership positions to participate in theprestigious International Masters Programme for Managers. It willaddress the biases and barriers that curtail women’s professional
growth, helping them to improve their knowledge, develop successfulcareer paths and reach their full potential. Scholarships are open to
women occupying leadership positions within IPPF at mid or seniorlevel in operational, strategic or governance roles. Staff from four
MAs have been selected to take part in this programme.

The Winning Narratives Center, Countering
Opposition Center and Social Movements Center
Together, these three centers – hosted respectively by the European
Network Regional Office, Planned Parenthood Global and the
Association Marocaine de Planification Familiale – constitute IPPF’s
global Movement Accelerator Programme, described on page 86.

Currently in the start-up phase, the virtual electronic platform,
which is hosted by the IPPF MA in Uganda (Reproductive Health
Uganda), will serve as a one-stop-shop for IPPF’s youth volunteers.
It aims to strengthen global coordination around youth participationand leadership and facilitate communication between IPPF’s youth
networks. The platform has three functions: collating, sharing anddiscussing best practice for youth participation, including tools,
standards, policies and ideas; connecting and amplifying IPPF
channels for youth communication; and identifying and sharing
opportunities to advance the Federation’s youth-centred approach,such as training, grants and advocacy forums.

84|

Centers and Funds update85Movement
Accelerator
Platform

In recent years, we have witnessed
a concerted attack on abortion,
contraception, gender equality, LGBTI
rights and comprehensive sexuality
education, as populist governments
and socially conservative groups
attempt to roll back hard-won gains
in sexual and reproductive rights.

This so-called ‘anti-gender’ movement,
which is well-organized and wellfunded, is gaining ground at national,
regional and global levels.
Faced with this backlash, our movement must
step up its game. To defend and advance social
justice, equality and rights for all, we need towiden public support and build coalitions. IPPF hastherefore launched a global Movement Accelerator
Platform to drive progressive change throughresearch, innovation and learning in support oflocal responses. The platform, which furthers IPPF’s
Advocacy Common Agenda16, comprises three
centres of excellence:

1
2
3

Winning narratives – based in
Brussels and hosted by European
Network Regional Office.

Countering the opposition– based in Washington
and hosted by Planned
Parenthood Global.

Social movements – basedin Rabat and hosted by the
Moroccan Family Planning
Association.

Photo: IPPF/Tommy Trenchard/Malawi

86|

Movement Accelerator Platform

87

The countering opposition centre aims to ensure thatMAs and partners have increased, more agile accessto information, resources and strategies to neutralize
attacks. Core activities include monitoring antigender discourse online, sharing intelligenceand devising counter-narratives. An internal
rapid response mechanism assesses opposition
threats and helps formulate an effective response.
This includes providing technical assistanceto MAs and partners and conducting advocacy,
campaigning and press work. The centre also helps
MAs to develop much-needed physical and digital
security strategies. In Burkina Faso, IPPF is working
with a network of organizations to prevent attacks
relating to gender-based violence. And IPPF MAs
in Zambia and Peru are joining forces to mitigate
the impact of the opposition on comprehensive
sexuality education.

Photo: IPPF/Gert Izeti/Albania

Fostering solidarity and learning
is at the heart of our approach.
We know that it is essential tolearn from each other, coordinate
responses and show solidarity
across borders and sectors.

IPPF created the social movements centre to amplify
and coordinate movements and support grassroots
activists, equipping them with research, resources
and skills. In addition, the centre increases thevisibility of activists by coordinating international
solidarity actions and promoting media coverage.
In Palestine, IPPF works with activists who united
to campaign against violence against women.
In Poland, since the near total ban on abortionin October 2020, IPPF has provided funding andtechnical assistance to support the Women’s Strike.

We are also setting up a think tank at thecountering opposition centre to share intelligenceand offer guidance.

The winning narratives centre
supports MAs and partners toreframe the debate aroundshared values.

In 2022, we will accelerate the impact of this vital
work. The winning narratives centre plans to carry out
research on gender ideology and pilot an innovativevisual framing approach. The countering opposition
centre will implement its opposition curriculum
around the world and hold a dynamic Opposition
Summit in July 2022. And the social movements
centre will provide technical support and conduct
workshops on key cross-cutting issues. Together,
we envision a world that respects and embraces
equality: a world in which everyone can realize their
human rights.

