Safe Abortion Action Fund
Fifth Annual Report 2013
The Safe Abortion Action Fund is supported by the governments of Denmark, the Netherlands, Norway and the United Kingdom and an anonymous donor, and is administered by the International Planned Parenthood Federation Safe Abortion Action Fund • Annual report • 2013
Acronyms
D&C Dilation & curettage
IEC Information, education, and communication
IPPF International Planned Parenthood Federation
IWAC International Congress on Women’s Health and Unsafe Abortion
MVA Manual vacuum aspiration
NGO Non-government organisation
SAAF Safe Abortion Action Fund
UK United Kingdom
This report was prepared by the SAAF Secretariat (Maïté Matos-Ichaso, Hanna Lindley-Jones, Judy Gold) and the chair of the SAAF board (Manuelle Hurwitz) in October 2013. The report covers the period October 2012 – September 2013.
Please contact [email protected] for any questions or comments on the report
Image on cover of flags corresponds to the locations of projects supported under SAAF Round Two funding
- Page 2 of 42 - Safe Abortion Action Fund • Annual report • 2013
Table of Contents
EXECUTIVE SUMMARY ...... 4
BACKGROUND ...... 5
ROUND TWO PROJECTS ...... 6 Advocacy Achievements ...... 8 Service Delivery Achievements ...... 9 Research Achievements ...... 11 Challenges ...... 12
ROUND THREE PROJECTS ...... 13 Call for Applications ...... 13 Selection Process ...... 13
FUND MANAGEMENT ...... 15 Financial Status ...... 16 Fund Strategy ...... 16 Grantee Reporting ...... 17 Grantee Support ...... 18 Risk Management ...... 20
FUND MONITORING AND EVALUATION ...... 22 Logframe ...... 22 Evaluation Framework ...... 22
CONCLUSION & NEXT STEPS ...... 23
APPENDICES ...... 24 Appendix One: SAAF Board Members ...... 24 Appendix Two: Members of Technical Review Panel ...... 25 Appendix Three: SAAF Round Two Grantees ...... 26 Appendix Four: SAAF Logframe 2011-2014 ...... 29 Appendix Five: SAAF Round Three Grantees (proposed) ...... 35
- Page 3 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Executive Summary The Safe Abortion Action Fund (SAAF) was established in 2006 as a multi-donor mechanism to support global abortion-related programing. SAAF provides small grants to projects that promote safe abortion and prevent unsafe abortion through advocacy and awareness raising, service delivery and research activities. Since the fund’s inception, there have been three rounds of funding to non- government organisations, supporting projects of up to three years in length. SAAF is overseen by an independent governing board, with a small secretariat based in the London offices of the International Planned Parenthood Federation (IPPF). This annual report details the activities of SAAF from October 2012 to September 2013. During this period, half of the projects funded under Round Two of funding completed, and a call for applications for Round Three launched. Under Round Two, 35 projects in 26 countries were supported, which is expected to grow to 113 projects in 56 countries in Round Three. The current projects have led to legislative and policy reform, expanded access to medical and surgical abortion, improved quality of care and responded to national and international gaps in evidence for service provision. Going forward, increased financial resources will widen the geographical reach and impact of SAAF. The call for Round Three proposals in March 2013 resulted in the submission of 176 concept notes. Following technical review, 113 were invited to submit full applications, with projects expected to commence between late 2013 and early 2014. In accordance with the new SAAF strategy, funding is focused on supporting local and national organisations, with the SAAF secretariat playing an increased role in the identification and coordination of technical support to grantees. The SAAF board and secretariat continue to support and oversee the Fund. In addition to ongoing monitoring of projects, key activities during the period of this annual report include increasing grantee learning through a grantees meeting and virtual community and the development of the new SAAF strategy. The development of the Round Three logframe and SAAF evaluation framework will strengthen the impact and monitoring of SAAF to ensure the Fund continues to be an effective instrument to improve abortion-related programming around the world.
- Page 4 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Background The Safe Abortion Action Fund (SAAF) was created in 2006, at a time when the United States government was implementing the Mexico City Policy (known as the ‘Global Gag Rule’). This policy prevented any non-government organisation (NGOs) receiving United States government funds from performing or promoting abortion services. This result of this policy was to deprive many organisations of funding, particularly those committed to addressing unsafe abortion. In 2005, the Government of the United Kingdom asked the International Planned Parenthood Federation (IPPF) to document the evidence related to unsafe abortion1 and to put in place a fund specifically to support abortion-related work by NGOs. The initial donors to the Fund were the Governments of the United Kingdom (DFID), Norway (NORAD), Denmark (DANIDA), Sweden (SIDA) and Switzerland (SDC). Additional funding was provided for later phases by the Government of the Netherlands, Hewlett Foundation and an anonymous donor. The premise of SAAF is that funding NGOs is an effective way to increase access to safe abortion services as civil society is willing and able to take risks and focus on stigmatized issues. SAAF supports projects that promote safe abortion and prevent unsafe abortion through advocacy and awareness raising, service delivery and/or research activities. SAAF operates under the guidance of an independent governing board representing donors, activists and international NGOs (members listed in Appendix One). The Board is supported by the SAAF secretariat, based at the IPPF Central Office in London, and a Technical Review Panel (TRP) (members listed in Appendix Two), responsible for reviewing proposals for funding and providing recommendations to the Board. Since the inception of SAAF there have been three funding rounds:
Round One (2007-2010): USD $15 million, supporting 50 projects in 30 countries Round Two (2011-2013): USD $9 million, supporting 35 projects in 26 countries Round Three (2013-2016): USD $19 million, will support 113 projects in 56 countries External evaluations of SAAF were conducted in 2009 and 2011, concluding that SAAF had made a significant contribution to promoting action on abortion globally. This report covers the activities of SAAF from October 2012 to September 2013, and includes results from projects supported under Round Two as well as progress for Round Three. It also contains details of overall Fund management, including support provided to grantees, as well as monitoring and evaluation of the Fund.
1 Death and Denial, IPPF, 2006 http://www.ippf.org/resources/publications/death-and-denial-unsafe-abortion-and-poverty
- Page 5 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Round Two Projects
In 2011, thirty five projects in 26 countries were funded under Round Two of SAAF (see Appendix Three for full project list). Of these 35 projects, 18 were one or two year projects that are now complete, with a further four projects due to complete in 2013 and 13 projects continuing into 2014. Among the 35 funded projects:
Eleven projects in 15 countries2 include an advocacy dimension Twenty six projects in 20 countries include a service delivery dimension Eight projects in eight countries include a research dimension Project progress and achievements for Round Two projects are monitored under the SAAF logframe for 2011-2014 (see Appendix Four). As not all projects are yet complete, Table 1 (next page) displays progress towards the indicators tracked on an ongoing basis in order to provide an indication of progress toward the intended outputs and outcomes. As shown in the table, not all information had been received from grantees at the time of writing, so some progress may be under-reported. The outputs relating to fund management are reported separately (see page 15) As can be seen from the table, good progress has been made towards the outcome measure of locally-led changes for an enabling environment for safe abortion. Among projects reporting on the rate of post-abortion contraception uptake, the rate to date (68%) is just above the target of 65%. However many projects have been unable to report on uptake rates, most commonly where medical abortion is used by women in their own homes and when referring to other providers for services. Going forward, in Round Three the SAAF secretariat will identify and coordinate the provision of support to grantees to strengthen follow-up and data collection for this important indicator. In terms of outputs, SAAF has already exceed the 2014 advocacy output related to media and other public reports, but is not on track to achieve the target related to shared position/consensus statements with NGOs. This may be partly due to under-reporting,3 especially given the success of SAAF projects in establishing and maintaining advocacy networks and coalitions (43 to date across 16 countries). Reasonable progress has been made towards the research outputs, with several studies still underway and results from others being prepared for dissemination. The 2014 target for training of service providers in MVA and medical abortion has already been exceeded. The remainder of this section highlights key achievements under the advocacy, service delivery and research dimensions of SAAF.
2 One project works across five countries 3 The logframe for Round Two was finalized after projects had commenced. Thus not all indicators were included in project monitoring and evaluation plans, and information regarding these indicators are obtained during review of narrative reports by the SAAF secretariat. As a result, some achievements under some indicators may be missing, particularly for advocacy related indicators which are less standardized than service delivery indicators within the sexual and reproductive health sector. This issue will be addressed for future funding rounds by ensuring standardised language is included for fund- level indicators in all project monitoring and evaluation plans.
