2010 AnnuAl RepoRt

2010 AnnuAl RepoRt

Dear Friend, these days it feels like everyonefrom business leaders to philanthropists to politiciansseems to be chasing the Big Idea. looking for technologies, business models, books, institutions or simply deeds that are disruptive has become the mantra of those who want to change the world. the reality, however, is more modest than that. eureka moments happen here and there, but unfortunately they often evaporate without leaving a trace just as suddenly as they emerged. You might watch a great teD talk, or read the latest motivational best-seller, and have a-ha after a-ha as you listen or read . . . but then life gets in the way, and you never recapture the space and time to make something of that a-ha. Thats where PAI comes in. pAI exists because providing women with the family planning they want can save hundreds of thousands of lives, prevent unintended pregnancies and reduce unsafe abortion. But existing is a far cry from changing the game. And thats what pAI strives to do fundamentally alter the reality for women and their families, here and abroad, so that they can live the lives they desire. How do we do this? It helps that we have been at it for almost half a century. pAI has learned a thing or two about how this is done and has gained the support of many individuals and institutions whose help is indispensable.

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But, more concretely, it boils down to opportunity, connections and partnerships. As seasoned and savvy advocates, pAI is always ready for the political tide to turn, whether in our favor or not. We seize whatever opportunity is handed, and maximize both funding and policy outcomes for women and their families. everywhere. our staff of respected researchers ensures that connections between research and policy change are robust, timely and relevant. pAI makes sure that the network which exists between people and organizations is shared as widely as possible. We are a Washington D.C. based organization that knows how to operate in this political environment. But we are also global and thus we know how to connect like-minded leaders and organizations in Addis with those in lima, for example. When this works, magic happens and we smile as we see the results: the joint efforts of people who should have worked together and learned from one another but didnt, until pAI came along. pAI believes that family planning and reproductive health are indispensable tools in the development armory. We are glad that so many others agree. In a recent speech, Melinda Gates quotes a Kenyan woman from Korogocho who says, I want to bring every good thing to one child before I have another. A-ha! Join us in helping this mother, and all women, bring every good thing to their families. this may be the biggest idea for millions. everywhere.

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Moiss nam Chair, Board of Directors

Suzanne ehlers President & CEO

BIrTh/InfAncy
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BIrTh/InfAncy
twice each week, Ayneshet Gubena, pictured at left, walks two hours to a rural ethiopian village to her job as a community health worker, teaching women about family planning. long a poor country with weak healthcare and distribution systems, few government health centers, and private clinics that served mostly urban areas, ethiopia is experiencing transformative change. Women who in the past knew little about family planning are beginning to enjoy better access to reproductive health services. Access to family planning is critical to breaking the cycle of poverty that has hindered this country for generations. Frequent pregnancies take a toll on women, says Ayneshet. They lose a lot of blood during birth, she says. They become weak when they have children one on top of the other. There is even death. But women in the village where she works are lucky to have access to reproductive care and resources related to family planning.

Im extremely happy when I see a womans life improve, Ayneshet says. Its great to see them in a better place in their life. Its great to see them holding a healthy baby. Ayneshet

pAI has been documenting these stories about the prospects of women and their children in developing countries. We draw attention to their plight, analyze why vital supplies arent reaching those in need, and advocate for greater access to family planning and maternal health supplies.

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SPreAdIng The Word ABouT MATernAl heAlTh ISSueS

