Photo
© Kauê Scarim/PSOL

I have
the power
to change
my world

UNFPA Annual Report 2017

17709
Photo
© UNFPA/Vu Ngoc Dung

“I see a future where every woman and every girl has the power, information and means to shape her own destiny.”

Dr. Natalia Kanem UNFPA Executive Director
United Nations Population Fund

Year on year, millions of women and adolescents in 155 countries and territories have been progressively able to exercise their sexual and reproductive health and rights. This is in no small measure as a result of UNFPA programmes and activities.

The UNFPA strategic plan for 2014-2017 set ambitious targets for increasing access to sexual and reproductive health services. These services have empowered millions of women to make their own decisions about whether, when or how often to become pregnant. They have enabled millions of teenagers to avoid unplanned pregnancy, and to make safe and healthy transitions to adulthood. And they have slowed the unnecessary and cruel tide of maternal death.

Photo
© UNFPA/Yenny Gamming

Pregnancy by choice, not by chance

“I want another child,
but not yet.”

Kyae, 23, Myanmar

Access to safe, voluntary family planning is a human right and is central to achieving gender equality, empowering women and reducing poverty. UNFPA helps ensure steady supplies of high-quality contraceptives.

 

2017

2014-2017

Photo
© UNFPA/Elena Heatherwick

Saving mothers' lives

“I’m not scared to become
a mother. I’m excited.”

Myrtha, 26, Haiti

Affordable, high-quality reproductive health services save lives. Maternal deaths are decreasing rapidly in developing countries, particularly in the least-developed ones and in countries of East and Southern Africa. Between 2014 and 2017, UNFPA-supported integrated sexual and reproductive health services, including skilled birth attendance, reached more than 58 million people.

 

2017

2014-2017

Photo
© UNFPA/Egor Dubrovsky

Empowering the next generation

“I think it’s important to give young people accurate information about reproductive health.”

Anastasiya, 22, Belarus

UNFPA programmes enabled millions of adolescents and young people to access sexual and reproductive health services. UNFPA has also advocated the elimination of harmful practices, such as child marriage and female genital mutilation.

 

2017

2014-2017

Photo
© UNFPA/Henry Chimbali

Africa
East and Southern

“Someday, I will become
an independent woman”

Fostina, 19, Malawi

Services supported by UNFPA reached millions of women and young people in East and Southern Africa between 2014 and 2017. In 2017 alone through a programme funded by the United Kingdom to prevent maternal deaths in the region, UNFPA helped 3.4 million people access family planning and trained about 6,000 health workers to provide a wider range of contraceptive options and information about their safe use.

UNFPA in 2017 also invested in integrated HIV and sexual and reproductive health services in Southern Africa, which has the world’s highest HIV infection rates. In the Great Lakes region and in other crisis affected areas, UNFPA provided maternal health care and support for survivors of gender-based violence. Also, UNFPA is supporting comprehensive sexuality education programmes in all countries in the region.

Pregnancy by choice, not by chance
© UNFPA/Tiril Skarstein
© UNFPA/Tiril Skarstein

Pregnancy by choice, not by chance

Impact of contraceptives supplied by UNFPA

2017
2014-2017

2017: 6.2 M
2014-2017:
20.7 M

Unintended pregnancies prevented

2017: 1.7 M
2014-2017:
5.9 M

Unsafe abortions averted

2017: 15,500
2014-2017:
60,000

Maternal deaths averted

Saving mothers’ lives
© UNFPA/Tiril Skarstein
© UNFPA/Tiril Skarstein

Saving mothers’ lives

2017
2014-2017

2017: 3.5 M
2014-2017:

People who had access to Services in humanitarian settings

Empowering the next generation
© UNFPA/Tiril Skarstein
© UNFPA/Tiril Skarstein

Empowering the next generation

2017
2014-2017

2017: 3.9 M
2014-2017:
12.9 M

Number of adolescents who gained Access to sexual and reproductive health services

Programme Expenses

In millions of US$
(includes core and non-core resources)

 
2017
2014-2017
 

Angola

2017: 2.5
2014-2017:
9.8

 

Botswana

2017: 0.9
2014-2017:
5.0

 

