<<

ANNUAL REPORT 2018

VOICES+ CHOICES ELEVATING VOICES.

EXPANDING CHOICES.

IMPROVING LIVES.

POPULATION COUNCIL LETTER FROM THE PRESIDENT AND BOARD CHAIR

2018 was a year of rising voices, from growing demands for global action on to the UN’s dire warnings of climate catastrophe. In an increasingly noisy world, evidence is more important than ever. Rigorous research can reveal and elevate the voices and visibility of the world’s most marginalized people.

That is why we are proud to lead the .

For more than 65 years, our unique combination of workers. These are just a few of the ways our ideas biomedical and social science research has enabled and evidence are improving lives around the world. us to understand people’s lived realities and to develop and evaluate products and programs to In 2018, we were proud to see the latest evolution address their needs. And when we demonstrate in our more than 40 years of making the case for what does and doesn’t work, and design tailor- women and girls to be at the heart of global made solutions, people’s voices are transformed development. At a convening in Washington, D.C., into smart development investments. our researchers shared new findings from rigorous evaluations of girl-centered programs, including This year, the Population Council’s unparalleled that cash transfers more effectively improve contribution to contraceptive method choice was education, health, and economic outcomes when continued with the U.S. FDA’s approval of supported by programs that build girls’ social Annovera™. We are proud to have created the first assets and health knowledge. In the Stanford Social and only contraceptive device that a woman can Innovation Review, researchers from our GIRL Center insert herself and receive an entire year of unveiled a practical framework for designing and protection, without having to return to a doctor or implementing programs that center around girls’ pharmacist. And Annovera doesn’t require diverse needs. And with the launch of our open refrigeration, making it more viable for distribution access Adolescent Data Hub, researchers, in low-resource settings. Our research has shown policymakers, and programmers can find data on that having a range of contraceptive options more than five million young people, harnessing increases women’s ability to successfully delay, increased impact from decades of research space, or limit pregnancy, which makes Annovera investment. a major step toward addressing many women’s desire for greater contraceptive choice, Thank you for standing strong with us in the pursuit convenience, and control. of evidence and in our shared commitment to improving the health and well-being of the world’s But our biomedical advancements are only one poorest and most marginalized people. piece of the Population Council’s story. In fact, most of our researchers are social and behavioral science experts, conducting research on the ground in nearly 50 countries around the world. And partnerships are at the heart of our impact. In the following pages, you will read about how we’ve worked with the Zambian Police Service to provide emergency contraception to rape survivors, with the regional government of Bihar in to scale up women’s self-help groups to support maternal and newborn healthcare, and with factory owners JULIA BUNTING, OBE DARCY BRADBURY in Egypt to establish health clinics for women President Chair, Board of Trustees

ANNUAL REPORT 2018 ANNUAL REPORT 2018

, to , the

D h , to We use researchWe most identify the world’s to and development to health critical challenges and to improveoften the lives of those young women and overlooked—including and key populations at girls, adolescents, As the face of the HIV epidemic risk of HIV. and morehas become younger feminized, we have shifted our research and programs to directly address the needs and realities of this marginalized group. Our real-time insights inform real-time responses. what are inequalities fundamental gender that we find everywhere. For me, it’s about the need to think about how we address what are essentially unequal outcomes for women and girls across many societies.” MUTESHI-STRACHAN, P JACINTA FGM/C Research Program, Kenya “I am in this work because I am work because I am “I am in this interested in doing my part to address NEW TECHNOLOGIES

IMPROVING POLICIES

| POPULATION COUNCIL | POPULATION 2 Population Council is expanding voices and Population Council those most in need. for, choices with, and DEVELOPING From PROGRAM DESIGN STRENGTHENING and implement evidence-based approaches.and implement evidence-based 50 countries worldwide. We are building the next We 50 countries worldwide. and strengtheninggeneration of change-makers, partners’ generate high-quality data capacity to Population Council continues that work with Population Council expert teams—in moredozen country than a offices affiliate and four local entities—driving research that is tailored to local needs in nearly Since its formativeSince its the Population Council years, of elevate the voices using evidence to has been the people. Today, most vulnerable the world’s EVIDENCE TO IMPACT EVIDENCE IMPROVING POLICIES TO ADDRESS SEXUAL AND GENDER-BASED VIOLENCE

Sexual and gender-based violence (SGBV) is Today, Zambia’s national guidelines allow police a pervasive global health problem, one that provision of emergency contraception to survivors 35 percent of women worldwide will experience of sexual violence and the Zambia Police Service in their lifetimes. For women and children in includes SGBV training ­for all new recruits, humanitarian and refugee settings, it is including counseling, emergency contraception compounded by a lack of basic protections and an provision, and referrals. This model is being shared increased risk of violence, with limited access to through the SGBV Network for replication and even primary health services. scale-up in other settings, including Malawi. Most recently, Member States of the International The Population Council-led Regional SGBV Conference on the Great Lakes Region passed a Network was founded in 2006 to identify effective resolution to implement this police-led model responses to SGBV and improve policies and regionally, with technical support provided by the programs in East and Southern Africa. Through this Population Council. network of national organizations, the Population Council has developed, tested, and evaluated more A GROWING CRISIS: NEEDS OF REFUGEES than a dozen programmatic models to improve In response to the various humanitarian crises in SGBV prevention and support, such as the the region, the SGBV Network has further adapted screening of women and child survivors in health seven of its original models to meet the needs of facilities and schools. Many of these models have children and of refugees. These models have now been shown to be effective and are being scaled up been implemented and evaluated by Network locally, nationally, and regionally. partners across Kenya, South Africa, Swaziland, Uganda, and Zambia. A BOLD APPROACH TO PROVIDING EMERGENCY CONTRACEPTION Backed by technical support from the Population In Zambia, nearly one in five women aged 15–49 Council, the UN Refugee Agency’s (UNHCR) experience sexual violence in their lifetime, Regional Service Centre is a key partner in scaling although this is likely an underestimate due to up use of the SGBV Network’s models to support underreporting. Building on formative Population refugee populations in the East, Horn, and Great

Council research that found that most rape Lakes regions of Africa. Together, these regions survivors reporting to police stations do not seek represent a refugee population of more than five further support, the Population Council and the million people, many of whom are unaccompanied Africa Regional SGBV Network worked closely with children under the age of 18. Seven SGBV Network the Zambia Police Service and the Zambia Ministry models are currently being adapted and of Health to develop and test a model for police to implemented to serve refugee populations across directly provide emergency contraception and refer eight countries in the region. survivors to health facilities.

