ENOUGH IS ENOUGH! Nearly a year into targeted, reproductive violence against Palestinian women and girls, and the bombing of our reproductive health site in Gaza; IPPF readies itself for a fresh wave of attacks against its health workers and clinics in Lebanon.  "Our healthcare workers in Lebanon are under attack. 70% of them are women. The facilities where women come and access life-saving reproductive services have already been destroyed in Gaza. Now the world is forced to watch another horrific spectacle of the same war crimes being committed in Lebanon.” “We demand all governments - including the U.S., Germany, UK and others - that are supplying these weapons that kill, maim and displace our fellow healthcare workers to stop. We demand an end to the killing of ALL civilians; we will not be silenced, we will continue to collect evidence and talk about these crimes against our collective humanity,” said Dr. Alvaro Bermejo, Director General, International Planned Parenthood Federation.  Israel's indiscriminate attacks on Gaza have had devastating consequences for women's reproductive health. The attacks on our own health site, on hospitals and maternal health sites significantly limited access to care. We are experiencing this in Sudan too; clinics destroyed, men’s use of violence against our health workers, and rape used as a weapon of war.   In Palestine, obstetric and reproductive violence have been evidenced as a feature of Israel’s violence; we are urgently ringing all alarm bells before these crimes are repeated against women and girls in Lebanon.  “Our staff are terrified; they are running for their lives. Contact with our team is limited - health care workers are too scared to use their phones. We fear not just for our colleagues; but for every single woman and girl. Once again, the very essence of humanity is at stake, as though women, children, and all human beings are merely numbers,” said Lina Sabra, Executive Director of IPPF Member Association in Lebanon, SALAMA. Lebanon is experiencing its deadliest days since the country’s civil war ended in 1990. The acceleration in killing over the past few days amid the escalation between Israel and Hezbollah is only made possible by powerful countries with a vested interest in the continuation of this war.  We remind all parties that acts of obstetric and reproductive violence have been prosecuted as crimes against humanity.

Eswatini (27 August 2024) - IPPF’s Member Association in Eswatini, the Family Life Association of Eswatini (FLAS), is soon to roll out the first women-controlled HIV prevention product, the dapivirine vaginal ring (DVR). FLAS will be among the first organisations to offer the DVR outside implementation or pilot studies anywhere in the world. Made of flexible silicone, the ring is inserted into the vagina by a woman and slowly releases the antiretroviral drug dapivirine in the vagina over a one-month period, helping to reduce a woman’s risk of acquiring HIV. In 2023, in sub-Saharan Africa, women and girls accounted for 62% of all new HIV infections and every week, 3,100 adolescent girls and young women aged 15–24 years became infected with HIV. Therefore, there continues to be an urgent need for HIV prevention methods that females can use to protect themselves. The DVR is a product women can control themselves and use without the knowledge or consent of their partners, unlike condoms, which men often refuse to use. The DVR is inserted into the vagina and left for a one-month period, where it can then be replaced each month for continued protection. Unlike daily oral PrEP, the DVR does not rely on remembering to take a pill each day and is also discreet as it stays inside the vagina throughout the month. The DVR does not prevent pregnancy or other sexually transmitted infections (STIs), so women choosing to use the ring may want to consider combining it with condoms and methods of contraception. The availability of the DVR is an exciting step in supporting women’s autonomy and choice in HIV prevention. This need for women-controlled HIV prevention products has long been advocated for, with the African Women Prevention Community Accountability Board launching the HIV Prevention Choice Manifesto in early 2023. The Choice Manifesto prioritises the principle of choice to ensure that women and girls have the right to choose which HIV prevention methods work for them. Currently the ring is available at selected facilities through implementation studies across six countries in East and Southern Africa; South Africa, Kenya, Zimbabwe, Lesotho, Eswatini, and Uganda.  