ACHIEVING GLOBAL RESULTS ANNUAL REPORT 2010 1
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ACHIEVING GLOBAL RESULTS ANNUAL REPORT 2010 1
ANNUAL REPORT 2010 ACHIEVING GLOBAL RESULTS 1 LUSAKA, ZAMBIA Around the world, the Population Council responds to the challenges faced by people living in poverty and delivers solutions that work. In Zambia, where we recently expanded our activities, results from our research have shaped national policy and community-based responses to sexual and gender-based violence (front cover). And we are improving adolescent girls’ well-being by evaluating programs that provide them with safe spaces to learn and develop social networks and by encouraging our partners to expand successful approaches (this page). PARTNERS (Sexual and gender-based violence) Zambia Ministry of Health and Zambia Police Service. (Safe spaces) Campaign for Female Education (CAMFED), Equality Now, Forum for African Women Educationalists of Zambia (FAWEZA), Planned Parenthood Association of Zambia, Young Women’s Christian Association (YWCA) of Zambia. DONORS 2 (Sexual and gender-based violence) Swedish International Development Cooperation Agency (SIDA) and Regional Swedish-Norwegian HIV/AIDS Team for Africa. (Safe spaces) Subgrant from Equality Now funded by the United Nations Trust Fund to End Violence Against Women. THE POPULATION COUNCIL ACHIEVES GLOBAL RESULTS, GIVING VOICE AND VISIBILITY TO THE WORLD’S MOST VULNERABLE PEOPLE. WE INCREASE AWARENESS OF THE PROBLEMS THEY FACE AND OFFER SOLUTIONS SUSTAINED BY SOLID EVIDENCE. OUR COUNTRY-BASED APPROACH FOCUSES ON THE NEEDS AND PRIORITIES OF LOCAL POPULATIONS AND HAS GLOBAL IMPLICATIONS. PROJECTS IN ONE COUNTRY ARE OFTEN EXPANDED REGIONALLY OR ADAPTED TO MEET SIMILAR CHALLENGES IN DIFFERENT SETTINGS. WORK SINCE 1952 OFFICES IN 16 COUNTRIES PROGRAMS IN 49 COUNTRIES We work in developing countries, where governments and civil society organizations seek our help to understand and overcome obstacles to health and development that limit people’s potential. And we work in developed countries, where we use state-of-the-art biomedical science to develop new contraceptives and products to prevent the transmission of HIV. In this year’s annual report, we take you to some of the areas where we are making the biggest strides: Ethiopia, India, Kenya, and Guatemala and Mexico. We illustrate how our work in these countries has changed the way people think about critical health and development issues, leading to more effective policies, programs, and technologies that enable people to live healthier, more productive lives. WWW.POPCOUNCIL.ORG 1 PRESIDENT’S MESSAGE AMONG THE BEST THINGS ABOUT BEING PRESIDENT OF THE POPULATION COUNCIL IS VISITING OUR INTERNATIONAL OFFICES AND SEEING FIRSTHAND THE WORK THAT IS BEING DONE. Reviewing a project is always informative and often inspiring. I am constantly impressed by the energy, experience, commitment, and professional skills of my colleagues at the Council. With a staff of 88 and an annual budget exceeding $9 million, our office in Islamabad is our largest outside the United States, and is of special interest to me and to our board of trustees because of Pakistan’s fragile security situation. Several years ago when the Marriott Hotel was bombed, furniture crashed to the floor and windows shattered in the Council’s office, which is 500 yards from the hotel. On many of Islamabad’s larger streets, Jersey walls are set up in slalom-like fashion to slow traffic and make it easier for the police and the military to monitor travelers. The security concerns are 2 POPULATION COUNCIL ANNUAL REPORT 2010 also apparent at hotels and government offices, where visitors have to pass through metal detectors (albeit often lackadaisically managed) to enter. My colleagues seem unfazed by what I think are the serious risks they face. Many staff members have advanced degrees from foreign universities and international reputations that would allow them to find good professional employment outside of Pakistan. But they stay, committed to the work. When I visited her office, Zeba Sathar, the Council’s country director in Pakistan, told me, “Our work never stops because of any danger. We are willing to work in the most difficult of circumstances. That applies to the staff in all the country offices, whether it’s political turmoil we are facing or the heat of working on sensitive topics.” In Pakistan one of our most influential projects, the USAID-funded Family Advancement for Life and Health (FALAH), is based on research demonstrating that short birth intervals increase maternal and child morbidity and mortality. If women in Pakistan were better able to plan their families, the reduction in maternal and child mortality would be substantial. FALAH promotes birth spacing and family planning as a means to healthier mothers and children. Between 2007 and 2010, FALAH reached 7.4 million Pakistani men and women with information about family planning and reproductive health, trained more than 22,000 family planning and reproductive health service providers, and ensured that more than 11,500 service delivery locations provide family planning counseling and services. The project has been extremely effective and influential. Pakistan’s Ministry of Health has endorsed birth spacing for saving lives as a key health strategy. Substantial changes in the bureaucratic environment and in funding have occurred in Pakistan since the start of FALAH. The government dissolved the Ministry of Population and Family Welfare, which had been the national coordinating body for population and family planning activities. The devolution of responsibilities to provincial governments, characteristic of many developing countries, has led to new partnerships with provincial departments and more requests for the Council to help local authorities gain the skills needed to implement and evaluate programs. These changes in policy are the latest transitions that the Council has experienced in Pakistan. Our long-term perspective makes these changes easier to accept. We tackle problems that we know cannot be solved quickly, and we establish long-lasting partnerships to address difficult issues. We have worked with the government of Pakistan and with local NGOs since the 1960s, and we are committed to continuing our collaboration. In Pakistan and elsewhere, our goal is to educate ourselves, our scientific peers, the donor community, service providers, as well as local and international policymakers and program managers about consequential population, health, and development issues, and to use our technical expertise to assist local institutions in the smooth introduction of successful and sustainable programs that serve large populations. As you read this report, you will learn about our efforts to translate research results into policies and programs with wider coverage, better quality, and greater cost-effectiveness. You will learn about Ethiopia, where we are studying ways to empower married adolescent girls; India, where we are providing the evidence needed to save women’s lives by making safe abortion more accessible; Kenya, where we are examining ways to integrate alcohol abuse reduction into HIV counseling; Guatemala, where we are strengthening social institutions to serve vulnerable girls; and Mexico, where we are learning how to overcome barriers to safe childbirth. The work underway around the world is a remarkable testimony to the values shared by staff throughout the Council. The accountant in Cairo, the researcher at our Center for Biomedical Research, and the driver in Kenya share a common view that our work is important because the people we serve are important and because we are clearly having an enormous positive impact. FALAH and the other projects described in this report highlight the balance we seek between generating new knowledge and applying that knowledge to guide investments of scarce resources. Respecting