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        Annual Report 2021

        ? UNFPA Mozambique/Mbuto Machili

        In 2021, UNFPA continued to respond to the needs of women and girls with speed and ingenuity, despite the ongoing challenges of the COVID-19 pandemic. In defiance of serious disruptions to family planning supply chains and services, overburdened health systems, and a rising tide of gender-based violence, the organization recorded its highest performance in achieving key outputs of its four-year strategic plan. UNFPA’s humanitarian operations alone reached more than 29 million women with sexual and reproductive health information and services, supported 1.5 million safe deliveries, and assisted millions of survivors of gender-based violence this year. Telehealth services, online and phone-based psychosocial support, and digital learning have been seamlessly integrated into many programmes and operations, allowing UNFPA to reach more people, in more demanding environments, than ever before.

        These successes are a testament to the insight, vision and leadership of our field offices around the world. They also highlight UNFPA’s strengthened collaboration with and support for community-based, women-led and feminist-driven organizations. We saw this in the East and Southern Africa region, where UNFPA worked with diverse stakeholders to ensure ownership of, and buy-in to, programmes at all levels — from collaborating with faith leaders to prevent female genital mutilation, to advocating for minimum age of consent in marriage laws and training government agencies on data collection. In Latin America and the Caribbean, UNFPA focused on national, regional and international efforts to uphold the rights of excluded people, including through comprehensive strategies to reach and empower marginalized groups.

        UNFPA also rose to the challenge amid increasing calls for support on demographic issues. In Eastern Europe and Central Asia, UNFPA’s priorities included responding to demographic challenges, culminating in the launch of the Decade of Demographic Resilience, which aims to galvanize action based on evidence and human rights. In West and Central Africa, UNFPA worked through the Sahel Women's Empowerment and Demographic Dividend project to address issues affecting education and employment, universal access to sexual and reproductive health and rights, and gender equality. In the Arab States, there was a focus on public advocacy and service provision, along with the launch of a tool to track and measure progress in securing sexual and reproductive health and rights. And in the Asia and the Pacific region, UNFPA was able to ensure life-saving services for women and girls in Afghanistan, Bangladesh, Myanmar and more, while also intensifying advocacy for population policies embedded in human rights.

        UNFPA is now closing the chapter on its 2018-2021 Strategic Plan, a period that saw both unprecedented ambition — in the form of UNFPA’s transformative results — and unprecedented tumult. That experience has strengthened our organization. We are undeterred in our goals and secure in the knowledge that we can, and we will, continue to deliver for women and girls.

        Delivering worldwide

        ? UNFPA Jordan
        Icon

        Delivering worldwide

        12.7 Million unintended pregnancies were prevented*

        39,000 maternal deaths were averted*

        1.9 Million survivors of female genital mutilation received essential services

        5 Million unsafe abortions were prevented*

        4.9 Million marginalized girls were reached by life-skills programmes

        2.3 Million survivors of gender-based violence received essential services

        82,000 new HIV infections were averted*

        31,000 gender-based violence survivors with disabilities received essential services

        1.5 Million safe deliveries assisted in humanitarian crisis-affected countries

        3 Million girls received UNFPA-supported prevention or protection services and care related to child, early and forced marriage

        *Global impact of contraceptives supplied by UNFPA

        Contraception provided by UNFPA worldwide:

        Male
        condoms
        744,371,136

        Female
        condoms
        7,930,300

        Oral
        contraceptives
        (Monthly cycles of the pill)
        64,614,408