“Sometimes, by being bold and attempting to do something unheard of, you discover that your unheard-of strategy is exactly what everyone was looking for. It takes one person to make that first step.”

CHI-CHI UNDIE, PhD Senior Associate, Kenya

ANNUAL REPORT 2018 | 3 STRENGTHENING PROGRAM DESIGN TO MEET THE NEEDS OF ADOLESCENT GIRLS

For decades, the Population Council has pioneered a rigorous understanding of the unique needs of adolescent girls and has tailored programs to empower them with the knowledge, skills, and protective assets they need to thrive—including health, social, and cognitive protections. Building on a growing body of evidence, today the Population Council continues to refine what programs work, for BEYOND INTUITION: WHY SCIENCE MATTERS which girls, and how to further expand programs At age 12, Sylvia was a thriving participant in and approaches that have demonstrated a GirlsRead!,* an innovative safe space program positive impact on the lives of girls. funded by PEPFAR (U.S. President’s Emergency Plan for AIDS Relief) that offered e-readers to For example, through DREAMS, an ambitious adolescent girls in Zambia. She loved the partnership to reduce HIV infections among program and found her coursework improved. adolescent girls and young women, the But is Sylvia’s improvement a result of her Population Council, with funding from the Bill & participation in GirlsRead!, or could the change Melinda Gates Foundation, is utilizing real-time be due to other life experiences? data to inform the current and future scale-up of girl-centered programs in ten sub-Saharan To answer this question, the Population Council African countries. conducted a rigorous evaluation comparing the effects of the program among girls who participated and those who didn’t. The study results can assure donors, policymakers, and partners that the program had a positive impact

on girls’ literacy and improving gender attitudes.

The evaluation provides strong evidence in support of combining safe space programs with e-readers. Today, the Population Council and partners are exploring possibilities for scale-up and replication of the program elsewhere.

“ I want to finish grade 12. Then go to university. Then when I finish at university, I want to become a nurse. Nothing can stop me.”

SYLVIA GirlsRead! participant, Zambia

*Girls Read! was funded in part by a grant from the Department of State as part of the DREAMS Innovation Challenge, managed by JSI Research & Training Institute, Inc.

4 | POPULATION COUNCIL

5

GIRL Center was launched in was launched ANNUAL REPORT 2018 | ANNUAL REPORT Address economic exclusion must be addressed, alongside empowerment strategies. While studies more frequently moreinclude costing analysis, must be done to ensure scalability and sustainability—a core ongoing component of several key Population Council programs and evaluations in Bangladesh, Ethiopia, and beyond. The economic underpinnings of The economic underpinnings and girls’ lives drive individual household decision-making and popcouncil.org/girlcenter/adolescentdatahub to

also leveraged the Girl Innovation, Research,Girl Innovation, Learning and (GIRL) Center Center

Respond locally Empowerment is essential GIRL among researchers, programmers, donors, and policymakers. further of existing leverage the wealth high-quality data, encourage research and accelerate collaboration transparency, adolescents, as well as other open data sources, to develop the Adolescent Data Hub. This new online resource 700+ data curates sets on more than five million adolescents In 2018, the on Population Council’s unique body of data GIRL CENTER: SHARING DATA AND INSIGHTS DATA GIRL CENTER: SHARING pathway to autonomy. Programs must respond to the local context and factors influencing a girls’ programs empower should not only individual girls, but also engage their households and communities. To improve outcomes for girls, To adolescent girls. synthesized findings fromsynthesized nine recently rigorous completed from impact evaluations the Population from illuminate new insights Council to girl-centered programs across different and settings adding to a growingcontexts, work to improve works and doesn’t of what understanding of the lives The Population Council’s The Population programs evidence-based 2017 to accelerate 2018, the for girls. In and policies WHAT WE’RE LEARNING ABOUT GIRLS ABOUT LEARNING WE’RE WHAT

, THE FIRST AND ONLY , THE FIRST AND ONLY TM Population Council. Developing and bringing a new contraceptive to Developing and bringing market requires a community of support, including scientists and regulatory experts, clinical trial site researchers, of clinical trial thousands donors, partners,volunteers, and many and supporters dedicated to expanding greater convenience, and controlcontraceptive choice, is the sixth FDA-approvedfor women. Annovera contraceptive product developed by the FULLY UNDER A WOMAN’S CONTROL UNDER A WOMAN’S FULLY ANNOVERA PROVIDES AN CONTRACEPTIVE THAT WHILE ENTIRE YEAR OF PROTECTION

