USAID Impact Photo Credit: USAID and Partners

Archives for Women

On the Front Lines in Africa

Nowhere is development such an important part of U.S. engagement as it is in Africa. In anticipation of the President’s trip next week, we thought we’d share some of our favorite FrontLines stories about our work in Africa. President Obama’s strategies on global development and Africa have laid the foundation for a new approach that focus on sustainable development and a new operational model for assistance. We look forward to the opportunities that this visit will bring.

Our Favorites include:

Food Security

Child Survival

Innovation

Women and Development

Conflict Mitigation and Prevention

  • Ethiopia: Peace Brokers: USAID-sponsored reconciliation efforts usher in historic truce accord in Ethiopia’s pastoral south.

Democracy, Human Rights, and Government

Humanitarian Assistance

Resilience

  • Niger: Niger’s Tree of Life: In the face of recurring food insecurity and acute malnutrition, USAID is promoting the cultivation of hardy, vitamin-packed moringa as one way to build resilience in communities in the drought-prone Sahel.

Follow @USAID and @rajshah on Twitter for updates on the trip and to learn more about our work in Africa. Join the conversation using #USAIDAfrica.

Introducing SILCS: It’s Not Your Mother’s Diaphragm

In the early 20th century,  distribution of and education about contraceptives were illegal in the United States, leading to the widespread use of ineffective contraceptive methods. This continued until Margaret Sanger visited a Dutch birth control clinic where she learned about diaphragms and thus began a revolution in the United States. The diaphragm was the first safe and effective woman-initiated contraception in much of the world and was widely used in the United States and other countries until the introduction of the birth control pill. While use of the device has decreased over the past 50 years, a comeback may be in the wings.

The SILCS Diaphragm, set to officially launch in Europe this June, is the first new cervical barrier method that will enter the market in more than a decade.

The SILCS Diaphragm is the first new cervical barrier method that will enter the market in more than a decade. Photo credit: Kessel Marketing

PATH, in collaboration with CONRAD and funded by USAID, designed the one-size-fits-most SILCS Diaphragm to increase access to nonhormonal barrier contraception for women in low-resource settings, as well as developed countries. PATH led a user-centered design process involving input from women, their partners, and providers. The design was then verified in clinical studies by couples in the Dominican Republic, South Africa, Thailand, and the United States. The single size should remove the need for a pelvic exam and fit assessment which are obstacles to both providers and women in many settings.   PATH licensed the SILCS design to Kessel Marketing & Vertriebs GmbH of Frankfurt, Germany, who will introduce the device as the Caya™ contoured diaphragm.

While SILCS was developed to expand women’s options for nonhormonal barrier contraception, SILCS has added value due to its potential to be used as a multipurpose prevention technology when paired with tenofovir gel—a product currently in Phase III clinical testing—which is designed to protect women from acquiring HIV.

CONRAD, which owns a license for tenofovir gel, is working on a protocol for a study that will assess the safety, pharmacokinetics, and pharmacodynamics of the SILCS plus tenofovir gel. Another study will evaluate the potential of a modified tenofovir gel as a contraceptive by pairing it with the SILCS to assess their ability to prevent sperm from penetrating cervical mucus.

PATH is working with research partners in India, South Africa, and Uganda to identify opportunities and challenges for future introduction of the single-size diaphragm in developing countries. There are 222 million women worldwide who would like to avoid pregnancy but aren’t using a modern method of contraception. Some women are either unable or unwilling to use hormonal contraceptives, and many also have infrequent sex and prefer to use a product that is on demand and woman initiated.

Imagine a world where every child born is planned and their mothers are free of HIV infection. As Louis Armstrong sang, what a wonderful world this could be.

Visit Medintim to learn more.

Follow @USAIDGH on Twitter and use #GHMatters to join in the conversation about global health issues.

It’s The Silent Killer: Undernutrition

Shivani Cotter is a member of Mom Bloggers for Social Good. Photo credit: Shivani Cotter

This morning, my daughters ate a hearty breakfast. They had eggs, toast and a yogurt each. What do you think women and children in poverty-stricken regions throughout the world ate (or did they)?

I remember reading an article by Anap Shah a few years ago that I have never been able to get out of my head. The heading read, “Today, around 21,000 children died around the world.”

