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Khartoum, 4 December 2023 — As the war in Sudan enters its eight month with no end in sight, widespread conflict-related sexual and gender-based violence (SGBV) has continued unabated, including reports of mass rapes, sexual exploitation and sexual harassment which demonstrate how sexual violence is being used as a tool of war to subjugate, terrorise and punish women and girls. Since the war between Sudan’s Rapid Support Forces and the Sudanese Armed Forces erupted on April 15th, reports of ethnically targeted sexual and gender-based violence have escalated across Sudan, leading to a surge in unplanned pregnancies and sexually transmitted infections. The International Criminal Court (ICC) in The Hague said in July it is investigating the hostilities in Darfur, including reports of killings, rapes and crimes against children. Rape has often been used as a weapon of war over the years in Sudan, human rights groups have said. Sexual violence is prohibited in conflict, and the accounts of rape could constitute war crimes and crimes against humanity. The prevailing conflict and social unrest in various regions of Sudan have created an environment rife for SGBV, leaving countless individuals exposed to the gravest violations of their most intimate rights. Deeply disturbing accounts of gang rapes, sexual assault, harassment, and other forms of sexual, physical and psychological violence have emerged, highlighting the urgent need for comprehensive sexual and reproductive healthcare for survivors. IPPF’s local member association in Sudan, the Sudan Family Planning Association (SFPA) has been providing these services across Sudan since the outbreak of the war, including counselling, medical assistance, and referrals for survivors of SGBV. Despite unprovoked attacks on six SFPA facilities which have so far killed one youth volunteer and injured numerous clients and staff, as well as interrupted the delivery of some health services, SFPA has continued to work in conflict-affected areas through their large network of community based distributors and mobile clinics. Dr Seham Jaber, the director of Digital Health Interventions and Services at SFPA said:  “We have noticed escalating rates of sexual and gender-based violence in Sudan since the outbreak of the war in April. Violence against women and girls is occurring at the hands of militants, as well as an increase in domestic and intimate partner violence, including rape. Young girls and boys are living in overcrowded shelters are reporting to us cases of sexual harassment and abuse." Confidentiality, sensitivity and compassion are crucial to SFPA’s work, because many survivors of sexual violence don’t seek medical treatment due to the fear of social stigma and reprisals. SFPA's website and hotline have seen a considerable increase in traffic for reports of SGBV from the community since the start of the war. In response, SFPA is also running community awareness and education campaigns on SGBV, and is enlisting the support of local Imams to promote gender equality, and foster a culture of respect and consent. For media inquiries or to speak to one of our staff in Sudan, please contact [email protected]  About the Sudan Family Planning Association The Sudan Family Planning Association (SFPA) was established in 1965 by pioneers in obstetrics and gynecology in response to increases in maternal, neonatal and infant mortality and morbidity. Sudan is a country in great need of frontline sexual and reproductive health (SRH) services. In 2022, SFPA provided 26 million services through 24 clinics, 261 associated clinics, and 37 mobile clinics. Since the start of the war on 15 April 2023; the Association teams have been successful in providing 14,706,000 services through 24 SFPA facilities , mobile clinics, mobile teams ,CBDs and partners clinics . SFPA was able to assist 1,145 deliveries under bombardment and provided 167,000 treatments of HIV&AIDS “HIV screening and care for PLHIV” through its static clinics. Mobile clinics are used to offer integrated SRH services including HIV/STI services and condom distribution, STI testing and management, HIV testing and treatment for HIV opportunistic infections, referrals for ARV treatment including PMTCT and awareness sessions both at mobile clinics and at the community level by community health promoters and community base distributors (CBDs). About the International Planned Parenthood Federation  IPPF, through its 149 Member Associations and collaborative partners, delivers high-quality sexual and reproductive healthcare and helps advance sexual and reproductive rights, especially for marginalized people with diverse needs that are currently unmet. IPPF's Member Associations and partners are locally owned, independent organisations, which means the support and care they provide are informed by local expertise and context. IPPF advocates for a world where people have the information they need to make informed decisions about their sexual and reproductive health and their 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 sexual and reproductive freedom. We deliver care rooted in rights, respect, and dignity for all - no matter what.

Statement from Dr Alvaro Bermejo, IPPF Director General: The International Planned Parenthood Federation condemns the multiple attacks in Khartoum and Elfashir (North Darfur) against clinics and health centers run by the Sudanese Family Planning Association (SFPA) between 7-9 September. Unprovoked attacks against the health facilities in South Khartoum (Elshik Wad Hamad) and in Elfashir City (Aboshok Clinic) have destroyed the infrastructure of the facilities, injured clients and staff, and interrupted the delivery of the most needed health services for vulnerable people of Sudan, especially women and girls of reproductive age.  These attacks, just like the previous attacks against health facilities and medical professionals since the outbreak of violence in the country began on 15 April, will prolong the suffering of the Sudanese people. IPPF requests the protection of civilians and civilian institutions, especially healthcare facilities, to ensure the provision of healthcare and the basic humanitarian necessities for the Sudanese people. For media requests, contact [email protected]  About the Sudan Family Planning Association The Sudan Family Planning Association (SFPA) was established in 1965 by pioneers in obstetrics and gynecology 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 2022, SFPA provided 26 millions of services through 24 clinics, 261 associated clinics, and 37 mobile clinics . Since the start of the crisis in 15th April; the association teams was successful in providing 2,500,000 services through 24 SFPA facilities and 8,500,000 services through non damaged associated and mobile clinics. SFPA was able to assist 1145 deliveries under bombarding and provided 167000 treatments of HIV in its static clinics.

