Population Action International Annual Report


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2010 Annual Report from Population Action International

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Population Action International Annual Report

  1. 1. 2010 AnnuAl RepoRt
  2. 2. 2010 AnnuAl RepoRt
  3. 3. Dear Friend,these days it feels like everyone—from businessleaders to philanthropists to politicians—seems tobe chasing the Big Idea. looking for technologies,business models, books, institutions or simply deedsthat are “disruptive” has become the mantra of thosewho want to change the world.the reality, however, is more modest than that. eurekamoments happen here and there, but unfortunately they oftenevaporate without leaving a trace just as suddenly as they emerged. Youmight watch a great teD talk, or read the latest motivational best-seller, and have a-haafter a-ha as you listen or read . . . but then life gets in the way, and you never recapturethe space and time to make something of that a-ha.That’s where PAI comes in.pAI exists because providing women with the family planning they want cansave hundreds of thousands of lives, prevent unintended pregnancies and reduceunsafe abortion.But existing is a far cry from changing the game. And that’s what pAI strives to do—fundamentally alter the reality for women and their families, here and abroad, so thatthey can live the lives they desire.How do we do this? It helps that we have been at it for almost half a century. pAIhas learned a thing or two about how this is done and has gained the support of manyindividuals and institutions whose help is indispensable. I1
  4. 4. But, more concretely, it boils down to opportunity, connections and partnerships. As seasoned and savvy advocates, pAI is always ready for the political tide to turn, whether in our favor or not. We seize whatever opportunity is handed, and maximize both funding and policy outcomes for women and their families. everywhere. our staff of respected researchers ensures that connections between research and policy change are robust, timely and relevant. pAI makes sure that the network which exists between people and organizations is shared as widely as possible. We are a Washington D.C. based organization that knows how to operate in this political environment. But we are also global and thus we know how to connect like-minded leaders and organizations in Addis with those in lima, for example. When this works, magic happens and we smile as we see the results: the joint efforts of people who should have worked together and learned from one another but didn’t, until pAI came along. pAI believes that family planning and reproductive health are indispensable tools in the development armory. We are glad that so many others agree. In a recent speech, Melinda Gates quotes a Kenyan woman from Korogocho who says, “I want to bring every good thing to one child before I have another.” A-ha! Join us in helping this mother, and all women, bring every good thing to their families. this may be the biggest idea for millions. everywhere. Moisés naím Suzanne ehlers Chair, Board of Directors President & CEOI2
  5. 5. BIrTh/InfAncy I3
  6. 6. BIrTh/InfAncy twice each week, Ayneshet Gubena, pictured at left, walks two hours to a rural ethiopian village to her job as a community health worker, teaching women about family planning. long a poor country with weak healthcare and distribution systems, few government health centers, and private clinics that served mostly urban areas, ethiopia is experiencing transformative change. Women who in the past knew little about family planning are beginning to enjoy better access to reproductive health services. Access to family planning is critical to breaking the cycle of poverty that has hindered this country for generations. Frequent pregnancies take a toll on women, says Ayneshet. “They lose a lot of blood during birth,” she says. “They become weak when they have children one “I’m extremely on top of the other. There is even death.” happy when I see a woman’s life improve,” But women in the village where she works are lucky to have access to Ayneshet says. “It’s great reproductive care and resources related to family planning. to see them in a better place in their life. It’s great to see them holding a healthy pAI has been documenting these stories about the prospects of women and baby.” – Ayneshet their children in developing countries. We draw attention to their plight, analyze why vital supplies aren’t reaching those in need, and advocate for greater access to family planning and maternal health supplies.I4
  7. 7. SPreAdIng The Word ABouT MATernAl heAlTh ISSueSIn August 2010, pAI conducted a media tour in ethiopia, bringing journalists fromMs. Magazine, MtV, The Lancet, and Grist to see first-hand the difference that familyplanning and maternal health funding can make. pAI wanted to connect thesejournalists with stories on the ground so they can help readers better understand theimplications of u.S. foreign assistance and other donor investments. Media Study Tour highlights: n Article in the Lancet, “ethiopia struggles to make its voice heard,” published Sept. 19 n Article on BlackAIDS.org (the Black AIDS Institute) “ethiopian AIDS orphans Fight Stigma with Self-Sufficiency,” published Sept. 6 n Article in Ms. Magazine, “Heart and Soul,” published Feb. 2011 n Article on Grist.org, “on the Ground in ethiopia: the population Challenge up Close and personal, published nov. 17ethiopia isn’t the only country grappling with these challenges. Having a child inmany developing countries can be dangerous, because a lack of financing and poorinfrastructure prevent women from getting basic supplies for a healthy pregnancy andsafe delivery. Bangladesh and uganda are two with the highest maternal mortalityrates. to document these roadblocks, pAI tracked supplies for treating or preventingthree of the most common causes of maternal death in Africa and Asia: eclampsia,post-partum hemorrhaging and unsafe abortion. the resulting reports, Maternal HealthSupplies in Uganda and Bangladesh, show how policies, funding, and other challengescombine to cut off such critical services for many women in these countries. thereports were produced in partnership with the Maternal Health task Force (MHtF)and the partnership for Maternal, newborn and Child Health.pAI presented these case studies at the Global Maternal Health Conference in newDelhi, attended by 500 maternal health experts from around the world. We alsopresented at a conference at the Woodrow Wilson International Center for Scholars I5