Burundi

2017: 5.7
2014-2017:
23.2

 

Comoros

2017: 0.9
2014-2017:
3.9

 

Democratic Republic of the Congo

2017: 19.4
2014-2017:
74.9

 

Eritrea

2017: 1.9
2014-2017:
8.7

 

Ethiopia

2017: 13.7
2014-2017:
61.8

 

Kenya

2017: 9.3
2014-2017:
42.0

 

Lesotho

2017: 1.5
2014-2017:
7.3

 

Madagascar

2017: 5.6
2014-2017:
22.8

 

Malawi

2017: 4.4
2014-2017:
33.9

 

Mauritius

2017: 0.1
2014-2017:
0.4

 

Mozambique

2017: 16.6
2014-2017:
46.1

 

Namibia

2017: 1.0
2014-2017:
5.5

 

Rwanda

2017: 3.1
2014-2017:
16.3

 

South Africa

2017: 1.7
2014-2017:
9.7

 

South Sudan

2017: 20.3
2014-2017:
75.6

 

Eswatini

2017: 1.4
2014-2017:
6.6

 

Uganda

2017: 12.9
2014-2017:
67.0

 

United Republic of Tanzania

2017: 11.4
2014-2017:
48.4

 

Zambia

2017: 8.7
2014-2017:
31.6

 

Zimbabwe

2017: 14.4
2014-2017:
70.2

 

   

 

Country/territory activities

2017: 157.4
2014-2017:
670.7

 

Regional activities

2017: 18.9
2014-2017:
53.0

 

Total programme expenses

2017: 176.3
2014-2017:
723.7

 

Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
Photo
© UNFPA/Elena Heatherwick

Africa
West and Central

“I think it’s a privilege
to work as a midwife.”

Georgetta, 29, Liberia

UNFPA empowered the region’s women and young people between 2014 and 2017 through improved sexual and reproductive health services and increased access to family planning. Investments strengthened countries’ capacities to provide and distribute reproductive health supplies. In 2016, for example, UNFPA invested about $33 million in contraceptives.

UNFPA also invested in developing the region’s biggest asset: its young people. These investments supported initiatives to foster youth participation, with partners such as the African Youth and Adolescent Network on Population and Development, in policymaking and development planning, and to create synergies among UNFPA programmes. Efforts are also under way to realize and maximize a demographic dividend by scaling up investments in the human capital of the region’s young people.

Pregnancy by choice, not by chance
© UNFPA/Ollivier Girard
© UNFPA/Ollivier Girard

Pregnancy by choice, not by chance

Impact of contraceptives supplied by UNFPA

2017
2014-2017

2017: 3.1 M
2014-2017:
12.6 M

Unintended pregnancies prevented

2017: 1.1 M
2014-2017:
4.5 M

Unsafe abortions averted

2017: 14,000
2014-2017:
51,000

Maternal deaths averted

Saving mothers’ lives
© Olivia Acland, United Nations
© Olivia Acland, United Nations

Saving mothers’ lives

2017
2014-2017

2017: 3.1 M
2014-2017:

People who had access to Services in humanitarian settings

Empowering the next generation
© UNFPA/Ollivier Girard
© UNFPA/Ollivier Girard

Empowering the next generation

2017
2014-2017

2017: 621,000
2014-2017:
4.5 M

Number of adolescents who gained Access to sexual and reproductive health services

Programme Expenses

In millions of US$
(includes core and non-core resources)

 
2017
2014-2017
 

Benin

2017: 3.0
2014-2017:
15.3

 

Burkina Faso

2017: 7.0
2014-2017:
31.3

 

Cameroon

2017: 5.5
2014-2017:
25.7

 

Cape Verde

2017: 0.5
2014-2017:
3.3

 

Central African Republic

2017: 3.3
2014-2017:
16.3

 

Chad

2017: 6.0
2014-2017:
24.7

 

Congo

2017: 2.2
2014-2017:
10.9

 

Côte d'Ivoire

2017: 6.7
2014-2017:
32.8

 

Equatorial Guinea

2017: 1.7
2014-2017:
6.0

 

Gabon

2017: 0.6
2014-2017:
3.3

 

