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One Vision: Three Zeros
One Vision: Three Zeros
One Vision: Three Zeros
ONE VISION
THREE ZEROS
ANNUAL REPORT 2018
3 Foreword
26 Arab States
1
2
© Ki-hoon Kim
FOREWORD
Accelerating the
promise of Cairo
Women have a right to make their own decisions Since 1994, governments, activists, civil society
about whether, when or how often to become pregnant. organizations and institutions such as UNFPA have
That right was reaffirmed in 1994 in Cairo at the rallied behind the Programme of Action and pledged
landmark International Conference on Population to tear down barriers that have stood between women
and Development (ICPD), where 179 governments and girls and their rights and choices. Despite the
also agreed that sexual and reproductive health is the remarkable gains made since 1994, we still have a long
foundation for economic and social development. way to go before we can claim to have lived up to the
promises we made in Cairo. Too many women and girls
I remember being in Cairo for that conference.
are not yet enjoying their rights.
I remember the excitement, the sense of purpose and
of being witness to something truly extraordinary—
countries from all regions of the world committing
to enabling people to make informed choices about
their sexual and reproductive health as a matter of
fundamental human rights and as a foundation for
individual and collective well-being.
© UN Photo
3
This is what the world would look like if it had realized the contraception accessible to women and young people,
vision of Cairo: enabling women to have healthy pregnancies and safe
births, and protecting women and girls from harm.
The more than 800 women who die every day in Because these efforts must be based on quality data, we
pregnancy or giving birth would survive. also strengthened our capacities for data analysis and
dissemination to help governments formulate policies
The 214 million women who want to prevent pregnancy
that close gaps in services, particularly for those who
would have access to modern contraception.
have been left behind. This report shows the impact our
The one in three women who are subjected to physical or programmes have had on the lives of women and girls in
sexual violence in their lifetime would live in safety, with 155 countries and territories in 2018.
respect and dignity. The 200 million girls and women who
UNFPA cannot, however, achieve these three zeros on our
have been subjected to female genital mutilation would
own. Governments, civil society, and individuals must all
never have been harmed, and the 33,000 girls who are
be part of the movement. They will have an opportunity
forced to marry every day would be deciding for themselves
to join the next leg of the journey towards rights and
as adults whether or when to enter into a relationship.
choices for all at the Nairobi Summit on ICPD25 in Kenya
In 2018, we at UNFPA set in motion a strategic effort, in November of this year. The Governments of Kenya and
based on quality data, to achieve three zeros by 2030: Denmark, co-conveners together with UNFPA, will call
zero unmet need for contraception; zero preventable on all donors, all countries, all civil society organizations,
maternal deaths; and zero gender-based violence and all community and youth leaders, all parliamentarians,
harmful practices, such as child marriage and female all international financial institutions and the private
genital mutilation. sector to recommit to the principles and objectives of
the Programme of Action—to make our three zeros
Our ambition looks towards 2030 because that is when everyone’s three zeros, and to complete the unfinished
the Sustainable Development Goals are to be achieved. business of Cairo.
Success towards these goals depends on success in
empowering all women and girls to enjoy their rights and Universality is a guiding principle of the ICPD Programme
to have real choices in all aspects of their lives. of Action: everyone has a right to sexual and reproductive
health, regardless of where they live, their income level
We began reorienting our programmes around the or their circumstances—even if they are displaced by
world in 2018, in keeping with the focus on making conflict or disaster. Last year, UNFPA and its partners
TOWARDS
ZERO
unmet need for family planning
4
reached an estimated 18 million people in over 55 and deliver better for women and girls in developing
countries with humanitarian assistance. This included countries. In support of reform of the United Nations
the implementation and coordination of the minimum development system and to best equip UNFPA to
initial service package for reproductive health to ensure deliver on its strategic plan, we made strides in our
that women and girls affected by humanitarian crisis comprehensive change process. This will ensure that
have their needs addressed in line with humanitarian and we have the organizational culture, structure, systems
human rights principles and priorities. and skills necessary to achieve our three zeros and help
realize the 2030 Agenda for Sustainable Development.
