EngenderHealth-2014-Impact-Report

“I am healthy… I am
educated, my children
have a better life…”

Alem, a 15-year-old
student in Ethiopia,
sharing her story
about how she
escaped an
early marriage

At the Heart of a healthy
Family Is a healthy Woman
From Amhara to Cebu, from Dhaka to
Zanzibar, my travels throughout the
past year inspired and connected me
with unforgettable women and girls.
Across all cultural lines and geographic
coordinates, there was a similar refrain
in my conversations: “I want… to be
healthy, …to finish school, … to survive
childbirth, …a better life for my children.”
Yet too often, these dreams are out
of reach. EngenderHealth is working
to change this. Our woman-centered
approach is making a lasting impact, so that
women and girls can be healthy and thrive.
When I was in Ethiopia, I saw this in real
time with Alem—a young woman who
shared her emotional story about how she
became a student at Baso High School
in the small city of Debre Birhan. In a sea
of burgundy-colored uniforms, Alem’s
brightly colored hair accessories and shy
smile set her apart. Narrowly escaping a
forced early marriage at the age of 12,
Alem broke ties with her family and chose
an education instead of a wedding. She is
now a member of the school’s Gender and
Youth Club (supported by EngenderHealth),
where she is learning what she needs to
make informed decisions for her health
and future. Through Alem’s eyes, I saw the
tremendous progress we are making and
her potential for the future. She feels it too.
With your invaluable support, we are
reaching more women and girls like Alem,
who can access vital information and health
services so they can better determine their
futures. When women and girls are at the
center of reproductive health priorities and
programs, instead of wishes we will hear
resounding affirmations: “I am healthy… I
am educated... My children have a better
life…” That’s what I call progress.
Thank you for your continued partnership,
Pamela W. Barnes
President and CEO

At the Nexus of Care
For more than 70 years, EngenderHealth has helped millions of women and couples
access high-quality reproductive health and family planning services in communities
where the need is greatest. Our woman-centered approach arises from our belief that
services must meet women’s diverse health needs throughout their lives and that for
the impact to be sustainable, lasting change must take place both within and beyond
the clinic walls.
In addition to training health care professionals, EngenderHealth advocates for positive
policies that ensure rights are respected, women have contraceptive choices, and men
become champions against gender-based violence and HIV—promoting better health for
themselves and their families. It is this future EngenderHealth envisions and works toward
every day: one where every pregnancy is planned, every child is wanted, and every
mother has the best chance at survival.

profile of A champion
EngenderHealth’s Vice President of
Strategy & Impact, Dr. Yetanyet Asfaw,
grew up in a world where young girls are
told more often what they cannot do than
what they can. Growing up in Addis Ababa,
Dr. Yet was the eldest of 10 children; from a
young age, her heart was set on becoming
a physician. Initially, her extended family
and community members were amused.
They told Dr. Yet she could only be a nurse,
because she was a girl.
Fortunately, Dr. Yet had parents who
believed in and encouraged her to
pursue her dreams. Dr. Yet’s mother had
the foresight to tell her that times were
changing and that she needed to change
with them. The only help she could provide
her daughter was an education, but this
investment ultimately unlocked a cycle of
benefits that helped not only Dr. Yet and
her family, but also her community.
After a few years of practicing medicine,
Dr. Yet earned a public health degree and
began directing programs focused on
improving access to quality reproductive
health programs in Ethiopia. Today, Dr.
Yet oversees EngenderHealth’s global and
technical programs in nearly 20 countries
from her new office in Washington, D.C.,
bringing the same determination and
passion to work every day.
“When a woman gets counseled
on family planning, you can see
the smile on her face, the spark
of enlightenment in her eye; you
see hope for the future.”
—Dr. Yetnayet Asfaw

The Exponential Power
of Contraception
A woman’s ability to decide if,
when, and how many children to
have is one of the most important
factors for determining the
course of her future and that of
her family. She is healthier, goes
further in school, and is more likely
to invest money back into her
family, and her family is more likely
to prosper. Today, more than 225
million women who want to delay
or postpone pregnancy still lack
access to modern contraception.
If this unmet need were satisfied,
nearly one-third of maternal
deaths could be prevented every
year, among other benefits.
Leading the Way in Promoting Rights
and Contraceptive Choice
EngenderHealth is a trusted global leader
in advocating for family planning programs
that are designed, implemented, and
monitored in a way that protects and fulfills
human rights and puts women’s needs,
desires, and preferences at the center.
Last year, we produced new tools and
resources to assist governments, local
organizations, and advocates to ensure
informed choice, women’s rights, and safe
services. We co-organized events with
health and rights experts in India, Kenya,
Uganda, and the United States, to discuss
human rights–based family planning efforts,
and we brought the dialogue to a global
audience. We also created a blog focused
on this topic, called Champions for Choice
(www.champions4choice.org).

