Colombia is a middle-income country, but development lags behind in some rural areas and among four million people uprooted by conflict. Adolescent fertility is high, though overall rates have fallen. The maternal mortality rate indicates gaps in health services. Active in Colombia since 1974, UNFPA helps cultivate state capacities to manage population, reproductive health and gender equity issues, including through integrated services for people suffering displacement and poverty. It encourages women’s and youth organizations to advocate for their sexual and reproductive health and reproductive rights, and promotes a life-cycle approach to reproductive health care.