• BIG IDEAS

    If we improve adolescent girls’ health, keep them safe and in school, and give them critical information and a say in their own lives, they and their families and communities will prosper. The Population Council conducts the world’s largest body of research on programs to improve the lives of adolescent girls in the developing world.

    Big ideas supported by evidence:
    It’s our model for global change.

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  • The Population Council is implementing and rigorously evaluating the Adolescent Girls Empowerment Program. The four-year study will identify what works to help girls avoid child marriage; sexually transmitted infections, including HIV; and unintended pregnancy.

  • In Ethiopia, the Population Council’s Berhane Hewan (“Light for Eve”) project provided unmarried adolescent girls with school supplies, livestock, and mentors and supported married girls with information about reproductive health and family planning.

  • The Population Council is evaluating a program to reduce child marriage and violence, and increase life skills for girls in Guatemala.

President's Message

POPULATION COUNCIL RESEARCHERS AROUND THE WORLD ARE GENERATING EVIDENCE TO IMPROVE GIRL-CENTERED PROGRAMS AND POLICIES.

President's Message

Photo, left to right: Annabel Erulkar (Ethiopia), Council president Peter Donaldson, Sajeda Amin (Bangladesh), Alejandra M. Colom (Guatemala), Karen Austrian (Kenya and Zambia), Babatunde A. Ahonsi (Nigeria), and K.G. Santhya (India).

POPULATION Council policy analyst Judith Bruce was among the first to argue that adolescent girls ARE central to the world’s social, health, and economic development.

In the mid-1990s, many in the development community were skeptical. But a decade and a half later, because of Judith and others like her, we have a clearer picture of the potential of girl-centered policies to reach hundreds of millions of girls at risk of forced marriage, in the path of the HIV epidemic, and under daily threat to their safety.

What were epiphanies in 1998—engage girls before puberty; reach out-of-school girls; and give girls the skills, knowledge, and I.D. cards they need to protect themselves—are now conventional wisdom.

This year’s annual report focuses on the Population Council’s work to improve policies and programs for the poorest girls in the poorest communities so that they may lead themselves and their communities out of poverty. Fifteen years ago, Judith wrote, “Global thinkers are puzzled, looking for points of reference and leverage to understand and shape the future. They identify power elites and influential individuals. Appearing on none of these power lists is one of the potentially most influential figures in the developing world: the 12-year-old girl. . . . In the next few years, this 12-year-old girl will either abandon or continue her schooling, be pushed into marriage and childbearing, or develop a sense of proud ownership of her physical self and make independent decisions about her lifetime partner. She will either struggle in poverty or find a socially productive livelihood, submit to a faceless life or thrive as an individual, making her contribution to the world. As her future is reconfigured, so is ours.”

The Uncharted Passage—the landmark 1998 book Judith coauthored with Council researcher Barbara Mensch and Center for Health and Gender Equity researcher Margaret Greene—helped transform thinking about the social, health, and economic dimensions of girls’ lives. It inspired our partners as well as the next generation of Population Council researchers like Annabel Erulkar, K.G. Santhya, and Karen Austrian. They are leading projects in Ethiopia, India, and Zambia to design and evaluate programs that give girls the knowledge, skills, and social connections they need to thrive and to give policymakers research results they can use to improve programs and efficiently allocate resources.

What were epiphanies in 1998—engage girls before puberty; reach out-of-school girls; and give girls the skills, knowledge, and I.D. cards they need to protect themselves—are now conventional wisdom. In Rwanda, the Council laid the foundation for the government’s commitment to a national program to reach all girls by age 12 with mentors, safe places to gather with friends, and information about health and money management. In Ethiopia, the Council’s research helped reframe national health policy by expanding programs that address child marriage and support married girls and extremely isolated young girls, many of whom are migrants in domestic service in Ethiopia’s towns and cities. Our portfolio of research represents a groundbreaking global effort to improve programs and policies for girls as a core development strategy.

In this year’s report, Council vice president Ann Blanc writes about rigorous program evaluation as the cornerstone of our work with adolescent girls. Applying science to address global challenges—identifying problems, creating and testing strategies, evaluating their impact, and using our findings to refine and improve programs—is how the Council has led the way for sixty years. With this approach, we deliver solutions that improve lives around the world.

Our work to document the lives of girls, give them a say in their own lives, and learn what will put them on the path to healthy, productive adulthood would not be possible without the steadfast involvement and enthusiasm of our donors, partners, and trustees. We are deeply grateful for your generosity. With your support, we look forward to continuing to help women, men, and children around the world lead lives of satisfaction and purpose.

PURSUING THE EVIDENCE, PUSHING THE BOUNDARIES

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PURSUING THE EVIDENCE

Ann K. BlancAnn K. Blanc is a Population Council vice president and director of the Poverty, Gender, and Youth program. Her research focuses on adolescent sexual and reproductive health, maternal health, gender and power dynamics, and fertility trends and patterns.

