A presentation on the work of the World Population Foundation in Pakistan in May 2005.

5. WPF’s approach to working in what some regard as the ‘too sensitive’ area of human sexuality and development;

6. Challenges and barriers faced;

7. Strategies and resources developed; and

8. WPF’s plans for the future.

11. Only half the population have access to clean drinking water and only 18% have access to proper sanitation facilities.

12. The gross participation rate of 58% in primary education compares poorly with developing countries of similar or lower GNP per capita.

14. The infant mortality rate is 89 per 1000 live births.

15. Maternal mortality rates range from conservative estimates of 350 deaths per 100,000 live births to above 600.

18. Resource production - locally-developed material to meet local needs; and

19. Research and programmes - as a vehicle for building the capacity and sustainability of civil society and Government organisations.

21. One in four youth lives on less than US$1 per day.

22. Today’s youth will become – in one short decade – tomorrow’s parents, leaders, civilian labour force and armies.

24. And far more will not thrive due to low levels of education, poor livelihood skills, and gender inequities.

25. These factors increase the vulnerability of youth to reproductive health problems, and together they will perpetuate the poverty of the next generation.

27. Poor youth are less likely to finish school and more likely to marry earlier.

28. Poor adolescent females are three times more likely to give birth than wealthier females of the same age.

29. Moreover, poor youth are more vulnerable to sexual exploitation, as they may be forced to transactional sex.

31. Conversely, higher life expectancy - a key indicator of health status - stimulates economic growth and we believe it is essential to improve poor adolescent reproductive health, which remains a leading cause of death and disability - particularly for women in Pakistan.

33. Births will increase from almost 1.7 million in 2000 to 2.9 million in 2020 —an increase of 41 percent.

34. Between 1991 and 1995, the unmet need for family planning declined slightly for 15–19 year-olds from 24.7 to 21.7 percent, respectively.

35. However, it increased among older age groups (ages 20–24) from 24.5 percent in 1995 to 33.8 percent in 2000.

37. Priority budgetary allocation for defence – rather than health and education.

40. Moral panics, denial of sexuality and lack of a quality evidence base for programmes.

47. Halting the spread of HIV/AIDS;

48. Increasing gender equality and equity; and

49. Ensuring sustainable development.

51. Advocacy for life skills based education.

52. Identifying real need through quality operations research.

53. Developing interventions and resources in response to that need.

54. Piloting, but not doing the work of Government.