- Page 6 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Table 1: Progress towards SAAF logframe indicators4
Number Number of of Indicator Result 2014 Indicator projects projects Focus to date Target applies reporting to5 data6 Outcome: Locally led changes to the legislative, policy and service delivery enabling environment for safe abortion Number of countries where increased public visibility Advocacy, 16 19 for abortion or steps taken to improve national, federal 168 15 (94%) research countries countries or local legislation7 Number of women and girls receiving safe abortion Service 25 23 (92%) 174,126 228,393 services or post-abortion care delivery Proportion of women and girls in receipt of safe Service abortion/post-abortion services adopting post abortion 25 16 (64%) 68% 65% delivery contraception9 Output 1: Locally led strategic initiatives raising awareness of and addressing legislative, policy and service delivery barriers to safe abortion 5 Number of countries where NGOs achieve shared (3 in positions/consensus on approach to abortion law or Advocacy 9 8 (89%) 12 2012, 2 policy reform10 2013) Number media reports/ interviews /political speeches or documents raise awareness of barriers to safe Advocacy 7 6 (86%) 148 125 abortion and/or consequences of unsafe abortion Output 2: Knowledge and research gaps to inform an improved enabling of service delivery environment for safe abortion addressed and disseminated
Number of research/studies conducted Research 8 7 (88%) 12 16
Number of articles shared with partners (official Research 8 7 (88%) 7 16 launch) or published in journals
Number of official documents citing/including research Research 611 5 (83%) 2 8 results (policy, guidelines etc.) Output 3: Strategic local initiatives improve access to comprehensive safe abortion care (where permitted) and/or post abortion care especially for poor and marginalised women and girls
Number of staff trained in new abortion technologies Service 24 22 (92%) 1,590 1,557 and techniques (MVA and medical abortion) delivery
4 Only includes indicators tracked on an ongoing basis. See page 15 for progress towards fund management indicators 5 Due to the diversity of activities supported under SAAF, not all indicators apply to all projects 6 As of the end of September 2013 7 Includes development and maintenance of advocacy networks and coalitions, dissemination and use of research studies and media reports 8 Indicator applies to 16 projects working in 18 countries (as one project works in five countries and other countries have more than one project contributing to this indicator) 9 Uptake rate calculated by individual project; median of these uptake rates is reported here 10 As a result of SAAF projects i.e. baseline is zero 11 Does not apply to all projects as some research studies aim to measure changes service provision rather than influence policy
- Page 7 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Advocacy Achievements
The 11 projects that include an advocacy dimension have resulted in: The creation or further development of 43 advocacy networks or coalitions Development of five consensus statements The instigation of 148 media reports/interviews covering abortion issues Highlights of SAAF projects incorporating advocacy include: Legal abortion reform The SAAF grantee in Nepal, the Center for Research on Environment Health and Population Activities, was one of the four organisations invited to draft the new Reproductive Health Bill, which includes free abortion services for poor women. In the Philippines, the SAAF grantee12 was instrumental in the passage of the Reproductive Health Law by mobilising networks and women’s rights groups to sustain public visibility and pressure to pass the law. The law was finally passed in December 2012, including provisions to enable access to family planning information and services (including non-judgemental post-abortion care) in health facilities and provide reproductive health and sexuality education in schools and in government facilities. The SAAF grantee is now working through its network to ensure that the legal challenges to this bill, currently preventing implementation, are not successful. Defending abortion rights In Kazakhstan, the lower house of parliament proposed banning abortion. The SAAF grantee, the Kazakhstan Association on Sexual and Reproductive Health, brought together organisations to join together and advocate against this proposal. In part due to this advocacy work, the proposed bill did not pass. Laying the groundwork for change In Peru, the SAAF grantee Promex implemented the successful ‘Let her decide’ campaign mobilising a broad base of activists (including young people) and organising media stunts, celebrity endorsements and media articles. Key results included 80,000 citizens signing a petition calling for the decriminalisation of abortion and almost 100 social institutions and parliamentary leaders stating publically that they are in favour of decriminalisation. Figure 1: Campaign materials and images from ‘Let her decide’ campaign in Peru
12 This grantee wishes to remain anonymous
- Page 8 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Service Delivery Achievements
According to grantee’s reports, the 25 service delivery projects supported by SAAF in Round Two have so far provided:13 174,126 comprehensive abortion and post-abortion care services 58,386 post-abortion contraception services14 In addition, 1,590 service providers have been trained in newer abortion technologies (manual vacuum aspiration (MVA), medical abortion). Highlights of SAAF projects incorporating service delivery include: Expanding access to medical abortion Under the SAAF project in Burkina Faso led by Société des gynécologues et obstétriciens du Burkina, misoprostol has been introduced into 56 public facilities. Women are now able to choose between MVA and medical abortion, and the outdated and riskier abortion method of dilation & curettage (D&C) has almost been eliminated. In Cambodia, the SAAF grantee, Marie Stopes International, has increased access to safe abortion by distributing medical abortion packs to partner facilities and establishing a hotline to inform women about access to medical abortion. The hotline has been a great success, receiving double the expected number of calls. Improving quality of abortion services Through training provided by SAAF grantee Pan-Armenian Family Health Association in Armenia, two large partner clinics have eliminated the use of D&C for abortion services (previously D&C accounted for 23% of abortion services provided). Women attending their partner clinics can now choose between the safer options of medical abortion and manual vacuum aspiration (MVA) when receiving abortion services. The SAAF grantee Planned Parenthood Federation of America International in Nigeria has been training pharmacists to provide accurate information to women purchasing misoprostol. They also provided pharmacists with cards (see figure) that showed where in the neighbourhood women could be referred to if they experienced side effects, complications or needed to access contraception.
Figure 2: Example referral card for women and pharmacists in Nigeria
13At the time of report writing, 21 of the 26 projects providing abortion related services had reported data; 17 of the 25 projects providing contraception following abortion had reported data; and 20 of the 26 projects training providers 14 As described earlier (see page six) not all grantees have been able to report on post-abortion contraceptive services
- Page 9 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Extending reach into communities In Pakistan, SAAF grantee Aware Girls is using lady health visitors to reach vulnerable women in Khyber Pukhtoonkhwa and Baluchistan provinces to inform them of their ‘Sahailee’ hotline that provides information to women about safe home use of misoprostol. Despite working in extremely restrictive settings, in the first half of 2013 the hotline received over 1,000 calls, and the organisation is now in the process of opening a similar hotline in Bangladesh. Figure 3: Recognition for the work of SAAF grantee The importance of Aware Girls’ work and Aware Girls and its founder Gulalai Ismail: tweet the heroism of its founder, Gulalai Ismail, from the US ambassador to the United Nations endorsing her work, and receiving the 2013 has been widely recognised; the US National Democracy Award Endowment for Democracy awarded Gulalai their 2013 Democracy Award and Gualai recently met with the United States Ambassador to the United Nations, Samantha Power, for a strategy session. Increasing provision and uptake of post-abortion care In Uganda, SAAF grantee Kyetume Community Based Health Care Programme, has increased the provision of post-abortion care services and encouraged uptake of contraception. Under the project, treatment for incomplete abortion via misoprostol was introduced to 13 health centres, with eight of these centres also offering treatment via MVA. In addition, provision of contraception increased through home visits and events by community
Figure 4: School education session, Mukono, based mobilisers and establishment of ‘family life’ clubs in Uganda schools.
- Page 10 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Research Achievements
Of the eight SAAF Round Two projects including a research dimension, three are solely research- focused, with the other five including a research dimension in addition to other activities. Among these eight projects, 16 studies were initially planned, of which 12 have been completed and several more are still in progress. Arising from the completed studies, so far there have been seven instances of publication and sharing of the results with others, and two instances of the research results being included within official policy and guidance documents. Highlights of SAAF projects incorporating research include: Methods for second trimester abortion In South Africa, SAAF grantee Ibis Reproductive Health is conducting a study of the efficacy and acceptability of a combined mifepristone and misoprostol regimen for second trimester induction abortion. While waiting for approval to conduct this study as a randomised controlled trial (compared to misoprostol alone), the combined regimen was included in the updated South Africa Essential Drug List. Ibis then worked with the Western Cape Department of Health to ensure this regimen was introduced, and is now conducting an observational study to monitor its implementation to inform national scale-up. Conscientious objection by providers In Brazil, an online survey of 1,690 physicians by SAAF grantee Anis: Institute of Bioethics, Human Rights and Gender examined the extent of conscientious objection to abortion. While most respondents were aware that abortion was legal in the case of rape, it was common to dispute the rape report given by women. More than half of respondents reported requiring documents such as police or medical reports to prove the rape, which are not required by the legislation, and could lead to delays in care. Physicians understood the institutional duty to guarantee abortion access, but considered conscientious objection to be an individual right. Following this study, the grantee is planning to prepare a submission to the Ministry of Health to inform changes to current policy.
