The project seeks to empower young people through rights-based sexual and reproductive health service delivery and comprehensive sexuality education. Budget:  6,392,160 USD Donor: Global Affairs Canada Timeline: 3 Years ( 2019 – 2022 ) Project implementation areas: Colombia, Ghana and Togo Partners: Pro-familia, PPAG, ATBEF Key achievements to date: 12 Member Associations (MA) supported through peer-to-peer support by 2 CoE Hosts Over 400,000 SRH services provided to young people Two Anglophone and One Francophone events held in 2021 Involvement of the Youth Action Movement Innovative approaches: Use of Digital Knowledge products(infoado jeunes App and e-learning platform) to expand access to CSE Lessons learned:  Need to document best and promising practices Learning Sessions between CoE hosts needs to be strengthened

The Youth Internship Program provides a framework for youth to benefit hands-on experience, mentoring and coaching to strengthen and develop technical, professional and advocacy skills. Budget:  300,000 USD Donor: Packard Timeline: 2 Years ( August 2020 – July 2022 ) Project location: Africa Regional Office Key achievements to date: 5 young people were recruited (2 Females & 2 Males) Participation in training & intern. events Participation in projects and initiatives Skills developed Mentoring and coaching from staff & Supervisors Innovative approaches: 2 totally youth-led projects  

  Global Youth Connect Project's objective is to strengthen global coordination around youth participation and leadership and improve the communication of IPPF Youth Networks   Budget:  282,000 USD Donor: Unrestricted project Timeline: 2 Years ( August 2021 – August 2023 ) Project implementation areas; Global Partners: RHU   Other interesting information: Youth-led policy dialogues Online magazine Visual content development and dissemination Short grants Linking and learning Key achievements to date: Call for young people to join the youth Think Tank Call for young people to join the funds management committee Call for youth participation to determine project logo Innovative approaches: Totally youth led project Short grants to innovative youth projects Lessons learned: Young people leading and defining change  

  About In a world increasingly affected by natural disasters, prolonged conflict, economic and political crises, and disease outbreaks, there is an urgent need for new models and innovative ways for advancing sexual and reproductive health and rights (SRHR). The Approaches in Complex and Challenging Environments for Sustainable SRHR (ACCESS) Consortium will produce a set of scalable, evidence-based, participatory approaches that support and engage marginalised and under-served populations in complex and challenging environments to claim and access comprehensive sexual and reproductive health (SRH) information and services. Ensuring that all people are able to enjoy their sexual and reproductive health and rights by 2030 requires progress on reaching the most under-served and marginalised populations, including those living in humanitarian settings and other contexts where social disadvantage intersects with oppressive political, climatic, or conflict situations.  The COVID-19 pandemic is a real example which is having a devastating impact around the world, adding to the existing difficulties experienced by women and girls and marginalised populations, and weakening already fragile health systems. Without action, conditions will worsen – rising insecurity may cause conflict and place a further strain on SRH services. Our partners Funded with UK aid from the UK government and led by IPPF, the consortium is comprised of Frontline AIDS, Internews, the London School of Hygiene & Tropical Medicine, The Open University, and the Women’s Refugee Commission. By leveraging each partner’s comparative strengths, ACCESS will develop a set of evidence-based tools and models that can be adapted and transferred to a range of settings for an improved, community-led SRHR response. By working with diverse communities in diverse settings in Lebanon, Mozambique, Nepal and Uganda in collaboration with IPPF Member Associations, ACCESS will co-design and test innovative solutions that enable the most marginalised and under-served people to access comprehensive, evidence-based sexual and reproductive health (SRH) information and services. Compounded by COVID-19, each country has unique circumstances: Lebanon, which hosts a huge number of refugees, including 1.5 million refugees from Syria and multi-generational Palestinian refugees who have been in camps and settlements for decades, straining the relatively small health system. Mozambique, which is in the recovery phase after the devastation of Cyclones Idai and Kenneth in 2019, and is vulnerable to the effects of recurrent natural disasters in the context of extreme poverty and low levels of development. Nepal, which experienced a devastating earthquake in 2016 and has been working to build resilience to prepare for the impact of climate-driven hazards.  Uganda, which faces multiple challenges, including natural hazards, large influxes of refugees from unstable bordering countries, and a restrictive SRHR policy environment. Our impact Through a participatory process that works with communities to identify their SRHR needs, barriers and priorities, as well as to create, test, and refine innovative solutions, ACCESS will contribute to advancing universal SRHR through four outputs:  Resilience: Communities prone to destabilising events, including natural disasters and the effects of protracted conflicts, are better prepared for SRH response and recovery.   Quality Services: Innovative, evidence-based service delivery modalities improve the availability, accessibility, and responsiveness of quality SRH services for communities in complex and challenging environments.   Agency and Equity: Marginalised populations have increased awareness of their sexual and reproductive rights and increased agency to demand and access SRHR information and services, with the support of an enabling environment.   Influence: Evidence generated from the project influences and impacts policy and practice across the humanitarian-development continuum. Publications IPPF Comprehensive HIV Services Package   Facilitator’s Kit: Community Preparedness for Reproductive Health and Gender   Unpacking power dynamics in research and evaluation on social accountability for sexual and reproductive health and rights   Methods to measure effects of social accountability interventions in reproductive, maternal, newborn, child, and adolescent health programs: systematic review and critique   Preparing humanitarians to address ethical problems   Covid-19 in humanitarian settings: addressing ethics to reduce moral distress In April 2021, IPPF received formal notification of the FCDO’s decision to terminate the grant to the ACCESS Consortium. The project closes on 31 December 2021.​

