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Annual Report

UNFPA 2006

Annual Report

The UNFPA Annual Report 2006 highlights UNFPA’s efforts throughout the year assisting 154 developing and transition countries and territories to empower women and men to make the choices necessary to improve their lives, improve reproductive and sexual health, reduce maternal death, promote HIV prevention, address unmet needs for family planning, advance effective population policies and alleviate poverty.

UNFPA 2005

Annual Report

The UNFPA Annual Report 2005 showcases efforts by Fund to improve reproductive health, ensure safe motherhood, address population issues, prevent HIV and help people in crises. The report highlights examples of UNFPA's work in each of these fields--demonstrating how it is making a difference in the lives of individuals and families in every region of the world. It also presents facts and figures about our work, including details of the contributions that UNFPA received from a record 172 donor countries in 2005, and on the kinds of projects that are supported by this generous funding.

Declarations and Statements

Johannesburg Call to Action to Make Motherhood Safer by Addressing Obstetric Fistula

Adopted at the Africa regional meeting held in October 2005 in Johannesburg, the Call to Action urges African governments to eliminate obstetric fistula and improve maternal health.

Evaluation Reports

Reproductive Health Services for Refugees and Internally Displaced Persons

Evaluation Report

As a founding member of the Inter-agency Working Group on Reproductive Health in Refugee Situations (IAWG), UNFPA was part of a global evaluation of coverage, quality, and use of reproductive health services by displaced persons. The full evaluation report of the IAWG assesses progress in the ten years since ICPD and reviews remaining challenges in providing reproductive health services to refugees and internally displaced persons.

General Information and Advocacy

Who We Are

This brochure provides a brief introduction to UNFPA and its efforts to ensure that every child is wanted, every pregnancy is safe, every young person is free of HIV and every girl and woman is treated with dignity and respect.

2004 Campaign to End Fistula Annual Report

In 2003, UNFPA launched the Campaign to End Fistula in collaboration with a wide range of partners. The six sections of this report provide a comprehensive overview of the country and global level Campaign activities that occurred during the 2004 calendar year.

Beijing at Ten: UNFPA's Commitment to the Platform of Action

This publication, launched at the start of the Beijing at 10 review, highlights what UNFPA has done and is doing to support governments and civil society in each of the 12 critical areas of the Beijing Platform for Action.

Brochure: Ending the Silent Suffering

Campaign to End Fistula

This brochure summarizes the goals, strategies and results of the Campaign to End Fistula. The campaign seeks to make obstetric fistula, a devastating injury of childbirth, as rare in Asia and Africa as it is in the developed world today.

Adding it Up

The Benefits of Investing In Sexual and Reproductive Health Care

This new report jointly published by The Alan Guttmacher Institute (AGI) and UNFPA, the United Nations Population Fund, makes the case for increased funding for sexual and reproductive health services-particularly in resource-poor countries-by illustrating the unusually broad societal and individual impact of investments in sexual and reproductive health.

Report of the Africa Regional Fistula Meeting

Accra, Ghana, 29 June – 1 July 2004

From 29 June to 1 July 2004, UNFPA hosted the second Africa Regional Meeting on Obstetric Fistula, in Accra, Ghana. The conference brought together over 90 participants from 26 countries, including UNFPA staff, government officials, non-governmental organizations, and some of the world's foremost experts in obstetric fistula.

Implementing the Safe Motherhood Action Agenda: A Resource Guide

Published by The Safe Motherhood Inter-Agency Group

The Guide lists and describes a range of available materials and resources that can be used to design safe motherhood interventions at the local and national levels. The goal of the Guide is to ensure that individuals and organizations responsible for supporting, designing and implementing safe motherhood programs in developing countries know about the most effective and cost-effective strategies, and know how to access existing resources that can help them carry out these strategies.