  8. 8. as part of the “Advancing policy Dialogue on Maternal Health” series. partly as a result of our participation in the Wilson Center program, pAI proposed and received an MHtF grant to collaboratively develop a set of recommendations for improving access to these supplies. Investing in women was also the theme of the Women Deliver conference in June 2010. Attendees included non-governmental organizations and policymakers from 140 countries, including u.n. Secretary General Ban Ki-moon, u.S. Secretary of State Hillary Clinton, and media personalities such as New York Times columnist nicholas Kristof. pAI moderated and participated in sessions on women, population, and climate, and on tracking family planning expenditures. With the White Ribbon Alliance, pAI organized three panels on family planning and maternal health advocacy: Global Accountability for Maternal Health; Achieving the united nations Millennium Development Goal for Improving Maternal Health by 2015; and the Importance of the Global Health Initiative (GHI). the GHI is a $63 billion project to integrate programs for HIV/AIDS, malaria, tuberculosis, maternal and child health and family planning/reproductive u.S. Secretary of health, using a women and girl-centered strategy. State hillary clinton stressed the importance of family planning in a nevertheless, we are fighting an uphill battle on funding to improve speech at Johns Hopkins university: “Saving maternal health and to help infants get a good start in life. In Canada, the lives of women and children requires for example, legislators excluded family planning from a maternal a range of care, from improving nutrition to health initiative that could have saved the lives of hundreds of training birth attendants who can help women thousands of young mothers in developing countries. As pAI give birth safely. It also requires increased president Suzanne ehlers wrote in her Huffington Post blog “Whoa access to family planning. Family planning Canada”: “Foreign Minister lawrence Cannon claimed that access to represents one of the most cost-effective contraception is irrelevant to his goal of saving mothers and infants. public health interventions available After a quick public backlash, he edited his talking points, but still in the world today.” refused to acknowledge that family planning saves lives.”I6
  9. 9. chIld I7
  10. 10. chIld Radhika poudel’s father died before she was born. By the age of two, she was an orphan, and by age nine, she was someone’s wife. When her parents died, her aunt and uncle took her in, but they barely made enough to take care of their own family. She didn’t have enough to eat or wear, and in the “I suffered a winter all she had for a blanket was a thin shawl. lot in my childhood,” she says. “I don’t want “Maybe they thought it would be easier to get rid of me by having me marry to let my children pass someone,” she says.through any such trouble. I’ll do as much as I can.” – Radhika like any girl at age nine, Radhika was completely unprepared for marriage. “I was scared at the beginning,” she adds. “I was still a child then. Had my parents been alive, I would not have got married at such a tender age.” Radhika eventually gave birth to four children in total. Despite the hardships of life in the small nepali farming village where they live, she works hard so that all of her children, including her daughter pictured at left, can attend school.I8
  11. 11. The TrAgedy of chIld MArrIAgepAI documented Radhika’s story in late 2010. As disturbing as her story is, it couldhave been even more tragic. Young girls who are forced to marry are more likely to bevictims of domestic violence and to contract HIV/AIDS.In some parts of the world, child marriage is alarmingly widespread. Around one-thirdof girls in the developing world, excluding China, are married before age 18; in a fewcountries, almost 30 percent of girls under 15 are also married.Despite those startling numbers, the House of Representatives voted last year to blocka bill aimed at helping to prevent child marriage worldwide, which might have savedmany young girls from a life of poverty, illness, and possibly death. the opposition’srationale? Implementation would have been too costly and some House membersalleged that the bill supported abortion. neither argument is true.Regardless, the defeat of the child marriage bill stands out as one example ofhow politically divisive the issue of reproductive health has become. Somepolicymakers were willing to forgo saving children from early marriage in orderto deny funding to pro-choice organizations.oPPorTunITIeS And chAllengeS In congreSSAnd The WhITe houSepAI continues its commitment to help Members of Congress understand the demandfor family planning and reproductive health services in developing countries. InFebruary, pAI partnered with pathfinder International to host a trip to ethiopiafor staff members representing three key senators; two of whom serve on theAppropriations Committee and one on the Foreign Relations Committee.the group visited youth centers, urban maternity hospitals, health centers, integratedpopulation-environment projects, and rural health posts, and met with national andregional officials. I9
