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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   

April 8th, 2025 - A new project titled "Providing Critical Sexual, Reproductive and Maternal Health Care to Internally Displaced People and Local Communities in Yemen" has been launched. Funded by the Government of Japan and implemented by IPPF Member Association in Yemen, the Yemeni Association for Reproductive Health (YARH), the project aims to enhance and sustain high-quality sexual and reproductive health (SRH) services and awareness for Yemen’s crisis-affected populations in Aden and Amran. Following years of conflict and instability, Yemen's humanitarian needs remain severe, with an estimated 19.5 million people in need of assistance (OCHA). Internally displaced persons (IDPs), returnees, and host communities are particularly affected, struggling to access essential maternal, newborn, and reproductive healthcare.  The new funding will allow for expanded services, ensuring lifesaving care reaches more communities, particularly women, youth, and newborns. It aims to reduce maternal and newborn mortality and morbidity while improving care for survivors of gender-based violence. Additionally, community outreach and capacity-building programmes will empower individuals with the knowledge to make informed decisions about their sexual and reproductive health and rights. Key activities include: Renovating and upgrading two health facilities (one in each project governorate) to provide high-quality SRH, maternal and child health, and gender-based violence (GBV) services, as well as nutrition and cholera treatment. Ensuring IDPs, host communities, and returnees receive critical reproductive healthcare, including antenatal and postnatal care, family planning, and emergency obstetric and newborn care. Training healthcare professionals from YARH and other local health facilities in the Minimum Initial Service Package (MISP), Clinical Management of Rape, and sexual reproductive health in emergencies (SRHiE). Conducting 480 awareness-raising sessions led by trained peer educators to educate nearly 5,000 individuals on SRH, HIV, cholera, nutrition, and gender-based violence. Training 40 community and youth peer educators to strengthen SRH education and advocacy efforts in local communities. H.E. Mr. NAKASHIMA Yoichi, Ambassador of Japan to Yemen stated, “Ensuring access to quality maternal and reproductive health services for crisis-affected communities underscores our commitment to supporting vulnerable populations in Yemen. We look forward to beginning this new project”. Dr. Ali Norman, Executive Director of YARH, emphasised, “By strengthening health infrastructure, training healthcare workers, and engaging communities, we are improving the health and well-being of mothers, newborns, and families across the region. We are grateful for the support from the Government of Japan.” Dr. Fadoua Bakhadda, Regional Director of the IPPF Arab World Regional Office, added, “This support ensures that we can keep delivering essential SRH services to communities in greatest need. This funding will be transformative for women, children, and families in Yemen, particularly in underserved areas.” Over the course of this project, it is anticipated that: Over 10,000 women, newborns, and young people will receive quality SRH and maternal health services. 1,000 women will be reached with gender-based violence services. Over 4,000 internally displaced persons and host community members will receive information on sexual and reproductive health and rights, including GBV and other health services. Peer educators will be trained in communication skills, basic health, hygiene, and SRHR education. Healthcare service providers will receive specialised training to enhance the quality of SRH services in emergencies.  About YARH Established in June 2009 as a not-for-profit voluntary non-governmental organisation, the Yemeni Association for Reproductive Health (YARH) is registered with the Ministry of Social Affairs and became an IPPF Member Association in 2010. Through two clinics and one youth-friendly service centre, YARH provides quality SRH services to people in Yemen. The organisation plays a key role in building strategic partnerships with other entities focused on young people’s programmes and actively involves youth in identifying, implementing, monitoring, and evaluating projects. YARH is a strong advocate for sexual and reproductive health and rights (SRHR). Key partnerships include the Ministry of Public Health (Department of Reproductive Health, National AIDS Programme, General Directorate for Women's and Child's Health), the Ministry of Youth and Sports (Scouts, Guides, and Sport Clubs), Sana’a University, the Population Research and Studies Centre, local NGOs active in reproductive health, private universities, and organisations focused on human rights, gender equality, and women's rights, including the Women's National Committee and the National Information Centre. About IPPF Arab World Office The International Planned Parenthood Federation (IPPF) Arab World Office is a leading healthcare provider and advocate for SRHR in North Africa and the Middle East. Established in 1971, it is one of IPPF’s six regional offices, supporting a network of member associations across the region. IPPF AWR is committed to delivering essential health services and championing reproductive rights, particularly in crisis and humanitarian settings.  

