Annual Report 2018

Photo Photo
© Uwe Krejci/Getty Images

One Vision Three Zeros

UNFPA Annual Report 2018

Photo Photo
© Ki-hoon Kim

Accelerating the promise of Cairo

Women have a right to make their own decisions about whether, when or how often to become pregnant. That right was reaffirmed in 1994 in Cairo at the landmark International Conference on Population and Development (ICPD), where 179 governments also agreed that sexual and reproductive health is the foundation for economic and social development.

Despite the remarkable gains made since 1994, we still have a long way to go before we can claim to have lived up to the promises we made in Cairo.

In 2018, UNFPA set in motion a strategic effort, based on quality data, to achieve the goals and vision of the Programme of Action. We are striving for three zeros by 2030: zero unmet need for contraception; zero preventable maternal deaths; and zero gender-based violence and harmful practices, such as child marriage and female genital mutilation.

Governments, civil society, and individuals must all be part of the movement and will have an opportunity to join the next leg of the journey towards rights and choices for all at the Nairobi Summit on ICPD25 in Kenya in November 2019. The Governments of Kenya and Denmark, co-conveners together with UNFPA, will call on all donors, all countries, all civil society organizations, all community and youth leaders, all parliamentarians, all international financial institutions and the private sector to recommit to the principles and objectives of the Programme of Action--to make our three zeros everyone’s three zeros, and to complete the unfinished business of Cairo.

Dr. Natalia Kanem UNFPA Executive Director
United Nations Population Fund

Photo Photo
© Mads Nissen/Politken/Panos Pictures

Global progress towards Zero Preventable maternal deaths

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216 number of maternal deaths worldwide per 100,000 live births

While progress towards reducing the maternal mortality ratio in developing countries continued in 2018, it is not at the rate required to achieve the UNFPA goal of zero preventable maternal deaths by 2030. To reach that goal, developing countries must accelerate their annual rates of reduction by at least 7.5 per cent.

UNFPA is helping lower the number of preventable maternal deaths through programmes that reduce inequities in access to quality sexual, reproductive, maternal and newborn health care, ensuring universal health coverage that includes sexual and reproductive health care, and strengthening health systems.

Heading towards zero preventable maternal deaths

Photo Photo
© UNFPA/Yenny Gamming

Global progress towards Zero Unmet need for family planning

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12% of women worldwide with an unmet need for family planning*

* women age 15-49, married or in union

In 2018, UNFPA continued making the full range of quality contraceptives and services consistently accessible, enabling millions of women to make their own decisions about whether, when or how often to become pregnant. To support countries’ family planning initiatives, UNFPA procured the equivalent of a year’s worth of contraception for about 68 million couples in developing countries.

To achieve zero unmet need for family planning by 2030, governments will have to accelerate actions to expand access to all.

Heading towards zero unmet need for family planning

Photo Photo
© UNFPA/Omar Gharzeddine

Global progress towards Zero Gender-based violence and harmful practices

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18% of women and girls subjected to gender-based violence worldwide**

** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

About one in three women worldwide will have experienced gender-based violence (GBV), physical, sexual or psychological violence, at some point in her lifetime. And, every day, tens of thousands of girls are subjected to the harmful practices of female genital mutilation (FGM) and child marriage.

The rate of FGM has declined over the past three decades. But to achieve the 2030 target of ending FGM, the rate of reduction must accelerate thirteen-fold over the current rate.

The rate of child marriage has also declined, but to meet the 2030 target, progress must be 12 times faster than the rate of the past decade.

Heading towards zero GBV and harmful practices

Photo Photo
© UNFPA/Douglas Waudo

Of the 85,000 preventable maternal deaths in East and Southern Africa every year, about one quarter are among adolescents and more than half take place in humanitarian settings. UNFPA in 2018 helped reduce preventable maternal deaths in the region through greater access to emergency obstetric care; antenatal, safe-delivery and postnatal care; and modern contraception. Actions included training midwives in 16 countries to provide high-quality, integrated, reproductive, maternal, neonatal, child and adolescent health care. Actions also included collection and analysis of maternal mortality data to identify—and fill—gaps in services.

UNFPA aimed to reduce the unmet demand for family planning, especially among young people and marginalized populations, by improving the quality and reliability of services and by offering a range of contraceptive options.

UNFPA programmes in 2018 advanced gender equality and women’s empowerment and addressed the physical and psychological impact of gender-based violence.

