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Gynaecological

Articles by Gynaecological

At a glance 2015- front page
22 June 2016

At a Glance 2015

Key facts and figures highlighting IPPF's achievements in 2015.            

thumbnail from video
16 June 2016

Women, Girls and Gender

The data about gender inequality are shocking: millions of women are victims of early marriage, female genital mutilation and different sorts of gender violence and discrimination. 

thumbnail from video
16 June 2016

Service Delivery

Women and girls around the world have an unmet need for reproductive health services.  In 2015, IPPF provided 175 million services, 82% of which went to poor and marginalised people.

APR cover
06 June 2016

Annual Performance Report 2015

When IPPF refocused efforts with the three Changes Goals – Unite, Deliver and Perform – an ambitious commitment was made to double the number of sexual and reproductive health services provided between 2010 and 2015. We are proud to announce that 175.3 million services were provided in 2015, only 1 per cent below the goal of 176.4 million. This is a remarkable achievement and a result of Member Associations’ unwavering efforts and commitment. More than eight in ten clients who received services from IPPF were poor and vulnerable, while 44 per cent of our services went to young people. In 2015, Member Associations and collaborative partners in 48 countries contributed to 82 legal and policy changes that support or defend sexual and reproductive health and rights. At the regional and global levels, IPPF’s advocacy contributed to 22 policy changes. The highlight of our advocacy achievements was the inclusion of gender equality and women’s empowerment, sexual and reproductive health, and reproductive rights in the 2030 Agenda for Sustainable Development. IPPF continued to invest in learning, business processes and information management systems to drive performance and value for money. We are increasingly using data to guide decision making and to ensure accountability to our clients, donors and partners.

Woman smiling
23 May 2016

IPPF Humanitarian Report

three girls huggin each other

IPPF welcomes new UN commentary on indivisible right to sexual and reproductive health

On International Women’s Day, the International Planned Parenthood Federation (IPPF) has welcomed a new commentary from UN experts which says that the right to sexual and reproductive health is indivisible from other human rights. “It is absolutely right for the Committee to address the issue of sexual and reproductive health specifically, today of all days,” said Tewodros Melesse, IPPF’s Director General. “Sadly millions of women are still denied their basic rights because they are poor, because they suffer discrimination or because they lack legal protection.”  The 18 independent members of the Committee on Economic, Social and Cultural Rights said that the right to sexual and reproductive health was not only an integral part of the general right to health, but fundamentally linked to the enjoyment of many other human rights, including the rights to education, work and equality. They said that a lack of care for mothers in childbirth or a lack of access to safe abortion, often leading to maternal death, constitutes a violation of the right to life, and in certain circumstances can amount to torture. “No woman should die in childbirth in 2016 because of a lack of adequate care,” said Mr Melesse. “We know that access to safe abortion saves women’s lives, yet millions are denied that right.” IPPF is a network of sexual and reproductive health and rights organisations in 170 countries that are equipped to monitor and respond to any member of the public who wants information, services, contraception and access to abortion and are available to serve at the first point of response. For further information and interviews contact press office 02079398227 

mother and child during a medical visit

IPPF calls for G7 leaders to prioritize the full range of sexual and reproductive health care services in Universal Health Coverage

18 February, Tokyo:The International Planned Parenthood Federation (IPPF) calls for G7 leaders to prioritize the full range of sexual and reproductive health care services in plans for Universal Health Coverage in their forthcoming Ise Shima G7 Summit in May. IPPF made this call at this week’s G7 Health Experts’ Meeting in Tokyo.  IPPF said sexual and reproductive health care (SRH)services are essential because they save lives, are cost effective and offer universal benefits. IPPF highlighted that SRH services are critical to achieving women’s empowerment, equality and full participation in society. These services play a crucial part in the development of resilient health systems that can help reduce the impact of humanitarian disasters. Giselle Carino, IPPF Western Hemisphere Regional Director Designate, who attended at the meeting said: "Governments (public sector) cannot work alone to ensure that no-one is left behind. Locally-owned organizations, such as IPPF Member Associations, are working at the frontline supporting communities, particularly poor and underserved people including women and adolescents, to make a real and sustainable difference in their health status and realize human security. G7 leaders must recognize the role of civil society in health system strengthening and building a new global health architecture". IPPF also calls for: The principle of Universal Health Coverage: that everyone has the right to health without facing financial hardship and no social groups can be left behind. Essential sexual, reproductive, maternal, new-born, child and adolescent health services at the primary care level should be a priority of Universal Health Coverage because investment in these services is among the most cost-effective interventions that a health system can provide. The importance of the social and gender determinants of health should be recognized by mainstreaming gender equality into Universal Health Coverage and national health strategies. Making significant progress on both targets 3.7 and 3.8 would be transformative. Therefore IPPF urges the G7 to prioritize discussion of how these targets can be achieved during preparations for the Ise-Shima summit and in particular calls on the G7 to ensure that sexual and reproductive health services are prioritized in plans for Universal Health Coverage.  