The RESPOND Legacy
EngenderHealth celebrated the completion
of its globally recognized RESPOND
Project, which was funded by the U.S.
Agency for International Development
(USAID). The project generated important
knowledge from 23 countries, enhanced
“data for decision making” with innovative
tools like Reality Check, and played a
central role in bringing a rights-based
approach to family planning programs.
With our partners, EngenderHealth
convened 72 technical consultations and
developed more than 230 journal articles,
project briefs, advocacy and training
materials, videos, and country profiles
that will advance global knowledge and
influence family planning programs for
years to come. To learn more, visit
www.respond-project.org/archive.
EngenderHealth launched the Where’s
the Family Planning?! (WTFP?!) campaign
to raise awareness of the need for family
planning around the globe. We partnered
with Academy Award–winning actress
Mira Sorvino. The response to date has
been phenomenal. Our video “History’s
Worst Contraceptives” was viewed more
than 410,000 times on YouTube, and we
received mentions in TIME, Glamour,
Cosmopolitan, Upworthy, BuzzFeed, RH
Reality Check, Jezebel, and The Huffington
Post. We also received the Best Nonprofit
Video Award from PR News. Our campaign
is attracting a new generation of supporters
to the organization and inspiring American
women to take action in support of the
225 million women worldwide who want
but cannot get modern contraception.
To learn more, visit www.wheresthefp.org.

EngenderHealth
around the world
Countries where
we work today
Bangladesh
Burkina Faso
Burundi
Côte d’Ivoire
Democratic Republic
of the Congo
Ethiopia
Guinea
India
Kenya
Malawi
Mauritania
Niger
Nigeria
Philippines
South Africa
Tanzania
Togo
Uganda
United States
Countries where
we have workeD *
*For over 70 years, we have worked
in more than 110 countries to ensure
that our government and community
partners have the capacity, resources,
and commitment to offer quality
sexual and reproductive health care
for women, men, and families, today
and for generations to come. When we
have achieved our vision of success,
EngenderHealth moves on to work in
countries where the need is greatest
and where our expertise will have the
most impact.

COuntry HIGHLIGHTS
United States
Through our Gender Matters project in
Texas (which has one of the highest teenage
pregnancy rates in the country), we work
with young people (ages 14–16) who are at
a higher risk of becoming teen parents. The
program teaches teenage girls and boys to
challenge harmful gender stereotypes that
drive unhealthy behavior. It also encourages
boys and girls to think about and discuss
issues together—like how to decide if and
when to have sex and use contraceptives—
using a mix of workshops, social media
strategies, and youth-generated video
messages.
Tanzania
In addition to supporting the national
family planning program, EngenderHealth
engages men to promote healthy behaviors
and to speak out against gender-based
violence and take greater responsibility for
preventing HIV and unintended pregnancies.
In Tanzania, approximately 44% of women
have experienced physical or sexual violence
by their partners in their lifetime. More
than 345,000 people in Tanzania received
HIV and reproductive health interventions,
and through the CHAMPION Project over
260,000 individuals were reached with
activities to reduce gender-based violence.