        Doses of injectable
        contraceptives
        36,734,143

        Contraceptive
        implants
        6,365,089

        Intrauterine
        devices (IUD)
        1,146,666

        Emergency
        contraceptives
        1,883,900

        Tubes of Personal
        lubricants
        175,414,935

        Icon

        Resources and expenses 2021

        Donors and contributions in millions of US$

        US$

        Sweden

        64,105,585

        Norway

        54,271,356

        Germany

        47,769,765

        Netherlands

        40,490,798

        Finland

        39,379,475

        Denmark

        37,134,841

        United States of America

        30,800,000

        Switzerland

        17,410,229

        Japan

        16,000,000

        Canada

        12,206,573

        United Kingdom of Great Britain and Northern Ireland

        10,936,994

        Belgium

        10,701,546

        Australia

        6,564,651

        New Zealand

        4,297,994

        Ireland

        4,103,165

        Luxembourg

        3,631,961

        Italy

        3,026,634

        Pakistan

        1,677,108

        China

        1,480,000

        France

        1,232,311

        United Nations and Interorganizational transfers

        247,443,828

        Canada

        73,239,960

        United States of America

        62,533,445

        Sweden

        61,559,737

        European Commission

        58,936,882

        Norway

        54,398,825

        Netherlands

        51,846,851

        Denmark

        50,244,072

        Bangladesh

        38,800,000

        Korea, Republic of

        36,695,868

        Australia

        34,287,105

        Bill & Melinda Gates Foundation

        26,057,558

        France

        24,764,604

        Anonymous

        20,000,000

        Japan

        19,507,127

        United Kingdom of Great Britain and Northern Ireland

        17,828,945

        Congo, Democratic Republic of the

        17,589,919

        Switzerland

        16,270,711

        Western African Health Organization

        15,980,000

        Finland

        14,614,447

        Afghanistan

        1,000

        Albania

        5,000

        Algeria

        10,000

        Armenia

        3,000

        Australia

        6,564,651

        Austria

        232,558

        Bangladesh

        35,000

        Belgium

        10,701,546

        Bhutan

        5,925

        Bolivia (Plurinational State of)

        6,000

        Botswana

        4,675

        Bulgaria

        11,723

        Burkina Faso

        10,911

        Canada

        12,206,573

        China

        1,480,000

        Comoros

        942

        Costa Rica

        4,614

        Cuba

        5,000

        Denmark

        37,134,841

        Egypt

        24,762

        Eritrea

        5,000

        Estonia

        70,505

        Eswatini

        60,000

        Ethiopia

        1,390

        Finland

        39,379,475

        France

        1,232,311

        Gambia

        3,868

        Georgia

        20,000

        Germany

        47,769,765

        Ghana

        30,000

        Guinea-Bissau

        2,000

        Guyana

        2,815

        Honduras

        2,671

        Iceland

        541,084

        India

        500,000

        Indonesia

        13,131

        Iraq

        50,000

        Ireland

        4,103,165

        Israel

        10,000

        Italy

        3,026,634

        Japan

        16,000,000

        Jordan

        49,930

        Kazakhstan

        10,000

        Kenya

        10,000

        Kyrgyzstan

        50

        Liechtenstein

        27,115

        Luxembourg

        3,631,961

        Madagascar

        14,091

        Malawi

        11,993

        Malaysia

        15,000

        Mauritania

        3,449

        Mauritius

        2,503

        Mexico

        55,583

        Micronesia (Federated States of)

        3,000

        Mongolia

        4,000

        Morocco

        11,742

        Myanmar

        2,760

        Nepal

        5,010

        Netherlands

        40,490,798

        New Zealand

        4,297,994

        Nicaragua

        2,500

        Niger

        118,952

        Norway

        54,271,357

        Pakistan

        1,677,108

        Panama

        10,000

        Peru

        1,082

        Philippines

        23,827

        Portugal

        242,117

        Qatar

        29,960

        Korea, Republic of

        195,608

        Moldova, Republic of

        3,000

        Romania

        10,000

        Russian Federation

        300,000

        Rwanda

        5,000

        Saint Kitts and Nevis

        1,000

        Saudi Arabia

        500,000

        Senegal

        11,870

        Serbia

        5,000

        Singapore

        5,000

        Slovakia

        6,036

        South Africa

        41,859

        Sri Lanka

        18,000

        Sudan

        30,000

        Sweden

        64,105,586

        Switzerland

        17,410,229

        Tajikistan

        797

        Thailand

        150,000

        Togo

        21,471

        Tonga

        995

        Trinidad and Tobago

        5,000

        Turkmenistan

        7,000

        Uganda

        10,147

        Ukraine

        25,000

        United Kingdom of Great Britain and Northern Ireland

        10,936,994

        United Arab Emirates

        10,000

        United States of America

        30,800,000

        UPSPG

        55,944

        Uzbekistan

        10,000

        Viet Nam

        40,000

        Zambia

        5,308

        Zimbabwe

        30,000

        Private Contributions

        1,230,170

        Government contribution to local office costs*

        294,192

        *All 2021 figures are provisional as of 1 April 2022

        UNFPA is funded from voluntary contributions that fall into two distinct categories:

        1 Core contributions (also referred to as "regular", "unearmarked" or "unrestricted" contributions), represent resources that are unrestricted as to their use;

        2 Non-core contributions (also referred to as "other", "earmarked" or "restricted" contributions), represent resources that are earmarked as to their use.