This entails understanding the ‘movable middle’ ineach country (people who are receptive to being
swayed), monitoring narrative trends and creating
powerful messages that resonate with people’svalues. The centre has developed useful resources,
including interactive webinars and e-learningfor MAs, Secretariat Offices and partners, andfostered peer learning. It has helped to craft winningnarratives that have shifted the public discourse on
sexual and reproductive health and rights: in Mexico,
for example, this approach was fundamental
in reducing the stigma surrounding abortion.
And in Malta, IPPF campaigns for reproductive
justice in partnership with the Voice for Choicecoalition of civil society organizations.

88|

Movement Accelerator Platform

Photo: IPPF/Hannah Maule-ffinch/Palestine89

IPPF’s Anti
RacismProgrammeof Action
IPPF’s Anti-Racism Programmeof Action continued its work in
2021 to identify and address issuesof racism and colonialism within
the Federation. This had been
initiated in 2020, precipitated by
the Black Lives Matter movement
but also triggered by awarenessthat concerns of racism had beenraised within IPPF. For the Federation
to live up to its values, a thoroughand critical examination of existing
attitudes and power relations
was necessary.
90|

IPPF’s Anti Racism Programme of Action

91

The report concluded that colonial
legacies were still present in theFederation, that staff experienced
and witnessed racism anddiscrimination, both interpersonaland institutional, and that IPPF’s
policies and processes were notcurrently adequate to addressthese or ensure accountability.

Member Associations also expressed
concerns about power imbalances
within the Federation and the ways
in which these reinforce neo-colonial
structures.
Key recommendations from the report included
setting up an anti-racism taskforce, conducting
training for Secretariat staff, ensuring equitable
employment opportunities and pay gap
monitoring, and ensuring that anti-racism,
anti-discrimination and intersectionality are partof IPPF’s core mission. IPPF’s high level governanceand leadership groups accepted these findings
and reiterated their commitment to creating a work
environment that is free from discrimination, fromprejudice and from marginalization.

Anti Racism

Following the delivery of the report,
the existing anti-racism working
group was expanded to include staff
from all IPPF Secretariat offices.
They work towards the goals of the anti-racism
agenda for the Federation and developed a plan
to ensure an inclusive and safe environment for
all Secretariat staff. The group has been actively
working to further understand the enablers
and barriers to diversity and inclusion throughengagement with activists and external experts.
A Board sub-committee has also been establishedto provide high-level oversight.
The anti-racism working group has developed an
action plan for 2022, with clear priorities basedon the report’s recommendations including antiracism training for all Secretariat staff. These actions
represent the first steps in a multi-year process andwill enable IPPF to explore and identify other areas for
improvement in the coming years, with the ultimate
goal of becoming an anti-racist organisation thateveryone is happy and proud to work for.

92|

IPPF’s Anti Racism Programme of Action

93Safeguarding
and IncidentManagement

IPPF continued to develop its safeguarding
and incident management processes
during 2021, making sure that staff,
volunteers and clients can raise concerns
and that these can be resolved in a timely
and effective manner, with the aim ofproviding a safe environment for all IPPF
staff, clients, volunteers and partners.

94|

Safeguarding and Incident Management

A new version of the IPPF SafeReportsystem, which allows confidential
reports of concerns and incidents,
was launched in April 2021.
This included better streamlined categories
of concern, and voluntary equal opportunities
monitoring for all reporters. An escalation protocol
was developed to facilitate compliance with thereporting requirements of donors and the UK
Charity Commission.
A new Safeguarding Training Pack was rolled out
across the Federation in a series of 16 events throughwhich a total of 228 MA and Secretariat staff weretrained as trainers, while general safeguarding
training and resource dissemination sensitisation
training was also delivered throughout the year.
A new Secretariat staff safeguarding induction
package was launched in October 2021 and a totalof 79 new staff members received this induction
during the year.

A new version of the IPPF
SafeReport system waslaunched in April 2021

An audit of IPPF’s safeguarding and incident
management functions has been carried out.
The auditors noted that improvements had been
made over the past year and that the foundation for
an effective incident management framework wasin place. Further action was recommended to ensurethat effective processes were embedded acrossthe Federation.

95

A total of 45 concerns werereported through the IPPF
SafeReport system in 2021, while
95 were closed during the year.
Overall, a cumulative total of
200 incidents were reported since
the launch of the system in 2019,of which 35 remain open.

