In 2021, IPPF Member Associations (MAs) continued to demonstrate their resilience and adaptability to carry on serving people in spite of the severe disruption caused by the COVID-19 pandemic.  A total of 231.4 million services were delivered, a six per cent increase on 2020. Despite comprising fewer MAs, IPPF recovered more than half the decrease caused the previous year by clinic closures and other restrictions. Couple years of protection (CYP) increased by eight percent to reach 29 million – higher than in any year prior to the pandemic.