local cultures and conditions, the Council delivers solutions that change the way people think about policies, programs, and technologies that improve lives. The Council has been able to deliver these solutions because we’ve had the independence to pursue new ideas. Generous contributors give us the flexibility to establish trends rather than follow them. Without their help, the successful outcomes described in this report could not have taken place. We are grateful for this support and encouragement. PETER J. DONALDSON PRESIDENT Population Council president Peter Donaldson meets with Council staff members in Islamabad. From left to right, Peter Donaldson, Seemin Ashfaq, and Arshad Mahmood. In 2010, the Council’s FALAH project introduced a “basic minimum family planning content” package to the faculties of community medicine, gynecology/obstetrics, and pharmacology of Chandka Medical College, Larkana and Quaid-e-Azam Medical College, Bahawalpur, and began rolling-out the curriculum to all public-sector medical institutions across Pakistan. WWW.POPCOUNCIL.ORG 3 ETHIOPIA THE POPULATION COUNCIL OPENS EYES. IN ETHIOPIA, POPULATION COUNCIL RESEARCH BROUGHT TO LIGHT VERY VULNERABLE GIRLS WHO WERE PREVIOUSLY OVERLOOKED BY PROGRAMS AND POLICIES. USING OUR EVIDENCE-BASED APPROACH, OUR PROGRAMS ADDRESS THEIR PARTICULAR NEEDS. THROUGH OUR EVALUATIONS, WE KNOW THE DIFFERENCE OUR WORK MAKES IN THE LIVES OF GIRLS. ANNABEL ERULKAR POPULATION COUNCIL COUNTRY DIRECTOR IN ETHIOPIA WORK SINCE 1993 OFFICE OPENED 2007 HIGHLIGHTS >> Generating data on young people that have been instrumental in reorienting the national adolescent reproductive health policy. >> Facilitating the introduction of new contraceptive technologies into the national family planning program. >> Developing and evaluating programs for child domestic workers, rural-to-urban migrants, and married adolescents, reaching more than 150,000 vulnerable girls. Assisting the Ethiopia Ministry of Youth and Sports in expanding these programs. 4 POPULATION COUNCIL ANNUAL REPORT 2010 RURAL AMHARA, ETHIOPIA HIV PREVENTION Empowering married adolescent girls to protect them from HIV Child marriage is common in rural Amhara, Ethiopia. Here, the Population Council assists local agencies in conducting Meserete Hiwot (Base of Life), a project in which married adolescent girls meet to learn about gender-based violence, HIV and AIDS, spousal communication, and financial literacy. This project is designed to support girls who are already married and help them foster better-informed, healthy, and gender-equitable family relationships. Partners Ethiopia Ministry of Women, Children, & Youth and Amhara Regional Bureau of Women, Children, & Youth Donor United States Agency for International Development/PEPFAR WWW.POPCOUNCIL.ORG 5 ADDIS ABABA, ETHIOPIA THIS IS AN INNOVATIVE UNDERTAKING BASED ON THE AGE-OLD TEACHINGS OF THE CHURCH. WE CANNOT OVEREMPHASIZE THE ROLE OF COMMUNITY, RELIGIOUS ORGANIZATIONS, AND LEADERS AS AGENTS OF CHANGE. BUNMI MAKINWA UNFPA AFRICA REGION DIRECTOR 6 POPULATION COUNCIL ANNUAL REPORT 2010 SEXUALITY EDUCATION Engaging religious institutions to improve public health The Population Council helped to create a “Developmental Bible,” incorporating information about HIV and AIDS, reproductive health, and gender equity into the daily teachings of the Ethiopian Orthodox Church. About half of Ethiopia’s population is Orthodox Christian. The Developmental Bible has the potential to encourage individuals and communities to abandon harmful practices and to adopt healthy lifestyles. This grassroots approach is bringing essential health messages to one of Ethiopia’s largest communities. Partner Ethiopian Orthodox Church Donor United Nations Population Fund WWW.POPCOUNCIL.ORG 7 RURAL AMHARA, ETHIOPIA I HATE EARLY MARRIAGE. I WAS MARRIED AT AN EARLY AGE. MY IN-LAWS FORCED ME TO SLEEP WITH MY HUSBAND, AND HE MADE ME SUFFER ALL NIGHT. THIS IS WHAT I HATE MOST. AMHARA GIRL AGE 11, MARRIED AT AGE 5, FIRST SEX AT AGE 9 8 POPULATION COUNCIL ANNUAL REPORT 2010 CHILD MARRIAGE Increasing the age at marriage in child marriage “hotspots” Child marriage violates girls’ human rights by excluding them from decisions regarding the timing of marriage and choice of spouse. In 2010, we began an investigation in Ethiopia, Kenya, Tanzania, and Uganda to determine the essential elements—such as mentors, community awareness-raising, and economic incentives—of effective, sustainable, and replicable approaches to increasing the age at marriage where child marriage is common. The Population Council is one of the few organizations in sub-Saharan Africa whose programs, in collaboration with local partners, have produced significant delays in marriage and increases in school enrollment among girls aged 10 to 14. Partners ETHIOPIA: Ethiopia Ministry of Women, Children, & Youth and Amhara Regional Bureau of Women, Children, & Youth; KENYA: Strengthening Community Partnership and Empowerment (SCOPE), Ministry of Gender, Children and Social Development, and Department of Gender and Social Development; TANZANIA: Kivulini and Ministry of Health and Social Welfare; UGANDA: The AIDS Support Organization (TASO) (U) Ltd. and Ministry of Gender, Labour, and Social Development Donor United States Agency for International Development WWW.POPCOUNCIL.ORG 9 INDIA THE POPULATION COUNCIL UNLOCKS SOLUTIONS. THE POPULATION COUNCIL’S MULTI-DISCIPLINARY STAFF MEMBERS GENERATE CREATIVE IDEAS, FIELD-TEST INNOVATIONS TO REACH THE POOREST AND MOST DEPRIVED, AND PROVIDE EVIDENCE FOR THE DESIGN OF POLICIES AND PROGRAMS. STRENGTHENING NATIONAL CAPACITY IS INTEGRAL TO OUR APPROACH. SAROJ PACHAURI POPULATION COUNCIL DISTINGUISHED SCHOLAR AND COUNTRY DIRECTOR IN INDIA WORK SINCE 1954 OFFICE OPENED 1994 HIGHLIGHTS >> Scaling up a system for quality assurance for reproductive health services at the district level. >> Empowering communities and health systems to prevent STI and HIV transmission among married men and women living in slums. Incidence of gonorrhea and multiple sexual partners both dropped significantly. >> Providing data used by the government of India to shape national planning for HIV programs for migrants and injecting drug users. 10 POPULATION COUNCIL ANNUAL REPORT 2010 RAJASTHAN, INDIA ADOLESCENCE/TRANSITIONS TO ADULTHOOD Understanding the lives of young Indians In 2010, the Population Council concluded a massive survey of more than 50,000 young people in India. The landmark study collected data on such diverse topics as time use, sexuality and childbearing, and civic engagement. The findings are “deeply informative and thought-provoking,” said Amartya Sen, the Nobel Prize–winning economist, and “can serve as the basis of a necessary understanding of the lives of young people in India.” Program planners and policymakers at the state level have begun to use this valuable information in designing their work. PARTNER International Institute for Population Sciences DONORS The John D. and Catherine T. MacArthur Foundation and The David & Lucile Packard Foundation WWW.POPCOUNCIL.ORG 11 MUMBAI, INDIA MY HUSBAND USED TO BEAT ME. WITH PARTICIPATION IN RHANI WIVES, I GAINED THE COURAGE TO TALK TO MY RELATIVES, AND THROUGH THEM I WAS ABLE TO STOP HIS VIOLENCE. WOMAN, 32 YEARS OLD, THREE CHILDREN 12 POPULATION COUNCIL ANNUAL REPORT 2010 HIV PREVENTION Raising HIV awareness among non-infected wives in India The Population Council is implementing and assessing RHANI Wives, an HIV-prevention project in Mumbai for at-risk married women—those who report that their husbands abuse alcohol or perpetrate partner violence. Early results show high program acceptability and ability to negotiate with husbands on safe behaviors. While some women reported feeling ashamed to discuss alcohol, sex, and marital violence in a group setting, they appreciated group support to reduce isolation and encourage self-assertion. PARTNERS Boston University School of Public Health, National