        Programme and institutional budget Expenses by region in millions of US$

         

         

        Core resources

        Non-core resources

        Institutional budget

        TOTAL

        East and Southern Africa

        Core resources

        55.1

        Non-core resources

        165.2

        Institutional budget

        21.2

        TOTAL

        241.5

        West and Central Africa

        Core resources

        49

        Non-core resources

        137.5

        Institutional budget

        19.8

        TOTAL

        206.3

        Arab States

        Core resources

        27.9

        Non-core resources

        176.6

        Institutional budget

        13.1

        TOTAL

        217.6

        Asia and the Pacific

        Core resources

        56.4

        Non-core resources

        121.6

        Institutional budget

        19.9

        TOTAL

        197.9

        Latin America and the Caribbean

        Core resources

        26.3

        Non-core resources

        36.9

        Institutional budget

        13.7

        TOTAL

        76.9

        Eastern Europe and Central Asia

        Core resources

        16.1

        Non-core resources

        43.6

        Institutional budget

        7.4

        TOTAL

        67.1

        Global and regional interventions—global

        Core resources

        18.4

        Non-core resources

        -

        Institutional budget

        -

        TOTAL

        18.4

        Global activities

        Core resources

        -

        Non-core resources

        155.8

        Institutional budget

        91.6

        TOTAL

        247.4

        TOTAL

        Core resources

        249.2

        Non-core resources

        837.2

        Institutional budget

        186.7

        TOTAL

        1,273.1

        Programme expenses by country includes core and non-core resources

        $M

        Angola

        3.3

        Botswana

        1.2

        Burundi

        4.1

        Comoros

        1.4

        Congo, Democratic Republic of the

        26.9

        Eritrea

        1.3

        Eswatini

        1.4

        Ethiopia

        21.3

        Kenya

        6.9

        Lesotho

        1.4

        Madagascar

        7.9

        Malawi

        16.2

        Mauritius

        0.2

        Mozambique

        22.9

        Namibia

        1.6

        Rwanda

        3.4

        South Africa

        2.5

        South Sudan

        20.8

        Uganda

        24.1

        United Republic of Tanzania

        17.3

        Zambia

        10.1

        Zimbabwe

        15.0

        Total country/territory activities

        211.2

        Regional activites

        9.1

        Total for East and Southern Africa

        220.3

        Benin

        7.3

        Burkina Faso

        12.9

        Cabo Verde

        0.7

        Cameroon

        10.5

        Central African Republic

        4.4

        Chad

        8.1

        Congo, Democratic Republic of the

        2.3

        C?te d'Ivoire

        10.1

        Equatorial Guinea

        1.5

        Gabon

        1.0

        Gambia

        3.4

        Ghana

        7.1

        Guinea

        7.6

        Guinea-Bissau

        2.3

        Liberia

        7.9

        Mali

        17.6

        Mauritania

        2.3

        Niger

        22.2

        Nigeria

        25.3

        S?o Tomé and Príncipe

        0.7

        Senegal

        7.5

        Sierra Leone

        8.9

        Togo

        5.0

        Total country/territory activities

        176.6

        Regional activites

        9.9

        Total for West and Central Africa

        186.5

        Algeria

        0.5

        Djibouti

        1.5

        Egypt

        13.4

        Iraq

        24.8

        Jordan

        11.1

        Lebanon

        6.6

        Libya

        6.1

        Morocco

        2.2

        Oman

        1.2

        Somalia

        26.4

        State of Palestine

        7.4

        Sudan

        16.4

        Syrian Arab Republic

        29.4

        Tunisia

        1.2

        Yemen

        50.4

        Total country/territory activities

        198.6

        Regional activites

        5.9

        Total for Arab States

        204.5

        Afghanistan

        13.7

        Bangladesh

        50.5

        Bhutan

        0.6

        Cambodia

        2.6

        China

        2.5

        Korea, Democratic People's Republic of

        0.8

        India

        9.0

        Indonesia

        7.1

        Iran (Islamic Republic of)

        4.0

        Lao People's Democratic Republic

        2.7

        Malaysia

        0.4

        Maldives

        0.6

        Mongolia

        3.0

        Myanmar

        14.2

        Nepal

        8.6

        Pacific Islands (multi-country) [1]

