UNFPA Annual Report | 2016

Millions of lives
Transformed

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Introduction

Leaving no one behind

Now more than ever, we must ensure that the marginalized, the forgotten—the ones often left behind—can exercise their fundamental human right to decide, free of coercion, discrimination and violence, when or how often to have children.

UNFPA, the United Nations Population Fund, is proud to have enabled millions of women of childbearing age to exercise that right and to have helped to nearly double modern contraceptive use worldwide from 36 per cent in 1970 to 64 per cent in 2016.

This annual report shows how funds entrusted to UNFPA have enabled us to protect and promote the health and rights of millions of women and young people and enable them to realize their full potential.

Dr. Babatunde Osotimehin
The late Executive Director, UNFPA
(1949-2017)

Key Achievements

Estimated impact of contraceptives provided by UNFPA in 2016:

3,680,000

unsafe abortions averted

29,000

maternal deaths averted

IN 2016, UNFPA PROGRAMMES AND SERVICES HELPED:

20,900,000

people reached by contraceptives provided by UNFPA in 2016

11,400,000

people had access to sexual and reproductive health services and services to address gender-based violence

2016 In Action

No matter how difficult the environment or how remote the community, UNFPA enables women to delivery safely, makes voluntary family planning information and services available to millions of couples in developing countries and protects the health and rights of adolescents so they may realize their full potential.

Millions of women and adolescent girls, especially those who are poor, rely on UNFPA programmes for life-saving sexual and reproductive health services.

Pregnancy by choice, not by chance

One-hundred seventy-nine governments agreed in 1994 that individuals have the right and should have the means to freely decide whether or when they want to start a family. Yet, an estimated 225 million women in developing countries are unable to exercise that right because they are not using, or have no access to, contraception.

Unmet demand for family planning translates into nearly 60 million unintended pregnancies annually in developing countries.

UNFPA is helping respond to the unmet demand and enabling more women to exercise their right to decide whether, when or how often to become pregnant. Increased access to contraception also leads to fewer abortions and reduces risks to women’s health.

UNFPA provided

268,000,000

male condoms

7,000,000

female condoms

34,852,080

doses of injectable contraceptives

21,350,104

cycles of oral contraceptives

Estimated impact of contraceptives

11,700,000

unintended pregnancies averted

$716,000,000

savings in health-care costs

Saving mothers’ lives

Every day, 830 women die from preventable causes during pregnancy or childbirth.

UNFPA makes pregnancy and delivery safer in developing countries by building the midwifery workforce, increasing access to antenatal and emergency obstetric care and providing life-saving medicines and medical equipment.

UNFPA supports safe pregnancies and deliveries even in humanitarian settings,such as camps for refugees or internally displaced people or in the aftermath of man-made and natural disasters.

Impact of maternal health thematic fund

15,638

women underwent surgery to repair obstetric fistulas

5,200

midwives trained

Impact of UNFPA services in humanitarian settings in 2016

2,488

health facilities with emergency obstetric care

481

mobile maternal health clinics in 27 countries

Empowering the next generation

Young people, ages 10 to 24, account for about 24 per cent of the world’s 7.4 billion people.

UNFPA in 2016 helped millions of young people, especially adolescent girls, remain healthy and avoid pregnancy. UNFPA also helped protect them from harmful practices and enabled them to realize their full potential.

As a result of UNFPA programmes in 2016

23,000,000

adolescents gain access to sexual and reproductive health services

730,000

girls and women received comprehensive services related to female genital mutilation

Impact of the UNFPA-UNICEF Global Programme to Accelerate Action to End Child marriage

65,000

adolescent girls were empowered with life skills, sexual and reproductive health information and access to services

285,000

community members gained awareness about girls’ rights

Regions

Africa, East and Southern

Context And Challenges

Young people make up the largest and fastest-growing share of the region’s population. How governments in the region invest in their health, education and capabilities in the years ahead will determine whether the region will reap a demographic dividend.

Investments in the human capital of region’s young people and women entails expanding access to sexual and reproductive health services, including contraception and HIV prevention. About one in four women wants to prevent a pregnancy but is not using a modern method of family planning. Nearly half of all new HIV infections worldwide occur in the region. An estimated 640 adolescent girls and young women are infected with HIV every day.

