During our 2022-2023 program year EngenderHealth programs have:
Generated an estimated 3,255,700 couple years of protection
Directly reached over 1.2 million people with SRHR messaging
Supported the provision of 21,000 abortion and postabortion services
18 policy changes in 11 countries
Helped about 1.1 million clients access contraceptive care
Our data show how much our work advances gender equality and sexual and reproductive health and rights (SRHR). We collect and analyze data to measure our annual progress toward our strategic plan, focusing on our overall impact and contributions at each level of our theory of change: policies, laws, and processes; health systems and institutions; and communities and individuals.
In our 2022 to 2023 fiscal year (FY23), we implemented 23 projects across 16 countries. To learn more about our impact during this period, click on the expandable sections below or download our brief Annual Impact Summary and full Annual Impact Report.
Our Impact: July 2022–June 2023
In partnership with governmental and non-governmental organizations, EngenderHealth supported delivering high-quality, comprehensive contraceptive care as part of SRHR services. From July 2022 to June 2023, through EngenderHealth-supported services, we helped approximately 1,164,500 clients access high-quality contraceptive care and generated an estimated 3,448,700 couple years of protection. Our work also helped avert an estimated 1,682,900 unintended pregnancies, 477,400 unsafe abortions, 2,300 maternal deaths, and 31,300 child deaths. In addition, we contributed to direct healthcare cost savings of approximately $157,679,500.
EngenderHealth collaborates with local partners to foster awareness about SRHR at the community level, utilizing direct channels such as peer-to-peer outreach, home visits, and participation in community events. This approach enables us to establish meaningful connections and cultivate community trust, fostering long-term, positive transformations. In FY23, EngenderHealth directly reached over 1.6 million people with SRHR messaging, including messaging on abortion, contraception, GBV, and other health topics. In addition, we extended our outreach to individuals indirectly through mass media initiatives to advocate for SRHR.
In FY23, EngenderHealth supported approximately 1,164,500 clients to adopt a contraceptive method of their choice, including an estimated 366,100 young people under age 25. In addition, our projects supported the provision of 21,000 comprehensive abortion and postabortion services, 89,400 obstetric surgeries, and 1,299 fistula repair surgeries. Across countries, we also supported services for survivors of 127,435 GBV incidents. Most (86%) GBV incidents were reported by female clients, including 23% of which were for female clients under the age of 20.
Ensuring that health systems provide high-quality, gender-equitable SRHR services is fundamental to positive change; therefore, we work with governments to achieve sustainable and equitable health impacts. Our core activities include supporting the integration of gender-transformative and inclusive programming throughout health systems, transitioning health facility oversight to governments, strengthening the capacity of healthcare staff, government officials, and influential leaders in the community, and fostering client satisfaction with SRHR services.
In FY23, EngenderHealth supported skills development for a range of healthcare staff, training more than 7,300 clinical staff (doctors, nurses, midwives, and others) and more than 41,500 community health workers across 14 projects. EngenderHealth also trained 54,100 community leaders and youth, including peer educators, male champions, religious leaders, and law enforcement officers—in gender-based violence (GBV) prevention and response; gender, youth, and social inclusion; Men as Partners; postabortion care, SRHR advocacy; and disability inclusion in SRHR.
EngenderHealth helps shape supportive national policy environments for SRHR, facilitating positive results across the socioecological model. During FY23, EngenderHealth collaborated with partner organizations to support 18 policy changes in 11 countries. In Burundi, we worked with the Ministry of Health’s Programme National de Sante de la Reproduction (National Reproductive Health Program) to develop national training guidelines to prevent and respond to violence against children and adolescents. In Ethiopia, we supported the development of the National Health Equity Strategic Plan (2022–2026), which sets ambitious goals to improve health equity gaps by addressing access, coverage, and use of essential health services. In Tanzania, we provided technical assistance to the Zanzibar Ministry of Health to develop Standard Operating Procedures for Delivery of Quality Postabortion Care guidelines to support healthcare providers in planning service delivery, offering care, and evaluating services.
Our technical expertise and leadership facilitate all of our achievements. In FY23, we pledged new and renewed commitments to support equality and advance SRHR. We shared updates on our contributions to global goals, including our commitments for FP2030 goals and the 2022 Global Disability Summit. We also promoted Generation Equality Forum efforts at the regional level, with technical and financial support to the Ouagadougou workshop held in June 2023 to monitor gender equality commitments for West Africa.
We updated our organizational Abortion Strategy to articulate our commitment to advancing abortion care at all levels of the health system through a rights-based approach. The strategy considers abortion in the context of universal health coverage and self-care. It highlights how EngenderHealth is uniquely placed to address abortion via transformative approaches, strengthening health systems, and innovative partnerships.
We continued contributing to the global evidence base by sharing our data and lessons. We participated in conferences and webinars, including the Tanzania Health Summit, the International Conference on Family Planning, the International Society of Obstetric Fistula Surgeons Conference, the International Maternal and Newborn Health Conference, and the Women Deliver Conference. EngenderHealth staff published a wide range of journal articles, language guides, organizational reports, and technical briefs on various topics, including GBV, SRHR, and maternal and obstetric health.
EngenderHealth recognizes the importance of building and nurturing partnerships to advance SRHR in underserved communities and promote locally-led development. We take a broad view of partnerships, building strong, often long-standing relationships with governments, health system authorities, local nongovernmental organizations (NGOs), and associations, including youth-led groups, private sector partners, and donors. During FY23, we articulated key components of how we work with local partners in our EngenderHealth Partnerships Summary. We partnered with seven new organizations to implement programming. We also demonstrated our commitment to long-term, meaningful, and mutual collaboration with local organizations by signing memoranda of understanding with 25 organizations across 10 countries.
In collaboration with colleague organizations, we completed the first phase of the Transforming INGO Models for Equity (TIME) for SRHR initiative, which explore how we can best partner on SRHR priorities in Africa and transform INGO operating models to increase equity.
In FY23, EngenderHealth continued actively identifying and implementing improvements to increase our effectiveness as a gender-equitable organization. In addition to continuing to apply our GYSI marker and Do No Harm Framework across projects, we developed additional resources to ensure our engagement with the communities where we operate is thoughtful and inclusive. For example, we expanded our language guides to include more than one billion people worldwide who live with some form of disability. The principles outlined in our People with Disabilities Language Guide (also available in French) provide overarching guidance on how we think about and use language in our work as well as more detailed applications related to people with disabilities, who routinely experience overwhelming barriers when accessing healthcare.
For the third year in a row, Global Health 50/50, an initiative that works to advance equity in global health, recognized EngenderHealth as a “very high performer” in gender-related policies and practices.
We conducted our fourth internal gender pay gap analysis, which found that our global senior leadership team consisted of 45% women, our executive team consisted of 60% women, and our board consisted of 65% women.