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15th April 2025, River Nile State, Sudan - In a groundbreaking step for healthcare access in Sudan, the Sudan Family Planning Association (SFPA) has launched the country’s first mobile telemedicine clinic in River Nile State. Funded by IPPF and FCDO, this innovation brings specialist remote care to people in isolated and conflict-affected areas, reducing the need for physical travel to health facilities. The mobile telemedicine clinic trucks are equipped with high-speed Starlink satellite internet and can travel to remote and rural locations. Clients receive essential treatment on-site and can connect directly, through secure video calls, with medical specialists across Sudan and internationally, including consultants based in Europe. This initiative is part of SFPA’s broader telemedicine project, designed to ensure the continued delivery of sexual and reproductive health services to the most vulnerable populations, particularly in areas where healthcare systems have collapsed due to conflict. Ms Kawthar, Executive Director of the SFPA branch in River Nile State, noted that the launch of the mobile telemedicine clinic, in Quoz Al-Halq, marks the beginning of a new era in healthcare service delivery within the state. “This project represents a landmark moment in Sudan’s healthcare history. We face enormous challenges in reaching people affected by conflict and displacement with essential health services. But this clinic changes what’s possible. We can now deliver integrated healthcare solutions through smart technologies – we’re breaking down barriers to health.” This innovation comes as Sudan approaches the third year of a brutal conflict, which began on 15 April 2023. Over 12.5 million people have been forcibly displaced[i], and more than two-thirds of the population are in need of humanitarian aid[ii]. Rates of sexually transmitted infections and gender-based violence, including sexual violence, have risen sharply[iii]. Many clinics and hospitals have been destroyed or abandoned. There is a severe shortage of qualified medical personnel, many of whom have fled the country. Access to care has disappeared entirely in some areas.  SFPA facilities and staff have also been directly affected by the conflict, with nine of its clinics attacked, resulting in the tragic loss of volunteers and healthcare workers. Amid these challenges, SFPA managed to reach 9.8 million humanitarian clients in 2024.  The new mobile telemedicine clinic offers a leap forward in how care can be delivered. It will provide: In-person and digital health consultations Psychosocial support for survivors of gender-based violence Awareness campaigns on reproductive health and sexually transmitted infections Fully integrated digital referral system, linking primary care with specialised medical facilities. Dr Siham Gaber, Director of Digital Health Interventions and Services at SFPA, said the initiative reflects the Association’s vision to harness technology for sustainable healthcare delivery in crisis contexts. “The mobile telemedicine clinic is a significant step forward in improving access to reproductive health services. It enables remote medical consultations and connects patients with doctors and specialists without the need for long-distance travel.  This is especially important for women, youth and displaced people, who often face serious risks just to access a health facility. Now, they can get the right care where they are - safely and with dignity.” Mr El-Shafie Mohamed Ali, Executive Director of SFPA, added: “This clinic is not just a mobile health unit. It represents a comprehensive model for integrating telemedicine solutions into the provision of healthcare services. It contributes to expanding coverage and narrowing the health gap caused by conflict and insecurity.” The first phase of the project will see mobile telemedicine clinics deployed in five key states: River Nile, Red Sea, Kassala, Gedaref and Blue Nile. A second expansion phase will begin in May and aims to extend coverage across all 15 states where SFPA operates. This will ensure broader access to services for those most in need. “We remain dedicated to innovation and the scaling of digital solutions to ensure every Sudanese citizen, regardless of their location or circumstance, has access to quality healthcare,” said Mr El-Shafie Mohamed Ali. For more information and to speak to SFPA staff in 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 2024, SFPA provided 43.4 million services to 12.6 million clients (9.8 million of which were humanitarian clients) through 26 static clinics, 39 mobile clinics, 1499 community-based distributors, private physicians and associated 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.  [i] https://www.unrefugees.org/news/sudan-crisis-explained/ [ii] https://humanitarianaction.info/plan/1220 [iii] https://www.unwomen.org/en/news-stories/press-release/2024/09/sudan-humanitarian-crisis-has-catastrophic-impact-for-women-and-girls-with-two-fold-increase-of-gender-based-violence   

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

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.