Institute for Research in Reproductive Health, and Harvard School of Public Health DONORS National Institute of Mental Health, National Institutes of Health through Boston University School of Public Health WWW.POPCOUNCIL.ORG 13 RAJASTHAN, INDIA IN A COUNTRY WHERE NEARLY 10 PERCENT OF MATERNAL DEATHS OCCUR BECAUSE WOMEN CANNOT ACCESS SAFE ABORTION SERVICES, THESE PATHBREAKING STUDIES PROVIDE EVIDENCE THAT CAN HELP CHANGE THE LAW AND ENABLE POOR RURAL WOMEN TO ACCESS SAFE ABORTION SERVICES. SHIREEN JEJEEBHOY POPULATION COUNCIL SOCIAL SCIENTIST 14 POPULATION COUNCIL ANNUAL REPORT 2010 REDUCING UNSAFE ABORTION Assessing nurses’ ability to provide safe, early abortion In two carefully conducted trials in India, Population Council investigators found that nurses can perform early abortions as effectively and safely as newly trained physicians, and that clients reported overwhelmingly that they would return to a nurse if the need arose. This evidence supports advocacy to change laws to permit nurses to perform these procedures. Such a step could save lives by making safe, early abortion more accessible. PARTNERS Consortium for Safe Abortion in India, led by Ipas; Janani DONORS The David & Lucile Packard Foundation and the Swedish International Development Cooperation Agency WWW.POPCOUNCIL.ORG 15 KENYA THE POPULATION COUNCIL CHANGES MINDS. ALTHOUGH THE POPULATION COUNCIL IS NOT AN ADVOCACY ORGANIZATION, WE PRODUCE HIGH-QUALITY DATA THAT GOVERNMENTS AND SERVICE PROVIDERS CAN USE TO ADDRESS HARD PROBLEMS AND IMPROVE PEOPLE’S WELL-BEING. SAM KALIBALA POPULATION COUNCIL COUNTRY DIRECTOR IN KENYA WORK SINCE 1965 OFFICE OPENED 1988 HIGHLIGHTS >> Dispelling the myth that men who have sex with men do not exist in Kenya and helping the Kenya National AIDS Control Council to include such men in national HIV policy for the first time. >> Incorporating emergency contraception (EC) in public- and private-sector facilities in Kenya, training providers, and creating awareness about EC. Sales of EC in the private sector have more than tripled, and public-sector use has increased significantly. >> Supporting the Ministry of Health in preparing national guidelines for introducing and scaling up home-based maternal and postpartum care through networks of private and community midwives. 16 POPULATION COUNCIL ANNUAL REPORT 2010 NAIROBI, KENYA FINANCIAL LITERACY/LIVELIHOODS Financially empowering thousands of girls As of 2010, more than 3,000 girls from urban Kenya and Uganda participate in the Population Council’s Safe and Smart Savings programs, conducted in partnership with local financial institutions. The girls meet weekly in groups led by female mentors, receive health and financial education, and open formal savings accounts. “This idea of savings has come into my blood. I was not saving in the first place, but now I’m thinking about tomorrow,” reported one girls’ group member, age 18. Evaluations have shown that girls in the program have fewer gender biases, more savings, and increased knowledge of sexual and reproductive health topics. Expansion of the program will be facilitated by the extensive branch networks of the partner banks. PARTNERS MicroSave Consulting, Ltd., K-Rep Bank, Faulu Kenya Limited, FINCA-Uganda, and Finance Trust DONORS Nike Foundation and Financial Education Fund WWW.POPCOUNCIL.ORG 17 NAIROBI, KENYA IF IT WASN’T FOR THE VOUCHER, I WOULD NOT HAVE BEEN ABLE TO GET SERVICES IN THE HOSPITAL. I NEEDED AN EMERGENCY CESAREAN SECTION. I AM REALLY HAPPY AND SATISFIED THAT THE VOUCHER HELPED ME. I AM FINE AND THE BABY IS FINE. ROSE ATUMA 30-YEAR-OLD VOUCHER USER KOROGOCHO, NAIROBI, KENYA 18 POPULATION COUNCIL ANNUAL REPORT 2010 HEALTH CARE FINANCING Improving reproductive health service delivery In East Africa and South Asia, the Population Council is studying the impact of voucher programs, which are used by the poorest of the poor to obtain high-quality reproductive health care. Preliminary results from Bangladesh, Kenya, and Uganda indicate that the voucher programs are associated with significantly increased use of antenatal, delivery, and postpartum contraceptive services and a reduced likelihood of paying out-of-pocket, improving care and keeping money in the hands of desperately poor women. PARTNERS Kenya Ministry of Public Health and Sanitation, Uganda Ministry of Health, Marie Stopes International, German Development Bank (KfW), Cambodia Ministry of Health, Bangladesh Ministry of Health, World Health Organization, USAID, DfID, EPOS Consulting, Kenya National Hospital Insurance Fund, Tanzania National Health Insurance Fund, Center for Advanced Studies, Cambodia National Institute of Public Health DONOR Bill & Melinda Gates Foundation WWW.POPCOUNCIL.ORG 19 NAIROBI, KENYA THE PROGRAM IS VERY SUPPORTIVE TO CLIENTS. THEY WERE ABLE TO OPEN UP AND ACTIVELY PARTICIPATE. TWO CLIENTS HAVE CHANGED THEIR MARRIAGES FROM UNHAPPY TO HAPPY ONES. ADDICTION COUNSELOR RUMA, NYANZA, KENYA 20 POPULATION COUNCIL ANNUAL REPORT 2010 HIV PREVENTION: BEHAVIOR CHANGE Integrating alcohol abuse reduction into services for voluntary HIV counseling and testing Alcohol abuse can increase the risk for HIV infection. The Population Council evaluated a program to provide alcohol abuse counseling within the context of voluntary HIV counseling and testing services. We found that HIV counselors can effectively screen for alcohol abusers among their clients, help them reduce their intake of alcohol, and facilitate their participation in peer support groups. Partners Liverpool VCT, Care, and Treatment (LVCT) and Support for Addictions Prevention and Treatment in Africa (SAPTA) Donor United States Agency for International Development WWW.POPCOUNCIL.ORG 21 GUATEMALA AND MEXICO THE POPULATION COUNCIL BREAKS NEW GROUND. ABOVE ALL, THE POPULATION COUNCIL STANDS FOR LEADERSHIP AND A PROFESSIONALISM THAT IS UNMATCHED. THE COUNCIL IS AN INVALUABLE PARTNER IN THE MINISTRY’S WORK TO IMPROVE REPRODUCTIVE HEALTH IN MEXICO CITY— ALWAYS A TEAM PLAYER, READY TO LEND A HAND WITH GENUINE RESPECT. DR. PATRICIO SANHUEZA COORDINATOR OF REPRODUCTIVE HEALTH, MEXICO CITY MINISTRY OF HEALTH GUATEMALA WORK SINCE 1985 OFFICE OPENED 1992 HIGHLIGHTS >> Conducting a study for the Ministry of Health and UNFPA on unmet need for family planning methods in Guatemala; findings are being used to design the communication strategy of the National Program of Reproductive Health. >> Shaping national reproductive health policy and practice by testing the feasibility of postpartum and postabortion contraception, systematic screening for reproductive health service needs, and the provision of IUDs and injectable contraceptives by paramedical staff. MEXICO WORK SINCE 1966 OFFICE OPENED 1979 HIGHLIGHTS >> Providing data that were instrumental in shaping legislation to permit the interruption of first-trimester pregnancy in Mexico City. >> Assisting in the introduction and promotion of emergency contraception in Mexico. 