455 number of maternal deaths per 100,00 live births

22% of women with an unmet need for family planning*

28% of women and girls subjected to GBV**

* women age 15-49, married or in union
** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

preventable maternal deaths
© UNFPA/Chiara Frisone
© UNFPA/Chiara Frisone

Heading towards
zero preventable maternal deaths

Number of

Maternal deaths averted Impact of contraceptives supplied by UNFPA 38,243

Health professionals trained on the minimum initial service package with support from UNFPA 2,078

unmet need for family planning
© Brian Sokol/Panos Pictures
© Brian Sokol/Panos Pictures

Heading towards
zero unmet need for family planning

Number of

Unsafe abortions averted Impact of contraceptives supplied by UNFPA 3,192,020

Unintended pregnancies averted Impact of contraceptives supplied by UNFPA 13,789,567

gender-based violence and harmful practices
© UNFPA/Omar Gharzeddine
© UNFPA/Omar Gharzeddine

Heading towards
zero gender-based violence and harmful practices

Number of

Women subjected to violence that have accessed services With support from UNFPA 300,093

Girls who received services related to child, early and forced marriage With support from UNFPA 800,148

Girls and women who received services related to female genital mutilation With support from UNFPA 298,391

2018 | Programme Expenses

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

Angola

2.6

Botswana

1.0

Burundi

4.7

Comoros

0.7

Democratic Republic of the Congo

20.8

Eritrea

1.4

Eswatini

1.1

Ethiopia

15.2

Kenya

8.1

Lesotho

1.1

Madagascar

5.2

Malawi

10.7

Mauritius

0.1

Mozambique

26.0

Namibia

1.1

Rwanda

3.0

South Africa

2.2

South Sudan

21.4

Uganda

12.8

United Republic of Tanzania

13.4

Zambia

9.3

Zimbabwe

16.2

 

Country/territory activities

178.1

Regional activities

6.7

Total programme expenses

184.8

2018 | Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
 
 
 
 
 
Photo Photo
© UNFPA/Robbie Lawrence

UNFPA scaled up services to help girls in West and Central Africa make a safe and healthy transition from adolescence to adulthood. Through a Sahel Women’s Empowerment and Demographic Dividend, or SWEDD, project, UNFPA expanded safe spaces for girls who are not in school and at risk of the harmful practice of child marriage. A demographic dividend is the additional potential for economic growth that can result from shifts in a population’s age structure when the share of the working-age population expands relative to the non-working-age population.

Also as part of the SWEDD project, UNFPA supported a new programme to train midwives and nurses with the aim of reducing preventable maternal deaths. Three new Centres of Excellence for the Masters in Nursing and Obstetrics were established in Côte d'Ivoire, Mali and Niger.

UNFPA, through the Ouagadougou Partnership to end unmet need for family planning in nine West African countries, helped 1.4 million women gain access to modern contraception between 2016 and 2018.

676 number of maternal deaths per 100,00 live births

24% of women with an unmet need for family planning*

16% of women and girls subjected to GBV**

* women age 15-49, married or in union
** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

preventable maternal deaths
© UNFPA/Robbie Lawrence
© UNFPA/Robbie Lawrence

Heading towards
zero preventable maternal deaths

Number of

Maternal deaths averted Impact of contraceptives supplied by UNFPA 30,120

Health professionals trained on the minimum initial service package with support from UNFPA 2,311

unmet need for family planning
© UNFPA/Robbie Lawrence
© UNFPA/Robbie Lawrence

Heading towards
zero unmet need for family planning

Number of

Unsafe abortions averted Impact of contraceptives supplied by UNFPA 2,432,009

Unintended pregnancies averted Impact of contraceptives supplied by UNFPA 7,011,215

gender-based violence and harmful practices
© Luca Zordan for UNFPA
© Luca Zordan for UNFPA

Heading towards
zero gender-based violence and harmful practices

Number of

Women subjected to violence that have accessed services With support from UNFPA 53,110

Girls who received services related to child, early and forced marriage With support from UNFPA 164,240

Girls and women who received services related to female genital mutilation With support from UNFPA 141,446

2018 | Programme Expenses

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

Benin

5.0

Burkina Faso

7.3

Cabo Verde

0.6

Cameroon

7.7

Central African Republic

4.2

Chad

7.3

Congo

1.8

Côte d'Ivoire

6.1

Equatorial Guinea

2.3

Gabon

0.6

Gambia

1.3

Ghana

4.0

Guinea

6.5

Guinea-Bissau

1.1

Liberia

6.4

Mali

9.5

Mauritania

1.5

Niger

13.1

Nigeria

20.0

São Tomé and Príncipe

0.8

Senegal

5.8

Sierra Leone

20.3

Togo

2.6

 

Country/territory activities

135.8

Regional activities

9.7

Total programme expenses

145.5

2018 | Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
 
 
 
 
 

Nine Arab States are responding to humanitarian emergencies, including in Yemen, Syria and Iraq. To save women’s lives in the region’s humanitarian settings, UNFPA supported 131 mobile clinics and 152 emergency obstetric care facilities.

