Ippf Annual Performance Report 2022 1

Bridging to
a new era
Annual Performance Report 2022
Who we are
The International Planned Parenthood
Federation (IPPF) is a global healthcare
provider and a leading advocate of
sexual and reproductive health and
rights for all. We are a worldwide
Federation of national organizations
working with and for communities and
individuals in more than 140 countries.
150 19,799 35,357

Member Associations Staff Service delivery
and Collaborative points worldwide
Partners
Acknowledgements
We would like to express thanks to the IPPF volunteers and
staff of Member Associations and the Secretariat who have
contributed to this report.
Editorial Production and coordination Layout

Manuelle Hurwitz James Newton David Foster
Sarah Hyde Mahua Sen
Throughout this report, the terminology ‘Member Association (MA)’

includes IPPF Member Associations and Collaborative Partners.
Due to rounding, numbers presented in this report may not add

up exactly to totals provided. Percentages reflect absolute and not
rounded figures, and may not add up to 100 per cent.
Cover photo: IPPF/Disha Arora/India
2
Foreword4
Outcome 1 Champion Rights 6

Decriminalizing abortion in Colombia 10
Supporting a UN General Assembly resolution on sexual violence 12
Shaping the EU Youth Action Plan 14
Extending reproductive choice in Sudan 16
Outcome 2 Empower Communities 18

Treasure Your Pleasure 22
Advancing Comprehensive Sexuality Education 24
Outcome 3 Serve People 26

IPPF’s Humanitarian Programme in 2022 32
Community midwives save lives in Afghanistan 36
Outcome 4 Unite and perform 38

Strengthening MA governance 42
Implementing our Data Management Strategy 44
Updates from IPPF 46

IPPF’s General Assembly and 70th anniversary 48
Client‑Centred Clinical Guidelines 52
Anti‑Racism Programme of Action 54
Safeguarding and Incident Management 55
Review of Results under IPPF’s Strategic Framework 2016-2022 56
IPPF’s New Strategy: Come Together 58
Annexes62
References69
Thank you 70
Board of trustees 71
3
Foreword
In 2022, a number of severe shocks

— the COVID-19 pandemic, the war in
Ukraine, the resulting food and energy
crises and spiralling inflation — shook the
world economy. UN Secretary General
António Guterres said, “Unprecedented
times demand unprecedented action”
and called for “a transformative SDG
[Sustainable Development Goal]
stimulus package, generated through
the collective and concerted efforts of all
stakeholders.” But instead, as reflected
in IPPF’s audited accounts, several donor
countries, particularly the United Kingdom
and Sweden, slashed their development
assistance.
4
Most low-income countries saw a slow recovery in messages focusing on consent and respect. In 2022,
employment in 2022. The job losses that hit women IPPF MAs provided 35.0 million young people with
hardest during the initial phase of the pandemic have quality-assured comprehensive sexuality education
not been fully reversed. (CSE) and trained over 125,000 educators to provide
CSE.
In this challenging climate, we redoubled our efforts
and achieved so much, despite reduced income Once again, IPPF has proven itself an agile and
in the final year of our 2016‑2022 strategy. Income focused healthcare provider that can make quality
raised by the IPPF Secretariat fell by 26 per cent services accessible to those living in the most remote
(a drop of US$43 million, mainly through cuts to areas, those excluded and marginalized in many
restricted projects) compared to 2021, and expenditure societies, and those experiencing crises. We have
decreased by 16 per cent (US$24 million). also demonstrated our resilience and innovation,
amplifying social movements and countering the
UK Foreign, Commonwealth and Development Office aggressive opposition that has become the defining
funding cuts in Pakistan, Cameroon, Uganda, Chad feature of macho politics.
and Ethiopia translated into significant declines in
IPPF Member Associations’ (MAs) service provision in I humbly acknowledge and show immense gratitude
these countries. And yet, through the extraordinary for the expertise and courage of our frontline
effort of frontline healthcare workers, overall services healthcare workers and activists. And thank you for
remained fairly stable compared to 2021. What an the exceptional support received from all of you who
incredible achievement! IPPF delivered a total of 226.9 believe in the journey we are on as we embark on our
million sexual and reproductive health services, a ambitious new strategy, Come Together (2023‑2028).
two per cent decrease compared to 2021. Couple
years of protection fell by nine per cent to reach 26.5 As part of the global community, IPPF will continue
million. In some key areas, extraordinary performance to shape the future of sexual and reproductive
by MAs more than compensated for those affected healthcare and progress the most intimate of rights.
by these cuts. MAs served more vulnerable people We are counting on you!
in humanitarian settings than ever before: a total of
10.0 million in 2022. In addition, safe abortion services
increased by 11 per cent to 5.0 million.
Throughout this annual report, you’ll see evidence of

IPPF harmonizing advocacy efforts to champion rights, Dr Alvaro Bermejo
develop winning narratives and counter a well-funded Director-General, IPPF
and growing opposition. You will read about our work
investing in young and diverse community leaders,
prioritizing self-managed care and digital health
solutions, and rapidly responding to humanitarian
crises with life-saving sexual and reproductive
healthcare.
Across the globe, IPPF MAs are fighting back,

challenging unjust laws and policies and spreading
our powerful messages. We have won major victories.
In Colombia, the Latin American Green Wave of
abortion rights successes continued as the country’s
highest court decriminalized abortion (more on this
case on page 12). Globally, IPPF achieved 150 advocacy
wins in 2022 to support or defend sexual and
reproductive health and rights and gender equality in
policy or legislation, 24 per cent more than in 2021.
IPPF is increasingly using digital channels to harness

young people’s creativity and passion. Through
exciting initiatives like IPPF Africa Region’s Treasure
Your Pleasure campaign (see page 24 for more detail),
we have reached a wide audience with sex-positive
5
Outcome 1
Champion
Rights
100 governments respect, protect
and fulfil sexual and reproductive
rights and gender equality
6
Photo: IPPF/Wara Vargas/Bolivia
7
Outcome 1
Champion
Rights
2022 was a year of advocacy successes

for IPPF MAs while working in increasingly
challenging environments. There were
hard‑fought victories to celebrate, but also
devastating setbacks. IPPF continued to
champion sexual and reproductive health
and rights across the globe, with advocacy
at sub‑national, national, regional and global
levels. We harnessed the vast experience
and knowledge of MAs and other partners
to shift opinion and win support on vital
issues among the general public and key
decision‑makers.
8 Outcome 1: Champion Rights

IPPF contributed to a total of 150 policy and Result 1
150
legislative changes in support or defence of sexual
successful policy and/
and reproductive health and rights and gender
or legislative changes
equality in 2022, a significant increase of 24 per cent
in support or defence of
over 2021. 118 of these advocacy wins were due to sexual and reproductive
work carried out by MAs, of which 104 were at the health and rights and
national level and 14 at the sub-national level. A gender equality
further 32 were recorded by the IPPF Secretariat, with
11 at the global level and 21 regionally.
In total, 23 legislative changes focused on expanding Result 3
596
access to sexual and reproductive health services,
youth and women’s
23 related to education and services for young
groups supported to take
people, and 19 were concerned with preventing a public action on sexual
sexual and gender-based violence. and reproductive health
and rights
Promoting access to abortion care was the focus of
28 of IPPF’s advocacy wins in 2022. The case study
on page 12 describes the success of Profamilia in
helping to secure a court decision to decriminalize
abortion in Colombia, building on the Green Wave issues for activists. The centre also supported
that is fighting for abortion rights across Latin an event in Uganda – a country that is often a
America. However, in many other parts of the world testing ground for extreme opposition activity as
the opposition is taking increasingly bold steps to demonstrated recently with the criminalization of
restrict and remove the right to access abortion. LGBTQI+ people – to convene diverse networks and
Most notably, the US Supreme Court’s decision to coalitions, including elected officials, to shape new
roll back Roe v Wade and remove constitutional narratives and thinking on sexual and reproductive
protections for abortion rights is a grave concern. health and rights.
The shift to states deciding their own abortion
laws is causing serious harm to women, girls and IPPF’s European Network Regional Office hosts the
all pregnant people who might not be able to Winning Narratives Centre. This initiative develops
end an unwanted pregnancy or might be at risk powerful new values-based narratives on sexual
of complications during pregnancy that doctors and reproductive health and rights to target the
cannot legally treat. The patchwork of state abortion persuadable middle segment of society through
bans means that those without sufficient funds a clearer understanding of this group’s values
to travel for safe, legal abortion care or obtain and how this affects their response to the ways in
medical abortion pills will be forced underground which a topic is framed. The centre has conducted
to unsafe, unregulated methods, with no guarantee research into the opposition’s use of language to
of quality of care or aftercare. In response, IPPF MA push their agenda in the public sphere, for example
Planned Parenthood Federation of America (PPFA) ‘eco-friendly’ language to present contraception as
has launched a Bans Off Our Bodies campaign to a pollutant, and used this to inform MAs’ narratives.
combat this attack on reproductive rights. PPFA also The Winning Narratives Centre also trained MAs and
continues to provide services to all who need them partners on the theory and practice of values-based
where legally possible, including medical abortion communications as well as individual coaching
pills via telemedicine. sessions to address the specific challenges MAs face
in crafting narratives.
Ramifications extend beyond the United States,
as this decision emboldens extremist and socially Member Associations work closely with campaign
conservative opposition movements to follow and interest groups to support them in their
suit and attempt to dismantle reproductive rights advocacy to promote sexual and reproductive
around the world. Planned Parenthood Global hosts health and rights. In 2022, IPPF supported a total
IPPF’s Countering Opposition Centre, which supports of 596 youth and women’s groups to take a public
MAs to advance sexual and reproductive health action on sexual and reproductive health and rights,
and rights and neutralize opposition attacks. During an increase of eight per cent compared to 2021. Of
2022, the centre trained 10 MAs in monitoring and these, 249 were women’s groups, 231 were youth
combating opposition movements. In addition, 16 groups and 116 were groups comprising both.
MAs participated in training on safety and security
9
Outcome 1: Case study 1
Decriminalizing
abortion in
Colombia
In a major triumph
Colombia for human rights,
in February 2022,
Colombia’s
Constitutional Court
ruled to decriminalize
abortion within the
first 24 weeks of
pregnancy. Colombia
is now a country with
some of the most
progressive abortion
laws in Latin America.
10 Decriminalizing abortion in Colombia
“The freedom for women to finally make
their own choices about their pregnancies
and their bodies is fundamental to
disrupting the cycle of poverty that so
many in Colombia face. This monumental
decision is also a win for dedicated
healthcare providers, who will finally be
recognized as people who simply care
about the needs of others.”
Marta Royo, Executive Director, Profamilia
Previously, abortion was permitted under just Among the various arguments that were accepted
three grounds: in cases of rape or incest, when the by the Court was that criminalizing abortion
woman’s health or life was at risk, or if the pregnancy fuels stigma and does not reduce the number of
was not viable. But this landmark decision means abortions. Rather, it forces women to seek unsafe
that people seeking and providing abortion in the abortion, with the poorest women, migrants and
country will no longer face criminal prosecution. those living in remote areas hardest hit. Profamilia
After 24 weeks, legal abortion is permitted under the estimates that at least 26,223 unsafe abortions were
three exceptions formerly in place. carried out across Colombia in 2020.
Profamilia has campaigned for years to This historic win for reproductive rights will save lives.
decriminalize abortion and played a key role in It is another victory for the Green Wave: the powerful
helping to bring about the decision. As the country’s grassroots movement of feminists, pro‑choice
largest provider of abortion care, the MA contributed activists, young people and human rights defenders
arguments to strengthen the lawsuit, specifically that is changing the debate around abortion in Latin
concerning the impact on healthcare professionals. America. The decision follows rulings in Argentina
Profamilia coordinated expert interventions to the and Mexico that have widened access to legal
court as well as putting forward its own. The MA also abortion. Activists hope that the ripple effect will
supported communication campaigns and grass continue, triggering legislative change in other
root mobilizations in different parts of the country, countries that restrict women’s ability to make
and increased visibility of the issue at the UN Human decisions about their own bodies.
Rights Council in 2021.
11
Supporting a UN
General Assembly
resolution on sexual
violence
In September 2022, the General Assembly

adopted a landmark resolution on justice
for survivors of sexual violence – the first
time the UN has focused a resolution on
this topic.1 It condemns all forms of sexual
and gender-based violence and urges
Member States to provide access to justice,
reparations and assistance for victims and
survivors. The resolution also calls on states
to provide gender-responsive legal protection
and health services, including sexual and
reproductive healthcare.
12 Supporting a UN General Assembly resolution on sexual violence