Overall, a cumulative total of 200
incidents were reported since thelaunch of the system in 2019200
incidents reported

228
MA and Secretariat staff
trained as trainers

79

This represents a significant improvement fromour previous report, with 74 cases cleared fromthe backlog of reports made in 2020 and 2019. A totalof 17 of the cumulative total cases (9 per cent) wererelated to safeguarding concerns, of which five (11 percent) were reported during 2021, down from seven in
2020. All five safeguarding reports in 2021 related toMember Associations. Of these safeguarding reports,
one concerned sexual exploitation and/or abuse;
three related to sexual harassment; and one
related to other forms of abuse.
In 2022, IPPF will develop a new approach tolearn lessons from safeguarding experiences,
so that learning becomes a regular exercise andimprovements can be implemented on an ongoingbasis. Lessons already identified include the need
to formalize incident management responsibilities
in job descriptions and HR documentation; and tosupport incident coordinators with further training.

new staff members
received safeguarding
induction

96|

Safeguarding and Incident Management

97

99
98

Photo: IPPF/Ellena Ashley Williams/Indonesia

IPPF’s next
StrategyA new era: IPPF’s
next strategy“It is an historic opportunity toreorient and reposition IPPF so that
we truly stand out for standing up
for an intersectional philosophy
on love, intimacy, sex, pleasure andcare. [It is] a chance to re-think how
we work and relate to each other.”— IPPF’s Board of Trustees

As we approach the end of IPPF’s current
Strategic Framework (2016–2022), we aredeveloping the next strategy that will cover
the period 2023–2028. IPPF is committed tomaking this exciting process inclusive andparticipatory. The new strategy will be boldand progressive. It will reflect IPPF’s diversity
and articulate the Federation’s shared goals,
ambitions and vision.

100 |A new era: IPPF’s next strategy

MAs around the world have contributed theirideas, views, creativity and passion. A rightsbased, gender-transformative approach is at thecentre of the process, which draws upon feminist
participatory action research.
Led by IPPF’s Strategy, Investment and Policy
Committee, the journey began in December 2020,
with the launch of the new strategy planned for
November 2022, to coincide with the Federation’s
70th anniversary.

Photo: IPPF/Ellena Ashley Williams/Indonesia

101Phase 2
The second phase, listening andvisioning, was pivotal. Our goal was
to listen and understand the lived
realities of the people we serve
before mapping out trends.

Photo: IPPF/Xaume Olleros/Cameroon

Phase 1In the first co-initiation phase(December 2020 – May 2021), IPPF
commissioned extensive research
to inform the framework.
We wanted to analyse trends, identify the clientsof the future (‘the youth of 2030 and beyond’) andshed light on their sexual and reproductive healthneeds and aspirations. IPPF reviewed current
performance and global reach in delivering
sexual and reproductive healthcare, evaluating
achievements and challenges.

From June to November 2021, IPPF held in-depth
discussions to decide the direction and priorities.
We actively encouraged lively debate and dissent,
broadening our reach to listen to communities
whose voices had not previously been amplified.
MAs responded to questionnaires and led 24
roundtable discussions to spark new thinking
about sexual and reproductive health and rights.
At regional and youth forums, IPPF held a series ofvisioning sessions in which participants imagined
what success would look like in 2030. In total,
several thousand people from over 120 countries
contributed. The main themes that emerged were
captured in synthesis reports and visual mind maps
to inform the draft strategy.
In an attempt to frame sexual and reproductive
health and rights using sex-positive language, IPPF
invited people to say what love, sex, intimacy, careand pleasure meant to them. Using social media,
with the hashtag #NewSexSlang, IPPF reached morethan four million young people from 15 countries andreceived over 800 entries.

We assessed the contribution of MAs to national
sexual and reproductive healthcare delivery
and designed an interactive map showing
contraceptive use and unmet need globally.
In addition, IPPF sought MAs’ perspectives andexperiences in implementing the existing strategic
framework so that lessons learnt could be applied
to the next one.

102 |A new era: IPPF’s next strategy

Photo: IPPF/Anton Nixon/Barbados

103Phase 3
In the third phase – co-creating –between December 2021 and July
2022, a first draft of the strategy
was produced and disseminatedfor feedback.

This early draft will undergo extensive consultation
and re-writing. At the same time, IPPF is developinga Results Framework, in collaboration with donors
and partners, which includes new, meaningfulindicators to reflect strategic outcomes and priorities.
The Board will review the strategy in June 2022
before putting it to a non-binding vote among MAs
in July. And then IPPF’s next strategic framework,
which re-imagines sexual and reproductive healthand rights for all in the 21st century, will be launchedin November 2022, following approval by IPPF’s
General Assembly.