To address gender-based violence in humanitarian settings, UNFPA supported 162 facilities that provided clinical management of rape and 242 safe spaces that provided protection, information and support to survivors.

UNFPA also supported 236 communities in the region in their abandonment of female genital mutilation.

In an effort to reduce the unmet need for family planning, UNFPA expanded the coverage of high-quality, reliable and stigma-free services across the region.

162 number of maternal deaths per 100,00 live births

15% of women with an unmet need for family planning*

14% of women and girls subjected to GBV**

* women age 15-49, married or in union
** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

preventable maternal deaths
© Giacomo Pirozzi/Panos Pictures
© Giacomo Pirozzi/Panos Pictures

Heading towards
zero preventable maternal deaths

Number of

Maternal deaths averted Impact of contraceptives supplied by UNFPA 1,933

Health professionals trained on the minimum initial service package with support from UNFPA 1,715

unmet need for family planning
© UNFPA/Roger Anis
© UNFPA/Roger Anis

Heading towards
zero unmet need for family planning

Number of

Unsafe abortions averted Impact of contraceptives supplied by UNFPA 1,261,844

Unintended pregnancies averted Impact of contraceptives supplied by UNFPA 3,464,681

gender-based violence and harmful practices
© Hayat OUTEMMA
© Hayat OUTEMMA

Heading towards
zero gender-based violence and harmful practices

Number of

Women subjected to violence that have accessed services With support from UNFPA 245,438

Girls who received services related to child, early and forced marriage With support from UNFPA 178,429

Girls and women who received services related to female genital mutilation With support from UNFPA 27,199

2018 | Programme Expenses

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

Algeria

0.4

Djibouti

0.8

Egypt

6.9

Iraq

37.0

Jordan

13.7

Lebanon

5.2

Libya

3.9

Morocco

1.4

Oman

1.1

Palestine

4.0

Somalia

20.2

Sudan

10.2

Syrian Arab Republic

34.7

Tunisia

1.2

Yemen

25.0

 

Country/territory activities

165.7

Regional activities

5.7

Total programme expenses

171.4

2018 | Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
 
 
 
 
 
Photo Photo
© UNFPA/Yenny Gamming

UNFPA in Asia and the Pacific stepped up efforts in 2018 to end preventable maternal deaths, unmet need for family planning and gender-based violence and harmful practices against women and girls. UNFPA stepped up efforts to reduce preventable maternal death in countries with higher maternal mortality ratios, contributing to reaching targets under the Sustainable Development Goals by 2030. These countries are Afghanistan, Bangladesh, Cambodia, Lao People’s Democratic Republic, Myanmar, Nepal, Pakistan, Papua New Guinea and Timor-Leste.

To help meet the goal of ending unmet need for family planning, UNFPA advocated for increased investments in contraceptives and for programmes that enhance reproductive rights in lower-income countries, such as Cambodia and the Lao People’s Democratic Republic. Under the multi-year “kNOwVAWdata” initiative, UNFPA supported the collection, analysis and communication of data about the prevalence of violence against women in the region and created a curriculum to train enumerators in carrying out surveys that protect women’s privacy. In addition, UNFPA increased support for programmes to end the harmful practice of child marriage in South Asia.

127 number of maternal deaths per 100,00 live births

10% of women with an unmet need for family planning*

21% of women and girls subjected to GBV**

* women age 15-49, married or in union
** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

preventable maternal deaths
© UNFPA/Sophanara Pen
© UNFPA/Sophanara Pen

Heading towards
zero preventable maternal deaths

Number of

Maternal deaths averted Impact of contraceptives supplied by UNFPA 1,576

Health professionals trained on the minimum initial service package with support from UNFPA 966

unmet need for family planning
© UNFPA
© UNFPA

Heading towards
zero unmet need for family planning

Number of

Unsafe abortions averted Impact of contraceptives supplied by UNFPA 597,127

Unintended pregnancies averted Impact of contraceptives supplied by UNFPA 2,088,203

gender-based violence and harmful practices
© UNFPA/Yenny Gamming
© UNFPA/Yenny Gamming

Heading towards
zero gender-based violence and harmful practices

Number of

Women subjected to violence that have accessed services With support from UNFPA 119,752

Girls who received services related to child, early and forced marriage With support from UNFPA 535,829