Diantha Pillay, Associate Director for Product Access for IPM South Africa NPC (an affiliate of the Population Council), said:  “It is encouraging to see the efforts made by FLAS and IPPF to support the choice agenda for HIV prevention for women and make effective HIV prevention methods, like the DVR, more widely accessible in a real-world setting. We hope this can pave the way for introduction of future pipeline products that speak to the needs of women.” The Population Council is currently developing a longer duration DVR that women would use for three months versus one month to significantly lower annual product costs and offer women a more convenient option to protect themselves. Thabo Lizwe Masuku, Programs Manager for FLAS, said: “Women have been telling us for a long time that  there is a need for a variety of methods for HIV prevention, since they are highly exposed. For women and girls to truly have choice about what works for them as they navigate different stages and circumstances of their lives, policy makers, donors, governments and implementers must ensure the mix of HIV prevention methods are available, accessible, and affordable. Access to the ring through our clinics in Eswatini now gives women choice and options to protect themselves against HIV.” IPPF is committed to ensuring that choice in HIV prevention is a reality for women and girls and aims to roll out the dapivirine vaginal rings at as many Member Associations as possible, as well as offer other HIV-prevention choices, as we work alongside our partners towards a future free of HIV in Africa and beyond. For more information and to speak to staff in Eswatini, please email [email protected]   Notes: The dapivirine vaginal ring has been recommended by the WHO since January 2021. (25) In clinical trials, the  ring was shown to reduce HIV infection by 35% in The Ring Study (26,27) and 27% in the ASPIRE Study. (28,29) Recent open-label studies show greater adherence to the ring, and modelling data suggest that HIV risk could be reduced by about 50%. (30) The dapivirine ring has received regulatory approval from the European Medicines Agency (EMA), as well as from local medicines regulators in Namibia, South Africa, Kenya, Zimbabwe, Uganda, Zambia, Malawi, Rwanda, Eswatini, Lesotho, Botswana and is currently under regulatory review in a number of other countries Our Member Associations (MAs) that provide clinical services are required to provide comprehensive SRH services through our Integrated Package of Essential Services (IPES) which include services for sexual health and well-being, contraception, abortion care, sexually transmitted infections (STIs)/reproductive tract infections (RTIs), HIV, obstetrics and gynaecology, fertility support, and sexual and gender-based violence. IPPF’s new five-year strategy, Come Together, focuses on expanding choice. In support of this, we recently launched a special programme to expand our HIV prevention options, which aims to integrate the newest HIV prevention methods – the vaginal ring and injectable PrEP - into our comprehensive sexual and reproductive health services.  IPPF’s IMAP Statement on Biomedical HIV Prevention can be found here. About the Family Life Association of Eswatini (FLAS)  For over 30 years, the Family Life Association of Eswatini (FLAS) has provided sexual and reproductive health (SRH) services to the people of Eswatini (formally Swaziland). While family planning, antenatal, post-natal and post-abortion care form a key part of FLAS services, there’s a significant focus on HIV and AIDS programmes. Eswatini has some of the highest HIV and AIDS prevalence rates in the world. As a result, the prevention and management of HIV and AIDS, the provision of voluntary counselling and testing (VCT), and the prevention of mother to child transmission (PMTCT) are central to FLAS’s work. FLAS has 15 service points, including three permanent clinics and three mobile facilities, staffed by a permanent team of 40 staff backed by 230 volunteers, 180 Youth Action Movement members and 29 peer educators. About the International Planned Parenthood Federation (IPPF) IPPF is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries.Our work is wide-ranging, including comprehensive sex education, provision of contraceptives, safe abortion, and maternal care and responding to humanitarian crises.  We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and crucially no matter how remote. Our services are available to all, and reach the most marginalised groups in societies, including key and priority populations, youth, and people with disabilities. Most of our MAs have special programs to engage youth (10-24) inside and outside of school settings. Because our clinics offer comprehensive services, attending our clinics is non-stigmatizing and does not label people as having a particular disease or membership to a particular group. This model of services that are integrated and open to all, embedded in indigenous, locally owned organisations, is ideal for ensuring that the most vulnerable and marginalised groups can access the HIV prevention services they need. About the Population Council The Population Council is a leading research organization dedicated to building an equitable and sustainable world that enhances the health and well-being of current and future generations. The Council transforms global thinking on critical health and development issues through social science, public health, and biomedical research. We generate ideas, produce evidence, and design solutions to improve the lives of underserved populations around the world.  