March 13th, 2025 - A new project titled “Preventing Maternal and Reproductive Health Morbidities and Mortalities Among Crisis-Affected Populations, IDPs, Syrian Refugees, and Host Communities in Lebanon” has officially launched. Funded by the Government of Japan and implemented by IPPF Member Association, SALAMA (The Lebanese Association for Family Health), this project aims to enhance and sustain high-quality sexual and reproductive health (SRH) services for Lebanon’s crisis-affected populations  Following the ceasefire in Lebanon last year, the need for comprehensive SRH services remains urgent, as many people continue to struggle to access essential maternal, newborn, and reproductive healthcare. Internally displaced people, Syrian refugees, and local host communities in the Beqaa Valley require multifaceted interventions that include not only clinical care but also psychosocial support, medical services, and targeted community outreach.  This project addresses these needs by providing quality, clinic-based SRH services for women, youth, and other marginalised groups to reduce SRH-related mortality and morbidity and to improve care for survivors of gender-based violence. Additionally, community outreach and capacity-building programs will empower individuals to make informed decisions regarding their sexual and reproductive health.  Key activities include:  Clinical services: Offering high quality, rights-based, and client-centered SRH care, including specialised maternal, newborn, and child health services such as safe delivery and newborn care. Distribution of kits: Providing pregnant and postpartum women with ‘mama-baby’ kits, as well as dignity and sanitary kits containing essential hygiene items for key populations.  Community outreach: Conducting awareness sessions and collaborative events on SRHR, family planning, gender-based violence, and HIV.  Capacity building: Training service providers and peer educators in comprehensive SRHR service delivery and developing educational materials.  H.E. Ambassador MAGOSHI Masayuki stated, “Ensuring that crisis-affected communities have access to quality maternal and reproductive health services is a matter of human rights and dignity, hence human security. This initiative reaffirms our commitment to supporting vulnerable populations in Lebanon and underscores the critical importance of sexual and reproductive health to foster resilient communities.”  Lina Sabre, Executive Director of SALAMA, noted, “The health and well-being of our mothers, children, and families are paramount. Through this project, we are dedicated to providing life-saving services and empowering communities, even in times of crisis, with the knowledge they need to make informed health decisions.”  Dr. Fadoua Bakhadda, Regional Director of the IPPF Arab World Regional Office, added, “This project will be for transformative for women in Lebanon. This funding ensures the continued provision of essential sexual and reproductive healthcare, and the safety for pregnant mothers and newborns." Over the course of this project, it is anticipated that:  28,000 crisis-affected individuals will gain access to essential SRH services,  84,000 SRH service interventions will be delivered, and  Nearly 37,000 people will be reached through comprehensive awareness initiatives.    About SALAMA  SALAMA, the Lebanese Association for Family Health, is an NGO founded in 2008 under the statement of registration No 1740. SALAMA advocates for sexual and reproductive health and rights SRHR by inducing the concerned authorities in Lebanon to support and protect SRHR, promotes and provides high quality SRH services (for children, young people, men and women), and raises awareness for all groups in the society (particularly the underserved and marginalized) in order that they make informed decisions regarding their SRHR.   About IPPF Arab World Office  International Planned Parenthood Federation (IPPF) Arab World Office: 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. Today, we are a movement of over 120 autonomous member associations and 23 collaborative partners with a presence in 146 countries. Established in 1971 the  IPPF Arab World Region (IPPF AWR) is one of IPPF’s six regional offices. Based in Tunis, it is the leading Sexual and Reproductive Health (SRH) service delivery organization in North Africa and the Middle East, and the leading Sexual and Reproductive Health and Rights (SRHR) advocacy voice in the region. 

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.

