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Centro de Investigación, Educación y Servicios (CIES) is one of Bolivia’s foremost sexual and reproductive health institutions.  Particularly committed to improving access to sexual and reproductive health services for hard-to-reach and otherwise marginalized populations, CIES provides specially designed services for vulnerable populations such as indigenous groups, rural populations, gay lesbian transgendered queer (GLBTQ) groups, women experiencing violence, youth living on the street, and people displaced by natural disaster.  In 2007, CIES provided 615,335 services. CIES provides services and contraceptives through 13 service delivery points, which include 10 static clinics and 3 mobile clinics. It is estimated that CIES provides between 15 to 30% of contraceptive services in Bolivia. Additionally, CIES maintains a strong educational component in its programs. In 2007, CIES trained over 1,600 peer educators who in turn provided 71,781 education services. CIES staff provided educational services to 21,661 people overall.

Taking into account Bolivia’s large indigenous population and their historical disenfranchisement, marginalization and geographical isolation, CIES offer services to these rural populations through mobile health units. This project operates SUVs equipped with medical supplies, a medical team, and educators, and serves more than 100 communities. In the last year, CIES has provided services to more than 23,000 people through this project, including a total of 24,642 clinical services, with 3,423 contraceptive services, 10,615 non-contraceptive SRH services and 10,604 general medical services.

Association at a glance:
# of clinics: 10
Total Annual Budget: $5,787,633
Population:  9.8
Poverty Rate (% of population):  63.9
% of the population that is youth (ages 10-24): 31
Adolescent Fertility Rate (Per 1000 Women Ages 15-20):  81.4
Total fertility rate (total): 3.7
Maternal mortality rate: 230
% of All Maternal Deaths Attributable to Unsafe Abortion:  33
HIV Prevalence, 15-49 (%):   0.1
Modern contraceptive prevalence (ages 15-49) (total): 23.7

Abortion law is restrictive