Photo: IPPF/Tommy Trenchard/Malawi
IPPF worked hard to shape and support the Importantly, the adopted resolution also calls for
resolution, from first discussions on the importance access to ‘safe and effective methods of modern
of such a resolution to the final vote. We worked contraception, emergency contraception, prevention
closely with Member States on each draft of the text programmes for adolescent pregnancy, maternal
to ensure it contained essential elements to meet health care such as skilled birth attendance and
the needs of victims and survivors of sexual violence, emergency obstetric care, which will reduce
including through evidence-based language obstetric fistula and other complications of
suggestions. We supported the negotiations by pregnancy and delivery [and] safe abortion where
providing rationale and data to support critical such services are permitted by national law’. It
elements in the text and finding compromises that recognizes that human rights include the right to
balanced political considerations with needs and have control over and decide freely and responsibly
rights. In addition, we supported Member States to on matters related to sexuality.
stand strong against politically-motivated hostile
amendments, which were used in the strong UN resolutions are powerfully symbolic and set
statements to defend the text. global standards that Member States strive
to achieve. With one in three women globally
Despite conservative opposition groups lobbying subjected to physical or sexual violence,2 this historic
Member States to support hostile amendments to resolution affirms global consensus on a critical
water down commitments to survivors of sexual issue: justice for survivors. It reiterates Member
violence, all four amendments were defeated. The States’ commitment to promote the human rights
resolution retains a full paragraph on comprehensive of women and girls, gender equality and sexual and
sexual and reproductive healthcare, references to reproductive health. As such, it is a powerful tool
intimate partner violence, and the ‘multiple and to be used at national and regional levels to bring
intersecting forms of discrimination’ that women and about change.
girls face.
13
Shaping
the EU Youth
Action Plan
In October 2022, the European Commission

adopted the Youth Action Plan in EU external
action (2022–2027) – the first EU policy
framework for a strategic partnership with
young people around the world.3 In November,
Member States committed to the Youth
Action Plan’s objectives through the adoption
of Council conclusions.4 The Youth Action
Plan aims to promote meaningful youth
participation and empowerment in EU external
action for sustainable development, equality
and peace.
14 Shaping the EU Youth Action Plan

This document affirms EU commitment to support The Regional Office was also involved in negotiations
sexual and reproductive health and rights, access to around the Council conclusions. IPPF co-organized
youth‑friendly services and comprehensive sexuality a meeting where youth advocates could express
education, and includes strong language on their concerns and messages to Member States;
mainstreaming gender equality, non-discrimination shared language with the team who drafted the
and applying an intersectional approach. Council conclusions and key Member States through
Countdown 2030 Europe; and met with Member
Under the Youth Action Plan, new funding States to submit amendments to various drafts.
opportunities will be made available. This includes
the Youth Empowerment Fund, a pilot programme At the Council level, like‑minded Member States
that will support grassroots youth organizations and successfully blocked opposition attempts to
youth‑led initiatives. To promote young people’s water down language related to LGBTQI+ people
engagement, youth advisory structures will inform and sexual and reproductive health and rights.
EU Delegations of national priorities. The Youth Action In the end, an entire paragraph on sexual and
Plan is significant for IPPF because it will help ensure reproductive health and rights was retained. The
that EU Delegations allocate funds to improve young Council conclusions send a strong political signal
people’s health and wellbeing, including access to that EU Member States support young people’s
youth‑friendly sexual and reproductive healthcare. It participation, gender equality and sexual and
will also create opportunities for participation by MA reproductive health and rights. And they indicate to
youth groups. EU Delegations and Member State embassies that
they should allocate funds to implement the Youth
The document is the result of extensive consultation Action Plan.
with over 220 stakeholders globally. IPPF European
Network Regional Office had considerable input
to the draft Youth Action Plan. IPPF took part in a
consultation facilitated by the European Commission
and delivered key messages on how sexual and
reproductive health and rights should be framed.
15
Extending
reproductive
choice in Sudan
Last year, IPPF MA, the Sudan

Family Planning Association
(SFPA), achieved two
significant advocacy wins by
providing strategic inputs into
the National Reproductive
Health Policy (2022‑2030).
Firstly, SFPA advocated for
misoprostol to be included
in the National Essential
Medicines List. And secondly,
the MA lobbied for task shifting
to be addressed in the policy,
allowing health workers – and Photo: IPPF/Hannah Maule-ffinch/Sudan
not only doctors – to provide

long‑acting contraception.
16 Extending reproductive choice in Sudan
Misoprostol is a critical drug used to prevent
maternal mortality caused by post-partum
haemorrhage and incomplete abortion. It was
previously included in Sudan’s 2014 National
Essential Medicines List for treatment of post-partum
haemorrhage. And in 2018, SFPA signed an
agreement with the reproductive health authorities
to use misoprostol to treat bleeding following
incomplete abortion in its clinics in three states –
becoming the first and only NGO in Sudan to do so.
To extend access beyond its static clinics, the team
advocated for misoprostol to be included in the
National Essential Medicines List for post-abortion
care. After lobbying the Federal Ministry of Health,
the MA’s efforts paid off. This will enable not just SFPA
but also other sexual and reproductive healthcare
organizations to provide quality post-abortion care
at various levels, including community care, thereby
averting maternal deaths and illness.
In Sudan, there is a severe shortage of trained

providers of long-acting reversible contraception.
Under the previous government policy, only
doctors were authorized to do so, which restricted
access. Therefore, SFPA embarked on an advocacy
campaign to ensure that task shifting was included
in the National Reproductive Health Policy, paving
the way for trained registered nurses and qualified
Photo: IPPF/Hannah Maule‑ffinch/Sudan
nurse-midwives to provide contraceptive implants.
SFPA began the process in 2019 by developing a

policy brief and lobbying key government actors,
including Federal Ministry of Health officials,
and professional associations of obstetricians
and gynaecologists, nurses and midwives. After
considerable work from the MA, in November
2022 the new National Reproductive Health Policy
recognized task shifting as a promising strategy
to address shortages in the workforce. This was
followed by the Federal Ministry of Health allowing
trained health workers other than doctors to
provide long-acting reversible contraception.
SFPA is currently working on a pilot project, training
health extension workers to insert implants at
community-based health posts.
Both advocacy wins secured by SFPA will enable

a diverse range of providers to offer quality
reproductive healthcare, widening choice for women
throughout the country. However, the current crisis
in Sudan makes carrying out service delivery vastly
more difficult. SFPA has put together a database
Sudan of operational midwives and facilities for pregnant
women but until the military conflict ends, many
women will be unable to access the reproductive
care they urgently need.
17
Outcome 2
Empower
Communities
1 billion people act freely on their sexual
and reproductive health and rights
18
Photo: IPPF/Xaume Olleros/Benin
19
Outcome 2
Empower
Communities
IPPF MAs ensure access to clear, accurate,

evidence-based and non-judgemental
information so that people – especially
young people – can claim their sexual and
reproductive rights. As opposition and anti-
gender groups around the world increasingly
mobilize against comprehensive sexuality
education and sexual rights and disseminate
misinformation, IPPF stands together with
partners and social movements to promote
evidence and defend the right of young
people to make their own informed decisions
about their relationships, bodies and health.
20 Outcome 2: Empower Communities

In 2022, IPPF MAs provided comprehensive sexuality Result 4
35 million
education to a total of 35.0 million young people, a
one per cent increase on 2021. Although the MA in
China was responsible for 81 per cent of this total,
the provision of comprehensive sexuality education
to young people in other countries grew from 4.0
young people completed a
million in 2021 to 6.5 million in 2022. This reflects the
quality‑assured comprehensive
efforts from MAs to use online methods as well as sexuality education programme
in-person education to reach a wider audience,
both in school and out-of-school. In total, 126 MAs
are providing CSE of which 56 MAs are also providing Result 5
125,461
comprehensive sexuality education virtually.
In 2022, IPPF MAs trained over 125,000 educators

to provide comprehensive sexuality education, an
impressive 24 per cent increase over the previous
year. MAs in the Africa region accounted for 44 per people trained by MAs to
provide comprehensive
cent of the total, while European Network contributed
sexuality education
22 per cent and the Americas and Caribbean region
18 per cent.
IPPF MA in Uganda, Reproductive Health Uganda, Countering female genital mutilation (FGM) is a key
hosts the Global Youth Connect digital platform. part of our response to sexual and gender-based
The online information portal – a one-stop centre violence. IPPF’s FGM Center of Excellence, hosted by
on sexual and reproductive health and rights – the MA in Mauritania, Association Mauritanienne
aims to facilitate communication between IPPF’s pour la Promotion de la Famille, uses MA-to-MA
youth networks and empower young people in all learning to combat FGM where it is culturally
their diversity through meaningful and inclusive prevalent, through a person-centred approach. In
engagement. The platform showcases stories and July 2022, the MA organized a workshop with local
experiences that share lessons learned and best religious leaders, which resulted in a multi-faith
practices from different MAs; an information library statement calling for FGM to be criminalized as a
containing tools, policies and resources; and an harmful practice that has no links with religious
interactive question and answer page. In 2022, the requirements. This statement was supported by
team designed the site, gathered and generated the Mauritanian Minister of Health, who committed
materials and established a ten-person think tank to advocate for national laws against FGM across
to coordinate activities. The Global Youth Connect the region. The center has also developed a guide
portal is scheduled to launch during 2023. on sexual and reproductive health issues for young
people and started to provide medical care,
Another initiative undertaken by IPPF in youth counselling and guidance on FGM for local people in
engagement is the Youth Social Venture Fund, Nouakchott.
hosted by the Family Planning Association of India.
This innovative scheme uses technology to address The Social Movements Centre, hosted by IPPF MA in
the challenges young people face in accessing Morocco, Association Marocaine de Planification
sexual and reproductive healthcare and information. Familiale, was set up to amplify and coordinate
The fund awarded its first set of grants in 2022 to social movements, grassroots organizations and
young innovators in Uganda, Kenya and Burkina defenders of sexual and reproductive health and
Faso, to create apps which provide information on rights. The centre identifies areas for collaboration
contraception options and link users to approved with MAs and provides dedicated support such
and qualified providers of quality services. as capacity building, networking and fundraising.
In 2022, the Social Movements Centre devised
a new strategy, in partnership with members of
their community of practice, and awarded grants
to movements in Brazil, Morocco and Paraguay.
Workshops were also held on the sustainability
of social movements, collective care and digital
security.
21
Treasure Your
Pleasure
IPPF Africa Region joined forces with the

Pleasure Project last year to design an
innovative sex‑positive digital campaign
across sub‑Saharan Africa.
Treasure Your Pleasure created a safe space where young people. This included colourful, engaging
young people could talk openly and freely about sex, graphics and short videos to spark conversations
without shying away from sexual pleasure – which is, on topics such as consent, sexual pleasure for
after all, why most people have sex. The campaign people with disabilities, safety, and the physical
also aimed to reduce shame and reinforce positive and emotional benefits of sex. IPPF Africa Region
messages about safer sex that is mutually fulfilling, also created a microsite to showcase accessible
based on consent and respect. resources and interactive features, including a quiz
and stickers. Based on a rights‑based approach, the
Launched in March 2022, Treasure Your Pleasure inclusive campaign embraced all types of pleasure
reached young people across the continent with fun, for all people, regardless of their sexual orientation,
educational messaging on Facebook, Instagram, gender expression or identity.
TikTok, Twitter and YouTube. Content in English,
French and Portuguese was designed to appeal to
22 Treasure Your Pleasure

“Even in progressive
environments like Planned
Parenthood, sexual health
typically means contraception,
sexually transmitted infections,
and unwanted pregnancies,
going to clinics and consulting
with doctors. But when you shift
the narrative from that fear-
based framing, when you talk
about sexual pleasure as a big
component of sex and your
sex life, then you turn it into
something that needs to be
talked about.”
Mahmoud Garga, Lead Specialist –
Strategic Communication, Media Relations and Digital
Campaigning, IPPF Africa Region
Partnerships with high‑profile African influencers enabled