22 POPULATION COUNCIL ANNUAL REPORT 2010 MEXICO CITY, MEXICO STIGMA AND DISCRIMINATION Improving health services for Mexican women living with HIV The Population Council explored the health care experiences of pregnant and recently pregnant Mexican women living with HIV. We found that most women received neither routine HIV tests during pregnancy nor counseling on contraceptive methods and pregnancy options. “I told the doctor that really I want to have the baby and there was no need to insist that I get an abortion, and he said not to count on him for support,” reported one 31-year-old HIV-positive woman. In 2010, the Council organized a meeting of HIVpositive women and national and international health care professionals, starting a dialogue and outlining ways to improve care. PARTNERS Salud Integral para la Mujer, Irapuato Vive, Casa del Centro, Mexico City Ministry of Health DONOR Anonymous WWW.POPCOUNCIL.ORG 23 RURAL HIGHLANDS, GUATEMALA EVERYTHING WE HAVE LEARNED HERE WE CAN APPLY IN THE COMMUNITIES WHERE WE LIVE AND IN OTHER COMMUNITIES IF POSSIBLE. JUANA MARIA GIRL LEADER IN ABRIENDO OPORTUNIDADAS 24 POPULATION COUNCIL ANNUAL REPORT 2010 ADOLESCENCE/TRANSITIONS TO ADULTHOOD Creating positive, safe, and healthy environments for indigenous girls The Population Council’s Abriendo Oportunidades project is building personal and professional skills among vulnerable Mayan girls and young women in Guatemala. In 2010, we launched a program to teach young leaders to instruct other young people and collaborate with community allies in preventing gender-based violence in their own lives and families. We are working to strengthen social institutions to better serve girls. PBS NewsHour featured the project in March 2011. Partners CICAM (the Center for Research, Training, and Women’s Support) and DEMI (the Guatemalan Office for the Defense of Indigenous Women) Donor The United Nations Trust Fund to End Violence Against Women WWW.POPCOUNCIL.ORG 25 ´ TAMAZULAPAM DEL ESPIRITU SANTO, OAXACA, MEXICO THROUGHOUT THIS COUNTRY, PHENYTOIN IS THE DRUG USED TO PREVENT SEIZURES. VERY FEW USE MAGNESIUM SULFATE. WHY? BECAUSE THEY ARE TERRIFIED TO USE MAGNESIUM SULFATE SINCE THEY DON’T KNOW HOW TO USE IT. MEXICAN OBSTETRICIAN/GYNECOLOGIST 26 POPULATION COUNCIL ANNUAL REPORT 2010 SAFE PREGNANCY: ANTENATAL AND DELIVERY CARE Overcoming barriers to treating a common pregnancy complication In Mexico and many other developing countries, the most common—yet treatable—causes of maternal death are severe pre-eclampsia and eclampsia. Although magnesium sulfate is a safe, effective, and inexpensive treatment, the Population Council has shown that in some Oaxaca hospitals, it is used inconsistently and incorrectly. Our investigators are documenting such practices and will work with local health officials to improve service delivery. A Council study in Nigeria demonstrated the impact such improvements could have. Introducing magnesium sulfate in Nigeria reduced maternal mortality by 40 percent across project sites. Partners National Center of Gender Equity and Reproductive Rights of the Mexican Federal Ministry of Health and the Oaxaca State Ministry of Health Donor The John D. and Catherine T. MacArthur Foundation WWW.POPCOUNCIL.ORG 27 A TRADITION OF EXCELLENCE THE POPULATION COUNCIL CHANGES THE WAY THE WORLD THINKS ABOUT CRITICAL HEALTH AND DEVELOPMENT ISSUES. WE CONFRONT DIFFICULT ISSUES FACING PEOPLE IN THE DEVELOPING WORLD. TACKLING TOUGH CHALLENGES POPULATION COUNCIL STAFF: Established in 1952, the Population Council is governed by an international board of trustees. Its New York headquarters supports a global network of country offices. The Council staff consists of more than 600 women and men from 32 countries. More than 60 percent are based outside the United States. Council staff members conduct research and carry out programs in more than 50 countries. • The Population Council’s HIV and AIDS program is devoted to understanding and slowing the spread of the HIV epidemic. We enable people to reduce the negative impact of HIV on their lives and their families, communities, and societies. Through biomedical and behavioral research, we expand access to innovative products and services whose effectiveness has been documented. Our Poverty, Gender, and Youth program seeks to understand and address the social dimensions of poverty, the causes and consequences of gender inequality, the disparities in opportunity—between girls and boys, urban and rural populations, and within other groups—that arise during adolescence, and the critical requirements for reaching a successful, productive adulthood in developing countries. Our Reproductive Health program strives to improve sexual and reproductive health, especially for vulnerable people in developing countries. The partnerships we have cultivated enable us to tackle sensitive issues and to give voice to groups who are most in need. We conduct both social science and biomedical research in Africa, Asia, and Latin America and at the Center for Biomedical Research in New York City. • • • • • Identify neglected health and development problems; Work with developing-country partners to design, implement, and test pilot programs to address these challenges; Conduct biomedical research to develop new contraceptives and microbicides; Inform policymakers, program managers, the scientific community, and the public about the results of our research; Collaborate with governments and nongovernmental organizations to expand successful pilot programs and to improve existing large-scale programs; and Collaborate with pharmaceutical companies to ensure that our products are available to the poorest and most vulnerable people worldwide. PUBLICATIONS AND DISSEMINATION The Population Council publishes two widely read and influential peer-reviewed scientific journals. Population and Development Review seeks to advance knowledge of the relationships between population and social, economic, and environmental change and provides a forum for discussion of related issues of public policy. Studies in Family Planning is concerned with all aspects of reproductive health, fertility regulation, and family planning programs in both developing and developed countries. The Population Council also maintains a Web site and produces books, working papers, newsletters, reports, slide shows, software, and toolkits. Researchers, students, policymakers, and colleagues in international development rely on the research and lessons provided in our publications. A database of these publications is provided at www.popcouncil.org/pubsearch. 28 POPULATION COUNCIL ANNUAL REPORT 2010 CHANENG, NORTH WEST PROVINCE, SOUTH AFRICA A PUBLICATION FROM THE POPULATION COUNCIL IS ALWAYS WELCOME. THEIR RESEARCH IS TRIPLE-A CATEGORIZATION. PRASAD CHAITANYA DEPUTY SECRETARY, MINISTRY OF HEALTH AND FAMILY WELFARE, NEW DELHI, INDIA WWW.POPCOUNCIL.ORG 29 A COMMITMENT TO PROGRESS THE POPULATION COUNCIL TRANSLATES RESEARCH INTO LASTING ADVANCES BY BUILDING PARTNERSHIPS TO INCREASE EFFECTIVENESS, GAINING AND SHARING KNOWLEDGE WITH KEY STAKEHOLDERS, AND ENHANCING THE CAPACITY OF LOCAL PROFESSIONALS. IMPROVING PROGRAMS FORMING PARTNERSHIPS The Population Council’s work does not end with conducting research. We strive to ensure that our findings get translated into concrete improvements in policies and programs. We provide technical assistance to strengthen national programs, and we offer expertise in scaling up effective and sustainable interventions, implementing systems to monitor and evaluate projects, and finding innovative ways to cover the costs of care. Achieving our ambitious mission is only possible in partnership with governments, universities, foundations, public and private health networks, hospitals, research centers, nongovernmental organizations, and individuals from around the world. STRENGTHENING RESOURCES The Population Council helps to improve the research capacity of reproductive and population scientists in developing countries through grants, fellowships, and the support of research centers. More well-qualified professionals are needed throughout the developing world to address population, health, and development issues. The Population Council’s fellowship programs have helped advance the careers of thousands of social and biomedical scientists, public health researchers, and program managers, many of whom have gone on to hold leadership positions. In 2010, we supported more than 30 fellows. We offer workshops and teach courses for local institutions, donors, and governmental and nongovernmental agencies. Investments in training and strengthening capacity improve reproductive health and family planning programs and policies. Our staff members have created research tools and information technologies to facilitate research, policy development, and program improvement. 