A further challenge for the region is the high rate of gender-based violence. About one in two women has experienced physical or sexual violence.

Progress

80,000,000

condoms were made available to young people

1,500,000

adolescents and youth had access to sexual and reproductive health services

445,000

survivors of gender-based violence received services in humanitarian settings

Estimated impact of contraceptives

5,400,000

unintended pregnancies prevented

1,600,000

unsafe abortions prevented

15,000

maternal deaths averted

Indicators

maternal deaths per 100,000 live births

of births attended by skilled personnel

of women married or in a union with an unmet need for family planning

children born to average woman in childbearing years (total fertility rate

of population between the ages of 10 and 24

Expenses

Programme expenses

in thousands of US$
(includes core and non-core resources)
Africa, East and Southern
  • Angola 1,992
  • Botswana 1,079
  • Burundi 5,448
  • Comoros 782
  • Democratic Republic of the Congo 21,357
  • Eritrea 1,605
  • Ethiopia 14,757
  • Kenya 14,115
  • Lesotho 1,522
  • Madagascar 5,864
  • Malawi 8,214
  • Mauritius 79
  • Mozambique 11,440
  • Namibia 1,299
  • Rwanda 4,169
  • South Africa 2,179
  • South Sudan 17,474
  • Swaziland 1,462
  • Uganda 15,122
  • United Republic of Tanzania 13,163
  • Zambia 7,629
  • Zimbabwe 13,259
  • Total country/territory programmes 164,010
  • Regional projects in East and Southern Africa 16,924
  • Total programme expenses
    in East and Southern Africa

    180,934

Programme expenses by focus area

in thousands of US$
 
  • Integrated sexual and reproductive health
  • Adolescents
  • Gender equality and rights
  • Data for development
  • Organizational efficiency and effectiveness
Total expenses
Focus area as a percentage of total

Africa, West and Central

Context And Challenges

A woman in West and Central Africa is 120 times more likely to die from pregnancy-related complications than a woman in a developed country.

In the region, one woman in six uses modern contraception, contributing to an average fertility rate of more than five children per woman. High fertility rates are buoyed in part by high rates of child marriage and adolescent pregnancy, which in turn increase the economic and social vulnerability of girls and undermine investments in their education and prevent them from realizing their full potential. The region has the world’s highest child marriage rates, with an average of two of five girls married before age 18. About 6 per cent of girls give birth before age 15.

Low rates of educational attainment affects future job prospects. Jobs for young people are scarce, and the World Bank estimates that over the next 10 years, only one in four young people in the region will secure paid employment.

Progress

5,200,000

additional women gained access to family planning information and services

2,300,000

women had access to sexual and reproductive health services

1,768

communities declared the abandonment of female genital mutilation

Estimated impact of contraceptives

2,900,000

unintended pregnancies prevented

1,000,000

unsafe abortions prevented

12,000

maternal deaths averted

Indicators

maternal deaths per 100,000 live births

of births attended by skilled personnel

of women married or in a union with an unmet need for family planning

of population between the ages of 10 and 24

Expenses

Programme expenses

in thousands of US$
(includes core and non-core resources)
Africa, West and Central
  • Benin 4,382
  • Burkina Faso 6,739
  • Cameroon 6,826
  • Cabo Verde 629
  • Central African Republic 4,458
  • Chad 6,303
  • Congo 2,181
  • Côte d’Ivoire 8,086
  • Equatorial Guinea 1,927
  • Gabon 672
  • Gambia 1,509
  • Ghana 3,632
  • Guinea 7,028
  • Guinea-Bissau 2,146
  • Liberia 6,377
  • Mali 5,722
  • Mauritania 2,635
  • Niger 10,064
  • Nigeria 26,634
  • São Tomé and Principe 1,048
  • Senegal 6,222
  • Sierra Leone 12,800
  • Togo 3,015
  • Total country/territory programmes 131,035
  • Regional projects in West and Central Africa 8,907
  • Total programme expenses
    in West and Central Africa

    139,942

Programme expenses by focus area

in thousands of US$
 
  • Integrated sexual and reproductive health
  • Adolescents
  • Gender equality and rights
  • Data for development
  • Organizational efficiency and effectiveness
Total expenses
Focus area as a percentage of total

Arab States

Context And Challenges

Much of the Arab States region continued to be affected by conflict and natural disasters in 2016, endangering the health and lives of hundreds of thousands of pregnant women. In Syria and neighbouring countries alone, 5.3 million women were of childbearing age that year, and an estimated 440,000 were pregnant.

