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IPPF remains steadfast in its commitment to supporting its Member Association, the Syrian Family Planning Association (SFPA), in providing essential SRHR services for all. Within the uncertainty and instability, we continue to work together with SFPA to empower communities, protect the rights of women and adolescents, and address the urgent needs of marginalized populations, particularly in the face of increased vulnerability. Our collective mission stands firm: we are committed to ensuring that dignity, health, and choice are accessible to all, regardless of political or social challenges. Even in these uncertain times, we believe that SRHR services must continue - because the need for family planning, maternal healthcare, and gender-based violence (GBV) support does not diminish, even in the midst of conflict. Syria is enduring a difficult period of transition, but sexual and reproductive health cannot be sidelined. The health and well-being of Syria’s most vulnerable populations, especially women and youth, remain a top priority. The work of SFPA is more essential than ever, as it continues to provide vital services such as family planning, postnatal care, and GBV screening. At Al-Hasakah, SFPA is on the frontlines, directly supporting over 5,000 people, the majority of whom are women in urgent need of reproductive healthcare services. These women face an increased risk of complications due to the lack of access to safe and comprehensive health services, but SFPA is committed to meeting their needs. From providing postnatal care to offering family planning options and GBV screenings, SFPA is ensuring that women in these vulnerable circumstances are not forgotten. SFPA’s clinics, such as the one in southern Daraa and the besieged Al-Waer in Homs, have become lifelines, serving as a beacon of hope for those in need. They provide up to 70 beneficiaries a day with crucial services, including health counselling and early marriage awareness. SFPA has faced significant challenges, including the seizing of vehicles and temporary clinic closures in the suburbs of Homs. Yet SFPA's perseverance in delivering SRHR services remains an essential lifeline for the people of Syria. We will continue to stand alongside SFPA in their tireless efforts to safeguard sexual and reproductive health rights, ensuring that every woman, adolescent, and marginalized person has access to the care they deserve. Together, we stand for dignity, health, and choice, even in the face of uncertainty. The challenges are great, but the importance of maintaining SRHR services is immeasurable. Through unwavering dedication, we can support those in need and contribute to a future where everyone has access to the care and rights they deserve.   Contact: +44 7918 845944 Image credit: SFPA/Wasim Kashlan

On Monday 6th February, catastrophic earthquakes hit Türkiye and Syria. Within hours, our local member association, the Syrian Family Planning Association (SFPA), was among the first responders assisting and evacuating people to safe shelter and accommodation in Syria. Dr. Lama Mouakea, Executive Director, Syrian Family Planning Association said: “In the aftermath of Monday’s earthquake, at least two hospitals have collapsed, three of our clinics have been damaged, and many health services have been disrupted. This will have an immediate, and dire, impact on women and girls. The catastrophic earthquake combined with the harsh winter makes our response even more critical. We have already sent mobile clinics to the areas affected to provide immediate healthcare.” Dr. Mouakea added: “Women and girls who are being moved into shelters in several areas, such as Aleppo and Idlib, may be subjected to violence or sexual abuse, so the medical and psycho-social service needs are great. We know of one devastating case of a mother giving birth to a baby while buried beneath rubble, who later sadly passed away. So getting pregnant women to safe spaces to deliver their babies is now essential. Our staff visit these areas continuously every week, so are already familiar with the communities and areas that are hardest hit. SFPA has been here before the earthquake providing humanitarian aid and will continue to serve these communities as they recover from this latest disaster.”  Whilst also responding to other immediate needs, SFPA is ensuring sexual and reproductive healthcare is on the agenda as a critical component of the response, especially for women, girls and marginalized communities.    Three in five preventable maternal deaths occur during natural disasters, and one in five women is likely to be pregnant during a crisis. Without access to reproductive healthcare, women and girls will suffer severe consequences, including miscarriage, premature labour, complications from unassisted deliveries and increased exposure to sexual and domestic violence, sexually transmitted infections, unintended pregnancy, unsafe abortion and even death.   Julie Taft, Humanitarian Director, International Planned Parenthood Federation said:   “IPPF is deeply saddened to hear of the news of the devastating earthquake in Türkiye and Syria. Our deepest condolences go out to the families who lost loved ones and whose homes were destroyed. Our member association in Syria has already started responding with mobile health clinics, and we stand ready to support the ongoing response efforts of our local partners in their delivery of vital, and lifesaving, sexual and reproductive healthcare to women, girls, and marginalized populations.”  Twelve years of war and sanctions have left Syria’s infrastructure, including healthcare systems, battered. A crippling economic crisis has also driven humanitarian needs to record levels. SFPA has been responding throughout these interlinked crises ensuring continued sexual and reproductive healthcare services through their mobile and static clinics. Dr Alvaro Bermejo, Director-General of IPPF said: “It is amongst one of the most devastating natural disasters we have seen in recent times.  The focus of all actors must be squarely on the needs of the people, particularly women and girls and those who are more vulnerable.  It is not time to play geopolitics when women are giving birth amidst the devastation.  It is time to focus on getting aid and support to where it is needed, now.  It is not only the rubble that must be removed, but also any obstacle put in place by those in positions of power, locally, nationally or internationally.”