Treasure Your Pleasure to reach a wide audience online. For
example, a popular video by Swiry Nyar Kano offered a fresh
perspective on the history of sexual pleasure in pre‑colonial
Africa, challenging the idea that sexual pleasure is a western
concept by sharing examples of ancient rituals and cultures
that valued pleasure without shame.
The campaign was backed by evidence showing that

incorporating pleasure within sexual and reproductive health
and rights programmes and education can improve sexual
health. This includes recent research by the Pleasure Project
and WHO, which demonstrates that prioritizing pleasure
increases the likelihood of safer sex.
Between March and September 2022, the campaign reached

an impressive nine million people and IPPF Africa Region
gained 40,000 new followers across various digital platforms.
There was widespread interest around the world, not just in
sub‑Saharan Africa. So many young people in Asia engaged
with Treasure Your Pleasure that IPPF East and South East Asia
and Oceania Region is considering adapting the campaign.
IPPF Africa Region have also developed partnerships with

other sexual and reproductive health and rights organizations
to take the campaign to new audiences, such as SafeHands
who are using the campaign assets to organize youth
outreach activities in hard to reach communities in Uganda.
23
Advancing
Comprehensive
Sexuality
Education
IPPF MAs around the world are trailblazers
in the provision of quality comprehensive
sexuality education in and out of school:
increasing young people’s awareness of
their rights, promoting gender equality, and
empowering young people to make informed
decisions about their health, relationships
and sexuality.
24 Advancing Comprehensive Sexuality Education

Three regional Centers of Excellence continued The MA delivers comprehensive sexuality education
to share their extensive knowledge, learning and to young people, including marginalized and
best practices in youth-centred programming vulnerable youth, young people with disabilities,
and comprehensive sexuality education with other key populations and Syrian refugees in schools,
MAs and civil society organizations at national and orphanages, universities, youth centres and refugee
regional levels. The MAs – Association Togolaise camps. As comprehensive sexuality education is
pour le Bien-Etre Familial (ATBEF) in Togo, Planned not included in the school curriculum in Lebanon,
Parenthood Association of Ghana (PPAG) in Ghana parents, schools and orphanages are contacting
and Profamilia in Colombia – work jointly with SALAMA to ask them to provide accurate information.
Rutgers, IPPF MA in the Netherlands. ATBEF has been
a Center of Excellence since 2019, with Profamilia and To reach a wider audience, SALAMA disseminates
PPAG joining in March 2021. AMAZE videos online to adolescents aged 11–14
through social media channels.7 The animated
In 2022, ATBEF provided almost 758,000 sexual and videos, which cover topics such as puberty, STIs
reproductive health services to young people via including HIV, healthy relationships and mental
clinics, university kiosks and youth centres. The MA wellbeing, are fun and age-appropriate. Additionally,
delivered comprehensive sexuality education to the programme is an effective way of attracting
nearly 120,000 young people in Togo. In addition, young people to train as peer educators.
ATBEF trained 1,374 educators (teachers, facilitators
and peer educators) to provide comprehensive The MA has achieved remarkable results. From 2018
sexuality education. In Colombia, Profamilia trained to 2022, SALAMA trained 42 peer educators who
148 service providers online, including 48 from Peru, delivered comprehensive sexuality education to
in delivering youth-friendly services. 2,000 young people a year, produced 40 videos
on sexual and reproductive health and rights for
The Centers of Excellence foster gender equality so adolescents, and reached 12 million adolescents
that young people in all their diversity can enjoy their with positive messages on social media. As young
sexual and reproductive health and rights. Rutgers people become aware of their rights, they are
trained PPAG in November 2022 on integrating increasingly seeking services and information at
a gender-transformative approach within SALAMA’s youth-friendly clinics. The number of
comprehensive sexuality education and service sexual and reproductive health services provided to
delivery, using their acclaimed toolkit.5 Another young people rose fourfold in this period.
valuable resource, the Exploring Values e-learning
course, was piloted in French in Togo with ATBEF in
June 2022. With strengthened capacity, the centers
will be better placed to transfer their knowledge to
other MAs.
The regional centers are now being approached by

MAs, UN agencies and governments to share their
experience and support the scale-up of quality
comprehensive sexuality education. In 2022, they
provided support to 20 MAs and other organizations.
In the Arab World region, talking about sex is often

considered a taboo.6 In many countries, adolescents
and young people are considered too young to
access sexual and reproductive health services
and accurate information. Power imbalances
between men and women can lead to unequal
decision-making and harmful practices such as
child, early and forced marriage and sexual and
gender-based violence. In Lebanon, SALAMA, the
Lebanese Association for Family Health, is actively
challenging these traditional attitudes.
Photo: IPPF/Hannah Maule‑ffinch/Lebanon
25
Outcome 3
Serve People
2 billion quality, integrated sexual and
reproductive health services delivered
by IPPF and its partners
26
Photo: IPPF/Hannah Maule-ffinch/Sudan
27
Outcome 3
Serve People
After a strong recovery

from the COVID-19
pandemic in 2021,
last year presented
new challenges in the
delivery of sexual and
reproductive health
services.
Photo: IPPF/Disha Arora/India
28 Outcome 3: Serve People

While facing increasing global and national
opposition to sexual and reproductive health
and rights, declining funding and an increase in
humanitarian disasters, MAs continued to deliver
quality client-centred care, through their own
networks of service delivery points as well as
through partner clinics.
Many MAs considerably increased their services,

while others had to scale down their reach, mainly
due to funding challenges. IPPF MAs strengthened
their commitment to providing client-centred care
through a rights-based approach. They provided
integrated care across the lifecycle without stigma
and discrimination, in particular reaching people
who are marginalized including people living with
disabilities, LGBTQI+, sex workers or people living with
HIV.
Overall, IPPF provided a total of 159.9 million services

directly through MA facilities in 2022, a three per cent
increase over 2021. This can be largely attributed
to mobile clinics which accounted for almost all
of this growth, reflecting the ways in which MAs
Photo: IPPF/Hannah Maule-ffinch/Sudan
are increasingly reaching people closer to their
communities, in particular serving remote areas and
marginalized people.
The number of services enabled through partner From a total of 226.9 million sexual and reproductive
clinics, however, fell by 12 per cent, to 67.0 million. health services delivered in 2022, MAs in the Africa
This is primarily due to the scaledown or closure of region contributed 45 per cent, while the Arab World
sites in a small number of MAs due to funding cuts, region delivered 26 per cent and the South Asia
especially from the Women’s Integrated Sexual region 13 per cent.
Health (WISH) programme, funded by the UK Foreign,
Commonwealth and Development Office, which The number of clients reached remained in line
includes a large component of working through with our 2021 performance, at 71.4 million. This
partners. nonetheless represents a 16 per cent increase
compared to 2020, illustrating the continuing efforts
from MAs to build resilient service delivery models
Result 7
159.9m
following the COVID-19 pandemic. Poor and/or
marginalized people made up 86 per cent of our
total clients, while 40 per cent were under the age
of 25.
sexual and reproductive Responding to a world increasingly prone to natural

health services provided disasters and conflicts, IPPF’s reach to people living
directly by IPPF MAs in crisis settings grew significantly in 2022, with 10.0
million people reached, a 64 per cent increase
compared to 2021. This was driven by our response
to conflicts such as in Ethiopia, Sudan, and Ukraine,
Result 8
26.5m
as well as our response to natural disasters such as
the catastrophic flooding in Pakistan. IPPF ensured
that sexual and reproductive healthcare remained
at the core of all humanitarian response, providing
life-saving care and meeting the needs of women
couple years of protection and girls particularly vulnerable to sexual and
gender-based violence.
29
Expanding contraceptive choice
Contraception remains an integral part of MA Result 10
63%
services, providing the entry point for many clients
to access further sexual and reproductive health
services in the same facility. Couple years of
protection (CYP) – the estimated protection from
pregnancy provided by contraceptive methods
over a one-year period – fell by nine per cent from average net promoter
score for client satisfaction
2021, to a total of 26.5 million. This can be largely
attributed to significant decreases reported by a
small number of MAs who had to scale down their
programmes due to funding cuts from WISH. The
main decline in CYP was observed in partner clinics,
with contraceptive provision from other channels,
including MA own sites, social franchise and Result 11
67.0m
commercial marketing, remaining mostly stable.
Over half (55 per cent) of total CYP was provided by

MAs from the Africa region, while the Arab World and
Americas and Caribbean regions each contributed
sexual and reproductive
a further 18 per cent. Two-thirds of total CYP was
health services enabled
delivered through long-acting and permanent
contraceptive methods. By offering reproductive
choice, IPPF helped prevent 11.2 million unintended
pregnancies and avert 3.3 million unsafe abortions
in 2022. It is estimated that over US$378 million in
direct costs to health systems was saved as a result
of these services.
Global Care is an international consortium

Delivering abortion care funded by IPPF and led by Profamilia Colombia,
the IPPF MA in Colombia. The consortium of 15
IPPF MAs delivered over five million abortion-related MAs and partner organizations from Asia, Africa,
services in 2022, an increase of 11 per cent from 2021. Europe, Latin America and the Caribbean seeks
The proportion of medical abortions continued to to create solutions to enable abortion self-care in
rise from 63 per cent in 2021 to 69 per cent in 2022. different contexts. Following the design of person-
This increase reflects the flexibility and convenience centred care models tailored to each partner’s
that medical abortion provides, enabling MAs to context during the first stage of the programme,
offer different models of care that respond to clients the consortium has begun implementing these
specific needs, circumstances and preferences. models and gathering and sharing learnings. In
2022, Global Care achievements included training
Self-care, or the self-management of abortion, is service providers to facilitate abortion self-care, the
recommended by the World Health Organization prototyping of a web app to improve online access
as a safe and effective abortion care option in to medical abortion care, and providing a range
the first 12 weeks.8 It places control in the hands of of services, including counselling and follow-up, to
the pregnant person and enables them to play a support women to self-manage medical abortion. In
leading role in their care by self-managing one or addition, communication campaigns, with positive
more components of a medical abortion, with or narratives to overcome the stigma around abortion
without the support of a health worker.9 Since 2021, self-care, and advocacy actions to transform
an increasing number of MAs are supporting women restrictive policies and legislation were conducted.
to self-manage medical abortion. In 2022, over Among lessons learned from the first year are
14,000 services to facilitate abortion self-care were the importance of knowledge generation and
provided by MAs: more than three times the amount sharing on abortion self-care, with an international
in 2021, with 12 MAs contributing to the total. community of practice created and launched by
Global Care, where experiences and best practices
are exchanged between MAs.
30 Outcome 3: Serve People

Addressing the needs of women Result 17
10.0m
and girls
In 2022, IPPF MAs provided sexual and reproductive
health services to an estimated 59.8 million women
and girls – representing 84 per cent of our total
clients. Obstetric services, including essential care clients served in
humanitarian settings
required before, during and after pregnancy and
childbirth, grew from 25.7 million to 28.2 million, an
increase of 10 per cent.
IPPF also delivered 28.3 million gynaecological Reaching under-served people and
services during 2022, of which the Africa region young people
provided 38 per cent and the Arab World region
27 per cent. This includes breast and pelvic Firmly rooted within their communities, IPPF MAs
examinations, biopsies, diagnostic imaging and are well-placed to deliver care to marginalized
cancer screening, and menstruation-related people and remote locations. The number of
services. Supporting women and girls at risk of services provided through mobile clinics increased
sexual and gender-based violence is an essential from 35.4 million in 2021 to 38.8 million in 2022, an
part of Member Associations’ work. Last year, IPPF increase of nine per cent. Three out of every ten
provided a total of 4.5 million sexual and gender‑ services that MAs deliver are through a mobile
based violence services, comprising screening and clinic or community-based provider. The number
counselling. of marginalized people reached in 2022 increased
slightly from 61.6 million to 61.7 million.
Delivering HIV care Young people are at the heart of IPPF programmes
and critical to our service delivery approach. Over
IPPF MAs provided a total of 47.2 million HIV‑ 100 million services were delivered to young people
related services in 2022. This is a broad definition by MAs during 2022, to an estimated 27.7 million
encompassing counselling, testing, management clients. This represents a two per cent increase in
and treatment of sexually transmitted infections youth services compared to 2021.
including HIV. Counselling for HIV and STI services
made up the largest portion of this category of
services, with 46 per cent of the total (21.7 million
services). Sampling and testing services contributed
26 per cent of total HIV‑related services (12.5 million),
while consultation services represented 22 per cent
(10.5 million). There were 2.2 million HIV‑related
treatment and management services delivered
in 2022, of which just over 261,000 concerned the
provision of HIV anti-retroviral medication, including
both prophylactic treatment and care for people
living with HIV. MAs in the Africa region delivered
50 per cent of total HIV‑related services, with the
Arab World region contributing 14 per cent and the
Americas and Caribbean region and the South Asia
region each adding 12 per cent.
Photo: IPPF/Hannah Maule‑ffinch/Hungary
31
IPPF’s
Humanitarian
Programme
in 2022
The United Nations estimated that 339 million
people in 69 countries will need humanitarian
assistance in 2023, an increase of 65 million
people compared to 2022. Women and girls’
sexual and reproductive health and choices
are often severely impacted by a crisis and
rarely prioritised in humanitarian responses.
During emergencies, spikes in maternal morbidity IPPF’s humanitarian programme focuses on four
and mortality occur, as well as the transmission overarching priority areas: promoting localised
rates of HIV and other sexually transmitted humanitarian action; ensuring access to lifesaving
infections (STIs). During times of crisis, sexual and sexual and reproductive health (SRH) services
gender‑based violence (SGBV) also increases due including abortion care; responding to SGBV in
to the multiple risk factors created by emergencies emergencies and responding to the intersection
as well as how existing gender inequalities are of the climate crisis and sexual and reproductive
exacerbated by the stress and tensions within healthcare.
households, communities, and society.
In 2022, our humanitarian reach grew more than
any previous year, responding in 44 countries and
reaching 10.0 million clients (a 64% increase as
compared to 2021) throughout humanitarian and
fragile settings.
32 IPPF’s Humanitarian Programme in 2022

