PAI

aka PAI   |   Washington, DC   |  http://www.pai.org

Mission

At PAI, we are motivated by one powerful truth: A woman who is in charge of her sexual and reproductive health can change her life and transform her community. PAI works with policymakers in Washington, D.C. and our network of global partners to advocate for accessible, quality health care and advance the sexual and reproductive rights of women, girls and other vulnerable groups.

Ruling year info

1966

President and Chief Executive Officer

Nabeeha Kazi Hutchins

Main address

1300 19th St NW Suite 200

Washington, DC 20036 USA

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Formerly known as

Population Action International

EIN

52-0812075

NTEE code info

Reproductive Rights (R61)

Health (General and Financing) (E80)

International Human Rights (Q70)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

PAI champions progressive policies and funding that make sexual and reproductive rights a reality for all. We fight to remove the policy barriers between women, girls and other vulnerable groups and the quality care — including contraception and safe abortion — they need and deserve.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Family Planning 2020 Accountability

The Family Planning 2020 (FP2020) roject promotes mutual ownership and partnership among civil society and governments to realize Family Planning 2020 commitments in service of expanding access to contraceptives.

While the Family Planning 2020 (FP2020) initiative has garnered interest and commitments from a number of countries, there has been minimal effort to engage civil society in ensuring the commitments made by governments are honored and achieved. FP2020 Accountability supports civil society partners to promote impactful, coordinated and sustainable momentum for family planning policies, programs and funding with the Motion Tracker’s participatory approach. In partnership with Samasha, a Ugandan civil society organization focused on improving sexual and reproductive health funding and policies through advocacy, PAI provides technical assistance to civil society organizations acting as neutral conveners, collecting data and reporting on the progress of commitments.

The FP2020 Accountability project supports the advancement of family planning programs and funding pledged in FP2020 commitments by using the Motion Tracker approach, an accountability framework developed by Samasha. Under this approach, civil society organizations partner with country governments to track progress toward and achievement of government reproductive health commitments. PAI, in partnership with Samasha, is scaling up the Motion Tracker in four countries over a three-year period.

Population(s) Served
Women and girls

Faith Plus Family Planning supports faith-based organizations in low- and middle-income countries to engage in policy and budget advocacy for family planning.

Across low- and middle-income countries, faith-based organizations are key health care providers. The World Health Organization estimates that these groups deliver 40% of primary health care services — including reproductive, maternal and newborn care — in sub-Saharan Africa alone. Religious leaders and institutions have established trust in their communities and bring a new perspective to policy discussions. The Faith Plus Family Planning initiative is a flexible source of funding and technical support for faith-based organizations to engage in family planning and reproductive health advocacy and government accountability efforts that are aligned with country-level commitments and civil society allies.

Population(s) Served
Men and boys

PAI is leading efforts to support civil society partners in navigating the lingering effects of the rescinded Global Gag Rule and advocating for increased country investment in sexual and reproductive health.

As a result of the imposition and unprecedented expansion of the Global Gag Rule under the Trump-Pence administration, health providers around the world were forced to discontinue services, disproportionately affecting vulnerable groups including youth, people living with HIV/AIDS and rural populations. Nongovernmental organizations outside of the United States faced stigma and advocacy obstacles, and the policy upended countries’ health priorities. In response, PAI worked with civil society, policymakers and the media to help them understand and mitigate these extensive impacts and navigate the policy’s complex and expanded implementation guidance. Now that the Biden administration has rescinded the Global Gag Rule, PAI will continue working with partners to mitigate the policy’s chilling effect, and ensure they understand the services they are eligible to provide with their non-U.S. funding. The Trump administration advanced a policy agenda that increased stigma and discrimination against comprehensive sexual and reproductive health services and fueled opposition. It will take time to undo this damage.

PAI continues to document the lasting, in-country harm caused by the policy and we use this evidence to advocate for the permanent repeal of the Global Gag Rule. Because the policy restrictions were not imposed in a vacuum, we document the impacts of the Global Gag Rule as well as the donor and country contexts specific to sexual and reproductive health and rights, the policy and funding landscape and additional country-specific scenarios — including the impact on the larger health system, commodity supply chain and humanitarian response. For instance, the 2017 defunding of the United Nations Population Fund (UNFPA) further magnified the effects of the policy and made it difficult to maintain progress on sexual and reproductive health and rights under the Trump administration’s global health agenda. Our documentation efforts support our civil society partners in their own advocacy for increased country ownership of sexual and reproductive health policies and funding to defend against fluctuations in the external donor and policy landscape.

Population(s) Served

The Government Accountability for Family Planning Budgets project supports civil society advocates in sub-Saharan Africa to hold their governments accountable for increasing domestic investments in family planning and improving the transparency of budget data.

