This document is PAI's 2010 annual report. It summarizes PAI's work in 2010 to promote family planning and reproductive health globally. Some key points: - PAI advocates for increased funding and policy support for family planning programs worldwide. They work to integrate these programs with maternal health and HIV/AIDS initiatives. - Stories from the field in countries like Ethiopia show how access to family planning has helped empower women and improved lives. However, many women still lack access to vital reproductive healthcare. - PAI produces research on challenges to providing supplies and services. They engage policymakers and other stakeholders to address issues like child marriage and lack of funding for maternal health. - Programs support youth

1. 2010 AnnuAl RepoRt

2. 2010 AnnuAl RepoRt

3. Dear Friend,
these days it feels like everyone—from business
leaders to philanthropists to politicians—seems to
be chasing the Big Idea. looking for technologies,
business models, books, institutions or simply deeds
that are “disruptive” has become the mantra of those
who want to change the world.
the reality, however, is more modest than that. eureka
moments happen here and there, but unfortunately they often
evaporate without leaving a trace just as suddenly as they emerged. You
might watch a great teD talk, or read the latest motivational best-seller, and have a-ha
after a-ha as you listen or read . . . but then life gets in the way, and you never recapture
the 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 can
save hundreds of thousands of lives, prevent unintended pregnancies and reduce
unsafe 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 that
they can live the lives they desire.
How do we do this? It helps that we have been at it for almost half a century. pAI
has learned a thing or two about how this is done and has gained the support of many
individuals and institutions whose help is indispensable.
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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 & CEO
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5. BIrTh/InfAncy
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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.
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7. SPreAdIng The Word ABouT MATernAl heAlTh ISSueS
In August 2010, pAI conducted a media tour in ethiopia, bringing journalists from
Ms. Magazine, MtV, The Lancet, and Grist to see first-hand the difference that family
planning and maternal health funding can make. pAI wanted to connect these
journalists with stories on the ground so they can help readers better understand the
implications 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. 17
ethiopia isn’t the only country grappling with these challenges. Having a child in
many developing countries can be dangerous, because a lack of financing and poor
infrastructure prevent women from getting basic supplies for a healthy pregnancy and
safe delivery. Bangladesh and uganda are two with the highest maternal mortality
rates. to document these roadblocks, pAI tracked supplies for treating or preventing
three of the most common causes of maternal death in Africa and Asia: eclampsia,
post-partum hemorrhaging and unsafe abortion. the resulting reports, Maternal Health
Supplies in Uganda and Bangladesh, show how policies, funding, and other challenges
combine to cut off such critical services for many women in these countries. the
reports 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 new
Delhi, attended by 500 maternal health experts from around the world. We also
presented at a conference at the Woodrow Wilson International Center for Scholars
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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.”
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9. chIld
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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.
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11. The TrAgedy of chIld MArrIAge
pAI documented Radhika’s story in late 2010. As disturbing as her story is, it could
have been even more tragic. Young girls who are forced to marry are more likely to be
victims of domestic violence and to contract HIV/AIDS.
In some parts of the world, child marriage is alarmingly widespread. Around one-third
of girls in the developing world, excluding China, are married before age 18; in a few
countries, almost 30 percent of girls under 15 are also married.
Despite those startling numbers, the House of Representatives voted last year to block
a bill aimed at helping to prevent child marriage worldwide, which might have saved
many young girls from a life of poverty, illness, and possibly death. the opposition’s
rationale? Implementation would have been too costly and some House members
alleged that the bill supported abortion. neither argument is true.
Regardless, the defeat of the child marriage bill stands out as one example of
how politically divisive the issue of reproductive health has become. Some
policymakers were willing to forgo saving children from early marriage in order
to deny funding to pro-choice organizations.
oPPorTunITIeS And chAllengeS In congreSS
And The WhITe houSe
pAI continues its commitment to help Members of Congress understand the demand
for family planning and reproductive health services in developing countries. In
February, pAI partnered with pathfinder International to host a trip to ethiopia
for staff members representing three key senators; two of whom serve on the
Appropriations Committee and one on the Foreign Relations Committee.
the group visited youth centers, urban maternity hospitals, health centers, integrated
population-environment projects, and rural health posts, and met with national and
regional officials.
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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.
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13. young WoMAn
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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 partnership
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15. IMProvIng reProducTIve heAlTh And PrevenTIng hIv
By InTegrATIng ProgrAMS
An important goal for pAI in 2010 was to integrate reproductive health
and family planning programs with HIV/AIDS programs. In February,
the International planned parenthood Federation’s South Asia
Regional office (IppF-SARo) invited pAI to Bangkok to hold
a workshop on integrating programs on sexual and reproductive
health with projects funded by the Global Fund to Fight AIDS,
tuberculosis, and Malaria.
pAI showed participants from eight countries how increasing access
to reproductive health information and services can help prevent
the spread of HIV/AIDS, including mother-to-child transmission. As
a result of the workshop, participants put together plans to integrate
programs in their own countries. IppF-SARo subsequently adapted pAI’s
project model to secure 3 million euros from the european Commission for
use over three years. this is one example of how a single pAI effort can spread a
life-saving program to multiple countries and attract new funding.