Women and adolescent girls bear extraordinary burdens as wars and disasters leave a trail of turmoil and destruction. Without the usual protection of family and community, women and adolescent girls frequently become victims of sexual violence, unwanted pregnancies and sexually transmitted infections. Basic needs for family planning, reproductive health care and safe childbirth are rarely met when women and adolescents become untethered from the lifeline of health systems.

Progress

2,000,000

Syrian women and girls had access to life-saving reproductive health services through 1,331 facilities, mobile clinics and outreach teams in Syria, Egypt, Iraq, Jordan and Turkey

1,000,000

people in Yemen gained access to reproductive health services or services to support survivors of gender-based violence

100,000

women in North and Central Darfur states in Sudan received life-saving reproductive health medicines and supplies

Estimated impact of contraceptives

823,000

unintended pregnancies prevented

272,000

unsafe abortions prevented

498

maternal deaths averted

Indicators

of births attended by skilled personnel

of women married or in a union with an unmet need for family planning

children born to average woman during childbearing years (total fertility rate)

of population between the ages of 10 and 24

Expenses

Programme expenses

in thousands of US$
(includes core and non-core resources)
Arab States
  • Algeria 431
  • Djibouti 1,066
  • Egypt 3,999
  • Iraq 22,101
  • Jordan 13,847
  • Lebanon 3,013
  • Libya 1,640
  • Morocco 1,015
  • Oman 1,174
  • Palestine 2,573
  • Somalia 13,393
  • Sudan 13,761
  • Syrian Arab Republic 10,506
  • Tunisia 816
  • Yemen 14,281
  • Total country/territory programmes 103,616
  • Regional projects in Arab States 9,227
  • Total programme expenses
    in Arab States

    112,843

Programme expenses by focus area

in thousands of US$
 
  • Integrated sexual and reproductive health
  • Adolescents
  • Gender equality and rights
  • Data for development
  • Organizational efficiency and effectiveness
Total expenses
Focus area as a percentage of total

Asia and the Pacific

Context And Challenges

Dramatic socioeconomic gains in Asia and the Pacific, home to almost 60 per cent of the world’s population, have benefited hundreds of millions of people. Despite these gains, hundreds of millions of others still face formidable development challenges.

While many countries have improved access to sexual and reproductive health services for their citizens, millions of women still lack access to family planning, leading to unintended pregnancies and unsafe abortions. Of the estimated 114 million pregnancies in the region in 2016, about 45 million were unintended.

Child marriage remains widespread, although efforts by governments and civil society in some countries to counter harmful practices and violence against women are gathering momentum.

All of these challenges are exacerbated in several countries by pressures to limit the work of civil society organizations, including some that advocate for access to sexual and reproductive health services.

Progress

385,000

young people in Indonesia received information through social media about sexual and reproductive health

49,000

young people received life-skills training through 16 UNFPA-supported youth-development centres

6,000

clean delivery kits distributed in conflict-affected zones of Myanmar

Estimated impact of contraceptives

1,100,000

unintended pregnancies prevented

299,000

unsafe abortions prevented

244,473

women and girls in humanitarian settings had access to reproductive health services or services to prevent and treat the effects of gender-based violence