  12. 12. A positive sign on the policy landscape in 2010 was president obama’s previously mentioned Global Health Initiative. pAI is working to ensure that integrated family planning, reproductive health, child health, and HIV/ AIDS prevention remain central to this initiative. unfortunately, the 2010 november elections took a toll on u.S. congressional support for international family planning and made our job harder. Many members of Congress who supported family planning lost their seats. Research shows, however, that opposition on Capitol Hill is not grounded in public opinion. A pAI poll conducted on election night found that the majority of respondents across all political stripes continue to support family planning issues. Fifty-seven percent of respondents to our poll supported president obama’s decision to repeal the Global Gag Rule, including 61 percent of independents. the public remains opposed to the Gag Rule, a policy that prevents foreign organizations receiving u.S. family planning assistance from using their own non-u.S. funds to provide information, referrals, or services for legal abortion or to advocate for it. In multiple other polls over the past 15 years, 70 to 80 percent of Americans have consistently supported family planning. Despite renewed congressional resistance, pAI continues to advocate for international family planning and reproductive health programs to receive greater financial and institutional support. pAI will continue to press for $1 billion in annual u.S. funding to help fulfill the promise of the International Conference on population and Development and the Millennium Development Goals.I 10
  13. 13. young WoMAn I 11
  14. 14. AdoleScenT/young WoMAn In uganda, where Moses Mpali-taire lives, it has long been considered inappropriate to talk about sex. Without basic information about contraception, HIV/AIDS, and other reproductive health issues, adolescents risk making choices that can adversely affect them and their sexual partners for the rest of their lives. Yet over the past year, thanks in part to pAI’s support, Moses and other members of the teenage education Health Centre uganda have been fighting that taboo. Members train other young people to lead sexual and reproductive health organizations in their communities. they disseminate accurate information and ensure access to family planning, reproductive health care, and reproductive rights. “What is phenomenal about this project is that young people are now prepared to be the champions of their sexual and reproductive health needs,” – Moses Moses is among the many beneficiaries of pAI’s Young people’s Initiative around the world. the participants cover a range of issues including sexual and reproductive health, youth advocacy, climate change, environmental issues and HIV/AIDS. pAI forms partnerships and provides funding to developing country organizations around the world—including youth-led groups—to help build capacity as advocates for family planning and reproductive health and rights. As part of our unique role as a partner and a donor, pAI provides support for work on a number of cross-cutting initiatives: n local and Regional Advocacy efforts n Youth-led Research and Advocacy programs n Climate Change Resilience and Adaptation n preventing the Spread of HIV/AIDS - the Integration partnershipI 12
  15. 15. IMProvIng reProducTIve heAlTh And PrevenTIng hIvBy InTegrATIng ProgrAMSAn important goal for pAI in 2010 was to integrate reproductive healthand family planning programs with HIV/AIDS programs. In February,the International planned parenthood Federation’s South AsiaRegional office (IppF-SARo) invited pAI to Bangkok to holda workshop on integrating programs on sexual and reproductivehealth with projects funded by the Global Fund to Fight AIDS,tuberculosis, and Malaria.pAI showed participants from eight countries how increasing accessto reproductive health information and services can help preventthe spread of HIV/AIDS, including mother-to-child transmission. Asa result of the workshop, participants put together plans to integrateprograms in their own countries. IppF-SARo subsequently adapted pAI’sproject model to secure 3 million euros from the european Commission foruse over three years. this is one example of how a single pAI effort can spread alife-saving program to multiple countries and attract new funding.In Africa, pAI launched the Integration partnership, a two-year initiative funded bythe Bill & Melinda Gates Foundation. the partnership aims to bring greater attentionand resources to the integration of reproductive health and HIV/AIDS in ethiopia,Kenya, nigeria, tanzania, and Zambia.In July, pAI had a strong presence at the International AIDS Conference (IAC) inVienna, Austria. At the conference, which serves as the premier meeting groundfor those involved in the HIV/AIDS field, pAI staff organized a panel on the GHIthat explored the need to integrate sexual and reproductive health and HIV/AIDSprograms. pAI also hosted a session entitled, “What Works for Women and Girls, AGuide on HIV/AIDS prevention, policy, and treatment options.” I 13
  16. 16. deMogrAPhy And develoPMenT: young PeoPle ShAPe The fuTure In the Middle east and north Africa, large populations of young people are responding to repressive governments and lack of economic opportunity by standing up for their rights and their future. pAI pioneered an analysis of this phenomenon with our publications The Security Demographic and The Shape of Things to Come. In 2010, pAI followed up this work by releasing an expanded series of in-depth case studies of demographic trends and development in Haiti, uganda, and Yemen. Despite their different settings, each of these countries has the youngest age structure in its region. pAI’s reports illustrate the challenges of security, governance, and individual welfare in these nations, as well as the opportunities that lie ahead if governments and their partners implement comprehensive and forward-looking policies to shape demographic trends. to bring this critical understanding to key decisionmakers, pAI staff spoke about the impact of demographic change on global security at a member and staff briefing for the House Government Reform and oversight Subcommittee on national Security and Foreign Affairs. highlighting demography in the Media Commenting on the extraordinary events happening in the Middle east and Africa in the Huffington post, a pAI staff member noted: “In explaining the uprisings in the Middle East this past month, commentators have discussed demography almost as much as democracy. And though most focused on the number of young people in the streets from Cairo to Tunis, youth are only part of the story . . . Political demography helps us understand not only a country’s vulnerability to conflict, but its potential for democratic change.” pAI staff were also quoted in an npR article entitled, “In Arab Conflicts, the Young Are the Restless”: “If you’re a young person coming of age in a country with a large youthful population, your prospects often are not very good.”I 14