UNFPA continued to strengthen our capacity to respond
quickly in emergencies. We established a Humanitarian In this year, our 50th, as we look back on 2018, we echo
Response Office and will aim to have it fully staffed in the words of Dr. Nafis Sadik. Describing the path to
mid-2019. We also established a new Humanitarian sustainable development, she said:
Action Thematic Fund to streamline donor support for
our life-saving programmes. “People are at the heart of the process, as
agents and as beneficiaries. We have it in
UNFPA in 2018 continued to prioritize innovation to
our power to lighten their burdens, remove
create and scale up data-driven, sustainable, open
obstacles in their path and permit them the
solutions to bring about transformative change for
women, adolescents and youth. For example, we full flowering of their potential as human
launched a Population Data Platform, which allows beings. That is the moral and ethical basis
planners to identify and map where needs are greatest of the ICPD.”
and where interventions need to focus to reach those
People-centred sustainable development remains the
furthest behind. By allowing for combining different
moral and ethical cornerstone of our work to ensure
sources of data, such as census and surveys, the
rights and choices for all. We at UNFPA will do our
Population Data Platform can help highlight, for example,
utmost to finish the unfinished business of ICPD and
which districts in a country have the highest rates of
thereby fulfill the promise of sexual and reproductive
child marriage, or where demand for contraceptives
health and rights for everyone, everywhere.
outstrips supply.
ZERO ZERO
preventable maternal deaths gender-based violence and
harmful practices 5
Towards
ZERO
unmet need
for family
planning
The unmet need for family planning has dropped by about
half since 1969, the year UNFPA was established. At the same
time in developing countries, the share of married women
using a modern method of contraception since that time has
nearly tripled, to about 57 per cent.
6
© UNFPA/Yenny Gamming
7
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
8
PROGRESS IN 2018
GLOBAL IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA*
30
25
21.5
19.8
Percentage of women
20 18.1
16.5
14.9
15 13.5
12.5 12.1 11.8 11.5 11.5 11.0
10
0
0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030
Year
9
© Brian Sokol/Panos Pictures
Towards
ZERO
preventable
maternal
deaths
While progress towards reducing the maternal
mortality ratio in developing countries continued
in 2018, it is not at the rate required to achieve the
UNFPA goal of zero preventable maternal deaths by
2030. To reach that goal, developing countries must
accelerate their annual rates of reduction by at least
7.5 per cent.
10
© Mads Nissen/Politken/Panos Pictures
11
TOWARDS ZERO PREVENTABLE MATERNAL DEATHS
maternal deaths
216 per 100,000 live births
worldwide
0
12
PROGRESS IN 2018
Maternal deaths averted*
global impact of contraceptives supplied by UNFPA 73,500
Safe deliveries assisted
in humanitarian and fragile settings 1,000,000
Health facilities that provided emergency
obstetric care
in humanitarian and fragile settings
2,520
MATERNAL MORTALITY
Actual Sustainable Development Goal target UNFPA vision
400 385
369
350 341
Deaths per 100,000 live births
300 288
246
250
216
200
150
100
70
50
0
0
1990 1995 2000 2005 2010 2015 2020 2025 2030
Year
13
© Lynsey Addario for Time
Towards
ZERO
gender-based
violence
and harmful
practices
About one in three women worldwide will have
experienced physical or sexual violence at some point in
her lifetime. And, every day, tens of thousands of girls
are subjected to the harmful practices of female genital
mutilation and child marriage.
14
© UNFPA/Omar Gharzeddine
15
TOWARDS ZERO GENDER-BASED VIOLENCE AND HARMFUL PRACTICES
16
PROGRESS IN 2018
20
Proportion of women/girls aged 15+
15
10
0
0
2018 2020 2022 2024 2026 2028 2030
Year
17
© UNFPA/Omar Gharzeddine
AFRICA
EAST AND SOUTHERN
TODAY VISION 2030
18
© UNFPA/Douglas Waudo
PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA
Girls who received services related to child, early and forced marriage 800,148
Girls and women who received services related to female genital mutilation 298,391
19
AFRICA, EAST AND SOUTHERN
Of the 85,000 preventable maternal deaths in East and Southern Africa every year, about one quarter are among
adolescents and more than half take place in humanitarian settings. UNFPA in 2018 helped reduce preventable
maternal deaths in the region through greater access to emergency obstetric care; antenatal, safe-delivery and
postnatal care; and modern contraception. Actions included training midwives in 16 countries to provide high-
quality, integrated, reproductive, maternal, neonatal, child and adolescent health care. Actions also included
collection and analysis of maternal mortality data to identify—and fill—gaps in services.