In August 2010, pAI conducted a media tour in ethiopia, bringing journalists from Ms. Magazine, MtV, The Lancet, and Grist to see first-hand the difference that family planning and maternal health funding can make. pAI wanted to connect these journalists with stories on the ground so they can help readers better understand the implications of u.S. foreign assistance and other donor investments. Media Study Tour highlights: n Article in the Lancet, ethiopia struggles to make its voice heard, published Sept. 19 n Article on BlackAIDS.org (the Black AIDS Institute) ethiopian AIDS orphans Fight Stigma with Self-Sufficiency, published Sept. 6 n Article in Ms. Magazine, Heart and Soul, published Feb. 2011 n Article on Grist.org, on the Ground in ethiopia: the population Challenge up Close and personal, published nov. 17 ethiopia isnt the only country grappling with these challenges. Having a child in many developing countries can be dangerous, because a lack of financing and poor infrastructure prevent women from getting basic supplies for a healthy pregnancy and safe delivery. Bangladesh and uganda are two with the highest maternal mortality rates. to document these roadblocks, pAI tracked supplies for treating or preventing three of the most common causes of maternal death in Africa and Asia: eclampsia, post-partum hemorrhaging and unsafe abortion. the resulting reports, Maternal Health Supplies in Uganda and Bangladesh, show how policies, funding, and other challenges combine to cut off such critical services for many women in these countries. the reports were produced in partnership with the Maternal Health task Force (MHtF) and the partnership for Maternal, newborn and Child Health. pAI presented these case studies at the Global Maternal Health Conference in new Delhi, attended by 500 maternal health experts from around the world. We also presented at a conference at the Woodrow Wilson International Center for Scholars
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as part of the Advancing policy Dialogue on Maternal Health series. partly as a result of our participation in the Wilson Center program, pAI proposed and received an MHtF grant to collaboratively develop a set of recommendations for improving access to these supplies. Investing in women was also the theme of the Women Deliver conference in June 2010. Attendees included non-governmental organizations and policymakers from 140 countries, including u.n. Secretary General Ban Ki-moon, u.S. Secretary of State Hillary Clinton, and media personalities such as New York Times columnist nicholas Kristof. pAI moderated and participated in sessions on women, population, and climate, and on tracking family planning expenditures. With the White Ribbon Alliance, pAI organized three panels on family planning and maternal health advocacy: Global Accountability for Maternal Health; Achieving the united nations Millennium Development Goal for Improving Maternal Health by 2015; and the Importance of the Global Health Initiative (GHI). the GHI is a $63 billion project to integrate programs for HIV/AIDS, malaria, tuberculosis, maternal and child health and family planning/reproductive u.S. Secretary of health, using a women and girl-centered strategy. State hillary clinton stressed the importance of family planning in a nevertheless, we are fighting an uphill battle on funding to improve speech at Johns Hopkins university: Saving maternal health and to help infants get a good start in life. In Canada, the lives of women and children requires for example, legislators excluded family planning from a maternal a range of care, from improving nutrition to health initiative that could have saved the lives of hundreds of training birth attendants who can help women thousands of young mothers in developing countries. As pAI give birth safely. It also requires increased president Suzanne ehlers wrote in her Huffington Post blog Whoa access to family planning. Family planning Canada: Foreign Minister lawrence Cannon claimed that access to represents one of the most cost-effective contraception is irrelevant to his goal of saving mothers and infants. public health interventions available After a quick public backlash, he edited his talking points, but still in the world today. refused to acknowledge that family planning saves lives.
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chIld
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chIld
Radhika poudels father died before she was born. By the age of two, she was an orphan, and by age nine, she was someones wife. When her parents died, her aunt and uncle took her in, but they barely made enough to take care of their own family. She didnt have enough to eat or wear, and in the winter all she had for a blanket was a thin shawl. Maybe they thought it would be easier to get rid of me by having me marry someone, she says. like any girl at age nine, Radhika was completely unprepared for marriage. I was scared at the beginning, she adds. I was still a child then. Had my parents been alive, I would not have got married at such a tender age. Radhika eventually gave birth to four children in total. Despite the hardships of life in the small nepali farming village where they live, she works hard so that all of her children, including her daughter pictured at left, can attend school.

I suffered a lot in my childhood, she says. I dont want to let my children pass through any such trouble. Ill do as much as I can. Radhika

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The TrAgedy of chIld MArrIAge

pAI documented Radhikas story in late 2010. As disturbing as her story is, it could have been even more tragic. Young girls who are forced to marry are more likely to be victims of domestic violence and to contract HIV/AIDS. In some parts of the world, child marriage is alarmingly widespread. Around one-third of girls in the developing world, excluding China, are married before age 18; in a few countries, almost 30 percent of girls under 15 are also married. Despite those startling numbers, the House of Representatives voted last year to block a bill aimed at helping to prevent child marriage worldwide, which might have saved many young girls from a life of poverty, illness, and possibly death. the oppositions rationale? Implementation would have been too costly and some House members alleged that the bill supported abortion. neither argument is true. Regardless, the defeat of the child marriage bill stands out as one example of how politically divisive the issue of reproductive health has become. Some policymakers were willing to forgo saving children from early marriage in order to deny funding to pro-choice organizations.

oPPorTunITIeS And chAllengeS In congreSS And The WhITe houSe

pAI continues its commitment to help Members of Congress understand the demand for family planning and reproductive health services in developing countries. In February, pAI partnered with pathfinder International to host a trip to ethiopia for staff members representing three key senators; two of whom serve on the Appropriations Committee and one on the Foreign Relations Committee. the group visited youth centers, urban maternity hospitals, health centers, integrated population-environment projects, and rural health posts, and met with national and regional officials.

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A positive sign on the policy landscape in 2010 was president obamas previously mentioned Global Health Initiative. pAI is working to ensure that integrated family planning, reproductive health, child health, and HIV/ AIDS prevention remain central to this initiative. unfortunately, the 2010 november elections took a toll on u.S. congressional support for international family planning and made our job harder. Many members of Congress who supported family planning lost their seats. Research shows, however, that opposition on Capitol Hill is not grounded in public opinion. A pAI poll conducted on election night found that the majority of respondents across all political stripes continue to support family planning issues. Fifty-seven percent of respondents to our poll supported president obamas decision to repeal the Global Gag Rule, including 61 percent of independents. the public remains opposed to the Gag Rule, a policy that prevents foreign organizations receiving u.S. family planning assistance from using their own non-u.S. funds to provide information, referrals, or services for legal abortion or to advocate for it. In multiple other polls over the past 15 years, 70 to 80 percent of Americans have consistently supported family planning. Despite renewed congressional resistance, pAI continues to advocate for international family planning and reproductive health programs to receive greater financial and institutional support. pAI will continue to press for $1 billion in annual u.S. funding to help fulfill the promise of the International Conference on population and Development and the Millennium Development Goals.