State of World Population

State of World Population 2006

A Passage to Hope: Women and International Migration

Today, half of all international migrants—95 million—are women and girls. Yet, despite substantial contributions to both their families at home and communities abroad, the needs of migrant women continue to be overlooked and ignored. The State of World Population 2006 report, A Passage to Hope: Women and International Migration, examines the scope and breadth of female migration, the impact of the funds they send home to support families and communities, and their disproportionate vulnerability to trafficking, exploitation and abuse. The report reveals that although migrant women contribute billions of dollars in cash and services, policymakers continue to disregard both their contributions and their vulnerability—even though female migrants tend to send a much higher proportion of their lower earnings back home than their male counterparts.

State of World Population 2005

The Promise of Equality: Gender Equity, Reproductive Health and the Millennium Development Goals

How do we improve the lives of the nearly 3 billion individuals living on less than two dollars a day? How can we enable all individuals — male and female, young and old — to protect themselves from HIV? To save the lives of more than 500,000 women who die each year in childbirth? What will it take to show young people living in poverty that they have a stake in development and a hope for the future?

State of World Population 2004

The Cairo Consensus at Ten: Population, Reproductive Health and The Global Effort to End Poverty

This year's report, The Cairo Consensus at Ten: Population, Reproductive Health and the Global Effort to End Poverty, examines the progress countries have made and the obstacles they have encountered at the halfway point in implementing the ICPD plan.

Technical Publications

HIV Prevention for Girls and Young Women

Report Cards

These Report Cards are advocacy tools aimed at increasing and improving the programmatic, policy and funding actions taken on HIV prevention for girls and young women. Their key audiences are national, regional and international policy and decision-makers, and service providers.

Thematic Fund for Maternal Health

Accelerating Progess Towards Millenium Development Goal 5

This paper provides an overview of the Thematic Fund for Maternal Health initiated by UNFPA. The aim of the Fund is to raise nearly $500 million to save the lives of women who experience complications during pregnancy and childbirth.

Cairo to 2015: The Road to Success

2006 Global Survey

Women's empowerment, HIV/AIDS, and reproductive health and rights are at the top of global parliamentarians list of priorities according to this report, which summarizes the findings of a global survey of parliamentarians undertaken in 2006. In total 322 parliamentarians took part, including respondents from the European Parliament as well as 85 developing and 18 donor countries. UNFPA collaborated with the Harvard School of Public Health and the four regional parliamentary groups on Population and Development to compile the survey. It documents the important progress parliamentarians have made since the ICPD, highlights the obstacles that must be conquered, and provides a clearer picture of the road ahead.

Giving Girls Today and Tomorrow: Breaking the Cycle of Adolescent Pregnancy

Pregnancy- and childbirth-related complications are the number-one killers of 15-19 year old girls worldwide. This report highlights the issue of adolescent pregnancy among married and unmarried adolescent girls (10-19 year olds), especially those living in poverty. It draws attention to current trends, as well as the social, economic, and health consequences of adolescent pregnancy not only for the girls themselves, but for their families and countries. The publication argues for strategic investments in the health, education, and livelihoods of adolescent girls to empower them to avoid the trap of becoming mothers while still children. It also examines how targeted investments will improve the prospects for pregnant girls and young mothers.

Maternal Mortality Update 2006

Expectation and Delivery: Investing in Midwives and Others with Midwifery Skills

Since 1998, the Maternal Mortality Update, a biennial publication of UNFPA, has documented strategies, partnerships and projects for reducing maternal mortality and morbidity in the developing world. This issue focuses on the key staff responsible for maternal health care: midwives and others with midwifery skills, or MOMS. It was prepared in collaboration with the International Confederation of Midwives (ICM).

Maternal Mortality in 2005

Estimates developed by WHO, UNICEF, UNFPA, and The World Bank

This document reports the global, regional, and country estimates of maternal mortality in 2005, and the findings of the separate assessments of trends of maternal mortality levels since 1990. It summarizes the challenges involved in measuring maternal mortality and the main approaches to measurement, and explains the development of the 2005 maternal mortality estimates and the interpretation of the results.

Ending Child Marriage: A Guide for Global Policy Action

Tackling child marriage is a daunting but possible task, requiring political will and proactive multi-faceted strategies at the international, national and community levels. Ending Child Marriage: A Guide for Global Policy Action is part of a wider advocacy strategy to raise awareness on child marriage and its effects on communities.