Globally, civil society plays an important role in ensuring that country governments mobilize resources to meet the urgent need of sustained national ownership of family planning. In many low- and middle-income countries, there is insufficient domestic investment for these health services and supplies, especially in comparison to donor funding. Lack of government ownership is evident when domestic allocations for family planning budgets are minimal compared to the total funding needed to deliver quality programs and care. Through the Government Accountability for Family Planning Budgets project, civil society organizations monitor budgets to hold governments accountable for increasing family planning investments and ensure that these funds are properly disbursed and spent. Since this tracking and analysis work relies on the availability of government budget data, our partners advocate for the transparency of family planning allocations, disbursements and expenditures.

Population(s) Served

U.S. Government Relations is one of PAI’s core bodies of work advocating for robust foreign assistance policies and increased funding to support sexual and reproductive health and rights worldwide.

PAI is dedicated to advancing evidence-based U.S. government policies and funding in support of sexual and reproductive health and rights. Through our U.S. Government Relations work, we cultivate a broad, knowledgeable and engaged base of sexual and reproductive health and rights champions in Congress. Together with these champions, PAI advocates to increase U.S. bilateral and multilateral family planning and reproductive health funding to support the estimated 218 million women in developing regions who want to prevent or delay pregnancy but still face significant barriers to using modern contraceptive methods. To ensure U.S. global health assistance reaches the most qualified, trusted and effective providers, PAI fights against harmful policies like the Global Gag Rule and decisions to defund the United Nations Population Fund (UNFPA).

PAI’s advocacy in the United States is heavily influenced by the expressed needs and input of our in-country partners around the world. We seek to amplify the stories of those who are directly impacted by U.S. foreign assistance policies that restrict access to sexual and reproductive health care and information — including family planning and abortion services. Whenever possible, we bring our partners to Capitol Hill to share their firsthand experiences with policymakers.

Through our advocacy with the U.S. government, we highlight the intersections between sexual and reproductive health and rights and other global health and gender issues. PAI supports strengthening U.S. policies and programs to address sexual and gender-based violence, respond to the needs of adolescent girls and uphold the rights of LGBTI individuals. We also work to ensure that women’s health and rights are reflected in relevant national strategies, such as the women, peace and security agenda. Core to our U.S. government advocacy is PAI’s leadership of the International Family Planning Coalition, where we convene a diverse group of nearly 90 U.S.-based organizations working to advance sexual and reproductive health and rights in U.S. foreign policy.

Our U.S. Government Relations legislative priorities include informing congressional members and staff of key issues related to sexual and reproductive health and rights, as well as advocating for supportive legislation and funding. In the annual federal budget and appropriations process, we work to ensure adequate investment for international family planning and reproductive health. PAI also supports the introduction and passage of bills to permanently repeal the Helms amendment, support funding for UNFPA to require reporting on reproductive rights violations in the U.S. Department of State’s annual human rights reports and to promote sexual and reproductive health and rights as part of efforts to advance gender equity and women and girls’ empowerment.

Regarding the executive branch, our U.S. Government Relations work focuses on interpretation and analysis of policies, strategies and programs that relate to sexual and reproductive health and rights. This includes evaluating executive nominations and appointments, as well as U.S. diplomatic engagements at the United Nations and elsewhere. We seek to counter harmful U.S. government policies and behavior with strategic action in collaboration with civil society partners, both at home and abroad.

To educate U.S. policymakers and hold them accountable, PAI produces detailed research and policy analysis. We emphasize the value of investing in family planning and reproductive health programs by highlighting how this leads to better health outcomes, greater educational opportunities and increased economic prosperity for women, girls and their communities. These resources include our signature newsletters: the Washington Memo, which delivers in-depth policy and political analysis; and PAI on the Hill, which provides legislative and policy analysis and recommendations to congressional staff.

Population(s) Served

Alliances for Advocacy supports regional and national advocacy to improve the well-being and sexual and reproductive health and rights of women, adolescents and youth in Francophone West Africa.

Francophone West Africa has some of the most challenging health indicators globally, particularly when it comes to sexual and reproductive health and rights. PAI’s Alliances for Advocacy project is focused on positively impacting the health and well-being of women and girls in the region by fostering collaborative, synergistic partnerships to advance policies, develop and improve programs and ensure funding for sexual and reproductive health and rights. Under this project, we collaborate regionally with the Ouagadougou Partnership Coordination Unit (OPCU) and its Youth Think Tank. We also advocate with the G5 Sahel and Sahel Alliance to make the links between sexual and reproductive health and rights, stability and security. Nationally, we support a unique and diverse network of local civil society organizations in Niger advocating for sexual and reproductive health and rights, particularly family planning and reproductive health investments.

