Media center

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.  

If you are covering the UK autumn budget and reporting on foreign aid, you may find the below statement from  the International Planned Parenthood Federation (IPPF) helpful: “The UK government has already decimated the aid budget and its reputation through severe economic mishandling, cutting billions from the very things that protect people during economic, political and social upheaval, including life-saving sexual and reproductive healthcare. “It is also the only country to be spending the majority of its dedicated overseas aid budget within its own borders, taking advantage of legislation to pay for refugee and asylum costs in the UK rather than increasing domestic and overseas budgets accordingly. “The UK government cannot continue to fight the fire of one humanitarian crisis by diverting much-needed resources from other vulnerable people, nor continue to balance its books on the backs of the poorest people in the world - who, as MP Andrew Mitchell stated, will be damaged, maimed, or die as a result. “This government promised to give women and girls the freedom they need to succeed and prevent the worst forms of human suffering worldwide. If it is to deliver on its promises and revive its sunken reputation, it must spend dedicated budgets correctly, support people in the UK and beyond appropriately, and MP Andrew Mitchell and the Chancellor must ensure a return to the 0.7% as soon as possible.”  

The UK government has released its long-awaited International Development Strategy (IDS) which details the UK’s approach to international development moving forward. The strategy sets out the FCDO's priorities as: Deliver honest and reliable investment, building on the UK’s financial expertise and the strengths of the City of London, and delivering the Prime Minister’s vision for the Clean Green Initiative, supporting partner countries to grow their economies sustainably. Provide women and girls with the freedom they need to succeed, unlocking their future potential, educating girls, supporting their empowerment and protecting them against violence. Provide life-saving humanitarian assistance and work to prevent the worst forms of human suffering, prioritising our funding and being a global leader in driving a more effective international response to humanitarian crises. Take forward our work on climate change, nature and global health. We are putting the commitments of our Presidency of G7 and COP26, our global leadership in science and technology, and our COVID-19 response, at the core of our international development offer. Dr Alvaro Bermejo, Director-General of the International Planned Parenthood Federation, said: "While, in theory, the UK’s new international development strategy prioritizes women and girls, it is unclear how the government will provide ‘the freedom they need to succeed’ while simultaneously cutting billions from the very things that help achieve this, including unhindered access to life-saving sexual and reproductive healthcare which helps keep girls in school, protects them from a lifetime of poverty and helps prevents untimely maternal deaths. "It is also unclear how the UK will prevent the worst forms of human suffering in humanitarian contexts when the 2021 aid cuts left millions of women across Afghanistan, Ethiopia, Ukraine, Sudan and Syria and Yemen with no control over their bodies, their futures, or their lives. And more so, while this government chooses to distribute the dedicated aid budget to fund other government departments rather than increasing overall budgets. "Until this government returns to the 0.7% target, this strategy will be little more than lip service from a government that knowingly robbed women and girls of their freedom and futures during the upheaval of a global pandemic when continued solidarity, support and humanitarian assistance from the wealthiest nations was most needed." For media enquiries, please contact Karmen Ivey on [email protected] or [email protected]   About the International Planned Parenthood Federation The International Planned Parenthood Federation (IPPF) is a global service provider and advocate of sexual and reproductive health and rights for all.   For over 65 years, IPPF through its 118 Member Associations and 15 partners, has delivered high-quality sexual and reproductive healthcare and helped advance sexual rights, especially for people with intersectional and diverse needs that are currently unmet. Our Member Associations and partners are independent organizations that are locally owned, which means the support and care they provide is informed by local expertise and context. 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.    