Indicators

maternal deaths per 100,000 live births

of births attended by skilled personnel

of women married or in a union with an unmet need

children born to average woman during childbearing years (total fertility rate)

of population between the ages of 10 and 24

Expenses

Programme expenses

in thousands of US$
(includes core and non-core resources)
Asia and the Pacific
  • Afghanistan 26,461
  • Bangladesh 10,722
  • Bhutan 735
  • Cambodia 2,627
  • China 1,940
  • Democratic People’s Republic of Korea 2,092
  • India 8,154
  • Indonesia 3,439
  • Iran (Islamic Republic of) 1,231
  • Lao People’s Democratic Republic 2,989
  • Malaysia 680
  • Maldives 391
  • Mongolia 3,685
  • Myanmar 9,981
  • Nepal 5,598
  • Pacific island countries 4,914
  • Pakistan 8,302
  • Papua New Guinea 6,312
  • Philippines 6,253
  • Sri Lanka 950
  • Thailand 990
  • Timor-Leste 1,900
  • Viet Nam 3,805
  • Total country/territory programmes 114,151
  • Regional projects in Asia and the Pacific 7,733
  • Total programme expenses
    in Asia and the Pacific

    121,884

Programme expenses by focus area

in thousands of US$
 
  • Integrated sexual and reproductive health
  • Adolescents
  • Gender equality and rights
  • Data for development
  • Organizational efficiency and effectiveness
Total expenses
Focus area as a percentage of total

Eastern Europe and Central Asia

Context And Challenges

The Eastern Europe and Central Asia region consists of middle-income countries with significant resources at their disposal. However, economic inequalities and lack of job opportunities remain commonplace and have contributed to migration, both within countries and within the region, the inability of many couples to have as many children as they desire, and wide disparities in access to services, including sexual and reproductive health services.

Some 17 million women have an unmet demand for modern contraception in the region, with two thirds of them relying on traditional methods, putting them at higher risk of unintended pregnancy and sexually transmitted infections. In most countries of South-Eastern Europe and the South Caucasus, rates of modern contraceptive use are lower than the average in the world’s least developed countries.

Gender inequality still permeates societies in the region and manifests itself in discrimination of women, gender-based violence and harmful practices such as gender-biased sex selection in parts of Southeastern Europe and the South Caucasus.

Progress

849,535

women and girls in humanitarian settings had access to reproductive health services or services to prevent and treat the effects of gender-based violence

100,000

refugees and migrants in Turkey received sexual and reproductive health services

27,000

young people learned about sexual and reproductive health and rights through a pilot programme in Moldova

Estimated impact of contraceptives

231,000

unintended pregnancies prevented

67,000

unsafe abortions prevented

45

maternal deaths averted

Indicators

maternal deaths per 100,000 live births

of births attended by skilled personnel

of women married or in a union with an unmet need for family planning

children born to average woman during childbearing years (total fertility rate)

of population between the ages of 10 and 24

Expenses

Programme expenses

in thousands of US$
(includes core and non-core resources)
Eastern Europe and Central Asia
  • Albania 1,026
  • Armenia 776
  • Azerbaijan 498
  • Belarus 655
  • Bosnia and Herzegovina 690
  • Georgia 1,033
  • Kazakhstan 567
  • Kyrgyzstan 960
  • Republic of Moldova 705
  • Serbia (includes Kosovo) 929
  • Tajikistan 1,632
  • The former Yugoslav Republic of Macedonia 408
  • Turkey 10,340
  • Turkmenistan 463
  • Ukraine 2,524
  • Uzbekistan 728
  • Total country/territory programmes 23,934
  • Regional projects in Eastern Europe and Central Asia 6,565
  • Total programme expenses
    in Eastern Europe and Central Asia

    30,499

Programme expenses by focus area

in thousands of US$
 
  • Integrated sexual and reproductive health
  • Adolescents
  • Gender equality and rights
  • Data for development
  • Organizational efficiency and effectiveness
Total expenses
Focus area as a percentage of total

Latin America and the Caribbean

Context And Challenges

Latin America and the Caribbean is a region of contrasts and diverse challenges. While the region has the largest number of young people in its history, it also includes countries with a rapidly increasing share of the population that is older. While there is enormous wealth, there is also extreme poverty, disproportionately affecting indigenous groups, Afrodescendants and millions living in precarious settlements vulnerable to the effects of climate change.

And while quality sexual and reproductive health services, including family planning, are increasingly available to affluent, educated and urban individuals, access to services in some countries is limited in poorer and rural communities, and among young people, including adolescents. On average, one in every 10 women in the region has an unmet need for family planning. About 36 per cent of the region’s adolescents also have an unmet need for modern contraception.

The region now has the world’s largest share of pregnancies that are unintended: 56 per cent.