Texas judge, Matthew Kacsmaryk, has suspended the U.S. Food and Drug Administration's (FDA) approval of the abortion pill Mifepristone in a horror move for abortion access across the United States. The decision will result in a nationwide ban on Mifepristone in seven days, with the FDA given one week to appeal the ruling. While the ban also affected access in states that have secured abortion post-Roe v Wade, a conflicting ruling from Judge Thomas O. Rice from a federal court in Washington state ordered the FDA to maintain access to Mifepristone in 17 democratic states and Colombia District – effectively putting access to the pill into limbo. Mifepristone, which has been FDA-approved for more than 22 years and has a safety record of over 99%[i], is taken alongside the drug Misoprostol during medical abortion procedures. Since then, it has been used by over 5 million[ii] Americans and was used in more than half of abortions nationwide last year. While Misoprostol can be used alone in medical abortion, people should have access to the full spectrum of abortion care options. Mifepristone is also used in the medical management of miscarriage and second and third-trimester pregnancies when the fetus has died before birth. While the ruling does not prohibit the FDA from making a new authorization for Mifepristone, this will likely take many months. Severe disruption to abortion care services, healthcare services and supply chain issues are expected as healthcare providers and pharmacies grapple with legality, stock, retraining and reeducation. Beth Schlachter, Director of Global Advocacy for the International Planned Parenthood Federation, said: "For 22 years, Mifepristone has been safely used in medical abortion care across the U.S., allowing healthcare providers to deliver safe, practical and discreet care to people who have chosen to end their pregnancies, regardless of their economic status or ability to travel. "In one fell swoop, anti-abortion extremists have once again stripped people of their rights in another blow to liberty. This horror ruling based on junk science, wilful distortion of fact and extreme political agendas will profoundly affect the lives of millions of people already struggling to access the care they need, especially in states where abortion is already banned." Anti-abortion extremists deliberately filed the case against the approval of Mifepristone in the Amarillo division of the Northern District of Texas — a single-judge division where cases are automatically assigned to Judge Matthew Kacsmaryk, a conservative judge appointed by former President Trump. The group claim that: "the statutory basis on which the FDA's approval of Mifepristone was issued 22 years ago is invalid" - an assertion both the Government Accountability Office and FDA have previously investigated and put to rest "an 1873 vice law that made it illegal to send "obscene, lewd or lascivious" material through the mail applies to abortion pills" - federal courts have consistently ruled it doesn't apply to lawful abortions "the drug's original approval wasn't supported by evidence of safety and efficacy" — a claim that medical and policy experts have continuously discredited Beth Schlachter, added: "The implementation of a national ban on Mifepristone via a state court debunks one of the principal anti-abortion arguments in the Roe v Wade case  - that the ruling curtailed state freedom and that abortion rights should be defined on a state-by-state basis. "This weaponization of federal courts by anti-abortion extremists proves just how dangerous the overturning of Roe v Wade is for everyday Americans, whose access to healthcare now lies in the hands of fanatical religious extremists determined to disrupt, harass and deceive until they end access to abortion care and long-held sexual and reproductive rights for good." The International Planned Parenthood Federation's local partner, the Planned Parenthood Federation of America, will continue to provide abortion care where safe and legal to do so. Those seeking medical abortion can also access care via AidAccess and WomenonWeb. At least two abortion networks, Trust Women and Whole Womans Health, have also announced that they will not immediately stop prescribing Mifepristone and will await a directive from the FDA – a move known as a conscientious provision which refers to providers who continue to provide care despite the legal parameters.   Alongside its partner and other reproductive health organizations, IPPF will keep fighting for access to abortion care, freedom from stigma and freedom from criminalization until everyone, everywhere, is free to make choices about their sexuality and well-being. [i] https://www.plannedparenthood.org/uploads/filer_public/42/8a/428ab2ad-3798-4e3d-8a9f-213203f0af65/191011-the-facts-on-mifepristone-d01.pdf [ii] Ibid For media enquiries, please contact Karmen Ivey at [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 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.  