In Africa, pAI launched the Integration partnership, a two-year initiative funded by
the Bill & Melinda Gates Foundation. the partnership aims to bring greater attention
and 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) in
Vienna, Austria. At the conference, which serves as the premier meeting ground
for those involved in the HIV/AIDS field, pAI staff organized a panel on the GHI
that explored the need to integrate sexual and reproductive health and HIV/AIDS
programs. pAI also hosted a session entitled, “What Works for Women and Girls, A
Guide on HIV/AIDS prevention, policy, and treatment options.”
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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.”
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17. KeePIng A focuS on lATIn AMerIcA
In response to the u.S. government’s plan to phase out family planning funding in
much of latin America and the Caribbean by 2012, pAI joined other advocates and
experts in May on a fact-finding trip. the group visited peru, a country that faces
particularly high rates of teen pregnancy, poverty, and inequality.
the trip helped inform pAI’s efforts to convene stakeholders about
the state of reproductive health in latin America and explore
opportunities to increase pAI’s engagement in the region.
the following month, pAI and Carolina Barco,
Colombian Ambassador to the u.S., co-hosted
the event “the State of Reproductive Health
in latin America” at the Colombian
Ambassador’s Residence in Washington,
DC. Attendees included individuals from
philanthropy, civil society, think tanks,
and the u.S. government, as well as
Christiana Figueres, then newly appointed
executive Secretary of the united nations
Framework Convention on Climate Change
(unFCCC). the event featured a rich
discussion on the importance of empowering
women in poor communities of latin America
and the Caribbean. As a result of this discussion,
pAI created an informal network for champions
of reproductive health in the region and began a
project to document family planning stories in peru and
throughout the region.
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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.
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19. MATure WoMAn
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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.
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21. TellIng The STory of AcceSS To
reProducTIve heAlTh
thanks to the efforts of pAI, many women like
Amarach are able to limit the number of children
they have so none will go hungry. But sadly, many
more women in developing countries don’t have those
resources—215 million women around the world need
contraceptives, and hundreds of thousands will die of
pregnancy-related causes.
pAI’s documentary Empty-Handed, released in 2010,
tells the story of women in sub-Saharan Africa who
weren’t as fortunate as Amarach. they each went to
their local clinic to get contraceptives or condoms but
were told there were none. the film documents the challenges at each level of
the reproductive health supply chain and identifies key areas of improvement.
Empty-Handed won the population Institute’s 2010 Global Media Award for
Best Short Film.
pAI screened the film at the Global Maternal Health Conference in
new Delhi, at the Annual Meeting of the Reproductive Health Supplies
Coalition in Kampala, uganda, and to groups of editors, reporters,
advocates, and health workers in Zambia. Viewers left with
copies of the DVD and with plans to show it in their
communities.
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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.
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23. grAndMoTher
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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?” – Sarada
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25. connecTIng clIMATe chAnge
And fAMIly PlAnnIng
In April 2010, pAI Board of Directors member Dr.thomas lovejoy
accompanied staff members to Minneapolis to take that message to an
event called “Women at the Center: Climate Change, Food Security and
Global Health.” the event gave pAI and our partners at the Institute for
Agriculture and trade policy the opportunity to bring the issue in front of
a diverse audience of policymakers, philanthropists, and community leaders to
support our cause and join in our advocacy efforts.
to further our goal of broadening the ranks of advocates for our cause, we created
new 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 Brief
titled “population and the environment: Where We’re Headed and What We Can
Do.” one of the most popular publications on our website, this new advocacy guide
explains, “Many environmental problems will be easier to address if world population
peaks at 8 billion rather than 11 billion.” the guide offers simple, cost-effective ways
to address population issues while improving health.
In July, pAI published a policy and Issue Brief titled “Climate Change, Migration and
population Growth,” explaining how climate change and family planning are related
and demonstrating how effects of climate change are threatening communities in
many parts of the world. Responding to the demand for family planning, especially in
areas 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, pAI
updated our interactive mapping website, which uSAID has listed as a top resource
on climate change. the map overlays projected demographic trends with reproductive
health needs and environmental issues like water availability, agricultural production,
and resilience to climate change.
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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.
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27. hoPe for The
fuTure
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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.” — Martha
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29. Aregash Ayele is 32 years old and lives with her six children in a small farming
community. Because of changing rainfall patterns, crop yields are suffering, so the
family doesn’t have enough food for everybody. And Aregash’s husband has to work
hours away from home, so she is left to manage the house, look after the children, and
farm 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.” — Aregash
As the chairwoman of a women’s association, Ayelech Gossa has seen the dramatic
difference family planning can make in the life of a woman and her family. A mother
of three herself, she is proud that she spaced her own children and is now able to send
her 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.” — Ayalech
Faridah nalubega is 26 years old, and already she has six children. She struggles to
care for them with the money from her small fried fish business, constantly worrying
whether it will be enough. Faridah wanted fewer children, but each time she goes to
the nearest clinic to get a contraceptive injection, they’re out of stock. Health workers
offer 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.” — Faridah
So her family grows. She needs our help.
I 27