West Africa
In much of the region, the need for family
planning outweighs access to and use of
contraceptives. EngenderHealth launched
a new program that is expanding access
to family planning in Burkina Faso, Côte
d’Ivoire, Mauritania, Niger, and Togo, where
unmet need is the greatest. In addition to
training health care providers in gendersensitive
and youth-friendly services, we are
leveraging mobile technology and reducing
financial barriers through partnerships with
ministries of health and local organizations
to improve access to health services. We are
also working to prevent and treat fistula in
Guinea and Niger through Fistula Care Plus.
Burundi
EngenderHealth is preventing and
responding to sexual and genderbased
violence through training,
advocacy, and collaboration with
local organizations. We are working
to improve the quality and range of
available services, in partnership with
the Ministry of Gender and Burundi’s
newly formed national Gender-Based
Violence Technical Working Group.
India
We are improving women’s access to wider
contraceptive options, ensuring quality of care, and
promoting rights-based family planning programs. We
are also bringing vital information and health services
to adolescents. For example, our TARUNYA Adolescent
Reproductive and Sexual Health project trains health
care professionals on adolescent health needs, educates
young people about sexual and reproductive health, and
advocates for policies to ensure a safe environment for
young people accessing health services.

healthy mothers,
Stronger communities
Ugo’s Story
Ugo was almost without hope at the time
that she developed obstetric fistula: Caused
by obstructed labor, this devastating but
preventable childbirth injury causes a woman
to leak urine and/or feces continuously. Two
of her five children had died, and her parents
had passed away. When Ugo was ready
to deliver for the sixth time, her husband,
Okoude, was away, looking for work as a
driver. After the labor pains began, she
locked herself inside her house and labored
alone for days. Ugo finally delivered a baby,
but the pressure from the baby’s head during
Ugo’s prolonged labor caused a fistula.
Ugo and Okoude live in Ebonyi State
in southeastern Nigeria. While Ugo was
silently struggling with fistula, the wife of the
Ebonyi State governor began to advocate
for surgical fistula repair services to be
made available. The First Lady launched a
governmental initiative, constructed a fistula
repair center, and brought together partners,
including EngenderHealth, to support the
costs of providing surgeries. EngenderHealth
trained surgeons, anesthetists, nurses, and
other staff and participated in research
designed to improve the quality of care.
When all was ready, she organized screening
EngenderHealth leads Fistula
Care Plus—the largest U.S.
government–funded effort
focused on fistula prevention
and treatment. With support
from USAID, we train fistula
surgeons, anesthetists,
and nursing staff, educate
communities, and work to
expand fistula treatment,
prevention, and reintegration
in Bangladesh, the Democratic
Republic of the Congo, Niger,
Nigeria, and Uganda. We also
work in Guinea with support
from the Islamic Development
Bank, Fistula Foundation, Alcoa
Foundation, Donner Foundation,
and other donors. Since we began
this work in 2002, EngenderHealth,
in partnership with institutions
and medical teams, has supported
more than 27,000 surgeries in
14 countries to date.

campaigns to identify women living with
fistula and to let them know that their
condition could be repaired. Okoude heard
that the screening was happening, and he
and Ugo rushed to be included. Hundreds
of women were there, and Ugo says she was
lucky to be screened. Her recto-vaginal fistula
could be repaired.
Ugo waited three months before she
received a phone call that surgeons were
available to repair her fistula. She was fully
repaired, and Ugo later had a healthy baby
named Martin, after the governor. Ugo prays
daily for the First Lady, grateful for her repair
surgery and hopeful for the future.
Ugo with her son, Martin

our GLobal Impact
In nearly 20 countries, we are responding to women’s needs for
family planning, maternal health, and HIV services. With your
partnership and support, EngenderHealth reached: *
7 million
people with health messages
37,600
people with training on family planning and
reproductive health information and services
6 million
women and men with family planning,
maternal health, and HIV services
8,000
hospitals and health centers to
deliver better care
These activities will prevent an estimated: **
3.3 million
unintended pregnancies
7,200
maternal deaths
397,000
unsafe abortions
71,000
child deaths (as a result of improved
access to family planning)
$251 million
will also be saved in direct health care costs
(by avoiding adverse events related to
pregnancy, death, and disability)
*EngenderHealth trains health care providers and supports hospitals and clinics in partnership with governments and local organizations
to offer high-quality reproductive health services. The EngenderHealth-supported sites provided health care services that will reduce
preventable deaths and disability and result in cost savings. The data cover FY2012–2013.
** Estimated using Marie Stopes International’s Impact 2 Model.

Meet Nurse Enidyjoy—a petite,
graceful woman who stands tall as the
head nurse at a rural clinic in Tanzania.
She is one of 37,600 people trained by
EngenderHealth last year to provide
information and services on family
planning and reproductive health. Any
other provider might be daunted by the
sheer number of clients waiting every
day, but not Enidyjoy: She exudes
compassion and a lively energy, which
stem from her belief that women can lead
better lives if they can plan their families.
To date, Enidyjoy has helped thousands
of people build brighter futures. There is
no doubt that she has saved many lives
in the process. Enidyjoy is living proof
of the progress we are making.