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young WoMAn
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AdoleScenT/young WoMAn
In uganda, where Moses Mpali-taire lives, it has long been considered inappropriate to talk about sex. Without basic information about contraception, HIV/AIDS, and other reproductive health issues, adolescents risk making choices that can adversely affect them and their sexual partners for the rest of their lives. Yet over the past year, thanks in part to pAIs support, Moses and other members of the teenage education Health Centre uganda have been fighting that taboo. Members train other young people to lead sexual and reproductive health organizations in their communities. they disseminate accurate information and ensure access to family planning, reproductive health care, and reproductive rights. What is phenomenal about this project is that young people are now prepared to be the champions of their sexual and reproductive health needs, Moses Moses is among the many beneficiaries of pAIs Young peoples Initiative around the world. the participants cover a range of issues including sexual and reproductive health, youth advocacy, climate change, environmental issues and HIV/AIDS.

pAI forms partnerships and provides funding to developing country organizations around the worldincluding youth-led groupsto help build capacity as advocates for family planning and reproductive health and rights. As part of our unique role as a partner and a donor, pAI provides support for work on a number of cross-cutting initiatives: n local and Regional Advocacy efforts n Youth-led Research and Advocacy programs n Climate Change Resilience and Adaptation n preventing the Spread of HIV/AIDS - the Integration partnership
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IMProvIng reProducTIve heAlTh And PrevenTIng hIv By InTegrATIng ProgrAMS

An important goal for pAI in 2010 was to integrate reproductive health and family planning programs with HIV/AIDS programs. In February, the International planned parenthood Federations South Asia Regional office (IppF-SARo) invited pAI to Bangkok to hold a workshop on integrating programs on sexual and reproductive health with projects funded by the Global Fund to Fight AIDS, tuberculosis, and Malaria. pAI showed participants from eight countries how increasing access to reproductive health information and services can help prevent the spread of HIV/AIDS, including mother-to-child transmission. As a result of the workshop, participants put together plans to integrate programs in their own countries. IppF-SARo subsequently adapted pAIs project model to secure 3 million euros from the european Commission for use over three years. this is one example of how a single pAI effort can spread a life-saving program to multiple countries and attract new funding. In Africa, pAI launched the Integration partnership, a two-year initiative funded by the Bill & Melinda Gates Foundation. the partnership aims to bring greater attention and resources to the integration of reproductive health and HIV/AIDS in ethiopia, Kenya, nigeria, tanzania, and Zambia. In July, pAI had a strong presence at the International AIDS Conference (IAC) in Vienna, Austria. At the conference, which serves as the premier meeting ground for those involved in the HIV/AIDS field, pAI staff organized a panel on the GHI that explored the need to integrate sexual and reproductive health and HIV/AIDS programs. pAI also hosted a session entitled, What Works for Women and Girls, A Guide on HIV/AIDS prevention, policy, and treatment options.
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deMogrAPhy And develoPMenT: young PeoPle ShAPe The fuTure

In the Middle east and north Africa, large populations of young people are responding to repressive governments and lack of economic opportunity by standing up for their rights and their future. pAI pioneered an analysis of this phenomenon with our publications The Security Demographic and The Shape of Things to Come. In 2010, pAI followed up this work by releasing an expanded series of in-depth case studies of demographic trends and development in Haiti, uganda, and Yemen. Despite their different settings, each of these countries has the youngest age structure in its region. pAIs reports illustrate the challenges of security, governance, and individual welfare in these nations, as well as the opportunities that lie ahead if governments and their partners implement comprehensive and forward-looking policies to shape demographic trends. to bring this critical understanding to key decisionmakers, pAI staff spoke about the impact of demographic change on global security at a member and staff briefing for the House Government Reform and oversight Subcommittee on national Security and Foreign Affairs. highlighting demography in the Media Commenting on the extraordinary events happening in the Middle east and Africa in the Huffington post, a pAI staff member noted: In explaining the uprisings in the Middle East this past month, commentators have discussed demography almost as much as democracy. And though most focused on the number of young people in the streets from Cairo to Tunis, youth are only part of the story . . . Political demography helps us understand not only a countrys vulnerability to conflict, but its potential for democratic change. pAI staff were also quoted in an npR article entitled, In Arab Conflicts, the Young Are the Restless: If youre a young person coming of age in a country with a large youthful population, your prospects often are not very good.
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KeePIng A focuS on lATIn AMerIcA

In response to the u.S. governments plan to phase out family planning funding in much of latin America and the Caribbean by 2012, pAI joined other advocates and experts in May on a fact-finding trip. the group visited peru, a country that faces particularly high rates of teen pregnancy, poverty, and inequality. the trip helped inform pAIs efforts to convene stakeholders about the state of reproductive health in latin America and explore opportunities to increase pAIs engagement in the region. the following month, pAI and Carolina Barco, Colombian Ambassador to the u.S., co-hosted the event the State of Reproductive Health in latin America at the Colombian Ambassadors Residence in Washington, DC. Attendees included individuals from philanthropy, civil society, think tanks, and the u.S. government, as well as Christiana Figueres, then newly appointed executive Secretary of the united nations Framework Convention on Climate Change (unFCCC). the event featured a rich discussion on the importance of empowering women in poor communities of latin America and the Caribbean. As a result of this discussion, pAI created an informal network for champions of reproductive health in the region and began a project to document family planning stories in peru and throughout the region.

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ProMoTIng young PeoPleS AdvocAcy

During 2010, pAI made headway in our efforts to promote advocacy among young people. We awarded three small grants to youthled advocacy campaigns in east Africa and pushed to make youth voices heard by participating in the Youth Health and Rights Coalition, co-chaired by pathfinder International and Advocates for Youth, and by engaging in other educational and networking opportunities. pAI participated in three university presentations at the university of Virginia, the university of texas, and Southwestern university, in texas, to engage student activists in pAIs core issues. pAI also published a policy and Issue Brief titled, Why Family planning and Reproductive Health Are Critical to the Well-Being of Youth and developed a youthoriented film screening guide for young activists.