“I feel very humbled to be able to bring my
own little contribution to a wide national, as
well as international, effort to support the
refugee women affected by the humanitarian
crisis in Ukraine as part of the SECS (Society for
Contraceptive and Sexual Education). SECS has
been responding to the reproductive health
needs of Ukrainian women by facilitating
access to gynaecological services and
information, as well as treatment. Being able to
contribute towards building back up a sense of
safety, care, and support around a woman who
is starting again is a precious gift that I receive
every day with gratitude and responsibility.”
Bianca Brisan, SECS Romania
Ukraine
Photo: IPPF/Hannah Maule‑ffinch/Romania
33
Ukraine
Russia’s invasion of Ukraine, which started on 24

February 2022, has caused widespread death,
341clinical service providers in Ukraine
trained in clinical management of
destruction, displacement and suffering that rape (CMR)
left at least 17.6 million people in urgent need of
humanitarian assistance and protection. They
326
include 6.3 million internally displaced people (IDPs),
6.9 million people who remain at their homes and
4.4 million returnees.
IPPF is currently responding to the crisis in seven

countries (Ukraine, Moldova, Poland, Romania,
Hungary, Slovakia and Bulgaria) and has engaged
with 17 local partners in its response, many of which
were newly established once the conflict had broken
out.
people in surrounding countries
trained in SRHR, including abortion
Our partners provide direct medical assistance,
and SGBV
support to clients in accessing services from other
providers, and youth sexuality information and
advice.
Some key successes from Woman Health and

Family Planning Ukraine (IPPF’s Member Association)
humanitarian response include:
• 16 facilities supported in Ukraine across five

regions to provide care for over 5,500 women
seeking abortion care and treatment for
miscarriage
• 341 clinical service providers in Ukraine trained in

clinical management of rape (CMR)
• Medications and treatment provided to support

survivors of SGBV in Ukraine
• 326 people in surrounding countries trained in

SRHR, including abortion and SGBV
• 4,100 emergency contraceptives distributed in

Ukraine and surrounding countries
Photo: IPPF/Hannah Maule-ffinch/Hungary
34 IPPF’s Humanitarian Programme in 2022

Pakistan Humanitarian Preparedness
Natural disasters such as earthquakes, typhoons, A core activity for the IPPF Humanitarian Programme
floods and drought have affected Pakistan for years, is to work with Member Associations (MAs) so
and regularly sweep away the foundations on that they are better prepared to respond to a
which the lives of hundreds of thousands of families crisis with immediate life‑saving sexual and
were built. reproductive healthcare. This is done through
in‑person and remote training in the Minimum Initial
Starting in June 2022, Pakistan experienced Service Package for SRH in crisis (MISP)*, Clinical
devastation and wreckage caused by heavy Management of Rape (CMR), Safety & Security, SGBV
monsoon rains and floods. Some of the worst and Simulation Exercises (SimEx) for crisis response.
affected districts were in Balochistan, Sindh and In 2022, the humanitarian team was able to roll out
Southern Punjab. According to estimates by the 93 trainings, reaching 1,725 staff Federation‑wide.
Government of Pakistan, 33 million people across the
country were affected including an estimated 8.2 During 2022, MAs in Vanuatu (VFHA), Cook Islands
million women of reproductive age. IPPF’s Member (CIFWA), Sri Lanka (FPASL) and the Philippines (FPOP)
Association in Pakistan, Rahnuma‑FPAP, responded strengthened their humanitarian preparedness
through the support of both IPPF’s STREAM 3 by undertaking national SimEx workshops. A
initiative and through support from the Australian preparedness workshop that covered various
Government’s SPRINT initiative. humanitarian topics was also conducted in
Nairobi for several African countries. These locally
Through the use of mobile health clinics and contextualised workshops develop participants’
awareness sessions, Rahnuma‑FPAP was able capacity in delivering SRH services in crisis. This
to reach 46,031 clients with clinical services and training serves to increase linkages between
provide over 354,000 SRH services. They were able our local partners and the relevant government
to complement the existing responses focused on agencies in the country, so when a disaster strikes,
primary health and safe maternal health with the the MA is prepared to launch a response.
provision of SRH services such as SGBV, and HIV and
STI diagnostics and treatment. Keeping our staff safe during a humanitarian
response is a key responsibility of IPPF. During 2022,
bespoke training was rolled out to several MAs and
Regional Offices, as well as key technical oversight
and risk assessments provided to all humanitarian
responses, including Ukraine, Palestine and Yemen.
The mentoring of Security Focal points and those
with responsibility for the duty of care of IPPF staff
continued, further advancing and embedding
security as a cultural part of the Federation.
Governance was front and centre through 2022

within IPPF, with the Americas and the Caribbean,
Africa and East & South East Asia and Oceania
regional offices as well as the Women’s Integrated
Sexual Health (WISH)**, International Medical
Advisory Panel (IMAP)*** and Humanitarian
Photo: IPPF/Huma Akram Photography/Pakistan
teams developing security policies, manuals and
contingency plans that dovetail with the overarching
IPPF security policy.
* The Minimum Initial Service Package (MISP) is a set of life‑saving activities to be implemented at the onset of every
humanitarian crisis. It is an internationally accepted minimum standard of care for reproductive health, pioneered
and rolled out by IPPF.
** The Women’s Integrated Sexual Health (WISH) programme offers quality integrated and inclusive family planning and
sexual and reproductive health services to marginalised and hard to reach populations: the poor, youth under 20 and
people living with a disability.
*** Formed in 1979, the International Medical Advisory Panel (IMAP) is a body of medical scientists and of leading experts
in the field of Sexual and Reproductive Health and Rights (SRHR).
35
Community
midwives
save lives in
Afghanistan
The situation in Afghanistan has been difficult
for a number of years already, well before
August 2021 when the Taliban returned to
power, with nearly half the population in
need of humanitarian assistance. The rise
in hostilities across the country has severely
affected health facilities and stretched
scarce resources.
36 Community midwives save lives in Afghanistan

Afghanistan
The impact has been acute for women and girls, Community midwives provide a range of services,
and restrictions on their autonomy and mobility in line with AFGA’s Integrated Package of Essential
are limiting access to essential healthcare. The risk Services. These include comprehensive emergency
of dying in pregnancy and childbirth remains the obstetric and newborn care, antenatal and
highest in Asia. post‑natal care, contraception, post‑abortion care,
breast and cervical cancer screening, screening
Despite this challenging environment, the Afghan for gender‑based violence and referrals. Midwives
Family Guidance Association (AFGA) has continued also offer health check‑ups for children under the
to provide quality healthcare through a specific age of five and nutritional advice. Technical support
project implemented in 11 rural provinces. and training are provided by the MA’s team of
gynaecologists.
Trained community midwives are at the heart of this
successful approach. With the help of 113 community Midwives have addressed gender norms within
outreach midwives and 59 midwives based at family the community, for example son preference.
health houses (simple community‑based health AFGA has sensitized male community elders and
facilities), the MA is reaching marginalized women religious scholars to foster support for sexual and
and children in remote areas, where access to reproductive healthcare.
healthcare is limited. When the Ghulam Jan family
health house was established, the village had its From May to December 2022, AFGA provided almost
own health centre and midwife for the first time. 371,000 sexual and reproductive health services
through this project. Nearly 24,000 women received
antenatal and post‑natal care, and complications
such as post‑partum haemorrhage were prevented
for 951 women. Just under 2,000 women were
screened for breast and cervical cancer. These
are extraordinary results, given the major barriers
women face in accessing healthcare in Afghanistan.
37
Outcome 4
Unite and
perform
A high-performing, accountable
and united Federation
38
Photo: IPPF/Hannah Maule-ffinch/Cook Islands
39
Outcome 4
Unite and
perform
IPPF generated a total income of US$121.8
million across the Secretariat in 2022.
This represents a decrease of 26 per cent
from US$164.7 million in 2021, reflecting an
increasingly challenging funding environment
in which some of main government donors
are cutting aid budgets.
Member Associations mobilize funds through a and sustainability; using an online storefront and
variety of channels, including client fees, commodity relevant key performance indicators; as well as
sales, provision of training, and from local and investment guidance. Many MAs are keen to explore
national governments and international donors, in the potential of social enterprise, and yet shifting
addition to the unrestricted and restricted funding to a more commercial mindset and providing
they receive from IPPF. In 2022, MAs raised a total of the necessary staff capacity and skills remains
US$179.0 million, a slight decline of six per cent from a challenge. In 2023, the programme will focus in
2021. Most MAs (83 per cent) raised at least half depth on a smaller number of MAs, supporting
their total income from local sources, an increase those with the greatest potential to overcome these
compared to 2021, demonstrating greater focus from hurdles.
MAs in diversifying income sources.
In IPPF’s new resource allocation model, most of the
IPPF’s Social Enterprise Acceleration Programme unrestricted funding (known as Stream 1) is shared
aims to strengthen Member Associations’ capacity as grants to MAs using a formula that takes into
to apply entrepreneurial best practices in the account a range of criteria such as country needs,
health sector, with the goal of delivering social including population size and poverty levels, and
value, expanding and diversifying their funding MAs’ performance. Funding for 2022 was awarded on
base and boosting sustainability. Hosted by the a single-year basis, but from 2023 onwards funding
MA in Sri Lanka, Family Planning Association of Sri will be allocated on a three-year cycle. This will
Lanka, the programme supported more than 30 support MAs to plan and budget for longer periods in
MAs in 2022. Capacity building and training were time with a greater predictability of income to come
provided in marketing, sales, business development and reduced transactional costs.
40 Outcome 4: Unite and perform

Further funding is channelled to support strategic Result 12
US$121.8m
priorities under Stream 2; this supports MA
initiatives in the areas of the Strategy that require
additional investment and focus and that will help
IPPF deliver its global outcomes. Funding channels
under Stream 2 included gender-transformative
youth programming, co-financing to unlock larger total income generated by the
Secretariat
funding sources, regional opportunity grants to
address specific barriers or opportunities, IPPF’s
Centers and Funds programme and funding in high
income countries to leave no one behind. Finally,
humanitarian emergencies are funded through
Stream 3. Result 13
Volunteers are an invaluable part of the work of MAs

and the Federation as a whole. They play a wide
range of roles across MAs, from youth volunteers
to board members, as well as peer educators,
US$179.0m
raised locally by unrestricted
community health workers, medical professionals,
grant-receiving MAs
fundraisers and advocates. Over 318,000 active
volunteers supported MAs in 2022.
One of the ways in which the Secretariat ensures

accountability and transparency is through its
rigorous accreditation process. IPPF’s accreditation Result 15
318,135
system assesses Member Association compliance
with a set of membership standards covering areas
such as governance, financial management, quality
of service provision and leadership on sexual and
reproductive health and rights. To maintain full
membership of IPPF, MAs must adhere to these IPPF volunteers
standards. Having successfully implemented
three accreditation phases since its inception,
IPPF will begin accreditation phase IV in 2023. As
of December 2022, 89 Member Associations had
been accredited under phase III of the system, Result 18
83%
with another 14 expected to be accredited in June
2023. Seven MAs that failed to fully comply with the
standards and responsibilities of IPPF membership
were expelled during phase III.
Following an evaluation of phase III in 2021, the of MAs receiving no more than
accreditation tools were revised the following 50% of their income from IPPF
year. A lighter, more agile system was introduced. unrestricted grant
Membership standards were consolidated and
each phase will run for four years instead of the
usual five-year cycle. Learning from conducting
accreditation during the COVID-19 era, the norm will
be to carry out a virtual review of the Association,
with a hybrid of virtual and on-site visits conducted
only in exceptional cases. Human resource and
finance elements have been strengthened and
safeguarding embedded across the standards.
41
Strengthening
MA governance
IPPF launched the Global Initiative on MA