15 November 2023 - With the forced closure of Gaza’s largest hospital, Al Quds, due to the lack of fuel and incessant Israeli bombardment, and the recent storming of al-Shifa Hospital by Israeli forces, midwives are a lifeline for the estimated 180 women who are giving birth each day.  As of 13 November, all but one of the hospitals in Gaza City and northern Gaza are reportedly out of service due to lack of power, medical consumables, oxygen, food and water, compounded by bombardments and fighting in their vicinities, according to OCHA. 26 year old Narmeen Al Shafee is a midwife currently living in Deir al-Balah in central Gaza, who has previously worked with the Palestinian Family Planning and Protection Association (PFPPA) outreach team. She describes the case of a 29-year-old pregnant woman who fled along with her family from Sheikh Radwan to Deir al-Balah to seek refuge in a school shelter near her home. The women was in her ninth month of pregnancy and not long after being displaced from her home she underwent a cesarean section. Midwife Al Shafee said: “After giving birth, and for her own safety, the shelters did not want to accommodate her due to the widespread infectious diseases and [the] high risk of infection since she had a cesarean section. Her husband was calling out in the streets for someone to receive his wife and three children. My parents welcomed them into our home to take care of her. I would change her bandages daily and monitor her and her child. After ten days, I removed the stitches. Thank God, her condition is now stable, and there are no problems.” In a separate case, Al Shafee describes caring for her 23-year-old cousin who was pregnant for the first time and lost her husband early in the war. “Her delivery date was approaching, and she gave birth at Nasser Hospital in Khan Younis [in southern Gaza]. Her child faced complications during birth, and due to the bombings she sought refuge with us. I took care of her and her child until their situation stabilized. Now, I am helping her with breastfeeding, as she is finding it difficult.” Aminah*, another midwife who has also previously worked with the PFPPA outreach team, said: “I’ve been in contact with two pregnant women multiple times, providing weekly consultations. One woman experienced severe cramps, and after offering advice, she was referred to the hospital. She needed lung maturation injections for the fetus, along with rest and nutritional supplements and iron. Another woman, 29 weeks pregnant, suffered dizziness and vomiting and she took Ancozine [an antiemetic] for nausea during the visit. I also found out that she was taking iron and provided her with information on the correct way to take iron tablets in order for her to benefit from them as needed. I am also providing information to women in my area and around me hoping that it will help them if and when needed.” According to data from the UNFPA, there are an estimated 50,000 pregnant women in Gaza, with 15% expected to encounter complications. In many instances women are only admitted to hospital when they are fully dilated, with some forced to deliver their babies in cars, in the streets, and in overcrowded shelters where the risk of infection and the spread of disease is high. There are reports of c-sections bring performed without anesthesia, and there is currently no type of post natal care available in Gaza.  Levels of early labor and miscarriages are expected to increase with the trauma and conditions being faced.  Al Ahli Hospital, in Gaza City, which currently accommodates over 500 patients, is reportedly the sole medical facility able to receive patients, amid increasing shortages and challenges. In Shifa hospital, 32 patients, including three premature babies, have reportedly died since 11 November, following the power cut and amid dire conditions. Without a full and immediate ceasefire, and the unimpeded delivery of humanitarian aid across all parts of Gaza, maternal and neonatal deaths will continue to rise. For media enquiries, or to speak to our staff member in Palestine, please contact [email protected] Click here to donate to IPPF's emergency appeal for Palestine. About PFPPA Established in Jerusalem in 1964, the Palestinian Family Planning and Protection Association (PFPPA) is locally registered as an independent, non-profit and non-governmental association with headquarters in Jerusalem. PFPPA has service delivery points located in the West Bank Areas of Ramallah, Bethlehem, Hebron and Halhoul, in addition to one in the Gaza Strip, which has yet to be relocated after it was destroyed following an Israeli airstrike on 8 October. Furthermore, and in cooperation with local partners, PFPPA is also responsible for 3 safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area. 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. Banner image: Midwife Narmeen Al Shafee provides care to a newborn baby in Deir al-Balah, in central Gaza. 