Our scientists have worked for decades to develop the next generation of the next generation for decades to develop have worked Our scientists

| POPULATION COUNCIL | POPULATION 6 Professor and Chair, Obstetrics Professor and Chair, University Western and Gynecology, of Health Sciences women with another contraceptive choice.” women with another contraceptive NELSON, MD ANITA in creatively addressing and collectively needs. It is exciting women’s contraceptive that they are to help empower continuing “The Population Council has been a leader “The Population require refrigeration. protection while fully under a woman’s control, is be inserteda soft, flexible silicone ring that can and removed by a woman herself and does not Population Council researchPopulation Council of, on, development this unique contraceptive and commitment to Annovera, the first and only technology. providescontraceptive that an entire year of The U.S. FDA approval of Annovera™ (segesterone acetate/ethinyl estradiol vaginal 2018 marked 20 years of system) in August safe, effective reversible long-acting STI prevention contraception and HIV and options. FOR WOMEN A GAME-CHANGER The Population Council’s Center for Biomedical Research for Biomedical Council’s Center The Population of scientific is a vibrant hub research the way toward paving and control choice, convenience, expanded in sexual and . TO ADVANCE CHOICE, CONVENIENCE, AND CONTROL AND CONVENIENCE, CHOICE, ADVANCE TO DEVELOPING NEW TECHNOLOGIES TECHNOLOGIES NEW DEVELOPING

7

ANNUAL REPORT 2018 | ANNUAL REPORT

griffithsin, a naturally occurring substance that has a different mechanism of action than antiretrovirals; and more. new, woman-controlled and reproductive sexual new, This includes an oral health technologies. HIV preventioncontraceptive and pill; innovative systems to deliver the microbicide

and Testosterone and Testosterone ® RÉGINE SITRUK-WARE, MD RÉGINE SITRUK-WARE, Distinguished Scientist of a shared responsibility between women and men.” “Expanding male contraceptive options could help make more IN SEVEN COUNTRIES WORLDWIDE THE NES/T GEL TRIAL IS RECRUITING 400 COUPLES protection? The Population Council is pursuing Can combining oral contraception with a multi- Can combining oral purpose product to prevent sexually transmitted infections improve compliance and enhance worldwide. PREVENTION TECHNOLOGIES MULTI-PURPOSE skin of the male partner’s upper arms and gel trial is currentlyshoulders. The NES/T recruiting couples in seven countries 400 efficacy of the Nestorone reversible(NES/T) gel. This innovative, developed by the Population contraceptive was to be absorbed throughCouncil and designed the DEVELOPING MORE OPTIONS FOR MEN MORE OPTIONS DEVELOPING partners Council and The Population launched the safety and trial to test the first clinical COUNTRY SPOTLIGHTS

Around the world, governments and civil society organizations seek our help to understand and overcome obstacles to critical issues in health and development. Our expert teams work in more than a dozen country offices, four local affiliate entities, and nearly 50 countries worldwide, driving research that is tailored to local needs. Half of our 500+ staff have advanced degrees and nearly all of our staff in country offices are from the region where they work.

BANGLADESH GUATEMALA & MEXICO Assessing Climate-Change Effects on Pregnancy Empowering Adolescent Girls Bangladesh is one of the most climate- Abriendo Oportunidades (“Opening vulnerable countries in the world and in recent Opportunities”) began 15 years ago to years has experienced increased flooding and empower poor and isolated Mayan girls with life coastal intrusion. Population Council skills and knowledge. Silvia Tum, a member of researchers set out to explore the potential the original mentor class, is now directing the effect of the resulting water salinity on program, which has reached 15,000 adolescent hypertensive disorders, a leading cause of girls. Building on the program’s high-quality maternal and perinatal death in low-income evaluations, Abriendo—which has expanded countries. A recent Population Council study across the region, including in Mexico—is now confirmed a dramatic increased risk for enhancing distance learning opportunities hypertensive disorders in pregnancy in high-risk where very few secondary education regions, underscoring the urgent need for opportunities exist, exploring economic improved antenatal, delivery, and postnatal incentives, and mobilizing their own political maternal care. representation—embodied by the development of mentors’ associations REDMI and Na’leb’ak’.

8 | POPULATION COUNCIL EGYPT KENYA Expanding Family Planning for Factory Workers Tracing Change in Female Genital Mutilation/Cutting As part of USAID’s flagship Evidence Project, In Kenya, 21 percent of women ages 15–49 Population Council researchers identified have experienced female genital mutilation/ opportunities to expand the role of the private cutting (FGM/C), the cutting of external female sector to provide family planning in Egypt and genitalia. New research from the Population are now generating evidence on scalable Council has found that although national interventions to reach people ages 18–34. The prevalence of FGM/C has declined, it remains project, which includes a peer-educator program high in some communities, such as in north for factory workers across the country, has eastern Kenya. A growing body of evidence garnered support from factory owners and local gathered by the Population Council on the stakeholders, including establishment of the prevalence, risk factors, consequences, and role first women’s health clinic to provide family of social norms in continuing FGM/C is inform- planning and reproductive health services for ing sustained national and subnational efforts to nearly 20,000 female factory workers. address and ultimately eradicate the practice.

INDIA NIGERIA Self-Testing for HIV Improving Maternal Health through Self-Help Groups Men who have sex with men (MSM) are More than a quarter of the world’s reported disproportionately affected by HIV in Nigeria as maternal and child deaths occur in India. Since they are criminalized and face considerable 2012, the Population Council has been the lead stigma in the healthcare sector, and beyond. To evaluator of the effectiveness of self-help help facilitate private and direct access to groups—small groups of women who gather to testing, the Population Council has led learn skills and support each other—and the research to demonstrate the feasibility of integration of health and nutrition programming in delivering HIV self-testing kits to MSM. the eastern state of Bihar. Preliminary results Increasing access to HIV self-testing in Nigeria found significant improvement in life-saving could enhance uptake of HIV testing and maternal health and newborn care practices. linkage to care among this key demographic. Based on the Population Council’s findings, the The results of our research have directly government, together with the World Bank, is influenced the development of the Operational now scaling up the intervention across 685,000 Guidelines on HIV Self Testing, recently groups in Bihar, reaching almost seven million launched by Nigeria’s Minister of Health. women.