I was shocked! Living in a bubble, I rarely paid attention to how devastating the numbers were (about 1 child dying every 4 seconds)! Although written a few years ago, that article was the catalyst for my quest to learn more about global nutrition and it’s effect on women and children.

Anap Shah caused two conflicting emotions: First, relief that my children didn’t fall into one of those statistics. Second, sick to my stomach that I even felt that way!

Did you know that nearly 165 million children under 5-years-old suffer from undernutrition today? According to the Lancet medical journal, malnutrition contributes to 3.1 million under-five child deaths annually. The numbers are stunning but don’t have to be. The U.S. Government’s Feed the Future initiative, led by the U.S. Agency for International Development (USAID), is dedicated to reducing them. It’s working towards building a better future for mothers and children.

Feed the Future, the U.S. Government’s global hunger and food security initiative, has already improved nutrition and helped people lead healthier lives in Zambia, Guatemala, Tanzania and more. Through Feed the Future in the past year alone, 12 million children have been positively affected — and that is just the beginning. Feed the Future shares their knowledge with the people in poverty-stricken locations and support country-owned programs addressing undernutrition. Their monthly newsletter is filled with information regarding their latest goals and progress.

USAID believes in integrating their approach on dealing with global health and nutrition by forging the right partnerships through initiatives like Feed the Future. USAID, on behalf of the U.S. Government, signed on to the global Nutrition for Growth Compact, and supports the Lancet Series on Maternal and Child Nutrition, which is chock filled with information about the importance of improving nutrition globally. Their goal is to ensure every child is given the best start possible in life.

The first 1,000 days from a woman’s pregnancy to a child’s second birthday are the most critical for a child’s development. By focusing on maternal health and young children, the U.S. Government through USAID and the Feed the Future initiative are striving to cut the death toll for children under 5 years old. Find out more about their goal and ways to help here.

Shivani Cotter is a writer, blogger and social media activist. Through her blog, TrendingMom.com, Shivani is dedicated to teaching others how to live positive and fulfilling lives as well as leaving a lovely legacy for her daughters. Shivani is part of Mom Bloggers for Social Good, a global coalition of 1000+ mom bloggers, in seventeen countries, who spread good news about the amazing work non-profit organizations and NGOs are doing around the world.

Follow @USAID@USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

SPRING to Better Nutrition Across the Globe

Amanda Pomeroy is a Research & Evaluation Advisor for the SPRING Project. Photo credit: SPRING

Evidence has been mounting to support the hypothesis that maternal undernutrition, as well as in-utero infant and young child undernutrition, are correlated with the risk of developing nutrition related non-communicable diseases (N-RNCDs) later in life. Since 2012, the Strengthening Partnerships, Results, Innovations around Nutrition Globally (SPRING) Project has been mining this evidence base for information that can help program planners and policy makers better conceptualize what this correlation could mean in practical terms for maternal and child nutrition interventions.

SPRING has completed several activities that contribute to this effort. As a first step, we conducted descriptive analyses of secondary data in selected regions and countries to explore where future N-RNCD risks may lie, and to identify how undernutrition programs may need to be tailored to reduce health problems as children and adolescents reach adulthood. Currently SPRING has ten country profiles across Africa and Southeast Asia, and two regional profiles that summarize trends across countries for these two regions.

Based on these descriptive analyses for our selected countries, we found that most nutritionally at-risk countries had several sub-populations with overlapping nutritional burdens (where both under- and over-nutrition were present at the same time within the same household or same individual). While one would expect this to consistently happen in the wealthier, more educated households, this pattern was not uniform across countries, and several countries such as Zambia and Malawi, the less wealthy, rural, and the less educated also saw significant overlap.

While sub-national analyses could not be conducted for pre-NCD and N-RNCD conditions, in the regional profiles we were able to examine trends and prevalence across nations. According to the World Health Organization (WHO) type II diabetes mellitus (diabetes) and cardiovascular disease (CVD), along with cancer and other NCDs, account for around one-quarter to one-third of all deaths in SSE Asia (calculated from WHO 2011) and around one-third of all deaths in Africa (calculated from WHO 2011). The data that have been estimated for prevalence of diabetes, show that while growth of diabetes in SSE Asian countries has not been remarkable, it does in fact have one of the highest average prevalence rates of diabetes among adult women, only recently overtaken by the Americas region in 2007. While Africa overall does not have a particularly high rate of diabetes, there has been a steady increase over the ten most recent years of data. The range of diabetes prevalence is quite wide for this region, with the lowest figure being 5.9% in Burundi, and the highest being 14.7% in Cape Verde (2008 estimates). Southern Africa seems to have the highest sub-region burden, with Swaziland and Lesotho both coming in at around 12%. For comparison, the United States had an average prevalence for adult women of 9.1% that year.