Gambia

2017: 1.5
2014-2017:
6.7

 

Ghana

2017: 3.1
2014-2017:
15.9

 

Guinea

2017: 5.9
2014-2017:
30.5

 

Guinea-Bissau

2017: 1.7
2014-2017:
8.2

 

Liberia

2017: 7.1
2014-2017:
31.7

 

Mali

2017: 5.5
2014-2017:
18.6

 

Mauritania

2017: 2.3
2014-2017:
11.3

 

Niger

2017: 12.3
2014-2017:
47.9

 

Nigeria

2017: 19.1
2014-2017:
97.5

 

São Tomé and Príncipe

2017: 0.7
2014-2017:
4.3

 

Senegal

2017: 3.8
2014-2017:
22.6

 

Sierra Leone

2017: 21.8
2014-2017:
64.9

 

Togo

2017: 2.3
2014-2017:
14.3

 

   

 

Country/territory activities

2017: 123.6
2014-2017:
544.0

 

Regional activities

2017: 9.0
2014-2017:
31.2

 

Total programme expenses

2017: 132.6
2014-2017:
575.2

 

Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
Photo
© UNFPA/Roger Anis

Arab States

“I do not want more children. I want to be able to take care of and educate the ones we have.”

Um Ahmed, 32, Egypt

Between 2014 and 2017, UNFPA advocated integrating sexual and reproductive health into national health policies and systems with an emphasis on strengthening services that prevent maternal deaths. It also advocated for the inclusion of reproductive rights in governments’ human rights policies.

UNFPA programmes in the Arab States engaged governments, community leaders and civil society organizations in efforts to end harmful practices such as child marriage and female genital mutilation. Using data collected through focus groups and other means, UNFPA also responded to women’s and girls’ needs for sexual and reproductive health services and services to address gender-based violence. Regional programmes have sought to reinforce the role of young men and women in policymaking and engage them in promoting peace and security.

Pregnancy by choice, not by chance
© UNFPA/Sima Diab
© UNFPA/Sima Diab

Pregnancy by choice, not by chance

Impact of contraceptives supplied by UNFPA

2017
2014-2017

2017: 930,000
2014-2017:
2.7 M

Unintended pregnancies prevented

2017: 330,000
2014-2017:
871,000

Unsafe abortions averted

2017: 650
2014-2017:
3,300

Maternal deaths averted

Saving mothers’ lives
© UNFPA
© UNFPA

Saving mothers’ lives

2017
2014-2017

2017: 8 M
2014-2017:

People who had access to Services in humanitarian settings

Empowering the next generation
© UNFPA/Sima Diab
© UNFPA/Sima Diab

Empowering the next generation

2017
2014-2017

2017: 3.5 M
2014-2017:
7.4 M

Number of adolescents who gained Access to sexual and reproductive health services

Programme Expenses

In millions of US$
(includes core and non-core resources)

 
2017
2014-2017
 

Algeria

2017: 0.2
2014-2017:
1.6

 

Djibouti

2017: 0.8
2014-2017:
4.4

 

Egypt

2017: 3.4
2014-2017:
15.6

 

Iraq

2017: 50.0
2014-2017:
97.6

 

Jordan

2017: 15.6
2014-2017:
45.1

 

Lebanon

2017: 6.6
2014-2017:
16.8

 

Libya

2017: 2.0
2014-2017:
4.8

 

Morocco

2017: 1.0
2014-2017:
5.1

 

Oman

2017: 0.9
2014-2017:
3.9

 

Palestine

2017: 3.8
2014-2017:
11.4

 

Somalia

2017: 11.8
2014-2017:
61.0

 

Sudan

2017: 13.9
2014-2017:
56.7

 

Syrian Arab Republic

2017: 18.3
2014-2017:
51.3

 

Tunisia

2017: 1.3
2014-2017:
3.7

 

Yemen

2017: 9.7
2014-2017:
36.1

 

   

 

Country/territory activities

2017: 139.3
2014-2017:
415.1

 

Regional activities

2017: 5.0
2014-2017:
26.7

 

Total programme expenses

2017: 144.3
2014-2017:
441.8

 

Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
Photo
© UNFPA/Jeffrey Bates

Asia and the Pacific

“I will focus on my career
before getting married.”