- Page 11 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Challenges
There were some common challenges experienced across projects, which are described in the table below. These are divided into external challenges that may apply to wider abortion-related programming, and internal challenges that are more specific to SAAF projects.
Table 2: Challenges experiences by SAAF grantees
External Challenges Internal Challenges Relevant to wider abortion-related programming Specific to SAAF projects Ensuring provision of post-abortion Lack of capacity to implement planned activities, contraception, particularly following medical particularly those related to advocacy abortion Maintaining regular supplies of commodities, (among smaller organisations) Limited including contraceptives, MVA kits and medical experience in managing and reporting on abortion drugs sizeable grants to an external donor Finding providers willing to provide abortion services Conducting data collection, particularly in legally restrictive settings due to the ‘fear factor’ Wanting to re-use high quality information, education and communication (IEC) materials yet needing to adapt to specific communities (e.g. different religious groups)
Many of these challenges discussed during the grantees meeting held in early 2013 in Bangkok, as well as being incorporated into the new strategy for the fund; see page 18 for more details on the grantees meeting, and page 16 for more details on the new Fund Strategy.
- Page 12 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Round Three Projects During 2012 SAAF successfully mobilized funding from two new donors (Netherlands and an anonymous donor) and renewed funding commitments from Denmark, Norway and the UK in order to open a new round of project funding in 2013. This Round Three of SAAF has USD $17 million of direct project funding available, with 50% of that funding dedicated to least developed and other low income countries (‘priority countries’).
Call for Applications
In March 2013, a call for concept notes was launched. NGOs from countries included in the OECD Development Assistance Committee list for official development assistance were eligible to apply for projects involving the promotion of safe abortion and/or prevention of unsafe abortion. The call was disseminated through multiple channels and sectors (coalitions and networks, donors, professional organisations, international NGOs and research institutes) to ensure a broad response. Essential funding criteria included addressing the needs of the poor, vulnerable or hard to reach, and sowing ‘the seeds of change’, building capacity and working within a broader sexual and reproductive health and rights context. Projects from poor countries, operating in restrictive environments, using innovative means to addressing barriers, and being ‘catalysts’ for change were prioritised. Applicants could apply for up to USD $160,000 over a maximum of three years with the primary recipient being a local/national organisation.
Selection Process
At the end of March 2013, 176 concept notes from 67 countries were received (see figure). This included 16 applications from countries who had never previously applied to SAAF. Most applications were received in English (123), with 12 received in French and 18 in Spanish. A technical review panel (members listed in Appendix Two), comprising abortion experts from multiple regions, was formed to review concept notes. Of the 176 proposals received, 15 did not meet the eligibility criteria15. The remaining 161 proposals were each assessed by two reviewers from the panel using a scoring system based on context and relevance (50%), impact (30%) and innovation and risk taking (20%). Figure 5: Source of concept notes to SAAF (n=176)
15 Ineligible proposals were those not from a local/national organisation, those from the private sector or those who submitted an incomplete application (and did not respond to a request to complete it)
- Page 13 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Proposals were ranked based on average reviewer score, with the highest scoring in each category (priority and non-priority countries) deemed eligible for funding. Those which had very divergent reviewer scores were reviewed for a third time, with the average used from all three scores.
Based on available funding, 113 organisations were invited to submit a full proposal (see figure below for th map of locations; full list available in Appendix Five); as of September 26 2013, 106 full proposals had been received. These applications are currently being reviewed, with the intention that projects will commence between November 2013 and March 2014. It is encouraging that several of the 113 organisations who are preparing full proposals were sub- grantees of previous SAAF projects managed by larger organisations. This suggests that with support from SAAF, these smaller local organisations have developed sufficient capacity to apply and secure funding in their own right.
Figure 6: Location of projects invited to submit full proposals for SAAF Round Three
- Page 14 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Fund Management SAAF operates under the guidance of an independent governing board representing donors, activists and international NGOs; the board currently consists of ten members and is chaired by IPPF. The names and affiliations of board members are listed in Appendix One. During the period of this annual report the SAAF board met twice, once in October 2012 (via teleconference) and again in June 2013 (in London). The October meeting focused on fundraising for Round Three and development of the SAAF strategy (see page 16) while the June meeting focused on Round Three applications, revision of SAAF logframe and development of the evaluation framework (see page 22). The SAAF secretariat is based in the central London office of IPPF, and is responsible for day-to-day management of the Fund. The secretariat currently comprises two full time staff members, a Senior Programme Officer (Maïté Matos-Ichaso; maternity cover Judy Gold from September 2013) and a Programme Coordinator (Hanna Lindley-Jones). Additional support is provided by 20% of a Donor Reporting Account’s time (Grace Neburagho) and 20% of Financial Management Officer’s time (Anthony Kwokori).
Fund management is included within the SAAF logframe (see Appendix Four); the table below summarises progress towards these indicators. As can be seen from table, SAAF is relatively on track with all indicators. More detail on each indicator is included within the following sections on grantee reporting (see page 17) and grantee support (see page 18).
Table 3: Progress towards SAAF logframe fund management indicators
Result Indicator 2014 Target to date
Output 4: SAAF grantees funded, managed and supported in accordance with agreed standards 100% disbursed % of SAAF funding disbursed to and 84% and 100% expended by projects disbursed expended % six month financial and annual narrative 88%16 90% reports received on time (within 2 weeks)
Number of regional/global meetings 1 1 organised to build grantees capacity
16 Reported for most recent reports due (year two annual reports, due 31st July 2013)
- Page 15 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Financial Status
The total expenditure for SAAF in 2012 was USD $1.8 million. The majority of this expenditure was project funding to grantees ($1.66 million). Grantee learning17 and technical support was $20,679 of the total expenditure while fund operating costs18 totalled $78,924. For the period 2013-2016 SAAF has a total pool of funding of USD $21.6 million from five donors: the Governments of Denmark, the Netherlands, Norway and the UK, and an anonymous foundation. The vast majority of this funding (USD $18.4 million, 85%) is allocated as grants to implementing organisations. This includes funds to support Round Two projects completing in 2013-2014 (USD $1.3 million). Other main expected expenditures for 2013-2016 are:
Technical support for grantees: $425,000 Grantee learning: $385,000 External evaluation: $365,000 Fund operating costs: $925,319
Fund Strategy
As described in the 2012 annual report, in May 2012 the SAAF board held a two day retreat to develop a SAAF Theory of Change and resulting strategy. Strategy development work has been ongoing, including development of the business case to secure further funding support from the UK government. Key elements of the strategy include:
Focus funding support on local and national organisations, rather than large international NGOs Maintain the ‘light touch’ monitoring approach of grantees by the SAAF secretariat, but with additional, targeted, support for proposal development, grant implementation and monitoring and evaluation where needed Increase inter-project learning and sharing through grantee virtual community (see page19 for details), grantees meetings held every two years (see page 18 for details of 2013 meeting) and support for regional and global presentation of successful projects Streamline monitoring and evaluation formats and structures to better enable monitoring of individual project and overall fund progress
17 Grantee learning includes conference participation, grantee meetings, publications and the online virtual community 18 Fund operating costs include personnel, board meetings, review of proposals (N/A in 2012) and other charges
- Page 16 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Grantee Reporting
Projects supported under Round Two are required to report every six months to the SAAF secretariat, one progress report (due at the beginning of the calendar year) and one more detailed annual report (due in the middle of the calendar year). The secretariat reviews the narrative and financial reports, responding with queries, comments and suggestions to grantees. The target is that both progress and annual reports are received from grantees within two weeks of the due date. Final project reports are due within eight weeks of project completion. During 2013:
Year Two progress reports: Of the 31 reports due19, 22 (62%) were submitted within two weeks of the due date (31st January 2013) Year Two annual reports: Of the 16 reports due from continuing projects, 14 (88%) were submitted within two weeks of the due date (31st July 2013) Final reports: of the 18 projects who had completed20, twelve (66%) submitted within eight weeks of project completion date Funds are released to grantees on an annual basis following successful completion of the annual report. Normally, 90% of the estimated annual budget is transferred, with 10% held until successful completion of the next annual report. For projects that are underspent and/or experiencing substantial implementation delays, a lower percentage of funds (or none) may be transferred, with the remainder transferred once evidence of increased spending and/or progress has been obtained e.g. on the following six monthly report. At the end of September 2013, 84% of project funding for grantees had been disbursed (see USD table). The remainder will be disbursed over the Total funds available $5,493,262.94 100% coming year as the remaining projects continue Disbursed to grantees $4,616,222.00 84% their implementation. Remaining $877,040.94 19% Going forward, it is intended that a similar Table 4: Status of Round Two funding to grantees, reporting schedule will be used for Round Three 30 September 2013 although with reporting dates staggered across the year to enable timely review of reports by the SAAF secretariat. A formal project induction, along with increased communication with grantees, will be used to increase the timeliness of report submission.