The regional profiles also discuss the national trends in calorie availability and child nutritional status, to highlight where future risk may be building. For copies of the regional and country briefs, and to learn more about SPRING, please go visit their website. SPRING will be adding new country profiles as needed, so check back for additional countries.

The country and regional profiles are a useful first step in operationalizing research into usable information for program planning and policy advocacy. As a second step, SPRING completed the first phase of a cost effectiveness simulation model looking at the short and long term effects of undernutrition interventions that are conducted in the first 1,000 days. The goal is to produce a more inclusive understanding of the relative value of nutrition interventions by extending the time frame for estimating benefits, specifically in terms of quantifying the ‘value added’ by their impact on early life genetic programming and any resulting later life course N-RNCD risk. For more information on our simulation model, please see our activities.

Going forward, SPRING will actively work with USAID to identify innovative applications of these resources to country programs. Via improved planning, advocacy, and targeting, this information can contribute to reducing the impacts of NCDs via better nutrition across the globe. 

Follow @USAID@USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

Keeping Global Nutrition on the Table

Jennifer Barbour is a member of Mom Bloggers for Social Good. Photo credit: Jennifer Barbour

This originally appeared on the Feed the Future Blog.

When I was pregnant with my sons, I paid close attention to my diet. I cut out caffeine and the occasional alcoholic drink. I ate more spinach when my body needed more iron.

I continued to make adjustments to my diet when I breastfed my boys for the first several months of their lives. I thought about the food I put in my body for the health of my babies and for me.

I knew the importance of nutrition in those early stages of childhood, even before my kids were born. What I didn’t realize is that if a child isn’t given the proper nutrition in the first 1,000 days of life, from pregnancy to age 2, his growth could be stunted and his performance in school could be affected.

To think that pregnant women and children are lucky to even have a daily meal, let alone a nutritious one, never even crossed my mind when I was pregnant.

I was lucky to have the means to eat a healthy diet and access to the food my body needed.

I’m much more aware of what it means to be food insecure these days. My nonprofit work in Maine has opened my eyes to child poverty that I didn’t know existed in my own back yard. Nearly 1 in 4 children in Maine are food insecure.

I’ve written blog posts on food insecurity, hunger and global nutrition. Honestly, I wasn’t sure how my audience would react to such subjects. Hearing about 165 million malnourished children in the world isn’t exactly uplifting.

But I always try to show the good that can come out of such knowledge, whether it’s a local restaurant giving a meal to needy families for every meal sold or employees tending a garden to stock a food pantry. Telling the stories of those who are helping to solve these problems inspires action in others.

On a global level, there is much to be done. An initiative like the U.S. Government’s Feed the Future, led by USAID, is leading the way by showing how nutrition, poverty and food insecurity are all related.

Rather than taking a one-size-fits-all approach, Feed the Future is addressing undernutrition through country-owned programs. They are looking at agricultural development and addressing the most at-risk population, women and children. The investment in food security is seen as an investment in our own economy. I am elated to see that almost 12 million children under 5 have been reached by Feed the Future nutrition programs.

It’s encouraging to see our world leaders take on global malnutrition.

Together, we can keep them accountable.

About the author: Jennifer Barbour is a copywriter, blogger, aspiring author and new media consultant. She aims to inspire, to entertain and to make you think. Her passions are writing, philanthropy, her awesome family and bacon, though not necessarily in that order. You can find out more at anotherjennifer.com.

Follow @USAID@USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

SMART Training Enables Egyptian Woman to Educate Community on Nutrition, Healthy Behaviors

Gaz Mohamed Mohamed Hussein Al Masarah comes from Masrah, a small village on the Nile about 40 kilometers (25 miles) north of the governorate capital of Asyut, Upper Egypt. She is 25-years-old and delighted to be included in a group of 20 young women selected by the SMART Project (Community-based Initiatives for a Better Life, funded by USAID) to work as Community Health Workers (CHWs) in their own communities. This class of 20 future CHWs is part of a total cadre of 1,200 women who have been trained.

