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Population Services International 1999-2000 Annual Report Improving the Health of the People We Serve PSI’s social marketing makes a CONTENTS Report from the President 2 critical What Do We Do? 4 What Makes PSI Different? 6 Why It’s Important to Act Now 7 PSI’s Partners 8 difference Ensuring Program Continuity 9 Selected Success Stories Family Planning in India 10 HIV/AIDS Prevention in Romania 12 in the Malaria Prevention in Tanzania 14 AIDS Prevention in West Africa 16 Nutritional Supplements in Bolivia 18 Voluntary HIV Counseling and Testing in Zimbabwe 20 health of Prevention of Diarrheal Disease in Togo 22 Program Map 24 Additional Highlights 26 Our People 28 men, PSI Offices and Affiliates 30 Board of Directors 31 Senior Management 31 Country Representatives 31 women and Financial Report 32 How Can You Help? 33 children around the world. Veena Devi India PSI has Alina Ghimis Romania wonderful stories to tell... Imagine your children living in the Abdullah Shaban Tanzania rural area of a developing country… with no medical insurance, no doctor or hospital, little cash, and no reliable means of transportation apart from their own two feet. Imagine they suffer from anemia and a poor diet, but work hard every day growing crops and preparing food without piped water Ibrahima Ouedraogo or labor-saving appliances. Their Cote d’Ivoire mother would like to postpone pregnancy until she has harvested her crops and paid back small loans. This is precisely where more than a billion of our children live their lives. For the past 30 years, Population Services International (PSI) has been there, too. We are Petrona Sorioco grateful for being able to help Bolivia empower millions of low-income women and men worldwide to make better lives for themselves and their children. This report shares a few of their inspiring stories. Daniel Gapare Zimbabwe Afi Amegandjin Togo 2 REPORT FROM THE PRESIDENT Better Health in the Last Decade and the Year 2000 AS PSI ENTERS THE 21ST CENTURY, WE CAN look back with pride on all we have achieved over the last decade. Our network of nonprofit organizations—now operating in almost 50 developing countries and employ- ing nearly 2,000 people—has shown that social marketing can efficiently deliver large quantities of health products to the poor and can inspire healthier behavior. One example of this success has been the remarkable expansion of family planning and AIDS prevention in Africa. When PSI started its first African social marketing project in Zaire, the use of condoms was uncom- mon. Today, lower income people in most of sub- Saharan Africa can space births and avoid HIV/AIDS if they choose—because a nearby PSI office is making products or services available at affordable cost. Last year alone, PSI prevented tens of thousands of cases of HIV/AIDS and provided enough contraceptives to protect over 13 million people from the consequences of unintended pregnancy. PSI has expanded its programs to include insecticide- treated nets that help the poor avoid malaria, iodized products that prevent the deformities and IQ loss of iodine deficiency, oral rehydration salts that help children survive bouts of diarrheal diseases, water purification products to avert those diseases, and multivitamins that PSI 1999-2000 Annual Report 3 afford mothers healthy pregnancies and healthy babies. • We will not forsake the poor. Social marketing allows In Pakistan alone, PSI and Social Marketing Pakistan us to recover a meaningful portion of operational costs, have introduced family planning services and products in but we will resist raising prices beyond those levels low- thousands of Green Star clinics and pharmacies. income people can afford. We have introduced life-saving health products to • We will continue to stimulate both supply of and many countries, like Cambodia, where the poor had demand for health products and services. To motivate never before had the chance to obtain these products or product demand without providing an easily attainable information about how to use them. We have revitalized product leaves a willing customer who cannot satisfy his and dramatically increased the reach of social marketing demand. And effective education and communications programs started by others in places like Rwanda, can not only increase product use but also improve Zimbabwe, Tanzania, Bolivia, and Nigeria. health in a variety of ways far beyond product use. What are our challenges for the 21st century? • Finally, we will continue to ensure that our projects are sustainable by building institutional and local human We must increase the health impact of our programs by capacities. The enhanced capacity of our affiliates allows promoting positive behavior change, so that more people our contribution to be long-lasting—an essential feature will exercise their free choices for a healthier life. We of our work, because there is no quick fix to the health must increase product sales and the range of reproductive needs of most developing countries. and other health products and services we offer. All of this achievement has been and continues to be How will we achieve all this? made possible by our generous donors, the individuals, foundations, and governments who allow us to innovate • We will continue our bottom-line approach, focusing and distribute health care, family planning products and on the quantity and cost-efficiency of health impact. services at prices lower income families can afford. We We will continue to prize entrepreneurship and speed, thank you on their behalf, and thank you for the privi- because the poor desperately need these health oppor- lege of serving them. tunities now. • We will continue to build local capacity. PSI creates jobs and helps the economies of the communities where we operate in profound ways, both directly through our activ- Richard A. Frank ities and indirectly through the health impact we have. President • We will maintain our focus on people, including our dedicated international staff, who labor long and hard at nonprofit wages because they are committed to this cause. 4 groups (the young, the unmarried, What Do Social Marketing the rural, the poor) who may be reluctant to seek family planning or Social marketing is one of the other health services in clinical We Do? strongest tools we have for settings for a variety of personal, empowering low-income cultural and economic reasons. PSI’s service delivery model can be Where public health care facilities people to lead healthier lives. scaled up quickly, with just a few are scarce or overtaxed, and for- Social marketing harnesses dozen trained staffers, to reach and profit clinics and products are existing commercial and non- serve hundreds of thousands of beyond the reach of people earning profit channels to get people customers nationwide in a short barely $2 per day, PSI fills a critical the information they need, to time frame. gap. We do this by harnessing the make health products and size and strength of the existing services widely available at m Photo Below The success of these distribution retail distribution networks across low cost, and to motivate networks is supported by PSI’s Fishermen on the five continents. people to use them and Ayeyarwady River in engage in other healthful strong public education and promo- Myanmar reviewing tion campaigns. We use highly Private sector street vendors, behavior. PSI’s social market- reproductive health visible, popular, creative venues— information. PSI/ market stalls, pharmacies, and food ing creates well-informed billboard advertising, radio talk Myanmar has several shops have established efficient demand as well as widely strategies to reach accessible, affordable supply. shows and ads, television soap mobile, river-based distribution networks throughout operas, comic books, magazine arti- populations. the developing world. But these cles and newspaper ads, posters, logo merchandise like T-shirts and motivated by the sales revenues baseball caps, as well as sporting they generate. Our operations are events and rock concerts—all to therefore partly self-sustaining. raise public interest in safe, afford- PSI’s price structure minimizes able products to protect health and waste and maximizes the cost- plan families. PSI orchestrates the effectiveness of our operations. simultaneous promotion and deliv- Wherever possible, PSI distributes ery of products and services that are a variety of health and family plan- packaged specifically to appeal to ning products to maximize health local consumers. We train health impact at the lowest possible cost. professionals and peer educators, Once retailers find PSI products are and have developed strong youth- in high demand, they become outreach programs in many countries. enthusiastic partners in our interna- vendors have no incentive to stock tional network. PSI affiliates are staffed by contraceptives, oral rehydration approximately 1,800 developing- salts, vitamins, or other health Our widespread network of country nationals, who recruit local products—unless these life-saving neighborhood retail outlets is acces- retailers and wholesalers to build up technologies are priced at rates sible and user-friendly to many our far-reaching Photo Right l their customers can afford, yet with distribution net- enough profit margin to help the Each new project for works. In addi- insecticide-treated vendors stay in business. nets is geared toward tion to helping behavior change support the To reach the underserved poor, from the outset. In this

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