ANNUAL REPORT 2018 | 9 SHAPING THE PUBLIC AGENDA TO IMPROVE LIVES

To ensure our research is relevant and accessible, the Population Council engages key decision-makers from idea generation to the strategic dissemination and use of study results. Our aim is to ensure high-quality evidence is available and informs investments and other decisions around development policies, programs, and technologies.

ENGAGING DECISION-MAKERS

President Julia Bunting wins the International The Population Council and the Zambian Ministry Conference on Family planning’s of Health host a three-day “Evidence Symposium” “CEO PitchFest,” highlighting the need for 400 delegates, exploring new evidence to for new contraceptive options for men. inform Zambian policy and programs.

Pakistan Country Director Zeba Sathar briefs The Population Council’s HIV and AIDS program Prime Minister Shahid Khaqan Abbasi, co-convenes policymakers, including U.S. encouraging development of a National Finance Ambassador-at-Large Deborah L. Birx, MD, and Commission to advance voluntary family programmers on the DREAMS Partnership Phase I planning services. results in Washington, D.C.

10 | POPULATION COUNCIL Contraceptive Global Warming Policy: Remains Effective for 1 Year Is Population Left Out The first vaginal ring contraceptive that women can in the Cold? The climate and environmental use for a full year has received FDA approval. In communities and international development comparison, a contraceptive ring currently marketed institutions should embrace scientifically sound in the United States has to be replaced monthly. analyses of population policy and human —Journal of the American Medical Association rights–based reproductive health programs. —John Bongaarts, Population Council

AMPLIFYING RESULTS 110+ 2,610+ peer-reviewed media mentions in publications & 125+ 79 citations countries 323K+ 1.8M+ resource downloads social media mentions

ACCLAIMED

HEALTH CARE 50

Irving Sivin 2018 Lifetime Achievement Award One of 50 Most Influential People in Health Care “Irv helped put long-acting reversible forms of Régine Sitruk-Ware contraception on the map, and the world should be grateful for that.”—Jim Sailer, Population Council

Population Council alum Irving Sivin received Dr. Régine Sitruk-Ware was named one of the Society of Family Planning Lifetime TIME Magazine’s 50 Most Influential Achievement Award for his research that led to People in Health Care of 2018. the development of many widely used contraceptive technologies. “

ANNUAL REPORT 2018 | 11 2018 FINANCIAL REPORT

The charts on this page provide details on the We closely monitor the Population Council’s Population Council’s sources of support and use financial status and remain committed to of funds. The Population Council’s program- the fiscal discipline necessary to maintain spending ratio, a key financial indicator, was our record of accomplishments. Readers 84 percent for fiscal 2018. For every dollar interested in learning more about the spent, 84 cents goes directly to research and Population Council’s finances can consult program activities, demonstrating our prudent popcouncil.org/who/financials.asp. management and commitment to our mission.

SOURCES OF SUPPORT $ millions TOTAL $88.7 MILLION 100

90 Multilateral organizations $4.6 80 Foundations, corporations, 70 nongovernmental organizations, and individuals $20.9 60 Royalties $22.7 50

40 Other governments $5.2

30

20 US Government $39.5

10

0 Investment returns –$4.2

–10

USES OF FUNDS TOTAL $82.3 MILLION

Management and General 15%

Fundraising 1%

Biomedical Research 16%

Social and Behavioral Science Research 68%

12 | POPULATION COUNCIL 2018 FINANCIAL REPORT

STATEMENT OF ACTIVITIES (For the year ended December 31, 2018)

WITHOUT DONOR WITH DONOR TOTAL RESTRICTIONS RESTRICTIONS 2018

OPERATING REVENUE Grants and contributions 69,004,882 996,165 70,001,047 Royalties 22,720,075 — 22,720,075 Investment return, net (3,645,661) (544,110) (4,189,771) Other 139,075 4,289 143,364 Net assets released from restrictions 602,488 (602,488) — TOTAL OPERATING REVENUE 88,820,859 (146,144) 88,674,715

OPERATING EXPENSES PROGRAM SERVICES Social & behavioral sciences 56,079,407 — 56,079,407 Biomedical research 13,161,378 — 13,161,378 TOTAL PROGRAM SERVICES 69,240,785 — 69,240,785

SUPPORTING SERVICES Management and general 12,420,213 — 12,420,213 Fundraising 677,698 — 677,698 TOTAL SUPPORTING SERVICES 13,097,911 — 13,097,911

TOTAL OPERATING EXPENSES 82,338,696 — 82,338,696

Excess/(deficiency) of operating revenue over operating expenses 6,482,163 (146,144) 6,336,019 OTHER CHANGES IN NET ASSETS Post-retirement benefit changes other than net periodic benefit cost 690,825 — 690,825 Transfer from endowments 1,264,911 (1,264,911) —

INCREASE/(DECREASE) IN NET ASSETS 8,437,899 (1,411,055) 7,026,844

NET ASSETS AT BEGINNING OF YEAR 81,308,523 18,295,311 99,603,834

NET ASSETS AT END OF YEAR 89,746,422 16,884,256 106,630,678

ANNUAL REPORT 2018 | 13 BALANCE SHEET (For the year ended December 31, 2018)

TOTAL 2018 ASSETS Cash and cash equivalents 10,938,231 Grants and contributions receivable, net US Government agencies 8,433,723 Other 5,950,736 Other receivables 829,930 Prepaid expenses and other assets 729,040 Investments 107,402,831 Fixed assets, net 11,027,773 TOTAL ASSETS 145,312,264

LIABILITIES AND NET ASSETS LIABILITIES Accounts payable, accrued expenses, and other liabilities 3,638,883 Awards, contracts, and fellowships payable 6,548,682 Program advances 12,937,291 Loans payable 4,081,159 Deferred rent credit 5,088,950 Accrued lease obligation 67,296 Post-retirement medical benefits payable 6,319,325 TOTAL LIABILITIES 38,681,586

NET ASSETS Net assets without donor restrictions General undesignated 2,078,715 Board designated endowment 87,667,707 TOTAL NET ASSETS WITHOUT DONOR RESTRICTIONS 89,746,422

Net assets with donor restrictions Purpose or time restricted 11,398,480 Restricted by donors in perpetuity 5,485,776 TOTAL NET ASSETS WITH DONOR RESTRICTIONS 16,884,256

TOTAL NET ASSETS 106,630,678

TOTAL LIABILITIES AND NET ASSETS 145,312,264

A copy of the audited financial statements, prepared in accordance with US generally accepted accounting principles, is available upon request from Population Council, One Dag Hammarskjold Plaza, , New York 10017, and can be accessed online at popcouncil.org.