2018 | Programme Expenses

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

Afghanistan

13.5

Bangladesh

27.8

Bhutan

0.5

Cambodia

1.6

China

1.7

Democratic People's Republic of Korea

1.0

India

7.1

Indonesia

6.3

Iran (Islamic Republic of)

1.2

Lao People's Democratic Republic

2.9

Malaysia

0.7

Maldives

0.4

Mongolia

2.0

Myanmar

12.5

Nepal

7.2

Pacific Multi Islands *

6.9

Pakistan

10.2

Papua New Guinea

3.4

Philippines

4.3

Sri Lanka

1.1

Thailand

0.7

Timor-Leste

1.7

Viet Nam

2.8

 

Country/territory activities

117.5

Regional activities

6.3

Total programme expenses

123.8

* Cook Islands, Fiji, Kiribati, the Marshall Islands, the Federated States of Micronesia, Nauru, Niue, Palau, Samoa, the Solomon Islands, Tokelau, Tonga, Tuvalu and Vanuatu.

2018 | Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
 
 
 
 
 
Photo Photo
© Maks Levin

In Eastern Europe and Central Asia, UNFPA helped countries make progress towards reaching zero unmet need for family planning and zero preventable maternal deaths. But emphasis was placed on ending gender-based violence, which prevents women and girls from enjoying their rights, including reproductive rights.

In 2018, UNFPA joined an initiative led by the Organisation for Security and Co-operation in Europe to generate, for the first time in the region, comparable data on violence against women and girls. The survey revealed that 70 per cent of women had been subjected to some form of violence, and one in three had experienced physical or sexual violence.

UNFPA stepped up efforts to assist the countries of the region in establishing systems that bring together health care, law enforcement and criminal justice to support survivors, and to strengthen services in humanitarian settings. UNFPA also worked across the region to help prevent violence through programmes that raised awareness and promoted behaviour change.

UNFPA also helped engage men and boys in preventing violence, but also more broadly in achieving gender equality, through programmes such as the “Let’s Talk!” campaign, which challenges taboos around women’s health, and through gender-sensitive policies that allow both parents to have careers and share household and care responsibilities.

25 number of maternal deaths per 100,00 live births

10% of women with an unmet need for family planning*

12% of women and girls subjected to GBV**

* women age 15-49, married or in union
** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

preventable maternal deaths
© Lynsey Addario for Time
© Lynsey Addario for Time

Heading towards
zero preventable maternal deaths

Number of

Maternal deaths averted Impact of contraceptives supplied by UNFPA 207

Health professionals trained on the minimum initial service package with support from UNFPA 1,144

unmet need for family planning
© UNFPA/Nozim Kalandarov
© UNFPA/Nozim Kalandarov

Heading towards
zero unmet need for family planning

Number of

Unsafe abortions averted Impact of contraceptives supplied by UNFPA 330,868

Unintended pregnancies averted Impact of contraceptives supplied by UNFPA 752,100

gender-based violence and harmful practices
© UNFPA/Usenabasi Esiet
© UNFPA/Usenabasi Esiet

Heading towards
zero gender-based violence and harmful practices

Number of

Women subjected to violence that have accessed services With support from UNFPA 66,553

Girls who received services related to child, early and forced marriage With support from UNFPA 29,570

2018 | Programme Expenses

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

Albania

0.9

Armenia

0.7

Azerbaijan

0.6

Belarus

0.8

Bosnia and Herzegovina

1.0

Georgia

1.3

Kazakhstan

0.9

Kyrgyzstan

1.5

North Macedonia

0.5

Republic of Moldova

0.9

Serbia*

1.1

Tajikistan

1.1

Turkey

23.5

Turkmenistan

0.6

Ukraine

3.8

Uzbekistan

1.1

 

Country/territory activities

40.3

Regional activities

4.2

Total programme expenses

44.5

*Includes amount for Kosovo.

2018 | Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
 
 
 
 
 
Photo Photo
© Yuri Cortez/AFP/Getty Images

Maternal and neonatal mortality rates have decreased in Latin America and the Caribbean but access to quality care is still out of reach for many pregnant women. In response, UNFPA supported evidence-based interventions that improved the quality of maternal health care, especially in the prevention and management of obstetric complications and emergencies. UNFPA also helped strengthen midwifery training programmes.

UNFPA supported the region’s efforts to end unmet need for family planning by increasing supplies of contraceptives and bolstering capacities to procure and manage supplies of contraceptives and monitor quality. UNFPA also supported the introduction of subdermal implants in four countries.

In collaboration with national stakeholders and partner organizations, UNFPA helped improve coordination of services for survivors of gender-based violence among the health and criminal justice sectors.