We believe that if we improve girls’ health, keep them safe and in school, and give them critical information, a say in their own lives, and a strong network of support, they will prosper. Our beliefs are based on rigorous scientific analysis of interventions the Council and others have conducted to help girls lead more productive lives.

When girls stay in school, they gain skills and knowledge, avoid the disadvantages of early childbearing, and have more earning power. A World Bank study has shown that excluding adolescent girls from school, community participation, and meaningful livelihoods has a substantial negative impact on economic growth.

The development community is eager to expand programs for adolescent girls, but limited data exist on what strategies work best. Now is the time to invest in providing rigorous evidence on the most cost-effective approaches.

The Population Council is at the forefront of research, policy analysis, and program design for adolescent girls in the developing world. We have conducted research that identifies which girls are the most vulnerable and where they are geographically concentrated. We have illuminated the scope and negative impact of child marriage. We have shown that programs often don’t reach the most vulnerable girls. And we have demonstrated that it is crucial to reach girls early, before irreversible events anchor them in poverty and poor health.

Our experience shows that when we give girls mentoring, life skills, social support, financial literacy, and educational opportunities, we can measurably improve their lives and the lives of their children. We have demonstrated that we can reduce child marriage in rural Ethiopia. We have evaluated ways to help girls learn about budgeting and begin to save in financial institutions in Kenya and Uganda. We have studied how to improve girls’ literacy and support their return to school through second-chance programs for girls in rural Upper Egypt. And we have designed programs to support girls’ transition from primary to secondary school in the Guatemalan highlands.

The development community is eager to expand programs for adolescent girls, but limited data exist on what strategies work best. Now is the time to invest in providing rigorous evidence on the most effective and cost-effective approaches. So the Population Council is expanding many of the successful initiatives we have developed for adolescent girls and rigorously testing them to assess their impact.

Today, we are building the world’s largest body of research evaluating programs to improve the lives of adolescent girls. More than 42,000 girls in seven countries—Bangladesh, Burkina Faso, Ethiopia, Guatemala, India, Tanzania, and Zambia—are (or soon will be) participating in randomized, controlled trials, the gold standard of research. These studies compare groups of girls who participate in programs that have varying components with girls who are not participating in any program. Comparing the groups in this way allows us to know when improvements in girls’ lives are the result of a program component and when the improvements would have happened on their own.

These studies are underway; results are not yet available. We have promising results from a number of quasi-experimental studies. An example is our effort to reduce child marriage. In Ethiopia, the Population Council’s Berhane Hewan project provided unmarried adolescent girls with community awareness-building, school supplies, livestock, and mentors and supported married girls with information about reproductive health and family planning. An evaluation found that girls aged 10–14 who participated in the program were 90 percent less likely to be married at the end of the program than girls who did not, and three times more likely to be in school. Married girls in the program were three times more likely to be using family planning methods compared to other married girls. The work led to greater attention to early marriage and increased investment in initiatives to delay marriage and support girls who are already married. We decided to delve deeper and determine which component of the program was most critical to its success. So we recently launched an expanded investigation in Ethiopia and other countries to determine the most effective elements of this approach.

We will find out which programs—and which of their key elements—do the most to help girls stay in school and avoid unwanted sex, child marriage, early and unintended pregnancy, HIV and STI infection, and gender-based violence. These studies will allow us to discover what knowledge and skills given to a girl make the biggest difference in the life of the woman she becomes.

Robust program evaluation takes time. Getting solid answers will take years, not months. But by pursuing the evidence, we will identify best practices, refine the critical elements of girl-centered programs, and eliminate ineffective approaches.

A few years from now, we will have an even richer trove of evidence that we and others will use to improve and advance girl-centered programs. As we always have, we will share information with governments, advocates, policymakers, researchers, nongovernmental organizations, and community organizations about what works to empower girls, help them gain an education and cultivate savings, and improve their sexual and reproductive health. With this knowledge, we can build local capacity to expand and deliver these programs to vulnerable adolescent girls.

We will continue to pursue the evidence and change the expectations of policymakers, communities, families, and girls themselves about girls’ potential.

2012 HIGHLIGHTS : POVERTY, GENDER, AND YOUTH

Improving the Lives of Vulnerable Girls in Ethiopia

The Population Council’s Biruh Tesfa (“Bright Future”) program assists out-of-school girls in the urban slums of Ethiopia by creating safe spaces where they can meet friends, build support networks with other girls, and form relationships with supportive adults. The program protects the rights of vulnerable urban girls by reducing their social isolation and providing them with basic literacy, health information (including HIV prevention), subsidized medical services using vouchers, and services to address sexual exploitation and abuse. In 2012, Council researchers found that girls enrolled in the program were more than twice as likely as unenrolled girls to report having friends and mentors, to know about HIV transmission, and to know where to obtain HIV counseling and testing. The program has been expanded in 18 cities in Ethiopia, and local education bureaus are now adopting the approach, citing it as a best practice to ensure that vulnerable girls have access to education.