Governance Strengthening in 2020 to facilitate
effective decision‑making, free of bias or
conflict of interest, with the best available
expertise. This builds on the momentum
created by IPPF’s sweeping governance
reforms that ushered in widespread change
throughout the Federation.
42 Strengthening MA governance
Following a competitive selection process, 23 Towards the end of the initiative, the Secretariat
MAs took part in the initiative. Small grants were worked with consultants to compile lessons learnt
made available to all participating MAs, however, in the form of a report and guidelines. This entailed
funding was subject to their commitment to conducting online surveys, interviews, focus
make meaningful change. In addition, the MA of group discussions and a workshop. Available in
Benin financed its own governance reform, which English, French, Spanish and Arabic, the resources
shows the appetite for modernization. Although will be used to support other MAs undertaking
the initiative was originally designed to take place governance reform.
in two phases in 2020 and 2021, MAs were keen to
explore other aspects of their reform process, so a The Jamaica Family Planning Association (JFPA)
third phase was held in 2022. A Secretariat support was one of the MAs that benefited from taking part
team facilitated learning and sharing among in the initiative. JFPA established a Nomination and
the MAs through online roundtables as well as Board Development Committee to increase its
one-to-one support. active membership and recruit board members
with relevant knowledge and skills, including young
All participating MAs have now completed their people. The MA reached out to schools and youth
governance reforms. Previously, boards tended groups to recruit young people aged 16–25 to join
to be large, made up of volunteers with limited its Youth Advocacy Movement (YAM). Through YAM,
diversity in terms of skills, and a maximum tenure two young people were then nominated for the
of 15 years. But since taking part in the initiative, board. Broadening JFPA’s membership has not
MAs have streamlined the process of nominating only enhanced governance but also boosted youth
members to the board, including bringing in external engagement, developing advocacy capacity and
members. A focus on the expertise needed has amplifying young people’s voices on the issues that
increased transparency. Boards now provide better affect them most.
financial oversight. MAs also rotate board members
by limiting consecutive terms, thereby bringing
in new blood. And most boards meet virtually
when necessary.
Photo: IPPF/Ryan Riley/Jamaica
43
Implementing
our Data
Management
Strategy
For IPPF, managing data effectively is
paramount. Only with access to quality,
reliable data can we make better decisions
to enhance our performance, demonstrate
impact, mobilize resources and ensure
accountability. It is essential that we build
capacity and strengthen systems to respond
to the needs of staff, volunteers, donors, and
most importantly, the people we serve.
44 Implementing our Data Management Strategy

Our Data Management Strategy, published in To accelerate implementation of the strategy,
2020, covers four areas: data access, quality, use Member Associations were supported to draw up
and governance.10 It describes how data should action plans. MAs’ priorities included:
be governed, how quality can be improved and
maintained, and how data can be accessed and Data access: Create a central portal for all MA
used so that we maximize its value to all users, while documents, tools, templates, guidelines, standard
ensuring confidentiality and security. operating procedures and other resources
accessible to all staff.
The strategy continued to be implemented,
supporting MAs to upgrade their data systems. Data quality: Set up peer mentorships within MAs to
We conducted two cross-regional trainings (one ensure quality and build capacity.
for six Africa region and Arab World region MAs,
and another for six South Asia region and ESEAOR Data use: Identify capacity gaps and train staff at all
MAs), where MAs were able to strengthen their skills levels, and document examples of evidence-based
and share experiences in data management and decision-making.
utilization.
Data governance: Develop a standard induction
package on monitoring and evaluation, data
management systems and processes for all staff.
The Family Planning Association of Nepal (FPAN) has

already made concrete changes following training
in August 2022. Now all their static and community
clinics – 61 in total – have manual or electronic
clinic management information systems. Staff and
volunteers are aware of appropriate data access
and the need for confidentiality. As an example of
data-driven decision-making, FPAN closed seven
small community clinics where other providers were
active or service uptake was low and moved staff to
busier clinics, to increase efficiency and programme
relevance.
Effective data management underpins a number of

the commitments in IPPF’s strategy, Come Together.
Therefore, this important work will continue, driving
decision-making and learning to promote sexual
and reproductive health and rights for all.
Nepal
Photo: IPPF/Jon Spaull/Nepal
45
Updates from
IPPF
46
Photo: IPPF/Cesar Santos/India
47
IPPF’s General
Assembly and
70 anniversary
th
48 IPPF’s General Assembly and 70th anniversary

The day before IPPF’s General
Assembly opened, participants
directly engaged in two of the
most important aspects of our
Federation: youth leadership and
listening to service users. Through
a day‑long Global Youth Forum
and site visits to Colombian MA
Profamilia’s clinic, IPPF Member
Associations were reminded of the
importance of a strong and united
Federation – and the impact it has
when it is brave, bold and forward
looking.
Under the theme “Come Together, Build the Future”,

this General Assembly was particularly special,
marking the adoption – and ownership – of IPPF’s
new six‑year strategy and the celebration of the
Federation’s 70th anniversary.
Throughout the three‑day Assembly held in Bogota,

Colombia, we looked back on the journey IPPF has
been on. Founded in 1952 by eight national family
planning coalitions, we are now active in over 140
countries, and our agenda has expanded to all
aspects of living a happy and fulfilled sexual life.
49
This commitment to learning, growing and serving

was seen in the presentations, panel discussions
and TedTalks. With over 300 MA representatives
present, there were discussions on topics as
far ranging as accountability, anti‑racism, and
delivering care to marginalized and excluded
people. Youth voices were a strong part of the
Assembly, with representatives featured on every
panel and specific sessions that integrated their
recommendations to the Federation in the wider
agenda. Their demand that IPPF does “nothing
about us without us” was heard across the three
days at all levels. The most poignant moment was
the spoken word poetry performance by Laurinda
Juma of Mozambique, Winner of IPPF “Grab The
Mic” Youth Challenge. Her fearless exploration of
the power of menarche (first menstrual period)
moved people of all ages and genders. We further
celebrated activists, champions and leaders across
IPPF and the sexual and reproductive health and
rights movement through the presentation of the
IPPF Awards for Outstanding Courage. Each one
of these recipients – from youth champions to
movement leaders – reminded us that it is possible
to come through hardship and make an impact in
our communities and in the world.
50 IPPF’s General Assembly and 70th anniversary

We were joined by external partners, who helped
us to understand how we are seen and our place
in the sexual and reproductive health and rights
community. Dr Natalia Kanem, Executive Director
of UNFPA, emphasized the importance of going
beyond promising SRHR to ensuring that all people
– especially women and girls – actually have the
ability and agency to exercise these rights. Lucy
Esquivel, Executive Director of RedTraSex called on
IPPF to ensure that it was truly inclusive of all groups,
including sex workers.
The General Assembly put the Federation on course

for the future. Panels on the development of a
Charter of Values and a Global Rebrand focused
discussions on the IPPF for the next generation
and explored how we need to adapt to the
ever‑changing context. These processes provide
an opportunity to reaffirm IPPF’s core values and
mission and to help establish our identity so that we
remain relevant, reach as many young people as
possible and deliver the best possible care.
On the final day, all MAs with full membership status

stepped into the future with a unanimous vote to
adopt the new strategy, Come Together. Shaping
our direction over the next six years (2023–2028),
this Strategy adoption process demonstrates what
we know in our hearts: That our commitment to Photo: IPPF/Cesar Santos/India
ensuring that every single person in every corner
of the world should have access to sexual and
reproductive health and rights without barriers,
judgement and stigma, and that they should be free
to live happy and healthy sexual lives is as strong as
ever. And that we stand together – without fear or
favor – to make that world a reality.
51
Client‑Centred
Clinical Guidelines
Access to client‑centred, comprehensive care and

accurate information, delivered by skilled, respectful
health workers, is vital to enable all individuals to claim
their sexual and reproductive rights. A key part of
this is equipping healthcare providers with the latest
evidence‑based guidance on clinical management,
including prevention and treatment. That’s why, in 2022,
IPPF revised its Client‑Centred Clinical Guidelines for
Sexual and Reproductive Healthcare.
The guidelines contain recommendations for
a range of healthcare providers in MAs and
partner organizations, including programme
managers, clinical staff, humanitarian response
teams and community health workers. Designed
to be accessible and user‑friendly, they include
colour‑coded chapters that provide practical tools,
relevant links and references.
The updated guidelines cover the core components

of integrated, quality sexual and reproductive
healthcare, including counselling, contraception,
abortion care, sexually transmitted infections,
HIV, gynaecology, maternal health, sexual and
gender‑based violence, and the provision of sexual
and reproductive healthcare in humanitarian
settings. This package of essential healthcare
provides an entry point for further integration with
other services and support, thereby reducing missed
opportunities for care. Yet sexual and reproductive
health is not merely the absence of disease,
52 Client‑Centred Clinical Guidelines

Photo: IPPF/Georgina Goodwin/Burundi
it’s also about wellbeing and the promotion of members. The draft text was then reviewed by
healthy, satisfying sexuality and pleasurable sexual IPPF’s International Medical Advisory Panel, and IPPF
experiences, so the revised guidelines reflect this medical staff.
holistic, sex‑positive approach.
The guidelines were launched on 21st September at
These clinical guidelines are timely, as IPPF has just an event held at the Royal College of Obstetricians
agreed its new strategy, Come Together, which and Gynaecologists in London, introduced by IPPF
firmly centres care on people. A client‑centred, Director‑General Dr Alvaro Bermejo and Pascale
rights‑based approach means that people should Allotey, Director SRH/HRP, WHO. IPPF is promoting
feel empowered to make their own informed wide dissemination of the guidelines, which are
decisions about their care. It entails providing available in English, French, Spanish and Arabic. A
options for care that are sensitive to people’s short, animated YouTube video has been created to
individual needs and lived experiences. This publicize them. In‑depth webinars are being held
includes digital health interventions and support for on each chapter from early 2023 onwards, in which
self‑care – innovative models of healthcare delivery MAs will share their expertise, as well as regional
that can expand access to services beyond the webinars.
formal health system, including for marginalized,
excluded communities. In line with this approach, In addition, we are developing a mobile app so that
the guidelines provide specific recommendations on healthcare staff can access the guidelines and
self‑care, such as HIV self‑testing, HPV self‑sampling, summaries, wherever they are. The app will be easy
self‑administered contraceptive injections and to navigate, allowing users to search topics by key
self‑management of medical abortion. words and bookmark pages or tables of particular
interest.
A full continuum of care for all individuals across
the life cycle is promoted. The guidelines are We are keen that this valuable resource is used
youth‑centred, gender‑transformative and inclusive, extensively by providers around the world, bringing
recognizing the diverse range of gender identity and us one step closer to achieving our vision: all people
expression, and sexual orientation. are free to make choices about their sexuality and
wellbeing, in a world free from discrimination.
Revising the clinical guidelines was an ambitious
undertaking. It entailed identifying key questions
and topics, synthesizing evidence and appraising
its quality, as well as reviewing recommendations
from international bodies such as the World Health
Organization and assessing their relevance to
the settings in which MAs work. Each chapter was
written by experts consultants and/or IPPF team
53
Anti‑Racism
Programme of
Action
Over the last two years, IPPF has been putting An externally led training was rolled out throughout
measures in place to identify and tackle racism 2022 across the Secretariat, including the Directors’
and discrimination throughout the Secretariat. We Leadership Team and the Board of Trustees on
have deliberately labelled our intervention as the anti-racism, discrimination, and anti-oppression.
Anti‑Racism Programme of Action, rather than using The training harnessed deep, and oftentimes
a broad-brush term of diversity, equity and inclusion, uncomfortable, discussions with staff on key
in order to address the problem – and issues issues, including implicit and organizational bias,
stemming from racism – directly and explicitly. In white supremacy culture, racial justice and
November 2021, the IPPF Board of Trustees finalized intersectionality.
a Statement on Anti-Racism for all Secretariat staff
and committed to developing an Anti-Racism In 2022, the Working Group supported the
Programme of Action. Since then, an organizational development of a Declaration of Intent on
policy dedicated to Equality, Diversity and Inclusion Anti‑Racism. This statement was presented at the
has also been updated. This policy applies to all General Assembly in Colombia in November 2022
staff, trustees, and volunteers of IPPF and its Member and was formally adopted by all IPPF Member
Associations. Associations. A plenary session was also held
at the General Assembly which outlined clearly
A Working Group dedicated to moving the that Member Associations want bold, inclusive
Anti‑Racism Programme of Action forward was interventions to tackle racism within the Federation
established in 2021, with representatives from across but also within global health more widely. These
all regions of the IPPF Secretariat. A key priority of steps include:
the Working Group that commenced in 2022 is to
develop an Anti-Racism Toolkit. Work is underway to • Strengthening our recruitment practices,
develop online materials, manual courses, videos, including enabling anonymous recruitment
a quarterly newsletter, cross regional dialogues, through an online recruitment platform to be
and a virtual platform to support conversations and rolled out in 2023;
engagement across the Secretariat.
• Including online training on anti-racism as a
mandatory component of staff induction for all
new employees.
Our new global Human Resources Information

system, set up in 2022, provides us with the ability to
evaluate diversity in our workplace and will help us
monitor and track diversity in our new joiners and
equity in our pay levels, grading, progression and
retention.
54 IPPF’s Anti‑Racism Programme of Action