Photo: IPPF/Ryan Riley/Jamaica

Photo: IPPF/Marko Risovic/Serbia

104 |A new era: IPPF’s next strategy

105

Annexes

Annex A: Number of successfulpolicy initiatives and/or legislativechanges, by country, 2021

Annex ACountry

Number ofchangesAmericans
and Caribbean

Number ofchanges

AfricaCountry

Number ofchanges

Arab World

Colombia

2

Benin

2

Egypt

5

Mexico5

Botswana

1

Morocco

2

Peru

1

Comoros

1

Pakistan

1

Ghana

1

Sudan

3

Mali

2

Tunisia2

Mauritius

1

Nigeria1

Tanzania

1

Uganda2Country

Number ofchanges

Country

Number ofchanges

Annex B: IPPF’s Performance
Dashboard results, 2016-2021
Country

Number ofchanges

East & South East Asia
& Oceania

Europe106

Country

Albania

4

Australia

6

Belgium

5

1

Bosnia andHerzegovina

1

Democratic
People’sRepublic of
Korea

Denmark

1

Indonesia

1

Kazakhstan

1

New Zealand3

Latvia

1

Samoa

1

Lithuania

1

Thailand1

North
Macedonia

7

Norway1

SerbiaRepublic of

1

Slovakia

1

Spain

2

Sweden5South Asia
Nepal

1

107

108
661

Number of youth and women's groups that took
a public action in support of SRHR to which IPPF
engagement contributed

3

15
18

82%

82%

232,881

Number of IPPF volunteers
MAs receiving no more than 50% of their income from
IPPF unrestricted grant

14

291,747,796

172,279

Proportion of IPPF unrestricted funding used
to reward Member Associations through aperformance-based funding system

13

125,081,940

5%291,198,069

Total income generated locally by unrestrictedgrant-receiving Member Associations (US$)

3,131,094

44,709,391..

6,102,204

21,065,169

164,136,012

115,021

31,346,872

1015

146

6%

130,391,389

Total income generated by the Secretariat (US$)..

37,383,977

12

Outcome 4 Indicators

Number of clients served in humanitarian settings

10
Number of SRH services enabled

IPPF clients who would recommend our services
to family or friends as measured through the Net
Promoter Score methodology

11

Number of first-time users of modern contraception

9176,336,091

Number of couple years of protection..

18,776,343

Number of SRH services provided

7
8

145,078,890

9,296

Number of educators trained by Member
Associations to provide CSE to young people or toprovide CSE training to other educators (training oftrainers)

5

Outcome 3 Indicators

28,113,231

Number of young people who completed a qualityassured comprehensive sexuality education (CSE)4

Outcome 2 Indicators

175

Number of successful policy initiatives and/or legislative changes in support or defence of
SRHR and gender equality to which IPPF advocacy
contributed

12017 results

76%

261,5739%

264,262,874

132,960,014

5,083,448

55,085,126..

6,043,082

23,476,137

168,114,158

150,641

30,802,589

1038

163

2018 results

79%

314,0688%

252,089,810

191,467,154

4,638,513

70,967,492..

6,553,838

27,015,108

181,337,879

154,692

31,948,606

756

141

2019 results

155

n/a

35,200,000

n/a

256,900,000
23,900,000
8,613,810
n/a
95,200,000
n/a

234,204,030
484,900,000

20%
n/a
n/a

552

34,760,824

100,629

155,715,990
29,037,517
7,276,821
64%
75,695,722
6,071,485

164,725,000
190,864,081

8%
316,240
81%

752

25,547,744

109,426

143,247,609
26,756,387
5,513,335
69%
75,219,407
5,469,096

165,950,500
215,859,796

5%
316,79874%

2021 targets

121

2021 results

136

2020 results

n/a

n/a

40%

39%

70%

80%

n/a

84%

121%

61%

n/a

99%

n/a

78%

Percentage oftarget achieved

109

128

109

44

48

27

50

107

111

96

118

52

34

MAs reporting

Table B1:
IPPF’s Performance
Dashboard - Global
Performance Results,
2016-2021

Outcome 1 Indicators

2016 baseline

6

7

3

3

Secretariat offices
reportingAnnex B
Table B2
Outcome 1: Performance Results, by region, 2016, 2020 and 2021

Outcome 1 Indicators

1

3

4

5

Number of successful policy initiatives and/or legislative changes in support or defenceof SRHR and gender equality to which IPPF
advocacy contributed

Number of youth and women's groups that took
a public action in support of SRHR to which IPPF
engagement contributed

Number of young people who completed
a quality-assured comprehensive
sexuality education (CSE)

Number of educators trained by Member
Associations to provide CSE to young
people or to provide CSE training to othereducators (training of trainers)