Today marks one month since Hamas launched its attack on civilians that triggered Israel’s declaration of an unprecedented war in the Gaza Strip, and a subsequent humanitarian catastrophe. Since 7 October, some 1,400 Israeli civilians have been killed, 200 hostages taken, and thousands injured, according to the Israeli authorities. In Gaza, over 10,000 people have been killed, the vast majority of whom are women and children. IPPF echoes international demands for an immediate and full ceasefire to prevent further atrocities. The continued bombing and rockets will make it virtually impossible to distribute any aid to civilians. In addition to the immediate need for fuel, water, food, and medicine for civilians in Gaza, the urgency of sexual and reproductive health care needs must not be overlooked. Alvaro Bermejo, IPPF Director General said: “Our colleagues in Gaza are currently sheltering for their lives, yet still delivering sexual and reproductive healthcare in any way they can amid appalling conditions. For 30 days, bombs have been falling across Gaza, leaving behind devastation and destruction unlike anything we have dealt with before as a Federation. In the absence of a full ceasefire, we are gravely concerned for the lives of our colleagues, civilians, and humanitarians who are desperately trying to deliver aid inside Gaza.” Insufficient supplies, resources and equipment for sexual and reproductive health and rights were already a pressing issue in Gaza, which has been under Israeli occupation and blockade for decades. Since 7 October, thousands of Palestinian mothers and children have been killed, marking a recurring stifling of reproductive justice in the region. Pregnant women are miscarrying due to stress and shock, and the availability of medical facilities to birth safely is now virtually non-existent. Women and girls are reporting a severe lack of menstrual hygiene products and contraceptives, and a rise in cases of sexually transmitted diseases and urinary tract infections with little to no medical treatment available. Without a full and immediate ceasefire, we can expect to see this vicious cycle continue, with thousands more maternal and newborn deaths. On top of this, we will see a rise in unintended pregnancies, the spread of sexually transmitted infections including HIV, and a rise in psychological trauma and conflict-related sexual violence, all of which will have long-term, generational impacts. We echo calls by the UN Inter-Agency Standing Committee to establish a robust aid operation in a safe and peaceful context. Gaza needs a coordinated effort that meets the urgent needs of all its people, including the particular sexual and reproductive healthcare needs of women, girls and vulnerable groups. There are no justifications for war crimes or grave violations of international humanitarian law, regardless of who commits them or against whom they are committed. We reaffirm that all people have the right to access emergency sexual and reproductive healthcare, no matter where, and no matter what. IPPF calls for an immediate ceasefire to end the violence, deaths and suffering of civilians in Israel and Palestine. This ceasefire is an essential precursor towards a path to peace with justice.   For media enquiries, or to speak to our staff member in Palestine, please contact [email protected] Click here to donate to IPPF's appeal for Palestine.   About PFPPA Established in Jerusalem in 1964, the Palestinian Family Planning and Protection Association (PFPPA) is locally registered as an independent, non-profit and non-governmental association with headquarters in Jerusalem. PFPPA has service delivery points located in the West Bank Areas of Ramallah, Bethlehem, Hebron and Halhoul, in addition to one in the Gaza Strip, which has yet to be relocated after it was destroyed following an Israeli airstrike on 8 October. Furthermore, and in cooperation with local partners, PFPPA is also responsible for 3 safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area.   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.  

Shelter conditions in Gaza for the estimated 1.4 million internally displaced people have become dire, with women and girls reporting a severe lack of menstrual hygiene products, cases of sexually transmitted diseases and urinary tract infections with little to no medical treatment available in the severely overcrowded shelters. Contraception is in very short supply, and according to our local team sheltering and providing services in Gaza, women are sharing contraceptive pills. Women with intrauterine contraceptive devices (IUDs) are experiencing bleeding and infections due to the unhygienic conditions in the camps. There are currently no options for IUD removal in Gaza, posing long term risks to women’s reproductive health, including severe bleeding. On 25 October, the UN said that fuel in Gaza could run out within hours, and that hospitals in the Gaza Strip are taking emergency cases only, which will prevent many women and girls from seeking sexual and reproductive health care. If Israel continues to block humanitarian aid including safe delivery kits from entering Gaza, many of the estimated 50,000 pregnant women[1] in Gaza will have no safe place to give birth, with at least 15% likely to experience complications[2], further compromising already stalled progress in reducing the rates of maternal morbidity and mortality. Wafa Abu-Hasheish, a health worker at PFPPA in Gaza said: “The shelter is suffering from a shortage of water, lack of medical care, and an increase in the incidence of diseases such as influenza, chest infections, skin ulcers, scabies, lice, and diarrheal diseases, and girls and women are reporting menstrual disturbance. There are also cases of sexually transmitted infections and urinary tract infections. Women using contraceptive pills are sharing their supplies with others." The number of internally displaced persons (IDPs) in Gaza is currently estimated at around 1.4 million (more than half the population), with a large part of that population living in overcrowded and under-supplied shelters with food, water, and fuel running out – and basic and life-sustaining services becoming more inaccessible by the hour. The mental and physical health toll on local health workers in Gaza is immense. Abu-Hasheish