Click here to read “A Growing Number of Women Activists Confront Technology and Gender-Based Violence” in Tech Policy.
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Click here to read “A Growing Number of Women Activists Confront Technology and Gender-Based Violence” in Tech Policy.
This article, written by Plan International USA Head of Policy Justin Fugle, was originally posted as a commentary piece on the Brookings Institutionās website.
More than a decade ago, the efforts of the Centers for Disease Control to directly fund its local implementers accelerated substantially, showing that localization could be successfully implemented within the rules and constraints of the U.S. government. Ā At the same time, the U.S. Agency for International Developmentās localization initiative failed to move the needle, with direct funding to local entities at 4.2% in 2012 and merely 4.4% in 2018. USAIDās troubles with localization were so systemic at the time that,Ā according to an article earlier this year by former senior U.S. officials, the Agency ādeclined to adoptā an approach shifting its resources to local organizations, ādespite agreeing to the policy by signing the agreementā with the State Departmentās Office of the Global AIDS Coordinator, better known as PEPFAR.
By contrast, the CDC followed its PEPFAR agreement to advance localization, transforming grants with U.S. implementers into āterminal transition awards,ā mandating that the American organizations would have just four years to transfer full responsibility for all activities to local entities āwithout any drop off in the quality or coverage of servicesā to the population. As a result, PEPFARās budget flowing directly through the CDC to local organizations and governments reached fully 67% by 2012! This was a result ofĀ CDC transitioningĀ its antiretroviral therapy programs in 13 countries from U.S.-based organizations and grantees to ministries of health and Indigenous organizations. Critically,Ā studiesĀ found that program service delivery by those local entities was comparable to that of itsĀ U.S. partners, demonstrating 11 years ago that localization could be achieved while delivering results and safeguarding taxpayer dollars. Based on this success, PEPFAR went on to set and largely achieve a goal that a whopping 70% of its funding would be awarded directly to local organizations and governments.
PEPFARās budget flowing directly through the CDC to local organizations and governments reached fully 67% by 2012.
With this in mind, it must be satisfying for USAID staff to see their own in-house localization model finally emerging with direct local funding increasing to more than 10% in FY22. Of course, this shift would need to accelerate considerably to meet or even get close to Administrator Samantha Powerās goal of 25% local funding by 2025; however, there now seems to be a path that bureaus and missions across USAID could follow to fulfill that commitment. It builds on the PEPFAR-CDC model and USAIDās ongoing procurement and staffing reforms.
Two recentĀ peer-reviewedĀ journal articles byĀ USAIDĀ document that between FY18 and FY22, USAIDās PEPFAR-funded HIV/AIDS programs expanded annual direct funding āto local partners by $345 million, or an 81% increase.ā The data shows that this major expansion was accomplished incrementally across the missions. For example, local direct funding rose from $452 million in FY18 to $600 million in FY20 to $797 million in FY22. Thus, the 81% increase was accomplished through steady, widespread, and manageable progress. It should be noted here thatĀ third-party assessments of USAID localization data have raised doubts, both in terms of methodology and the inclusion of some international organizations. Still, it seems clear that the increases were rapid and significant. This sharp jump also gains credibility from the fact that it replicated the increases achieved by the CDC in the 2010s.
The USAID authors stressed that to qualify as local, partners had to be ālocally incorporated, registered, and have a majority of local staff, including at senior levels,ā so their local partners would all qualify as local entities under USAIDās current definition. They added that based on the available program assessments, local partners again ādisplayed quality of service comparable to international partners.ā So, after struggling for years to move the needle at all, how was USAIDās HIV/AIDS team able to achieve an 81% jump in just four years? The authors cite six aspects of USAIDās emerging localization model. None of these seem to be exclusive to HIV programming, suggesting they could be widely adopted across the Global Health Bureau and the Agency.
Local direct funding rose from $452 million in FY18 to $600 million in FY20 to $797 million in FY22. Thus, the 81% increase was accomplished through steady, widespread, and manageable progress.
As to whether these results were replicable beyond HIV programs, then-Acting Administrator for Global Health Jennifer Adams wrote that USAID HIV had developed theĀ ālargest local partner funding footprintāĀ across any Agency program with āsignificant experience and lessons learnedā to share with their colleagues within the Global Health Bureau and through the Agency about successful direct partnerships with local organizations. Reflecting on the same results, USAIDās former chief of staffĀ testified before CongressĀ this year that the experience was widely applicable, asserting that āevery largeā cooperative agreement and contract should include āmandatory Transition Awards to local organizations/local entities for the vast majority of the substantive work by the end of the period of performance.ā Ā
The second set of breakthroughs at the heart of USAIDās emerging localization model have been reform to its acquisition and assistance practices and staffing. This builds from recognition in Congress and the front office that USAIDās business practices are perhaps the single largest barrier to advancing locally led development. To address these issues and improve aid effectiveness,Ā USAIDās new acquisition and assistance strategy was launched six months ago. It sets out a path to achieve the 25% local funding goal, expand and equip the A&A workforce, and acquire a more diverse set of partners for locally-led development solutions.