30 POPULATION COUNCIL ANNUAL REPORT 2010 • We form alliances with local community-based organizations. These links help us to identify and appropriately address local needs. • We share data and conduct biomedical research with scientists at other institutions. • We collaborate with sister organizations to make progress on common goals. • We have created or led networks— including the African Forum on Emergency Contraception (ECafrique); the International Network to Analyse, Communicate, and Transform the Campaign Against FGC/FGM/ FC (INTACT); and Addressing the Balance of Burden in HIV/AIDS (ABBA)—devoted to tackling specific health issues. • We give funds and work contracts to institutions in the developing world. These partnerships represent one of the most influential ways in which we improve services and create lasting change. Through our partnerships, we support sound practices and efforts to increase the scope of highly effective programs in large population groups. ´ KHANEWAL, PAKISTAN THE POPULATION COUNCIL IS WELL KNOWN FOR WORKING WITH COUNTRIES TO SUPPORT NATIONAL RESEARCH, POLICY, ADVOCACY, AND PROGRAMS TO FURTHER SOCIAL AND ECONOMIC DEVELOPMENT. THE COUNCIL MAKES A DIFFERENCE IN MANY PEOPLE’S LIVES. ANGEL GURRIA SECRETARY GENERAL, ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT (OECD) WWW.POPCOUNCIL.ORG 31 KEY ACCOMPLISHMENTS IN 2010 IN THE PAST YEAR SEVERAL POPULATION COUNCIL PROJECTS AND STAFF MEMBERS WERE RECOGNIZED FOR THEIR ACHIEVEMENTS. Honored as a finalist for the British Medical Journal group’s “Getting Research Into Practice” award: Population Council–led abba (Addressing the Balance of Burden in Hiv/Aids) network in Africa as part of the Sexual Health and HIV Evidence into Practice group, which explores the social context of hiv and aids in vulnerable populations. Included in kenya’s first-ever compendium of best practices in reproductive health. Half of the examples were drawn from Population Council activities. Celebrated 40th anniversary of the population council’s international committee for contraception research. Iccr develops new contraceptive technologies and conducts clinical trials to test the safety, efficacy, and acceptability of products. Demonstrated that pc-1005, a vaginal gel with a combination of ingredients, completely protected monkeys from infection with simian hiv for up to 24 hours. The gel contains low doses of a potent HIV-prevention drug and a naturally occurring salt with antiviral properties. Human testing could begin in early 2012. Reported that a population council contraceptive gel prevents ovulation when women apply it to their abdomen as directed. 32 POPULATION COUNCIL ANNUAL REPORT 2010 Published an analysis in the journal science By population council distinguished scholar john bongaarts and his colleague Mead Over that found that universal access to treatment for HIV is financially unsustainable. “The international community is ethically obliged to spend foreign aid funds and allocate health care resources as cost-effectively as possible.” Donors are urged to allocate a higher proportion of their HIV funding to developing better prevention methods. PUBLISHED IT’S ALL ONE CURRICULUM, AN INNOVATIVE RESOURCE for transforming attitudes and behaviors concerning sexual relations. Available for download at ITSALLONE.ORG. PUBLISHED RESULTS OF LARGEST-EVER SURVEY OF YOUNG PEOPLE IN EGYPT focusing on health, education, employment, family formation, and civic participation. Datasets are available online for policymakers and researchers. RECEIVED FROM MAHIDOL UNIVERSITY, AN HONORARY DOCTORATE IN DEMOGRAPHY in recognition of Population Council president Peter J. Donaldson’s significant role in the development of population and social science research in Thailand. Received from Insidengo, the first-ever information technology award for outstanding contribution by Population Council Director of Information Technology Stan Mierzwa to the development of audio computer-assisted self-interviewing (ACASI) software. ´ KwaZulu-Natal, SOUTH AFRICA STAN MIERZWA’S WORK WITH ACASI AT THE POPULATION COUNCIL IS A GREAT EXAMPLE OF LEADERSHIP, CREATIVITY, AND FORWARD-THINKING INFORMATION TECHNOLOGY. ALISON SMITH EXECUTIVE DIRECTOR, InsideNGO WWW.POPCOUNCIL.ORG 33 WHERE WE WORK THE POPULATION COUNCIL HAS OFFICES IN 16 COUNTRIES. WE CARRY OUT RESEARCH AND PROGRAMS AND STRENGTHEN THE SKILLS OF LOCAL RESEARCHERS IN 49 COUNTRIES. BOLDFACE NAMES INDICATE COUNTRIES IN WHICH THE COUNCIL HAS AN OFFICE. INDICATES WORK IN HIV AND AIDS. INDICATES WORK IN POVERTY, GENDER, AND YOUTH. INDICATES WORK IN REPRODUCTIVE HEALTH. ■ Scotland ▲England ▲ ■ France United States • ▲ ■ Mexico • Guatemala • Haiti ■ Dominican Republic •■ Senegal • Liberia • • • Niger • Mali • ■ Côte d'Ivoire Benin ▲ ■ Burkina Faso ▲ ■ Ghana ▲ ■ Bolivia ▲ ■ Chile 34 POPULATION COUNCIL ANNUAL REPORT 2010 • Namibia oaxacA, mexico ▲ ■ Sweden ▲ Russia ▲ ■ Germany ▲ Switzerland •Syria •■ Egypt • • Sudan • ▲ ■ Pakistan • • ▲ ■ Vietnam ■ Thailand ▲ Philippines ▲ ■ Bangladesh ▲ ■ Ethiopia ▲ ■ Uganda ▲ ■ Kenya ■ Rwanda ▲ ■ Tanzania • • • • ▲• ■ Zambia ▲• ■ Malawi ▲ ■ Nigeria • Nepal ▲ ■ India • ■ Japan ■ China ■ Cambodia ▲ Zimbabwe • • • ▲ ■ Swaziland Lesotho ■ Australia ▲ ■ South Africa WWW.POPCOUNCIL.ORG 35 PARTNERS THE POPULATION COUNCIL COLLABORATES WITH GOVERNMENT AGENCIES, UNIVERSITIES, HOSPITALS, RESEARCH CENTERS, NONGOVERNMENTAL AND FAITH-BASED ORGANIZATIONS, CORPORATIONS, MULTILATERAL GROUPS, AND INDIVIDUALS IN BOTH DEVELOPING AND DEVELOPED COUNTRIES. The following is a list of 2010 awards and contracts made by the Population Council. Collaboration with these partners and many others is a primary means through which the Council conducts research, implements programs, transfers technology, and strengthens institutional capacity. AFRICA Côte d’Ivoire Agence Ivoirienne de Marketing Social, Abidjan Egypt AlShabbat Al Muslimat Association, Fayoum Caritas Egypt, Cairo Egyptian Food Bank, Cairo Family and Environment Development Association, Qena Foundation for Enlightenment on Development, Fayoum Human Development Egyptian Association, Sohag Nahdet Misr Foundation for Development, Education, and Training, Cairo Roaa Association for Development, Qena Teaming for Development, Cairo Women’s Association for Health Improvement, Sohag Ethiopia Ethiopian Islamic Affairs Supreme Council–Ethiopian Muslims Development Agency, Addis Ababa Ethiopian Orthodox Church– Development and Inter-Church Aid Commission, Addis Ababa Gender Focus Development Association, Addis Ababa Guraghe People’s Self Help Development Organization, Addis Ababa Hiwot Ethiopia, Addis Ababa Nia Foundation, Addis Ababa 36 POPULATION COUNCIL ANNUAL REPORT 2010 Organization for Prevention, Rehabilitation and Integration of Female Street Children, Addis Ababa Save Your Generation Ethiopia, Addis Ababa Young Women’s Christian Association of Ethiopia, Addis Ababa Liberia Children Assistance Program, Inc., Monrovia Family Planning Association of Liberia, Monrovia Paramount Young Women Initiative, Monrovia Touching Humanity in Need of Kindness, Monrovia Ghana Ghana Health Service, Accra Ghana Health Service, Ashanti Region Ghana Health Service, Eastern Region GSMF International, Accra Human Rights and Advocacy Centre, Accra Regional Advisory Information and Network Systems, Tamale Women’s Initiative for Self Empowerment, Accra Malawi Center for Educational Research and Training, Zomba Malawi Human Rights Resource Centre (MHRRC), Lilongwe Research for Equity and Community Health Trust, Lilongwe University of Malawi, College of Medicine, Blantyre Kenya Carolina for Kibera, Nairobi Christian Health Association of Kenya, Nairobi Crystal Hill Limited, Nairobi Family Health Options Kenya, Nairobi Faulu Kenya, Ltd., Nairobi International Centre for Reproductive Health, Mombasa Kenya Girl Guides Association, Nairobi K-MET, Kisumu K-REP Bank, Nairobi Liverpool VCT Care and Treatment, Nairobi MicroSave Consulting Limited, Nairobi Moving the Goalposts Kilifi, Kilifi Nyanza Reproductive Health Society, Kisumu Regional AIDS Training