For the first time, the Commission on the Status of Women (CSW) has adopted Agreed Conclusions on the theme of Innovation and technological change, and education in the digital age for achieving gender equality and the empowerment of all women and girls. IPPF actively engaged in the process by providing technical input and raising awareness about the interlinkages between SRHR, digital technologies, gender equality, and the empowerment and human rights of all women and girls. IPPF was well represented at the Commission with the following member associations actively involved in advocacy efforts and included on national delegations: the Danish Family Planning Association (DFPA), Rutgers (Netherlands), Profamilia Colombia, and RFSU (the Swedish Association for Sexuality Education). This was the Commission’s first in-person convening since 2019. During the global Covid-19 pandemic, civil society space was limited at the CSW as the sessions were conducted entirely online or only open to a limited number of civil society organizations (CSOs). This year’s session therefore constituted the first time since the beginning of the pandemic that many CSOs could meet and mobilize in person; the session welcomed a record number of 8000 participants to CSW. The experience and impact of the Covid-19 pandemic highlights the importance of ensuring transparency and adequate access to civil society as well as the need to ensure that restrictions that were enforced under Covid-19 do not hamper access for CSOs going forward.   Geopolitical landscape The negotiations were led by the Ambassador of Argentina and culminated in over weeks of negotiations between Member States on this new and important theme. For the first time, the facilitator and the Bureau decided to launch negotiations with some paragraphs containing previously agreed language “closed” so delegates could instead focus on advancing language and normative standards that related to this new priority theme. The geopolitical backdrop to this year’s negotiations was, at times, extremely divided, with key issues such as the right to development, transfer of technology, sexual and reproductive health and rights, comprehensive sexuality education, multiple and intersecting forms of discrimination, family-related language and the issue of foreign occupation causing political stalemate at times. Nonetheless, in the end, a consensus was reached, and strong Agreed Conclusions were adopted in the early morning hours on the last day of the Commission. Overall, gains were made on the important and ever-evolving area of technology, innovation, education and gender equality.  Sexual and reproductive health and reproductive rights IPPF welcomes strong references to sexual and reproductive health (SRH), health care-services, and sexual and reproductive health and reproductive rights: in particular, preambular paragraphs 67, 69 and operative paragraphs (0), (p), and (ll). IPPF welcomes the CSW’s recognition of the important role of digital health, including digital health technologies, digital tools, telemedicine, and mobile health, to ensure universal access to sexual and reproductive health-care services, including for family planning, information, and education. We also welcome that CSW recognises the need to ensure that such technologies and tools are developed in consultation with women and, as appropriate, girls, and that these technologies are science and evidence-based while protecting personal information, including health information and doctor-patient confidentiality, and prioritize consent and informed decision-making (1). Member States were able to agree on a new operative paragraph on SRH-care services which constitutes a gain beyond what was achieved last year. Digital technologies and new innovations are already having an impact on SRHR and education, for example, by the provision of sexuality education, online information, and the use of telemedicine and apps to provide people with counselling and SRH-care. The consensus reached at this year’s Commission reflects the broad-based support of Member States to take steps to address the opportunities and challenges that arise in the context of SRH and innovation, technological change, and education. Adolescents  We also welcome the Agreed Conclusion’s strong references to adolescents, including preambular paragraph 19, which is a standalone paragraph that discusses the disproportionate discrimination and violence that adolescents face and that occur through or are amplified by the use of technology. We also welcome references to adolescents in PP53, PP66, (ll), (uu), and (ee), including pregnant adolescents, young mothers, and single mothers to enable them to continue and complete their education and provide catch-up and literacy, including digital literacy. Multiple and intersecting forms of discrimination  We regret that references to multiple and intersecting forms of discrimination were contested by some delegations, especially given the relevance to this year’s theme. It is well documented that women, adolescents, and girls facing multiple and intersecting forms of discrimination (MIFD) are more likely to face discrimination and violence through or amplified by technology. They also lack access to technological opportunities and advancements. We regret that the Agreed Conclusions do not have a standalone paragraph linking the priority theme to MIFD, which also constitutes a setback from last year’s agreement, where there were three references to MIFD, as opposed to this year’s text which only includes two.  