Safeguarding
and Incident
Management
IPPF continued to strengthen safeguarding and A total of 82 concerns were reported through the
incident management capacity across the IPPF SafeReport system in 2022, while 79 were
Federation during 2022. closed during the year. Overall, a cumulative total
of 282 incidents were reported since the launch
The safeguarding training programme was further of the system in 2019, of which 38 remain open.
rolled out across MAs and the Secretariat. 85 per A total of 23 of the cumulative total cases (8 per
cent of new Secretariat staff joining during 2022 cent) were related to safeguarding concerns, of
attended an initial safeguarding training, while which five (11 per cent) were reported during 2022,
95 per cent of all Secretariat staff completed the same number as in 2021. All five safeguarding
refresher training in the final quarter of 2022. IPPF reports in 2022 related to Member Associations. Of
delivered safeguarding training workshops to 330 these safeguarding reports, one concerned sexual
participants across 11 MAs throughout the year, with exploitation and/or abuse and four related to sexual
capacity building provided to three new members harassment.
of the global safeguarding task force to allow
them to deliver MA safeguarding training. IPPF’s During 2023 we will continue to prioritise
global safeguarding training pack was updated safeguarding KPIs and ensure that these are met
and, in addition to translation into Arabic, French, at Secretariat and MA level. Others include the
Portuguese and Spanish, by the end of 2022 creation of resources to support investigations,
translation into a further nine languages (Malay, greater identification of development and learning
Swahili, Russian, Nepali, Hindi, Kannada, Bengali, opportunities around lessons learned from
Sinhalese and Tamil) had been commissioned. case work, and designation of specific incident
management responsibilities for staff within IPPF’s
IPPF’s Safeguarding (Children and Vulnerable Adults) new Secretariat structure.
Policy requires safe recruitment practices to be
observed across the Federation. IPPF assessed the
compliance of all Secretariat offices against these
requirements during 2022 and developed guidelines
and resources to more deeply embed safe
recruitment across the Secretariat. This alignment
with internationally prescribed best practice in safe
recruitment reduces the likelihood of individuals with
serious safeguarding-related disciplinary actions or
criminal convictions working at IPPF.
Safeguarding and Incident Management 55

Review of Results
under IPPF’s
Strategic
Framework
2016-2022
2022 marked the final year of results for the Performance against total targets for the past
Performance Dashboard, which measured strategic period has been good overall. However,
progress in delivering IPPF’s Strategic while targets were comfortably achieved against
Framework (2016-2022). Table 1 below shows several of the indicators, others were more
a selection of expected results for which full challenging. This reflects unforeseeable events that
data and projections are available. Table B1 occurred during the strategic period; notably, the
on page 68 presents the full results for the COVID-19 pandemic which severely impacted results
same period. in 2020, as did the resignation of several MAs after
the Western Hemisphere Region withdrew from the
Federation in the same year. This negative impact
was, however, mitigated thanks to a strong recovery
in 2021.
Table 1
2016-2022 2016-2022
Expected Result Actual result Cumulative % achieved
(total) target
Expected Result 1 – Advocacy 1,032 1,000 103%
Expected Result 3 – Youth and women’s groups 5,370 5,000 107%
Expected Result 4 – Comprehensive sexuality education 217.5m 228m 95%
Expected Result 7 – Services provided by IPPF MAs 1.12bn 1.5bn 74%
Expected Result 8 – Couple years of protection 172.4m 150m 115%
Expected Result 11 – Services enabled through IPPF’s partners 426.0m 500m 85%
Expected Result 12 – Secretariat income US$1.03bn US$1.25bn 83%
Expected Result 13 – MA income US$1.69bn US$2.87bn 59%
Expected Result 15 – Volunteers 1.93m 2m 97%
56 Review of Results under IPPF’s Strategic Framework 2016-2022

Outcome 1: Champion rights representing the volume of contraceptive provision
by MAs, decreased only slightly from 27.0 million in
Overall, IPPF reported impressive results against 2019 to 26.8 million in 2020, and then increased to
Outcome 1, with both targets reached. For Expected 29.0 million in 2021. Total couple years of protection
Result 1, the number of advocacy wins achieved over the whole period was 172.4 million, well above
by MAs and the Secretariat, the total as 1,032 was the projected 150 million across the full Strategic
just over the cumulative target of 1,000. The figures Framework period. The number of services enabled
fluctuated from year to year, falling during and through MA partner clinics (Expected Result 11)
after the COVID-19 lockdown period but recovering followed a similar pattern. The cumulative total
strongly in 2022, reflecting increased efforts from reached was 426 million, slightly below the ambitious
MAs to promote and defend sexual and reproductive target of 500 million across the seven-year period.
health and rights (SRHR). Expected Result 3, the
number of youth and women’s groups supported to New users of contraception, as an FP 2020-related
take an advocacy action in support of sexual and indicator, were counted through Expected Result 9.
reproductive health and rights, also exceeded the IPPF reached a total of 30.5 million new users of
cumulative target of 5,000 groups, despite a decline contraception over the strategic period. Client
following the height of the pandemic. Expected satisfaction with IPPF MA services was measured
Result 2 was withdrawn during the mid-term review through Expected Result 10, using a net promoter
as country-level SDG targets were not set and so it score, introduced following the 2019 mid-term review.
was not possible to measure this indicator. The performance against this indicator declined
slightly from 69 per cent in 2020 to 63 per cent in 2022.
Outcome 2: Empower communities Expected Result 17, the number of clients served in
humanitarian settings, grew steadily from 3.3 million
Performance under Outcome 2 was more uneven. in 2017 to 10.0 million in 2022, reflecting MAs’ significant
The number of young people reached with quality- extended reach to people living in crisis settings.
assured comprehensive sexuality education
(Expected Result 4) went up almost every year, Outcome 4: Unite and perform
barring a dip in 2020 due to the COVID-19 pandemic.
However, the original targets quickly proved overly Under Outcome 4, Expected Results 12 and 13
ambitious and were therefore revised during the measure the total Secretariat income and the total
Strategic Framework mid-term review in 2019, income generated by MAs locally, respectively.
resulting in 95% of the target being achieved. The ability for the Federation to mobilize funds fell
Expected Result 5, was added following the mid- short of a target that was quite ambitious, due
term review in 2019 and represents the number in part to the reintroduction in 2017 of the Global
of educators trained by MAs who then provide Gag Rule by the United States government, which
comprehensive sexuality education to young people. prevented IPPF raising money from the largest
This indicator saw a strong year-on-year increase family planning donor, as well as the more recent
in 2022 of 24 per cent. As it was not included in the cuts to funding by the UK government. Expected
original 2016 performance dashboard, no target Result 14, the proportion of IPPF unrestricted funding
was set against this indicator. Expected Result 6, used to reward Member Associations through a
measuring the number of people reached with performance-based funding system, reached eight
positive SRHR messages, was withdrawn during the per cent in 2021, its final year. This expected result
mid-term review as it was overly burdensome to has now been superseded by IPPF’s new resource
collect the data and not a sensitive or meaningful allocation model.
measure of performance.
The number of volunteers supporting IPPF, tracked
Outcome 3: Serve people through Expected Result 15, rose by one per cent
from 2021 to 2022, with 97 per cent of the target
The expected results for Outcome 3 were hardest achieved over the entire Strategic Framework
hit by the COVID-19 pandemic. Total services period. Expected Result 16 (number of activists) was
provided through MA-owned service delivery points withdrawn during the mid-term review as it was not
(Expected Result 7) showed substantial growth in well defined and the vast majority of results came
the first half of the Strategic Framework period, but from just one MA. Expected Result 18 measured the
then fell from 181.3 million in 2019 to 143.2 million in proportion of MAs receiving no more than 50 per
2020, recovering to 159.9 million in 2022. The total cent of their income from IPPF unrestricted grant. No
recorded over the course of the Strategic Framework target was set for this indicator, but the total grew
period was 1.1 billion, short of the projected 1.5 billion. from 74 per cent in 2020 to 83 per cent in 2022.
Couple years of protection (Expected Result 8),
57
IPPF’s New
Strategy:
Come Together
In November 2022, IPPF launched its new

strategy, Come Together, which covers the
period 2023-2028. Approved by all MAs
at the General Assembly in Colombia,
the bold strategy is the culmination of
an extensive two-year consultation and
development process.
58 IPPF’s New Strategy: Come Together

“To be impactful in a world of change, IPPF must
change too. That is what Strategy 2028 is all
about: changing IPPF so it is well equipped to
uphold SRHR for those who are left out, locked
out or left behind. Our Strategy 2028 sets out
a familiar path but in a new direction over far
tougher terrain to that clear destination. We will
walk that path shoulder to shoulder with young
people, and with individuals and communities
bearing the full brunt of stigma and prejudice.”
Kate Gilmore, Chair, Board of Trustees, IPPF
Photo: IPPF/Mercy Juma/Kenya
59
The journey to decide our shared priorities and goals
began in December 2020 as we approached the
end of the previous Strategic Framework (2016‑2022).
We kickstarted the process by commissioning
research to inform the new strategy. Led by MAs
from 120 countries, thousands of people from
around the world took part in 24 roundtable
discussions, 70 national consultations, 16 regional
and youth forums, 20 workshops, questionnaires
and an award‑winning global youth challenge.
The roundtables focused on issues including
intersectionality, abortion advocacy, sexual and Pillar 1: Centre care on people.
reproductive health and rights and disability,
equitable access to contraception, decolonizing The goal of the first pillar is quality person‑centred
research and young people as leaders and agents care to more people, in more places. To achieve
of change. IPPF listened and our members’ diverse this, the critical pathways are expand choice, widen
ideas and contributions shaped several drafts of the access, and advance digital and self‑care. IPPF
strategy. believes that care should be tailored to people’s
needs across the life cycle. We will promote choice
Since we agreed our previous strategy, climate by offering a range of integrated, quality services
change, widening inequality, racism, sexism and and increasing our reach in humanitarian settings,
violence have created an increasingly polarized while prioritizing care for marginalized people
world. Some challenges, such as humanitarian and youth. We will also invest in digital health
crises, population displacements, pandemics and interventions, which pave the way for self‑care.
the rollback of reproductive rights and gender
equality, have become more pressing. New
technology, digital health and self‑care present
opportunities, when reflecting key values around
inclusion and diversity, based on a human‑centred
design. We needed a new strategy that is fit
for purpose: one that will enable us as a united
Federation to face these challenges and embrace
new possibilities. Our strategy, Come Together,
does this. It urges us to come together, working with
communities, young people and activists around
the world to reach marginalized people with quality Pillar 2: Move the sexuality agenda.
care, stand up for people in all their diversity who are
excluded, and uphold sexual and reproductive rights The goal of this pillar is societal and legislative
for all. It also pushes us to work better together as a change for universal sexual and reproductive rights.
Federation. To advance this goal, we will follow three critical
pathways: ground advocacy, shift norms, and
The strategy comprises four pillars, with three facing act with youth. We will engage in advocacy at all
outward and one focusing inward on strengthening levels, address sexual and gender‑based violence
IPPF. Each pillar has a goal and three critical and defend hard‑won rights. We will also deliver
pathways: the actions needed to achieve the goal. comprehensive sexuality education to more young
Ambitious commitments, stating what we will have people through digital and social media platforms.
achieved by 2028, accompany each pathway. Core And we know that to be effective, messaging about
IPPF priorities – young people, gender equality, rights sexuality and safer sex should include pleasure.
and equity – are at the heart of each pillar. All four
pillars and critical pathways are connected:
60 IPPF’s New Strategy: Come Together