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MATure WoMAn
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MATure WoMAn
Amarach Dirillo, pictured at left, is in her early 40s, and has nine children. In her community in ethiopia, a large family is a source of pride, but Amarachs difficult pregnancies have left her with persistent health problems. She worries about what another pregnancy would do to her body and how she would manage to raise yet another child. the familys finances are also stretched thin: The farm is not big enough to support so many children, she says. She wonders what another child would do to their well-being, and whether they would have enough to keep everyone fed and healthy. So, with the support of her husband, Amarach has decided to find out about family planning to prevent another pregnancy. She walks from her community to the nearest health clinic, where a doctor describes her options. Amarach decides to try Depoprovera, an injectable contraceptive that lasts for three months. She winces at the injection, but a few moments later, a smile creeps onto her face. If all goes well, Amarach will come back again for a longer-lasting method, such as an implant.

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TellIng The STory of AcceSS To reProducTIve heAlTh

thanks to the efforts of pAI, many women like Amarach are able to limit the number of children they have so none will go hungry. But sadly, many more women in developing countries dont have those resources215 million women around the world need contraceptives, and hundreds of thousands will die of pregnancy-related causes. pAIs documentary Empty-Handed, released in 2010, tells the story of women in sub-Saharan Africa who werent as fortunate as Amarach. they each went to their local clinic to get contraceptives or condoms but were told there were none. the film documents the challenges at each level of the reproductive health supply chain and identifies key areas of improvement. Empty-Handed won the population Institutes 2010 Global Media Award for Best Short Film. pAI screened the film at the Global Maternal Health Conference in new Delhi, at the Annual Meeting of the Reproductive Health Supplies Coalition in Kampala, uganda, and to groups of editors, reporters, advocates, and health workers in Zambia. Viewers left with copies of the DVD and with plans to show it in their communities.

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fIghTIng for fAMIly PlAnnIng AT The unITed nATIonS

pAI played a key role at the un Commission on population and Development, with pAI president Suzanne ehlers serving as a member of the u.S. Government Delegation. pAI strengthened coordination between the u.S. negotiating team and international sexual and reproductive health and rights groups. In addition to its delegation work, pAI hosted a side session on Financing Reproductive Health and launched a new report on cost estimates for international reproductive health, which will benefit both advocates and policymakers. After a week of tough negotiations, a final resolution was adopted, though references to sexual and reproductive health and rights were weaker than in 2009.

A neW record for u.S. SuPPorT of fAMIly PlAnnIng

u.S. funding for international family planning was a bright spot in 2010. the u.S. enacted the largest appropriations increase ever for family planning and reproductive health programs$648.5 million, an increase of more than $103 million and 19 percent over FY 2009. thanks in large part to pAIs advocacy efforts, language was included in the bill stating that a portion of these funds would be targeted in areas where population growth threatens biodiversity or endangered species. to date, this provision has yielded over $26 million in funding for uSAID integrated population, health and environment programs. pAI was also one of 34 organizations, primarily environmental and conservation groups, that sent recommendations to Capitol Hill outlining specific budget proposals in a document entitled Green Budget 2011: national Funding priorities for the environment. the recommendations included providing $1 billion for international family planning and reproductive health programs, as well as including language that connects integrated population, health, and environment programs with climate change.
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grAndMoTher
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grAndMoTher
Sarada Chaudhary, pictured at left, is worried about the future of her children and potential grandchildren. Her life in nepal has been difficult, but she fears that changes in the climate will bring even greater hardship. In an area where families depend on agriculture for their livelihood, rainfall patterns have been unpredictable, temperatures are rising, and crops are failing. Sarada estimates only one quarter of the people in her community have enough to eat. If the same situation continues on, I think the place will be a desert by the next fifty years, she says. Sarada has reason to be concerned about the mounting stress on natural resources from a growing population and the domino effect of climate change. Droughts, floods, and catastrophic weather drive people in some of the poorest parts of the world to migrate to safer places. this causes more health issues, political instability, and an even greater strain on natural resources. pAI spent much of 2010 working to help people understand how family planning, the environment, and climate change are all intertwined. I am worried about the future generation. When we are experiencing so much change now, what is going to happen to the future generation? Sarada

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connecTIng clIMATe chAnge And fAMIly PlAnnIng