Maternal and Neonatal Health in East and South-East Asia

This publication gives an overview of the situation of maternal and newborn health in the East and South East Asia region, with a focus on progress and the interventions needed to save women's and newborn's lives. There is now a clear evidence base of the priority interventions in maternal and newborn health which need to be in place to avert maternal and neonatal mortality in countries with limited resources.

Meeting the Sexual and Reproductive Health Needs of People Living with HIV

In Brief: 2006 Series, No. 6

Three decades into the global AIDS pandemic, it is abundantly clear that enormous challenges remain, both in containing and reducing HIV infection rates and in helping people with HIV live longer, healthier lives. HIV prevention programmes must actively involve people living with HIV, working with them to decrease the risk of transmitting the virus to others while also making sure that HIV-negative people share in that responsibility.

Sexual and Reproductive Health of Women Living with HIV/AIDS

Guidelines on care, treatment and support for women living with HIV/AIDS and their children in resource-constrained settings

The sexual and reproductive health of women living with HIV/AIDS is fundamental to their well-being and that of their partners and children. This publication addresses the specific sexual and reproductive health needs of women living with HIV/AIDS and contains recommendations for counselling, antiretroviral therapy, care and other interventions.

Into Good Hands

Progress Reports from the Field

This companion booklet to the Maternal Mortality Update 2004 provides examples of policies, research and activities aimed at improving skilled attendance in four regions by UNFPA and the SAFE (Skilled Attendance For Everyone) research study. Published in collaboration with the Dugald Baird Centre for Research on Women's Health at the University of Aberdeen.

Investing in People

National Progress in Implementing the ICPD Programme of Action 1994-2004

This Global Survey includes responses from 169 countries on the steps they have taken to implement the Cairo Programme of Action, including measures related to population and development, gender equality, women's empowerment, reproductive rights and health and HIV/AIDS.

Investing in People -- A Summary

National Progress in Implementing the ICPD Programme of Action 1994 - 2004

A summary of the Global Survey that includes responses from 169 countries on the measures they have taken to implement the Cairo Programme of Action in the fields of population and development, gender equality, women's empowerment, reproductive rights and health and HIV/AIDS.

Maternal Mortality Update 2004

Delivering into Good Hands

Every two years, UNFPA's Maternal Mortality Update documents strategies for reducing maternal mortality and morbidity in the developing world. The 2004 update, published in collaboration with the Dugald Baird Centre for Research on Women's Health at the University of Aberdeen, focuses on the role of skilled attendance in improving maternal health.

Saving Mothers’ Lives

The Challenge Continues

More than half a million women die each year as a result of pregnancy-related complications. This brochure describes UNFPA's three-part strategy to prevent this tragic loss and some of the progress that is occurring in countries around the world. Improving maternal health is one of the eight internationally agreed on Millennium Development Goals and a top priority for UNFPA.

Emergency Obstetric Care -- Checklist for Planners

Emergency obstetric care is the cornerstone of UNFPA's efforts to improve pregnancy outcomes. This six-panel checklist is designed to help programme planners and managers monitor elements that are critical to providing a high quality of emergency obstetric care.

Making Safe Motherhood a Reality in West Africa

Using Indicators to Programme for Results

For too long, efforts to reduce maternal mortality stalled, in part because the facts underlying the problem --and the best strategies to address it --were poorly understood. This report documents UNFPA's efforts to address maternal mortality using a strategic and practical evidence-based approach in a region where data has been scarce,and where too many women have died. Increasing access to emergency obstetric care is central to this approach.

Maternal Mortality Update 2002

A Focus on Emergency Obstetric Care

Every minute a woman dies from lack of life-saving emergency obstetric care. Addressing this need is the centrepiece of UNFPA's efforts to make motherhood safer. The new Maternal Mortality Update explains the critical importance of timely medical interventions hen complications develop -- as they do in more than 5 per cent of all deliveries. It also documents UNFPA's efforts to reduce maternal mortality throughout the developing world.