Year
ACR
AWR
EN
ESEAOR
SARO
CO
Total

2021
8
12
15
54
13
1
18
121

2020
18
14
4
61
22
10
7
136

2016
53
11
5
71
17
11
7
175

2021
28
23
125
110
47
37
182
552

2020
81
36
115
92
49
31
348
752

2016
234
22
133
177
47
29
19
661

AR

Table B3
Outcome 2: Performance Results, by region, 2016, 2020 and 2021

Outcome 2 Indicators
Year
ACR
AR
AWR
EN
ESEAOR
SARO
CO
Total

2021
339,361
2,273,636
147,313613,047
31,004,409
383,058n/a
34,760,824

2020
413,729
1,812,477
64,112
528,573
22,407,908
320,946n/a
25,547,744

2016
428,1932,238,789
41,608239,033
25,019,365
146,242n/a
28,113,230

2021
49,112
19,733
5,986
12,560
7,528
5,710
n/a
100,6292020
38,514
26,397745
33,726
6,236
3,808
n/a
109,426

2016
6,130
88
130
2,734
214
0
n/a
9,296

Note on the data
In 2021, IPPF’s MA in Pakistan (Rahnuma – Family Planning Association of Pakistan)transferred from the South Asia region to the Arab World region. As a result, datafor 2021 is not necessarily consistent with prior years for these two regions.

Due to rounding, numbers presented throughout this report’s annexes may not
add up precisely to the totals indicated and percentages may not sum to 100.
109

Table B4
Outcome 3: Performance Results, by region, 2016, 2020 and 2021
Year

ACR

2021

Number of couple years of protection provided, by region, by method, 2016, 2020 and 2021

AR

AWR

EN

ESEAOR

SARO

CO

Total

17,242,159

59,082,377

39,608,597

1,068,207

12,721,976

25,992,674

n/a

155,715,990

2020

22,561,550

55,619,351

19,928,690

1,071,785

12,104,214

31,962,019

n/a

143,247,609

2016

30,198,359

68,753,974

11,672,439

1,562,581

13,947,674

18,943,863

n/a

145,078,890

2021

3,564,225

16,150,382

6,943,453

18,524

719,277

1,641,657

n/a

29,037,517

2020

4,054,064

14,622,019

2,475,289

19,093682,869

4,903,053

n/a

26,756,387

2016

6,678,636

7,770,541

955,758

49,680679,485

2,642,243

n/a

18,776,343

2021

0

6,007,364

904,764

1,154

86,927

276,612n/a

7,276,821

2020

18,4044,220,206

592,155

696

93,226588,648n/a

5,513,335

2016

30,0445,300,920

309,261669

347,384

347,813n/a

6,336,091

2021

69%

64%

9%

59%

66%

67%

n/a

64%

2020

81%

46%

n/a

n/a

65%

63%

n/a

69%

2016

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

2021

255,336

50,714,207

15,508,425

28,603

4,293,979

4,895,172n/a75,695,722

2020

679,800

49,810,365

9,415,008

28,474

3,694,392

11,591,368

n/a

75,219,407

2016

441,387

29,951,314

2,074,995

36,212

1,056,158

3,823,911n/a

37,383,977

2021

177,772

1,530,545

3,711,855

20,33357,147

573,833n/a

6,071,485

2020

313,643674,360

3,424,363

17,67864,789974,692n/a

5,469,525

2016

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

MethodOutcome 3 Indicators

7

8

9

10

11

17

Number of SRH services provided

Number of couple years of protection

Number of first-time users of modern
contraception

IPPF clients who would recommend
our services to family or friends as
measured through the Net Promoter
Score methodology

Number of SRH services enabled

Number of clients served inhumanitarian settings

ACR

AR

Intrauterine devices

Injectables

Oral contraceptive pills

Condoms

Voluntary surgicalcontraception (vasectomy
and tubal ligation)

Table B5
Outcome 4: Performance Results, by region, 2016, 2020 and 2021
Year

Implants

AWR

EN

ESEAOR

SARO

CO

Total

Emergency contraception

Outcome 4 Indicators
2021

12

Total income generated by the
Secretariat (US$)

164,725,000

2020

n/a

166,144,000

2016

13

14

15

18

17

110

Total income generated locally byunrestricted grant-receiving Member
Associations (US$)

Proportion of IPPF unrestricted fundingused to reward Member Associations
through a performance-based funding
systemNumber of IPPF volunteers