UNFPA aimed to reduce the unmet demand for family planning, especially among young people and marginalized
populations, by improving the quality and reliability of services and by offering a range of contraceptive options.
UNFPA programmes in 2018 advanced gender equality and women’s empowerment and addressed the physical
and psychological impact of gender-based violence.
20
© Brian Sokol/Panos Pictures
2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Angola 2.6 Mauritius 0.1
Madagascar 5.2
Malawi 10.7
BY PURPOSE $MILLIONS
Core Non-core Total
Sexual and reproductive health and rights 32.3 95.5 127.8 62.4%
21
AFRICA
WEST AND CENTRAL
TODAY VISION 2030
22
© UNFPA/Robbie Lawrence
PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA
Girls who received services related to child, early and forced marriage 164,240
Girls and women who received services related to female genital mutilation 141,446
23
AFRICA, WEST AND CENTRAL
UNFPA scaled up services to help girls in West and Central Africa make a safe and healthy transition from
adolescence to adulthood. Through a Sahel Women’s Empowerment and Demographic Dividend, or SWEDD,
project, UNFPA expanded safe spaces for girls who are not in school and at risk of the harmful practice of child
marriage. A demographic dividend is the additional potential for economic growth that can result from shifts in a
population’s age structure when the share of the working-age population expands relative to the non-working-age
population.
Also as part of the SWEDD project, UNFPA supported a new programme to train midwives and nurses with the
aim of reducing preventable maternal deaths. Three new Centres of Excellence for the Masters in Nursing and
Obstetrics were established in Côte d'Ivoire, Mali and Niger.
UNFPA, through the Ouagadougou Partnership to end unmet need for family planning in nine West African
countries, helped 1.4 million women gain access to modern contraception between 2016 and 2018.
24
© UNFPA/Robbie Lawrence
2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Benin 5.0 Guinea 6.5
Ghana 4.0
BY PURPOSE $MILLIONS
Core Non-core Total
Sexual and reproductive health and rights 26.2 67.9 94.1 57.0%
25
ARAB STATES
TODAY VISION 2030
26
© Hayat Outemma
PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA
Girls who received services related to child, early and forced marriage 178,429
Girls and women who received services related to female genital mutilation 27,199
27
ARAB STATES
Nine Arab States are responding to humanitarian emergencies, including in Yemen, Syria and Iraq.
To save women’s lives in the region’s humanitarian settings, UNFPA supported 131 mobile clinics
and 152 emergency obstetric care facilities.
To address gender-based violence in humanitarian settings, UNFPA supported 162 facilities that
provided clinical management of rape and 242 safe spaces that provided protection, information
and support to survivors.
In an effort to reduce the unmet need for family planning, UNFPA expanded
the coverage of high-quality, reliable and stigma-free services across the region.
28
© UNFPA
2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Algeria 0.4 Oman 1.1
Morocco 1.4
BY PURPOSE $MILLIONS
Core Non-core Total
Sexual and reproductive health and rights 10.9 70.4 81.3 44.3%
29
ASIA AND
THE PACIFIC
TODAY VISION 2030
30
© UNFPA/Yenny Gamming
PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA
Girls who received services related to child, early and forced marriage 535,829
31
ASIA AND THE PACIFIC
UNFPA in Asia and the Pacific stepped up efforts in 2018 to end unmet need for family planning, preventable
maternal deaths and gender-based violence and harmful practices against women and girls.
UNFPA strengthened programmes to reduce preventable maternal death in countries with higher maternal
mortality ratios, contributing to reaching targets under the Sustainable Development Goals by 2030. These
countries are Afghanistan, Bangladesh, Cambodia, Lao People’s Democratic Republic, Myanmar, Nepal, Pakistan,
Papua New Guinea and Timor-Leste.