Healthcare worker at a mobile clinic
16 February 2016

Evidence Project

Under the Evidence project, IPPF is undertaking innovative research on respecting, protecting and promoting human rights in family planning/reproductive health services and ensuring community voices are part of efforts to improve and strengthen family planning programming. The Evidence Project uses implementation science to improve family planning policies, programs, and practices. Led by the Population Council in partnership with INDEPTH Network, International Planned Parenthood Federation, PATH, Population Reference Bureau, and the project’s University Resource Network, the five-year project (2013–2018) is investigating which strategies work best in improving, expanding, and sustaining family planning services. IPPF is leading on two cross-cutting areas of research. Firstly under the Evidence project, we are undertaking research on how the respect and protection of human rights of women and girls can be instituted and operationalised, and how programs can be held accountable for providing high-quality services. http://evidenceproject.popcouncil.org/technical-areas-and-activities/equity-rights-and-accountability. In order to address the need for indicators and tools for rights based family planning, the Evidence Project has partnered with global experts on human rights and family planning, the International Planned Parenthood Federation’s Sustainable Network Project (SIFPO/IPPF) and with colleagues at Reproductive Health Uganda (RHU) to develop and validate the Rights-Based Family Planning (RBFP) Service Delivery Index in Uganda. This is work is being undertaken in close collaboration with the Economic Policy Research Centre Uganda and University College London.  In addition, we are undertaking a variety of activities that aim to contribute to a deeper knowledge of whether and how the implementation of accountability mechanisms in family planning and reproductive health programs improves clients’ access to and quality of services.   For example, a multi-site case study in Uganda uses process evaluation methodology to explore the implementation of two social accountability programs, aiming to determine what hinders and facilitates engagement at the community level and its translation into improved social accountability processes and reproductive health outcomes.   http://evidenceproject.popcouncil.org/accountability-mechanisms-to-improve-family-planning-and-reproductive-health-programs/  

Girl
04 February 2016

What does it take to save a life?

Imagine this: You’re pregnant, living at home, expecting to give birth in a few weeks’ time with the assistance of staff at your local clinic. But then disaster strikes. It could be a typhoon, or a tsunami or conflict. You flee and then find yourself in a makeshift camp where nothing is certain anymore. Bad enough you’ve left everything you own behind. Bad enough you no longer feel safe – you can’t lock a tent door. But you’re relying on people who you don’t know for food – and people you may not trust for security. And how will you give birth? When you hear of populations dislodged, yout think of the immediate challenges of food and shelter. But what about contraception and neo-natal services?  What about the dangers of sexual violence that women and girls in particular face? This is why IPPF’s humanitarian arm SPRINT was founded: to ensure access to essential Sexual and Reproductive Health and Rights services for women, men and children in times of crisis. In Syria 46,500 women will suffer gender based violence, including rape, as a result of the ongoing conflict. This shows a great need to ensure that the human rights of women and girls are protected and able to access sexual and reproductive healthcare.  The Syrian Family Planning Association is in the front line when it comes to dealing with domestic-based violence – the less-reported consequence of every war. The kind of violence facing one of our clients, Amal.   Amal had bruises on her face and was in a fragile state when she was admitted to the Al-Halbouni Health clinic. She had been severely beaten by her husband. The SFPA is committed to involving men to find lasting solutions to issues of gender based violence. Thanks to the integrated package of support services provided by Al- Halbouni clinic to her and her husband, Amal now feels safer. “I feel more aware of my rights, and I know how to find help when I need it,” she said. Women and girls are disproportionately influenced by humanitarian crises exposed to early marriage, trafficking, rape, forced pregnancies, unattended service delivery during complicated pregnancies and delivery. The statistics are shocking: 26 million of the 100 million people are in need of humanitarian assistance,  are women and adolescent girls of reproductive age 500 of these women and girls die every day from complications related to pregnancy and childbirths 85 % of those displaced by the 2010 floods were women and children More than 75% of Syrian refugees who fled are women and children Women and girls are 14 times more likely to die in disaster settings than men 7 out of 10 women are exposed to gender-based violence in crises situations unfolding right now. These deaths and violence are preventable. We could stop it by putting money and efforts into an integrated comprehensive package on reproductive health into the standard humanitarian response. Progress in targeting women and girls has been achieved in the past decade. But sexual and reproductive health services are often neglected in humanitarian emergencies and still remain a less universally acknowledged priority. Over the last 10 years, IPPF has reached millions of people during floods, conflicts, earthquakes, cyclones. When health care often collapsed, our Member Associations continued to serve the unreachable, which make three quarters of IPPF clients. All IPPF approaches are bottom-up, that means we build local capacity before, during and after crisis strikes – often engaging young people during humanitarian crisis as peer-peer educators and providers. The good news is the guidelines are developed. We know what needs to be done. What we need now is action from many different stakeholders.

