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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

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.    

Since the influx of Ethiopian refugees into Sudan began in November 2020 following military unrest in the Tigray region, most humanitarian assistance has been focused on food, shelter, and primary health services. In response to this, the Sudan Family Planning Association (SFPA) established two clinics in Um Rakouba and Tunaydbah refugee camps to meet the needs of sexual and reproductive health (SRH) services. This includes comprehensive care of HIV/AIDS, allowing people living with HIV (PLHIV) to continue antiretroviral therapy (ARV) with privacy and confidentiality. Their services also involve the prevention and syndromic management of other sexually transmitted infections.   The current emergency situation in Sudan has led to an estimated displacement of 7.6 million people across Sudan's 18 states, with over 13,000 reported deaths. This crisis is causing serious challenges to the already stretched health system.  The increase of internally displaced people (IDPs) during the last nine months has also affected the provision of health services for the general population.    The Government of Sudan, with the assistance of national and international partners, is going to huge efforts to ensure health coverage for IDPs and refugees. However, among the current national plans and funding, healthcare for HIV positive refugees is not adequately addressed. SFPA is also facing challenges providing SRH care, especially in the refugee camps, as they struggle to keep up with the numbers of IDPs - which are increasing dramatically by the day.   SFPA provides SRH services in collaboration with the Sudan National AIDS Control Program (SNAP) and Al Gadarif SMOH. The total number of refugees living with HIV has now reached a tipping point, with 758 current cases recorded so far. So far, all clients have been able to regularly receive their ARV treatment. Many of them have reached zero viral load due to good adherence to treatment, meaning that the levels of HIV in the body are so low that the virus cannot be passed on.   However, due to a shortfall of funding and resources, the risk of the discontinuation or interruption of ARVs may result in viral rebound, immune decompensation, and the progression of the virus.  The higher percentage of newly discovered cases (10.4% of newly arrived refugees tested positive to HIV) also indicates that there is a new spread of HIV, not only amongst the youth population inside the camps, but also host communities.    Given the current condition of refugee camps in Al Gadarif State, failure to adequately provide for people living with HIV/AIDS and prevent further transmissions may lead to catastrophic outcomes - not only in the camps but nationwide.          About the Sudan Family Planning Association (SFPA)   SFPA is a key SRH service provider in Sudan through its 15 branches covering 14 states1with a solid track record of delivering services in humanitarian settings. SFPA continues to fulfil its mandate and commitment to provide essential SRH and non- SRH services to refugees through an Australia Aid-supported emergency response to Ethiopian refugee crisis from 2021-2022 and continued with support from the Women’s Refugee Commission (WRC) until 31 December 2023, providing health services including testing, counselling, prevention of mother to child transmission, care and treatment services and ensure the enrolment of PLHIV in the ARVs regimen.     Banner credits: IPPF/Hannah Maule-ffinch/Sudan