To help meet the goal of ending unmet need for family planning, UNFPA advocated for increased investments in
contraceptives and for programmes that enhance reproductive rights in lower-income countries, such as Cambodia
and the Lao People’s Democratic Republic.
Under the multi-year “kNOwVAWdata” initiative, UNFPA supported the collection, analysis and communication of
data about the prevalence of violence against women in the region and created a curriculum to train enumerators
in carrying out surveys that protect women’s privacy. In addition, UNFPA increased support for programmes to end
the harmful practice of child marriage in South Asia.
32
© UNFPA/Yenny Gamming
2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Afghanistan 13.5 Mongolia 2.0
Maldives 0.4
BY PURPOSE $MILLIONS
Core Non-core Total
Sexual and reproductive health and rights 23.0 41.5 64.5 44.9%
* Cook Islands; Fiji; Kiribati; Marshall Islands; Federated States of Micronesia; Nauru; Niue; Palau; Samoa; Solomon Islands; Tokelau; Tonga; Tuvalu; and Vanuatu.
33
EASTERN EUROPE AND
CENTRAL ASIA
TODAY VISION
VISION 2030
2030
per cent of women
10%
maternal deaths
68 with100,000
per an unmet need
for family
live births planning*
00
maternal
womendeaths
25
of with an
10% per 100,000
unmet need for
live births
family planning*
00
perwomen
of cent ofand
women
girls
12%
28%
and girls subjected
subjected to
to gender-based
gender-based 00
violence**
violence**
34
© Maks Levin
PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA
Girls who received services related to child, early and forced marriage 29,570
35
EASTERN EUROPE
AND CENTRAL ASIA
In Eastern Europe and Central Asia, UNFPA helped countries make progress towards reaching zero unmet need for
family planning and zero preventable maternal deaths. But emphasis was placed on ending gender-based violence,
which prevents women and girls from enjoying their rights, including reproductive rights.
In 2018, UNFPA joined an initiative led by the Organisation for Security and Co-operation in Europe to generate,
for the first time in the region, comparable data on violence against women and girls. The survey revealed that
70 per cent of women had been subjected to some form of violence, and one in three had experienced physical
or sexual violence.
UNFPA stepped up efforts to assist the countries of the region in establishing systems that bring together health care,
law enforcement and criminal justice to support survivors, and to strengthen services in humanitarian settings. UNFPA
also worked across the region to help prevent violence through programmes that raised awareness and promoted
behaviour change.
UNFPA also helped engage men and boys in preventing violence, but also more broadly in achieving gender
equality, through programmes such as the “Let’s Talk!” campaign, which challenges taboos around women’s
health, and through gender-sensitive policies that allow both parents to have careers and share household and
care responsibilities.
36
© UNFPA/Almir Budimlic
2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Albania 0.9 North Macedonia 0.5
BY PURPOSE $MILLIONS
Core Non-core Total
Sexual and reproductive health and rights 5.3 18.0 23.3 45.3%
37
LATIN AMERICA
AND THE CARIBBEAN
TODAY VISION 2030
38
© Daniel Baldotto
PROGRESS IN 2018
TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING
IMPACT OF CONTRACEPTIVES SUPPLIED BY UNFPA
Girls who received services related to child, early and forced marriage 129,539
39
LATIN AMERICA AND THE CARIBBEAN
Maternal and neonatal mortality rates have decreased in Latin America and the Caribbean but access to quality
care is still out of reach for many pregnant women. In response, UNFPA supported evidence-based interventions
that improved the quality of maternal health care, especially in the prevention and management of obstetric
complications and emergencies. UNFPA also helped strengthen midwifery training programmes.
UNFPA supported the region’s efforts to end unmet need for family planning by increasing supplies of
contraceptives and bolstering capacities to procure and manage supplies of contraceptives and monitor quality.
UNFPA also supported the introduction of subdermal implants in four countries.
In collaboration with national stakeholders and partner organizations, UNFPA helped improve coordination of
services for survivors of gender-based violence among the health and criminal justice sectors.