IPPF's pledged to serve 60million more women

Pledging to reach new contraceptive users: Turning Family Planning into Future Planning for 60 Million Women

The International Planned Parenthood Federation (IPPF) announced its most ambitious pledge ever: to realize the human rights of a further 60 million women to choose freely the size of their families. The pledge was unveiled as IPPF's global contribution to the Family Planning 2020 goal at the International Family Planning Conference in Indonesia today.     IPPF is committed to working with Family Planning 2020 and the global family planning community to reach the goal of ensuring 120 million additional women have access to family planning by 2020. The Federation, with the world's largest non-governmental family planning service delivery network, has driven its own performance since the London Summit reaching 15 million new users of modern family planning. IPPF is now upwardly revised its pledged contribution towards the global FP2020 goal. Thank you to @ippf for pledge to serve 60M NEW users of contraception to meet #FP2020 goals! #ICFP — Family Planning 2020 (@FP2020Global) January 28, 2016 Tewodros Melesse, IPPF Director General, announcing the pledge, said “This is not a game of numbers. For us, it's very simple, it can only be about putting women at the front and centre of what we do. I'm delighted by what we have achieved and that we can make this significant and increased contribution through this pledge. Since 2012, IPPF's total reported client numbers increased by nearly 40 per cent. This was achieved by expanding our client base, not by changing who we serve. We have raised investment in family planning and improved our overall performance." Building on this success, IPPF has set an even more ambitious target for new users to contraception. Between 2015 and 2020 IPPF pledges to reach a further 45 million new users in the FP2020 focus countries. This will mean that IPPF will serve a total of 60 million new users between 2012 and 2020, a major contribution towards the FP2020 goal. Dr. Ariel Pablos-Méndez, Assistant Administrator for Global Health and Child and Maternal Survival Coordinator, Global Health Bureau, USAID said on IPPF's announcement,'Community driven approaches increase access for new users to family planning. When offered alongside a basket of primary health services - like those provided by IPPF - poor, young and rural women and men can get the voluntary family planning and other health programs that focus on their needs. This client-focused approach will get us another step closer to our FP 2020 goals and ultimately universal health coverage." “FP2020 congratulates IPPF on this ambitious renewed commitment to advancing the rights of women and girls around the world to decide for themselves when and how many children to have,” said Beth Schlachter, FP2020 Executive Director. “IPPF has been a leader in providing modern contraception to women and girls for decades, and as key partners in the global FP2020 movement they are helping ensure that family planning remains a central part of the global development agenda as we work towards achieving the Sustainable Development Goals and universal access.” IPPF is on target to achieve our goal of doubling the number of services provided by 2015. This is a milestone towards the Federation's commitment to treble the number of its high-impact life-saving and changing sexual and reproductive health services provided by 2020. Between 2012 and 2014, IPPF achieved a significant increase in access for new users of modern contraception. In 59 of the 69 FP2020 focus countries where IPPF is operational, the Federation provided family planning services to 15 million new users in just three years. Our Strategic Framework which started in January 2016, renews and strengthens its commitment to support the rights of women and girls to decide freely whether, when and how many children to have. IPPF will deliver high impact, quality, rights-based, integrated sexual and reproductive health services, including packages that address family planning, safe abortion, prenatal care, STIs/HIV, sexual and gender-based violence and cervical cancer. IPPF will optimize the number of people it can serve by increasing operational effectiveness, expanding provision in humanitarian emergencies and increasing national and global income to provide the increased services. The Federation will also enable the provision of services by other public and private health providers.