MAs receiving no more than 50% of theirincome from IPPF unrestricted grant

Number of clients served inhumanitarian settings

130,391,389

2021

75,171,772

61,830,386

9,100,632

4,942,356

26,363,921

13,455,013

n/a

190,864,081

2020

108,170,449

49,884,144

24,222,189

4,489,323

10,454,931

18,638,761

n/a

215,859,796

2016

149,979,959

65,638,161

5,341,111

4,481,212

51,280,444

14,477,182

n/a

291,198,069

2021

9%

10%

6%

5%

2%

7%

n/a

8%

2020

0%

9%

0%

7%

3%

8%

n/a

5%

2016

8%

4%

0%

7%

3%

10%

n/a

6%

2021

33,17546,043

66,532

15,33548,184

106,971n/a

316,240

2020

38,996

41,832

7,525

12,99545,310170,140n/a

316,798

2016

48,29846,1996,584

10,31745,38915,492n/a172,279

2021

93%

82%

43%

77%

95%

88%

n/a

81%

2020

77%

77%

69%

77%

55%

100%

n/a

74%

2016

94%

85%

62%

77%

74%

86%

n/a

83%

2021

177,772

1,530,545

3,711,855

20,33357,147

573,833n/a

6,071,485

2020

313,643674,360

3,424,363

17,67864,789974,692n/a

5,469,525

2016

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

Other hormonal methods

Other barrier methods

Total

Number of responses

Year

ACR

AR

AWR

EN

ESEAOR

SARO

Total

2021

1,417,601

7,490,598

1,280,701

250

88,05988,22910,365,438

2020

1,466,306

6,935,843

1,323,261

220

70,259126,4319,922,320

2016

1,145,216

2,437,908

130,877

7,015

79,297

79,124

3,879,437

2021

713,159

3,130,709

4,637,845

9,921

240,573

208,462

8,940,669

2020

969,887

2,941,244

554,857

10,102226,015

3,049,883

7,751,988

2016

2,651,157

1,424,628

497,477

19,347

199,679

1,348,074

6,140,362

2021

345,692

2,299,268

291,15065

32,739126,533

3,095,447

2020

448,426

2,085,397

193,24570

36,255374,965

3,138,357

2016

653,097

1,065,356

31,08089

49,564

155,627

1,954,813

2021

270,104

1,730,259

508,191

744

66,081

366,605

2,941,984

2020

473,149

1,347,087

339,078

1,302

59,969530,050

2,750,634

2016

567,218

1,480,745

251,840

3,097

66,528222,066

2,591,494

2021

161,330

1,435,968

145,1107,288

281,750

308,071

2,339,517

2020

143,915

1,229,102

63,647

7,071

279,049

373,906

2,096,691

2016

293,596

1,272,659

43,482

18,867

270,315

195,2632,094,182

2021

591,560

54,56074,26080

7,740

434,265

1,162,465

2020

484,760

75,890

0

140

9,140

347,638

917,568

2016

1,245,480

76,8800480

12,760537,612

1,873,212

2021

31,105

7,895

6,138

98

1,045

109,492

155,7732020

30,418

5,924

1,154

77

997

100,180

138,751

2016

81,228

9,143

557

671

1,126

104,477

197,2022021

33,672

367

0

31

357

0

34,427

2020

37,135

682

0

51

346

0

38,2142016

40,445

58

0

66

90

0

40,659

2021

1

759

58

47

933

0

1,798

2020

70

850

47

61

839

0

1,865

2016

1,200

3,166

445

49

126

0

4,986

2021

3,564,224

16,150,383

6,943,453

18,524

719,277

1,641,657

29,037,518

2020

4,054,064

14,622,019

2,475,289

19,093682,869

4,903,053

26,756,387

2016

6,678,637

7,770,543

955,758

49,681

679,485

2,642,243

18,776,347

2021(n=13)(n=36)(n=12)(n=14)(n=25)(n=7)(n=107)2020(n=24)(n=37)(n=10)(n=17)(n=25)(n=8)(n=121)2016(n=27)(n=39)(n=11)(n=19)(n=25)(n=8)(n=130)111

Table B4
Outcome 3: Performance Results, by region, 2016, 2020 and 2021
MethodContraceptive(including counselling)

Gynaecological

STI/RTI (excluding HIV)

