Foreword 1

About this report 2

2021 Situation overview 3

Strong outbreak surveillance systems 5
　Building sustainable national laboratory systems in Europe 8
　Improving access to testing in Afghanistan 9

Empowered, engaged, and enabled communities 10
　Strengthening partnerships with faith networks 13
　Empowering resilient communities in Syria 14
　Strengthening community partnerships in Kenya 15

Equitable access to tests, treatments, and essential supplies 16
　Spotlight on vaccines 19
　Ensuring no one is left behind delivering vaccines in Cox's Bazar 22

Resilient health systems 23
　Ensuring a trained and protected workforce in the Americas 27
　Strengthening referral pathways in the Western Pacific 28

Preventing and Responding to Sexual Exploitation, Abuse and Harassment ( PRSEAH ) 29

Looking ahead : 2022 and beyond 30

Annexes 31
　Annex 1. Overview of SPRP monitoring and evaluation 31
　Annex 2. Financial contributions 33