        11.2

        Pakistan

        13.4

        Papua New Guinea

        5.0

        Philippines

        7.5

        Sri Lanka

        2.0

        Thailand

        1.0

        Timor-Leste

        2.3

        Viet Nam

        7.7

        Total country/territory activities

        170.4

        Regional activites

        7.6

        Total for Asia and the Pacific

        178.0

        Albania

        1.3

        Armenia

        1.1

        Azerbaijan

        1.4

        Belarus

        1.1

        Bosnia and Herzegovina

        1.9

        Georgia

        1.4

        Kazakhstan

        1.3

        Kosovo [3]

        1.1

        Kyrgyzstan

        2.0

        Moldova, Republic of

        2.5

        North Macedonia

        0.6

        Serbia

        0.6

        Tajikistan

        2.6

        Türkiye

        23.2

        Turkmenistan

        1.1

        Ukraine

        7.8

        Uzbekistan

        3.1

        Total country/territory activities

        54.1

        Regional activites

        5.6

        Total for Eastern Europe and Central Asia

        59.7

        Argentina

        1.0

        Bolivia (Plurinational State of)

        3.1

        Brazil

        3.0

        Caribbean (multi-country) [2]

        4.1

        Chile

        0.1

        Colombia

        4.5

        Costa Rica

        0.7

        Cuba

        0.8

        Dominican Republic

        1.2

        Ecuador

        2.2

        El Salvador

        2.6

        Guatemala

        3.3

        Haiti

        11.6

        Honduras

        3.9

        Mexico

        5.0

        Nicaragua

        2.4

        Panama

        0.9

        Paraguay

        1.5

        Peru

        1.5

        Uruguay

        1.5

        Venezuela, Bolivarian Republic of

        2.4

        Total country/territory activities

        57.3

        Regional activites

        5.9

        Total for Latin America and the Caribbean

        63.2

        1 Figures for the Pacific Islands (multi-country) covers the following countries: Cook Islands; Fiji; Kiribati; Marshall Islands; Federated States of Micronesia; Nauru; Niue; Palau; Samoa; Solomon Islands; Tokelau; Tonga; Tuvalu; and Vanuatu.

        2 Figures for the Caribbean (multi-country) covers the following countries and territories: Anguilla; Antigua and Barbuda; Aruba; Bahamas; Barbados; Belize; Bermuda; British Virgin Islands; Cayman Islands; Curacao; Dominica; Grenada; Guyana; Jamaica, Montserrat; Netherlands Antilles; St. Lucia; St. Kitts and Nevis; Saint Maarten (Dutch part); Saint Vincent and the Grenadines; Suriname; Turks and Caicos; and Trinidad and Tobago.

        3 References to Kosovo shall be understood to be in the context of Security Council resolution 1244 (1999).

        Revenue and expenses in millions of US$

        $M

        Core resources

        Contribution to core resources

        412.6

        Less: transfer to other revenue for reimbursement of tax charges

        (4.7)

        Other revenue

        103.9

        Total core resources revenue

        511.8

        Non-core resources

        Contribution to non-core resources—gross

        1,051.5

        Less: refunds to donors

        (6.4)

        Less: indirect costs

        (58.9)

        Less: allowance for doubtful contributions receivable

        (1.2)

        Other revenue

        8.5

        Total non-core resources revenue

        993.5

        Total revenue

        1,505.3

        Core resources

        Country programmes, Global and Regional Interventions (GRI) and other programme activities

        249.2

        Institutional budget

        186.7

        Corporate

        13.8

        Total core resources expenses

        449.7

        Non-core resources

        Country programmes, Global and Regional Interventions (GRI) and other programme activities

        837.2

        Corporate

        13.8

        Total non-core resources expenses

        851.0

        Total expenses

        1,300.7

        *All figures are provisional, subject to external audit and, as a result of rounding, may not add up to the totals.

        Delivering on our 2018-2021 Strategic Plan

        ? UNFPA Mozambique/Mbuto Machili
        Icon

        Delivering on our 2018-2021 Strategic Plan

        The 2018-2021 Strategic Plan was the first of three consecutive strategic plans designed to guide UNFPA in contributing to the achievement of the three transformative results and Sustainable Development Goals. Yet these four years also saw the emergence of serious obstacles to this mission. In addition to the global pandemic, the world witnessed widening inequalities, rising threats from climate change and multiple, overlapping humanitarian crises. Opposition to sexual and reproductive health and rights remained strong around the world, and levels of official development assistance to support sexual and reproductive health and rights fell. Available data indicate that progress towards achieving the Sustainable Development Goals has been insufficient.