  17. 17. KeePIng A focuS on lATIn AMerIcAIn response to the u.S. government’s plan to phase out family planning funding inmuch of latin America and the Caribbean by 2012, pAI joined other advocates andexperts in May on a fact-finding trip. the group visited peru, a country that facesparticularly high rates of teen pregnancy, poverty, and inequality.the trip helped inform pAI’s efforts to convene stakeholders aboutthe state of reproductive health in latin America and exploreopportunities to increase pAI’s engagement in the region.the following month, pAI and Carolina Barco,Colombian Ambassador to the u.S., co-hostedthe event “the State of Reproductive Healthin latin America” at the ColombianAmbassador’s Residence in Washington,DC. Attendees included individuals fromphilanthropy, civil society, think tanks,and the u.S. government, as well asChristiana Figueres, then newly appointedexecutive Secretary of the united nationsFramework Convention on Climate Change(unFCCC). the event featured a richdiscussion on the importance of empoweringwomen in poor communities of latin Americaand the Caribbean. As a result of this discussion,pAI created an informal network for championsof reproductive health in the region and began aproject to document family planning stories in peru andthroughout the region. I 15
  18. 18. ProMoTIng young PeoPle’S AdvocAcy During 2010, pAI made headway in our efforts to promote advocacy among young people. We awarded three small grants to youth- led advocacy campaigns in east Africa and pushed to make youth voices heard by participating in the Youth Health and Rights Coalition, co-chaired by pathfinder International and Advocates for Youth, and by engaging in other educational and networking opportunities. pAI participated in three university presentations at the university of Virginia, the university of texas, and Southwestern university, in texas, to engage student activists in pAI’s core issues. pAI also published a policy and Issue Brief titled, “Why Family planning and Reproductive Health Are Critical to the Well-Being of Youth” and developed a youth- oriented film screening guide for young activists.I 16
  19. 19. MATure WoMAn I 17
  20. 20. MATure WoMAn Amarach Dirillo, pictured at left, is in her early 40’s, and has nine children. In her community in ethiopia, a large family is a source of pride, but Amarach’s difficult pregnancies have left her with persistent health problems. She worries about what another pregnancy would do to her body and how she would manage to raise yet another child. the family’s finances are also stretched thin: “The farm is not big enough to support so many children,” she says. She wonders what another child would do to their well-being, and whether they would have enough to keep everyone fed and healthy. So, with the support of her husband, Amarach has decided to find out about family planning to prevent another pregnancy. She walks from her community to the nearest health clinic, where a doctor describes her options. Amarach decides to try Depo- provera, an injectable contraceptive that lasts for three months. She winces at the injection, but a few moments later, a smile creeps onto her face. If all goes well, Amarach will come back again for a longer-lasting method, such as an implant.I 18
  21. 21. TellIng The STory of AcceSS ToreProducTIve heAlThthanks to the efforts of pAI, many women likeAmarach are able to limit the number of childrenthey have so none will go hungry. But sadly, manymore women in developing countries don’t have thoseresources—215 million women around the world needcontraceptives, and hundreds of thousands will die ofpregnancy-related causes.pAI’s documentary Empty-Handed, released in 2010,tells the story of women in sub-Saharan Africa whoweren’t as fortunate as Amarach. they each went totheir local clinic to get contraceptives or condoms butwere told there were none. the film documents the challenges at each level ofthe reproductive health supply chain and identifies key areas of improvement.Empty-Handed won the population Institute’s 2010 Global Media Award forBest Short Film.pAI screened the film at the Global Maternal Health Conference innew Delhi, at the Annual Meeting of the Reproductive Health SuppliesCoalition in Kampala, uganda, and to groups of editors, reporters,advocates, and health workers in Zambia. Viewers left withcopies of the DVD and with plans to show it in theircommunities. I 19
  22. 22. fIghTIng for fAMIly PlAnnIng AT The unITed nATIonS pAI played a key role at the un Commission on population and Development, with pAI president Suzanne ehlers serving as a member of the u.S. Government Delegation. pAI strengthened coordination between the u.S. negotiating team and international sexual and reproductive health and rights groups. In addition to its delegation work, pAI hosted a side session on Financing Reproductive Health and launched a new report on cost estimates for international reproductive health, which will benefit both advocates and policymakers. After a week of tough negotiations, a final resolution was adopted, though references to sexual and reproductive health and rights were weaker than in 2009. A neW record for u.S. SuPPorT of fAMIly PlAnnIng u.S. funding for international family planning was a bright spot in 2010. the u.S. enacted the largest appropriations increase ever for family planning and reproductive health programs—$648.5 million, an increase of more than $103 million and 19 percent over FY 2009. thanks in large part to pAI’s advocacy efforts, language was included in the bill stating that a portion of these funds would be targeted “in areas where population growth threatens biodiversity or endangered species.” to date, this provision has yielded over $26 million in funding for uSAID integrated population, health and environment programs. pAI was also one of 34 organizations, primarily environmental and conservation groups, that sent recommendations to Capitol Hill outlining specific budget proposals in a document entitled “Green Budget 2011: national Funding priorities for the environment.” the recommendations included providing $1 billion for international family planning and reproductive health programs, as well as including language that connects integrated population, health, and environment programs with climate change.I 20