19 Four of the original 35 projects had already completed and thus no progress report was due 20 Project end dates ranged from 30/6/2012 to 31/7/2013. An additional project is due to finish 1/10/2013
- Page 17 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Grantee Support
Grantees Meeting In order to facilitate learning and strengthen the SAAF network, a grantees meeting was held following the Second International Congress on Women’s Health and Unsafe Abortion (IWAC) held in Bangkok in January 2013. Participants from 31 projects representing 23 countries attended the conference and then the subsequent grantee meeting. The meeting focused on key issues for grantees including:
Strategies to increase client load: community based approaches, referral networks, clinical settings Advocacy and communication: developing effective advocacy action plans, IEC material and communication Using data for programme management SAAF specific issues: reporting requirements, virtual community Quality of care Figure 7: Group discussion during SAAF grantees Involving and serving young people meeting at IWAC Developing partnerships and collaboration
The sessions were designed to enable grantees to share their experiences and barriers faced when implementing their projects, as well as to encourage participation and discussion to strengthen the grantee network. Prior to the grantees meeting, several of the SAAF projects were featured in a conference panel at IWAC:
Promsex on the success of their public campaign to gain support for decriminalisation of abortion Kyetume Community Based Health Programme on strengthening linkages with stakeholders such as traditional birth attendants in order to develop the Kyetume Health facility in Uganda into a referral centre for post-abortion care Association Rwandaise pour le Bien-Etre Familia on the success of their advocacy project in getting safe abortion into public debate in Rwanda Research, Training and Management International Figure 8: SAAF panel members at IWAC on the results of their research into the quality of menstrual regulation services available in Bangladesh
- Page 18 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Virtual Community During 2012 a SAAF virtual community was established by the SAAF secretariat to encourage collaboration between grantees. The community is a private, password-protected site open only to SAAF grantees. The community is hosted on the knowledge gateway platform (https://knowledge- gateway.org/) which enables both discussions and online storage of documents. The virtual community was officially launched in January 2013 at the grantees meeting and currently has 41 members from 31 projects in 24 countries. To date, 44 documents have been shared on the site including 11 by the grantees. Photos from the grantees meeting have also been shared on the site. Over the past few months, the SAAF secretariat has begun experimenting with facilitating discussions on key topics, such as harm reduction as it relates to abortion, and why medical or surgical abortion are more popular in particular locations. With the commencement of Round Three which involves over 100 organisations, the virtual community will become an important link between grantees and with the SAAF secretariat. The secretariat plans to develop a strategic approach to communications in Round Three, which is likely to include increased use of the community for Fund information, as well as initiatives to increase cross-grantee communication and support, particularly among those focusing on similar issues or operating in the same country.
Figure 9: View of SAAF virtual community Support Visits Due to the grantees meeting in January 2013 and the launch of Round Three of SAAF in March 2013, just one visit was made to grantees during the period of this annual report. In August 2013, the SAAF Programme Coordinator and Financial Management Officer visited one of the SAAF projects in Ghana, Global Doctors for Choice/Ghana, to assess programmatic progress and review financial management systems. Recommendations arising from the visit are currently being implemented. Two organisations invited to provide a full proposal under Round Three funding were also visited during the trip. Figure 10: SAAF team visit to Ghana Going forward, it is intended that a subset of SAAF grantees will be visited each year for provision of technical support and financial monitoring. The grantees visited will be determined by support requests and needs, with priority given to smaller organisations and countries/regions with multiple SAAF grantees to encourage linkages and minimise cost.
- Page 19 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Risk Management
As a Fund focusing on expanding access to safe, legal abortion, working in a wide variety of countries and with a large number of grantees with varying capacity, identifying the potential internal and external risks, and strategies to mitigate these, is a priority. These risks, as well as the strategies used by SAAF to manage these, are described below. The risks and strategies will be regularly reviewed by the SAAF board and secretariat and updated as required.
Growing Opposition Risk: Hard line movements and initiatives in opposition to women's and girl's rights gain greater momentum and introduce language at the international level which further limits access to safe abortion services (high probability, medium potential impact) The national and global situations are monitored on an ongoing basis by the SAAF board, secretariat and grantees. All are active in initiatives to counter this risk, such as:
Input into national and international consultations Proactive and reactive contributions to media Regular promotion and publication of activities highlighting the importance of access to safe abortion
Funding for abortion related work Risk: Limited number of governments able and willing to fund safe abortion/prevention of unsafe abortion and thus limited number of projects able to be funded by SAAF (medium probability, medium potential impact) Although SAAF has now secured multi-year funding from multiple donors until 2016, continuing efforts to mobilize donors and keep them informed of the funding priorities are essential to sustain funding. The SAAF board and secretariat are in regular communication with current and potential donors to ensure that funding is maintained and potentially increased. The planned development of SAAF communications strategy for Round Three will help ensure that the benefits of SAAF funding are widely disseminated and thus this issue remains ‘on the radar’ for funders.
Changes in country contexts Risk: Country context changes such as conflict or change of government effect project implementation and results (medium probability, low potential impact across SAAF portfolio but high in individual settings) This risk cannot be changed by SAAF but the spread of SAAF funding across multiple projects and countries reduces impact of this risk. Regular reporting by grantees on progress to the SAAF secretariat enables timely notification of changes to planned programming when necessary.
- Page 20 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Fraud and financial mismanagement Risk: SAAF funds not used for their intended purpose by SAAF grantees and the SAAF secretariat (medium probability, medium-high impact) SAAF has been in operation since 2007 and has established appropriate financial control mechanisms. Grantees are required to conduct annual financial audits and provide six monthly progress reports (financial and narrative) to the SAAF secretariat. Failure to comply with reporting requirements will result in grant suspension. In addition, initial concept notes for Round Three funding were assessed by experts who were familiar with many of the organisations and individuals seeking funding, and financial viability of proposals and organisations was assessed during this review. The SAAF secretariat will conduct annual monitoring visits to a subset of grantees, which will include financial monitoring. The SAAF secretariat is hosted by IPPF, which has a Fraud Response Strategy which includes prevention, detection and management of fraud. The strategy aims to raise awareness of fraud, provides guidance on how suspected fraud should be reported and investigated, and the IPPF mechanisms to prevent and detect fraud. SAAF is fully compliant with the Fraud Response Strategy.
- Page 21 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Fund Monitoring and Evaluation
Logframe
For the period 2011-2014 a logframe was developed to cover Round Two SAAF projects (see Appendix Four). Progress towards this logframe has been reported earlier in this report (see page 6), with the full results against this logframe expected to be included in the next annual report once all projects funded under Round Two have been completed. Going forward, the SAAF board and secretariat are developing a logframe for Round Three, based on the current logframe. The intention is that all projects funded under SAAF will include relevant output indicators within their own project monitoring and evaluation plan to ensure standardisation of indicator language as well as align timing and source of measurement. For Round Three, all logframe indicators are being revised to ensure they capture both process and results measures for each dimension (advocacy, research, service delivery and fund management) and are clear and specific. Additional measures, including grantee satisfaction and engagement, will be added to ensure the logframe captures the full spectrum of SAAF activities. As with the Round Two logframe, the logframe will serve as the basis for reporting to all SAAF donors. It is anticipated that the logframe for Round Three will be finalised during October 2013, prior to the commencement of Round Three projects. A copy of the logframe will be available upon request from the SAAF secretariat.