Comprehensive Sexuality Education (CSE) The text includes a standalone paragraph on comprehensive sexuality education (CSE) in operative paragraph (ll), which is language that has previously been adopted at the Commission. Though there were attempts to build on this language and advance on normative standards relating to CSE, these proposals were ultimately dropped at a late hour due to the inability to reach consensus on suggested new language. We regret that discussions stalled on CSE, as this is an area that has been well documented by UN agencies as an effective preventative and evidence-based intervention that can improve the health, well-being, and lives of young people, as well as prevent the incidence of gender-based violence and sexually transmitted infections. This is especially unfortunate, given this year’s priority theme and the focus on education.  Technology-facilitated gender-based violence The discussions on the phenomenon of technology-facilitated gender-based violence became politically contested, with some delegations insisting that this terminology constituted a new technical term, requiring a comprehensive definition were it to be referenced in the text. It was, therefore not possible to have a reference to the term in the text even though the phenomenon was well described and prioritized therein. In this regard, we welcome the numerous references to gender-based violence and particularly the recognition that girls are often at greater risk of being exposed to and experience various forms of discrimination and gender-based violence and harmful practices, including through the use of technology and social media (2). Furthermore, we welcome references to ‘non-consenual’ in preambular paragraph 56 and operative paragraph (uuu), as this concerns critical violations of rights and freedoms that women, adolescents, and girls are subject to. These well-documented abuses can be exacerbated by technology; in this regard, the principle of non-consensual is critical to acknowledging the autonomy of women, adolescents, and girls in decisions affecting their sexual, reproductive, and intimate lives.  Right to privacy and personal data Greater need for practices and laws that guarantee the protection of sensitive personal and health data has increased alongside the rise of digital technologies. We therefore welcome the Commission’s recognition that women - and particularly girls - often do not and/or cannot provide their free, explicit, and informed consent to the collection, processing, use, storage, or sale of their personal data (3). We also welcome the Commission’s emphasis on the need to address the digital divide for migrant women and girls and ensure their online connectivity and equitable access to services while upholding the protection of personal data and their right to privacy (4). Finally, we also welcome that the Commission underscores the importance of applying standards for the collection, use, and sharing of data, retention, archiving, and deletion to ensure the protection of women’s and girls’ personal data and to strengthen their ownership of their own personal data (5). Human rights references We welcome the strong references to the human rights and fundamental freedoms of all women and girls in the text. In particular, we welcome acknowledgement of the risks and opportunities that the evolving nature of technology brings in terms of realizing the human rights of women, adolescents, girls, and other marginalized groups and the action required by Member States and relevant stakeholders to mitigate against risks and protect, respect, and fulfil the human rights of all women and girls. This year’s Agreed Conclusions has almost double as many references relating to the human rights of women and girls. This constitutes a huge advancement and is testament to the resounding cross-regional support for upholding the human rights and fundamental freedoms of all women and girls.  Putting the Agreed Conclusions into practice Despite intensive and, at times, difficult political deliberations around key issues, the adoption of Agreed Conclusions signals the strong cross-regional support for the mandate of the Commission and its priority theme. It also reflects cross-regional support for key issues, including SRHR, human rights, preventing, addressing and eliminating gender-based violence, especially gender-based violence occurring and being amplified through technology. The importance and success of the Agreed Conclusions lie in its implementation at the national level. IPPF and its member associations are well placed as a locally owned, global Federation to work to ensure the implementation of the Agreed Conclusions at national, regional, and global levels. This will ultimately and most importantly benefit the lives of women, adolescents, girls and other marginalized groups in the communities where they live.  (1) PP69 (2) PP52 (3) PP39 (4) PP82 (5) OP qqq  Photo Credit: UN Women/Ryan Brown 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 70 years, IPPF, through its 108 Member Associations and 7 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 US Supreme Court has overturned Roe v. Wade in the biggest blow to women's health and rights in recent US history, removing 50 years of constitutional protection for abortion across America, meaning individual states will now decide the legality of abortion within their jurisdiction. Twenty-six states, including Mississippi, Oklahoma, Texas and Georgia, are now poised to enact "trigger laws" that will severely limit or ban abortion, putting approximately 40 million women and girls of reproductive age at risk of losing abortion access, with lower-income people and people of color most severely affected.  The patchwork of state abortion bans means those without funds to travel for safe and legal abortion services or access medical abortion pills will be forced underground to unsafe and unregulated methods, with no guarantee of quality of care or aftercare if things go wrong. The devastating rollback of reproductive rights resulted from the Dobbs v. Jackson Women's Health Organization case, a 2018 ruling that banned abortion in Mississippi after 15 weeks of pregnancy. Of the nine federal Supreme Court Justices, six voted to uphold the Mississippi law, effectively overturning Roe v. Wade, and three dissented. Dr Alvaro Bermejo, Director-General of the International Planned Parenthood Federation, said: "The Supreme Court's decision to overturn Roe v. Wade is the biggest blow to women's health and rights in recent US history and an outrageous and devastating conclusion to what was already an unconstitutional removal of life-saving healthcare. "By continuing its unbridled attack on women's bodies and forcing them to carry pregnancies to term, the highest court in the land has reached its lowest point, robbing millions of their liberty, bodily autonomy and freedom – the very values the United States prides itself on. "We know for a fact that banning abortion does not mean fewer abortions and that when abortion bans are enacted, women and pregnant people die, as we have seen across the globe, most recently in Poland. We also know that those who cannot access safe abortion care legally, including medical abortion pills, will be forced into unregulated and unsafe methods, potentially resulting in serious harm or even death and costing lives for decades to come. "The fallout from this calculated decision will also reverberate worldwide, emboldening other anti-abortion, anti-woman and anti-gender movements and impacting other reproductive freedoms. The justices who put their personal beliefs ahead of American will, precedent, and law will soon have blood on their hands, and we are devastated for the millions of people who will suffer from this cruel judgment." The overturning of Roe v. Wade also flies in the face of democracy and against the values of those the Supreme Court is meant to represent and protect, with the majority (60%) of Americans supporting Roe v. Wade and 70% believing the decision to end a pregnancy is between a woman or pregnant person and their doctor. Elizabeth Schlachter, Director of Advocacy and US representative for the International Planned Parenthood Federation, said: "The Supreme Court's perilous ruling is not just regressive but also wildly out of step with most Americans, who we know support access to abortion care. It is also at odds with much of the world, where access to abortion is expanding to reach all who need this vital health service. "By overriding the constitutional right to abortion across the US and handing the decision to each state, many parts of the US will now join El Salvador, Nicaragua, and Poland with some of the most restrictive, extremist, and life-threatening bans on abortion care in the world. "But this is not just about the anti-abortion movement in the US; this is concerted and calculated global effort by anti-women, anti-gender, anti-LGBTQI+ conservative and religious, white supremacist extremists, who are using dark money and undemocratic means to deny people their human right to healthcare, equality, bodily autonomy and ultimately, freedom. "With long-held rights under sustained attack, the International Planned Parenthood Federation is imploring governments across the globe to do more to protect democracy and peoples' freedoms from the interference and influence of these extremist groups." The International Planned Parenthood Federation's (IPPF) Member Association, the Planned Parenthood Federation of America (PPFA), continues to provide services to all who need them where legally possible, including via telemedicine for medical abortion pills. IPPF and PPFA will also continue to work around the clock to protect the rights of all people both in the US and globally, fighting extremism at its core and ensuring that women and pregnant people will not be forced to carry a pregnancy or give birth against their will. To help keep abortion legal, safe, and accessible, you can donate to the International Planned Parenthood Federation or Planned Parenthood Federation of America. 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 against those who seek to deny people their human right to bodily autonomy and freedom. We deliver care rooted in rights, respect, and dignity - no matter what.