In April 2010, pAI Board of Directors member Dr.thomas lovejoy accompanied staff members to Minneapolis to take that message to an event called Women at the Center: Climate Change, Food Security and Global Health. the event gave pAI and our partners at the Institute for Agriculture and trade policy the opportunity to bring the issue in front of a diverse audience of policymakers, philanthropists, and community leaders to support our cause and join in our advocacy efforts. to further our goal of broadening the ranks of advocates for our cause, we created new material in 2010 to explain our issues in easily digestible formats. For example, pAI joined with the population Justice project to publish a policy and Issue Brief titled population and the environment: Where Were Headed and What We Can Do. one of the most popular publications on our website, this new advocacy guide explains, Many environmental problems will be easier to address if world population peaks at 8 billion rather than 11 billion. the guide offers simple, cost-effective ways to address population issues while improving health. In July, pAI published a policy and Issue Brief titled Climate Change, Migration and population Growth, explaining how climate change and family planning are related and demonstrating how effects of climate change are threatening communities in many parts of the world. Responding to the demand for family planning, especially in areas that are highly vulnerable to climate change impacts like droughts and floods, can slow population growth and reduce migration pressures. to further illustrate how the issues of population and climate change dovetail, pAI updated our interactive mapping website, which uSAID has listed as a top resource on climate change. the map overlays projected demographic trends with reproductive health needs and environmental issues like water availability, agricultural production, and resilience to climate change.
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the site, entitled Mapping population and Climate Change, has been covered in the media, and has been very useful to pAIs advocacy partners in explaining why family planning should be part of any discussion on the future of the earths climate. the updated mapping site debuted in Cancun, Mexico, where 15,000 climate advocates, planners, and decision makers met at the 16th Conference of the parties to the un Framework Convention on Climate Change. pAI raised the profile of population, gender, and family planning in relation to climate change and established and strengthened relationships with new and existing allies. Climate change was also on the agenda at the Seventh African Development Forum in Addis Ababa, ethiopia. pAI presented our work on population and adaptation and participated in a pre-forum panel on climate change, population, health, gender, and youth. the announcement that the executive Secretary of the united nations Framework Convention on Climate Change would be stepping down brought opportunity as well as concern among advocates for women. pAI president Suzanne ehlers convened partners from ethiopia, Kenya, and Malaysia to make a case for a candidate with a strong background in gender issues. together, they co-wrote a blog on Grist entitled, the new u.n. Climate Chief Should Have a Strong understanding of Womens Issues. the blog argued that the new leader should possess not only political leadership, experience with negotiations, commitment to civil society, and a thorough understanding of the challenges of development in the Global South, but also a track record demonstrating a nuanced understanding of the gendered aspects of climate change challenges and solutions. Just weeks later, Secretary General Ban Ki-Moon appointed Christina Figueres, a proven leader with a long history of championing the needs of developing countries in climate change negotiations since her involvement in the 1995 Kyoto protocol.
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hoPe for The fuTure

hoPe for The fuTure: WoMen ShAre TheIr WISheS for A BeTTer lIfe
overall, research in 2010 shows the movement for better maternal health made progress. Maternal deaths have dropped by more than 35 percent worldwide since 1990thanks to improvements such as access to family planning, more skilled birth attendants, and girls education. Despite these tremendous achievements, the Millennium Development Goals targets for a 75 percent reduction in maternal mortality from 1990 to 2015 and achievement of universal access to reproductive health care remain the furthest off-track. A hostile political environment in the u.S. and recent calls to reduce foreign aid only present additional hurdles. With all that pAI has achieved in 2010, we have a long way to go to reach our own goals as well as the Millennium Development Goals. We hope to continue growing the ranks of our advocates, supporters, and partners and to forge ahead to 2015 and beyond. These are of some of the women who inspire us to keep going: Sixteen-year-old Martha eshetu is a peer educator who teaches other young people about family planning, contraceptives and sexually transmitted infections. Most teens she knows are already sexually active. She knows the risks can be highpregnancy is the number one cause of death for girls 15 to 19 worldwide and more than 7,400 people are infected with HIV each day. I want to tell my friends how HIV can be prevented, she says, and I want them to know about unwanted pregnancy and how to prevent it. I want my country to be free of HIV and women to be at a higher level. Martha

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Aregash Ayele is 32 years old and lives with her six children in a small farming community. Because of changing rainfall patterns, crop yields are suffering, so the family doesnt have enough food for everybody. And Aregashs husband has to work hours away from home, so she is left to manage the house, look after the children, and farm the existing land on her own. A womans life is hard, and climate change makes it harder, she says. I tell the mothers to use family planning and space their childrenso they can get out of poverty. Aregash As the chairwoman of a womens association, Ayelech Gossa has seen the dramatic difference family planning can make in the life of a woman and her family. A mother of three herself, she is proud that she spaced her own children and is now able to send her oldest to college. When a woman spaces her children, the child nurses well and grows up healthy, she says. The child might have a chance to go to school. The mother also recovers well. When the body recovers well, her life improves. Ayalech Faridah nalubega is 26 years old, and already she has six children. She struggles to care for them with the money from her small fried fish business, constantly worrying whether it will be enough. Faridah wanted fewer children, but each time she goes to the nearest clinic to get a contraceptive injection, theyre out of stock. Health workers offer her pills, but her husband wont let her take them. I felt so bad because they couldnt provide what I wanted, she says. And because I was provided a method I didnt want, I ended up being pregnant. I didnt want another baby. Faridah So her family grows. She needs our help.
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PAIS STAff And BoArd

BoArd of dIrecTorS

Suzanne ehlers President & CEO

nafis Sadik, M.D. S. Bruce Smart, MCe

eMerITuS MeMBerS

Moiss nam, ph.D. Chair the Honorable Harriet C. Babbitt Vice-Chair Dr. pouru Bhiwandi Treasurer Victoria p. Sant Secretary Jacqueline C. Morby Former Chair

pamela Bevier, ph.D, MpH the Honorable John H. Gibbons the Honorable Amory Houghton, Jr. Michael Keating thomas e. lovejoy, ph.D. elizabeth lule, ph.D. Major General William l. nash (uSA, Ret.)