One key personnel innovation was to recognize USAIDās local staff as an overlooked resource. The new A&A strategy explicitly recognizes that the local contracting officer corps is underutilized, with just 10% having warrants to obligate and manage funds on behalf of the U.S. government. After years of āslow walkingā the idea, USAID has again made rapid progress, moving from 19 local staff with these administrative warrants in FY22 to 40 now, exceeding its ambitious target of doubling the number in just one year. This shows that there are many well-qualified local staff as well as pent-up demand, so hopefully, USAID will continue to expand their ranks in FY24.
A key effort to expand USAIDās local partner base is a new public-facing A&A website.Ā WorkWithUSAID.org helps introduce USAID to prospective partners in civil society and has seen a good amount of traffic and engagement with more than 5,000 organizations registered, over 60% of which are considered local entities.
Another important shift in the A&A strategy is the effort to improve local partnersā ability to recover their costs of winning and implementing awards. The current āde minimusā overhead recovery rate of just 10% underfunds the core and proposal-writing expenses of local entities. When compared to the 20-40% overhead rates received by USAIDās traditional implementers through NICRA, the current 10% rate emerges as a glaring disadvantage and disincentive for local partners to accept the risk of working with USAID. Thankfully, new draft guidance from OMB has opened the door to raising the āde minimusā overhead rate to 15%. Finalization of this rule would allow USAID to more fairly compensate its local partners and break what has been called the āstarvation cycleāĀ of unrecovered overhead costs by local entities. Ā
The rapid growth of direct funding to local entities by the CDCās PEPFAR-funded programs a decade ago and by USAIDās PEPFAR-funded HIV programs more recently demonstrate that USAID can still reach or get close to the 25% direct local funding target by FY25. One key aspect would be the adoption of this internal USAID model by other technical sectors. That would be aided by the innovations of the A&A strategy, facilitating changes to USAIDās business practices while also reducing the costs for local entities to become its partners. Itās now fair to say that the localization trail has been blazed with PEPFAR, CDC and USAID HIV as its pioneers. Itās reasonable for localizationās bipartisan supporters in Congress to expect other parts of USAID to adopt similar approaches.
Your generosity truly made a significant impact, amplifying the positive change that weāre achieving together, and helping the campaign to finish strong!You notified us of a total of 32 legacy gifts ā thatās 32 investments in the futures of girls around the world. And, those 32 planned gifts resulted in an incredible $32,000 donation to Plan USAās We Are the Girls campaign.
āThe project has changed my life. Knowing about issues of gender, violence and others have made me see the world differently, and having participated in other spaces helped me feel more secure in my abilities and skills. I have developed my inner power and it has allowed me to be a leader in my community to empower more girls.ā ā Dayana, Champions of Change participant, El Salvador
āI believe that we have been trusted with the work we continue to do in our community. I now realize that all the dots are connected to form one line.ā ā Roshani, PROTECT project participant, Nepal
āMy mom says she sees changes in my life. I tell her what I learned in the employment sessions. She tells me not to stop, to put everything into practice, and to keep growing.ā ā Eliza, Connection to Success participant, Guatemala
The Legacy Match Challenge and We Are the Girls campaign have both come to an end, but Planās work with and for girls through GirlEngage is just getting started. Weāre so glad youāre on this journey with us, because none of this would be possible without you.āI enjoy comfortable nights now, as it is my first time ever to leave the mat and sleep in a bed.ā ā Nokuthula, The Graduation Project participant, Zimbabwe
By: Coco, Youth Leadership Academy participant Coco, 17, is a participant in Plan International USAās Youth Leadership Academy and the founder of The Shield Initiative. With Planās support, sheās raising awareness of young people’s mental health through art. Here, Coco shares how her activism is fostering a more equitable mental health experience for young people, in her own words. My journey of advocacy started in a data analysis project. I was asked to analyze a national dataset and bumped into the U.S. Household Pulse Survey while researching online. After a quick t-test on the difference between malesā and femalesā anxiety and depression score over the past three years (2020 to 2023), I surprisingly found out that females have a much higher mental distress score in both measurements in comparison with males. The female population experienced about a 20% increase in their depression score than the male population, and the statistics are similar for anxiety. But why? What causes the gender disparity in mental illness? I ended up researching online to find out the related factors.