At a glance 2015- front page
22 June 2016

At a Glance 2015

Key facts and figures highlighting IPPF's achievements in 2015.            

thumbnail from video
16 June 2016

Women, Girls and Gender

The data about gender inequality are shocking: millions of women are victims of early marriage, female genital mutilation and different sorts of gender violence and discrimination. 

thumbnail from video
16 June 2016

Service Delivery

Women and girls around the world have an unmet need for reproductive health services.  In 2015, IPPF provided 175 million services, 82% of which went to poor and marginalised people.

APR cover
06 June 2016

Annual Performance Report 2015

When IPPF refocused efforts with the three Changes Goals – Unite, Deliver and Perform – an ambitious commitment was made to double the number of sexual and reproductive health services provided between 2010 and 2015. We are proud to announce that 175.3 million services were provided in 2015, only 1 per cent below the goal of 176.4 million. This is a remarkable achievement and a result of Member Associations’ unwavering efforts and commitment. More than eight in ten clients who received services from IPPF were poor and vulnerable, while 44 per cent of our services went to young people. In 2015, Member Associations and collaborative partners in 48 countries contributed to 82 legal and policy changes that support or defend sexual and reproductive health and rights. At the regional and global levels, IPPF’s advocacy contributed to 22 policy changes. The highlight of our advocacy achievements was the inclusion of gender equality and women’s empowerment, sexual and reproductive health, and reproductive rights in the 2030 Agenda for Sustainable Development. IPPF continued to invest in learning, business processes and information management systems to drive performance and value for money. We are increasingly using data to guide decision making and to ensure accountability to our clients, donors and partners.

Woman smiling
23 May 2016

IPPF Humanitarian Report

three girls huggin each other

IPPF welcomes new UN commentary on indivisible right to sexual and reproductive health

On International Women’s Day, the International Planned Parenthood Federation (IPPF) has welcomed a new commentary from UN experts which says that the right to sexual and reproductive health is indivisible from other human rights. “It is absolutely right for the Committee to address the issue of sexual and reproductive health specifically, today of all days,” said Tewodros Melesse, IPPF’s Director General. “Sadly millions of women are still denied their basic rights because they are poor, because they suffer discrimination or because they lack legal protection.”  The 18 independent members of the Committee on Economic, Social and Cultural Rights said that the right to sexual and reproductive health was not only an integral part of the general right to health, but fundamentally linked to the enjoyment of many other human rights, including the rights to education, work and equality. They said that a lack of care for mothers in childbirth or a lack of access to safe abortion, often leading to maternal death, constitutes a violation of the right to life, and in certain circumstances can amount to torture. “No woman should die in childbirth in 2016 because of a lack of adequate care,” said Mr Melesse. “We know that access to safe abortion saves women’s lives, yet millions are denied that right.” IPPF is a network of sexual and reproductive health and rights organisations in 170 countries that are equipped to monitor and respond to any member of the public who wants information, services, contraception and access to abortion and are available to serve at the first point of response. For further information and interviews contact press office 02079398227 

mother and child during a medical visit

IPPF calls for G7 leaders to prioritize the full range of sexual and reproductive health care services in Universal Health Coverage

18 February, Tokyo:The International Planned Parenthood Federation (IPPF) calls for G7 leaders to prioritize the full range of sexual and reproductive health care services in plans for Universal Health Coverage in their forthcoming Ise Shima G7 Summit in May. IPPF made this call at this week’s G7 Health Experts’ Meeting in Tokyo.  IPPF said sexual and reproductive health care (SRH)services are essential because they save lives, are cost effective and offer universal benefits. IPPF highlighted that SRH services are critical to achieving women’s empowerment, equality and full participation in society. These services play a crucial part in the development of resilient health systems that can help reduce the impact of humanitarian disasters. Giselle Carino, IPPF Western Hemisphere Regional Director Designate, who attended at the meeting said: "Governments (public sector) cannot work alone to ensure that no-one is left behind. Locally-owned organizations, such as IPPF Member Associations, are working at the frontline supporting communities, particularly poor and underserved people including women and adolescents, to make a real and sustainable difference in their health status and realize human security. G7 leaders must recognize the role of civil society in health system strengthening and building a new global health architecture". IPPF also calls for: The principle of Universal Health Coverage: that everyone has the right to health without facing financial hardship and no social groups can be left behind. Essential sexual, reproductive, maternal, new-born, child and adolescent health services at the primary care level should be a priority of Universal Health Coverage because investment in these services is among the most cost-effective interventions that a health system can provide. The importance of the social and gender determinants of health should be recognized by mainstreaming gender equality into Universal Health Coverage and national health strategies. Making significant progress on both targets 3.7 and 3.8 would be transformative. Therefore IPPF urges the G7 to prioritize discussion of how these targets can be achieved during preparations for the Ise-Shima summit and in particular calls on the G7 to ensure that sexual and reproductive health services are prioritized in plans for Universal Health Coverage.  