Network, Nairobi Support for Addictions Prevention and Treatment in Africa (SAPTA), Nairobi Well Told Story Limited, Nairobi Namibia Institute of Public Policy Research, Windhoek Nigeria Adolescent Health and Information Projects, Kano African Health Project, Abuja Federation of Muslim Women’s Associations in Nigeria, Abuja Islamic Education Trust, Abuja Population and Reproductive Health Initiative, Shika-Zaria Research and Development Services, Ltd., Lagos South Africa African Migrants Solidarity, Johannesburg Centre for HIV/AIDS Networking, University of KwaZulu-Natal, Durban Health Economics and HIV/AIDS Research Division, Durban Isihlangu Health and Development Agency, Durban Move-On-Up 1175 CC, Pimville Refugee Nurses Association, Johannesburg Southern African Women’s Institute for Migration Affairs, Johannesburg Thohoyandou Victim Empowerment Programme (TVEP), Sibasa Swaziland The Family Life Association of Swaziland, Manzini Tanzania TAMASHA Company, Ltd., Arusha Uganda FINCA–Uganda Ltd., Kampala Infectious Disease Research Collaboration, Molecular Research Laboratory, Kampala Mbarara University of Science and Technology, Mbarara Medical Research Council, Entebbe Uganda Bureau of Statistics, Kampala Uganda Finance Trust Ltd., Kampala Zambia EduSport Foundation, Lusaka Vision of Hope, Lusaka Young Women’s Christian Association of Zambia, Lusaka Mercy Corps, Portland, OR Montefiore Medical Center, Bronx, NY Oregon Health and Science University, OR Project Concern International, San Diego, CA The Rockefeller University, New York, NY Save the Children Federation, Inc., Westport, CT Tulane University, New Orleans, LA University of California, San Francisco, CA University of Chicago, Chicago, IL University of Illinois at UrbanaChampaign, Champaign, IL University of Wisconsin, Madison, WI Westat, Inc., Rockville, MD ASIA THE AMERICAS Bangladesh James P. Grant School of Public Health, BRAC University, Dhaka Research, Training and Management (RTM) International, Dhaka Chile Instituto Chileno de Medicina Reproductiva, Santiago Cambodia Center for Advanced Studies, Phnom Penh Dominican Republic Asociación Dominicana Pro-Bienestar de la Familia (PROFAMILIA), Santo Domingo India ACNielsen ORG-MARG Pvt. Ltd., New Delhi CBCI Society for Medical Education, Bangalore Centre for Operations Research and Training, Vadodara The Communication Hub, Maharashtra Confederation of Indian Industry, Haryana Family Planning Association of India, Mumbai GfK Mode Pvt. Ltd., New Delhi Ideosync Media Combine, Haryana Indian Clinical Epidemiology Network (IndiaCLEN), Chennai Institute of Economic Growth, Delhi International Institute for Population Sciences, Mumbai Janani, Patna Lala Lajpat Rai Memorial Medical College, Meerut National Institute of Medical Statistics, New Delhi RK Swamy BBDO Private Limited, New Delhi SAHARA Centre for Residential Care and Rehabilitation, New Delhi Tata Institute of Social Sciences, Maharashtra Y.R. Gaitonde Medical Educational and Research Foundation, Chennai Mexico Grupo de Estudios sobre la Mujer “Rosario Castellaños,” Oaxaca de Juarez Salud Integral para la Mujer, A.C., Mexico D.F. United States Abt Associates, Inc., Bethesda, MD Atethemis, Inc., Chicago, IL Columbus Center for Women’s Health Research, Columbus, OH Guttmacher Institute, New York, NY Health Research Association of the Los Angeles County/University of Southern California Medical Center, Los Angeles, CA International AIDS Vaccine Initiative, New York, NY Invest in Knowledge Initiative, Jamaica Plain, MA Ipas, Chapel Hill, NC Institute of International Education, Inc., New York, NY Jhpiego Corporation, Baltimore, MD Johns Hopkins University, Baltimore, MD Pakistan Constellation Plus (Pvt) Ltd., Islamabad Greenstar Social Marketing Pakistan (G) Limited, Karachi Health and Nutrition Development Society, Karachi National Institute of Population Studies, Islamabad National Rural Support Programme, Islamabad Rural Support Programme Network, Islamabad UDL Distribution (Private) Limited, Karachi ZAFA Pharmaceutical Laboratories (Private) Limited, Karachi Thailand Asian Population Association, Bangkok Vietnam Hanoi School of Public Health, Hanoi Institute of Population, Health and Development, Hanoi Institute of Social and Medical Studies, Hanoi Vietnam High Technology Services and Solutions Providing Joint Stock Company, Hanoi Thai Nguyen Health Service, Thai Nguyen Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City EUROPE Sweden Karolinska Institutet, Stockholm Medivir AB, Huddinge Switzerland University of Zurich, Zurich United Kingdom The London School of Economics and Political Science, London University of Bradford, West Yorkshire Oceania Australia Family Planning NSW, New South Wales WWW.POPCOUNCIL.ORG 37 2010 FINANCIAL REPORT The following pages summarize the Population Council’s financial activities for 2010, a year of successful program implementation supported by strong fundraising efforts. The Council was awarded $47 million in new grants, an increase of $8 million over 2009. Conditional funding commitments increased from $20 million in 2009 to almost $51 million in 2010. These conditional funding commitments will be recorded as revenue in 2011 and subsequent years as programs are carried out. The pie charts below provide additional information on the sources and uses of our funding. Program spending totaled $77 million, which represents 86 percent of our 2010 total operating expenses. This means that the Council invests 86 cents of every dollar in research and programmatic activities. The Council introduced a new accounting software system in its international offices. We anticipate that the new software will increase efficiency, enhance timely reporting of financial activities, and further reduce administrative costs. In February 2010, the Council signed a licensing agreement with Watson Pharmaceuticals, Inc., granting them the North American rights to the contraceptive vaginal ring. This agreement led to a 48 percent increase in the Council’s royalty income for 2010. Board-designated unrestricted funds provide the Council with a stable financial base from which to respond to requests for assistance and collaboration. In 2010, the Council’s investments, including the John D. Rockefeller 3rd Memorial Fund, enjoyed a healthy return despite the stock market declines in 2008 and 2009. We closely monitor the Council’s financial condition and remain committed to the fiscal discipline necessary to maintain our record of accomplishments. Readers interested in learning more about the Council’s finances can consult our website (http://www.popcouncil.org/who/financials.asp). I would be pleased to answer any questions and can be reached at [email protected]. SCOTT NEWMAN Chief Financial Officer and Treasurer SOURCES OF SUPPORT TOTAL $64.3 MILLION Foundations, corporations, nongovernmental organizations, and individuals 18% Multilateral organizations 3% U.S. government 42% Other governments 4% Royalties 17% Investment returns and other revenue 16% USES OF FUNDS TOTAL $90 MILLION Poverty, Gender, and Youth 13% HIV and AIDS 23% Reproductive Health 47% Fundraising <1% Management and general 14% 38 POPULATION COUNCIL ANNUAL REPORT 2010 Other program services 2% STATEMENT OF ACTIVITIES For the year ended December 31, 2010 Unrestricted Restricted General The John D. Rockefeller undesignated 3rd Memorial Fund Total Temporarily Permanently restricted restricted Total Operating revenue Grants and contributions $ 36,503,110 1,700 36,504,810 6,340,740 — 42,845,550 Royalties 11,111,729 — 11,111,729 — — 11,111,729 Interest and dividends (net of $252,082 investment fees) 917 809,132 810,049 254,930 — 1,064,979 Net appreciation (depreciation) in fair value of investments 17,629 7,653,035 7,670,664 1,567,209 — 9,237,873 Other — 56,861 — 56,861 — 56,861 Net assets released from restrictions 43,653,717 — 43,653,717 (43,653,717) — — Total operating revenue 91,343,963 8,463,867 99,807,830 (35,490,838) — 