The SMART project—a USAID-funded MCHIP project that focuses on improving maternal and neonatal health and nutrition—works through community development associations in Upper and Lower Egypt to train physicians and CHWs to improve newborn care, nutrition, and the use of modern family planning methods. Providers and CHWs are trained to focus on the nutritional habits of pregnant and lactating women, implement perinatal practices (such as intensive care for preterm or low birth weight babies), and encourage exclusive breastfeeding for six months.

Gaz Mohamed, third from the left (in red scarf), attending the CHW training. Photo credit: MCHIP.

During a break in the training on infant nutrition, Gaz recounts how, as one of six children, her family was never able to afford to send her to school. Her older sister married young and her brothers attended primary school, but Gaz was kept at home to help her mother. However, when she was 10-years-old, a relative started a literacy class in the village, and persuaded Gaz’s father to allow her to attend.

Gaz laughs when she tells how happy she was to carry her books around like the other students she had seen. She worked hard at the literacy classes and was soon able to join Year 5 in Primary School. She finished with good results and, with the support of her father, went on to secondary school, where at graduation her marks were good enough for her to have entered the faculty of agriculture, education, or commerce. However, her father did not want her to move into Asyut to continue her studies.

Not wanting to stay in the house all day, Gaz began to look for something she could do in her village. At the beginning of 2012, she was nominated by a local community development association to participate in the SMART training course for CHWs. The Smart Project selects CHWs in every community in the targeted governorates to visit pregnant and breastfeeding women in order to disseminate messages about healthy nutritional habits and infant care. Gaz’s best friend from school, Manal, was also nominated, and they were very excited to join the training together.

Gaz excitedly shares her knowledge from the training. She says she has learned about the benefits of breastfeeding and is convinced it will help mothers who traditionally start feeding their children different drinks and soup after only 40 days. She speaks confidently and enthusiastically about her new role in the community, saying how happy she is to be able to help her neighbors and friends in the village. Thankfully, her father has also accepted the idea that his daughter is working.

Gaz’s mother is proud of her daughter, too, especially for choosing to help other women. As the first woman in the family to have received an education and worked outside the home, Gaz contributes some of her monthly salary toward the family food bill. The rest she is saving for her marriage expenses. Although she is engaged, she is in no hurry to marry and insists she will continue working after she marries. She recognizes that the knowledge she has gained during the CHW training will be very useful for her when she has children of her own.

And reflecting back on her childhood desire to go to school, Gaz says she never would have imagined that she would one day have the information and confidence to go into women’s homes to discuss health and nutrition issues. “I just wanted to be educated like my brothers,” she says. “And that gave me the chance to be working and helping people. I wish that all the girls in Masrah could have an education. With education we could chase the ghost of malnutrition from Asyut!”

Learn more about USAID’s work on improving nutrition

Follow @USAID@USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

Filling the Bellies of Hungry Kids

Julia Gibson is a member of Mom Bloggers for Social Good. Photo credit: Julia Gibson

Growing up as the kid of a car mechanic who worked on flat-rate, we did not have much money. On weeks my dad didn’t turn many hours, we survived on generic macaroni and powdered cheese (4 for $1!) and if we were lucky there was a can of tuna fish to mix in. While that might not have been the most nutritious dinner, I never went to bed hungry. I never went to bed with the gnawing of hunger pains from deep within.

But, millions of children are going to bed hungry around the world.

There are children who have that gnawing hunger pains every single day of their lives.

Hungry children can’t concentrate at school. They don’t care about math and science… they just want food in their bellies.

165 million children under five are under nourished. Poor nutrition can affect a child’s health and learning ability. Poor nutrition in the first 1000 days of a child’s life – from pregnancy to their second birthday – can cause irreversible growth and mental issues. From hunger.

Through USAID and the Feed the Future program, investments are being made in agriculture, health and social protection. Programs like encouraging the growth of orange maize in Zambia, assisting in food security in Guatemala for women and children and other programs are helping teach women how to provide healthier food for themselves and their families.