40
© UNFPA/Maxence Bradley
2018 Programme expenses
COUNTRY/TERRITORY $MILLIONS
Argentina 0.1 Guatemala 36.1
El Salvador 1.6
BY PURPOSE $MILLIONS
Core Non-core Total
Sexual and reproductive health and rights 9.1 14.7 23.8 24.8%
*Includes Anguilla; Antigua and Barbuda; Aruba; Bahamas; Barbados; Belize; Bermuda; British Virgin Islands; Cayman Islands; Curacao; Dominica; Grenada; Guyana; Jamaica; Montserrat; Netherlands
Antilles; St. Lucia; St. Kitts and Nevis; Saint Maarten (Dutch); Saint Vincent and the Grenadines; Suriname; Turks and Caicos; and Trinidad and Tobago
41
RESOURCES,
MANAGEMENT
AND PARTNERSHIPS
© UNFPA/Giovanni Bello
REVENUE EXPENSES
Core resources Core resources
Contributions to core resources 378.8 Country programmes, global and regional 212.4
interventions and other programme activities
Other revenue 78.5
Institutional budget 162.5
Total core resources revenue 457.3
Corporate 42.7
Total core resources expenses 417.6
Non–core resources
Contributions to non-core resources, gross 876.8
Non–core resources
Refunds to donors (5.0)
Country programmes, global and regional 660.0
Indirect costs (47.5)
interventions and other programme activities
Other revenue 8.7
Corporate 8.4
Total non-core resources revenue 833.0
Total non-core resources expenses 668.4
TOTAL REVENUE 1,290.3
TOTAL EXPENSES 1,086.0
42
Top 20 core donors to UNFPA for 20181
$ $
Sweden 83,038,766 Belgium 10,752,688
Norway 63,767,377 Australia 7,362,550
Netherlands 37,500,000 New Zealand 5,252,303
Denmark 37,061,440 Ireland 4,231,942
United Kingdom of Great Britain Luxembourg 3,193,961
25,510,204
and Northern Ireland
Italy 2,484,472
Germany 25,190,281
China 1,600,000
Finland 20,000,000
France 674,847
Japan 18,960,910
Spain 582,751
Switzerland 15,952,144
Saudi Arabia 500,000
Canada 11,755,840
* All figures are provisional, subject to external audit and, as a result of rounding, may not add up to the totals.
1 These amounts represent the contribution revenue recorded for 2018 core resources.
2 The amounts represent gross contribution revenue for trust funds. They includes multi-year co-financing agreements which were recognized in 2018, in accordance with UNFPA
accounting policies. Programme implementation continues to be linked to actual receipt of resources.
43
RESOURCES AND MANAGEMENT
Sexual and reproductive health and rights 112.1 400.4 — 512.5 49.5%
Latin America and the Caribbean 22.2 60.7 12.9 95.8 9.2%
Eastern Europe and Central Asia 13.9 30.6 6.9 51.4 5.0%
44
Programme expenses by implementing agency
$ MILLIONS
45
RESOURCES AND MANAGEMENT
DONOR $ DONOR $
46
DONOR $ DONOR $
Portugal 108,077 United Kingdom of Great Britain and Northern Ireland 25,510,204
Singapore 5,000
*All 2018 figures are provisional as of 12 April 2019. Armenia had made a
commitment for 2018 in the amount of USD 3,000.
47
PARTNERSHIPS
48
© EPF © UNFPA © UNFPA
49
UNFPA programmes reached women and
young people in 155 countries, territories
and other areas in 2018 through a
network of 136 country offices, six
regional and two subregional offices and
liaison offices in Addis Ababa, Brussels,
Copenhagen, Geneva, London, Tokyo,
Seoul and Washington, D.C. These
offices combined had a total of 2,784
regular staff in 2018.
© UNFPA/Maxence Bradley
Ensuring rights and choices for all since 1969
United Nations Population Fund
605 Third Avenue
New York, NY 10158
1-212-297-5000
www.unfpa.org
@unfpa
© UNFPA 2019
ISBN: 978-0-89714-043-0
E/1500/2019