Obstetric

HIV (excluding STI/RTI)Specialized counselling

Paediatric

Abortion-related

Urological

SRH medical

Infertility

Total

Number of responses

112

Year

ACR

2021

References

AR

AWR

EN

ESEAOR

SARO

Total

5,014,629

54,500,447

13,659,460

253,983

5,094,227

9,003,340

87,526,086

2020

6,063,510

56,670,238

7,593,706

224,450

5,034,724

14,828,648

90,415,276

Outcome 1

2016

8,980,338

47,748,224

2,989,983

374,277

5,890,895

5,892,684

71,876,401

2021

3,441,247

11,894,515

9,422,254

84,8402,917,530

3,427,438

31,187,824

2020

5,644,109

12,147,049

4,114,012

65,1003,075,082

5,144,616

30,189,968

1.	Planned Parenthood Federation of America (2021) Global Coalition of Over 200 Groups Call for Permanent End to
Global Gag Rule. Available at: https://www.plannedparenthood.org/about-us/newsroom/press-releases/globalcoalition-of-over-200-groups-call-for-permanent-end-to-global-gag-rule20168,529,057

9,156,910

2,323,176

150,763

1,837,816

3,123,922

25,121,644

2021

4,548,519

13,587,341

4,018,565

236,718

3,114,933

3,112,874

28,618,950

2020

5,003,210

10,448,925

1,322,897

241,704

2,830,520

3,812,653

23,659,909

2016

5,046,217

10,138,284

1,082,883

339,554

2,223,562

2,129,211

20,959,711

2021

1,488,623

5,713,702

13,064,467

15,363

1,116,762

4,326,343

25,725,260

2020

2,058,910

4,608,429

5,771,717

19,751

879,623

7,309,912

20,648,342

2016

2,189,092

4,472,388

2,344,244

43,323

1,068,801

4,043,146

14,160,994

2021

928,093

14,053,111

3,103,695

155,292

1,772,058

2,766,852

22,779,101

2020

1,243,098

11,031,548

1,353,063

138,576

932,716

2,980,117

17,679,118

2016

1,269,277

14,740,366

1,610,558

200,989

719,289

2,479,808

21,020,287

2021

559,527

3,967,703

1,885,786

212,762

1,669,098

2,895,484

11,190,360

2020

1,214,680

3,765,661

908,943

144,228

1,651,561

2,136,584

9,821,657

2016

1,281,102

3,550,259

561,118

336,731

1,372,224

1,008,743

8,110,177

2021

58,8501,974,459

5,183,252

601

266,830

2,897,286

10,381,278

2020

226,834

2,158,414

6,256,175

364

328,771

3,543,769

12,514,327

2016

555,470

2,897,906

2,028,557

5,947

820,613

1,772,854

8,081,347

2021

819,820

1,962,169

703,184

123,744526,968

406,127

4,542,012

2020

994,248

1,783,523

270,929

94,949531,130

680,005

4,354,784

2016

1,923,701

1,548,283

187,291

115,299548,281442,185

4,765,040

2021

467,914475,8872,029,657

5,617

264,703

657,414

3,901,192

2020

487,235

716,897504,599

7,177

237,214

1,388,229

3,341,351

2016

455,699

491,187

172,755

1,671

43,654

485,690

1,650,656

2021

48,894

958,875

1,139,618

6,283

62,1081,233,964

3,449,742

2020

64,964

1,387,011

923,708

161,661

122,965

1,185,823

3,846,132

2016

73,213

3,116,699

269,1105,294

380,033

1,094,769

4,939,118

2021

121,379

708,375

907,084

1,607

210,738

160,724

2,109,907

2020

240,552

712,021323,949

2,299

174,300

543,031

1,996,152

2016

336,580

844,782

177,759

24,94598,664

294,762

1,777,492

2021

17,497,495

109,796,584

55,117,022

1,096,810

17,015,955

30,887,846

231,411,712

2020

23,241,350

105,429,716

29,343,698

1,100,259

15,798,606

43,553,387

218,467,016

2016

30,639,746

98,705,288

13,747,434

1,598,793

15,003,832

22,767,774

182,462,867

2021(n=15)(n=36)(n=11)(n=16)(n=25)(n=8)(n=111)2020(n=24)(n=37)(n=11)(n=20)(n=25)(n=9)(n=126)2016(n=27)(n=40)(n=11)(n=19)(n=25)(n=8)(n=130)2.	IPPF (2019) Advocacy Common Agenda. Available from: https://www.ippf.org/resource/ippfs-advocacy-common-agenda
3.	IPPF (2021) IPPF Announces New Commitments to Sexual and Reproductive Health and Rights at the Generation
Equality Forum. Available at: https://www.ippf.org/news/ippf-announces-new-commitments-sexual-andreproductive-health-and-rights-srhr-generation