Evaluation Framework
Discussions by the SAAF board and secretariat have commenced regarding the development of an overall evaluation framework for SAAF, to better assess the ‘value-add’ of this funding mechanism. Potential questions to be considered under this framework include:
What added value do SAAF grantees bring at country level? (e.g. development of new partnerships, shifting public debate on abortion) Are grantees skills and abilities strengthened through support received? Are the achievements of SAAF projects sustained following the end of funding? How relevant are the SAAF projects to the country/region’s unmet needs? Have there been unexpected outcomes from the implementation of SAAF projects? Additionally, the evaluation framework could include in-depth assessments of a subset of SAAF projects focused on a particular issue (e.g. follow up from medical abortion, increasing uptake of contraception following abortion) in order to assess the impact of SAAF funding on critical issues as well as to build the global evidence base for abortion-related programming. The evaluation framework will be a major focus on the next SAAF board meeting (November 2013); following the meeting it is expected an evaluation framework will be developed, to commence implementation in 2014.
- Page 22 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Conclusion & Next Steps The period that this annual report covers, October 2012 to September 2013, has been one of the most eventful in the Fund’s seven year history. From implementing a portfolio of locally-driven projects across the spectrum of abortion-related programming, to facilitating cross-country learning and launching the largest funding call for abortion programming in its history, SAAF has demonstrated the many ways in which a flexible, small grant, multi-donor pool of funds can make a true difference to abortion advocacy, research and services around the world. In the coming year, SAAF will focus on implementing a new round of projects, and strengthening its support, monitoring and evaluation mechanisms to maximise impact of individual projects, and the Fund overall.
- Page 23 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Appendices
Appendix One: SAAF Board Members
Chair Manuelle Hurwitz, Senior Adviser Abortion, IPPF NGO Representatives Claire Morris, Vice President and Interim Director International Programmes Department, Marie Stopes International Giselle Carino, Deputy Director of Programs - Universal Access to Sexual and Reproductive Health, IPPF Western Hemisphere Office Leila Hessini, Director, Community mobilization and Youth leadership, IPAS Monica Oguttu, Executive Director KMET, Kenya Activist Representative Suchitra Dalvie, Coordinator Asia Safe Abortion Partnership (ASAP) Professional Organisation Representative Friday Okonofua, Program Officer, Ford Foundation-West African office [on behalf of International Federation of Gynecology and Obstetrics (FIGO)] Donor Representatives Nina Strøm, Senior Adviser, Global Health and AIDS Department, NORAD Sandra MacDonagh, Health Adviser, Sexual and Reproductive Health, AIDS and Reproductive Health Team, DFID Foundation Representative Türkiz Gökgöl , Director of International Programs, The Susan Thompson Buffett Foundation
- Page 24 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Appendix Two: Members of Technical Review Panel
Name Organisation Alka Barua Gynuity Health Projects Ann Furedi BPAS Carrie Tatum IPPF, Western Hemisphere Region Cheick Ouedrago Population Service International Christina Puig Family Care International Cristina Villareal Orientame Foundation, Colombia Eleuthera Sa Wellsprings Elizabeth Bennour Consultant Gillian Fawcet Garcia Catholics for the Right to Decide, Mexico Ginette Hounkanrin IPPF Africa Region Gulshun Rehman Save the Children UK Haile Gebreselassie Ipas Kelly Blanchard Ibis reproductive health Kelly Culwell Physician and consultant Manisha Mehta Wellspring Marcela Rueda IPPF Central Office Maria Mejia Catholics for the Right to Decide, Mexico Marijke Alblas Physician and consultant Placide Tapsoba Population Council Rebecca Wilkins IPPF Central Office Regina Thames GIRE Mexico Roland MHLANGA Physician and academic Rupsa Mallik CREA, India Shubra Rehman Consultant Shveta Kalyanwala Consultant SP Choong Asia Safe Abortion Partnership Viviana Waisman Women's Link Wordwide
- Page 25 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Appendix Three: SAAF Round Two Grantees
Project Project Country Organization Project title end length
Africa
Institut Supérieur des Sciences de Avortements et santé des femmes au Burkina Faso Dec-13 2.5 Year la Population (ISSP) Burkina Faso, II
Société des Gynécologues et Renforcement des soins d’avortement au Burkina Faso Oct-13 2 Year Obstétriciens du Burkina (SOGOB) Burkina Faso
Renforcement de l'accès à des soins Association Burundaise pour le d’avortement de qualité et prévention Burundi Jun-14 3 Year Bien-Etre Familial (ABUBEF) des grossesses non désirées chez les femmes et filles vulnérables. Soins complets d’avortement dans les Association Ivoirienne pour le activités de santé sexuelle et de la Cote d'Ivoire Jun-14 3 Year Bien Etre Familial (AIBEF) reproduction dans les zones d’intervention de l’AIBEF Democratic Accès de femmes affectées par les Republic of ANONYMOUS conflits aux services d’avortement Completed 1 Year Congo médicalisé (AFESAM) Reducing Maternal Mortality Through Ghana Pathfinder International Ghana Expansion of CAC Service in the Northern Completed 1.5 Year Regions of Ghana
Integrated Social Development Ghana Global Doctors for Choice (GDC)/Ghana Jun-14 3 Year Centre (ISODEC)
Planned Parenthood Federation Expanding access to safe abortion and Kenya of America International (PPFAI) Completed 2 Year post-abortion care in Kenya Kenya
Kisumu Medical and Education Male Involvement in Safe Abortion Kenya Completed 2 Year Trust (KMET) (MISA)
Our Bodies, Our Choices: Kenyan Women Kenya ANONYMOUS Organizing for Choice: Making Medical Completed 2 Year Abortion Safer and More Accessible Associação Moçambicana para Prevention of Unsafe Abortion for Mozambique Desenvolvimento da Família TBC 2 Year Adolescents & Youth (AMODEFA) Expanding Safe Abortion Services through Pathfinder International provision of an integrated package of Mozambique Completed 1.8 Year Mozambique care, treatment and prevention services in Gaza and Inhambane Provinces Expanding access to safe abortion and Planned Parenthood Federation post-abortion care, especially medication Nigeria of America International (PPFAI) Completed 2 Year abortion through community based Nigeria providers Promoting safe abortion through Association Rwandaise pour le awareness-raising of people working in Rwanda Bien-Etre Familial (ARBEF) / Hope Jul-14 3 Year civil society organizations concerned with for living women’s health and welfare in Rwanda.
- Page 26 of 42 - Safe Abortion Action Fund • Annual report • 2013
Project Project Country Organization Project title end length
Scaling up youth-friendly comprehensive Pathfinder International South South Africa abortion care services in Eastern Cape, Completed 2 Year Africa South Africa. Improving access to safe second- trimester abortion in South Africa: South Africa Ibis Reproductive Health Jun-14 3 Year research on the mifepristone-misoprostol regimen Planned Parenthood Federation Sudan - of America International (PPFAI) Access through Provider Network Completed 2 Year Darfur Sudan
Reducing maternal mortality caused by Tanzania ANONYMOUS Completed 1.5 Year unsafe abortion in Zanzibar, Tanzania
Kyetume Community Based Emergency Post Abortion Care Project, Uganda Completed 2 Year Health programme Kyetume – Mukono District – Uganda
Asia and Pacific
Bangladesh Women Health Women’s Reproductive Rights- Access To Bangladesh Jun-14 3 Year Coalition (BWHC) Quality Safe Abortion Care
Research, Training and Operations Research to Improve Quality Bangladesh Jun-14 3 Year Management (RTM) International of MR Services in Bangladesh
Bangladesh Association for Access to safe Menstrual Regulation Bangladesh Prevention of Septic Services and Reduction of Unsafe Jun-14 3 Year Abortion(BAPSA) Abortion Expanding access to safe abortion options and post abortion family planning for Cambodia Marie Stopes International Completed 2 Year poor and marginalized women in Cambodia. Enable Project: Advocacy and Center for Research on empowerment to enable marginalized Nepal Environment Health and and vulnerable women to access safe Completed 2 Year Population Activities (CREHPA) abortion and post-abortion family planning services in Nepal Increase awareness and access to informed choices of safe abortion and Nepal Sunauva Parivar Nepal Jun-14 3 Year post abortion family planning services in Nepal
Improving Young Women’s access to Safe Pakistan Aware Girls / ASAP/ WoW Jun-14 3 Year Abortion
The Women’s Health and Thailand Reproductive Rights Foundation Community clinic for safe abortion service Completed 2 Year of Thailand
The Grounding Abortion Law and Policy ANONYMOUS Oct-13 2 Year Philippines Reform Advocacy in Restricted Settings
- Page 27 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Project Project Country Organization Project title end length Increasing access to Safe Medical Abortion and Comprehensive Abortion Center for Community Vietnam Care through the Center for Community Completed 1.5 Year Reproductive Health in Vietnam Reproductive Health in Vietnam healthcare network.