Bhawana KC, 18, Nepal

UNFPA programmes in Asia and the Pacific between 2014 and 2017 helped reduce maternal deaths, address unmet need for family planning and tackle gender-based violence and harmful practices against women and girls.

As part of these efforts, UNFPA supported the training of midwives who have been deployed to underserved areas of Afghanistan, Bangladesh, Cambodia, Lao People’s Democratic Republic, Myanmar, Mongolia and Nepal, resulting in a dramatic reduction in maternal deaths.

Advocacy contributed to increased access to family planning and strengthened responses to child marriage. Services in humanitarian settings helped meet the sexual and reproductive health needs of vulnerable women and girls and address gender-based violence.

Pregnancy by choice, not by chance
© UNFPA/Mario Villamor
© UNFPA/Mario Villamor

Pregnancy by choice, not by chance

Impact of contraceptives supplied by UNFPA

2017
2014-2017

2017: 1.1 M
2014-2017:
4.5 M

Unintended pregnancies prevented

2017: 311,000
2014-2017:
1.3 M

Unsafe abortions averted

2017: 918
2014-2017:
4,100

Maternal deaths averted

Saving mothers’ lives
© UNFPA/Ruth Carr
© UNFPA/Ruth Carr

Saving mothers’ lives

2017
2014-2017

2017: 1 M
2014-2017:

People who had access to Services in humanitarian settings

Empowering the next generation
© UNFPA
© UNFPA

Empowering the next generation

2017
2014-2017

2017: 457,300
2014-2017:
5.55 M

Number of adolescents who gained Access to sexual and reproductive health services

Programme Expenses

In millions of US$
(includes core and non-core resources)

 
2017
2014-2017
 

Afghanistan

2017: 12.7
2014-2017:
78.3

 

Bangladesh

2017: 13.4
2014-2017:
49.5

 

Bhutan

2017: 0.5
2014-2017:
3.3

 

Cambodia

2017: 2.0
2014-2017:
14.3

 

China

2017: 2.2
2014-2017:
12.2

 

Democratic People's Republic of Korea

2017: 1.8
2014-2017:
7.4

 

India

2017: 6.3
2014-2017:
35.7

 

Indonesia

2017: 4.8
2014-2017:
17.6

 

Iran (Islamic Republic of)

2017: 1.3
2014-2017:
5.6

 

Lao People's Democratic Republic

2017: 2.1
2014-2017:
11.9

 

Malaysia

2017: 0.7
2014-2017:
2.9

 

Maldives

2017: 0.2
2014-2017:
1.7

 

Mongolia

2017: 3.0
2014-2017:
14.8

 

Myanmar

2017: 13.3
2014-2017:
70.1

 

Nepal

2017: 5.9
2014-2017:
25.0

 

Pacific Multi Islands *

2017: 3.9
2014-2017:
22.6

 

Pakistan

2017: 6.0
2014-2017:
30.9

 

Papua New Guinea

2017: 3.4
2014-2017:
14.2

 

Philippines

2017: 3.7
2014-2017:
29.3

 

Sri Lanka

2017: 0.9
2014-2017:
4.8

 

Thailand

2017: 0.8
2014-2017:
5.0

 

Timor-Leste

2017: 1.9
2014-2017:
8.1

 

Viet Nam

2017: 2.1
2014-2017:
15.5

 

   

 

Country/territory activities

2017: 92.9
2014-2017:
480.7

 

Regional activities

2017: 7.6
2014-2017:
30.4

 

Total programme expenses

2017: 100.5
2014-2017:
511.1

 

* Figures for Pacific multi-islands comprise several islands which, for reporting purposes, are classified under one heading, including the Cook Islands, Fiji, Kiribati, the Marshall Islands, the Federated States of Micronesia, Nauru, Niue, Palau, Samoa, the Solomon Islands, Tokelau, Tonga, Tuvalu and Vanuatu.

Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
Photo
© UNFPA/Egor Dubrovsky

Eastern Europe and Central Asia

“I’d like to have
a second child.”