Photo: IPPF/Rob Rickman/Fiji
Pillar 3: Solidarity for change. Pillar 4: Nurture our Federation.
The goal is to amplify impact by building bridges, The goal of this pillar is to replenish and nurture
shaping discourse, and connecting communities, the Federation from a common value base and
movements, and sectors. Critical pathways towards unleash our collective power for greater impact.
this goal are support social movements, build We will follow three critical pathways: chart our
strategic partnerships, and innovate and share identity, grow our Federation, and walk the talk. The
knowledge. To maximize impact and foster solidarity, sustained growth of the united Federation depends
IPPF will form alliances and collaborate across on affirming our shared values; supporting staff and
different sectors, based on common agendas. volunteers; building a culture of high performance
We will also communicate research findings and with modern, effective systems; and diversifying
learning. funding. And it means challenging racism and
discrimination.
We have also developed a Results Framework to

align with the Strategy. New indicators have been
included to measure, for example, shifts in attitudes
relating to gender equality and inclusion across the
Federation and the communities we serve; and IPPF’s
contribution in supporting social movements and
defending activists. This will help us track progress in
championing sexual and reproductive justice for all.
61
Annexes
Annex A: Number of successful
policy and/or legislative changes,
by country, 2022
Annex B: IPPF’s Performance

Dashboard Results, 2016-2022
62
Annex A Country Number of Number of Number of
changes Country changes
Country changes
Americas & Caribbean Africa Arab World
Colombia 5 Burundi 1 Egypt 4
Cuba 1 Nigeria 1 Morocco 8
Mexico 1 Togo 1 Pakistan 1
United States 12 Zambia 2 Sudan 2

of America
Country Number of Number of Number of

changes Country changes Country changes
Europe East & South East Asia

& Oceania South Asia
Albania 7 Cambodia 3 India 3
Austria 1 China 1 Nepal 4
Belgium 6 Indonesia 2
(FLCPF)
Kiribati 1
Belgium
(Sensoa) 1
New Zealand 4
Bosnia and
Herzegovina 2 Philippines 4
Bulgaria 2
Cyprus 1
Denmark 1
Estonia 1
Finland 3
France 1
Germany 1
Ireland 4
Israel 1
Kazakhstan 2
Netherlands 3
North 4
Macedonia
Romania 2
Serbia 2
Republic of
Spain 3
Sweden 5
Switzerland 1
Tajikistan 3
63
64
Table B1
2016-2022
IPPF’s Performance
Dashboard - Global
Annex B
Performance Results,
Percentage Secretariat
2016
2017 results 2018 results 2019 results 2020 results 2021 results 2022 results 2022 targets of target MAs reporting offices
baseline
achieved reporting
Outcome 1 Indicators
Number of successful policy initiatives and/or legislative

1 changes in support or defence of SRHR and gender equality 175 146 163 141 136 121 150 155 97% 43 3
to which IPPF advocacy contributed
Number of youth and women’s groups that took a public

3 action in support of SRHR to which IPPF engagement 661 1015 1038 756 752 552 596 n/a n/a 60 2
contributed
Number of young people who completed a quality-assured

4 28,113,231 31,346,872 30,802,589 31,948,606 25,547,744 34,760,824 35,040,752 35,200,000 100% 126
comprehensive sexuality education (CSE)
Number of educators trained by Member Associations to

5 provide CSE to young people or to provide CSE training to 9,296 115,021 150,641 154,692 109,426 100,629 125,461 n/a n/a 96
other educators (training of trainers)
7 Number of SRH services provided 145,078,890 164,136,012 168,114,158 181,337,879 143,247,609 155,715,990 159,923,302 256,900,000 62% 112
8 Number of couple years of protection 18,776,343 21,065,169 23,476,137 27,015,108 26,756,387 29,037,517 26,533,612 23,900,000 111% 111
9 Number of first-time users of modern contraception 6,336,091 6,102,204 6,043,082 6,553,838 5,513,335 7,276,821 6,400,897 8,613,810 74% 47
IPPF clients who would recommend our services to family

10 or friends as measured through the Net Promoter Score .. .. .. .. 69% 64% 63% n/a n/a 28
methodology
11 Number of SRH services enabled 37,383,977 44,709,391 55,085,126 70,967,492 75,219,407 75,695,722 66,968,248 95,200,000 70% 117
17 Number of clients served in humanitarian settings .. 3,131,094 5,083,448 4,638,513 5,469,096 6,071,485 9,952,743 n/a n/a 44
12 Total income generated by the Secretariat (US$) 130,391,389 125,081,940 132,960,014 191,467,154 165,950,500 164,725,000 121,800,000 234,204,030 52% 7
Total income generated locally by unrestricted grant-

13 291,198,069 291,747,796 264,262,874 252,089,810 215,859,796 190,864,081 178,986,027 484,900,000 37% 102
receiving Member Associations (US$)
Proportion of IPPF unrestricted funding used to reward

14 Member Associations through a performance-based funding 6% 5% 9% 8% 5% 8% n/a 20% n/a n/a
system
15 Number of IPPF volunteers 172,279 232,881 261,573 314,068 316,798 316,240 318,179 n/a n/a 126
MAs receiving no more than 50% of their income from IPPF

18 82% 82% 76% 79% 74% 81% 83% n/a n/a 102
unrestricted grant
Table B2
Outcome 1: Performance Results, by region, 2016, 2021 and 2022
Year ACR AR AWR EN ESEAOR SARO CO Total
Number of successful policy initiatives and/or 2022 19 5 17 76 15 7 11 150

legislative changes in support or defence of SRHR
1 2021 8 12 15 54 13 1 18 121
and gender equality to which IPPF advocacy
contributed 2016 53 11 5 71 17 11 7 175
2022 126 11 190 127 83 16 43 596

Number of youth and women’s groups that took
3 a public action in support of SRHR to which IPPF 2021 28 23 125 110 47 37 182 552
engagement contributed
2016 234 22 133 177 47 29 19 661
Table B3
Number of young people who 2022 1,408,789 3,127,482 765,960 517,779 28,834,273 386,469 n/a 35,040,752
completed a quality-assured
4 2021 339,361 2,273,636 147,313 613,047 31,004,409 383,058 n/a 34,760,824
comprehensive sexuality
education (CSE) 2016 428,193 2,238,789 41,608 239,033 25,019,365 146,242 n/a 28,113,230
Number of educators trained by 2022 23,050 55,245 2,716 27,351 9,775 7,324 n/a 125,461
Member Associations to provide
5 CSE to young people or to provide 2021 49,112 19,733 5,986 12,560 7,528 5,710 n/a 100,629
CSE training to other educators
(training of trainers) 2016 6,130 88 130 2,734 214 0 n/a 9,296
Note on the data
In 2021, IPPF’s MA in Pakistan (Rahnuma - Family Planning Association of Pakistan)

transferred from the South Asia region to the Arab World region. As a result, data for 2021
and 2022 is not necessarily consistent with prior years for these regions.
In 2022, IPPF began using an updated method for calculating CYP, based on research
carried out by FHI360, Avenir Health and USAID11. This slightly increases the CYP totals
for IUDs and oral contraceptives. Data for 2021 and earlier has not been recalculated to
maintain consistency with previous reports.
Due to rounding, numbers presented throughout this report’s annexes may not add up
precisely to the totals indicated and percentages may not sum to 100.
65
Table B4
2022 16,841,356 59,696,575 44,412,666 828,676 14,373,930 23,770,099 n/a 159,923,302

Number of SRH services
7 2021 17,242,159 59,082,377 39,608,597 1,068,207 12,721,976 25,992,674 n/a 155,715,990
provided
2016 30,198,359 68,753,974 11,672,439 1,562,581 13,947,674 18,943,863 n/a 145,078,890
2022 4,661,115 14,587,079 4,840,481 30,776 865,077 1,549,085 n/a 26,533,612

Number of couple years
8 2021 3,564,225 16,150,382 6,943,453 18,524 719,277 1,641,657 n/a 29,037,517
of protection
2016 6,678,636 7,770,541 955,758 49,680 679,485 2,642,243 n/a 18,776,343
2022 0 4,560,431 1,334,091 1,070 115,929 389,377 n/a 6,400,897

Number of first-time
9 users of modern 2021 0 6,007,364 904,764 1,154 86,927 276,612 n/a 7,276,821
contraception
2016 30,044 5,300,920 309,261 669 347,384 347,813 n/a 6,336,091
IPPF clients who would 2022 71% 60% 49% 44% 65% 70% n/a 63%
recommend our services
to family or friends as 2021 69% 64% 9% 59% 66% 67% n/a 64%
10
measured through the
Net Promoter Score 2016 n/a n/a n/a n/a n/a n/a n/a n/a
methodology
2022 163,750 41,723,681 14,621,375 182,405 4,971,646 5,305,391 n/a 66,968,248

Number of SRH services
11 2021 255,336 50,714,207 15,508,425 28,603 4,293,979 4,895,172 n/a 75,695,722
enabled
2016 441,387 29,951,314 2,074,995 36,212 1,056,158 3,823,911 n/a 37,383,977
2022 135,764 975,955 8,180,761 23,147 47,587 589,529 n/a 9,952,743

Number of clients served
17 2021 177,772 1,530,545 3,711,855 20,333 57,147 573,833 n/a 6,071,485
in humanitarian settings
2016 n/a n/a n/a n/a n/a n/a n/a n/a
Table B5
2022 121,800,000
Total income generated
12 2021 n/a 164,725,000
by the Secretariat (US$)
2016 130,391,389
Total income generated 2022 44,860,736 70,936,488 12,619,141 7,411,308 27,423,221 15,735,133 n/a 178,986,027
locally by unrestricted
13 2021 75,171,772 61,830,386 9,100,632 4,942,356 26,363,921 13,455,013 n/a 190,864,081
grant-receiving Member
Associations (US$) 2016 149,979,959 65,638,161 5,341,111 4,481,212 51,280,444 14,477,182 n/a 291,198,069
Proportion of IPPF 2022 n/a n/a n/a n/a n/a n/a n/a n/a
unrestricted funding
used to reward Member 2021 9% 10% 6% 5% 2% 7% n/a 8%
14
Associations through
a performance-based 2016 8% 4% 0% 7% 3% 10% n/a 6%
funding system
2022 32,113 49,162 72,188 14,319 50,052 100,345 n/a 318,179
15 Number of IPPF volunteers 2021 33,175 46,043 66,532 15,335 48,184 106,971 n/a 316,240
2016 48,298 46,199 6,584 10,317 45,389 15,492 n/a 172,279
MAs receiving no more 2022 85% 87% 38% 71% 84% 100% n/a 83%
than 50% of their income
18 2021 93% 82% 43% 77% 95% 88% n/a 81%
from IPPF unrestricted
grant 2016 94% 85% 62% 77% 74% 86% n/a 83%
66
Table B6
Number of couple years of protection provided, by region, by method, 2016, 2021 and 2022
Method Year ACR AR AWR EN ESEAOR SARO Total
2022 1,325,775 6,276,377 1,521,856 1,035 116,403 97,607 9,339,053
Implants 2021 1,417,601 7,490,598 1,280,701 250 88,059 88,229 10,365,438
2016 1,145,216 2,437,908 130,877 7,015 79,297 79,124 3,879,437
2022 1,000,992 3,075,581 2,632,689 22,231 342,735 176,765 7,250,993
Intrauterine devices 2021 713,159 3,130,709 4,637,845 9,921 240,573 208,462 8,940,669
2016 2,651,157 1,424,628 497,477 19,347 199,679 1,348,074 6,140,362
2022 898,566 2,272,809 109,031 115 43,459 184,435 3,508,415
Injectables 2021 345,692 2,299,268 291,150 65 32,739 126,533 3,095,447
2016 653,097 1,065,356 31,080 89 49,564 155,627 1,954,813
2022 430,946 1,591,496 451,297 909 68,144 308,036 2,850,828
Oral contraceptive pills 2021 270,104 1,730,259 508,191 744 66,081 366,605 2,941,984
2016 567,218 1,480,745 251,840 3,097 66,528 222,066 2,591,494
2022 205,186 1,313,494 78,385 6,242 274,192 331,710 2,209,209
Condoms 2021 161,330 1,435,968 145,110 7,288 281,750 308,071 2,339,517
2016 293,596 1,272,659 43,482 18,867 270,315 195,263 2,094,182
2022 732,720 48,370 40,990 100 17,850 366,249 1,206,279