Women’s Integrated Sexual Health (WISH) WISH is the UK government’s flagship programme on sexual and reproductive health rights (SRHR) that was initially implemented 27 countries (24 in Africa and 3 in Asia). The number of countries for the extension phases was reduced to 17 countries. WISH is divided into two ‘Lots’. Lot 1 was implemented in West and Central Africa by a consortium of eight organisations led by MSI Reproductive Choices and Lot 2 was implemented in Eastern and Southern Africa and South Asia by a consortium of seven organisations led by IPPF. Programme oversight, verification of reports, evidence generation, learning and dissemination was done by a Third-Party Monitor (TPM). Donor: Foreign, Commonwealth and Development Office (FCDO) Budget: Total budget of £ 272 million. Lot 2 budget £164.8M Duration: August 2018 to May 2024 Consortium Partners: The IPPF led Lot2 WISH programme also called WISH2ACTION (W2A) implemented by a consortium comprised of MSI Reproductive Choices, International Rescue Committee (IRC), Development Media International (DMI), Options, Ipas, Humanity and Inclusion (HI) and 10 IPPF Member Associations in Burundi, Ethiopia, Malawi, Mozambique, Pakistan, South Sudan, Sudan, Tanzania, Uganda and Zambia. WISH adopted the “Leave No-One Behind” (LNOB) approach specifically aiming to increase access for those below 20 years, the poorest, persons with disabilities and vulnerable communities such as IDPs and refugees.   Some results and impacts figures of Lot2 W2A over the life of the project Number of couple years of protection (CYPs) generated by W2A family planning services: 29,510,107 Estimated additional users of modern methods of contraception: 3,571,683 Estimated number of total family planning users: 8,405,222 Estimated maternal deaths averted: 21,579 Estimated unsafe abortions averted: 4,309,553 Estimated unintended pregnancies averted: 13,256,301 Estimated additional disability adjusted life years (DALYs): 19,224,382   And highlights in each of the four output areas: Output 1 - Community/Individual choice: Poor and marginalised women and men, and adolescent girls and boys are accessing high quality family planning services and have the knowledge and community support to make informed SRHR decisions. An estimated 76 million people in seven countries in East and Southern Africa were reached with mass media campaigns including 100 master radio spots, translated into 29 African languages and broadcast on 136 radio stations. 402 audio-visual recordings were produced and distributed reaching an approximate 49.5 million people. Alternative broadcasting channels were also explored e.g., in Ethiopia where audio spots were broadcast in Hawassa Industrial Park, targeting young people; 33 spots in Amharic and Sidama languages reaching about 35,000 young people, and linked to an increase in FP service delivery between 2019 and 2021. Sudan and South Sudan benefited from remote technical assistance by consortium partner DMI, adapting existing radio and audio-visual material for electronic and alternative broadcast. The W2A mass media campaign was shared with the MoH, other consortium partners and FP/SRHR implementing partners, distributing over 22,600 flash disks and SD cards for further use within their networks. Output 2 - National Ownership: Sustainable national engagement in changing and/or implementing policies, government financing, commodity security and public sector SRHR capacity Between 2019 and 2023, W2A through Options has contributed to an increased annual budget allocation of US$ 9,280,451 million for family planning, through targeted and evidence informed advocacy and accountability across Malawi, Madagascar, Tanzania, Uganda, and Zambia. Throughout the programme, government stewardship of quality improvement for SRH/FP has improved with assessments in Pakistan, Zambia, Uganda and Madagascar, showing increased scores in key domains including quality improvement systems and processes and actions and improvements. Since 2019, W2A through Options has strengthened government stewardship by supporting the development or implementation of 13 policies, strategies, guidelines or plans in Madagascar, Tanzania, South Sudan, and Uganda. Between 2019 and 2023, W2A through Options has strengthened the capacity of 74 local CSOs in Bangladesh, Madagascar, Malawi, Tanzania, Uganda, and Zambia to conduct evidence-based advocacy for SRH/FP. Output 3 – Access to Service: Access to quality, voluntary FP and other SRHR services, eliminating barriers for young and marginalised women Activities under this output focussed on the provision of quality and voluntary FP/SRHR services. Throughout the W2A programme, FP/SRHR service delivery was implemented across three channels - static facilities, outreach, and community-based distributors (CBDs). As a health system strengthening mechanism, capacity building of service providers was an integral component of the programme including values clarification and attitudes transformation (VCAT), training on provision of youth friendly services, integrated FP/SRHR service delivery (contraception, safe abortion, HIV/STIs, cervical cancer screening, GBV, counselling), commodity planning, safeguarding, QOC, adverse events reporting, infection prevention and control (IPC), disability inclusivity, data management and MISP. These trainings have reached approximately 9,000 health care workers across the W2A programme countries. Across the life of the W2A programme, the average youth reach was 16.93% against a target 17%, an increase from the original target of 15%. The W2A programme continued to learn and adapt programming with the aim of reaching clients living in extreme poverty with FP/SRHR services adopting innovations  to improve poverty reach including the use of targeted demand creation strategies, use of poverty heat maps and prioritization of outreach services and cluster/service delivery points (SDPs). The W2A programme continued to work on disability inclusive FP/SRHR service delivery through various demand and supply approaches including working closely with Organizations of Persons with Disabilities (OPDs), disability inclusive targeted outreaches, disability inclusive training, and accessibility audits. Disability reach for the programme ranged from 7-10%. Output 4: Global goods: Evidence-based innovations and practice shared globally to increase women’s choice and access to SRHR services The project has achieved and surpassed targets for global goods development with 17 knowledge products including learning syntheses, peer-reviewed manuscripts, as well as knowledge management products (WISH resource portal and WISH data sharing portal). In addition, W2A contributed to 11 discrete studies led by the TPM. W2A has also utilised both internal and external platforms to share and disseminate learnings form the programme. These include regional and international conferences (ICFP, SBCC Summit), as well as several webinars and learning events. The W2A Programme was also regularly and systematically monitoring other aspects of the programme such as risk, value for money and safeguarding making necessary adaptations based on lessons learnt. The WISH Programme made outstanding achievements in several areas and had an overall score of A. IPPF feels extremely privileged to have been involved in WISH.  

