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For Mpopi, 33, travelling 80 km every month to reach the nearest clinic providing access to antiretroviral treatment (ART) was nearly impossible. Read her story.

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UNFPA team and partners in the East and Southern Africa region continue to carry out activities aimed at achieving the overall vision: a region where the sexual and reproductive health of women is achieved and the transformative potentials of young people, especially adolescent girls, are fulfilled. This booklet summarizes the region's challenges and our achievements in addressing them in 2014-2015.

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East and Southern Africa has made impressive gains in the reproductive health of its people. Yet, as we count these achievements, we must ensure we maintain the momentum to achieve the new Sustainable Development Goals. With 521 million people, the region’s reproductive health challenges are vast: maternal mortality and morbidity, HIV infection, low contraception use, early marriage, teen pregnancy and gender-based violence, underpinned by gender inequality. Also, gains are quickly reversed during conflict and humanitarian crises. There is no time to lose - together, we need to make change happen.

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This brief discusses the effectiveness of comprehensive sexuality education in preventing HIV, and lists key findings and recommendations.

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The new development agenda and evolving funding dynamic call for new thinking, new partnerships and new ways of doing business. While our current financial situation, at least for now, may not allow us to do more, we can endeavour to do better—and we will.

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This evidence brief provides evidence on what works to prevent HIV among sex workers.

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This brief looks at the evidence on what works to prevent HIV infection in adolescent girls, and provides key findings and recommendations.

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UNFPA has worked in Burundi since 1980 and throughout its civil war. After 2006, peace allowed UNFPA and its partners to expand their outreach, resulting in a promising progress curve for the reproductive health of Burundians. However, Burundi exploded in pre-electoral violence in April 2015. Just when the nation was rebuilding its social fabric and improving the economy, the socio-political unrest erased those gains and brought untold misery. The United Nations warns that the humanitarian situation could deteriorate quickly, even without full-blown conflict, given Burundi’s fragility. In very difficult conditions, UNFPA and its partners multiply interventions among internally displaced and refugee populations to improve reproductive health services and care for survivors of gender-based violence. To continue and expand our work, we require almost US$8,700,000.

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We live in a world where humanitarian crises exact mounting costs from economies, communities and individuals. Wars and natural disasters make the headlines, at least initially. Less visible but also costly are the crises of fragility, vulnerability and growing inequality, confining millions of people to the most tenuous hopes for peace and development.

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The demographic dividend refers to a window of opportunity when a country’s population has proportionally more working adults than non-working dependents. When this happens, the economic payoff can be substantial. But this boon is not guaranteed. To seize the opportunity, timing and policy are critical.

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