On the US Supreme Court's draft opinion on Roe v Wade, Dr Alvaro Bermejo, Director-General for IPPF, said: "If the reports are true, then the highest court in the land has reached its lowest point. If they continue down the road of overturning Roe v Wade, they will rob millions of people of their liberty, bodily autonomy, and their freedom – the very values the United States prides itself on. "This decision will also embolden other Conservative extremist movements around the world, looking to deny women their reproductive freedom. Make no mistake, this ruling will cost millions of lives for years to come. "The Supreme Court still has time to do the right thing and uphold Roe v Wade. IPPF will do all it can to ensure people can safely end their pregnancy."  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. Main image: Abortion rights protest in Washington DC, US – photo by Gayatri Malhotra, Unsplash

The International Planned Parenthood Federation has joined an international network to promote and sustain improved health and agency in low- and middle-income countries through Agency for All Project The U.S. Agency for International Development (USAID) has funded a $38 million, five-year project led by the Center on Gender Equity and Health (GEH) at University of California San Diego School of Medicine and Herbert Wertheim School of Public Health and Human Longevity Science. The project is an international, multi-institutional effort to understand and promote agency for individuals, communities and local organizations in low- and middle-income countries. “Agency for All” is intended to develop and foster social and behavioral research resulting in a better understanding of how to promote the voices of local people within their own communities and within health and development programming. It addresses multiple dimensions of health and well-being, including maternal and child health, infectious disease, HIV/AIDS, family planning and reproductive health. The program will work with diverse populations across the globe, with a focus on Africa and South Asia. GEH will coordinate the consortium of global, regional and local leaders to conduct research and implement solutions, informed by local priorities and agendas, said Rebecka Lundgren, PhD, an applied anthropologist and associate professor of infectious diseases and global public health, who will serve as project director.  “Agency for All will look at the complex questions of ‘agency,’ and what that means for different people, organizations and systems around the world, as well as for our own consortium partners,” said Lundgren. “We are honored to bring together a global consortium of world class researchers and implementers to discover what works to convert intention into action within social and behavior change programs and make it work for real people.” The initiative will concentrate on three geographical areas or hubs in East Africa, West Africa and South Asia, collaborating with specific organizations and networks in those regions. In addition to the International Planned Parenthood Federation, these partners include the Centre for Catalyzing Change (India), Evidence for Sustainable Human Development Systems in Africa (Cameroon), Makerere University (Uganda), Matchboxology (South Africa), Sambodhi (India), Shujaaz, Inc. (Kenya), University of Witwatersrand (South Africa), CORE Group, Promundo-US, Save the Children and Viamo. “These locally-led partnerships are critical,” said Paul Bukuluki, PhD, director of research for Agency for All and an associate professor at Makerere University. “We hope to develop context-specific mechanisms for measuring agency, and more effectively evaluate the approaches that help us improve the quality of life of women and men at the margins of society.” About the Center on Gender Equity and Health  The GEH conducts multidisciplinary research to understand and eliminate gender inequities, specifically in the areas of child marriage, unpaid labor, gender-based violence and gender social norms.  It is directed by Anita Raj, PhD, professor of infectious diseases and global public health in the UC San Diego School of Medicine.