25 July 2024 – The International Planned Parenthood Federation (IPPF) laments the missed opportunity by the European Court of Human Rights (ECHR) to ensure that the human rights of sex workers are respected, protected and fulfilled by all European Member States, in accordance with the European Convention of Human Rights.  The ruling comes after 261 sex workers, many of them migrants and/or gender minorities, filed a complaint to the ECHR in December 2019 to challenge the French Prostitution Law 2016, upheld by the French Constitutional Court earlier in 2019, which criminalizes the clients of sex workers and led to human rights violations of the sex workers.   IPPF and its Member Association in France, Le Planning Familial, were among the numerous communities, health, human rights and feminist organizations that supported the sex workers’ application to the ECHR, noting the extreme deterioration in the living and working conditions of sex workers since the criminalization of clients came into force.  We are disappointed that the ECHR has chosen to neglect its duty to ensure the protection of human rights of all people, without discrimination. In doing so, the leading human rights norms and standards on sex workers rights remain in the recommendations of the major UN agencies including the World Health Organization, UNAIDS and the UNDP, as well as by major international human rights organizations such as Amnesty International, the International Lesbian, Gay, Bisexual, Trans, and Intersex Association (ILGA) World, Human Rights Watch, and Transgender Europe, as well as IPPF.  The court’s decision was an opportunity for the European region to establish a precedent in human rights jurisprudence that reaffirms what sex workers themselves have demanded for decades: that sex workers are entitled to the respect, protection and fulfillment of their human rights, free from discrimination, including the right to privacy and autonomy, the right to be free from violence and discrimination, and the rights to physical integrity and life.  Micah Grzywnowicz, Regional Director of the IPPF European Network, said:  “Rather than seizing a critical opportunity to protect human rights, we are disappointed that the European Court of Human Rights has instead deferred the issue to legislatures, despite recognition that the Swedish Model infringes on sex workers rights. Rather than ensuring the human rights of sex workers in Europe are guaranteed by States, their human rights are now dependent on their geographic location and the country in which they live.  Strong evidence demonstrates that criminalization laws have negative consequences for sex workers and their families, and lead to violations of their human rights. We are disappointed that the voices, human rights, and autonomy of sex workers have been deferred by a Court established exactly for the purpose of guaranteeing the human rights of all people, without discrimination.”  In 2022, IPPF adopted a Sex Work Policy which focuses on evidence-based policies which best respect, protect and fulfill the human rights of sex workers. Informed by the lived experiences of sex workers globally, our policy strongly supports decriminalization, together with social policies that address structural inequalities that manifest in all areas of society including sex work. Notably, the policy notes that “widespread criminalization, stigma and discrimination not only violate their human rights to live free from violence and discrimination, the right to health, and sexual and reproductive rights, but also limit sex workers’ capacity to self-organize, access funding for service provision and advocacy, and meaningfully engage with civil society organizations (including unions) and policymakers.”   It is essential that we stand with sex workers to support their continued advocacy to be free from discrimination and exercise their human rights. IPPF stands in solidarity with all sex workers around the world and calls on all governments to take immediate steps to guarantee sex workers’ human rights.  For media inquiries please contact [email protected]  About the International Planned Parenthood Federation  The International Planned Parenthood Federation (IPPF) is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. We are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries.  Building on a proud history of 70 years of achievement, we commit to lead a locally owned, globally connected civil society movement that provides and enables services and champions sexual and reproductive health and rights for all, especially the under-served.  We advocate for a world where people are provided with the information they need to make informed decisions about their sexual health and bodies. We stand up and fight for sexual and reproductive rights, and against those who seek to deny people their human right to bodily autonomy and freedom. We deliver care that is rooted in rights, respect, and dignity - no matter what. 