Today, the Foreign, Commonwealth & Development Office (FCDO) published its provisional statistics report on UK aid spending for 2021.  The total overall aid spend was £11.5 billion, down from £14.5 billion in 2020 following the UK government's reduction to overseas development aid (ODA) from 0.7 per cent to 0.5 per cent of gross national income (GNI), citing the economic challenges posed by the COVID-19 pandemic.  ODA improves the lives of people around the world, helping them access the healthcare they deserve, including lifesaving sexual and reproductive healthcare. It also helps tackle global disease, eliminate poverty, provide humanitarian assistance during conflict and reduce the impact of climate change.  Dr Alvaro Bermejo, Director-General for IPPF, said: “While not surprising, the provisional UK aid spend for 2021 shows the grim reality of making such severe cuts during the tremendous global upheaval of a pandemic, when continued solidarity, support and humanitarian assistance from the wealthiest nations is most needed. “The government already knew from the equalities impact assessment that these cuts to promised funds would be devastating for women, girls and diverse groups, who disproportionally experience the effects of poverty, disease and climate change while also bearing the burden of violence, especially in conflict. “Not only that, but the government also chose to distribute the dedicated aid budget to other government departments. This includes a staggering £915 million to the Home Office and counting so-called ‘donations’ of excess COVID vaccines to other countries, which could have been given to those in need instead. The aid cuts left millions of women in Ukraine with no control over their bodies, their futures, or their lives, just as it did in Afghanistan, Ethiopia, Yemen, Sudan and Syria. Today, the role of the UK in building a better, safer world is more critical than ever if there is any hope of reversing the impacts of the cuts and the government must return to the 0.7% as soon as possible – the lives and futures of people depend on it”. Key statistics include: The provisional ODA:GNI ratio for 2021 was 0.5 per cent, or £11.5 billion. In 2021, UK Official Development Assistance (ODA) was £11,496 million, a decrease of £2,982 million (20.6 per cent decrease) on 2020. In 2021, UK bilateral ODA was £7,086 million (a decrease of 25.7 per cent) while U.K. multilateral ODA was £4,411 million (a decrease of 10.8 per cent). The Foreign, Commonwealth and Development Office (FCDO) spent £8,308 million in 2021, compared with £10,664 million in 2020 (a decrease of £2,356 million).  Non-FCDO5 spend on ODA in 2021 was £3,189 million, compared with £3,815 million in 2020 (a decrease of £626 m). The non-FCDO share was 27.7 per cent, up from 26.3 per cent in 2020. In 2021, £550 million of UK ODA was spent on activities to address the COVID19 pandemic². The Home Office spent £915 million of ODA in 2021 (an increase of 53.3 per cent). This was mostly due to increased accommodation costs for asylum seekers to ensure the measures set out in law were adhered to in limiting the spread of COVID-19. For media enquiries, please contact Karmen Ivey on [email protected] or [email protected]  About the International Planned Parenthood Federation The International Planned Parenthood Federation (IPPF) is a global service provider and advocate of sexual and reproductive health and rights for all.   For over 65 years, IPPF through its 118 Member Associations and 15 partners, has delivered high-quality sexual and reproductive healthcare and helped advance sexual rights, especially for people with intersectional and diverse needs that are currently unmet. Our Member Associations and partners are independent organizations that are locally owned, which means the support and care they provide is informed by local expertise and context. 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.  

The Government’s Equalities Assessment shows that the government was well aware that the scale of the 2021 aid cuts to specific gender interventions, including Violence Against Women and Girls and Sexual and Reproductive Health and Rights, would disproportionately impact women, girls and people with protected characteristics such as those living with disabilities.  The U.K. government were also aware that the aid cuts would reduce services available to survivors of sexual violence, including sexual exploitation, abuse and sexual harassment. Dr Alvaro Bermejo, Director-General of the International Planned Parenthood Federation, said: “We are pleased to see the long-awaited equalities assessment and are hopeful that public scrutiny will encourage the Government to double down on its efforts to champion and support equality. Government commitments are especially significant for 2022, given the scale of the 2021 aid cuts to specific gender interventions, including those helping to end Violence Against Women and Girls, Sexual and Reproductive Health and Rights programmes and targeted interventions aimed at reaching those left furthest behind – including people living with disabilities. “Today, the role of international aid in building a better, safer and equal world is more relevant than ever as the Ukrainian people look to governments across the globe to support them during the most severe humanitarian crisis Europe has seen in years. With the EU predicting up to 7 million displaced people and vulnerable refugee populations requiring distinct and personalised care, we ask the U.K Government to step up for the international community and return to the 0.7% aid target as soon as possible – the lives and futures of people across the globe depend on it.” Manuelle Hurwitz, Director of Programmes for IPPF, added:   "The government knew the reduction to development programmes would completely contradict its priorities of getting 40 million more girls into education by 2025 flies in the face of achieving gender equality and yet it chose to proceed with them anyway.   For media enquiries, please contact [email protected]