  23. 23. grAndMoTher I 21
  24. 24. grAndMoTher Sarada Chaudhary, pictured at left, is worried about the future of her children and potential grandchildren. Her life in nepal has been difficult, but she fears that changes in the climate will bring even greater hardship. In an area where families depend on agriculture for their livelihood, rainfall patterns have been unpredictable, temperatures are rising, and crops are failing. Sarada estimates only one quarter of the people in her community have enough to eat. “If the same situation continues on, I think the place will be a desert by the next fifty years,” she says. Sarada has reason to be concerned about the mounting stress on natural resources from a growing population and the domino effect of climate change. Droughts, floods, and catastrophic weather drive people in some of the poorest parts of the world to migrate to safer places. this causes more health issues, political instability, and an even greater strain on natural resources. pAI spent much of 2010 working to help people understand how family planning, the environment, and climate change are all intertwined. “I am worried about the future generation. When we are experiencing so much change now, what is going to happen to the future generation?” – SaradaI 22
  25. 25. connecTIng clIMATe chAngeAnd fAMIly PlAnnIngIn April 2010, pAI Board of Directors member Dr.thomas lovejoyaccompanied staff members to Minneapolis to take that message to anevent called “Women at the Center: Climate Change, Food Security andGlobal Health.” the event gave pAI and our partners at the Institute forAgriculture and trade policy the opportunity to bring the issue in front ofa diverse audience of policymakers, philanthropists, and community leaders tosupport our cause and join in our advocacy efforts.to further our goal of broadening the ranks of advocates for our cause, we creatednew material in 2010 to explain our issues in easily digestible formats. For example,pAI joined with the population Justice project to publish a policy and Issue Brieftitled “population and the environment: Where We’re Headed and What We CanDo.” one of the most popular publications on our website, this new advocacy guideexplains, “Many environmental problems will be easier to address if world populationpeaks at 8 billion rather than 11 billion.” the guide offers simple, cost-effective waysto address population issues while improving health.In July, pAI published a policy and Issue Brief titled “Climate Change, Migration andpopulation Growth,” explaining how climate change and family planning are relatedand demonstrating how effects of climate change are threatening communities inmany parts of the world. Responding to the demand for family planning, especially inareas that are highly vulnerable to climate change impacts like droughts and floods,can slow population growth and reduce migration pressures.to further illustrate how the issues of population and climate change dovetail, pAIupdated our interactive mapping website, which uSAID has listed as a top resourceon climate change. the map overlays projected demographic trends with reproductivehealth needs and environmental issues like water availability, agricultural production,and resilience to climate change. I 23
  26. 26. the site, entitled “Mapping population and Climate Change,” has been covered in the media, and has been very useful to pAI’s advocacy partners in explaining why family planning should be part of any discussion on the future of the earth’s climate. the updated mapping site debuted in Cancun, Mexico, where 15,000 climate advocates, planners, and decision makers met at the 16th Conference of the parties to the un Framework Convention on Climate Change. pAI raised the profile of population, gender, and family planning in relation to climate change and established and strengthened relationships with new and existing allies. Climate change was also on the agenda at the Seventh African Development Forum in Addis Ababa, ethiopia. pAI presented our work on population and adaptation and participated in a pre-forum panel on climate change, population, health, gender, and youth. the announcement that the executive Secretary of the united nations Framework Convention on Climate Change would be stepping down brought opportunity as well as concern among advocates for women. pAI president Suzanne ehlers convened partners from ethiopia, Kenya, and Malaysia to make a case for a candidate with a strong background in gender issues. together, they co-wrote a blog on Grist entitled, “the new u.n. Climate Chief Should Have a Strong understanding of Women’s Issues.” the blog argued that the new leader should possess not only “political leadership, experience with negotiations, commitment to civil society, and a thorough understanding of the challenges of development in the Global South,” but also “a track record demonstrating a nuanced understanding of the gendered aspects of climate change challenges and solutions.” Just weeks later, Secretary General Ban Ki-Moon appointed Christina Figueres, a proven leader with a long history of championing the needs of developing countries in climate change negotiations since her involvement in the 1995 Kyoto protocol.I 24
  27. 27. hoPe for The fuTure I 25