Healthcare worker at a mobile clinic
16 February 2016

Evidence Project

Under the Evidence project, IPPF is undertaking innovative research on respecting, protecting and promoting human rights in family planning/reproductive health services and ensuring community voices are part of efforts to improve and strengthen family planning programming. The Evidence Project uses implementation science to improve family planning policies, programs, and practices. Led by the Population Council in partnership with INDEPTH Network, International Planned Parenthood Federation, PATH, Population Reference Bureau, and the project’s University Resource Network, the five-year project (2013–2018) is investigating which strategies work best in improving, expanding, and sustaining family planning services. IPPF is leading on two cross-cutting areas of research. Firstly under the Evidence project, we are undertaking research on how the respect and protection of human rights of women and girls can be instituted and operationalised, and how programs can be held accountable for providing high-quality services. http://evidenceproject.popcouncil.org/technical-areas-and-activities/equity-rights-and-accountability. In order to address the need for indicators and tools for rights based family planning, the Evidence Project has partnered with global experts on human rights and family planning, the International Planned Parenthood Federation’s Sustainable Network Project (SIFPO/IPPF) and with colleagues at Reproductive Health Uganda (RHU) to develop and validate the Rights-Based Family Planning (RBFP) Service Delivery Index in Uganda. This is work is being undertaken in close collaboration with the Economic Policy Research Centre Uganda and University College London.  In addition, we are undertaking a variety of activities that aim to contribute to a deeper knowledge of whether and how the implementation of accountability mechanisms in family planning and reproductive health programs improves clients’ access to and quality of services.   For example, a multi-site case study in Uganda uses process evaluation methodology to explore the implementation of two social accountability programs, aiming to determine what hinders and facilitates engagement at the community level and its translation into improved social accountability processes and reproductive health outcomes.   http://evidenceproject.popcouncil.org/accountability-mechanisms-to-improve-family-planning-and-reproductive-health-programs/  

Girl
04 February 2016

What does it take to save a life?

Imagine this: You’re pregnant, living at home, expecting to give birth in a few weeks’ time with the assistance of staff at your local clinic. But then disaster strikes. It could be a typhoon, or a tsunami or conflict. You flee and then find yourself in a makeshift camp where nothing is certain anymore. Bad enough you’ve left everything you own behind. Bad enough you no longer feel safe – you can’t lock a tent door. But you’re relying on people who you don’t know for food – and people you may not trust for security. And how will you give birth? When you hear of populations dislodged, yout think of the immediate challenges of food and shelter. But what about contraception and neo-natal services?  What about the dangers of sexual violence that women and girls in particular face? This is why IPPF’s humanitarian arm SPRINT was founded: to ensure access to essential Sexual and Reproductive Health and Rights services for women, men and children in times of crisis. In Syria 46,500 women will suffer gender based violence, including rape, as a result of the ongoing conflict. This shows a great need to ensure that the human rights of women and girls are protected and able to access sexual and reproductive healthcare.  The Syrian Family Planning Association is in the front line when it comes to dealing with domestic-based violence – the less-reported consequence of every war. The kind of violence facing one of our clients, Amal.   Amal had bruises on her face and was in a fragile state when she was admitted to the Al-Halbouni Health clinic. She had been severely beaten by her husband. The SFPA is committed to involving men to find lasting solutions to issues of gender based violence. Thanks to the integrated package of support services provided by Al- Halbouni clinic to her and her husband, Amal now feels safer. “I feel more aware of my rights, and I know how to find help when I need it,” she said. Women and girls are disproportionately influenced by humanitarian crises exposed to early marriage, trafficking, rape, forced pregnancies, unattended service delivery during complicated pregnancies and delivery. The statistics are shocking: 26 million of the 100 million people are in need of humanitarian assistance,  are women and adolescent girls of reproductive age 500 of these women and girls die every day from complications related to pregnancy and childbirths 85 % of those displaced by the 2010 floods were women and children More than 75% of Syrian refugees who fled are women and children Women and girls are 14 times more likely to die in disaster settings than men 7 out of 10 women are exposed to gender-based violence in crises situations unfolding right now. These deaths and violence are preventable. We could stop it by putting money and efforts into an integrated comprehensive package on reproductive health into the standard humanitarian response. Progress in targeting women and girls has been achieved in the past decade. But sexual and reproductive health services are often neglected in humanitarian emergencies and still remain a less universally acknowledged priority. Over the last 10 years, IPPF has reached millions of people during floods, conflicts, earthquakes, cyclones. When health care often collapsed, our Member Associations continued to serve the unreachable, which make three quarters of IPPF clients. All IPPF approaches are bottom-up, that means we build local capacity before, during and after crisis strikes – often engaging young people during humanitarian crisis as peer-peer educators and providers. The good news is the guidelines are developed. We know what needs to be done. What we need now is action from many different stakeholders.