the Honorable Robin Chandler Duke the Honorable William H. Draper, III phyllis tilson piotrow, ph.D. Dr. Fred t. Sai

The Amy Coen Fellowship for International Leadership was established to cultivate and mentor the next generation of leaders in family planning and reproductive health. the program will capitalize on the energy and fresh perspectives of young professionals from around the world with particular emphasis on emerging global issues. the fund, which was founded by pAIs Board of Directors and is supported through donations from individuals, both honors and celebrates the life of Amy Coen. Amys deep conviction to improve the lives of women and families in the developing world combined with her steadfast support of young people make an international fellowship in her name a fitting tribute. to learn more about the Fellowship or make a contribution, please call (202) 557-3400 or visit: www.populationaction.org/fellowship

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SenIor STAff

STAff

Suzanne ehlers President & CEO Roger-Mark De Souza Vice President for Research elisha Dunn-Georgiou Vice President for Advocacy Michele J. Duryea Vice President for Development Michael Khoo Vice President for Communications Rachael Murray Rakestraw Vice President for Finance/ Administration Carolyn Vogel Chief Operating Officer

Shelly Amieva Yonas Asfaw Mark Bryan Suzanna Dennis Allison Doody Melissa eddy Roberto Hinojosa Caitlin Horrigan nicole Hutton erika larson Malissa lash Craig lasher elizabeth leahy Madsen

Cassie Mann Jennifer Ashley Mellen Kathleen Mogelgaard Clive Mutunga Foluke ojelabi Mary panke Hugh pitcher Sarah Reidy Gina Rumbolo Dilly Severin phyllis Smith Wendy turnbull Danielle Zielinski
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STATeMenT of AcTIvITIeS for The yeAr ended deceMBer 31, 2010

unreSTrIcTed SuPPorT And revenue

TeMPorArIly reSTrIcTed

PerMAnenTly reSTrIcTed

2010 ToTAl

Grants and contributions Investment income other net assets released from restrictions Total support and revenue
exPenSeS

$3,025,055 145,750 20,822 2,092,519 5,284,146

$905,000 (2,092,519) (1,187,519)

$3,930,055 145,750 20,822 4,096,627

program services Resource development General and administrative Total expenses change in net assets
neT ASSeTS

4,107,052 469,103 448,101 5,024,256 259,890 2,204,652 $2,464,542

0 (1,187,519) 1,542,017 $354,498

0 156,668 $156,668

4,107,052 469,103 448,101 5,024,256 (927,629) 3,903,337 $2,975,708

Beginning ending

Program Services Resource Development General Administrative

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STATeMenT of fInAncIAl PoSITIon AS of deceMBer 31, 2010 (WITh coMPArATIve ToTAlS for 2009)

2010 ASSeTS

2009

Cash Real estate security deposit pledges & other receivables prepaid expenses Total current assets Total investments net fixed assets Total assets
lIABIlITIeS & neT ASSeTS

$3,278,713 27,273 267,530 34,336 3,607,852 2,203,932 110,568 $5,922,352

$936,082 27,273 1,438,586 42,118 2,444,059 2,613,944 159,879 $5,217,882

Accounts & payroll taxes payable Accrued vacation & salary expense Deferred rent Refundable advance Capital lease obligations Total current liabilities Total net assets Total liabilities & net assets

$83,490 51,574 168,106 2,581,411 62,063 2,946,644 2,975,708 $5,922,352

$89,405 56,653 65,936 1,057,321 45,230 1,314,545 3,903,337 $5,217,882

to review the complete population Action International financial statement, please send your request via e-mail to: Info@popact.org.

population Action International is a 501 (c)(3) not-for-profit organization working to improve individual well-being and preserve global resources by mobilizing political and financial support for population, family planning and reproductive health policies and programs. Independent auditors: McGladrey and pullen, llp I 31

donor SPoTlIghT: vIcKI And roger SAnT on Why They InveST In PAI
For over three decades, PAI has benefited from the support of Vicki and Roger Sant. First as the volunteer leading many of the organizations development efforts, and later as a board member and a donor, Vicki in particular has furthered PAIs mission. Vickis continued engagement is a testament to the important role she feels PAI plays in improving the lives of the worlds most vulnerable people and protecting our global environment. Here, Vicki reflects on her experience with PAI. Global population issues first came to my attention in the mid 1970s when, as a young mother, I was moved by both the personal and environmental dimensions of family planning and reproductive health. even couched in terms of demographics and fertility rates, global population concerns always struck me as incredibly human, with an enormous potential for improving peoples quality of life. Since 1975, pAI has provided me with the opportunity to connect my concern about women, population and the environment to meaningful action. originally led by luminaries such as Bob Wallace, Bill Draper III, Robin Chandler Duke and norman Borlaug, pAIs expertise and political agility remain distinguishable traits today. An early investor in building civil society capacity abroad, pAI still excels as an advocate, innovator and purveyor of partnerships with wonderful collaborators throughout the world. pAI continues to lead Study tours such as those I led to South America, China and thailand in 1977-78 as a pAI volunteer. participants see first-hand how giving women the ability to determine their own reproductive destinies means healthier and happier families, less poverty, more security and better environmental outcomes. For Members of Congress in particular, seeing the impact that u.S. foreign assistance has on the lives of people a world away makes all the difference in securing their support.
I 32