Geneva, 12 July 2024 – The 56th Session of the Human Rights Council concluded today with major advancements for women and girls’ human rights, including the first ever reference to sexual and reproductive health and rights in a negotiated document—which was adopted by consensus.     For the first time in UN history, a resolution refers to the full formulation of “sexual and reproductive rights. The resolution, “Human rights in the context of HIV and AIDS,” urges states to address the specific needs of adolescents and young persons, especially girls and young women, and persons with disabilities in the response to HIV, and “to develop (...) sexual and reproductive health services, as well as education programmes on sexual and reproductive health and rights.” It is also the first resolution on HIV adopted by consensus since 2019.   In contrast to previously agreed language on ‘sexual and reproductive health and reproductive rights’, the inclusion of ‘sexual rights’ ensures that young people will learn they have the rights to be free from sexual violence, from female genital mutilation, from marital rape, and that they have freedom to build safe, healthy relationships and families with the person they choose.  “The language adopted today reflects one of the most highly significant advances  on sexual and reproductive rights over the past 30 years at the UN. At a time of increasing attacks on freedom, human rights and bodily autonomy, the Human Rights Council has demonstrated that it is still fit for purpose to protect people’s human rights to live free from sexual violence,” says Estelle Wagner, IPPF’s Senior International Advocacy Adviser in Geneva.  During the session, the HRC also adopted the resolution “Elimination of all forms of Discrimination against Women and Girls”, which urges states to repeal “all laws and policies that that criminalize or restrict the exercise of sexual and reproductive health and reproductive rights," in addition to reaffirming the right to bodily autonomy, sexual and reproductive health, reproductive rights, access to safe abortion, and comprehensive sexuality education. The resolution also addresses menstrual poverty for the first time in a UN resolution.  New resolutions on Accelerating Progress to Prevent Adolescent Pregnancy, and Technology-Facilitated Gender-Based Violence were also adopted during this session, as well as an updated resolution on Menstrual Hygiene Management, Human Rights and Gender Equality, which took a stronger health and humanitarian lens than the previous iteration.  IPPF worked hand in hand with Member States and civil society partners to ensure progressive and inclusive language in these resolutions would have a meaningful impact on people’s everyday lives.   In solidarity with women, girls and marginalized communities around the world who still face rights violations and significant barriers to enjoy their sexual and reproductive rights, IPPF remains committed to advancing human rights at all levels – from the UN to the local level where our Member Associations tirelessly fight for the sexual and reproductive health and rights of all individuals. We are united, we are strong, and we will not back down until all people can exercise their sexual and reproductive rights free from coercion, discrimination and violence.   For media enquiries, please contact [email protected]    About the International Planned Parenthood Federation  The International Planned Parenthood Federation (IPPF) is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. We are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries.  Building on a proud history of 70 years of achievement, we commit to lead a locally owned, globally connected civil society movement that provides and enables services and champions sexual and reproductive health and rights for all, especially the under-served.  We advocate for a world where people are provided with the information they need to make informed decisions about their sexual health and bodies. We stand up and fight for sexual and reproductive rights, and against those who seek to deny people their human right to bodily autonomy and freedom. We deliver care that is rooted in rights, respect, and dignity - no matter what. 