14 | POPULATION COUNCIL THE LECTURE SERIES

The Population Council honored the late Dr. Sheldon Segal—former director of the Population Council’s biomedical program who dedicated his life to developing practical advances for women’s health—at an event in New York attended by colleagues, partners, donors, and champions of the Population Council.

Clockwise from top left: Darcy Bradbury, Chair, Board of Trustees; Julia Bunting, President; Régine Sitruk-Ware, Distinguished Scientist; Jim Sailer, Vice President and Executive Director, Center for Biomedical Research. Brian Bernick, Co-Founder and Director, and Sebastian Mirkin, Chief Medical Officer, TherapeuticsMD. Naquan Davis, Senior Meeting Coordinator, Population Council, and Jeff Spieler, Member, Board of Trustees. Quarraisha Abdool Karim, Professor at the University of KwaZulu-Natal, and Columbia University, and Régine Sitruk-Ware, Distinguished Scientist.

ANNUAL REPORT 2018 | 15 OUR SUPPORTERS

Our supporters make our impact possible. This year, we were proud to receive donations from the following individuals, foundations, corporations, government agencies, international nongovernmental agencies, and multilateral organizations. We thank them for sharing our vision for improved well-being and reproductive health for current and future generations, and a humane, equitable, and sustainable balance between people and resources.

INSTITUTIONAL DONORS The Dawn Hill Fund Government of the United Ipas Anonymous (2) Dell Employee Engagement States Henry M. Jackson – Agency for International Abt Associates Inc. Fund Foundation for the Development (USAID) Advancement of Military Adobe Workplace Giving EcoTrust – Centers for Disease Medicine Aetna, Inc. Elton John AIDS Foundation Control and Prevention JJJ Charitable Foundation Aga Khan Foundation EngenderHealth (CDC) Theresa M. and Bruce D. Fannie Mae Workplace – National Institutes of AmazonSmile Foundation Johnson Foundation Giving Health (NIH) American Institutes for JSI Research & Training FHI360 Grant Thornton Research Institute Fidelity Charitable Gift Fund Guggenheim Securities, LLC. American Jewish World Juarez and Associates Service (AJWS) FJC – A Foundation of Gustafson Family Fund JustGive.org Amplify Change Philanthropic Funds Guttmacher Institute Kaiser Foundation Health Fondation des Amis de Harvard T. H. Chan School of Aspen Airport Business Plan of the Northwest Médecins du Monde Center Foundation Community The Ford Foundation Head Family Charitable Avenir Health The Kaplan Sisters Foundation HealthCare ForGood Fund Foundation Health Decisions The Benevity Community Bill & Melinda Gates The W. K. Kellogg Foundation Foundation The William and Flora Impact Fund Los Angeles Biomedical Hewlett Foundation Blanchette Hooker GlobalGiving Research Institute at Rockefeller Fund Global Health Corps (GHC) The Richard R. Howe Harbor-UCLA Foundation Blue Lotus Advisory GOAL John D. and Catherine T. HRA Pharma The Boeing Company Gift Goldman Sachs Philanthropy MacArthur Foundation Match/BPAC Program Fund Fred Hutchinson Cancer Magee-Women’s Research Research Center Bridgewood Fieldwater Gorlitz Foundation, Ltd. Institute and Foundation Independent Charities of (MWRIF) Foundation Government of Norway America/Health & Medical Caithness Foundation, Inc. – Norwegian Agency for Marie Stopes International Research (MSI) Camber Collective, LLC. Development Cooperation (NORAD) International Development McKinsey & Company Cardiff University Research Centre (IDRC) Government of Microsoft Matching Gifts The Carl Marks Foundation – Swedish International International Initiative for Program Inc. Impact Evaluation (3ie) Development Cooperation The Millstream Fund, Inc. The Carl Marks Fund Agency (SIDA) International Labour Charles Stewart Mott Children’s Investment Fund Organization Government of the United Foundation Foundation (CIFF) Kingdom International Planned Network for Good The Community Foundation – Department for Parenthood Federation of Eastern Connecticut International (IPPF) NextEra Energy Community Media Trust Development (DFID) International Rescue Nivi, Inc. (CMT) Committee (IRC) Nossal Institute Limited NoVo Foundation