Progress

500,000

condoms distributed and information about HIV and Zika prevention provided in Brazil during the Olympics

1,500

adolescent peer educators in Honduras received training in comprehensive sexuality education and gender equality

15

maternity wards rehabilitated after Hurricane Matthew struck Haiti. Mobile clinics dispatched to provide services to survivors of gender-based violence.

Estimated impact of contraceptives

1,000,000

unintended pregnancies prevented

392,000

unsafe abortions prevented

497

maternal deaths averted

Indicators

maternal deaths per 100,000 live births

of births attended by skilled personnel

of women married or in a union with an unmet need for family planning

children born to average woman during childbearing years (total fertility rate)

of population between the ages of 10 and 24

Expenses

Programme expenses

in thousands of US$
(includes core and non-core resources)
Latin America and the Caribbean
  • Argentina 214
  • Bolivia (Plurinational State of) 2,618
  • Brazil 1,383
  • Caribbean, English- and Dutch-speaking 1,703
  • Chile 175
  • Colombia 2,736
  • Costa Rica 602
  • Cuba 622
  • Dominican Republic 607
  • Ecuador 1,007
  • El Salvador 1,772
  • Guatemala 6,167
  • Haiti 3,524
  • Honduras 3,489
  • Mexico 1,239
  • Nicaragua 1,013
  • Panama743
  • Paraguay 886
  • Peru 813
  • Uruguay 1,233
  • Venezuela (Bolivarian Republic of) 638
  • Total country/territory programmes 33,184
  • Regional projects in Latin America and the Caribbean 7,266
  • Total programme expenses
    in Latin America and the Caribbean

    40,450

Programme expenses by focus area

in thousands of US$
 
  • Integrated sexual and reproductive health
  • Adolescents
  • Gender equality and rights
  • Data for development
  • Organizational efficiency and effectiveness
Total expenses
Focus area as a percentage of total

Gross Contributions to UNFPA totaled $848 million in 2016. The amount includes $353 million towards the organization’s “core resources” and $495 million earmarked for specific programmes or initiatives.

Core resources are the bedrock of UNFPA programmes that serve women and young people around the world. Core resources enable long-term planning as well as rapid response to emerging priorities. Core resources also enable UNFPA to have a universal presence, even in fragile contexts, such as in conflict zones or in refugee situations.

STRATEGIC PARTNERSHIPS

Partnerships with the private sector—corporations, foundations, academic institutions, individuals and other stakeholders—are critical to achieving the Sustainable Development Goals.

Through partnerships in 2016, UNFPA mobilized funding and in-kind contributions valued at $12.8 million, a 24 per cent increase over 2015. During the year, 72 agreements were signed with 50 partners.

Some of the partnerships have helped fund UNFPA programmes around the world, while others have involved technical assistance or expertise to enable UNFPA to deliver programmes more effectively or advocate for the rights and health of women and adolescents.

New partnerships with global companies, foundations and individuals have ampli ed UNFPA's ability to support life- saving initiatives through the Safe Birth Even Here Campaign, which raises awareness about urgent unmet needs and vulnerabilities of pregnant women in conflicts and in the aftermath of natural disasters.

TOP 10 PRIVATE SECTOR PARTNERS, 2016
  Co-financing In-kind contribution goods In-kind contribution services Total
Bill & Melinda Gates Foundation 4,000,365   1,250,000 5,250,365
Zonta International Foundation 2,000,000     2,000,000
Children’s Investment Fund Foundation
(through Crown Agents Limited)
1,150,000     1,150,000
UN Foundation
(through United Nations Fund for International Partnerships)1
884,631     884,631
Terre de hommes Mission in Albania 788,954     788,954
MacArthur Foundation 432,000     432,000
Merck Sharp & Dohme B.V.   389,074   389,074
Global Medical Aid   311,715   311,715
Relief International2   286,902   286,902
Ford Foundation 225,000     225,000
1.With co-financing from: Bill & Melinda Gates Foundation, Bloomberg Philanthropies, Government of Canada, National Philanthropic Trust, Novo Foundation
2.Acted as a conduit for funds from the Iraq Humanitarian Pooled Fund.

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