Outcome 2
4.	Wendoh S, IPPF (2021) Gender-based violence is shockingly prevalent – but it is also preventable. Available at:https://www.ippf.org/blogs/gender-based-violence-shockingly-prevalent-it-also-preventable
5.	IPPF European Network (2021) Safe from Sexual and Gender-based Violence. Available at: https://europe.ippf.org/
resource/safe-sexual-and-gender-based-violence-toolkit
6.	IPPF (2021) IMAP Statement on Comprehensive Sexuality Education for Adolescents in Protracted Humanitarian
Settings. Available at: https://www.ippf.org/sites/default/files/2021-12/IMAP Statement - English - CSE for Adolescentsin Protracted Humanitarian Settings.pdf

Outcome 3
7.	IPPF (2021) Placing Women’s Needs at the Center – 5 Reasons Why Abortion Self-Care Should Be Normalized. Available at:https://www.ippf.org/blogs/placing-womens-needs-center-5-reasons-why-abortion-self-care-should-be-normalized
8.	World Health Organization (2022) Abortion Care Guideline. Geneva. Available at: https://www.who.int/publications/i/
item/9789240039483
9.	WHO (2022) Fact sheet: cervical cancer. Available at https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
10.	World Health Organization (2021) Fact sheet: Abortion. Available at: https://www.who.int/news-room/fact-sheets/
detail/abortion
11.	World Health Organization (2022) Abortion Care Guideline. Geneva. Available at: https://www.who.int/publications/i/
item/9789240039483
12.	IPPF (2021) IMAP Statement on Abortion Self-Care. Available at: https://www.ippf.org/resource/imap-statementabortion-self-care

Updates from IPPF
13.	PPFN (2022) Youth Connect. Available at: https://youthconnect.ppfn.org/
14.	IPPF (2021) Using Digital Health Interventions to Increase Access to Abortion and Contraception Services.
15.	McKinley A. et al (2021) Digital Health Intervention Landscape Analysis Report.
16.	IPPF (2019) Advocacy Common Agenda. Available from:https://www.ippf.org/resource/ippfs-advocacy-common-agenda

113

Thank you

Board oftrustees
As of May 2022

With your support, millions of people, especially the poorestand 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
Treasurer
Bience Gawanas
Honarary Legal Counsel (ex-officio)
Aileen McColgan

Bill & Melinda Gates Foundation

Government of Norway

The Children’s Investment Fund Foundation

Government of the Republic of Korea

The Concept Foundation

Government of Sweden

CordaidGovernment of Switzerland

David and Lucile Packard Foundation

Government of Thailand

Erik E and Edith H Bergstrom Foundation

Government of United Kingdom

European Commission

Merck & Co.

Global Fund to Fight AIDS, Tuberculosis and Malaria

Open Society Foundation

Government of Australia

Sex & Samfund – The Danish Family Planning
Association

Government of Belgium
Government of Canada
Government of China
Government of Denmark
Government of Finland
Government of France
Government of Germany (BMZ, GIZ)
Government of Japan
Government of Malaysia
Government of the Netherlands

Isaac Adewole
Abhina Aher
Professor Rose-Marie Belle Antoine
Rosa Ayong Tchonang
Ulukbek Batyrgaliev
Santiago Cosío
Surakshya Giri

Jacob Mutambo
Donya Nasser
Sami Natsheh
Aurélia Nguyen
Andreas Prager
Elizabeth Schaffer

Swedish Association for Sexuality Education (RFSU)
Twinings
United Nations Population Fund (UNFPA)
Waterloo Foundation
William and Flora Hewlett Foundation
Women’s Refugee Commission
World Health Organization (WHO)Plus donations from generous supporters,
benefactors and anonymous friends

Government of New Zealand

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 person who appears in them.

114

Trustees

Directors’ Leadership Team (May 2022)
Director-General | Alvaro Bermejo
Director, External Relations | Mina Barling
Director, Finance and Technology | Varun AnandActing Director, People, Organization and Culture | Claire Jefferey
Director, Programme Delivery & Capacity Sharing | 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 | Caroline HicksonSouth Asia Regional Director | Sonal Mehta

115

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 nearly 70 years of achievement, we commit
to lead a locally owned, globally connected civil society movement thatproviders and enables healthcare and champions sexual and reproductive
health and rights for all, especially the under-served.

Published in June 2022 by the International Planned Parenthood Federation—
4 Newhams Row, London SE1 3UZ, UK
T: +44 (0)20 7939 8200
F: +44 (0)20 7939 8300
www.ippf.org—
UK Registered Charity No. 229476