16 | POPULATION COUNCIL The Roger and Joyce United Nations Programme Sandy P. and Lawrence Deborah G. and Michael G. Nussbaum Foundation on HIV/AIDS (UNAIDS) Arnold Branton The Oak Foundation University of California San Deb Ashner Germán A. Bravo-Casas Omaha Community Francisco (UCSF) D. Euan and Angelica Baird Christopher N. Brown Foundation University of Connecticut Michael Baird Trudy B. Brown Health Center Oregon Health & Science Nancy L. Balch Frederick and Jane Buckner University University of Denver William N. and Margaret E. Natalia Bulgari and Todd The David & Lucile Packard University of Pittsburgh Bancroft Hollander Foundation Vanguard Charitable Mark Barone Andrew Bundy and Karen Pathfinder International WCG Cares Gabriel Bastard Hansen PayPal Giving Women Deliver Margaret P. Battin Julia Bunting and Barrie Population Services and Thring Women Win David Bausch Training Centre Michael D. Butler World Bank Group Penelope N. and John W. Program for Appropriate World Health Organization Beasley Elaine A. Calos Technology in Health (WHO) Peter F. Cameron (PATH) Carolyn Beavert and Yale University Phillip Pollock Wilburn Carlile Project Concern International YourCause, LLC. Katrina H. Becker Christopher P. Carlson Research Foundation of the ZanaAfrica Janice Beglau-Taylor John Casterline City University of New York Jeremy Bendik-Keymer George and Eleanor Cernada Research Triangle Institute Caleb Benedict William W. Chadwick, Jr. (RTI) International INDIVIDUAL Brian Bernick and Beth Amy J. Chapman Robertson Foundation DONORS Familant Richard Chasin Rockefeller Philanthropy Anonymous (17) William Bertrand Barbara Cipolla Advisors (RPA) Salim S. Abdool Karim Zulfiqar A. Bhutta Jeanne Clelland The Sackler Institute for Charles C. Abele Ann E. Biddlecom J. W. Cliett Nutrition Science David B. Abrams and Shima Ann Blanc Edward M. Cohen Save the Children Imoto Caroline H. Bledsoe Donald Collins and Sally Schwab Charitable Fund* Donald J. and Dena C. Andrew and Richard Boas Epstein Society for Family Health, Abrams Sharon Boatright Cherida Collins Smith Nigeria Brian Adams and Morey Ann Marie Bonardi and Frances Combs SRI International Phippen Salvatore Marras J. A. and Hazel F. Cope Stanford University Diane Adams John and Zenaida Bongaarts Karen Cowgill The Summit Foundation Richard M. Adler Jane K. Boorstein Barbara B. Crane TDK USA Corporation Mar Aguilar Margolis Joan N. and Barry Boothe George and Jane Creasy Tinker Foundation Alok and Nina Ahuja Douglas H. Borsom Christopher S. and Karen H. United Nations Children’s George W. Ainslie David N. and Harriet B. Cronan Fund (UNICEF) Martha Ainsworth Borton Roberto Cuca United Nations Development Shirley Alexander John W. and Claire M. Programme (UNDP) Jerry and Diane Cunningham William M. Alexander Bossung United Nations Educational, Louis and Echite Dana Joyce and Billy Altman Darcy Bradbury and Eric Scientific and Cultural Philip Darney and Uta Landy Peter O. Anderson Seiler Organization (UNESCO) Paul Demeny and Marianna Peter Brandt and Laura United Nations Population Linda Andes-Georges and Boga Jean-Pierre Georges Burwick Fund (UNFPA) Constance P. Dent Robert R. Andrews

*Includes a gift made possible by the generosity of the Echidna Giving Fund.

ANNUAL REPORT 2018 | 17 OUR SUPPORTERS

Mary H. Dodge Sadja Greenwood Ashneil Jain Charles E. and Patricia G. H. Stanley F. Dole Mary J. Greer Martin Jeiven Lawrence Peter J. Donaldson Lucy Grimes Monwhea Jeng Norbert M. Lechner Scott Dugas Molly Grodin Mark S. Jenne Fred and Juanita Leonard Mark A. Dupont Augusta H. Gross and Leslie Sheila R. Johansson Lloyd S. Levine Barbara B. Ebert B. Samuels Richard S. Johnson and May Susan Levine Greg Edblom Edith Guilbert J. Reed Katherine Lewis Mary and Kenneth Edlow Robert Guliford Gordon T. Johnston William J. Libby Jessica Edwards Nancy J. Gunther Andreas Jones Jason A. and Linda E. Lillegraven Jane Eisenberg Anke and Peter Haberland Elise F. Jones Daniel LoCascio Zora Ann Ellis Michele Haberland and Karl A. and Carmen Thaddeus Tracy Jungbluth Daniel Loeven Andrea Eschen Scott Haese J. E. Juterbock Joanne Lyman Donna J. Evans Victor Halberstadt Jonathan H. Kagan and Ute Beau Lynn-Miller Chet Fagin Katharine Harkins and David Wartenberg Kagan Nyovani Madise Elisa Fante Finn Martin D. Kahn Kimberley Mangun H. K. and Nancy W. Faulkner Brett and Lynn Harris Deborah D. and Edward M. Roger and Isabel Marchese Rosemary Faulkner Keating, Jr. Guy Harris Kenneth J. Marsalek Glenn M. Feighery Steven Keleti Polly Harrison Lewis Martinez Zong-ming Feng and Aizhen Shannon Harvey Charles W. Kettering Wu Joel W. and Patricia A. Marx Barbara Keyfitz and Martin Caroline K. Hatton Anna C. Mastroianni and Daria Fireman Golubitsky Amy Hause Gregory M. Shaw Douglas T. Fischer and Paul M. Killough Robert Haines Dirk F. and Dixie R. Havlak Peter J. Mayer Hye In Kim Wendy Fitzgerald Thomas C. Hayes Cheikh Mbacke Kyung Ja Kim Regina Flynn Stephen F. Heartwell Rob McCaw Joslin Kimball Frank James Fraser Jon Hechler Downs and Irene M. Lisa King McCloskey Gary and Kristin Friedman John H. and Catherine E. Henn Rodney Kinney Hugh McGaughy Anne E. Fry Elizabeth-Ann and David Charity Kirk Alyson McGee Henry Gabelnick Herrick Margaret A. Knoll Geoffrey McNicoll Sheryl P. Gardner Willard J. Hertz Richard D. Koch Ruth and Irwin Merkatz Lydia Garvey Susan J. Hessel Theodore R. and Sandra M. Lauren Meserve Gwen P. Gentile Koerner Susan E. Hetherington Theodore Michels Kristina and William J. John Hirschi Elliott and Sharon P. Krefetz Georges Peter and Pam Miller Edward S. Hochman Wayne Krill Michele Gerber John M. and Renate E. Douglas W. and Barbara E. Heidi Kristenson Mirsky Frank Gersmann Holdridge George Krumme and Aldean Samarendranath Mitra Mark M. Giese Newcomb William Y. and Esther I. Hou Colin Monaghan Duff G. and Joanne Gillespie Janet Kuepper Mary M. Howard Katharine B. Morgan Rachel E. Goldberg Joel Kurtzberg Catherine M. Hunt Courtney Morris Elaine R. Goldman Keith T. and Patricia Kusunis William P. Huxley, Jr. Gretchen R. and John E. Elizabeth C. Goodson Dmitry Idiatov Austin Lamb Morris Sallie T. Gouverneur Frederick V. Iffert Arthur and Eva Landy Lloyd N. and Mary P. Susan W. Granger Henry O. and Pauline G. Imus Aaron Larner Morrisett Catherine E. Grant John N. and Jeanet Irwin Brian L. Larson Scott B. and Andrea R. Anita Grath Mouw Walter and Susan Jacobs Ingrid Laursen Edward Gray Ann and William T. Naftel Anrudh K. and Usha Jain