Jerusalem, 9 July 2024: Nine months on since the start of the Israeli aggression in Gaza, maternal healthcare is almost decimated. Pregnant, postpartum, and breastfeeding women in Gaza are facing serious health consequences. Miscarriages have risen at least 300% since October last year. One of our own health workers from the Palestinian Family Planning and Protection Association (PFPPA) recently lost her pregnancy due to the stress of the attacks.   “I am a healthcare worker with PFPPA, and I have been forced to flee not once, not twice, but six times since the start of the violence, with my husband and three small children. Our home was destroyed by bombing. Whilst I was fleeing from one location to another, I started to unexpectedly bleed. I was able to find a doctor only after reaching Rafah, who confirmed I was miscarrying. I didn’t even realise I was pregnant,” Wafa, our healthcare worker in Gaza, told us.   With the starvation being faced by the people in Gaza in addition to the lack of drinking water, our service providers are reporting on daily basis of pregnant women suffering from anaemia, malnutrition and in desperate need of prenatal vitamins and supplements.   Our service providers in Gaza are also witnessing many women who are either having premature deliveries or miscarriages. Women of newborns are unable to breastfeed their babies due their own malnutrition and anxiety, while at the same time most families cannot afford milk formula as prices are becoming extremely high - and that is if they can find it in the market. When medical facilities are available, many women are unwilling to leave their shelters to obtain pre- and post-natal care, as they worry if they are separated from their families there will be military attacks and bombings and fear for their and their loved one's fate if they do so.   Ammal Awadallah, Executive Director of PFPPA, said:  “Nine months on, and a woman who conceived at the start of these hostilities will now be giving birth. But where, how, and what life is that baby entering? This will be a lost generation in Gaza, a generation born into genocide. We’re doing the best we can to offer support to women in Gaza, but the conditions to get aid into Gaza, let alone warehouse supplies, make our jobs extremely difficult. PFPPA has always been committed to women’s health and that doesn’t stop, now or ever.”   Over 37,900 people have now lost their lives in Gaza. Women and girls that survive are facing a myriad of challenges; deprived of sexual and reproductive health services, sanitary and hygiene products. We believe every single person and organisation needs to mobilise to end this, by calling on their governments to demand unhindered humanitarian aid access, to demand a permanent ceasefire, and divest from any organisations aiding and abetting Israel’s military campaign against Palestine.   We are working in close collaboration with colleagues in Palestine on how best to serve those caught up in the violence, to ensure health workers are safe and able to provide sexual and reproductive health care without threat to life.   For more information and to speak to our Executive Director in Palestine, please email [email protected]     About the Palestinian Family Planning and Protection Association  Established in Jerusalem in 1964, the Palestinian Family Planning and Protection Association (PFPPA) is locally registered as an independent, non-profit and non-governmental association with headquarters in Jerusalem. PFPPA has service delivery points located in the West Bank Areas of Ramallah, Bethlehem, Hebron and Halhoul, in addition to one in the Gaza Strip, which has yet to be relocated after it was destroyed following an Israeli airstrike on 8 October. Furthermore, and in cooperation with local partners, PFPPA is also responsible for three safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area.  About the International Planned Parenthood Federation  IPPF is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries.  Our work is wide-ranging, including comprehensive sex education, provision of contraceptive, safe abortion, and maternal care and responding to humanitarian crises. We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and crucially no matter how remote.   