In a landmark verdict today, the High Court of Malindi has ruled that safe abortion care is a fundamental right under the Constitution of Kenya and that arbitrary arrests and prosecution of patients and healthcare providers, for seeking or offering such services, is completely illegal. Specifically, the Court ruled that: Abortion care is a fundamental right under the Constitution of Kenya and that arbitrary arrests and prosecution of patients and healthcare providers seeking or offering such services is illegal. Protecting access to abortion impacts vital Constitutional values, including dignity, autonomy, equality, and bodily integrity. Criminalizing abortion under Penal Code without Constitutional statutory framework is an impairment to the enjoyment of women’s reproductive right. For years, women and girls in Kenya have faced sustained and pervasive discrimination hampering their access to seeking reproductive healthcare services; the 1963 Penal Code criminalizes all abortion care, including those allowed under the Constitution 2010, which guarantees the right to healthcare, including access to reproductive health services. The Constitution only permits safe abortion if in the opinion of a trained health professional, there is need for emergency treatment, or the life or health of the mother is at risk/in danger. The court case in question, filed in November 2020, involved PAK, a minor 16 years of age from Kilifi County. PAK experienced complications during pregnancy and immediately sought medical care at a nearby clinic where a trained clinical officer attended to her. Upon examining her, the clinical officer determined that she had lost the pregnancy and proceeded to provide her with essential and life-saving post-abortion care. Policy officers stormed the clinic, in the midst of the treatment, stopping the medical procedure and confiscating PAK’s treatment records. They then proceeded to illegally arrest both PAK and the clinical officer. Both were taken to Ganze Police Patrol Base where PAK was not allowed to access further medical care for the next two days and was forced to sign a statement which was contrary to PAK’s description of the events. The police also forced PAK to undergo another detailed medical examination at Kilifi County Hospital to obtain evidence to prove the alleged offence of abortion. The clinical officer was detained for one week while PAK was remanded to a juvenile remand for more than a month, whilst she and her family sought to secure the cash bail for her release. The Malindi High Court has further directed the Parliament to enact an abortion law and public policy framework that aligns with the Kenyan Constitution. Additionally, the Court has confirmed that communication between a patient and the healthcare provider is confidential, which is guaranteed and protected under the Constitution and other enabling laws, save for where the disclosure is consented to by the patient or is in the public interest in line with the limitations as provided for in the Constitution. In its decision, the Court also ruled that PAK was recovering from medical procedure and police did not have the medical qualifications to determine and confirm that she was medically-fit to leave the clinic, regardless of her admission status at the clinic. Additionally, the Court found that PAK’s arrest was inhuman and degrading, and being a minor, she ought not to have been interrogated without legal representation. Marie-Evelyne Petrus-Barry, Africa Regional Director from the International Planned Parenthood Federation, said: “We are absolutely delighted to hear this news and applaud the High Court of Malindi's ruling confirming that abortion care is a fundamental right under the Constitution of Kenya and that arbitrary arrests and prosecution of patients and healthcare providers for seeking or offering such services is illegal. We are also very pleased to hear that the Court has directed Parliament to enact an abortion law and public policy framework that aligns with the Constitution. This is a victory for women and girls not only in Kenya, but across Africa! Access to quality abortion is essential to guarantee the health and reproductive rights of women and girls everywhere. At IPPF, we are committed to reducing the number of deaths of women and girls who are forced to turn to unsafe abortion methods for fear of arrests and harassment. We will continue to supply and support safe and legal abortion services and care for women and girls everywhere.” The petitioners were represented by the Center for Reproductive Rights a network of reproductive health providers whose member was the second petitioner in this case and a collaborative partner of IPPF. The advocates were Martin Onyango, Head of Legal Strategies for Africa, and Prudence Mutiso, Legal Advisor for Africa. Nelly Munyasia, Executive Director of Reproductive Health Network Kenya (RHNK), , welcomed the court’s decision: “Many qualified reproductive healthcare practitioners continue to be arrested, detained, and prosecuted for providing legal medical care. The court’s decision confirms that prosecution against health providers cannot hold where the prosecution has not established that; the health professional in question was unqualified to conduct the procedure; the life or health of the woman was not in danger or the woman was not in need of emergency treatment,” Ms. Munyasia said. Evelyne Opondo, Senior Regional Director for Africa at Center for Reproductive Rights said: “Today’s victory is for all women, girls, and healthcare providers who have been treated as criminals for seeking and providing abortion care. The court has vindicated our position by affirming that forcing a woman to carry an unwanted pregnancy to term or to seek out an unsafe abortion is a gross violation of her rights to privacy and bodily autonomy. Further, the continued restrictive abortion laws inhibit quality improvement possible to protect women with unintended pregnancies.” Center fact sheet: “The Impact of the Misalignment Between Kenya’s Constitution and the Penal Code on Access to Reproductive Health Care”