18 | POPULATION COUNCIL “ A high-risk, high-benefit project like Annovera is exactly why we are proud to support the Population Council.”

XIXI AND JONATHAN J. SHAKES

Charles B. Nam Laura Reichenbach Marianne E. Selph Michael J. and Marina Todd Joan M. Nelson Warren R. and Nancy J. Cynthia L. and Michael D. Sarah de Tournemire Thoai Ngo Reinecke Sevilla John and Judy Townsend Daniel Nixon David S. Rice Xixi and Jonathan J. Shakes Amy Ong Tsui Wendell A. Norvell Marilyn Richardson Marianne Shearer Suparna Vashisht E. M. Noyes Thomas L. Richie Jill W. and James Sheffield Patricia C. Vaughan John F. and Lani Diane Ochs Julie Robichaud Alan E. Sherman Michael Vogt Paul and Ursula Ofman Justin and Indre Rockefeller G. E. and Joyce Shissler Stephen A. and Yvonne Vosti Lynn F. and Jim M. Olson Fran Ebers Rollert Brian Short Sukey Wagner Wanda J. Olson Sarah Roma Susan E. Short and John F. Mark A. and Tania Walker Karl Robert Pacholski Charles S. and Evelyn S. Tim Walter Rose H. King and Odette Sinclair Ruth Hyde Paine Jordan D. and Nicole Ira Rosenwaike Peter Sinclaire Holly Pal Warshaw Kenneth W. Ross Philip Sine Robert H. and Jessie Palmer Diana K. Weatherby Penelope and Cornelius Régine Sitruk-Ware Katherine Pannell Frank C. Wedl Rosse Marion L. Siu Suzannah C. Parker Peter A. Weida Gregory T. Rotter Walter and Susan Slowinski Loretta Parsons Jed Weissberg and Shelley Edward and Sharon Rubin Michael C. and Linda L. Roth John and Joyce Passarelli Lorenzo A. and Anita G. Smith Barbara F. Wells Jeffrey S. Passel Sadun Nancy Smith Susan Weyburn Maria Patterson Gloria W. Sage Richard D. Smith Michael White Michelle Patterson James E. Sailer and Cass Georgeanne Spates Robert and Maralys Wills Tom Pavel Conrad Jeffrey Spieler Paul Winder Anne R. Pebley Craig Savel and Marion Stein Beate Sternius Ellen Wisdom and Robert L. Terry Peigh and Cindy G. Karen and Bob Schaefer Sue S. Stewart Griswold Fluxgold Gregory L. and Susan M. Katy R. Stokes and David C. Tyra Wolfsberg Jessica G. Perri Schaffer Esseks Gooloo S. and Gene Eugene W. Peterson Nancy J. Schieffelin Bertram and Lynne Y. Strieb Wunderlich Clyde C. Phillips, III Frederick H. and Nancy Link Lisa Stuart Chang-Po Yang Linda Pierce Schmidt Yaping Sui Barbara Yanni Roger Pitman Steven Schmitt John K. and Elizabeth A. Jerrold H. and Carol B. Zar Evan Pugh Brian Schneidewind Sullivan Colleen M. Zeitz and Kevin Richard D. Schultz Joelle Raichle Halley E. Tarr A. Lindamood Joel Schwartz Saumya RamaRao and Alan S. and Danna Taylor Mathew Zenkowich Richard DiGiorgio Perry and Lisa Scott Fred R. Taylor and Jeanne Hao Zhang John P. and Brenda L. Harriet Segal Twigg-Taylor Richard E. Zigmond Raphael Akash Sehgal Aija Thacher Paul L. and Suzanne C. Apurba K. and Krishna Ray Zara Seibel F. Thomas and H. Friedman Zuzelo Bayard D. Rea William D. Selles Teresa Thompson Robert Regan