The sexual and reproductive health needs in Francophone West Africa are enormous — as are the security, stability and environmental risks all countries in the region face. While donor support to the region has increased in recent years, overall investments remain low when compared to investments in East and southern Africa. Recognizing the needs in the region and advocacy potential of civil society organizations, PAI launched our Alliances for Advocacy project around the principle of collaboration, developing strong partnerships with both local organizations and key regional initiatives active on sexual and reproductive health issues. In Niger, Alliances for Advocacy has provided an opportunity to reinforce the advocacy, organizational and leadership skills of local civil society organizations to act as drivers of policy change. The project currently supports the development and implementation of effective civil society advocacy strategies aimed at improving sexual and reproductive health and rights policies, programs and budgets.

Collaboration with regional initiatives is key to reinforcing the impact of in-country advocacy. Through Alliances for Advocacy, PAI supports the Ouagadougou Partnership Coordination Unit and its Youth Think Tank. The aim is to promote meaningful engagement of youth in the discussion, development, implementation and monitoring of policies and budgets that impact sexual and reproductive health and rights. For the millions of adolescents living in the nine countries that comprise the Ouagadougou Partnership, ensuring that sexual and reproductive health and rights is supported by governments and other key stakeholders is paramount.

Alliances for Advocacy has also enabled PAI to influence both the G5 Sahel and Sahel Alliance as key platforms contributing to the security and development of the five countries in the Sahel — Burkina Faso, Mali, Mauritania, Niger and Chad. As a result of our collaboration, the Sahel Alliance, comprised of key bilateral and multilateral donors working to coordinate regional development assistance and improve its effectiveness, included its first-ever mention of reproductive health in a declaration adopted in February 2020 by its general assembly.

Population(s) Served
Women and girls
Women and girls
Women and girls
Women and girls
Women and girls

PAI advocates for the protection, prioritization and promotion of comprehensive sexual and reproductive health and rights in humanitarian settings and health emergencies.

PAI works to ensure the promotion and protection of sexual and reproductive health and rights in humanitarian settings and health emergencies through research and advocacy. PAI advises on global sexual and reproductive health and rights policy guidance and works to elevate the voices of women, girls and young people in crises. We also advocate for the prioritization of the health needs of survivors of gender-based violence in humanitarian settings and for gender equity and women’s health, rights and participation in the context of peacemaking and security decisions.

PAI calls on governments and donors to ensure that the sexual and reproductive health and rights of vulnerable populations are prioritized in fragile states and in countries experiencing humanitarian crises.

In 2019, PAI launched a pilot research project in collaboration with Jimma University in Ethiopia on barriers to sexual and reproductive health services for young internally displaced people as well as the need for concerted, participatory efforts to identify and address their challenges. Otherwise, in the context of the worsening climate crisis and continued forced movement globally, women, girls and young people who experience forced displacements will only be further left behind.

PAI has been a steering committee member of the Inter-agency Working Group on Reproductive Health in Crises since 2013. In this role, PAI has collaborated with other experts in the field to improve access to sexual and reproductive health information, services and supplies to people affected by crises. Our work primarily focuses on advocacy for the inclusion of family planning and safe abortion care at the onset of humanitarian crises or health emergencies.

Through our advocacy, PAI works to ensure that sexual and reproductive health and gender equity, such as gender-based violence prevention and the needs of survivors, are priorities of global humanitarian and security responses, including for international donors and U.S. government humanitarian assistance. PAI has been a partner in the multistakeholder initiative, Call to Action on Protection from Gender-Based Violence in Emergencies, since its launch in 2013. Additionally, PAI has advocated for the prioritization of gender and sexual and reproductive health and rights within the economic and security responses to instability in the Sahel region of Francophone West Africa since 2018.

We recognize the intersections between women’s health, participation and empowerment and peace and security. PAI advocates for the inclusion of sexual and reproductive health and rights in the global women, peace and security agenda, as well as in U.S. policies. PAI is also an active member of the U.S. Civil Society Working Group on Women, Peace and Security.

Population(s) Served

YOUAccess supports youth-led organizations to advocate for increased funding and improved policies on adolescent and youth sexual and reproductive health and rights in low- and middle-income countries.

At PAI, we believe youth-led organizations are integral to improving policy and funding for the most pressing sexual and reproductive health and rights issues facing young people. Our signature youth-focused project, YOUAccess, provides technical and financial support to these advocates in addition to opportunities for youth-driven, innovative project development, knowledge sharing and organizational capacity strengthening. YOUAccess demonstrates that investing in youth-led organizations results in positive change that elevates the next generation of sexual and reproductive health and rights leaders.

PAI is committed to universal sexual and reproductive health information, services and supplies for adolescents and youth. To improve their health outcomes, we prioritize the meaningful engagement of young people and youth-led organizations as leaders in policy and funding decisions focused on sexual and reproductive health and rights.