Latin America and the Caribbean
Anis – Institute of Bioethics, Conscientious objection in legal abortion Brazil Jun-14 3 Year Human Rights and Gender services in Brazil
Modelo de servicio para la intervención Ecuador ANONYMOUS del Embarazo no deseado y el Aborto Jun-14 3 Year Seguro Centro de Promoción y Defensa Acceso aborto legal y seguro en el Perú: Peru de los Derechos Sexuales y Reduciendo el estigma y fortaleciendo el Completed 2 Year Reproductivos – PROMSEX debate.
Eastern Europe and Central Asia
Access to comprehensive abortion care “For Family and Health” Pan- Armenia and post-abortion contraception for Jun-14 3 Year Armenian Association vulnerable women in Armenia
Kazakhstan Association on sexual Kazakhstan Only wanted pregnancies” Completed 2 Year and reproductive health (KMPA).
Multi-Country
Tanzania, Nigeria, The Women’s Global Network for Abortion Advocacy and Campaign Project Pakistan, Completed 2 Year Reproductive Rights (AACP) Malaysia, Nepal
- Page 28 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Appendix Four: SAAF Logframe 2011-2014
PROJECT TITLE Safe Abortion Action Fund Milestone Target GOAL Indicator Baseline 2011 2012 2014 Reduce maternal mortality and Africa 14% improve women’s and girl’s lives Asia 13%
through increased access to safe % of maternal deaths due to LAC 12%
abortion and post abortion care, unsafe abortion in SAAF funded Source and prevention of further regions WHO - Guttmacher unsafe abortion unwanted pregnancies, for poor estimates 2008 (published in 2011) and and marginalised women and girls consequent updates
Milestone Target OUTCOME Indicator Baseline 2011 Assumptions 2012 2014
Number of countries where 1 16 19 increased public visibility for abortion or steps taken to Source Locally led changes to the Absence of natural disasters or improve national, federal or legislative, policy and service Project documentation and SAAF security threats/conflict in local legislation21 delivery enabling environment for evaluation countries/localities where projects Milestone Target safe abortion. Indicator Baseline 2011 funded 2012 2014
Number of countries where 0 0 18
21 Includes development and maintenance of advocacy networks and coalitions, dissemination and use of research studies and media reports
- Page 29 of 42 - Safe Abortion Action Fund • Annual report • 2013
PROJECT TITLE Safe Abortion Action Fund national/local policy Source framework, guidelines and Project documentation and SAAF protocols developed and/or evaluation implemented Milestone Target Indicator Baseline 2011 2012 2014
60,132 133,492 228,393 Number of women and girls receiving safe abortion services Source or post-abortion care Project documentation and SAAF evaluation Milestone Target Indicator Baseline 2011 2012 2014
Proportion of women and girls 27% 53% 65% in receipt of safe abortion/post- Source abortion services adopting post Project documentation and SAAF abortion contraception evaluation
- Page 30 of 42 -
Safe Abortion Action Fund • Annual report • 2013
PROJECT TITLE Safe Abortion Action Fund Milestone Target OUTPUT 1 Indicator Baseline 2011 Assumptions 2012 2014 Number of countries where 0 12 12 NGOs achieve shared positions/consensus on Source approach to abortion law or Project documentation and SAAF Locally led strategic policy reform22 evaluation initiatives raising awareness of Milestone Target and addressing legislative, policy Indicator Baseline 2011 2012 2014 and service delivery barriers to National institutional/legal safe abortion Number of countries where 0 12 12 framework permits NGO advocacy NGOs implement an advocacy activities Source strategy to support legal, policy Project documentation and SAAF or service delivery reform23 evaluation Milestone Target IMPACT WEIGHTING Indicator Baseline 2011 2012 2014 Number media reports/ 27 68 125 interviews /political speeches or documents raise awareness Source RISK RATING 20% of barriers to safe abortion Project documentation and SAAF and/or consequences of unsafe Medium evaluation abortion
22 As a result of SAAF projects i.e. baseline is zero 23 As above
- Page 31 of 42 -
Safe Abortion Action Fund • Annual report • 2013
PROJECT TITLE Safe Abortion Action Fund Milestone Target OUTPUT 2 Indicator Baseline 2011 Assumptions 2012 2014
0 9 16 Number of research/studies Source conducted Project documentation and SAAF Knowledge and research gaps to evaluation inform an improved enabling of Milestone Target service delivery environment for Indicator Baseline 2011 2012 2014 safe abortion addressed and National ethical review committees disseminated. 0 16 approve research protocols in timely Number of articles shared with manner partners (official launch) or Source published in journals Project documentation and SAAF evaluation Baseline Milestone Target IMPACT WEIGHTING Indicator 2011 2012 2014
0 1 8 Number of official documents 20% citing/including research results Source RISK RATING (policy, guidelines etc) Project documentation and SAAF High evaluation
- Page 32 of 42 -
Safe Abortion Action Fund • Annual report • 2013
PROJECT TITLE Safe Abortion Action Fund Baseline Milestone Target OUTPUT 3 Indicator Assumptions 2011 2012 2014 Strategic local initiatives improve access to comprehensive safe abortion care (where permitted) 261 1,171 1,557 and/or post abortion care Number of staff trained in new especially for poor and abortion technologies and marginalised women and girls24 techniques (MVA and medical IMPACT WEIGHTING abortion) Source RISK RATING
Project documentation and SAAF 20% High evaluation
24 Note indicators on service provision are included above as an outcome, rather than here as an output
- Page 33 of 42 -
Safe Abortion Action Fund • Annual report • 2013
PROJECT TITLE Safe Abortion Action Fund Milestone Target OUTPUT 4 Indicator Baseline 2011 Assumptions 2012 2014 29% 62% 100% disbursed and disbursed disbursed 16% and 50% and 100% % of SAAF funding disbursed to expended expended expended and expended by projects Source Project documentation (financial )and SAAF grantees funded, managed SAAF evaluation and supported in accordance with Milestone Target agreed standards Indicator Baseline 2011 2012 2014 IPPF continues to host SAAF % six month financial and 80% 85% 90% annual narrative reports Source received on time (within 2 weeks) SAAF records
Milestone Target IMPACT WEIGHTING Indicator Baseline 2011 2012 2014
0 1 1 Number of regional/global 40% meetings organised to build Source RISK RATING grantees capacity Project documentation and SAAF Low evaluation
- Page 34 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Appendix Five: SAAF Round Three Grantees (proposed)
Country Organization Project Title
Africa
Prévention des avortements à risque, plaidoyer et offre de Association Béninoise pour la Benin services complets d’avortement dans les limites de la loi au Promotion de la Famille (ABPF) Bénin
Botswana Family Welfare Building Momentum for Reduction in Maternal Morbidity Botswana Association and Mortality