  28. 28. hoPe for The fuTure: WoMen ShAre TheIr WISheS for A BeTTer lIfe overall, research in 2010 shows the movement for better maternal health made progress. Maternal deaths have dropped by more than 35 percent worldwide since 1990—thanks to improvements such as access to family planning, more skilled birth attendants, and girls’ education. Despite these tremendous achievements, the Millennium Development Goals’ targets for a 75 percent reduction in maternal mortality from 1990 to 2015 and achievement of universal access to reproductive health care remain the furthest off-track. A hostile political environment in the u.S. and recent calls to reduce foreign aid only present additional hurdles. With all that pAI has achieved in 2010, we have a long way to go to reach our own goals as well as the Millennium Development Goals. We hope to continue growing the ranks of our advocates, supporters, and partners and to forge ahead to 2015 and beyond. These are of some of the women who inspire us to keep going: Sixteen-year-old Martha eshetu is a peer educator who teaches other young people about family planning, contraceptives and sexually transmitted infections. Most teens she knows are already sexually active. She knows the risks can be high—pregnancy is the number one cause of death for girls 15 to 19 worldwide and more than 7,400 people are infected with HIV each day. “I want to tell my friends how HIV can be prevented,” she says, “and I want them to know about unwanted pregnancy and how to prevent it. I want my country to be free of HIV and women to be at a higher level.” — MarthaI 26
  29. 29. Aregash Ayele is 32 years old and lives with her six children in a small farmingcommunity. Because of changing rainfall patterns, crop yields are suffering, so thefamily doesn’t have enough food for everybody. And Aregash’s husband has to workhours away from home, so she is left to manage the house, look after the children, andfarm the existing land on her own. “A woman’s life is hard, and climate change makes it harder,” she says. “I tell the mothers to use family planning and space their children…so they can get out of poverty.” — AregashAs the chairwoman of a women’s association, Ayelech Gossa has seen the dramaticdifference family planning can make in the life of a woman and her family. A motherof three herself, she is proud that she spaced her own children and is now able to sendher oldest to college. “When a woman spaces her children, the child nurses well and grows up healthy,” she says. “The child might have a chance to go to school. The mother also recovers well. When the body recovers well, her life improves.” — AyalechFaridah nalubega is 26 years old, and already she has six children. She struggles tocare for them with the money from her small fried fish business, constantly worryingwhether it will be enough. Faridah wanted fewer children, but each time she goes tothe nearest clinic to get a contraceptive injection, they’re out of stock. Health workersoffer her pills, but her husband won’t let her take them. “I felt so bad because they couldn’t provide what I wanted,” she says. “And because I was provided a method I didn’t want, I ended up being pregnant. I didn’t want another baby.” — FaridahSo her family grows. She needs our help. I 27
  30. 30. PAI’S STAff And BoArdBoArd of dIrecTorS Suzanne ehlers nafis Sadik, M.D. President & CEO S. Bruce Smart, MCeMoisés naím, ph.D. pamela Bevier, ph.D, MpHChair eMerITuS MeMBerS the Honorablethe Honorable Harriet C. Babbitt John H. Gibbons the HonorableVice-Chair Robin Chandler Duke the HonorableDr. pouru Bhiwandi Amory Houghton, Jr. the HonorableTreasurer William H. Draper, III Michael KeatingVictoria p. Sant phyllis tilson piotrow, ph.D.Secretary thomas e. lovejoy, ph.D. Dr. Fred t. SaiJacqueline C. Morby elizabeth lule, ph.D.Former Chair Major General William l. nash (uSA, Ret.) The Amy Coen Fellowship for International Leadership was established to cultivate and mentor the next generation of leaders in family planning and reproductive health. the program will capitalize on the energy and fresh perspectives of young professionals from around the world with particular emphasis on emerging global issues. the fund, which was founded by pAI’s Board of Directors and is supported through donations from individuals, both honors and celebrates the life of Amy Coen. Amy’s deep conviction to improve the lives of women and families in the developing world combined with her steadfast support of young people make an international fellowship in her name a fitting tribute. to learn more about the Fellowship or make a contribution, please call (202) 557-3400 or visit: www.populationaction.org/fellowshipI 28
  31. 31. SenIor STAff STAffSuzanne ehlers Shelly Amieva Cassie MannPresident & CEO Yonas Asfaw Jennifer Ashley MellenRoger-Mark De Souza Mark Bryan Kathleen MogelgaardVice President for Research Suzanna Dennis Clive Mutungaelisha Dunn-GeorgiouVice President for Advocacy Allison Doody Foluke ojelabiMichele J. Duryea Melissa eddy Mary pankeVice President for Development Roberto Hinojosa Hugh pitcherMichael Khoo Caitlin Horrigan Sarah ReidyVice President for Communications nicole Hutton Gina RumboloRachael Murray Rakestraw erika larson Dilly SeverinVice President for Finance/Administration Malissa lash phyllis SmithCarolyn Vogel Craig lasher Wendy turnbullChief Operating Officer elizabeth leahy Madsen Danielle Zielinski I 29
  32. 32. STATeMenT of AcTIvITIeS for The yeAr ended deceMBer 31, 2010 TeMPorArIly PerMAnenTly 2010 unreSTrIcTed reSTrIcTed reSTrIcTed ToTAl SuPPorT And revenue Grants and contributions $3,025,055 $905,000 - $3,930,055 Investment income 145,750 - - 145,750 other 20,822 - - 20,822 net assets released from restrictions 2,092,519 (2,092,519) - - Total support and revenue 5,284,146 (1,187,519) - 4,096,627 exPenSeS program services 4,107,052 - - 4,107,052 Resource development 469,103 - - 469,103 General and administrative 448,101 - - 448,101 Total expenses 5,024,256 0 0 5,024,256 change in net assets 259,890 (1,187,519) - (927,629) neT ASSeTS Beginning 2,204,652 1,542,017 156,668 3,903,337 ending $2,464,542 $354,498 $156,668 $2,975,708 Program Services Resource Development General AdministrativeI 30