IPPF is committed to supporting Member Associations to develop social enterprise activities for the purpose of generating income, diversifying funding sources and, ultimately, achieving organizational and financial sustainability. IPPF understands social enterprise as using entrepreneurial methods to generate a surplus income, which is used to finance activities that enable the organization to fulfil its social mission. Member Associations have been engaging in social enterprise for decades. Activities include sale of services, commodities, training and others. In 2017, a survey to map social enterprise among the Member Associations showed that, across IPPF, social enterprise activities contribute up to 24% of the total income in 54 Member Associations, between 25% - 49% in 11 Member Associations, 50% - 74% in 14 Member Associations, between 75% - 99% in 13 Member Associations and 100% in one Member Association. Eight Member Associations reported income of US$ 1 million and above from the sale of specialized health and clinical services whereas five Member Associations raised more than US$ 1 million from commodity sales. Read more in our report: in English; Spanish; Arabic or French.   In 2015, IPPF established the Social Enterprise Acceleration Programme (SEAP) aimed at strengthening the capacity of Member Associations to apply entrepreneurial best practices in the health sector while delivering social value and improving lives. SEAP has supported the establishment and growth of social enterprises of Member Associations with the following objectives:  Accelerate the development of Member Associations towards achieving financial sustainability and maximizing social impact. Provide Member Associations with high quality technical advice to support the effective development and delivery of sustainable sexual and reproductive health interventions through social enterprise. Share key insights and best practices within the Federation and provide access to external networks of support and market opportunities. The coordination of SEAP is currently carried out by the Social Enterprise Hub managed by the Family Planning Association of Sri Lanka. The Social Enterprise Hub is responsible for SEAP’s grant management, enhancing awareness on social enterprising, project monitoring, capacity building, documentation of learnings and provision of technical assistance and training.  Watch our social enterprise video, get familiar with our social enterprise capability statement, read our 2018/2019 MA project stories and download our country-specific resources on providing effective technical guidance.  You can also get in touch by email if you have any queries or would like to know more information: [email protected]