Organizational Results

In partnership with governmental and non-governmental organizations, EngenderHealth supported delivering high-quality, comprehensive contraceptive care as part of SRHR services. From July 2023 to June 2024, through EngenderHealth-supported services, we helped approximately 1,279,900 clients access high-quality contraceptive care and generated an estimated 3,255,700 couple years of protection. Our work also helped avert an estimated 2,006,200 unintended pregnancies, 676,800 unsafe abortions, 2,100 maternal deaths, and 31,600 child deaths. In addition, we contributed to direct healthcare cost savings of approximately $142,046,900.

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 FY24, EngenderHealth directly reached nearly 4.1 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 FY24, EngenderHealth supported approximately 1,279,900 clients to adopt a contraceptive method of their choice, including an estimated 368,700 young people under age 25. In addition, our projects supported the provision of 19,267 comprehensive abortion and postabortion services, 113,108 obstetric surgeries, and 1,297 fistula repair surgeries. Across countries, we also supported services for survivors of 114,648 GBV incidents. Most (85%) GBV incidents were reported by female clients, including 27% 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. Read our strategy for health systems strengthening, which we developed in FY24.

In FY24, EngenderHealth supported skills development for a range of healthcare staff, training more than 10,100 clinical staff (doctors, nurses, midwives, and others), 8,600 pharmacists and associates, and 3,200 community health workers across 17 projects. EngenderHealth also trained 28,900 community leaders and youth, including peer educators, male champions, religious leaders, and law enforcement officers—in 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 FY24, EngenderHealth collaborated with partner organizations to support 29 policy changes in 9 countries. In Tanzania, EngenderHealth partnered with the Ministry of Health and other stakeholders, including youth, through the Building Rights for Improved Girl’s Health in Tanzania project to develop Tanzania’s priority commitments for adolescent health and wellbeing, launched in October 2023 by the Minister of Health. In Nigeria, EngenderHealth advocated with government partners through the Hormonal Intrauterine Device (HIUD) Rollout and Scale-Up project to expand state budgets and annual operating plans to increase resources for FP. As a result, the state government allocations to FP budget lines increased by 60% in Bauchi state and by 300% in Sokoto state from 2023 to 2024. Through the MOMENTUM Safe Surgery in Family Planning and Obstetrics (MOMENTUM Safe Surgery) project, EngenderHealth and our partners continued to ensure a supportive environment for patient-centered, safe, affordable, and respectful maternal and obstetric care. In Mali, the project began to champion the development of a new 12-month maternal health PeriSurge certification program, a certification for physicians on the provision of safe surgical services, in 2021. Then, in FY24, the project provided financial and technical support to successfully advocate with the Minister of Health and Social Development to institutionalize the program as a standard component in continuing medical education. The adopted resolution requires all maternity ward doctors to complete training every five years.

Our technical expertise and leadership facilitate all of our achievements. In FY24, we joined more than 100 organizations to release the 2023 Blueprint Policy Agenda, outlining executive actions to protect and expand SRHR in the US and globally; launched a community of practice for safe and appropriate cesarean delivery; joined the We Trust You(th) Initiative at the launch of What’s Possible, an experiential learning institute supporting youth’s rights; and provided recommendations for improving maternal health at the 68th Session of the Commission on the Status of Women.

This year, we released the SAFE-ACTIONS Bystander Intervention Framework, a tool designed to help everyone take action against violence occurring in their communities, as well as guidance on Safeguarding Rights and Choice in Programs that Focus on a Narrow Range of Family Planning Methods outlining strategies for emphasizing clients’ full, free, and informed choice of contraceptive methods, regardless of a program’s particular method focus. We also published 11 journal articles and 26 blogs on key health and development topics.

We also supported the TIME for SRHR initiative in compiling a suite of tools to help international NGOs shift towards more equitable approaches with local partners. We also published a new language guide to promote the use of accurate, destigmatizing, and inclusive language in our communications with our philanthropic community. We further highlighted our role in addressing SRHR and supporting those hardest to reach with an intersectional lens in a leadership feature in m/Oppenheim’s Nonprofit Report.

Our staff engaged in numerous national and international conferences, including the Conference on Public Health in Africa, the Global Safe Abortion Dialogue, the International Primary Health Care Conference, the Reproductive Health Network’s 7th Adolescent and Youth SRHR Scientific Conference, conferences for the societies of obstetricians and gynecologists in Nigeria and Rwanda, the Tanzania Health Summit, and more.

EngenderHealth values collaborative, equitable, long-lasting partnerships and we serve as a convener and amplifier, through co-design and joint implementation, and through technical assistance and capacity strengthening. Living into our values, we partnered with approximately 80 organizations in the past year, including 14 new partners. We also developed a Partnership Framework and Toolkit, to advance our vision of locally led development.

We continued to engage youth as SRHR and GBV champions within their communities in FY24. For instance, in Ethiopia, through our Rights-Based Approach for Enhancing SRHR project, we supported the establishment of a youth advisory council designed deliberately to reflect the diverse lived experiences of young people and facilitated member training in grant-making, resources, and interpersonal communication. Similarly, through our REACH project, we trained adolescent youth committee members in Ethiopia to initiate peer dialogues and to refer clients to health facilities, and we educated 548 adolescents on SRH topics using a digital training platform.

Our regional Ensemble project is a collaborative initiative working with partners across Benin, Burkina Faso, Côte d’Ivoire, Guinea, and Mali to prevent and respond to GBV through local ownership and accountability. For example, in Côte d’Ivoire, we are working with a local women-led organization, Akwaba Mousso, to provide safe, short-term shelter with basic services for GBV survivors in Abidjan and in Mali, our local partner, YA-G-TU, is educating community members in health financing in support of equitable and sustainable health services.

In FY24, 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 one focused on philanthropic communications, to facilitate a more equitable paradigm—one that emphasizes the agency of the communities we support, eradicates the saviorism rhetoric, and creates a new narrative of shared power. 

Our intersectional approach to programming prioritizes the holistic well-being of the individuals we serve around the world. In FY24, several EngenderHealth experts shared their perspectives on EngenderHealth’s work at key intersections in India, Ethiopia, and Tanzania, including discussing how our community-driven interventions exemplify the power of working at the intersections of health and development to better engage local communities, foster ownership, and ensure sustainability of project achievements.

For the fourth 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 also conducted our fifth internal gender pay gap analysis.