During my time with pAI, the world has grown increasingly interconnected and complex. only three cities globally topped 10 million people in 1975. today, there are 21 megacities and most are in developing countries. As we look toward 7 billion people, it is important to ask how we can best ensure a good quality of life for everyone, while protecting the natural environment that sustains us all. pAI has a critical role in securing a vibrant and robust future. When Roger and I decide where to put our resources, we want to ensure that our investment leads to systemic change and is highly leveraged. We want to invest in people and organizations that set achievable goals in the context of addressing humanitys greatest challenges. the time, energy and investment made in pAI over the past three decades are among my most worthwhile. please join us in supporting this outstanding organization. people and the planet will be healthier as a result.

donor AcKnoWledgeMenTS
foundATIonS

Del Mar Global trust Judith Donath Family Foundation the Max and Victoria Dreyfus Foundation, Inc. ecotrust the Stanley eisenberg Charitable trust the Fledgling Fund Bill & Melinda Gates Foundation Gillespie Foundation the Glickenhaus Foundation the Richard & Rhoda Goldman Fund

Goodsearch Samuel & Grace Gorlitz Foundation Mary l. Griggs-Mary G. Burke Foundation Barbara Grodd, ostgrodd Foundation the William and Flora Hewlett Foundation Jacqueline Hoefer Fund the Richard R. Howe Foundation Important Gifts, Inc. the Innovation Fund of the Reproductive Health Supplies Coalition
I 33

the Bevier Fund Biodiversity and Sustainability Fund of the Fidelity Investments Charitable Gift Fund the Biophilia Foundation Ann l. Bronfman Foundation the Brush Foundation the John M. Bryan Family Fund the Community Foundation for the national Capital Region the Compton Foundation, Inc.

the F.M. Kirby Foundation C.B. laub Family Foundation the Arthur loeb Foundation the Milton and tamar Maltz Family Foundation Maternal Health task Force at engenderHealth the Morby Family Charitable Foundation the Morningstar Foundation the Stewart R. Mott Charitable trust open Society Institute the David and lucile packard Foundation partnership for Maternal, newborn and Child Health/WHo the Ravenal Foundation Amy and Ralph Risch Charitable Fund the Summit Charitable Foundation tisBest Charity Gift Cards united nations Development programme united nations Foundation Wallace Global Fund the Charles A. Weyerhaeuser Memorial Foundation Whitney Foundation Christopher Campbell Wurtele Fund of the Minneapolis Foundation
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BeQueSTS

erik e. and edith H. Bergstrom Sharla p. Boehm Mr. and Mrs. Barry p. Boothe Anthony Boxall Valerie Brackett Susan l. Bradford Monica Brand and Jordan engel Anita and Barney Brannen Drs. thomas Broker and louise Chow Matthew B. Brown Merilys p. Brown Richard and Irene Brown Mark and erin Bryan Seena and Jeffrey Bryan Fran Buckley Jason Burbank James and Kay Burde pamela Burns laura Callier phyllis and Max Carbon Carol e. Carpenter-Yaman Jack Cassidy and Janice Steinberg William Cassidy Roy and Carolyn Chapel Michael and Amy Chapman Allison Chase Jared R. Clark lindsay Coates Bernard Cohen

Gladys M. and Robert A. Crane trust

IndIvIduAl donorS

Richard and Casey Aboulafia Mr. Douglas Adkins Marcel p. Aillery lynn Allenspach Robert and Delores Anderson Colin Argys Joel Arnow leslie and Benjamin Arnow William Aycock Julian M. Babad Harriet C. Babbitt Margaret and Craig Babcock patrick and Cheri Baker Virginia Gibbons Barber Carolyn Barber-long A. Barnes and D. Suddaby Mrs. Raymond W. Barratt Molly Bartlett Sally J. Beck Bobbie Becker Mr. and Mrs. Joseph Behar Ms. Caroline Behringer Rick Bennett M.S. Bentley

Anonymous (7)

peter Collinge Barbara B. Crane philip Crawford noriah Din Daily and Mike Daily Robert Daubenspeck Mrs. Mary lee Dayton Reid and peggy Dennis Britt M. Dietrich Anne and Jerry Down leslie Doyle Melissa and tim Draper Michael Draper the Hon. and Mrs. William H. Draper, III the Hon. Robin Chandler Duke Matthew Dumm Bill Dun Michele J. Duryea Mr. Greg edblom Mr. and Mrs. William S. eddy Mrs. M. page edgerton Janice and Harry ehlers Suzanne ehlers Drs. paul and Anne ehrlich Ms. Riane eisler Bibi eng Bob engelman Ms. Sarah G. epstein Mr. and Mrs. David J. erikson William and eva ewing

Margot Fetz eric Fileti Silke Fleischer Robert B. Flint, Jr. Ken Forsberg and Robin Appleberry Jim Fraser Mr. and Mrs. Charles A. Fritz, III e. Marianne Gabel thomas Gaines Susan C. Garratt thomas and Brenda Geers the Hon. and Mrs. John H. Gibbons Mark M. Giese Anthony and laurel Gilbert Duff Gillespie Beth Gleghorn Sharon Goldwater Christina Goodfriend David Gottfredson Bill Grams lucy l. Grimes William A. Gum Kurt J. Guter Matthew Guyer peter C. Haley Mr. and Mrs. Richard Hardaway linn Duvall Harwell Anthony Hawkins Mr. and Mrs. Bernard Hawkins