Line graph showcasing gender disparity in U.S. depression score from Cocoās research.
It turns out mental health disparity is not at all uncommon to women and girls all over the world. Research has shown that compared to men, women are three times more likely to encounter mental health issues, and this statistic has been growing. A study done across 73 countries discovered that this disparity is more pronounced among adolescents. Poor understanding of gender during the adolescent age of rapid physical changes causes girls to doubt their overall identity, leading to more serious mental distress. [Read more: āWe’re almost never fineā: Young people on girls’ mental healthā]
I was shocked by these statistics, and how many people donāt know the mental health challenges that girls are going through. As these numbers remain in academic journals, I want to bring awareness on gender disparity by delivering the statistics to the public. In order to investigate firsthand what causes this mental health disparity, I completed my own research on gender disparity in mental health during COVID-19. I analyzed the U.S. Household Pulse Survey data I found and built data models to study its correlation with COVID-19. Through the research, I found out that females are generally more impacted by the pandemic than males due to factors such as lack of decision-making power inside the household and lack of access to health care āservices.ā This researchĀ inspired me to take actions to democratize knowledge on mental health inequity. With support and funding from Plan USAās Youth Leadership Academy, I founded The Shield Initiative to combat mental health issues among youth with the medium of art therapy.
Art therapy emerged in the 1940s, gaining wider recognition by the 1970s. It’s a mental health profession aiding individuals to improve various aspects of their lives, using art to express emotions and address issues under professional guidance, facilitating understanding and discussion for effective problem-solving. I experienced my own journey with stress a few years ago, and came to realize that peers around me are often stuck in a mindset that stigmatizes rest-taking. Specifically, we donāt invest enough time for self-care, and, as a result, we build a work-life schedule that is prone to stressārelated issues. Practicing art since kindergarten and experiencing the power of creativity made me realize that what we need is simply a lifestyle that invests time and value in healthy resting. We need to educate young people on the importance and necessity of incorporating this type of practice into our schedule. What better way to do that than bringing art into our journey with mental health?
The two important missions weāve been trying to achieve with Shield are: 1) to create awareness of the gender disparity in mental health data; and 2) to lead art therapy workshops with youth globally to alleviate mental health crises. During the summer of 2023, in my hometown, Shanghai, I curated an exhibition to highlight the mental health impact of COVID-19 through data visualization. The exhibition was called āA Weaving Mess,ā to capture the complexity of emotions and the fact that even negative emotions cannot be neglected by our society. The exhibition has seven installation pieces consisting of data visualizations made by yarn.

Line graph showcasing gender disparity in U.S. depression score from Cocoās research.
I exhibited the gender inequity dataset I found during my independent research to call attention to mental health disparity. Along with the major dataset, we included more detailed statistics on gender inequality to explain this phenomenon, such as the hours of household chores females had to complete compared to males during quarantine, or the number of girls that dropped out of school due to the pandemic. The first step of change-making is to shed light on the existing inequity. Through the exhibition, we wanted to tell a story through numbers. In addition, we collected mental health data from the Shanghai population to highlight these mental health statistics.
Cocoās curated exhibition featured an installation named āGender over Emotions.ā
“The first step of change-making is to shed light on the existing inequity.”
The Shield Initiative also advances progress toward a more equitable mental health experience by leading art therapy workshops. With a special focus on addressing gender disparity, I decided to take Shieldās first step in my current high school ā an all-girl school. On Valentine’s Day, we organized a self-appreciation flower-folding workshop, where participants first filled in an appreciation worksheet to help them think about things they love about their body, spirit and energy. Then, we worked on flowerāfolding, and put each thing we love about ourselves on a petal of the paper flower. We voluntarily started to fold appreciation flowers for each other, and eventually gathered a pile of paper flowers by the end of the workshop. Inspired by the positive changes this workshop produced on my local campus, we decided to expand Shieldās reach to more campuses, youth communities and countries. Now, Shield works in 15 schools and organizations in seven countries. The types of workshops Shield has led include:
The Shield Initiative holds a flower-making self-appreciation workshop.
From healing, moving forward Leading various workshops made me realize the power of seeing and being seen in the process of healing emotions, as well as the importance of having a connective community that supports oneās mental wellness. Moving forward, I encourage everyone to make art when you are struggling mentally. Here are some small art projects that can be easily done at home:
Try these techniques out! You can send a picture of your creation to our Instagram account to be posted on Shield. Painting not only helps us to heal and express our emotions ā we can also paint for activism, so that girlsā emotions are seen through the art we make. I will continue the journey of advocating for mental health equity. With a paintbrush in hand, I am no longer afraid to make my voice heard.
Inside this issue, youāll see how your support made a difference in 2023, and read about some of the incredible accomplishments made possible through Plan USAās We Are the Girls campaign over the past five years. You’ll discover why weāve joined forces with Paramount to launch 8M Infinito, a campaign that seeks to promote gender equality and make women’s and girlsā rights visible throughout the year. And youāll hear from four young women fighting to ensure all girls are free to reach their full potential.
Meteorologists are predicting a strong El NiƱo weather pattern through the winter and into the spring. But what is El NiƱo, and what does it mean for girls around the world?
El NiƱo is a climate pattern in the Pacific Ocean that can affect weather worldwide. It represents a change in the winds that circle the Earth, called ātrade winds.ā Normally, these winds blow west along the equator, taking warm water west from South America toward Asia. But during El NiƱo, trade winds weaken. Warm water is pushed back east, toward the west coast of the Americas. With this shift, areas in the northern U.S. and Canada are dryer and warmer than usual, while the U.S. Gulf Coast and Southeast, and northern Mexico, are wetter than usual and have increased flooding. Historically, El NiƱo-influenced weather systems bring more intense cyclones in the North-Western Pacific and more frequent cyclones in the South Pacific. Episodes of El NiƱo typically last nine to 12 months but can sometimes last for years. Events occur every two to seven years, on average, but they donāt occur on a regular schedule. Scientists arenāt exactly sure why they happen, but they can predict El NiƱo conditions several months to a year in advance, based on historical models and observation data. Basically, El NiƱo is a climate pattern that changes the Earthās normal conditions, resulting in extreme, unpredictable weather.
The last strong El NiƱo season ran from mid-2015 through early 2016 and affected approximately 60 million people globally, according to the U.N.
Did you know? El NiƱo has an opposite counterpart called La NiƱa. While El NiƱo represents a warm phase, La NiƱa represents a cool phase. La NiƱa often follows El NiƱo a year later.
Children, especially girls, are often uniquely vulnerable during crises like El NiƱo, which all too often increase risks such as child marriage, trafficking and gender-based violence. Extreme weather ā whether heavy flooding or too little rain ā can also disrupt education, with girls often forced to drop out due to reduced family incomes, safety concerns or greater household responsibilities. This not only has long-term consequences on their development and life opportunities, but can place girls at risk of violence, early marriage, teenage pregnancy and hunger. In times of crisis, girls, particularly in low-income regions, are also at greater risk of health issues and malnutrition. They are more likely to be forced to leave their homes, which can lead to exploitation and separation from their families. A gender-sensitive approach is vital to address these unique challenges. Weāre already seeing droughts hurt girls in places like Haiti and Somalia, because girls are often responsible for collecting their familiesā water. “It is very difficult to get water in this area,ā Sofiana, a 13-year-old girl in Haiti, told Plan. āThe stream is very far away, and it can take an hour to walk there.ā The long walks can be dangerous, especially if girls have to walk at night. If they walk during the day, they risk missing school. In Somalia, droughts have already caused families to migrate and, in some cases, resort to child marriage. āWe came here during the last drought,ā Qadan says from a displacement camp in Somaliland. āWe donāt have jobs or any cattle. All 150 of our cows died due to the drought.ā With no income or food to feed their children, Qadan and her husband decided to marry off their 15- and 16-year-old daughters. āWe are not happy with what we did,ā Qadan says. āWe wanted the girls to go to school, but we couldnāt afford it and thought marriage would be beneficial for them.ā Now, 13-year-old Khadra fears that she may be next. āI miss my married sisters,ā she says. āThey were supposed to be here and support me. I want them to come back. The reason why they married men is because of the drought that happened to us.ā Ā
Plan is already responding to a hunger crisis in Africa and Haiti caused by a deadly combination of supply chain shortages, conflict and climate change. Weāve seen that, when food is scarce in many places around the world, girls often eat less ā and last.Ā
No ā El NiƱo has been occurring for thousands of years, and will continue into the future. However, there is increasing evidence that human-driven climate change is amplifying the frequency and strength of El NiƱo events. In fact, El NiƱo is anticipated to exacerbate global warming, potentially leading to the global temperature temporarily surpassing the 1.5°C warming threshold at multiple points between 2023 and 2024. This is why it’s especially important that communities have the resources they need to prepare and respond to these events.
Read: Meet the girls engineering a more sustainable future Ā
Scientists first declared the presence of this seasonās El NiƱo conditions in June of 2023. Since then, hereās what the U.N.ās Food and Agriculture Organization has said we can expect:
We work with girls and their communities to plan for possible disasters and minimize the damage. If something does happen, weāre ready with immediate support designed to meet girlsā unique needs. For example, Plan is working with young leaders in flood-prone communities in the Philippines. Aires, 19, is part of a group of young people organized by Plan who are working to keep themselves and their families safe should disaster strike. āMy own family has felt the effects of the changing climate,ā she says. āFloods are getting worse and becoming more unpredictable and our fishing practices are being impacted.ā Through Planās training, Aires helped to identify community hazards through risk mapping exercises and come up with solutions to tackle them. She created a disaster preparedness plan for her family to follow in case of an emergency and helped develop inclusive and risk-informed flood plans for the wider community. With Planās vast network of local leaders, this essential work is saving lives ā and, itās only possible with support from people like you.
Around the world, weāre stepping up early action to prepare for this yearās El NiƱo. Working hand in hand with local communities, we are supporting children and their families to prepare for and withstand disasters, saving lives while protecting livelihoods and children’s futures. Plan International is actively coordinating with U.N. agencies and expanding preparedness efforts globally, focusing on the countries where El NiƱo is expected to have the most significant impact. Our response includes addressing the critical issue of food security by working to meet the rising food aid needs and providing support in regions directly affected by El NiƱo:
Ā
Plan works with communities to respond to their individual needs. Because we know that girlsā unique needs are often overlooked in times of crisis, we make sure to distribute items like menstrual pads as part of our responses, along with other essentials like shelter, food and clean water. When an earthquake hit western Nepal on Nov. 3, local Plan staff acted quickly to provide 500 families with lifesaving items like blankets and tarps. We also build safe spaces where children can learn and play while their parents run errands, and connect families with mental health services. This is a unique situation ā we donāt always know when a disaster will strike. Your gift today can help communities around the world prepare for the impact of El NiƱo.
Special thanks to the staff members in the Plan International Burkina Faso office who assembled this case study, including Thaddee Mukezabatware, Marie-NoĆ«l Maffon and Elise Cannuel. Read the full report.Ā The Central Sahel countries ā Burkina Faso, Mali and Niger āhave been affected by an unprecedented food crisis due to protracted conflict, the global economic crisis and the effects of climate change. In response, Plan International and its partners have implemented innovative school feeding initiatives. In a crisis context, school feeding interventions help to keep children in school, giving them good learning conditions while improving their nutritional status. Moreover, school attendance protects children against various types of rights violations, especially girls, who are more exposed to gender-based violence in times of crisis. Read: Central Sahel Hunger Crisis Fact Sheet Ā The school garden initiative was implemented from July 1, 2022 to June 30, 2023 as part of a food security and nutrition response project. The strategy included large community mobilization, with the recruitment of three local staff (including two women) to implement the school gardensā activities. In addition, the project involved the provincial services of the Ministries of Education and Agriculture, as well as Parents and Mothersā associations and COGES in each school. Selection criteria of the schools that participated in the project included:
āThe children are super-interested. Both girls and boys want to give their best. But at this rate, the girls are beating the record! The garden allows teachers to give practical courses in agriculture, and that will assist the children in their lives. There are children who replicate these activities at home.ā ā Fabienne Nikiema, agriculture animator of the project in the Centre-North region
Integrated hydroponic systems (i.e., soil-less agriculture with poultry and fish farming methods) are an innovative technology combining gardening and poultry and fish farming that could be adapted to the Burkinabe context using locally sourced materials and integrated to the school gardens to achieve a reliable supply of fresh nutrient-dense and animal-sourced foods to feed students. An integrated hydroponic system is shaped like a pyramid with poultry cage on top, a fish basin at the base and vegetables growing on a grid all around. These systems require little space and water resources, so they could help to overcome the challenges encountered during the implementation of school gardens. To enable Plan International Burkina Faso to design this innovative pilot project, a literature review was carried out and numerous resources were used, including those collected by Plan International Canada from various Country and National Offices, but also through testing hydroponic school gardens in Zimbabwe with the support of Plan International Germany. Several field visits were carried out by the projectās team and feasibility has been studied, including hygiene and safety aspects. Partners have already been identified to provide technical support: the National Federation of Young Agricultural Professionals and the Nazi Boni University. The implementation of integrated hydroponic systems in the school gardens set up in the Centre-North could:
Read: The state of positive youth development in Ghana For more information about Planās programming in the Central Sahel region, please contact Planās Central Sahel Response Information and Communication Coordinator Elise Cannuel at [email protected].