added: “On a personal level, being the service provider and being present in the shelter has caused me several psychological problems, stress, and fear. I also suffer problems such as neck ache and back muscle tension due to the inability to sleep or sit properly. I have contracted a flu and developed excessive breathing difficulties, but there is a lack of available treatment for displaced people due to the high number of patients and the scarcity of medicines. I had to go home for rest and relaxation, despite the dangers and lack of safety at home. Ammal Awadallah, the Executive Director of the Palestinian Family Planning and Protection Association (PFPPA) said: "If pregnant women are lucky enough to reach a health center or hospital, they are only admitted when they are fully dilated. And they must leave the hospital within three hours after delivery, due to overcrowding in hospital facilities, lack of space and resources. “Women are forced between choosing privacy and a clean space in their own homes, where they still stand, or shelters with dire conditions. It is choosing between the different evils. There is no safe place in Gaza.” For media enquiries, or to speak to our staff member in Palestine, please contact [email protected] Click here to donate to IPPF's appeal for Palestine. About PFPPA Established in Jerusalem in 1964, the Palestinian Family Planning and Protection Association (PFPPA) is locally registered as an independent, non-profit and non-governmental association with headquarters in Jerusalem. PFPPA has service delivery points located in the West Bank Areas of Ramallah, Bethlehem, Hebron and Halhoul, in addition to one in the Gaza Strip, which has yet to be relocated after it was destroyed following an Israeli airstrike on 8 October. Furthermore, and in cooperation with local partners, PFPPA is also responsible for 3 safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area. 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. [1] Source: UNFPA [2] Source: MISP

Over 50,000* pregnant women will be forced to give birth with no electricity or medical supplies in Gaza in the coming months, risking life-threatening complications without access to delivery and emergency obstetric care services. Ammal Awadallah, Executive Director of the Palestinian Family Planning and Protection Association (PFPPA) said: “We don’t know what’s going to happen to these women and their newborn babies. Our center is unusable and our options to provide referrals to hospitals are decreasing by the hour. I can’t stress enough how dire the situation is and how desperately we need humanitarian aid to be allowed into Gaza.” On 8 October, PFPPA’s only center in Gaza was destroyed following an Israeli airstrike to an adjacent building, completely cutting off their ability to offer healthcare to women who have already been systematically denied sexual and reproductive healthcare and rights by the Israeli occupation. Israel’s complete blockade of Gaza, as announced on 10 October, is preventing food, water, fuel, and medical supplies into Gaza. Currently, Gazans are only able to access electricity for two hours every day - this supply is due to completely run out in the next few days. The medical system in Gaza, already severely stretched due to 16 years of an illegal blockade, cannot cope with the level of injuries from the current bombardment. Emergency services and medical supplies are not able to reach affected people, including pregnant women, women in labour and newborn babies. It's estimated that 60% of those injured and killed since 10 October are women and children. On 11 October, the only power plant in Gaza ran out of fuel, and three of five water plants are out of service due to the Israeli bombing and lack of fuel. Without clean water, food, basic medicines and vaccines, innocent women and newborn babies will continue to die. Wafa Abu Hasheish, a health worker at PFPPA in Gaza said: "As a health worker and a Palestinian woman, ever since Saturday morning I have been living in constant fear for the safety and livelihood of my family. At the same time I am not able to leave behind my commitment to providing women with health services and information. I have received calls from women having a miscarriage due to the bombings and gas, another going into labor, neighbors reaching out for help… all of which I am trying to assist but with such limited options and resources available and accessible.. I am afraid for their well beings and even for their lives. I do not know how much more the Gazans can take and I am constantly thinking how many more women around Gaza have no one or nowhere to go." Note: This figure was calculated using the Minimum Initial Service Package (MISP) calculator based on the most recent available statistics on the population of Gaza. On 16 October, UNFPA released updated statistics that show there are currently at least 50,000 pregnant women in Gaza.  For media enquiries, or to speak to our staff member in Palestine, please contact [email protected] Click here to donate to IPPF's appeal for Palestine. About PFPPA Established in Jerusalem in 1964, the Palestinian Family Planning and Protection Association (PFPPA) is locally registered as an independent, non-profit and non-governmental association with headquarters in Jerusalem. PFPPA has service delivery points located in the West Bank Areas of Ramallah, Bethlehem, Hebron and Halhoul, in addition to one in the Gaza Strip, which has yet to be relocated after it was destroyed following an Israeli airstrike on an adjacent building on 8 October. Furthermore, and in cooperation with local partners, PFPPA is also responsible for 3 safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area. 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.   *At the time of this press release on 12 October 2023, we reported that there were an estimated 37,000 pregnant women in Gaza, which was calculated using population estimates from the MISP calculator - a tool that helps coordinators and program managers determine affected population demographics for advocacy, fundraising and programming. This statistic has since been updated to an estimated 50,000 pregnant women in Gaza, with 5,500 expected to deliver in the next month, according to the most recent available data from the UNFPA.