Improving Lives
Changing Attitudes About Gender Roles in Egypt

The Population Council’s Ishraq (“Sunrise”) program provides 12–15-year-old out-of-school girls in rural Upper Egypt—the least developed and most economically disadvantaged region of the country—with mentors and safe spaces for informal learning and sports participation. The program, launched in 2001, is the Council’s original girls’ empowerment initiative. A 2012 evaluation of its scale-up phase found impressive, statistically significant improvements for participating girls: 88 percent of Ishraq girls are able to write their sibling’s name, compared to 36 percent of girls in the control group; one-third of Ishraq girls plan to pursue further education, compared to 5 percent of control girls; and 71 percent of Ishraq girls have more than one non-relative friend, compared to 44 percent of control girls. Ishraq also improved parents’ and brothers’ attitudes toward gender equality, girls’ participation in decisionmaking, girls’ mobility, and sports for girls.

Learn more:
Ishraq Book Cover
Ishraq Final Report

Preventing Virus Transmission with a Microbicide Vaginal Ring

In 2012, a Population Council study provided the first efficacy data showing that an anti-HIV vaginal ring can prevent infection in animals, and indicated strong potential for the success of such rings in women. Scientists found that a vaginal ring releasing MIV-150, an anti-HIV drug, can prevent the transmission of SHIV in macaque monkeys. SHIV is a virus combining genes from HIV and SIV (the monkey version of HIV). The study was featured on the cover of the journal Science Translational Medicine. Macaques received either MIV-150 vaginal rings or placebo vaginal rings and were exposed to a single dose of SHIV. This proof-of-concept study demonstrated that investment in vaginal rings as an HIV-delivery system may eventually provide tangible health benefits.

ENHANCING THE EFFECTIVENESS OF HIV PREVENTION SERVICES

Male circumcision has been shown to reduce female-to-male HIV transmission by 60 percent. As a result, the procedure is being introduced nationwide in Zambia. Men who choose circumcision are counseled to avoid unprotected sexual contact during the six-week healing period. The Population Council and its partners assessed men’s sexual behavior after circumcision and found a high prevalence of risky sexual behaviors during wound healing, particularly among men who reported risky sexual behaviors at the outset of the study. However, analysis suggests that despite this risky behavior, male circumcision is still likely to reduce men’s risk of HIV infection, though not as much as it would otherwise. On the basis of these findings, providers of male circumcision in Zambia renewed their focus on counseling clients about the risks of resuming sexual activity during the healing period.

Increasing Access to Long-acting Reversible Contraception

In May 2012, working with the International Federation of Gynecology and Obstetrics and the Reproductive Health Supplies Coalition, the Population Council generated an action plan to improve access to highly effective, long-acting reversible contraceptives (LARCs) by increasing provider training and awareness and working with drug companies and donors to reduce costs. LARCs were a key focus of the July 2012 London Summit on Family Planning, which promoted a goal of enabling 120 million more women and girls to have access to high-quality family planning information and services by 2020. In September, the Jadelle Access Program was formed with support from a number of organizations and governments to make Jadelle®—a Council-developed two-rod levonorgestrel contraceptive implant—available to more than 27 million women. Throughout the year, the Council made progress toward submitting a New Drug Application to the FDA for a new LARC, our one-year contraceptive vaginal ring.

Joining Forces to Reduce Sexual and Gender-Based Violence

The Population Council and its Africa Regional Sexual and Gender-Based Violence (SGBV) Network achieved key successes in 2012. The governments of South Africa and Zambia issued their countries’ first-ever policies to address sexual and gender-based violence, which were informed by the Population Council’s research and recommendations. These policies reflect a comprehensive model of care to provide medical management of SGBV, involve the criminal justice system, and engage communities to prevent SGBV. The Government of Zambia is expanding police provision of emergency contraception to victims of rape, and the Government of Malawi is testing this approach. In December, Ministers of Health from Kenya, Lesotho, Malawi, Mauritius, Seychelles, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe passed a resolution allowing all women seeking maternal health services to be screened for intimate-partner violence using the screening tool developed by the Population Council.

Financials

We are pleased to report that the Population Council’s revenue increased by more than 12.5 percent, from $64.4 million in 2011 to $72.6 million in 2012. This increase helps maintain the Council’s financial health and ensures that we have the resources to continue our vital work.

The charts on this page provide details on the Council’s sources of support and use of funds. The Council’s program spending ratio, a key financial indicator, was 83 percent for fiscal 2012. For every dollar spent, 83 cents goes directly to research and program activities, demonstrating our commitment to our mission.

We closely monitor the Council’s financial status and remain committed to the fiscal discipline necessary to maintain our record of accomplishments. Readers interested in learning more about the Council’s finances can consult this site

  • Sources of Support
  • Statement of Activities
  • Balance Sheet
Sources of Support
Statement of Activites
Balance Sheet

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