Olga, 30, Belarus

In Eastern Europe and Central Asia, a region of middle-income countries, UNFPA helped governments develop or implement policies to ensure that all people, including the most vulnerable, can realize their right to sexual and reproductive health.

Other actions in the region helped break down barriers that young people face in accessing sexual and reproductive health information and services, supported national efforts to eradicate gender-based violence and harmful practices and strengthened national capacities for collecting, analysing and using data for policymaking.

Pregnancy by choice, not by chance
© Denis Zelenko
© Denis Zelenko

Pregnancy by choice, not by chance

Impact of contraceptives supplied by UNFPA

2017
2014-2017

2017: 242,000
2014-2017:
775,000

Unintended pregnancies prevented

2017: 69,000
2014-2017:
216,000

Unsafe abortions averted

Saving mothers’ lives
© UNFPA
© UNFPA

Saving mothers’ lives

2017
2014-2017

2017: 572,000
2014-2017:

People who had access to Services in humanitarian settings

Empowering the next generation
© UNFPA
© UNFPA

Empowering the next generation

2017
2014-2017

2017: 22,500
2014-2017:
207,700

Number of adolescents who gained Access to sexual and reproductive health services

Programme Expenses

In millions of US$
(includes core and non-core resources)

 
2017
2014-2017
 

Albania

2017: 1.2
2014-2017:
3.7

 

Armenia

2017: 0.6
2014-2017:
2.9

 

Azerbaijan

2017: 0.8
2014-2017:
2.6

 

Belarus

2017: 1.1
2014-2017:
3.2

 

Bosnia and Herzegovina

2017: 0.6
2014-2017:
3.2

 

Georgia

2017: 1.3
2014-2017:
6.0

 

Kazakhstan

2017: 0.6
2014-2017:
3.0

 

Kyrgyzstan

2017: 0.9
2014-2017:
4.9

 

Republic of Moldova

2017: 0.7
2014-2017:
3.2

 

Serbia *

2017: 1.1
2014-2017:
4.3

 

Tajikistan

2017: 2.0
2014-2017:
6.7

 

the former Yugoslav Republic of Macedonia

2017: 0.3
2014-2017:
1.4

 

Turkey

2017: 22.1
2014-2017:
39.4

 

Turkmenistan

2017: 0.6
2014-2017:
2.4

 

Ukraine

2017: 2.8
2014-2017:
8.1

 

Uzbekistan

2017: 0.8
2014-2017:
4.2

 

   

 

Country/territory activities

2017: 37.5
2014-2017:
99.2

 

Regional activities

2017: 4.6
2014-2017:
27.6

 

Total programme expenses

2017: 42.1
2014-2017:
126.8

 

* Includes Kosovo

Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
Photo
© Sanne De Wilde for UNFPA

Latin America and the Caribbean

“I have a different perspective on sexuality, not as a taboo, but as a full, informed experience, without discrimination.”

Gabriela, 32, Bolivia

UNFPA programmes in Latin America and the Caribbean between 2014 and 2017 helped bolster culturally sensitive, youth-friendly sexual and reproductive health services, ensure reliable reproductive health and family planning supplies, including long-acting reversible contraceptives, for women and young people. Other actions helped extend maternal health services, including midwifery, to indigenous communities and build institutional capacities to address gender-based violence. UNFPA’s evidence-based advocacy influenced policies and strengthened capacities to address gender-based violence and helped reduce child marriage.

Pregnancy by choice, not by chance
© Sanne De Wilde for UNFPA
© Sanne De Wilde for UNFPA

Pregnancy by choice, not by chance

Impact of contraceptives supplied by UNFPA

2017
2014-2017

2017: 1.6 M
2014-2017:
4.7 M

Unintended pregnancies prevented

2017: 610,000
2014-2017:
1.75 M

Unsafe abortions averted

2017: 820
2014-2017:
2,600

Maternal deaths averted

Saving mothers’ lives
© UNFPA/Angela Valverde
© UNFPA/Angela Valverde

Saving mothers’ lives

2017
2014-2017

2017: 256,000
2014-2017:

People who had access to Services in humanitarian settings

Empowering the next generation
© UNFPA/Mario Achucarro
© UNFPA/Mario Achucarro

Empowering the next generation

2017
2014-2017

2017: 2.14 M
2014-2017:
15 M

Number of adolescents who gained Access to sexual and reproductive health services