64,316,992 HIV and AIDS 20,719,619 — 20,719,619 — — 20,719,619 Poverty, Gender, and Youth 11,814,223 — 11,814,223 — — 11,814,223 Reproductive Health 42,939,393 — 42,939,393 — — 42,939,393 Operating expenses Program services Distinguished Colleagues 308,479 — 308,479 — — 308,479 Publications 1,285,823 — 1,285,823 — — 1,285,823 Program development 69,162 — 69,162 — — 69,162 Total program services 77,136,699 — 77,136,699 — — 77,136,699 Supporting services Management and general 11,708,509 654,305 12,362,814 — — 12,362,814 535,029 — 535,029 — — 535,029 Total supporting services 12,243,538 654,305 12,897,843 — — 12,897,843 Total operating expenses 89,380,237 654,305 90,034,542 — — 90,034,542 9,773,288 — (25,717,550) Fundraising (Deficiency) excess of operating revenue over operating expenses 1,963,726 7,809,562 Gain on lease obligation and other, net 525,418 — Pension and other postretirement charges other than net periodic benefit cost 824,066 Write-off of contribution receivable (642,981) Net asset reclassification based on adoption of ASC958-20 — 525,418 — — — 824,066 — — 824,066 — (642,981) — — (642,981) (282,103) 282,103 — — — — — — (282,103) Transfer to board-designated endowment (1,630,482) 1,630,482 Transfer from endowment 2,203,842 (1,768,415) Increase (decrease) in net assets 3,243,589 Net assets at beginning of year Net assets at end of year $ (35,490,838) — 525,418 435,427 (435,427) — 7,389,526 10,633,115 (35,644,162) — 5,126,751 67,236,901 72,363,652 74,473,518 5,485,776 152,322,946 8,370,340 74,626,427 82,996,767 38,829,356 5,485,776 127,311,899 (25,011,047) WWW.POPCOUNCIL.ORG 39 BALANCE SHEET December 31, 2010 Total Assets Cash and cash equivalents $ 11,530,713 Grants and contributions receivable, net U.S. government agencies Other 14,705,470 14,480,197 Other receivables 2,778,796 Prepaid expenses and other assets 7,581,311 Investments 99,708,416 Fixed assets, net 7,211,691 Total assets 157,996,594 Liabilities and Net Assets Liabilities Accounts payable, accrued expenses, and other liabilities 5,140,570 Awards, contracts, and fellowships payable 10,038,223 Program advances 5,187,925 Loan payable 1,506,000 Deferred rent credit 979,492 Accrued lease obligation 1,296,759 Postretirement medical benefits payable 6,535,726 Total liabilities 30,684,695 Net assets Unrestricted General undesignated 8,370,340 The John D. Rockefeller 3rd Memorial Fund and others 74,626,427 82,996,767 Restricted Temporarily restricted 38,829,356 Permanently restricted 5,485,776 Total net assets 127,311,899 Total liabilities and net assets 157,996,594 $ A copy of the audited financial statements, prepared in accordance with U.S. generally accepted accounting principles, is available upon request from Population Council, One Dag Hammarskjold Plaza, New York, New York 10017, and can be accessed online at www.popcouncil.org. 40 POPULATION COUNCIL ANNUAL REPORT 2010 SOURCES OF SUPPORT FUNDING FOR THE POPULATION COUNCIL’S WORK WAS GENEROUSLY PROVIDED BY THE GOVERNMENT AGENCIES, MULTILATERAL ORGANIZATIONS, FOUNDATIONS, CORPORATIONS, AND INDIVIDUALS LISTED HERE. EVERY DONATION WE RECEIVE HELPS IMPROVE THE REPRODUCTIVE HEALTH AND WELL-BEING OF VULNERABLE INDIVIDUALS IN DEVELOPING COUNTRIES. This support allows the Council to conduct rigorous biomedical, social science, and public health research, develop model programs, evaluate and scale up innovations, and strengthen policies and programs in three areas: HIV and AIDS; poverty, gender, and youth; and reproductive health. Contributions are tax-deductible in the United States and can be made by check, credit card, or online at https://www.popcouncil.org/supporting. The Council welcomes gifts of appreciated securities, bequests, and designations of the Council as beneficiary of insurance policies or pension plans. All contributions should be sent to Andrea Eschen, Director of Development, Population Council, One Dag Hammarskjold Plaza, New York, NY 10017. For more information, please contact the development office at (1-877-339-0500) or [email protected]. We greatly appreciate all contributions to the Population Council. We thank our donors for helping poor women, men, and children in developing countries live healthier, more productive lives. GOVERNMENTS AND GOVERNMENTAL AGENCIES MULTILATERAL ORGANIZATIONS Government of Burkina Faso —Ministry of Health Global Development Network (GDN) Government of Canada —Canadian International Development Agency Government of Denmark —Royal Danish Ministry of Foreign Affairs Government of India —National AIDS Control Organization Government of the Netherlands —Embassy of the Kingdom of the Netherlands Financial Education Fund (FEF) Global Network of People Living with HIV/AIDS (GNP+) Academy for Educational Development International Organization for Migration (IOM) Africare Joint United Nations Programme on HIV/AIDS (UNAIDS) Avis and Clifford Barrus Medical Foundation Poverty and Economic Policy Research Network Bayer Schering Pharma AG United Nations Children’s Fund (UNICEF) The Fred H. Bixby Foundation United Nations Development Fund for Women (UNIFEM) Government of the United Kingdom —Department for International Development World Bank Group Government of Vietnam —Ministry of Health Anonymous (1) International Finance Corporation (IFC) Government of Sweden —Swedish International Development Cooperation Agency —Swedish Ministry for Foreign Affairs Government of the United States —Agency for International Development —Centers for Disease Control and Prevention —National Institutes of Health FOUNDATIONS, CORPORATIONS, AND OTHER NONGOVERNMENTAL ORGANIZATIONS United Nations Development Programme (UNDP) United Nations Population Fund (UNFPA) World Health Organization The Atlantic Philanthropies Better World Fund Boston University School of Public Health Centro de Investigaciones y Estudios Superiores en Antropología Social (CIESAS) Credit Suisse Global Education Initiative Diakonia ECHO Economic and Social Research Council EMPower, Emerging Markets Foundation EngenderHealth Equality Now Feed the Minds The George and Patrick Ann Fisher Foundation WWW.POPCOUNCIL.ORG 41 The Ford Foundation H. B. Fuller Bill & Melinda Gates Foundation Georgetown University James P. Grant School of Public Health, BRAC University Guttmacher Institute The William and Flora Hewlett Foundation Institute of International Education Magee-Women’s Research Institute and Foundation Management Systems International Inc. (MSI) Marie Stopes Clinical Society Marie Stopes International (MSI) Nike Foundation NoVo Foundation The David & Lucile Packard Foundation ICDDR,B Partridge Foundation International Development Research Centre Pathfinder International Population Services International International Partnership for Microbicides, Inc. Program for Appropriate Technology in Health (PATH) International Planned Parenthood Federation Research Foundation of the City University of New York IntraHealth The Rockefeller Foundation Ipas Society for Family Health Jacobs Foundation Standard Chartered Bank John Snow, Inc. The Sidney Stern Memorial Trust JSI Research & Training Institute Summit Foundation Inc. The Johns Hopkins University Unbound Philanthropy The Libra Foundation University of California at San Francisco London School of Hygiene & Tropical Medicine Los Angeles Biomedical Research Institute at Harbor-UCLA The John D. and Catherine T. MacArthur Foundation University of Connecticut Health Center University Research Co., LLC Wallace Global Fund Women Win I SUPPORT THE COUNCIL BECAUSE IT DOES FIRST-CLASS WORK. IT IS SO PLEASING TO HEAR PEOPLE FROM OTHER NGOs SPEAK SO HIGHLY OF THE POPULATION COUNCIL. SUKEY WAGNER 42 POPULATION COUNCIL ANNUAL REPORT 2010 INDIVIDUAL DONORS AND FAMILY FOUNDATIONS John D. Rockefeller 3rd Visionaries Anonymous (4) George and Patricia Ann Fisher Foundation F. M. Kirby Foundation The Abby R. Mauzé Trust Millstream Fund* Stavros S. Niarchos Foundation The Blanchette Hooker Rockefeller Fund Seymour