Avortement et santé des femmes au Burkina, Phase III : Institut Supérieur des Sciences de la Burkina Faso Mesure de la tendance de l’incidence des avortements non Population (ISSP) sécurisés à Ouagadougou de 2002 à nos jours. Renforcer l’accès à des soins de qualité liés à l’avortement et Association Burundaise pour le Bien Burundi prévention des grossesses non désirées chez les femmes et Etre Familial (ABUBEF) les filles vulnérables Solidarité des Femmes burundaises pour la Lutte contre le Sida et le Bâtir, au Burundi, une société où chaque femme jouit d’une Burundi Paludisme au Burundi (SFBLSP bonne santé sexuelle et reproductive. Burundi)
ACTION SANTE ET DEVELOPPEMENT lutte contre la mortalité maternelle du aux avortements Congo, (DRC) - ASD (LCMMA)
Association Congolaise pour le Bien Prise en charge des complications post abortum dans 4 Congo, (DRC) Etre Familial (ACBEF) hopitaux partenaires de l’ACBEF
Projet d’amélioration des conditions de travaille et de prise en charge des cas d’avortement des jeunes filles et jeunes Congo, (DRC) CEIFD - SUD KIVU femmes auprès des sages femmes affectés dans les maternités des aires de santé de Kimbi Lulenge en Territoire de Fizi au Sud Kivu en République Démocratique du Congo
Santé reproductive et pratiques d’avortements dans les Congo, (DRC) ANONYMOUS zones de crise (SAREPRA)
Projet De Création D’un Centre D’encadrement Médical Pour SOS FEMME ET ENFANT EN Lutter Contre Les Grossesse, Les Avortements clandestins, La Congo, (DRC) CATASTROPHE Régularisation des Naissances Et Le Dépistage Volontaire de VIH/Sida
Association Ivoirienne pour le Bien Cote d'Ivoire Soins apres avortement (SAA) pour tous en Cote d'Ivoire Etre Familial (AIBEF)
Improving access to quality Comprehensive Abortion care & Family Guidance Association of Ethiopia FP services among rural, young women and men in Northern Ethiopia(FGAE) Ethiopia
Safer Reproductive Choices Ethiopia Save Your Generation Ethiopia for University Students
Study of Conscientious Refusal to Provide Abortion in Ghana Ghana Global Doctors For Choice - Ghana with a Subsequent Plan for Intervention
- Page 35 of 42 - Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
ADVOCATING FOR THE MAINSTREAMING OF ABORTION Ghana Global Media Foundation (GLOMEF) SERVICES INTO THE PUBLIC HEALTH SYSTEM IN GHANA
Sustainable Aid Through Voluntary Reducing Maternal Mortality Through access to information Ghana Establishment (SAVE-GHANA) and Abortion Service in the Upper West Regions of Ghana
Guinea-Bissau AGUIBEF Prévention et traitement des complications d'Avortement
Enhancing access to information and services on medical African Network for Medical Kenya abortion to women, including young and vulnerable women Abortion (ANMA) in Kenya, Ethiopia, Ghana, Zambia and Uganda Deepening understanding of abortion and post abortion care African Population and Health Kenya and improving the provision of modern post-abortion family Research Center, Inc. (APHRC) planning to adolescent women in Kenya INCREASING ACCESS TO MEDICAL ABORTION DRUGS AND Kenya ANMA-Kenya INFORMATION THROUGH PHARMACIES, SERVICE PROVIDERS AND WOMEN IN KENYA
Kenya ANONYMOUS The Safe Choice
Kisumu Medical & Education Trust TETEA UZAZI SALAMA (TUS)- (Advocacy for Safe abortion Kenya (KMET). Services and Rights)
NATIONAL NURSES ASSOCIATION OF SCALING UP ADVOCACY ON COMPREHENSIVE ABORTION Kenya KENYA CARE TO NURSES AND MIDWIVES IN PUBLIC INSTITUTIONS
Making Healthy Choices: Realizing our Reproductive Rights Kenya ANONYMOUS and Making Medical Abortion Safer and More Accessible
Youth Alliance for Leadership and Decriminalization of Abortion in Kenya: New Dawn Towards Kenya Development in Africa (YALDA) Saving Mothers’ Lives
FORUM FOR THE DEVELOPMENT OF SEXAUL REPRODUCTIVE HEALTH FOR WOMEN WITH Malawi YOUTH WITH DISABILITY (FDYD) DISABILITY
From Policy to Action: Expanding Safe Abortion Access in Mozambique Women in Law in Southern Africa Mozambique
Nigeria G I W Y N ADVOCACY AND ABORTION STIGMA IN NIGERIA (A S T I N )
Strengthening community-provider partnerships for Nigeria Women Friendly Initiative (WFI) increased access to Safe Abortion (SA) and Post Abortion Care (PAC) services in Federal Capital Territory (FCT), Nigeria.
Women’s Health and Action Building capacity for task shifting on medication abortion Nigeria Research Centre (WHARC) care in Nigeria
- Page 36 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
Using ratified international agreements/tools and empowering district court officials to advocate for Rwandese Association for Family Rwanda decriminalization of abortion alongside provision of legal Welfare (ARBEF) assistance to women with compelling stories who get charged for abortion
Association Sénégalaise pour le Bien- Senegal Plaidoyer-Recherche et Soins Après Avortement (PRSAA) Etre Familial (ASBEF)
Sierra Leone ANONYMOUS Increased Access to Safe Abortion Services in Sierra Leone
Using a low sensitivity urine pregnancy test combined with Women’s Health Research Unit South Africa support SMSs and a self-assessment as an alternative to a University of Cape Town follow-up clinic visit after medical abortion
Improving Safety of in and out of Hospital Abortion Services Sudan ANONYMOUS in Khartoum State
Sudan Sudan Family Planning Association Incomplete Abortion Care
Family Life Association of Swaziland Swaziland Lilungelo Ngelakho (The choice is yours) (FLAS)
Reducing barriers to accessing comprehensive post-abortion Tanzania Marie Stopes Tanzania care services for vulnerable young women in Zanzibar, Tanzania
WOMEN’S PROMOTION CENTRE Tanzania Tanzania Safe Abortion Advocacy Project (TSAAP) (WPC)
Action for Development in Uganda Reducing the dangers brought by Unsafe Abortion Underserved Areas (ADUA)
CENTER FOR HEALTH, HUMAN Clarifying Uganda’s Legal and Policy Environment on Uganda RIGHTS AND DEVELOPMENT Abortion (CUL‐PA) (CEHURD)
Kyetume Community Based Health Uganda Emergency Post Abortion Care (EPAC) Project Care Programme
Night mobile forums in 8 Cities and 3 border towns of Uganda aiming to reduce the rampant engagement of life threatening local abortion procedures among sex workers Uganda Lady Mermaid’s Bureau together with know-how safety information kits, study on the problem and advocating for post abortion reprieve at local councils level
Uganda Reproductive Health Uganda (RHU) Responding to Unsafe Abortion in Uganda (RESPOND Project)
Uganda TUSITUKIREWAMU GROUP Better Reproductive Health, Better Communities project
Volunteers for Development Strengthening Community Response against Unsafe Uganda Association in Uganda (VODA Abortion (SCORE Unsafe Abortion) Uganda)
- Page 37 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
Reproductive Rights for All! Providing comprehensive Planned Parenthood Association of Zambia abortion care Zambia information and services to save lives in Zambia Increasing Access to Safe Abortion (SAC) and Post Abortion Care (PAC) in Zimbabwe through Strengthening of Referral Zimbabwe Population Services Zimbabwe Networks, Capacity Building of Private Providers and Policy Engagement
Asia and Pacific
Reduction in the morbidity and mortality caused by unsafe abortions in Afghanistan by supporting in the roll-out of Afghan Family Guidance Association Afghanistan Post-Abortion Care guidelines through increased awareness (AFGA) and participation of medical providers as well as key stakeholders in 3 provinces of Afghanistan Public Private Partnership for improving the quality of MR Association for Prevention of Septic Bangladesh and PAC services in one Upazila of a Selected District of Abortion, Bangladesh(BAPSA) Bangladesh.