While adolescents make up one-sixth of the global population — the largest generation of young people in history — their sexual and reproductive health care is often overlooked. Youth-led organizations are unique in their ability to elevate the needs of young people to influence policy development and implementation. Because they are speaking from first-hand experience, these advocates are motivated to prioritize adolescent and youth sexual and reproductive health and rights in policy and budget discussions and can effectively make the case to policymakers.

However, youth participation in policy development has historically been tokenized. Youth-led organizations are regularly asked to contribute their expertise in these discussions without receiving formal support. Few organizations, including established civil society organizations as well as nascent youth-led organizations, can afford to volunteer their time, knowledge and skills on a consistent basis. These dynamics place an unnecessary, magnified burden on youth-led organizations, which have less financial and human resources.

PAI believes that encouraging youth engagement must coincide with providing young advocates the financial and technical support necessary to execute their work. This approach is illustrated by our partnership with WPC, a youth-led organization in Kenya. In 2018, WPC recognized an opportunity to improve adolescent- and youth-friendly health services through the National Adolescent Sexual and Reproductive Health Policy. PAI and WPC collaborated to create and implement an advocacy strategy built on WPC’s connections and understanding of the local context. With technical advocacy support and funding from PAI, WPC successfully achieved a commitment from policymakers to fast-track youth-friendly health centers in Kibera, Nairobi.

The determination, energy and leadership of youth-led organizations like WPC in sexual and reproductive health and rights advocacy is critical to greater quality of health care delivery. When adolescents and youth have a meaningful role in developing policies that are more reflective of their health needs, there are positive impacts on the sexual and reproductive health outcomes of young people and their communities.

Population(s) Served

Acceso supports civil society in Latin America and the Caribbean to close the gaps in access to sexual and reproductive health services.

In Latin America and the Caribbean, PAI’s local partners engage governments, regional networks and community leaders to strengthen contraceptive security and increase access to culturally relevant, quality services. Local organizations play a critical role in advancing sexual and reproductive health and rights, especially among the most marginalized populations in the region.

Population(s) Served

UHC Engage supports local civil society organizations with the tools they need to advocate for the prioritization of sexual and reproductive health and rights in country-level universal health coverage policy reforms.

PAI is committed to ensuring that country-level universal health coverage (UHC) policies advance access to sexual and reproductive health and rights. Through technical policy analysis, advocacy capacity strengthening and cross-partner exchange platforms, UHC Engage supports civil society organizations in countries introducing UHC policy reforms to engage with their governments and advocate for sexual and reproductive health and rights as a priority. Together, we are working for a future where women and girls can access rights-based and quality-assured sexual and reproductive health care, including family planning, by capitalizing on the opportunity afforded by UHC reforms.

Population(s) Served
Women and girls
Women and girls
Women and girls
Women and girls
Women and girls
Women and girls

Where we work

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

At PAI, we recognize that achieving sexual and reproductive health and rights for all requires advocacy for policy change at both the country and global levels. We work to ensure that country governments enact and implement the policies necessary to expand access to health care and provide sufficient resources for these services, including sexual and reproductive health care.

Our work is centered around three strategic initiatives:

Accountability: Civil society action can drive governments to address the major health challenges impacting vulnerable populations, including women, children and adolescents. PAI works with grantee organizations to determine how best to collaborate with and support governments, while at the same time monitoring and reviewing progress and holding them accountable for their actions and commitments. In addition, we elevate sexual and reproductive health and rights at the global level and take action to address donor country policies that impede progress.

Participation and Representation: PAI’s mission cannot be accomplished without a strong, vibrant and representative civil society that can effectively influence funding and policy decisions. Key to this initiative is PAI’s focus on strengthening the advocacy and institutional capacity of local organizations and intentionally centering and elevating underrepresented populations in policymaking spaces.

Strengthening Health Systems: Resilient health systems are crucial to a country’s ability to meet a population’s health needs and respond to health threats whenever they occur. Core to this work is improving global- and national-level financing to sustain health systems and implement policies that ensure quality of care, health equity and access to essential health services.

Financials

PAI
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Operations

The people, governance practices, and partners that make the organization tick.

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PAI

Board of directors
as of 02/22/2022
SOURCE: Self-reported by organization
Board chair

Ms. Kimberly Brooks

Project Engine

Term: 2019 -

Jackie Payne

Galvanize USA

Elizabeth Lule

Early Childhood Development Action Network (ECDAN)

Mari Simonen

Suellen Lazarus

Independent Consultant

Kimberly Brooks

Project Engine

Sharon Camp

Barbara Camens

Barr & Camens

Sujata Lamba

Nancy Deck

Patricia Fairfield

Georgetown University

Luis Guardia

Food Research and Action Center

Ada Prince

Pivotal Ventures

Neeraja Bhavaraju

Afton Bloom

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes