$21.5M in expenses

Data for health programs:- under civil registration and vital statistics (CRVS) vital strategies continued its work in ensuring that a greater number of birth and death records are counted as part of its public health systems improvement objective. Across the three focus regions of africa, asia and latin america $5,218,000 annual and cumulative death records were improved or newly counted in countries receiving initiative support, up from $3,977,000 in 2023. Similar positive progress was achieved with birth records which increased to 6,339,000 in 2024 from 5,425,000 in 2023. 676 common, critical path process milestones were reported in the 24 two-year country work plans. Of these, 56% (379) completed and achieved institutionalization, and 27% (180) were deferred to the next phase. Successes were also achieved across multiple interventions. Legal and regulatory reviews were completed and recommendations produced in bolivia, ethiopia, india rajasthan, and kenya, while recommendations from reviews completed in the previous phase were produced for indonesia while the legal review process is ongoing in mozambique and morocco. Research on the barriers and facilitators to female death registration was carried out in bangladesh, india, the solomons islands and tanzania, and research on the experiences of gender diverse people with changing gender marker on legal identity documents in bulgaria, ecuador and peru (through GGP awards). Seven of the 23 countries were supported with specific technical assistance and document reviews from a gender equity perspective and representatives from eight countries participated in the gender equity mentoring program. Three countries (rwanda, the solomon islands, and tanzania) have completed all business process mapping and improvement milestones for birth and death registration, MCCD, VA, and vital statistics production. Cambodia and vietnam have also improved business processes for birth and death registration, MCCD, and icd mortality coding. Lastly, nine countries have institutionalized pre-service requirements to teach correct certification practices in medical schools across the country, morocco and sri lanka have achieved institutionalization and scale up and require no further support. - over the past year, data impact program had a number of successes: 53 policy briefs were developed in 11 countries resulted in 8 informing a change in policy or practice through passing or implementing a policy recommendation or are in the process of being advanced for enactment. 68 projects across four countries were presented or published after participants completed a scientific communications training. Examples of policy successes across the 25 focus countries include free contraception, improved access for indigenous populations to reduce infant mortality in bolivia; prototype development of a tool for collecting disability indicators and the piloting of the data collection system for disability indicators in cambodia; and regional health bureau for addis ababa included a protocol for pre-hospital care for victims of road crashes, established a coordination center for emergency response and included pre-hospital care in their plan of action. Additional success were achieved in the institutionalization of technical areas. In bangladesh a data analytic unit was established with defined tors and sops with implementation of the sop. National his staff in solomon islands delivered data analytics and use training to provincial staff after attending trainings provided by the dip. Moreover, in ethiopia, an sop for producing vital statistics and a guide on vital statistics data quality self-assessments produced and the technical guidance for strengthening the vital statistics production process implemented. Lastly, in philippines, recommendations on the hpcpb competencies were incorporated into the hpdpb learning and development needs assessment (ldna). The ldna will be used to guide training activities and personnel hiring for the hpdpb for 2025-2026. - the global grants program (GGP) expanded the reach of d4h to five new countries as part of its ninth funding round in which 13 projects were approved at a cumulative value of $1.3m. This latest funding round was aimed at advancing gender equity initiatives. Overall, 2024 included work on 23 active projects valued at just over $4.0m with eight of these projects being closed out from previous funding rounds. Notable accomplishments during the year include the holding of a global gender equity convening with round 9 country teams and d4h global partners, promotion of cross-country collaborations through a gender equity community of practice, supporting two regional partnerships with africa CDC and SPC and piloting high risk/value work, (ex. Working with the office of the chief of police in lagos state, nigeria to assess and address femicide). - cancer registry program has partnered with eight data for health focus countries during 2024: cambodia, mozambique, rwanda, sri lanka, tanzania, uganda, vietnam, and zimbabwe. Five countries published incidence or survival estimates for the first time, four strengthened central coordination through strategic plans or national advisory committees, and five began transitioning to dhis2 or cloud-based systems to improve data quality and timeliness. Several focus country achievements were achieved during the year. For example, in cambodia, we supported case registration from major facilities, held data analysis and report writing training and met with the minister of health to advocate for population-based cancer research. The program also supported mozambique in strengthening cancer governance through the establishment of a national cancer registry advisory committee, which will convene stakeholders from across sectors and provide strategic guidance for aligning cancer registration with national priorities. Additionally in rwanda, kigali registry staff led a cancer registry methods and principles, canreg5, and dhis2 training for 14 participants, including focal points who are responsible for collecting data in major hospitals and inputting it into dhis2 as well as international attendees, with a one day focusing on dhis2 integration. Lastly, work across focus countries continued via the established collaboration with iarc. In fall 2024, iarc hosted two global cancer registry trainings in lyon, france. The first, in partnership with afcrn, trained 24 participants in canreg5 software, focusing on data management and data quality control. The second, under the gicr, trained 28 participants from six regional hubs to become canreg5 trainers.

$18.3M in expenses

Opioid overdose prevention program:vital strategies continued its work as part of the opioid overdose prevention program in 2024, helping to implement 28 legislative, regulatory, administrative action and protocol changes in four of our seven focus states, distributed more than 1.8m naloxone kits through state-run naloxone portals, launched nine state and national media campaigns and developed 12 toolkits and technical guidance products since inception. Specific 2024 achievements across our seven focus states are as follows: - kentucky: - naloxone access - helped kentucky launch their new naloxone website and ordering portal at findnaloxonenowky, including release of a new animated training video - anti-criminalization - kentucky c4-funded defensive lobbying project achieved changes to hb5 to somewhat mitigate harmful impact and is working with courts to establish monitoring plan to help convey impact of hb5. - michigan: - opioid settlements - michigan association of counties engaged with 61 of the 83 counties and completed 244 technical assistance requests over two years - community mobilization - held project overview and future planning convenings in harrisburg pa with 70+ attendees - new jersey: - community crisis response - vital projects in new jersey continue to achieve milestones in expansion and sustainability through award of state funding. This includes our grantees being approved for pilot funding for new community alternative response models and approved as harm reduction centers under new state law. - anti-criminalization - major legislation signed in new jersey to remove drug checking items from paraphernalia criminalization laws, and to authorize and provide funding for community-led crisis response pilot programs - new mexico: - opioid settlements - vital was invited to play a key role in creating settlement spending strategy for new mexico's most populous county and city. A robust community engagement plan, and thorough data landscaping, informed recommendations to be finalized in november - drug checking - state drug checking program in new mexico was launched and operating at three of four planned sites and already enabling public health alerts and responses - north carolina: - moud access - expert consultants engaged by vital strategies in north carolina are making important strides towards encouraging program adoption, helping to secure funding, and planning for data collection to help build up jails-based moud access in the state. Progress was made in six counties, including advancing plans for jail-based dosing in rowan county and finalizing contracts for peer support in harnett county. They also assisted in preparing funding proposals for moud programs in mecklenburg and caldwell counties. - drug checking - university of north carolina's opioid data lab continued to scale their work by developing a data dashboard for the north carolina department of health and human services to provide real time analysis of tested substances. Additionally, five datasets were created, and a chemical dictionary is in progress to aid substance identification. A 24-hour response time was established for community data requests, and a nationwide randomized drug messaging trial was conducted across seven harm reduction sites. Efforts to overhaul the data reporting pipeline include launching a team website with newsletters, user-friendly data access, and a prototype for program summaries set for early 2025. - pennsylvania: - drug checking - subgrantee pa groundhogs continued their community-based drug checking work and secured additional funding sources to continue operations - community mobilization - held project overview and future planning convenings in in detroit region with 80+ attendees across sectors - wisconsin: - drug checking - vital strategies and remedy alliance planning and technical assistance helped dane county prepare for the launch of a community drug checking program - community mobilization - vital strategies convened a three-day policy workshop in milwaukee, wisconsin from september 16-18, 2024 focused on strategic planning for harm reduction and overdose prevention in wisconsin and facilitated by the wisconsin institute for public policy and service. The primary objectives of the workshop were to identify a set of specific priority policy issues related to overdose prevention and harm reduction efforts, develop actionable next steps to advance reforms of policy priorities, and establish a mechanism for ongoing collaboration for stakeholders.additionally, vital worked across two or more states to complete the following activities in 2024: - community-based race equity grants, supporting engagement and services by bipoc-led organizations for local health initiatives, are now active in pennsylvania, kentucky, new jersey and are planned to be launched in north carolina - opioid settlements collaborated with johns hopkins team to launch the ospri tool for opioid settlement indicators, which we continue to update and improve - harm reduction services - launched opcinfo website with brown university; now includes recorded virtual tour of an overdose prevention center and library of photos for media - anti-criminalization - working with broken no more to elevate media engagement opportunities for parents who have lost a child to overdose and who want to become involved in advocacy against punitive policies, with press engagement and video production. - moud access - collaborated with american society of addiction medicine on legal explainer and state-by-state review of legal landscape relating to stimulant medication treatment

$17.1M in expenses

Tobacco control programs:vital strategies achieved the following accomplishments as part of the initiative to reduce tobacco use in 2024: - in 2024, the vital strategies tobacco control division contributed to policy development, capacity building and sustainability efforts across the 10 initiative priority countries, and several non-priority countries. In addition, significant work continued and grew under the global implementation program, the tobacco industry interference grants program and the global cessation program. - in 2024, vital TCD launched alongside rounds 35 and 36 of the bi grants program. 251 applications were received. The team negotiated and signed 66 grants in 14 countries. - in 2024, the vital TCD stop team successfully executed the third round of the tobacco industry interference (tii) grants program, with a call for proposals open alongside round 35 of the bi grants program. The team received 84 applications and finalized nine grants in 2024. Throughout the year, tii sub-grantees executed several actions to expose and counter ti activities around the world including documenting industry allies' activities, effectively counter ti attempts to undermine tobacco control policy, and providing counter messaging for tobacco harm reduction arguments. TCD stop teams in indonesia, mexico, pakistan, philippines and vietnam collaborated with partners to disseminate stop whistleblower content exposing how pmi manipulated science and political environments to create a japanese iqos market. In vietnam, the materials were used as part of a comprehensive approach to counter pmi lobbying to introduce heated tobacco products (HTPS) to the market, which added to the evidence considered by the national assembly when it issued a ban on HTPS and electronic cigarettes. - the global implementation program supported 25 cities/districts across five countries in 2024. Collectively the cities and districts held 185 coordination and stakeholder meetings, issued 239 directives and notices, trained 1,923 enforcement agents, and inspected 54,892 venues and retailers. The tobacco control implementation hub received over 2,200 views, bringing the total to 48,000 views from 152 countries since its launch in 2021. Two webinars were held sharing best practices with over 700 participants. An enforcement audit tool was piloted in four states in india. - in 2024, vital strategies tobacco control division signed its first grants under the cessation program and by the end of the year had active grants in cambodia, china, india (3), indonesia, and the philippines. The cessation program also provided support to grants with cessation objectives in pakistan and ukraine under the bi program. Throughout the year, the vital team worked closely with who partners. A joint publication on cessation ecosystems is underway and joint who missions to mexico and china were completed in 2024. The program held a webinar focusing on three population-level approaches to cessation to build capacity among vital strategies and who staff. Vital strategies and partner undp progressed four investment cases focused on cessation funding and support in indonesia, mexico, the philippines, and vietnam. - vital strategies tobacco control team provided technical media communication support to 9 countries, leading to digital and traditional media campaigns to support behavior and policy changes. - vital strategies communication researchers worked with governments to support the tobacco industry's online marketing monitoring activities and reports in china, mexico, india, and indonesia. - vital strategies continued its stop tobacco work to produce reports on instances of industry interference in tobacco control policies.

$38.7M in expenses

Other programs include road safety, partnership for healthy cities, obesity prevention & food policy, reset alcohol, and more.