IPPF's pledged to serve 60million more women

Pledging to reach new contraceptive users: Turning Family Planning into Future Planning for 60 Million Women

The International Planned Parenthood Federation (IPPF) announced its most ambitious pledge ever: to realize the human rights of a further 60 million women to choose freely the size of their families. The pledge was unveiled as IPPF's global contribution to the Family Planning 2020 goal at the International Family Planning Conference in Indonesia today.     IPPF is committed to working with Family Planning 2020 and the global family planning community to reach the goal of ensuring 120 million additional women have access to family planning by 2020. The Federation, with the world's largest non-governmental family planning service delivery network, has driven its own performance since the London Summit reaching 15 million new users of modern family planning. IPPF is now upwardly revised its pledged contribution towards the global FP2020 goal. Thank you to @ippf for pledge to serve 60M NEW users of contraception to meet #FP2020 goals! #ICFP — Family Planning 2020 (@FP2020Global) January 28, 2016 Tewodros Melesse, IPPF Director General, announcing the pledge, said “This is not a game of numbers. For us, it's very simple, it can only be about putting women at the front and centre of what we do. I'm delighted by what we have achieved and that we can make this significant and increased contribution through this pledge. Since 2012, IPPF's total reported client numbers increased by nearly 40 per cent. This was achieved by expanding our client base, not by changing who we serve. We have raised investment in family planning and improved our overall performance." Building on this success, IPPF has set an even more ambitious target for new users to contraception. Between 2015 and 2020 IPPF pledges to reach a further 45 million new users in the FP2020 focus countries. This will mean that IPPF will serve a total of 60 million new users between 2012 and 2020, a major contribution towards the FP2020 goal. Dr. Ariel Pablos-Méndez, Assistant Administrator for Global Health and Child and Maternal Survival Coordinator, Global Health Bureau, USAID said on IPPF's announcement,'Community driven approaches increase access for new users to family planning. When offered alongside a basket of primary health services - like those provided by IPPF - poor, young and rural women and men can get the voluntary family planning and other health programs that focus on their needs. This client-focused approach will get us another step closer to our FP 2020 goals and ultimately universal health coverage." “FP2020 congratulates IPPF on this ambitious renewed commitment to advancing the rights of women and girls around the world to decide for themselves when and how many children to have,” said Beth Schlachter, FP2020 Executive Director. “IPPF has been a leader in providing modern contraception to women and girls for decades, and as key partners in the global FP2020 movement they are helping ensure that family planning remains a central part of the global development agenda as we work towards achieving the Sustainable Development Goals and universal access.” IPPF is on target to achieve our goal of doubling the number of services provided by 2015. This is a milestone towards the Federation's commitment to treble the number of its high-impact life-saving and changing sexual and reproductive health services provided by 2020. Between 2012 and 2014, IPPF achieved a significant increase in access for new users of modern contraception. In 59 of the 69 FP2020 focus countries where IPPF is operational, the Federation provided family planning services to 15 million new users in just three years. Our Strategic Framework which started in January 2016, renews and strengthens its commitment to support the rights of women and girls to decide freely whether, when and how many children to have. IPPF will deliver high impact, quality, rights-based, integrated sexual and reproductive health services, including packages that address family planning, safe abortion, prenatal care, STIs/HIV, sexual and gender-based violence and cervical cancer. IPPF will optimize the number of people it can serve by increasing operational effectiveness, expanding provision in humanitarian emergencies and increasing national and global income to provide the increased services. The Federation will also enable the provision of services by other public and private health providers.