These aren’t handouts, folks. These are programs to encourage the women of these countries to help themselves. They are given the information and training to grow better crops and to get the food from the plants to the table without any issues.  They are being given the potential to succeed. They are being given the knowledge to fill their children’s empty bellies.

Feed the Future is helping women and their families rise above poverty and under nutrition and provide for themselves and their families. These children are being given the chance to succeed at school and in life– because of better nutrition.  Last year, they were able to reach 12 million children. Twelve million children went to bed with full tummies because of USAID and Feed the Future.

Whether you love or hate the United States government… you have to be amazed at Feed the Future. The initiative, led by USAID, is comprised of eight other governmental agencies all working together to help others.  They are Feeding the Future.

Recently, I saw a sign that said “Childhood shouldn’t hurt.”  Childhood shouldn’t hurt– this includes hunger pains. A child should be given every opportunity to succeed. Thankfully, programs like Feed the Future are giving them that opportunity.

I encourage you to check out Feed the Future’s website to learn more.

Julia Gibson is the mom of boy/girl twins, wife, accountant, scrapbooker, card maker, and nap sneaker. Relatively new to the blogging scene, she recently became involved with social good and is proud to be a member of the Global Team of 200, part of Mom Bloggers for Social Good, a global coalition of 1000+ mom bloggers, in seventeen countries, who spread good news about the amazing work non-profit organizations and NGOs are doing around the world. You can read more of Julia’s blog posts at Mom on the Run x2.

 Follow @USAID@USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

Video of the Week: Turning the Tide on Global Hunger

In this Feed the Future video, narrator Matt Damon discusses efforts to turn the tide against global hunger and increase agricultural production around the world. The video was shown at the “Feed the Future: Partnering With Civil Society” event on September 27, 2012.

This morning, during a global nutrition-focused event co-hosted by Bread for the World Institute and Concern Worldwide, USAID announced its ongoing commitment to work with the U.S. Government’s leadership to reduce undernutrition around the world. The event followed the Nutrition for Growth event in London. During his trip and on behalf of the U.S. Government, Administrator Shah signed the Global Nutrition for Growth Compact which commits donors and private partners to scale up nutrition programs specifically targeted to reduce undernutrition in women and children.

Also last week, Administrator Rajiv Shah and Tjada McKenna, deputy coordinator for Feed the Future, participated in a Google+ Hangout on the role of nutrition in child survival and food security nutrition with representatives from the ONE Campaign, GAIN and 1,000 Days, as well as Candice Kumai, who is a chef, food writer, Iron Chef Judge and nutrition champion for Future Fortified.

Learn more about USAID’s work on improving nutrition

Follow @USAID, @USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

Promoting Empowerment and Education in the Americas

This originally appeared on the White House Blog.

Last week I had the pleasure of accompanying my husband Joe on a trip to Colombia, Trinidad and Tobago, and Brazil. In each country, I witnessed the good work of the United States to promote economic growth and development through education and empowerment of women entrepreneurs.

Dr. Biden and Colombian First Lady María Clemencia de Santos met with carpentry students at Escuela Taller in Bogota. Credit: Jenny Murcia, U.S. Embassy Bogota Public Affairs Press Assistant

Colombia: Vocational Training for At-Risk Young Adults

As an educator for more than 30 years, I enjoy meeting students wherever I go. I love to hear about their experiences and see exciting and innovative programs that are working. One of those programs is the Escuela Taller in Bogota, which I had the pleasure of touring with Colombian First Lady María Clemencia de Santos. Escuela Taller is a vocational school that serves low income and high-risk youth and provides training for jobs such as carpentry, culinary arts, construction and wood working.

Since 2006, USAID has provided funding to the Bogota, Cartagena, and Buenaventura locations of Escuela Taller, funding that, in part, supported the construction of the school’s in-house restaurant and kitchen. Through the U.S. partnership, the school is mitigating gang recruitment risk factors such as lack of education, unemployment and low-self-esteem for young adults. Alumni like Jonothan Medina who attended the culinary school are now dreaming big – he wants to study in France at the Cordon Bleu! In fact, over 90 percent of the graduates from the culinary program are employed in local restaurants.