Voluntary surgical contraception
2021 591,560 54,560 74,260 80 7,740 434,265 1,162,465
(vasectomy and tubal ligation)
2016 1,245,480 76,880 0 480 12,760 537,612 1,873,212
2022 33,017 8,369 6,172 72 1,092 84,282 133,004
Emergency contraception 2021 31,105 7,895 6,138 98 1,045 109,492 155,773
2016 81,228 9,143 557 671 1,126 104,477 197,202
2022 33,912 0 0 35 322 0 34,269
Other hormonal methods 2021 33,672 367 0 31 357 0 34,427
2016 40,445 58 0 66 90 0 40,659
2022 1 582 60 37 881 0 1,561
Other barrier methods 2021 1 759 58 47 933 0 1,798
2016 1,200 3,166 445 49 126 0 4,986
2022 4,661,115 14,587,078 4,840,480 30,776 865,078 1,549,084 26,533,612
Total 2021 3,564,224 16,150,383 6,943,453 18,524 719,277 1,641,657 29,037,518
2016 6,678,637 7,770,543 955,758 49,681 679,485 2,642,243 18,776,347
2022 (n=16) (n=37) (n=12) (n=15) (n=24) (n=7) (n=111)
Number of responses 2021 (n=13) (n=36) (n=12) (n=14) (n=25) (n=7) (n=107)
2016 (n=27) (n=39) (n=11) (n=19) (n=25) (n=8) (n=129)
67
Table B7
Number of sexual and reproductive health services delivered, by region, by service type, 2016, 2021 and 2022
Data Year ACR AR AWR EN ESEAOR SAR Total
2022 4,336,549 51,087,581 10,104,238 197,554 6,273,833 8,947,681 80,947,436

Contraceptive
2021 5,014,629 54,500,447 13,659,460 253,983 5,094,227 9,003,340 87,526,086
(including counselling)
2016 8,980,338 47,748,224 2,989,983 374,277 5,890,895 5,892,684 71,876,401
2022 4,830,761 13,054,260 3,825,059 205,616 3,504,090 3,017,654 28,437,440

STI/RTI
2021 4,548,519 13,587,341 4,018,565 236,718 3,114,933 3,112,874 28,618,950
(excluding HIV)
2016 5,046,217 10,138,284 1,082,883 339,554 2,223,562 2,129,211 20,959,711
2022 2,859,583 10,878,628 7,729,267 83,970 3,214,945 3,529,323 28,295,716
Gynaecological 2021 3,441,247 11,894,515 9,422,254 84,840 2,917,530 3,427,438 31,187,824
2016 8,529,057 9,156,910 2,323,176 150,763 1,837,816 3,123,922 25,121,644
2022 1,425,483 5,168,311 16,014,914 19,916 1,250,166 4,360,074 28,238,864
Obstetric 2021 1,488,623 5,713,702 13,064,467 15,363 1,116,762 4,326,343 25,725,260
2016 2,189,092 4,472,388 2,344,244 43,323 1,068,801 4,043,146 14,160,994
2022 1,035,819 10,417,796 2,787,085 146,518 1,820,115 2,535,195 18,742,528

HIV
2021 928,093 14,053,111 3,103,695 155,292 1,772,058 2,766,852 22,779,101
(excluding STI/RTI)
2016 1,269,277 14,740,366 1,610,558 200,989 719,289 2,479,808 21,020,287
2022 37,136 1,967,036 8,057,770 850 243,492 2,886,339 13,192,623
Paediatric 2021 58,850 1,974,459 5,183,252 601 266,830 2,897,286 10,381,278
2016 555,470 2,897,906 2,028,557 5,947 820,613 1,772,854 8,081,347
2022 596,992 4,664,636 1,644,557 86,018 1,767,195 934,098 9,693,496
Specialized counselling 2021 559,527 3,967,703 1,885,786 212,762 1,669,098 2,895,484 11,190,360
2016 1,281,102 3,550,259 561,118 336,731 1,372,224 1,008,743 8,110,177
2022 70,666 932,244 4,744,181 133,293 71,547 1,592,831 7,544,762
SRH medical 2021 48,894 958,875 1,139,618 6,283 62,108 1,233,964 3,449,742
2016 73,213 3,116,699 269,110 5,294 380,033 1,094,769 4,939,118
2022 1,201,298 1,966,179 799,563 128,808 572,490 361,731 5,030,069
Abortion-related 2021 819,820 1,962,169 703,184 123,744 526,968 406,127 4,542,012
2016 1,923,701 1,548,283 187,291 115,299 548,281 442,185 4,765,040
2022 478,565 469,665 2,201,212 5,609 389,095 728,599 4,272,745
Urological 2021 467,914 475,887 2,029,657 5,617 264,703 657,414 3,901,192
2016 455,699 491,187 172,755 1,671 43,654 485,690 1,650,656
2022 132,254 813,920 1,126,195 2,929 238,608 181,965 2,495,871
Infertility 2021 121,379 708,375 907,084 1,607 210,738 160,724 2,109,907
2016 336,580 844,782 177,759 24,945 98,664 294,762 1,777,492
2022 17,005,106 101,420,256 59,034,041 1,011,081 19,345,576 29,075,490 226,891,550
Total 2021 17,497,495 109,796,584 55,117,022 1,096,810 17,015,955 30,887,846 231,411,712
2016 30,639,746 98,705,288 13,747,434 1,598,793 15,003,832 22,767,774 182,462,867
2022 (n=17) (n=37) (n=12) (n=19) (n=24) (n=7) (n=116)
Number of responses 2021 (n=15) (n=36) (n=11) (n=16) (n=25) (n=8) (n=111)
2016 (n=27) (n=40) (n=11) (n=19) (n=25) (n=8) (n=130)
68
References
1 United Nations General Assembly (2022) International cooperation for access to justice, remedies and assistance for
survivors of sexual violence, A/RES/76/304. Available at: https://digitallibrary.un.org/record/3987243?ln=en
2 World Health Organization (2021) Devastatingly pervasive: 1 in 3 women globally experience violence. Available at:
https://www.who.int/news/item/09-03-2021-devastatingly-pervasive-1-in-3-women-globally-experience-violence
3 European Commission (2022) Youth Action Plan in EU External Action 2022 – 2027. Available at: https://international-
partnerships.ec.europa.eu/policies/youth/youth-action-plan_en
4 Council of the European Union (2022) Council Conclusions on the Youth Action Plan in EU External Action. Available at:
https://www.consilium.europa.eu/en/press/press-releases/2022/11/28/youth-action-plan-council-involves-young-
people-in-policy-making/
5 Rutgers (2018) Gender-transformative approach toolkit. Available at: https://rutgers.international/resources/rutgers-

gta-toolkit-module-1/
6 Source: UNFPA https://arabstates.unfpa.org/en/publications/youth-sexual-and-reproductive-health-and-

reproductive-rights-arab-region-overview
7 AMAZE: https://amaze.org/
8 World Health Organization (2022) WHO Recommendations on Self-Care Interventions: Self-Management of Medical
Abortion, 2022 Update. Available at: https://www.who.int/publications/i/item/WHO-SRH-22.1
9 IPPF (2021) Placing Women’s Needs at the Center – 5 Reasons Why Abortion Self-Care Should Be Normalized. Available
at: https://www.ippf.org/blogs/placing-womens-needs-center-5-reasons-why-abortion-self-care-should-be-
normalized
10 IPPF (2020) Data Management Strategy and Implementation Plan. Available at: https://www.ippf.org/resource/data-
management-strategy-and-implementation-plan
11 Steiner, M. J; Sonneveldt, E; Lebetkin, E; Jallow, F (2022) ‘Updating Couple Years of Protection: Literature Review,
Guidance for Updating Existing Methods, and Adding New Methods’. Available at https://www.fhi360.org/sites/default/
files/media/documents/resource-cyp-brief.pdf
69
Thank you
With your support, millions of people, especially the

poorest and most vulnerable, are able to realize their
sexual and reproductive health and rights.
Without your generosity, this would not be possible.
Bill & Melinda Gates Foundation Government of New Zealand

Care International Government of Norway
The Children’s Investment Fund Foundation Government of the Republic of Korea
David and Lucile Packard Foundation Government of Spain
Erik E and Edith H Bergstrom Foundation Government of Sweden
European Commission Government of Switzerland
Government of Australia Government of Thailand
Government of Belgium Government of United Kingdom
Government of Canada Levi Strauss Foundation
Government of China MSI Reproductive Choices
Government of Denmark Merck & Co.
Government of Finland Open Society Foundation
Government of France Oxfam Canada
Government of Germany (BMZ, GIZ) Planned Parenthood Federation of America
Government of Ireland United Nations Foundation
Government of Japan United Nations Population Fund (UNFPA)
Government of Malaysia William and Flora Hewlett Foundation
Government of the Netherlands
Plus donations from generous supporters, benefactors and anonymous friends
The photographs used in this publication are for illustrative purposes only;
they do not imply any particular attitude, behaviours or actions on the part
of any person who appears in them.
70
Board of
trustees
As of May 2023
Chair of Board of Trustees

Kate Gilmore
Vice Chair
Ulukbek Batyrgaliev
Honarary Legal Counsel (ex-officio)

Aileen McColgan
Trustees
Isaac Adewole Surakshya Giri

Rose-Marie Belle Antoine Sami Natsheh
Hayathe Ayeva Aurélia Nguyen
Rosa Ayong Tchonang Andreas Prager
Santiago Cosío Elizabeth Schaffer
Directors’ Leadership Team as of May 2023
Director-General | Alvaro Bermejo

Director, External Relations | Mina Barling
Director, Finance and Technology | Varun Anand
Acting Director, People, Organization and Culture | Claire Jefferey
Director, MA Development & Impact | Manuelle Hurwitz
Africa Regional Director | Marie-Evelyne Petrus-Barry
Americas and the Caribbean Regional Director | Eugenia Lopez Uribe
Arab World Regional Director | Fadoua Bakhadda
East and South East Asia and Oceania Regional Director | Tomoko Fukuda
European Network Regional Director | Caroline Hickson
South Asia Regional Director | Sonal Mehta
71
Locally owned,
globally connected:
A movement
for change
Our vision
All people are free to make choices about their sexuality
and well-being, in a world without discrimination.
Our mission
Building on a proud history of nearly 70 years of achievement, we commit
to lead a locally owned, globally connected civil society movement that
provides and enables healthcare and champions sexual and reproductive
health and rights for all, especially the under-served.
Published in June 2023 by the International Planned Parenthood Federation

—
4 Newhams Row, London SE1 3UZ, UK
T: +44 (0)20 7939 8200
F: +44 (0)20 7939 8300
www.ippf.org
—
UK Registered Charity No. 229476

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Bridging to

150 19,799 35,357

Editorial Production and coordination Layout

Throughout this report, the terminology ‘Member Association (MA)’

Due to rounding, numbers presented in this report may not add

Cover photo: IPPF/Disha Arora/India

Outcome 1 Champion Rights 6

Outcome 2 Empower Communities 18

Outcome 3 Serve People 26

Outcome 4 Unite and perform 38

Updates from IPPF 46

In 2022, a number of severe shocks

Throughout this annual report, you’ll see evidence of

Across the globe, IPPF MAs are fighting back,

IPPF is increasingly using digital channels to harness

2022 was a year of advocacy successes

8 Outcome 1: Champion Rights

In total, 23 legislative changes focused on expanding Result 3

In September 2022, the General Assembly

12 Supporting a UN General Assembly resolution on sexual violence

In October 2022, the European Commission

14 Shaping the EU Youth Action Plan

Last year, IPPF MA, the Sudan

not only doctors – to provide

In Sudan, there is a severe shortage of trained

SFPA began the process in 2019 by developing a

Both advocacy wins secured by SFPA will enable

IPPF MAs ensure access to clear, accurate,

20 Outcome 2: Empower Communities

In 2022, IPPF MAs trained over 125,000 educators

IPPF Africa Region joined forces with the

22 Treasure Your Pleasure

Partnerships with high‑profile African influencers enabled

The campaign was backed by evidence showing that

Between March and September 2022, the campaign reached

IPPF Africa Region have also developed partnerships with

24 Advancing Comprehensive Sexuality Education

The regional centers are now being approached by

In the Arab World region, talking about sex is often

Photo: IPPF/Hannah Maule‑ffinch/Lebanon

After a strong recovery

Photo: IPPF/Disha Arora/India

28 Outcome 3: Serve People

Many MAs considerably increased their services,

Overall, IPPF provided a total of 159.9 million services

sexual and reproductive Responding to a world increasingly prone to natural

Contraception remains an integral part of MA Result 10

Over half (55 per cent) of total CYP was provided by

Global Care is an international consortium

30 Outcome 3: Serve People

Photo: IPPF/Hannah Maule‑ffinch/Hungary

32 IPPF’s Humanitarian Programme in 2022

Photo: IPPF/Hannah Maule‑ffinch/Romania

Russia’s invasion of Ukraine, which started on 24

IPPF is currently responding to the crisis in seven

Some key successes from Woman Health and

• 16 facilities supported in Ukraine across five

• 341 clinical service providers in Ukraine trained in

• Medications and treatment provided to support

Outcome 1 Champion Rights 6

Outcome 2 Empower Communities 18

Outcome 3 Serve People 26

Outcome 4 Unite and perform 38

Updates from IPPF 46