  33. 33. STATeMenT of fInAncIAl PoSITIon AS of deceMBer 31, 2010 (WITh coMPArATIve ToTAlS for 2009) 2010 2009 ASSeTS Cash $3,278,713 $936,082 Real estate security deposit 27,273 27,273 pledges & other receivables 267,530 1,438,586 prepaid expenses 34,336 42,118 Total current assets 3,607,852 2,444,059 Total investments 2,203,932 2,613,944 net fixed assets 110,568 159,879 Total assets $5,922,352 $5,217,882 lIABIlITIeS & neT ASSeTS Accounts & payroll taxes payable $83,490 $89,405 Accrued vacation & salary expense 51,574 56,653 Deferred rent 168,106 65,936 Refundable advance 2,581,411 1,057,321 Capital lease obligations 62,063 45,230 Total current liabilities 2,946,644 1,314,545 Total net assets 2,975,708 3,903,337 Total liabilities & net assets $5,922,352 $5,217,882to review the complete population Action International financial statement, please send your request via e-mail to: Info@popact.org.population Action International is a 501 (c)(3) not-for-profit organization working to improve individual well-being and preserve global resources by mobilizingpolitical and financial support for population, family planning and reproductive health policies and programs. I 31Independent auditors: McGladrey and pullen, llp
  34. 34. donor SPoTlIghT: vIcKI And roger SAnT on Why They InveST In PAI For over three decades, PAI has benefited from the support of Vicki and Roger Sant. First as the volunteer leading many of the organization’s development efforts, and later as a board member and a donor, Vicki in particular has furthered PAI’s mission. Vicki’s continued engagement is a testament to the important role she feels PAI plays in improving the lives of the world’s most vulnerable people and protecting our global environment. Here, Vicki reflects on her experience with PAI. Global population issues first came to my attention in the mid 1970s when, as a young mother, I was moved by both the personal and environmental dimensions of family planning and reproductive health. even couched in terms of demographics and fertility rates, global population concerns always struck me as incredibly human, with an enormous potential for improving people’s quality of life. Since 1975, pAI has provided me with the opportunity to connect my concern about women, population and the environment to meaningful action. originally led by luminaries such as Bob Wallace, Bill Draper III, Robin Chandler Duke and norman Borlaug, pAI’s expertise and political agility remain distinguishable traits today. An early investor in building civil society capacity abroad, pAI still excels as an advocate, innovator and purveyor of partnerships with wonderful collaborators throughout the world. pAI continues to lead Study tours such as those I led to South America, China and thailand in 1977-78 as a pAI volunteer. participants see first-hand how giving women the ability to determine their own reproductive destinies means healthier and happier families, less poverty, more security and better environmental outcomes. For Members of Congress in particular, seeing the impact that u.S. foreign assistance has on the lives of people a world away makes all the difference in securing their support.I 32
  35. 35. During my time with pAI, the world has grown increasingly interconnected andcomplex. only three cities globally topped 10 million people in 1975. today, thereare 21 megacities and most are in developing countries. As we look toward 7 billionpeople, it is important to ask how we can best ensure a good quality of life foreveryone, while protecting the natural environment that sustains us all.pAI has a critical role in securing a vibrant and robust future. When Roger andI decide where to put our resources, we want to ensure that our investment leadsto systemic change and is highly leveraged. We want to invest in people andorganizations that set achievable goals in the context of addressing humanity’sgreatest challenges. the time, energy and investment made in pAI over the past threedecades are among my most worthwhile. please join us in supporting this outstandingorganization. people and the planet will be healthier as a result.donor AcKnoWledgeMenTSfoundATIonS Del Mar Global trust Goodsearch Judith Donath Family Foundation Samuel & Grace Gorlitz Foundationthe Bevier Fund the Max and Victoria Dreyfus Mary l. Griggs-Mary G. BurkeBiodiversity and Sustainability Foundation, Inc. Foundation Fund of the Fidelity Investments ecotrust Barbara Grodd, ostgrodd Charitable Gift Fund the Stanley eisenberg Charitable Foundationthe Biophilia Foundation trust the William and Flora HewlettAnn l. Bronfman Foundation Foundation the Fledgling Fundthe Brush Foundation Jacqueline Hoefer Fund Bill & Melinda Gates Foundationthe John M. Bryan Family Fund the Richard R. Howe Foundation Gillespie Foundationthe Community Foundation for the Important Gifts, Inc. the Glickenhaus Foundation national Capital Region the Innovation Fund of the the Richard & Rhoda Goldmanthe Compton Foundation, Inc. Fund Reproductive Health Supplies Coalition I 33
  36. 36. the F.M. Kirby Foundation BeQueSTS erik e. and edith H. Bergstrom C.B. laub Family Foundation Sharla p. Boehm Gladys M. and Robert A. Crane the Arthur loeb Foundation Mr. and Mrs. Barry p. Boothe trust the Milton and tamar Maltz Anthony Boxall Family Foundation Valerie Brackett IndIvIduAl donorS Maternal Health task Force at Susan l. Bradford engenderHealth Richard and Casey Aboulafia Monica Brand and Jordan engel the Morby Family Charitable Mr. Douglas Adkins Anita and Barney Brannen Foundation Marcel p. Aillery Drs. thomas Broker and the Morningstar Foundation lynn Allenspach louise Chow the Stewart R. Mott Charitable trust Robert and Delores Anderson Matthew B. Brown open Society Institute Colin Argys Merilys p. Brown the David and lucile packard Joel Arnow Richard and Irene Brown Foundation leslie and Benjamin Arnow Mark and erin Bryan partnership for Maternal, newborn William Aycock Seena and Jeffrey Bryan and Child Health/WHo Fran Buckley Julian M. Babad the Ravenal Foundation Jason Burbank Harriet C. Babbitt Amy and Ralph Risch Charitable James and Kay Burde Margaret and Craig Babcock Fund patrick and Cheri Baker pamela Burns the Summit Charitable Foundation Virginia Gibbons Barber laura Callier tisBest Charity Gift Cards Carolyn Barber-long phyllis and Max Carbon united nations Development A. Barnes and D. Suddaby Carol e. Carpenter-Yaman programme Mrs. Raymond W. Barratt Jack Cassidy and Janice Steinberg united nations Foundation Molly Bartlett William Cassidy Wallace Global Fund Sally J. Beck Roy and Carolyn Chapel the Charles A. Weyerhaeuser Memorial Foundation Bobbie Becker Michael and Amy Chapman Whitney Foundation Mr. and Mrs. Joseph Behar Allison Chase Christopher Campbell Wurtele Ms. Caroline Behringer Jared R. Clark Fund of the Minneapolis Rick Bennett lindsay Coates Foundation M.S. Bentley Bernard CohenI 34 Anonymous (7)