Trinidad: Women Entrepreneurs Invigorate a Local Trade

As I travel around the US and across the globe, I always notice the important role women entrepreneurs play in local economic development. Trinidad and Tobago is known for its high-quality cocoa beans, but they only make up about 5 percent of the world’s market. Women like Isabel Brash, owner of Cocobel Chocolates, and Darril Astrida Saunders, owner of Exotic Caribbean Mountain Pride, use only local products from start to finish and are trying to revive the local cocoa trade, while simultaneously promoting women’s entrepreneurship.

I toured Isabel’s kitchen and saw her turn cocoa beans into delicious bars of dark chocolate. I also heard from Darril how the U.S. State Department’s Women’s Entrepreneurship in the Americas (WEAmericas) and the International Visitor Leadership (IVLP) programs provided her with business training and networking opportunities. WEAmericas connects women entrepreneurs from throughout the Americas and leverages public-private partnerships to increase women’s economic participation.

Read the rest of this post.

 

Contraception: Not to be left to serendipity

A couple of years ago, I was in Abuja, Nigeria, working to integrate family planning within a health systems strengthening project. It was a Sunday; the day Goodluck Jonathan was being sworn in as president and the entire city was shut down because of the inauguration.

My colleague, a physician ob/gyn wanted me to see firsthand, the different service points in the health system. We drove about an hour or so out of Abuja and arrived at the maternity ward of a referral hospital. The delivery room was bustling, but supplies were minimal and facilities were bare boned.

The two midwives on duty had their hands full. They had already delivered four to five babies and were struggling to help a young woman through a difficult delivery. The woman showed up at the hospital that morning and as far as the midwives knew, she had not received any prenatal care. My colleague quickly jumped in to assist.

Kenyan women learning about IUDs. Photo credit: MSI

I remember sitting on a wooden bench with one of the midwives. We were separated from the delivery room by only a flimsy, green colored curtain. On the floor in front of us sat a young girl with orange ribbons in her hair, drawing continuous circles on the ward’s floor.

About 20 minutes passed and my colleague emerged asking for a sterile plastic clip to tie off the umbilical cord. He chastised the midwives for not using them and relying on string instead. They shrugged and told him the clips didn’t work; a conclusion he reached after trying five times. The midwife smiled and leaned against me to whisper – “That’s why we use the string- at least we can be sure the umbilical cord is tied off, even if it is not sterile.”

A few moments later, he appeared again, this time he was holding up a healthy, bawling, baby boy.

This experience crystallized in one powerful moment the challenges of getting health services to work for the people who depend on them. Mostly, I was struck by the sense of serendipity. If it hadn’t been for the presidential inauguration and for a random visit by a caring physician, this woman and her child may have died, or at minimum, had a long and painful labor.

Instead, we were able to celebrate the birth of her son, and her safe recovery from labor.

I sat back down and looked at the little girl on the floor and wondered…what choices would make the difference for this child? What health care and services could she count on in her lifetime? What opportunities would change her future prospects?  And I was convinced once again of the simple truth that access to contraception is pivotal in determining the equation of future opportunities – hers, mine, all of ours. If this young girl had the information and means to make choices about her sexual health and childbearing, she would have a better chance to determine her own future.

Contraception matters. It not only changes lives, it saves lives. If an additional 120 million women who want contraception could get it by 2020, we could have 100 million fewer unintended pregnancies, 3 million fewer children dying in their first year of life, and 200,000 fewer women and girls dying in pregnancy and childbirth.

And now, we have an opportunity before us to truly level the playing field for all women and girls. A global community is recommitted and reenergized and we as individuals have the power to ensure that women’s autonomy over health-related decisions is a fundamental right, not a privilege.

The effort to make contraception available is part of our commitment to reduce poverty, enhance human rights, feed the hungry, give water to the thirsty and share the wealth we have with those who need it. Each of these pieces needs the other, and is integrally connected to each other in order to thrive. And without family planning – without support for women and girls’ lives and dignity – our vision for real, lasting change in this world is simply not whole.

If we act now and keep our promises, we can circle back to the little girl with the orange ribbons and assure her that she will not have to rely on the vagaries of chance appearances, if and when she is ready to give birth.

We can’t leave women’s lives up to chance. When we get the choices right for women, we get it right for development. And in the next seven years, with the lives, dreams and opportunities of millions of the world’s women at stake… we simply have no choice but to get it right.

Learn more about Family Planning 2020.

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