Bangladesh Women’s Health Scale Up of Preventing Unsafe Abortion in Selected Bangladesh Coalition (BWHC) Areas of Bangladesh
Family Planning Association of Enhance Access to Safe MR Service to marginalized women Bangladesh Bangladesh (FPAB) in rural areas in Bangladesh
A Harm Reduction Approach to Improve Access to MRM through selected pharmacies in 2 districts (Sylhet, Bangladesh Marie Stopes Bangladesh Chittagong) of Bangladesh (MRM = Menstrual Regulation through Medication akin to Medical Abortion) Reproductive Health Services, Access to Safe MR and Reproductive health for Youths and Bangladesh Training and Education Program Adolescents (ASRYA) (RHSTEP)
Research, Training and Management Establish Linkage Between Community and Facility to Reduce Bangladesh (RTM) International the Incidence of Unsafe MR in Selected Areas of Bangladesh
(Intégration Menstrual Régulation ( MR) and Post Abortion Bangladesh Shimantik Care (PAC) in Mother & Child Clinic of Shimantik
Reproductive Health Association of Improving Access to Safe Abortion Among Poor and Cambodia Cambodia (RHAC) Vulnerable Population
Abortion, Gender and Rights Institute for Activists, Creating Ressources for India Practitioners Impowerement in Action (CREA) and Service Providers to Improve Access to Safe Abortion Improved Access to Safe Abortion Services in the context of India SAMYAK Sex Selection using the updated WHO Safe Abortion Guidance for training Heath care providers
Implementation Of The Safe Abortion Services : How To Indonesia ANONYMOUS Solve Barriers
BREAKING THE SILENCE: Improving access to safe abortion Indonesia IPPA Yogyakarta Chapter for vulnerable women who have experienced rape in Yogyakarta province, Indonesia
- Page 38 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
Indonesia SAMSARA Safe Abortion Hotline in Indonesia
Korean Family Planning & Maternal Expanding Access to Comprehensive Korea, (DPR) and Child Health Association Abortion Care and Services in the DPRK (KFP&MCHA)
Support of research, advocacy and the development of Malaysia RRAAM advocacy materials related to unsafe abortion in Malaysia
Provision of comprehensive abortion care through MFWA’s MONGOLIAN FAMILY WELFARE three static clinics and increase accessibility of safe abortion Mongolia ASSOCIATION (MFWA) services to vulnerable women and young girls. Safe Abortion Referral and Harm Reduction Among Burmese Myanmar Mae Tao Clinic Migrants and Ethnic Minorities in Two Areas Along the Thai/Burma Border Increase access to safe abortion and to Family planning for Nepal Action Works Nepal (AWON) 5’687 women in remote, uncovered and underserved areas in the Karnali Region-Nepal
Breaking the Barriers: Marginalized Women and Girls access Nepal CREHPA safe abortion information and services in Nepal
Nepal ANONYMOUS Combating Unsafe Abortion Services in Nepal
Healthy Society and Environment Nepal Safe Comprehensive Abortion Care (SCAC) Project Protection Center (HSEPC)
Transforming Access to Safe Medical Abortion in Nepal - Nepal Sunaulo Pariwar Nepal Piloting a franchise model to inform and secure policy change
Strengthening and Mobilising Alliances to Institutionalise Nepal ANONYMOUS Safe and Accessible Abortion Practices in Nepal
Pakistan Aahung Institutionalizing Safe Abortion Services
REDUCING UNSAFE ABORTIONS IN SINDH USING Pakistan Peace Foundation INNOVATIVE STRATEGIES: HOTLINES, MOBILE CLINIC AND MHEALTH
Fighting the Stigma Through Champions: Addressing Unsafe Pakistan Shirkat Gah Abortion in Pakistan
Papua New ANONYMOUS Laik blong ol Meri (Her Choice) Guinea
Extension Phase of the Introduction of the Medical Thailand Concept Foundation Termination of Pregnancy in Health Service Systems, Thailand
Vanuatu Family Health Association Promoting the right to quality Sexual and Reproductive Vanuatu [VFHA] Health in Vanuatu
- Page 39 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
Increasing access to Comprehensive Abortion Care for young Centre for Community Reproductive female migrant workers through the establishment of a Vietnam Health in Vietnam (VNCRH) Reproductive Health Centre in the Tan Tao industrial area of Ho Chi Minh city, Vietnam
Institute for Reproductive and Family Promoting comprehensive safe abortion action for Youth and Vietnam Health (RaFH) Adolescents in Vietnam in Hanoi and Hoa Binh city
Enhance capacity in implementing and quality of safe Vietnam Vietnam Family Planning Association abortion services providing
Eastern Europe and Central Asia
Raising awareness how to avoid unintended pregnancy and improve access for safety abortions for women of Kyrgyzstan ANONYMOUS reproductive age and girls aged 12 – 13 years old in rural areas of Osh oblast
Kyrgyzstan ANONYMOUS Sustainable development of Safe Abortion clinics
Increasing the quality of abortion care within a Moldova, Reproductive Health Training Centre comprehensive package of reproductive health services in (Republic of) (RHTC) Transnistria - the post-conflict area of the Republic of Moldova
Population are aware about Safe abortions and able to Tajikistan Tajik Family Planning Alliance (TFPA) request the qualitative services
Latin America and Caribbean
Catolicas Por el Derecho a Decidir Estrategias para mejorar el acceso de mujeres y niñas al Argentina (CDD) aborto no punible en Argentina
Tejiendo redes: estrategias para mejorar el acceso al aborto Argentina CEDES legal para mujeres víctimas de violencia en Argentina
LEGITIMANDO EL DEBATE SOBRE LOS DERECHOS SEXUALES, ASOCIACIÓN CATÓLICAS POR EL DERECHOS REPRODUCTIVOS Y EL DERECHO A DECIDIR: UNA Bolivia DERECHO A DECIDIR-BOLIVIA CONTRIBUCIÓN A LA GENERACION DE NORMATIVA JURÍDICA QUE GARANTICE SU EJERCICIO.
Asociación Médica Privada Ejerciendo nuestros Derechos sexuales y Derechos Bolivia Voluntaria “Wiñay” reproductivos
Garantizando el aborto legal, seguro y efectivo en el marco más amplio posible de la salud y los derechos sexuales y Bolivia Colectivo Rebeldía reproductivos que reconoce la Nueva Constitución Política del Estado Plurinacional de Bolivia
Circuito Promocional de Aborto Seguro y Salud Sexual de las Chile Línea Aborto Chile Mujeres
Implementando y ampliando el acceso al aborto seguro en Colombia ANONYMOUS poblaciones vulnerables a través de prestadores de servicios no médicos
- Page 40 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
Estrategias de acceso a servicios de aborto seguro y Fundación Unidad de Orientación y Colombia restitución de derechos sexuales y reproductivos a mujeres Asistencia Materna - Oriéntame víctimas del conflicto armado en Colombia
El Salvador Colectiva Feminista y Agrupacion Por la despenalización del aborto en El Salvador
Guatemala ANONYMOUS ACCESO A ABORTO SEGURO
Centro de Investigación Implementación del Cuidado de la Atención PostAborto en el Guatemala Epidemiológica en Salud Sexual y primer nivel de atención de salud en población indígena, Reproductiva rural y pobre del norte de Guatemala.
Initiative pour un Développement Promotion de la santé sexuelle et reproductive et de Haiti Equitable en Haïti (IDEH) l’avortement sécurisé
Balance Promoción para el Mexico Fondo de Aborto para la Justicia Social MARIA Desarrollo y Juventud AC
Promoting the use of anti-contraceptive methods and access Semillas - Sociedad Mexicana Pro Mexico to safe abortion in marginalized, indigenous communities in Derechos de la Mujer, A.C. Mexico. AMPLIACION DE SERVICIOS DE PREVENCION DE ABORTO Y Peru ASOCIACION FAMILIA SANA SERVICIOS DE ABORTO SEGURO PARA LA POBLACION INDIGENA DE CAJAMARCA, PERU
Centro de la Mujer Peruana Flora Despenalización del aborto en casos de violación: Cuestión Peru Tristán de derecho, cuestión de vida
Centro de Promoción y Defensa de Acceso al aborto legal y seguro en el Perú: Reduciendo el Peru los Derechos Sexuales y estigma y Reproductivos - PROMSEX fortaleciendo el debate
Consorcio Latinoamericano Contra el Fortaleciendo nexos para ampliar el acceso al aborto seguro Peru Aborto Inseguro - CLACAI en la Región
St. Lucia Planned Parenthood Saint Lucia Real Options Project Association
Centro de Comunicación Virginia Red de vigilancia de las mujeres para la implementación de la Uruguay Woolf (Cotidiano Mujer) Ley de Interrupción Voluntaria del EmbarazoN° 18.987
ACCESO A ABORTO SEGURO EN URUGUAY Y DEFENSA DE LA Uruguay MYSU – Mujer y Salud en Uruguay SALUD Y LOS DERECHOS SEXUALES Y REPRODUCTIVOS.
Asociación Civil de Planificación Programa de Reducción de riesgos y daños de PLAFAM Los Venezuela Familiar - PLAFAM Teques en el Estado Miranda
North Africa and Middle East
Egypt ANONYMOUS Saving Mothers’ lives
- Page 41 of 42 -
Safe Abortion Action Fund • Annual report • 2013
Country Organization Project Title
Lebanon ANONYMOUS The A project
Palestinian Family Planning Together we stand to empower women's right to have Palestine Protection Association (PFPPA) access to safe abortion services and information.
Multi-Country
Women’s Global Network for Abortion Advocacy and Campaign Project – ACCP (Phase Kenya, Uganda Reproductive Rights (WGNRR) Two)
Asia Asia Safe Abortion Partnership Creating Youth Champions as advocates for safe abortion
- Page 42 of 42 -