The International Planned Parenthood Federation Africa Region (IPPFAR) is appalled and deeply disturbed by the recent enactment of the anti-homosexuality act 2023 by President Museveni of Uganda. This regressive law represents a grave violation of human rights and sexual and reproductive rights, affecting not only the LGBTIQ+ community but all Ugandans. The draconian and abhorrent provisions of this law criminalize same-sex relationships and any promotion of homosexuality, subjecting individuals to severe penalties, including life imprisonment. Its implementation will have dire consequences, fostering a climate of homophobia, hatred, and hate crimes. The law instills fear not only among those directly targeted and their families but also among health workers providing essential Sexual and Reproductive Health (SRH) services in Uganda. IPPFAR is extremely concerned that this law blatantly violates numerous human rights, including the right to bodily autonomy. The right to life and dignity, freedom of expression and association, protection from discrimination, the right to a fair trial, protection against arbitrary arrest, and access to health services are all undermined, compromising the full realization of sexual and reproductive health and rights. "The IPPF Africa region vehemently condemns the anti-homosexuality act 2023, which targets the LGBTIQ+ community and their allies in Uganda. This law marks a sorrowful day for Uganda and its people," stated Marie-Evelyne Petrus-Barry, IPPF Africa Regional Director. "Targeting a community based solely on their shared characteristics is extremely dangerous and an undeniable violation of human rights. Instead, we should strive to empower all members of our society to be positive contributors, rather than driving them into hiding and marginalization," Petrus-Barry added. Since March 2023, IPPF has witnessed a surge in physical attacks against the LGBTIQ+ community, threats to the safety of civil society organizations, and an alarming increase in hate speech targeting LGBTIQ+ individuals and their allies. The anti-homosexuality act 2023 is discriminatory and flagrantly violates the fundamental freedoms enshrined in the Uganda constitution. By isolating itself from the international community, Uganda risks alienating potential collaborators and donors. Already, the U.S. Government has expressed intentions to suspend development funding to Uganda, including through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund and UNAIDs, potentially jeopardizing the progress in the fight against the HIV pandemic in Uganda. As the foremost provider of sexual and reproductive health (SRH) services in Africa, IPPFAR is immensely concerned that this law will deter individuals from seeking vital SRH services due to fear of being targeted. This will inevitably hinder access to life-saving services, including HIV/AIDS testing and treatment, provision of antiretroviral therapy, contraceptive services, and accurate SRH information. Moreover, the law obstructs healthcare professionals from fulfilling their duties and providing high-quality care in a safe and confidential environment. IPPFAR joins the chorus of condemnation against this harmful and regressive law. The safety, health, and dignity of all Ugandans must remain paramount. IPPF stands resolutely with the LGBTIQ+ community and their allies in Uganda and worldwide during this challenging time.   For media enquiries, please contact [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 70 years, IPPF, through its 118 Member Associations and seven 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 have 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.

Nairobi, Kenya: On 21st March 2023 the Ugandan parliament approved a law which, if enacted, would criminalise people for identifying as a member of the LGBTIQ+ community. The proposed law has been through two readings in parliament and is awaiting a third before it is put forward to the President for Assent. If passed, it will be a gross violation of and undermine the human rights and safety of people identifying as LGBTIQ+ in Uganda. IPPF Africa Region is strongly concerned about the numerous ways in which the passing of this law will violate international human rights including the right to life and dignity, freedom of expression and association, protection from discrimination, and will compromise the full and complete attainment of sexual and reproductive health and rights. Additionally, IPPF is extremely concerned about the dangerous message the law sends. In addition to criminalising consent, it encourages hatred, may escalate violence and gender-based violence targeting persons from LGBTIQ+ communities, popular justice, hinders the right to a fair trial, makes it easier to target minority groups, and harder for them to access justice and redress for hate crimes. At a time when countries around the world and in Africa are decriminalising same sex relationships, this law, if passed, will be a serious step backwards for Uganda. Marie-Evelyne Petrus-Barry, IPPF’s Africa Regional Director, said: "IPPF works to ensure the sexual and reproductive health and rights of all people regardless of their sexual orientation, gender identity and/or expression, and sex characteristics (SOGIESC) – including lesbian, gay, bisexual, trans, and intersex people – and ensure they have access to the full set of human rights enshrined in international human rights laws”  “IPPF is willing to work with the Ugandan Government and other stakeholders to ensure that all Ugandan people can access their sexual and reproductive rights without fear, discrimination, or restraint", added Petrus-Barry. IPPF strongly urges the President of Uganda to not sign off on this discriminatory law, uphold and safeguard the Universal Declaration and African Charter on Human Rights, and treat all Ugandans equally. IPPF stands with the LGBTIQ+ community in Uganda and globally at this difficult time. For further information or to request an interview, please contact: Mahmoud Garga, Lead Specialist - Strategic Communication, Media Relations and Digital Campaigning, IPPF Africa Regional Office (IPPFARO) – email: [email protected] / Tel: +254 704 626 920 ABOUT IPPF AFRICA REGION (IPPFAR) The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading sexual and reproductive health (SRH) service delivery organization in Africa, and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women in sub-Saharan Africa. Supported by thousands of volunteers, IPPFAR tackles the continent’s growing SRHR challenges through a network of Member Associations (MAs) in 40 countries. We do this by developing our MAs into efficient entities with the capacity to deliver and sustain high quality, youth focused and gender sensitive services. We work with Governments, the African Union, Regional Economic Commissions, the Pan-African Parliament, United Nations bodies among others to expand political and financial commitments to sexual and reproductive health and rights in Africa. Learn more about us on our website. Follow us on Facebook, Twitter, Instagram and You Tube.