        Despite the adversity, UNFPA did make significant cumulative progress in achieving its intended results and targets: Humanitarian response and reach increased. The number of deliveries attended by skilled birth attendants increased by 17 per cent in 2014-2020 compared to 2007-2013, and in UNFPA priority countries, the number increased by 44 per cent. Seventy-three per cent of countries now have laws and regulations that guarantee full and equal access to sexual and reproductive health care, information and services for women and men aged 15 years and older; these countries achieved the end-of-plan target by 97 per cent.

        71.4 Million unintended pregnancies were prevented*

        200,000 maternal deaths were averted*

        450,000 new HIV infections were averted*

        22 Million unsafe abortions were prevented*

        12.5 Million safe deliveries were assisted in humanitarian crisis-affected countries

        570,000 girls were saved from female genital mutilation

        50,500 women and girls living with obstetric fistula received treatment

        255 Million couple years of protections for contraceptives procured by UNFPA

        Cumulative results 2018-2021
        *Global impact of contraceptives supplied by UNFPA

        Progress made, but more is needed

        Progress was also made towards achieving UNFPA’s three transformative results – ending preventable maternal deaths, ending unmet need for family planning, and ending gender-based violence and harmful practices. In some cases, the pace of progress even accelerated over rates seen the previous decade. However, further acceleration is needed to meet our objectives.

        Ending preventable maternal deaths

        Between 2000 and 2017, the world saw a 35 per cent reduction in maternal mortality. New global estimates are not yet available to show progress made in 2017-2021. Still, there are indications that increased investments in maternal health and health system strengthening are having an impact — including the growing number of midwives trained to international standards.

        Tragically, even before the COVID-19 pandemic, progress proved too slow to reach the Sustainable Development Goal target on reducing maternal mortality, and there is evidence that the pandemic may have negatively affected these efforts.

        Ending the unmet need for family planning

        Unmet need for family planning declined between 2018-2021, and the rate of decline was slightly greater in some regions compared to the previous four-year period. Globally, 49 per cent of women or their partners were using at least one method of contraception, representing an achievement of 77 per cent of the strategic plan target. And by 2021, 77 per cent of women of reproductive age were meeting their family planning needs with modern methods, representing an achievement of 93 per cent of the strategic plan target.

        Still, the rate of reduction is not sufficient to end the unmet need for family planning by 2030.

        Globally, the proportion of women of reproductive age who have an unmet need for family planning remained around 9 per cent in the past two decades. The most recent data show that nearly half of all pregnancies worldwide are unintended, and many result in unsafe abortions; this contributes to the high number of maternal deaths.

        Ending gender-based violence and all harmful practices, including female genital mutilation and child, early and forced marriage

        Data on the global prevalence of gender-based violence remains scarce, and pandemic-related disruptions have hindered the collection of reliable data during the past four years. Data from 2000 to 2018 indicates that an estimated 736 million women – almost 1 in 3 – have been subjected to intimate partner violence, non-partner sexual violence or both at least once during their lifetime. Further evidence during the pandemic, such as calls to helplines and online search results, point to the rise of a so-called shadow pandemic of gender-based violence during COVID-19 lockdowns. Despite these grim facts, there are promising signs that attitudes and norms are changing around the world. Global commitments at the Nairobi Summit on ICPD in 2019 and at the Generation Equality forum in 2021 showed strong international conviction that progress for humanity cannot be achieved without the safety and participation of women and girls.

        Since 2000, the prevalence of female genital mutilation has declined by 25 per cent, with a faster rate of reduction seen between 2015 and 2020 compared to the period from 2010 to 2015. Additionally, data shows us that 25 million child marriages were averted in the past decade, thanks to accelerated progress in eliminating the practice. Still, as is the case with all of UNFPA’s transformative results, the pace of decline has been uneven, and it remains insufficient to meet the 2030 target.

        As the organization embarks on the next phase of its journey to 2030, its 2022-2025 strategic plan, the lessons from these last four years will be critical. They show us that progress can be made even under seemingly impossible conditions. Now we must dramatically accelerate that progress with investment and action.

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