Programme Expenses

In millions of US$
(includes core and non-core resources)

 
2017
2014-2017
 

Argentina

2017: 0.1
2014-2017:
1.5

 

Bolivia (Plurinational State of)

2017: 2.7
2014-2017:
11.8

 

Brazil

2017: 1.4
2014-2017:
6.6

 

Caribbean, English- and Dutch- speaking *

2017: 1.6
2014-2017:
9.9

 

Chile

2017: 0.1
2014-2017:
0.8

 

Colombia

2017: 0.9
2014-2017:
10.5

 

Costa Rica

2017: 0.4
2014-2017:
2.7

 

Cuba

2017: 0.7
2014-2017:
3.0

 

Dominican Republic

2017: 1.2
2014-2017:
3.6

 

Ecuador

2017: 0.7
2014-2017:
3.7

 

El Salvador

2017: 1.4
2014-2017:
6.9

 

Guatemala

2017: 12.8
2014-2017:
28.3

 

Haiti

2017: 4.4
2014-2017:
19.4

 

Honduras

2017: 3.2
2014-2017:
13.2

 

Mexico

2017: 1.4
2014-2017:
5.9

 

Nicaragua

2017: 0.8
2014-2017:
7.1

 

Panama

2017: 0.4
2014-2017:
2.9

 

Paraguay

2017: 0.7
2014-2017:
3.3

 

Peru

2017: 1.7
2014-2017:
5.8

 

Uruguay

2017: 1.5
2014-2017:
5.2

 

Venezuela (Bolivarian Republic of)

2017: 0.6
2014-2017:
4.7

 

   

 

Country/territory activities

2017: 38.7
2014-2017:
156.8

 

Regional activities

2017: 5.0
2014-2017:
28.8

 

Total programme expenses

2017: 43.7
2014-2017:
185.6

 

* Figures for Caribbean, English- and Dutch-speaking, comprise several countries and islands which, for reporting purposes, have been classified under one heading, including Anguilla, Antigua and Barbuda, the Bahamas, Barbados, Belize, Bermuda, the British Virgin Islands, the Cayman Islands, Dominica, Grenada, Guyana, Jamaica, Montserrat, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, the Netherlands Antilles (Aruba, Curacao, and St. Maarten), Suriname, Trinidad and Tobago and the Turks and Caicos Islands.

Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total

Partnership

Photo

Bill & Melinda Gates Foundation

UNFPA partnered with the Bill & Melinda Gates Foundation, the United Kingdom Department for International Development and WorldPop/Flowminder to harness the power of spatial reference data to support Afghanistan estimates the in all areas of the country, including those that have been hard to reach because of security concerns.

Photo
Photo
UNFPA/Elena Heatherwick

Johnson & Johnson

With support from Johnson & Johnson, UNFPA is helping reduce maternal deaths in Haiti and Liberia by increasing the number and capacity of skilled birth attendants and improving linkages between local communities and maternal health services. At the Marigot maternity clinic, one of five obstetric and newborn care centres supported by Johnson & Johnson in Haiti, midwives provide free maternal health services.

Photo
UNFPA/Elena Heatherwick
Photo
EPF

Parliamentarians

Members of Parliament from Africa and Europe see first-hand the impact of maternal health and youth-empowerment programmes in Conakry, Guinea, in 2017.

Photo
EPF
Photo
UNFPA/Kori Habib

UNFCU Foundation

Healing bodies and minds; transforming lives: With support of the UNFCU Foundation, Fistula Foundation Nigeria and UNFPA enabled 248 women and girls suffering from fistula to be successfully treated in Northern Nigeria. Thirty women were diagnosed with “very complex fistulas” and received access to advanced reconstructive surgical care.

Photo
UNFPA/Kori Habib
Photo
UNFPA/Calixte Hessou

Zonta

Fistula survivors on the day of their graduation from the Liberia Fistula Rehabilitation and Reintegration Centre. The project is delivered by UNFPA with financial support from Zonta International.

Photo
UNFPA/Calixte Hessou