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New York, New York, UNFPA, . 88 p.The UNFPA Annual Report provides a regional review of programs, including those that are interregional, a sectoral review, and other activities. The sectoral review covers family planning (FP), IEC, basic data collection, the use of population research for the formation of policy and development planning, women in population and development, special program interests, and population and the environment. Other activities include promotion of awareness and exchange of information, policy and program coordination, staff training and development, evaluations, the International conference on Population and Development, technical cooperation among developing countries, procurement of equipment and supplies, and multibilateral funding of population activities. The appendices include a glossary of terms, the 1991 income and expenditure report, government pledges and payments for 1991, project allocations in 1991 by country and region, governing council decisions for 1991, and 16 resolutions. In spite of the doubling of population from 2 billion in 1960 to 4 billion in 1990, there is optimism because of progress in country's formulation of population policy and programs, i.e., FP use has increased to 51% from 12% to 14% in 1971, and the average number of births has declined 37% from 6 (1965-70) to 3.8. This progress has been accomplished within a short generation, at low cost, and with 70% of the contributions coming from users and country governments in declining economic circumstances. The challenges ahead are dealing with mass poverty and environmental degradation. Actions to reverse the trends should be to change development priorities, attach poverty directly, shift to cleaner technologies, improve the status of women and girls, and include population in development planning. Highlights of 1991 are that income increased 5.6% and pledges 7.2%. The project expenditure rate was 80.6% vs. 80.1% in 1990, and the resource utilization rate was 102.1% vs. 100.2% in 1990. The number and cost of new projects was lower than in 1990. 55 countries were given priority status. Programs were reviewed in 28 countries. There was a 2% increase in professional women staff to 41%.