STATEMENT OF ACTIVITIES
Operating revenue
U.S. Agency for International Development $ 38,622,194
Individual and institutional contributions $ 19,914,262
Total operating revenue $ 58,536,456
Operating expenses
Program services:
Reproductive health services $ 40,843,572
Total program services $ 40,843,572
Support services:
Administration $ 10,796,995
Fundraising $ 1,219,107
Total support services $ 12,016,102
Total operating expenses $ 52,859,674
Nonoperating revenue
Investment return $ 959,010
Change in value of split-interest agreements $ 19,139
Pension-related changes other than
net periodic pension costs $ (153,534)
Total Nonoperating Change in assets $ 824,615
Increase in net assets
Increase in net assets before
nonoperating revenue $ 5,676,782
Total nonoperating change in assets $ 824,615
We are grateful to our
longstanding individual and
institutional supporters for
your steadfast commitment
to EngenderHealth and
our work. It is through our
partnerships with our national
and local government
partners, nongovernmental
organizations, communities,
and health professionals that
we are able to realize our
shared vision for a world
where every pregnancy is
planned, every child is
wanted, and every mother
has the best chance at survival.
In 2014, EngenderHealth’s
total income was $58.5
million, made possible through
the generosity of thousands
of caring individuals,
foundations, corporations, the
U.S. Agency for International
Development, and other
bilateral, multilateral, and
technical agencies. We deeply
appreciate this vital support.
Total Increase in net assets $ 6,501,397
Net assets, beginning of year $ 23,739,093
Net assets, end of year $ 30,240,490
Note: The above data represent the audited financial information for the
12-month period ending June 30, 2014. For detailed financials, please visit
www.engenderhealth.org/financials.
78% Program Services
20% Administration
2% Fundraising

Board of Directors
Robert D. Petty
Chair
Francine Coeytaux
Chair, Executive Committee
Rosemary Ellis
Secretary
Mehret Mandefro, M.D., MSc
Assistant Secretary
Margaret Neuse, M.P.H., M.A.
Assistant Secretary
Donald J. Abrams
Treasurer
senior leadership Team
Pamela W. Barnes
President and Chief Executive Officer
Yetnayet Asfaw, M.D.
Vice President, Strategy & Impact
Kelly Culwell, M.D., M.P.H.
Senior Medical Advisor
Daniel Doucette, M.S.
Chief Operating Officer
Sara Kriksciun, M.I.A.
Vice President, External Relations
Paul Perchal, M.P.H.
Vice President, Program Management
Clover Bergmann
Mark Chataway, M.A.
Mark Chiaviello, M.B.A.
Denise Dunning, Ph.D., M.P.A., M.A.
Teresa Edenholm, M.I.A., M.P.H.
Joseph Hafey, M.P.A.
Karen Koh
Ben Lilienthal
Michael McDermott, M.B.A., C.P.A.
Linda Rosenstock, M.D., Ph.D.
Marie Washington, M.B.A.
Directors Emeriti
Lyman B. Brainerd, Jr., M.B.A., Ed.D.
Anne H. Howat
© 2015 EngenderHealth (CM0121)
Photo credits: pp. 2–3: Zeleman Production/EngenderHealth; p. 4: M. Tuschman/EngenderHealth; p. 5: Staff/EngenderHealth;
p. 6: Robin Wyatt/EngenderHealth; pp. 8–11: Robin Wyatt/EngenderHealth; S. Lewis/EngenderHealth; W. Gallagher/
EngenderHealth; M. Tuschman/EngenderHealth; p. 13: C. Ngongo/EngenderHealth; p. 15: Dominic Chavez/
United Nations Foundation

EngenderHealth is a leading global women’s health organization
committed to ensuring that every pregnancy is planned, every
child is wanted, and every mother has the best chance at survival.
In nearly 20 countries around the world, we train health care
professionals and partner with governments and communities to
make high-quality family planning and sexual and reproductive
health services available—today and for generations to come.
440 Ninth Avenue
New York, NY 10001
www.engenderhealth.org