Haz click aquí para leer este posicionamiento en español. Khartoum, 2 July 2024: Another horrendous attack on one of our healthcare clinics in Sudan has occurred this week. Several staff and volunteers from our Member Association in Sudan, the Sudan Family Planning Association (SFPA), have now been injured or killed by the Rapid Support Forces (RSF). Our clinic in El Fasher has been destroyed, meaning there is one less option for women and girls to receive lifesaving sexual and reproductive healthcare in the region.   For over a month, ongoing battles around El Fasher, the capital city of North Darfur, have been taking place.The RSF, who have stationed themselves 10 kilometres from the city, have been indiscriminately shelling military and civilian targets.   One of our SFPA volunteers, Mahasen Abdul Jabbar, was killed after being hit by gunshot at the clinic. This morning, Dr Daifallah Mohammed, a volunteer family medicine specialist in our El Fasher clinic, also died as a result of the warfare.  The RSF bombardments have also severely injured several of our staff: Dr Marwa, a doctor at the Integrated Centre in El Fasher, was hit by shrapnel in her leg. A midwife at Abu Shouk centre, Halima Abdullah Adam, was hit and four of her children were injured and evacuated. The house of the guard of Abu Shouk centre was hit, killing his daughter and wounding four of his other children.  One of our nurses has been hit with shrapnel and has been transferred to hospital and is in critical condition and all contact with her has been lost. The RSF has also been kidnapping our patients, their whereabouts unknown.   This latest attack is on top of previous attacks on our clinics in Sudan, which destroyed our facilities in Khartoum and El Fashir and health centres run by SFPA between 7-9 September 2023.  Women and girls in Sudan are facing an upsurge in sexual and conflict-related violence. Our staff have witnessed firsthand the impact of this heinous crime on the most vulnerable people, including women, girls and other marginalized groups. We previously reported that rape victims and survivors are struggling to obtain contraception, abortion medication and post-exposure anti-viral medications. They face severe and life-threatening consequences, including loss of family support and homes and shelters and increased risk of suicide. Survivors are afraid to seek medical treatment because of the stigma and fear of reprisals from rape.  Fadoua Bakhadda, Regional Director, Arab World Region, said:   “We unequivocally condemn all violence against civilians, especially against health centers that are attacked while providing essential services to those in need. Such acts are an affront to humanity and the sanctity of care.  The murders, displacement and destruction in Sudan must stop. It is vital that warring parties remember their obligations under International Humanitarian Law, which include ensuring the protection of civilians and the protection of health structures and health personnel.”  Dr Alvaro Bermejo, Director-General of IPPF, said:   “We are devastated to learn of another attack on one of our clinics in Sudan, and the injuries and loss of lives to our staff and volunteers. Healthcare facilities, and most importantly, healthcare workers, must never be the target of war. The sexual and reproductive health and lives of 800,000 people in North Darfur – including women, children, and people with disabilities – are hanging in the balance as bombing and shelling cause widespread harm to civilians and severely disrupt the essential health services they very much depend on.  Now, more than ever, our healthcare facilities must be protected so they can continue to provide care to the populations enduring these needless attacks. Our clinic, which previously was able to provide lifesaving sexual and reproductive healthcare such as prenatal care and contraceptives, is gone. Where will women and girls seek these services now? There must finally be a critical mass of people of conscience saying enough is enough in this forgotten crisis.”   For more information and to speak to one of our staff in North Darfur, Sudan, please email [email protected]   About the Sudan Family Planning Association  The Sudan Family Planning Association (SFPA) was established in 1965 by pioneers in obstetrics and gynaecology in response to increases in maternal, neonatal and infant mortality and morbidity. As the statistics show, Sudan is a country in great need of frontline sexual and reproductive health (SRH) services. Advocacy, and undertaking information, education and communication (IEC) programs are critical. In 2023, SFPA provided 38 million services through 25 clinics, 272 associated clinics, 39 mobile clinics, 1494 CBD/CBS, and digital/Virtual channels. Since the start of the crisis on 15 April 2023, the association teams were successful in providing 8 million services through 25 SDPs and 10 million services through non damaged associated and mobile clinics. SFPA was able to assist 1,183 deliveries under bombardment and provided 170 943 treatments of HIV in its static clinics. About the International Planned Parenthood Federation The International Planned Parenthood Federation (IPPF) is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. We are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries. Building on a proud history of 70 years of achievement, we commit to lead a locally owned, globally connected civil society movement that provides and enables services and champions sexual and reproductive health and rights for all, especially the under-served. We advocate for a world where people are provided with the information they need to make informed decisions about their sexual health and bodies. We stand up and fight for sexual and reproductive rights, and against those who seek to deny people their human right to bodily autonomy and freedom. We deliver care that is rooted in rights, respect, and dignity - no matter what.