We deliver our programs by working in collaboration with individuals, communities, health systems, and national governments to advance sexual and reproductive health and rights and gender equality. We achieve our program results through training, strengthening service delivery, and supporting policy development, and we apply a gender, youth, and social inclusion (gysi) lens across all our activities. In fy21, engenderhealth continued its tradition of providing high-quality comprehensive sexual and reproductive health (srh) services. We generated an estimated 8,331,400 couple years of protection (cyps), and prevented 5,000 maternal deaths, 74,200 child deaths, and 918,600 unsafe abortions as a result of our work in fy21. Engenderhealth provided contraceptive care to an estimated 2,919,000 clients. Our work resulted in an estimated $326,914,800 of savings in direct health care costs that would have been incurred by families or the healthcare system if contraceptive services and postabortion care services had not been provided. In fy21, engenderhealth also collected data on modern contraceptive method uptake according to different service delivery points. Most clients received contraceptive services as standalone services (88%), followed by those received as part of postpartum services (6%), integrated services (for example, HIV, sexual and gender-based violence [sgbv], or fistula care services) (5%), and postabortion care (pac) services (<1%).In addition to contraceptive care, engenderhealth provided a total of 64,765 comprehensive abortion care services (cac) and 793 fistula repair surgeries to women and girls. Engenderhealth also provided services to 72,501 survivors of sexual and gender-based violence (sgbv), of whom 80% were female clients. Engenderhealth reached over 297,000 people directly with information on srh and rights (srhr) in fy21, including messaging on contraception, fistula, cac, sgbv, and other elements of srhr, including srhr in the context of covid-19.In fy21, engenderhealth trained more than 14,600 clinical staff (e.G., Surgeons, doctors, nurses, and midwives) and community health workers (chws) across 15 projects. Among these groups, two-thirds of trainees were women. Training areas for clinical staff included modern contraceptive method service provision, cac, sgbv, and/or provision of male and youth-friendly services. In addition to healthcare personnel, engenderhealth trained 5,000 influential community members including peer educators, young people, religious and community leaders, and policein sgbv prevention; gender, youth, and social inclusion (gysi); contraceptive counseling; and community engagement.In fy21, engenderhealth had active programs in benin, burkina faso, burundi, cote d'ivoire, the democratic republic of congo, ethiopia, india, kenya, mali, mozambique, niger, nigeria, rwanda, senegal, and tanzania.Illustrative program updatesbelow, we provide project examples organized by our core impact areas: srhr (including contraception and cac), sgbv, and maternal health (mh). Srhr: the family planning by choice project in ethiopia was designed to support ministry of health (moh) goals of improving the quality, equity, choice, and financing of family planning (fp) and comprehensive abortion care (cac) services in ethiopia. The project established, operationalized, and institutionalized a system of catchment-based clinical mentoring and supportive supervision (cbcm-ss). This included establishing six centers of excellence (coes) for service provision, mentoring, clinical quality audits, research, and training at tertiary-level healthcare facilities across 4 regions. Under fpbc, the cbcm-ss model supported 3,010 healthcare providersreaching 474 mentees at 63 referral, general, or primary hospitals, who in turn reached a total of 2,536 mentees across 876 health centers.The karma project in india was focused on the expansion of postpartum and postabortion family planning services in two states. In 2021, the karma project's broadening accountability of men campaign communicated the benefits of contraception and encouraged adoption of positive attitudes toward contraception. Through this project, the project reached 36,800 men in two states through community-based initiatives, such as street plays, mobile roadshows, interactive discussions, and call centers. Engenderhealth also worked with the governments of karnataka and maharashtra to consolidate the introduction of postpartum family services in hard-to-reach districts of each state. Karma staff trained master trainers, who over the life of the project trained 1,885 service providers in 239 project implementation plan-approved government training batches, improving service delivery quality and access to fp services across both states.Sgbv:following the successful completion of the burundians responding against violence and inequality (bravi) project, engenderhealth now provides technical expertise in gender and sgbv to bravi's follow-on project, gir'iteka. The project integrates sexual and gender-based violence (sgbv) prevention and response into current HIV treatment and prevention programming in burundi. Through this project, engenderhealth is leading the integration of gender, youth, and social inclusion across the project and supporting the society for women against aids in Africa (swaa)-burundi to roll out gender and sgbv training to usaid HIV and sgbv implementing partners and healthcare providers. The project has also updated and contextualized the men as partners (map) training manual for use in HIV programs, and adapted two map manuals to engage male community leaders and religious leaders to encourage HIV and sgbv prevention and response services.Mh: the global fistula care plus (fc+) project ended after seven and a half years of implementation in bangladesh, the Drc, mozambique, niger, nigeria, and uganda, where the project strengthened the capacity of local organizations and facilities to provide fistula prevention and treatment. We held several global webinars to celebrate the project's strong achievements. All key project documents, briefs, and reports are available online at https://fistulacare.Org.Integrated:the scaling up family planning project in tanzania strengthens the national response to family planning and reproductive health, and strengthens integrated service delivery of family planning, gender-based violence, and cervical cancer services through static and outreach services in eight regions of the country. As of June 2021, 645,258 clients received contraceptive services since the start of the project.

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