  37. 37. peter Collinge Margot Fetz Mrs. phillips HawkinsBarbara B. Crane eric Fileti Alex G. Hendersonphilip Crawford Silke Fleischer Raymond l. Hepworthnoriah Din Daily and Mike Daily Robert B. Flint, Jr. Charley HermanRobert Daubenspeck Ken Forsberg and Robin Appleberry James HerndonMrs. Mary lee Dayton Jim Fraser linda HerreidReid and peggy Dennis Mr. and Mrs. Charles A. Fritz, III William HildrethBritt M. Dietrich e. Marianne Gabel Christopher and Deirdre HockettAnne and Jerry Down thomas Gaines patrick Hollandleslie Doyle Susan C. Garratt Micki HorstMelissa and tim Draper thomas and Brenda Geers Stephen and lynn HoyleMichael Draper the Hon. and Mrs. John H. Carole Hughesthe Hon. and Mrs. William H. Gibbons Sofia Hussain Draper, III Mark M. Giese Freeborn G. Jewett, Jr.the Hon. Robin Chandler Duke Anthony and laurel Gilbert lillian JewettMatthew Dumm Duff Gillespie Rachael taylor JohansenBill Dun Beth Gleghorn Betty Wold JohnsonMichele J. Duryea Sharon Goldwater Catherine H. JohnsonMr. Greg edblom Christina Goodfriend Kellie JohnsonMr. and Mrs. William S. eddy David Gottfredson Amy Jones ChapmanMrs. M. page edgerton Bill Grams Barbara and David JonesJanice and Harry ehlers lucy l. Grimes Mr. and Mrs. J. parry JonesSuzanne ehlers William A. Gum Ralph Benton JonesDrs. paul and Anne ehrlich Kurt J. Guter Bonnie JorgensenMs. Riane eisler Matthew Guyer Seth KalishBibi eng peter C. Haley Mark KalmansohnBob engelman Mr. and Mrs. Richard Hardaway Kevin KeatingMs. Sarah G. epstein linn Duvall Harwell Jennifer KellerMr. and Mrs. David J. erikson Anthony Hawkins pamela and Charles KennyWilliam and eva ewing Mr. and Mrs. Bernard Hawkins Michael and Anastasia Khoo I 35
  38. 38. Susan Kimmel and James Shaver Stephanie Mendel paul Anthony petrella Constantine Kipnis lilliana Mendez-Soto David phillips Joe Kirschling tom Merrick and elaine Murphy Sally and George pillsbury Mr. and Mrs. Bayard Klimasmith Janene Michaelis J. edson pinto Kevin Koch thomas Miller phyllis tilson piotrow, ph.D. Gerhard Koon Jeff Mohan Karen G. pitts In honor of Whitney and Mr. and Mrs. Chester Moore Zdenko pokorny Randy Kopf Mr. and Mrs. Gordon e. Moore Marjorie popper and John evarts Keith Kozloff J. Mason Morfit Richard t. power David Kubik Wendy Burden Morgan luke puchner-Hardman Jennifer lakin and Douglas Rabuzzi James Murphy linda Rauer Mrs. Melvin lane Rachael Murray Rakestraw erin Reaney Malissa and Matthew lash Major General William l. nash elizabeth Rhyne Craig lasher (uSA, Ret.) the Rev. and Mrs. e. Albert Rich Mr. and Mrs. edwin F. leach Mr. and Mrs. Irvin S. naylor Mrs. Walter t. Ridder eric H. loevinger and Flora Danisi Jamie nolan Mr. peter Riddleberger terry long Mia and Marshall norton Kip Robbins Marcena W. and norris love e. MacArthur noyes nicholas Roberts thomas lovejoy Henry odell George and tania Rodgers teri luckenbaugh Ron and Merikay oliveira in honor Miguel Roma Christopher lynch of elaine Smith Dunlap Dr. and Mrs. Joseph J. Rossi, Jr. Mary Marsh Camilla and David olson Mr. and Mrs. William Roth terry A. Marsh Amy paller and etahn Cohen tim and Carol Rounds Sally M. McCraven Mary and Dennis panke Dwight Rousu Ruth e. McHenry Barbara parish and Gary Roberts nava Rubin Wendy and Malcolm Mclean neela patel Richard Rush Kathy McMenamin Frances pava Don Rylander Jennifer Ashley Mellen nicole H. perry and Andrew t.C. Stifler Dr. Fred t. Sai Margaret and Andrew Mellen Christine Sakach Josh A. petersonI 36
  39. 39. Vicki and Roger Sant Dr. Michael Strong Karen WilsonRick Schimmel Zack Subin Mr. and Mrs. Jonathan and Barbaraerich Franz Schimps Ms. Carolyn Szoke Windhampaul Scott Ronald W. tabaika Christine WolakAlan e. Sherman Halley e. tarr Jean-paul Wolinsky and Sarah M. RichardsMike Silver Mrs. Harry e. t. thayer George p. WorkSteven W. Sinding Brian F. theiss Sandra YarringtonRichard Sitts Mr. and Mrs. Max thelen, Jr. Mr. and Mrs. David n. YerkesMrs. Julie Skelton Mark S. thompson John and Diana Zentaythomas Skelton liz tinkham Anonymous (89)Julia Slatcher Cyrus tollJeff Sliter Robert and lenore tolonen corPorATIonSCarla and edward Sloan Gwen toninoJill Smart Jen tracy-Duplass Bastress & Associates, llCS. Bruce Smart Wendy turnbull Jones lang laSalleBrian and laurel Smith nicholaas tydens MicrosoftMrs. Gordon Smith S. Jean van der tak patton Boggs, llCHeidi Smith, M.D. Justin Vincent Anonymous (2)Mark Smith and Debbie Bannister Mariquita Vitzthumpaul and edith Sobel Carolyn Vogel and Steve GibbHarriet and Mitchell Sollod Jane B. VolckhausenConstance Spahn Walter and Willie WaldenScott M. Spangler Alice Dodge WallaceJames Gustave Speth, esq. Christy WaltonGladys Springborn Mr. and Mrs. Robert Waterman, Jr.Sean and Joyce St. Clair Diana K. WeatherbyStephanie St. Clair Robert WehleFred and Alice Stanback Kevin J. Whaleylois Stokes Rebecca Williams I 37
  40. 40. population Action International I 1300 19th Street nW, Second Floor I Washington, DC 20036 I 202-557-3400 I www.populationaction.org
  41. 41. Population Action International advocates for women and families to have access to contraception in order to improve their health, reduce poverty and protect their environment. Our research and advocacy strengthens U.S.and international assistance for family planning. We work withlocal and national leaders in developing countries to improvetheir reproductive health care programs and policies. PAI shows how these programs are critical to global concerns, such as preventing HIV, combating the effects of environmental degradation and climate change, and strengthening national security.