ANNUAL REPORT 2018 | 19 BOARD OF TRUSTEES EXECUTIVE TEAM Darcy Bradbury Cheikh Mbacké* Julia Bunting Chair Independent Consultant President Managing Director Dakar, Senegal The D.E. Shaw Group Ann K. Blanc New York, New York Lauren A. Meserve Vice President Chief Investment Officer Social and Behavioral Science Zulfiqar A. Bhutta Metropolitan Museum of Art Research Robert Harding Chair in Global New York, New York Child Health & Policy and John Bongaarts Founding Director of the Centre Wanda Olson Vice President and for Excellence in Women and Senior Counsel Distinguished Scholar Child Health Cleary Gottlieb Steen & Hospital for Sick Children and The Hamilton LLP Jackson Ireland Aga Khan University New York, New York Vice President Toronto, Canada and Corporate Finance and Karachi, Pakistan Terry Peigh Administration Senior Vice President, Peter Brandt Managing Director James E. Sailer Healthcare Board Director Interpublic Group of Companies Vice President and Stamford, Connecticut New York, New York Executive Director Center for Biomedical Research Julia Bunting K. Sujatha Rao President Independent Consultant on Sarah de Tournemire Population Council Health Systems Vice President New York, New York Former Union Secretary, Ministry Development and Engagement of Health, Government of India Anna Glasier* Hyperabad, India Patricia C. Vaughan Honorary Professor Vice President Department of Obstetrics and Jonathan Shakes General Counsel and Secretary Gynecology E-Commerce Logistics Consultant University of Edinburgh Mercer Island, Washington Edinburgh, United Kingdom Theo Spencer Victor Halberstadt Environmentalist Professor of Public Sector New York, New York Economics University of Leiden Jeffrey M. Spieler Netherlands Consultant in Population and Reproductive Health Jonathan Kagan Senior Technical Advisor for Managing Principal Science and Technology Corporate Partners Office of Population and RH, New York, New York USAID (Retired) Baltimore, Maryland Salim S. Abdool Karim Director Kaye Wellings Centre for the AIDS Programme Professor of Sexual and of Research in South Africa Reproductive Health Cape Town, South Africa London School of Hygiene & Tropical Medicine Nyovani Madise** London, United Kingdom Director Research and Development Policy African Institute for Development Policy (Malawi) Lilongwe, Malawi

*Until June 2018 **Elected November 2018

20 | POPULATION COUNCIL POPULATION COUNCIL OFFICES

UNITED STATES Egypt Mexico Population Council Population Council Headquarters 12 El Nahda Street Av. Miguel Ángel de Quevedo #578 Population Council Maadi Entrance #2 casa 2 One Dag Hammarskjold Plaza Maadi Col. Santa Catarina New York, NY 10017 USA Cairo, Egypt 11431 Coyoacán C.P. 04010 Tel +1 212 339 0500 Tel +20 2 2525 5967 Ciudad de Mexico Fax +1 212 755 6052 Alternate tel +20 2 2525 5968 Tel +52 55 5999 8630 E-mail [email protected] Fax +20 2 2525 5962 Fax +52 55 5999 8631 E-mail [email protected] E-mail [email protected] Center for Biomedical Research Population Council Ethiopia Nigeria 1230 York Avenue Population Council Population Council New York, NY 10065 USA Heritage Plaza, 4th Floor House 4, No. 16B, POW Mafemi Tel +1 212 327 8731 Bole Medhaneialem Road Crescent Fax +1 212 327 7678 Addis Ababa, Ethiopia Utako District E-mail [email protected] Tel +251 116 631 712 Abuja, Nigeria Fax +251 116 631 722 Tel +234 9 8706071 Washington, DC E-mail [email protected] Alternate tel +234 9 8706057 Population Council Alternate tel +234 8 067787750 4301 Connecticut Avenue, NW Ghana E-mail [email protected] Suite 280 Population Council Washington, DC 20008 USA H&C Place Pakistan Tel +1 202 237 9400 204 Yiyiwa Drive Population Council Fax +1 202 237 8410 Abelemkpe, Accra, Ghana 3rd Floor, National Telecommunication E-mail [email protected] Tel +233 30 2 780711 Corporation (NTC) Regional Fax +233 30 2 780713 Headquarters (North) Sector F-5/1 E-mail [email protected] Islamabad, Pakistan INTERNATIONAL Tel +92 51 920 5566 Bangladesh Guatemala Fax +92 51 282 1401 Population Council Population Council E-mail [email protected] House #12, Road #25 19 Avenida 0-35 Gulshan-1, Dhaka, Bangladesh 1212 Vista Hermosa 2 Senegal Bangladesh Guatemala City, Guatemala 01015 Population Council Tel +880 2 882 1227 Tel +502 2369 2760 Sacré Coeur 3 Pyrotechnie Alternate tel +880 2 882 6657 Alternate tel +502 5293 0030 85 Appartement 2ème Etage à Droite Alternate tel +880 2 881 1964 Fax +502 2369 2760 BP21027 Dakar Ponty, Dakar, Fax +880 2 882 3127 E-mail [email protected] Senegal E-mail [email protected] Tel +221 33 859 5300 India Fax +221 33 824 1998 Cambodia Population Council E-mail [email protected] Population Council Zone 5A, Ground Floor Phnom Penh Center, Building B India Habitat Centre, Lodi Road Zambia 1st Floor, Room 136 New Delhi, India 110003 Population Council Street Sothearos, Sangkat Tonle Bassac Tel +91 11 2 464 2901 No. 8 Nyerere Road, Prospect Hill Khan Chamkar Morn, Phnom Penh Alternate tel +91 11 2 464 2902 Lusaka, Zambia 10101 Cambodia Fax +91 11 2 464 2903 Tel +260 211 295925 Tel: +855 23 223 609 E-mail [email protected] Alternate tel +260 971 002011 E-mail [email protected] Fax +260 211 295925 Kenya E-mail [email protected] Population Council Avenue 5 3rd Floor, Rose Avenue Nairobi, Kenya Tel +254 20 271 3481 Fax +254 20 271 3479 E-mail [email protected] The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. Through biomedical, social science, and public health research in 50 countries, we work with our partners to deliver solutions that lead to more effective policies, programs, and technologies that improve lives around the world.

POPCOUNCIL.ORG

© 2019 The Population Council, Inc. Library of Congress Catalog Number 78-617856 ISSN 0361-7858