Mrs. phillips Hawkins Alex G. Henderson Raymond l. Hepworth Charley Herman James Herndon linda Herreid William Hildreth Christopher and Deirdre Hockett patrick Holland Micki Horst Stephen and lynn Hoyle Carole Hughes Sofia Hussain Freeborn G. Jewett, Jr. lillian Jewett Rachael taylor Johansen Betty Wold Johnson Catherine H. Johnson Kellie Johnson Amy Jones Chapman Barbara and David Jones Mr. and Mrs. J. parry Jones Ralph Benton Jones Bonnie Jorgensen Seth Kalish Mark Kalmansohn Kevin Keating Jennifer Keller pamela and Charles Kenny Michael and Anastasia Khoo
I 35

Susan Kimmel and James Shaver Constantine Kipnis Joe Kirschling Mr. and Mrs. Bayard Klimasmith Kevin Koch Gerhard Koon In honor of Whitney and Randy Kopf Keith Kozloff David Kubik Jennifer lakin and Douglas Rabuzzi Mrs. Melvin lane Malissa and Matthew lash Craig lasher Mr. and Mrs. edwin F. leach eric H. loevinger and Flora Danisi terry long Marcena W. and norris love thomas lovejoy teri luckenbaugh Christopher lynch Mary Marsh terry A. Marsh Sally M. McCraven Ruth e. McHenry Wendy and Malcolm Mclean Kathy McMenamin Jennifer Ashley Mellen Margaret and Andrew Mellen
I 36

Stephanie Mendel lilliana Mendez-Soto tom Merrick and elaine Murphy Janene Michaelis thomas Miller Jeff Mohan Mr. and Mrs. Chester Moore Mr. and Mrs. Gordon e. Moore J. Mason Morfit Wendy Burden Morgan James Murphy Rachael Murray Rakestraw Major General William l. nash (uSA, Ret.) Mr. and Mrs. Irvin S. naylor Jamie nolan Mia and Marshall norton e. MacArthur noyes Henry odell Ron and Merikay oliveira in honor of elaine Smith Dunlap Camilla and David olson Amy paller and etahn Cohen Mary and Dennis panke Barbara parish and Gary Roberts neela patel Frances pava nicole H. perry and Andrew t.C. Stifler Josh A. peterson

paul Anthony petrella David phillips Sally and George pillsbury J. edson pinto phyllis tilson piotrow, ph.D. Karen G. pitts Zdenko pokorny Marjorie popper and John evarts Richard t. power luke puchner-Hardman linda Rauer erin Reaney elizabeth Rhyne the Rev. and Mrs. e. Albert Rich Mrs. Walter t. Ridder Mr. peter Riddleberger Kip Robbins nicholas Roberts George and tania Rodgers Miguel Roma Dr. and Mrs. Joseph J. Rossi, Jr. Mr. and Mrs. William Roth tim and Carol Rounds Dwight Rousu nava Rubin Richard Rush Don Rylander Dr. Fred t. Sai Christine Sakach

Vicki and Roger Sant Rick Schimmel erich Franz Schimps paul Scott Alan e. Sherman Mike Silver Steven W. Sinding Richard Sitts Mrs. Julie Skelton thomas Skelton Julia Slatcher Jeff Sliter Carla and edward Sloan Jill Smart S. Bruce Smart Brian and laurel Smith Mrs. Gordon Smith Heidi Smith, M.D. Mark Smith and Debbie Bannister paul and edith Sobel Harriet and Mitchell Sollod Constance Spahn Scott M. Spangler James Gustave Speth, esq. Gladys Springborn Sean and Joyce St. Clair Stephanie St. Clair Fred and Alice Stanback lois Stokes

Dr. Michael Strong Zack Subin Ms. Carolyn Szoke Ronald W. tabaika Halley e. tarr Mrs. Harry e. t. thayer Brian F. theiss Mr. and Mrs. Max thelen, Jr. Mark S. thompson liz tinkham Cyrus toll Robert and lenore tolonen Gwen tonino Jen tracy-Duplass Wendy turnbull nicholaas tydens S. Jean van der tak Justin Vincent Mariquita Vitzthum Carolyn Vogel and Steve Gibb Jane B. Volckhausen Walter and Willie Walden Alice Dodge Wallace Christy Walton Mr. and Mrs. Robert Waterman, Jr. Diana K. Weatherby Robert Wehle Kevin J. Whaley Rebecca Williams

Karen Wilson Mr. and Mrs. Jonathan and Barbara Windham Christine Wolak Jean-paul Wolinsky and Sarah M. Richards George p. Work Sandra Yarrington Mr. and Mrs. David n. Yerkes John and Diana Zentay Anonymous (89)
corPorATIonS

Bastress & Associates, llC Jones lang laSalle Microsoft patton Boggs, llC Anonymous (2)

I 37

population Action International I

1300 19th Street nW, Second Floor I

Washington, DC 20036

202-557-3400 I

www.populationaction.org

Population Action International advocates for women and families to have access to contraception in order to improve their health, reduce poverty and protect their environment. Our research and advocacy strengthens U.S. and international assistance for family planning. We work with local and national leaders in developing countries to improve their reproductive health care programs and policies. PAI shows how these programs are critical to global concerns, such as preventing HIV, combating the effects of environmental degradation security. and climate change, and strengthening national