ZAMBIA ANNUAL REPORT 2022

Delivering on the Transformative Results

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Message from the Representative

The UN system in Zambia, including UNFPA, committed to sustain its partnership with the Government of Zambia, through the launch of the UN Sustainable Development Cooperation Framework (2023-2027), which presents the collective offer of the UN system to strengthen Zambia’s progress towards achieving the Sustainable Development Goals. This is UNFPA Zambia’s commitment for its new 9th Country Programme of Cooperation with the Government of Zambia (2023-2027), which was also developed and approved in 2022.Our collective achievements for 2022 with the Government of Zambia and partners are presented in this report, that UNFPA is pleased to share with you.

Mr. Seth Broekman, UNFPA Representative

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UNFPA in Zambia

In Zambia, UNFPA is currently implementing its 9th Country Programme of Cooperation with the Government of Zambia (2023-2027). The Programme is aligned with Zambia’s 8th National Development Plan (2022- 2026); Zambia’s Vision 2030; and the UN Sustainable Development Cooperation Framework (2023 – 2027).

UNFPA’s collaboration with the Government of Zambia also advances the ICPD Programme of Action, as well as supports the implementation of African, East and Southern Africa and SADC commitments related to sexual and reproductive health, gender equality, and population and development, amongst other strategic frameworks.

Through the Country Prgramme, UNFPA will contribute to accelerating the achievement of four main results by 2027:

  • Reduce unmet need for family planning from 20% to 15%.
  • Reduce maternal mortality ratio from 252 deaths per 100,000 live births to at least 160 per 100,000 live births.
  • Reduce the proportion of women and girls who experience gender-based violence, including a reduction in child marriage from 29 per cent to 25 per cent.
  • Reduce the sexual transmission of HIV, as a regional priority.

Country context

19.6 mn

Total population of Zambia (2022). The average annual population growth rate is 3.4%. Average household size is 5.

19.6 mn

82%

Of the total population is aged below 35 years

82%

54.4%

Population living below the poverty line of $1 per day

54.4%

Results Recommendations

2 in 10

Of married women would like to use family planning, but are unable to access it

Results Recommendations

252

Maternal deaths per 100,000 live births

Results Recommendations

3 in 10

dolescent girls become pregnant by age 18 years

Results Recommendations

8 in 10

Live births are delivered by a skilled provider

Results Recommendations

36%

Of women experience physical violence

Results Recommendations

11.1%

Overall HIV prevalence rate, of which 14.2% is among females and 7.5% among males

1
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TOWARDS ZERO UNMET NEED FOR FAMILY PLANNING

Snapshot

Results Recommendations

90,000

Additional users of modern contraceptives were reached, bringing the total number of women using a modern method of contraception in Zambia to 1,840,000 as at the end of 2022

Results Recommendations

690,000

Unintended pregnancies were averted, due to the use of modern methods of contraception. This achievement was 30,000 higher than the 2021 estimate of 660,000

Results Recommendations

172

Unsafe abortions were averted due to the use of modern methods of contraception in Zambia

Results Recommendations

85%

Of service delivery points reported no stock-out of three or more contraceptives

2

TOWARDS ZERO PREVENTABLE MATERNAL DEATHS

Snapshot

Results Recommendations

1,000+

Maternal deaths were averted due to the use of modern methods of contraception, as well as maternal and perinatal death surveillance and response (MPDSR), and emergency obstetric and newborn care (EmONC)

Results Recommendations

40

Public health facilities are providing integrated SRH/HIV/GBV services in UNFPA supported provinces, representing a 100% increase from 20 health facilities in 2021

Results Recommendations

137

Women with obstetric fistula underwent successful surgical repair, thus restoring their health and dignity

Results Recommendations

68

Midwives enrolled in in-service midwifery training with support from UNFPA

3

TOWARDS ZERO GENDER- BASED VIOLENCE AND HARMFUL PRACTICES

Snapshot

Results Recommendations

7,693

Survivors of GBV (6,778 female; 915 male) accessed an integrated package of services through One Stop Centers for GBV

Results Recommendations

64

Traditional, community and religious leaders were engaged as champions in promoting zero tolerance towards GBV

Results Recommendations

34,719

Adolescents affected and at risk of child marriage were reached through life-skills mentorship programmes in target districts

Strategic Focus Areas

  • Taking Bold Initiatives to Reach Young People

    To ensure young peoples’ potential is fulfilled, as they transition from childhood to adulthood, UNFPA sustained its partnership with the Government of Zambia, young people and civil society organizations to deliver comprehensive policies and programmes that protect the health, rights and well-being of young people.

  • Harnessing Data for Development

    In 2022, UNFPA Zambia sustained its support towards strengthening national capacity to generate and utilize statistical data and evidence critical for development planning, implementation and monitoring. Specific milestones for the year included the following:

  • Humanitarian Action

    To ensure continuity of sexual and reproductive health services amid crisis and in humanitarian settings, UNFPA continued to leverage partnerships to establish and conduct emergency preparedness processes and activities to help mitigate risks in the event of an onset of a crisis.

Donors & Partners

UNFPA Zambia extends appreciation to the donors, trust and thematic funds listed below, who contributed to the overall resource envelope for UNFPA’s 8th Country Programme with the Government of Zambia (2016-2022).

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