2010 AnnuAl RepoRt

population Action International I 1300 19th Street nW, Second Floor I Washington, DC 20036 I 202-557-3400 I www.populationaction.org

2010 AnnuAl RepoRt

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Dear Friend,

these days it feels like everyone—from business leaders to philanthropists to politicians—seems 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.

That’s 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 that’s 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 didn’t, 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.

Moisés naím Chair, Board of Directors

Suzanne ehlers President & CEO

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“I’m extremely

happy when I see a woman’s life improve,”

Ayneshet says. “It’s great to see them in a better place in their life. It’s great to see

them holding a healthy baby.” – Ayneshet

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.

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 aren’t 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 isn’t 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

health, using a women and girl-centered strategy.

nevertheless, we are fighting an uphill battle on funding to improve

maternal health and to help infants get a good start in life. In Canada,

for example, legislators excluded family planning from a maternal

health initiative that could have saved the lives of hundreds of

thousands of young mothers in developing countries. As pAI

president Suzanne ehlers wrote in her Huffington Post blog “Whoa

Canada”: “Foreign Minister lawrence Cannon claimed that access to

contraception is irrelevant to his goal of saving mothers and infants.

After a quick public backlash, he edited his talking points, but still

refused to acknowledge that family planning saves lives.”

u.S. Secretary of

State hillary clinton stressed

the importance of family planning in a

speech at Johns Hopkins university: “Saving

the lives of women and children requires

a range of care, from improving nutrition to

training birth attendants who can help women

give birth safely. It also requires increased

access to family planning. Family planning

represents one of the most cost-effective

public health interventions available

in the world today.”

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Radhika poudel’s father died before she was born. By the age of two, she was an

orphan, and by age nine, she was someone’s 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 didn’t 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 don’t want to let my children pass

through any such trouble. I’ll do as much as I

can.” – Radhika

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The TrAgedy of chIld MArrIAge

pAI documented Radhika’s 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 opposition’s

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 obama’s

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 obama’s 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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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 pAI’s 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 pAI’s Young people’s 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 world—including youth-led groups—to 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 Federation’s 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 pAI’s

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. pAI’s 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

country’s 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 you’re 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. government’s 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 pAI’s efforts to convene stakeholders about

the state of reproductive health in latin America and explore

opportunities to increase pAI’s 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

Ambassador’s 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 PeoPle’S AdvocAcy

During 2010, pAI made headway in our efforts to promote advocacy

among young people. We awarded three small grants to youth-

led 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 pAI’s 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 youth-

oriented film screening guide for young activists.

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MATure WoMAn

Amarach Dirillo, pictured at left, is in her early 40’s, and has nine children. In her

community in ethiopia, a large family is a source of pride, but Amarach’s 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 family’s 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 Depo-

provera, 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 don’t have those

resources—215 million women around the world need

contraceptives, and hundreds of thousands will die of

pregnancy-related causes.

pAI’s documentary Empty-Handed, released in 2010,

tells the story of women in sub-Saharan Africa who

weren’t 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 Institute’s 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 pAI’s 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

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 We’re 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 pAI’s advocacy partners in explaining why family

planning should be part of any discussion on the future of the earth’s 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 Women’s

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: 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

1990—thanks 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 high—pregnancy

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 doesn’t have enough food for everybody. And Aregash’s 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 woman’s life is hard, and climate change makes it harder,” she says. “I

tell the mothers to use family planning and space their children…so they can

get out of poverty.” — Aregash

As the chairwoman of a women’s 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, they’re out of stock. Health workers

offer her pills, but her husband won’t let her take them.

“I felt so bad because they couldn’t provide what I wanted,” she says. “And

because I was provided a method I didn’t want, I ended up being pregnant. I

didn’t want another baby.” — Faridah

So her family grows. She needs our help.

I 28

BoArd of dIrecTorS

Moisés naím, ph.D.

Chair

the Honorable Harriet C. Babbitt

Vice-Chair

Dr. pouru Bhiwandi

Treasurer

Victoria p. Sant

Secretary

Jacqueline C. Morby

Former Chair

Suzanne ehlers

President & CEO

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.)

nafis Sadik, M.D.

S. Bruce Smart, MCe

eMerITuS MeMBerS

the Honorable

Robin Chandler Duke

the Honorable

William H. Draper, III

phyllis tilson piotrow, ph.D.

Dr. Fred t. Sai

PAI’S STAff And BoArd

I 28

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 pAI’s Board of

Directors and is supported through donations from individuals, both honors and celebrates the

life of Amy Coen. Amy’s 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

I 29

SenIor 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

STAff

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

PAI’S STAff And BoArd

I 29

I 30

TeMPorArIly PerMAnenTly 2010 unreSTrIcTed reSTrIcTed reSTrIcTed ToTAl SuPPorT And revenue Grants and contributions $3,025,055 $905,000 - $3,930,055 Investment income 145,750 - - 145,750 other 20,822 - - 20,822 net assets released from restrictions 2,092,519 (2,092,519) - -

Total support and revenue 5,284,146 (1,187,519) - 4,096,627 exPenSeS program services 4,107,052 - - 4,107,052Resource development 469,103 - - 469,103General and administrative 448,101 - - 448,101

Total expenses 5,024,256 0 0 5,024,256

change in net assets 259,890 (1,187,519) - (927,629)

neT ASSeTS

Beginning 2,204,652 1,542,017 156,668 3,903,337 ending $2,464,542 $354,498 $156,668 $2,975,708

Program Services

Resource Development

General Administrative

STATeMenT of AcTIvITIeS for The yeAr ended deceMBer 31, 2010

I 30

I 31

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

2010 2009

ASSeTS Cash $3,278,713 $936,082 Real estate security deposit 27,273 27,273 pledges & other receivables 267,530 1,438,586prepaid expenses 34,336 42,118

Total current assets 3,607,852 2,444,059

Total investments 2,203,932 2,613,944

net fixed assets 110,568 159,879

Total assets $5,922,352 $5,217,882

lIABIlITIeS & neT ASSeTS Accounts & payroll taxes payable $83,490 $89,405Accrued vacation & salary expense 51,574 56,653 Deferred rent 168,106 65,936 Refundable advance 2,581,411 1,057,321 Capital lease obligations 62,063 45,230

Total current liabilities 2,946,644 1,314,545

Total net assets 2,975,708 3,903,337

Total liabilities & net assets $5,922,352 $5,217,882

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.

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

Independent auditors: McGladrey and pullen, llp I 31

I 32

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 organization’s

development efforts, and later as a board member and a donor, Vicki in

particular has furthered PAI’s mission. Vicki’s continued engagement is a

testament to the important role she feels PAI plays in improving the lives of the

world’s 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 people’s 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, pAI’s 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 33

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 humanity’s

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

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.

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

I 34

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

Anonymous (7)

BeQueSTS

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

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 CohenI 34

I 35 I 35

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 36

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

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

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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)

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population Action International I 1300 19th Street nW, Second Floor I Washington, DC 20036 I 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 and climate

change, and strengthening national

security.