and Kathleen Weingarten President’s Laureates Anonymous (4) Janet V. Andrews and Robert R. Andrews Fund of The Minneapolis Foundation Brian Arbogast and Valerie Tarico Robert W. and Nancy E. Cowgill Andrea and Brian Edlow Kenneth and Mary Edlow Robert W. Gillespie JJJ Charitable Foundation Kaplan Sisters Foundation Frederick H. and Nancy Link Schmidt* Jed Weissberg and Shelley Roth Sukey N. Wagner* Council Champions Anonymous (3) Barry Adelman Sandra P. and Lawrence Arnold* Wendy Baldwin Milton Barber John R. Bermingham* Thomas S. Blount Andrew M. Boas* John and Zenaida Bongaarts George P. and Eleanor Cernada* Jerry and Diane Cunningham* Mike Derzon Peter J. and Nancy R. Donaldson* EcoTrust* Barbara B. Ebert* Richard Eitel Glen M. Feighery* Gary and Kristin Friedman The Glickenhaus Foundation Sallie T. Gouverneur William M. Grady and Karen D. Tsuchiya* David Grill Helen R. Hauge* Paul C. Haughey* Hayes Family Fund We acknowledge with gratitude that all members of the Population Council’s Board of Trustees made a gift to support the Council in 2010. William W. Hildreth Fred C. Iklé* Elof D. Johansson Kyung J. Kim* Wayne V. Krill George Krumme Dorothy I. Kurtz William Lehrer Charitable Fund McBride Family and Aspen Business Center Foundation Drew McLelland Peter Mensch John M. and Renate E. Mirsky Carol and Daniel Mishell, Jr. Samarendranath and Rekha Mitra* Dan O’Connell Ostgrodd Foundation Lyle H. Ramshaw* James S. and Amy H. Regan Alison J. Renner Thomas L. Richie and Diane Pascal* Julie A. Robichaud* David Rockefeller* Betsy and John Rolls* Edward Rubin Matthew Rutenberg Naomi Rutenberg James E. Sailer and Cass Conrad Fannette H. Sawyer Cherida C. Smith* Sidney Stern Memorial Trust Sue S. Stewart Katy R. Stokes and David C. Esseks Te-Hsiung Sun R. M. Thomas Miklos and Elena Toth Judith C. and John W. Townsend Robert T. Tunis Betsy Vance Lucy R. Waletzky* Daniel A. Weisberg and Cynthia S. Arato Effie E. Westervelt The Donald and Susan Wilson Fund of the Princeton Area Community Foundation Boniface Zaino Rena J. Zieve and Greg J. Kuperberg* Suzanne C. and Paul L. Zuzelo Council Innovators Anonymous (2) Donald J. and Dena C. Abrams Joel W. Ager* Timothy S. and Anne M. Allen Sandra D. and Ethan D. Alyea, Jr.* Shawky Badawy David F. Ball Ned W. and Jean Bandler* Jonathan and Judith Baron* Rachel G. Beck and Jeremy Naftel Richard D. and Kay Bertken John W. and Claire Bossung* Courtney E. Broadus Alice C. Brown* Marc A. Bygdeman William W. Cobbs Theodore and Alice Ginott Cohn Mercedes B. Concepción Roberto Cuca* Nancy and Matthew D. Davis Judith Diers and David Parsons Stanley F. and Elizabeth G. Dole* Ernst and Jan Epstein Andrea Eschen Chet Fagin Zong-ming Feng Adam R. Fisher John D. and Margaret M. Fogarty Martha Frede Andrew L. Frey* Marianne Gawain-Davis Richard Gerstman Norman and Suzanne Goldberg Sheila Gudiswitz The Gordon and Llura Gund Foundation* Guy Harris Donald F. Heisel Albert I. and Jolene C. Hermalin Judith Herzfeld* Susan E. Hetherington* John Hirschi* Douglas W. and Barbara E. Holdridge* William Y. and Esther I. Hou* The Richard R. Howe Foundation* Valerie and Terry Hull Frederick V. Iffert Richard S. Johnson and May J. Reed Denis F. Johnston* Elise F. Jones* Carmen and Karl A. Jungbluth Deborah D. and Edward M. Keating, Jr. Dennis G. and Joanne G. Keith G. J. Kemmerer Carolyn M. Kleefeld Bernice Lasker Donna Laurino Robert M. and Ruth C. Law Margaret J. LeMaster* Susan Levine Katherine Lewis and Richard A. Chasman* Daniel LoCascio Joanne Lyman Walter H. and Ruth K. MacGinitie Fund Lewis Martinez Elizabeth J. McCormack Lauren Meserve Batya R. Monder Virginia P. and Robert L. Montgomery* Scott Newman Bradley Ormes Minoru Ota Robert H. and Jessie Palmer Jane S. Pattie Terry Peigh Scott Perry Marnie S. Pillsbury* David Porteous and Vicky Smith Robert T. Porter Carole M. Presnick Ann Pugh Apurba K. and Krishna Ray Kip and Gina Robbins Lawrence E. Safran Steven Schmitt* George F. Schnack Jutta R. Scott* Robert L. and Elizabeth H. Scott* Marianne E. Selph* Lawrence P. Simms and Alison G. Ho* James Simonds Craig Stine* Philip D. and Aija Thacher Janet M. Throop* Harriet B. Todd* William J. and Faith M. Towle* S. Jean Van Der Tak* Kim S. and Kathleen W. Wennesland* Nancy C. and Mark R. Wessling Oliver and Helen M. Wolcott* Warren Wong Barbara Yanni* H. Neil Zimmerman* *Donors whose names are followed by an asterisk have contributed to the Population Council for at least five consecutive years. WWW.POPCOUNCIL.ORG 43 BOARD OF TRUSTEES Mark A. Walker Chairman Senior Advisor Lazard Ltd. New York, New York Darcy Bradbury Managing Director D. E. Shaw & Co. LP New York, New York Howard Cox Advisory Partner Greylock Partners Boston, Massachusetts Peter J. Donaldson President Population Council New York, New York Wafaa El-Sadr Professor of Clinical Medicine and Epidemiology International Center for AIDS Care and Treatment Programs (ICAP) Mailman School of Public Health Columbia University New York, New York Lynn A. Foster Palm Beach, Florida Anna Glasier Honorary Professor Department of Obstetrics and Gynaecology University of Edinburgh Edinburgh, United Kingdom Victor Halberstadt Professor of Public Economics Leiden University Amsterdam, The Netherlands Werner Holzer Bad Homburg, Germany Henry L. King Senior Counsel Davis Polk & Wardwell New York, New York Charles D. Klein Managing Director American Securities LLC New York, New York Anna Mastroianni Professor of Law University of Washington School of Law Seattle, Washington Cheikh Mbacké Independent Consultant Dakar, Senegal Robert B. Millard Partner Realm Partners LLC New York, New York Jotham Musinguzi Regional Director Partners in Population and Development Africa Regional Office Kampala, Uganda Anne R. Pebley Professor Department of Community Health Sciences School of Public Health University of California, Los Angeles Los Angeles, California SENIOR MANAGEMENT Peter J. Donaldson President Mar Aguilar Director International Support Wendy Baldwin Vice President Poverty, Gender, and Youth Program John Bongaarts Vice President and Distinguished Scholar Safaa El-Kogali* Regional Director West Asia and North Africa Scott Newman Chief Financial Officer and Treasurer 44 POPULATION COUNCIL ANNUAL REPORT 2010 Saroj Pachauri Regional Director South and East Asia Naomi Rutenberg Vice President HIV and AIDS Program James E. Sailer Vice President Corporate Affairs Division John W. Townsend Vice President Reproductive Health Program Patricia C. Vaughan General Counsel and Secretary *Until 31 March 2011 RURAL UPPER EGYPT In rural Upper Egypt, the Population Council’s Ishraq project brings out-of-school adolescent girls into safe learning spaces. The 24-month program improves functional and financial literacy and life skills, and allows girls to play sports, an opportunity not usually available to them. The project components work together to provide girls with new and valued skills and to increase their selfesteem and confidence. “Ishraq fulfilled our dreams to be educated and respected by our families and our communities,” said one participant. PARTNERS Caritas, Egyptian Food Bank, and Teaming for Development (formerly CEDPA) DONOR Embassy of the Kingdom of the Netherlands Photo credits (Covers, 18) © Richard Lord; (2, 30) Wasif Rao Rashid; (5, 6, 8) Zeleman Productions; (11) Shireen Jejeebhoy; (12) Monica Bhalla; (14) Population Council India; (17) Karen Austrian; (20) Lydia Mauko; (23, 26, 34) Marieke van Dijk; (24) Courtesy of Nike Foundation; (28) Benjamin Porter; (32) Stan Mierzwa; (this page) Nadia Zibani.45 WWW.POPCOUNCIL.ORG RESEARCH THAT MAKES A DIFFERENCE THE POPULATION COUNCIL IS AN INTERNATIONAL, NONPROFIT, NONGOVERNMENTAL ORGANIZATION THAT SEEKS TO IMPROVE THE WELL-BEING AND REPRODUCTIVE HEALTH OF CURRENT AND FUTURE GENERATIONS AROUND THE WORLD AND TO HELP ACHIEVE A HUMANE, EQUITABLE, AND SUSTAINABLE BALANCE BETWEEN PEOPLE AND RESOURCES. 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