68 number of maternal deaths per 100,00 live births

10% of women with an unmet need for family planning*

12% of women and girls subjected to GBV**

* women age 15-49, married or in union
** physical, sexual or psychological violence by a current or former partner in the past 12 months, women and girls age 15 or older

preventable maternal deaths
© UNFPA/Maxence Bradley
© UNFPA/Maxence Bradley

Heading towards
zero preventable maternal deaths

Number of

Maternal deaths averted Impact of contraceptives supplied by UNFPA 1,134

Health professionals trained on the minimum initial service package with support from UNFPA 3,145

unmet need for family planning
© Mark Tuschman
© Mark Tuschman

Heading towards
zero unmet need for family planning

Number of

Unsafe abortions averted Impact of contraceptives supplied by UNFPA 1,006,629

Unintended pregnancies averted Impact of contraceptives supplied by UNFPA 2,831,600

gender-based violence and harmful practices
© Daniel Baldotto
© Daniel Baldotto

Heading towards
zero gender-based violence and harmful practices

Number of

Women subjected to violence that have accessed services With support from UNFPA 107,490

Girls who received services related to child, early and forced marriage With support from UNFPA 129,539

2018 | Programme Expenses

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

Argentina

0.1

Bolivia (Plurinational State of)

4.5

Brazil

2.3

Caribbean, English- and Dutch- speaking *

2.3

Chile

0.2

Colombia

1.7

Costa Rica

0.4

Cuba

0.9

Dominican Republic

1.0

Ecuador

1.0

El Salvador

1.6

Guatemala

36.1

Haiti

12.5

Honduras

4.9

Mexico

2.6

Nicaragua

0.8

Panama

0.4

Paraguay

0.9

Peru

1.4

Uruguay

1.7

Venezuela (Bolivarian Republic of)

0.7

 

Country/territory activities

78.0

Regional activities

4.9

Total programme expenses

82.9

* 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.

2018 | Programme expenses by purpose

In millions of US$

 
Core
Non-Core
Total
 
 
 
 
 

2018 | Partnerships

Photo
© Shakhtar Social

Football Club Shakhtar Donetsk

The partnership between UNFPA and Football Club Shakhtar promoted responsible fatherhood and raised awareness about gender inequality in Ukraine in 2018. Through a Four Hands Happiness awareness-raising campaign, football players reached more than 1.5 million people with messages about the importance of men and women sharing responsibility for household and care work. Also, a result of this partnership in 2018, Football Club Shakhtar established a female football team that challenged stereotypes about gender in sports.

© Shakhtar Social
Photo
© UNFPA

Individual Giving Programme

In 2018, UNFPA piloted the online individual-giving programme, which enabled members of the general public from 41 countries to make donations to UNFPA emergency maternal-health services in Yemen and for Rohingya refugees in Bangladesh.

© UNFPA
Photo
@Tremeau, Mbour, 2018

Nutrition International

UNFPA and Nutrition International partnered to integrate nutrition into UNFPA-supported sexual and reproductive health programmes in Nigeria and Senegal. This initiative promotes healthy eating and iron and folic acid supplements during pregnancy to prevent anaemia. The partnership, which is expected to benefit up to 500,000 women and adolescents of reproductive age by the end of 2019, is supported by Canada’s Nutrition Leverage and Influence for Transformation programme.

@Tremeau, Mbour, 2018
Photo
© EPF

Parliamentarians

Partnerships with parliamentarians have helped build support for the International Conference on Population and Development’s Programme of Action and the Sustainable Development Goals. In 2018, more than 100 parliamentarians from 70 countries adopted the Ottawa Statement of Commitment, pledging to mobilize their constituencies and governments to make bold efforts to fully implement all aspects of the Programme of Action by 2030.

© EPF
Photo
© UNFPA

Royal Philips

The global partnership with Royal Philips aims to expand access to quality, affordable health care, including maternal and reproductive health services, for women and girls in marginalized  communities. Through the partnership, Royal Philips will help introduce technologies and innovations that can extend the reach of health systems, lower costs and transform maternal health services for 50 million women and girls by 2025. The partnership is being launched in   Republic of the Congo with the Ministry of Health and Population.

© UNFPA
Photo
© UNFPA

University of Bristol

The partnership with the University of Bristol is enabling UNFPA to collaborate on research to support UNFPA policies and programming aimed ending preventable maternal death, unmet demand for family planning and gender-based violence. The University of Bristol is a founding member of UNFPA’s global university network, TransformU, and hosted the United Kingdom’s first youth dialogue in 2018 on the unfinished business of the Programme of Action of the International Conference on Population and Development.

© UNFPA

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