Obstetric Fistula Needs Assessment

Findings from Nine African Countries

UNFPA partnered with EngenderHealth to conduct a first-ever study on the occurrence of fistula in nine countries in sub-Saharan Africa (Benin, Chad, Malawi, Mali, Mozambique, Niger, Nigeria, Uganda and Zambia). The report offers a glimpse of the issue as seen through the eyes of clients who seek services and professional health workers in 35 hospitals where fistula is treated. It highlights the urgent need for equipment, skilled medical staff and surgical supplies in order to meet the high demand for care.

Access and download the report by sections in different languages.

Maternal Mortality in 1995

Estimates developed by WHO, UNICEF, UNFPA

The document opens by summarizing the complexity involved in measuring maternal mortality and the reasons why such measurement is subject to uncertainty, particularly when it comes to monitoring progress. Subsequently, the rationale for the development of 1995 estimates of maternal mortality is presented along with a description of the process through which this was accomplished. This is followed by an analysis and interpretation of the results, comparing them to the 1990 estimates developed by WHO and UNICEF and describing some of the difficulties that such comparisons involve. The final parts of the document present a review of progress in maternal mortality reduction accomplished over the past few years followed by a summary of the kind of information needed to build a fuller understanding of both the levels and trends in maternal mortality and the interventions needed to achieve sustained reductions in the coming few years.

Workshop and Meeting Reports

Investing in Midwives and Others with Midwifery Skills

Saving the Lives of Mothers and Newborns and Improving their Health

This guidance note is designed for countries seeking to scale up midwifery services, especially at the community level. It is part of a UNFPA-ICM (International Confederation of Midwives) Joint Initiative to support the call for a Decade of Action for Human Resources for Health made at World Health Assembly in 2006. This note outlines in detail the action required by policy-makers and programme managers to effect change at country level and scale up midwifery capacity, specifically in poor and hard-to-reach areas. Technical guidelines for operationalizing the guidance note to come.

Midwifery in the Community: Lessons Learned

International forum on training and scaling-up midwives and others with midwifery skills

This report documents experiences and lessons related to training and scaling-up the midwifery workforce. These lessons were shared at the First International Forum on Midwifery in the Community (Tunisia, 2006).

Scaling up the Capacity of Midwives to Reduce Maternal Mortality and Morbidity

The report documents a March 2006 workshop to discuss the role of midwives in achieving MDG 5 (improving maternal health). The workshop, the first of its kind for UNFPA, brought together midwives from developing and industrialized countries with midwifery advisors and UNFPA staff and partners to discuss barriers to the development of a robust midwifery workforce. Although many of the barriers are well known, participants called attention to the underlying issue of gender inequality.

South Asia Conference for the Prevention and Treatment of Obstetric Fistula

9-11 December 2003 • Dhaka, Bangladesh

This conference marked the beginning of the UNFPA Campaign to End Fistula's expansion to the South Asian region. The objective of the conference was to introduce UNFPA's fistula campaign in South Asia, to review current knowledge about obstetric fistula in the region and to discuss steps for moving forward with the campaign in the region.

Second Meeting of the Working Group for the Prevention and Treatment of Obstetric Fistula

Addis Ababa -- 30 Ocotber - 1 November 2002

UNFPA leads a coalition of organizations committed to the prevention and treatment of fistula, an isolating disability that results from unrelieved obstructed labour. This report, from the second meeting of the working group, documents the considerable progress that has been made in bringing fistula to wider attention, in collecting data about it, and in developing strategies to end fistula in the developing world, just as it has been virtually eliminated in industrialized countries.

Report on the Meeting for the Prevention & Treatment of Obstetric Fistula

London -- 2001

This report reviews the first meeting of international fistula experts in London in July 2001, which launched this initiative and focused on concrete actions to alleviate the suffering of affected women. It is our sincerest hope that together we can work to make fistula as rare in Africa and in all developing countries as it is in the industrialized world. We know that new partners will join us in this worthwhile initiative.


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