30. PAI’S STAff And BoArd
BoArd of dIrecTorS Suzanne ehlers nafis Sadik, M.D.
President & CEO
S. Bruce Smart, MCe
Moisés naím, ph.D.
pamela Bevier, ph.D, MpH
Chair eMerITuS MeMBerS
the Honorable
the Honorable Harriet C. Babbitt
John H. Gibbons the Honorable
Vice-Chair
Robin Chandler Duke
the Honorable
Dr. pouru Bhiwandi
Amory Houghton, Jr. the Honorable
Treasurer
William H. Draper, III
Michael Keating
Victoria p. Sant
phyllis tilson piotrow, ph.D.
Secretary thomas e. lovejoy, ph.D.
Dr. Fred t. Sai
Jacqueline 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/fellowship
I 28

31. SenIor STAff STAff
Suzanne ehlers Shelly Amieva Cassie Mann
President & CEO Yonas Asfaw Jennifer Ashley Mellen
Roger-Mark De Souza Mark Bryan Kathleen Mogelgaard
Vice President for Research
Suzanna Dennis Clive Mutunga
elisha Dunn-Georgiou
Vice President for Advocacy Allison Doody Foluke ojelabi
Michele J. Duryea Melissa eddy Mary panke
Vice President for Development Roberto Hinojosa Hugh pitcher
Michael Khoo Caitlin Horrigan Sarah Reidy
Vice President for Communications
nicole Hutton Gina Rumbolo
Rachael Murray Rakestraw
erika larson Dilly Severin
Vice President for Finance/
Administration Malissa lash phyllis Smith
Carolyn Vogel Craig lasher Wendy turnbull
Chief Operating Officer elizabeth leahy Madsen Danielle Zielinski I 29

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 Administrative
I 30

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 $5,217,882
to 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 mobilizing
political and financial support for population, family planning and reproductive health policies and programs.
I 31
Independent auditors: McGladrey and pullen, llp

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. During my time with pAI, the world has grown increasingly interconnected and
complex. only three cities globally topped 10 million people in 1975. today, there
are 21 megacities and most are in developing countries. As we look toward 7 billion
people, it is important to ask how we can best ensure a good quality of life for
everyone, while protecting the natural environment that sustains us all.
pAI has a critical role in securing a vibrant and robust future. When Roger and
I decide where to put our resources, we want to ensure that our investment leads
to systemic change and is highly leveraged. We want to invest in people and
organizations that set achievable goals in the context of addressing humanity’s
greatest challenges. the time, energy and investment made in pAI over the past three
decades are among my most worthwhile. please join us in supporting this outstanding
organization. people and the planet will be healthier as a result.
donor AcKnoWledgeMenTS
foundATIonS Del Mar Global trust Goodsearch
Judith Donath Family Foundation Samuel & Grace Gorlitz Foundation
the Bevier Fund
the Max and Victoria Dreyfus Mary l. Griggs-Mary G. Burke
Biodiversity and Sustainability Foundation, Inc. Foundation
Fund of the Fidelity Investments
ecotrust Barbara Grodd, ostgrodd
Charitable Gift Fund
the Stanley eisenberg Charitable Foundation
the Biophilia Foundation
trust the William and Flora Hewlett
Ann l. Bronfman Foundation Foundation
the Fledgling Fund
the Brush Foundation Jacqueline Hoefer Fund
Bill & Melinda Gates Foundation
the John M. Bryan Family Fund the Richard R. Howe Foundation
Gillespie Foundation
the Community Foundation for the Important Gifts, Inc.
the Glickenhaus Foundation
national Capital Region the Innovation Fund of the
the Richard & Rhoda Goldman
the Compton Foundation, Inc. Fund Reproductive Health Supplies
Coalition
I 33