London, 9 October 2023 - Over the past few days, we have watched in horror the escalating violence between Hamas and Israel, the loss of civilian lives and the targeting of health facilities. In response, IPPF has released a media statement on behalf of the Federation and its Member Association directly impacted by the violence. As in all conflict and humanitarian situations, sexual and reproductive health, rights and justice (SRHRJ) challenges will increase significantly in Palestine following the latest outbreak of violence and the targeting of health infrastructure. Sexual and Reproductive Health and Rights must be prioritized now in Palestine, especially for women, girls and the most vulnerable and marginalized groups among them, who have already been facing a protracted humanitarian crisis for decades. IPPF’s Director-General, Dr Alvaro Bermejo, said: "The International Planned Parenthood Federation (IPPF) is deeply concerned about civilians caught up in the recent attacks, and we are devastated by the loss of civilian lives. At a time where human rights are increasingly under attack, we take our responsibility to preserve the enormous gains made in life-saving sexual and reproductive healthcare in this region very seriously, especially for women, girls and marginalised populations, whose vulnerability and experiences are so often overlooked in humanitarian and conflict settings. "Since its establishment in 1964, the Palestinian Family Planning and Protection Association (PFPPA), our local Member Association in Palestine has worked in the most difficult of circumstances to strengthen and protect the reproductive rights of people living in Gaza, the West Bank and Jerusalem. “Our local teams are now contingency planning to address not only the needs of those trapped in Gaza amid escalating violence, but also the more than five million Palestinians currently living under Israeli occupation who will require critical support to continue accessing sexual and reproductive healthcare. We will work closely with partners and other NGOs to ensure the least possible disruption to services, and we will continue to monitor the situation closely to ensure the safety and security of our colleagues across the region.” Ammal Awadallah, Executive Director of the Palestinian Family Planning and Protection Association (PFPPA), IPPF’s local Member Association in Palestine said: “The current situation in Palestine is different than other situations of escalating hostilities. We have many staff that are afraid to come into work, and we had colleagues that were stuck at the border and unable to return home following IPPF meetings outside of the country. On 8 October, one of our critical service delivery points in Gaza was destroyed. While this building can be compensated, lives cannot. PFPPA has been bravely providing services within this protracted humanitarian crisis setting for decades. This has made us stronger and increased our commitment to women and girls, but we are now facing a dire situation. Basic sexual and reproductive health care commodities, like condoms, are banned in Gaza. The total blockade of Gaza will only worsen the situation for millions of desperate people who are denied their most basic of human rights. Palestinians are systematically denied sexual and reproductive healthcare and rights. Our health system has been repeatedly targeted and depleted by the Israeli occupation, and the more it disintegrates, the more it will hinder the full realization of these rights for women and girls.” بالنسبة لوسائل الإعلام العربية، يرجى الاتصال بمصطفى كميل el [email protected] For UK and other international media outlets, please contact [email protected] About the Palestinian Family Planning and Protection Association (PFPPA) Established in Jerusalem in 1964, the Palestinian Family Planning and Protection Association (PFPPA) is locally registered as an independent, non-profit and non-governmental association with headquarters in Jerusalem. PFPPA has service delivery points located in the West Bank Areas of Ramallah, Bethlehem, Hebron and Halhoul, in addition to one in the Gaza Strip, which has yet to be relocated after it was destroyed following an Israeli airstrike to an adjacent building on 8 October. Furthermore, and in cooperation with local partners, PFPPA is also responsible for 3 safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area.    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 150 Member Associations and collaborative 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 organisations 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.

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.