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 Cohen
I 34
Anonymous (7)

37. peter Collinge Margot Fetz Mrs. phillips Hawkins
Barbara B. Crane eric Fileti Alex G. Henderson
philip Crawford Silke Fleischer Raymond l. Hepworth
noriah Din Daily and Mike Daily Robert B. Flint, Jr. Charley Herman
Robert Daubenspeck Ken Forsberg and Robin Appleberry James Herndon
Mrs. Mary lee Dayton Jim Fraser linda Herreid
Reid and peggy Dennis Mr. and Mrs. Charles A. Fritz, III William Hildreth
Britt M. Dietrich e. Marianne Gabel Christopher and Deirdre Hockett
Anne and Jerry Down thomas Gaines patrick Holland
leslie Doyle Susan C. Garratt Micki Horst
Melissa and tim Draper thomas and Brenda Geers Stephen and lynn Hoyle
Michael Draper the Hon. and Mrs. John H. Carole Hughes
the 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 Jewett
Matthew Dumm Duff Gillespie Rachael taylor Johansen
Bill Dun Beth Gleghorn Betty Wold Johnson
Michele J. Duryea Sharon Goldwater Catherine H. Johnson
Mr. Greg edblom Christina Goodfriend Kellie Johnson
Mr. and Mrs. William S. eddy David Gottfredson Amy Jones Chapman
Mrs. M. page edgerton Bill Grams Barbara and David Jones
Janice and Harry ehlers lucy l. Grimes Mr. and Mrs. J. parry Jones
Suzanne ehlers William A. Gum Ralph Benton Jones
Drs. paul and Anne ehrlich Kurt J. Guter Bonnie Jorgensen
Ms. Riane eisler Matthew Guyer Seth Kalish
Bibi eng peter C. Haley Mark Kalmansohn
Bob engelman Mr. and Mrs. Richard Hardaway Kevin Keating
Ms. Sarah G. epstein linn Duvall Harwell Jennifer Keller
Mr. and Mrs. David J. erikson Anthony Hawkins pamela and Charles Kenny
William and eva ewing Mr. and Mrs. Bernard Hawkins Michael and Anastasia Khoo
I 35

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. peterson
I 36

39. Vicki and Roger Sant Dr. Michael Strong Karen Wilson
Rick Schimmel Zack Subin Mr. and Mrs. Jonathan and Barbara
erich Franz Schimps Ms. Carolyn Szoke Windham
paul Scott Ronald W. tabaika Christine Wolak
Alan e. Sherman Halley e. tarr Jean-paul Wolinsky and Sarah M.
Richards
Mike Silver Mrs. Harry e. t. thayer
George p. Work
Steven W. Sinding Brian F. theiss
Sandra Yarrington
Richard Sitts Mr. and Mrs. Max thelen, Jr.
Mr. and Mrs. David n. Yerkes
Mrs. Julie Skelton Mark S. thompson
John and Diana Zentay
thomas Skelton liz tinkham
Anonymous (89)
Julia Slatcher Cyrus toll
Jeff Sliter Robert and lenore tolonen
corPorATIonS
Carla and edward Sloan Gwen tonino
Jill Smart Jen tracy-Duplass Bastress & Associates, llC
S. Bruce Smart Wendy turnbull Jones lang laSalle
Brian and laurel Smith nicholaas tydens Microsoft
Mrs. Gordon Smith S. Jean van der tak patton Boggs, llC
Heidi Smith, M.D. Justin Vincent Anonymous (2)
Mark Smith and Debbie Bannister Mariquita Vitzthum
paul and edith Sobel Carolyn Vogel and Steve Gibb
Harriet and Mitchell Sollod Jane B. Volckhausen
Constance Spahn Walter and Willie Walden
Scott M. Spangler Alice Dodge Wallace
James Gustave Speth, esq. Christy Walton
Gladys Springborn Mr. and Mrs. Robert Waterman, Jr.
Sean and Joyce St. Clair Diana K. Weatherby
Stephanie St. Clair Robert Wehle
Fred and Alice Stanback Kevin J. Whaley
lois Stokes Rebecca Williams
I 37

40. population Action International I 1300 19th Street nW, Second Floor I Washington, DC 20036 I 202-557-3400 I www.populationaction.org

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 with
local and national leaders in developing countries to improve
their 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.