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IPPF remains steadfast in its commitment to supporting its Member Association, the Syrian Family Planning Association (SFPA), in providing essential SRHR services for all. Within the uncertainty and instability, we continue to work together with SFPA to empower communities, protect the rights of women and adolescents, and address the urgent needs of marginalized populations, particularly in the face of increased vulnerability. Our collective mission stands firm: we are committed to ensuring that dignity, health, and choice are accessible to all, regardless of political or social challenges. Even in these uncertain times, we believe that SRHR services must continue - because the need for family planning, maternal healthcare, and gender-based violence (GBV) support does not diminish, even in the midst of conflict. Syria is enduring a difficult period of transition, but sexual and reproductive health cannot be sidelined. The health and well-being of Syria’s most vulnerable populations, especially women and youth, remain a top priority. The work of SFPA is more essential than ever, as it continues to provide vital services such as family planning, postnatal care, and GBV screening. At Al-Hasakah, SFPA is on the frontlines, directly supporting over 5,000 people, the majority of whom are women in urgent need of reproductive healthcare services. These women face an increased risk of complications due to the lack of access to safe and comprehensive health services, but SFPA is committed to meeting their needs. From providing postnatal care to offering family planning options and GBV screenings, SFPA is ensuring that women in these vulnerable circumstances are not forgotten. SFPA’s clinics, such as the one in southern Daraa and the besieged Al-Waer in Homs, have become lifelines, serving as a beacon of hope for those in need. They provide up to 70 beneficiaries a day with crucial services, including health counselling and early marriage awareness. SFPA has faced significant challenges, including the seizing of vehicles and temporary clinic closures in the suburbs of Homs. Yet SFPA's perseverance in delivering SRHR services remains an essential lifeline for the people of Syria. We will continue to stand alongside SFPA in their tireless efforts to safeguard sexual and reproductive health rights, ensuring that every woman, adolescent, and marginalized person has access to the care they deserve. Together, we stand for dignity, health, and choice, even in the face of uncertainty. The challenges are great, but the importance of maintaining SRHR services is immeasurable. Through unwavering dedication, we can support those in need and contribute to a future where everyone has access to the care and rights they deserve.   Contact: +44 7918 845944 Image credit: SFPA/Wasim Kashlan

ENOUGH IS ENOUGH! Nearly a year into targeted, reproductive violence against Palestinian women and girls, and the bombing of our reproductive health site in Gaza; IPPF readies itself for a fresh wave of attacks against its health workers and clinics in Lebanon.  "Our healthcare workers in Lebanon are under attack. 70% of them are women. The facilities where women come and access life-saving reproductive services have already been destroyed in Gaza. Now the world is forced to watch another horrific spectacle of the same war crimes being committed in Lebanon.” “We demand all governments - including the U.S., Germany, UK and others - that are supplying these weapons that kill, maim and displace our fellow healthcare workers to stop. We demand an end to the killing of ALL civilians; we will not be silenced, we will continue to collect evidence and talk about these crimes against our collective humanity,” said Dr. Alvaro Bermejo, Director General, International Planned Parenthood Federation.  Israel's indiscriminate attacks on Gaza have had devastating consequences for women's reproductive health. The attacks on our own health site, on hospitals and maternal health sites significantly limited access to care. We are experiencing this in Sudan too; clinics destroyed, men’s use of violence against our health workers, and rape used as a weapon of war.   In Palestine, obstetric and reproductive violence have been evidenced as a feature of Israel’s violence; we are urgently ringing all alarm bells before these crimes are repeated against women and girls in Lebanon.  “Our staff are terrified; they are running for their lives. Contact with our team is limited - health care workers are too scared to use their phones. We fear not just for our colleagues; but for every single woman and girl. Once again, the very essence of humanity is at stake, as though women, children, and all human beings are merely numbers,” said Lina Sabra, Executive Director of IPPF Member Association in Lebanon, SALAMA. Lebanon is experiencing its deadliest days since the country’s civil war ended in 1990. The acceleration in killing over the past few days amid the escalation between Israel and Hezbollah is only made possible by powerful countries with a vested interest in the continuation of this war.  We remind all parties that acts of obstetric and reproductive violence have been prosecuted as crimes against humanity.

Jerusalem, 9 July 2024: Nine months on since the start of the Israeli aggression in Gaza, maternal healthcare is almost decimated. Pregnant, postpartum, and breastfeeding women in Gaza are facing serious health consequences. Miscarriages have risen at least 300% since October last year. One of our own health workers from the Palestinian Family Planning and Protection Association (PFPPA) recently lost her pregnancy due to the stress of the attacks.   “I am a healthcare worker with PFPPA, and I have been forced to flee not once, not twice, but six times since the start of the violence, with my husband and three small children. Our home was destroyed by bombing. Whilst I was fleeing from one location to another, I started to unexpectedly bleed. I was able to find a doctor only after reaching Rafah, who confirmed I was miscarrying. I didn’t even realise I was pregnant,” Wafa, our healthcare worker in Gaza, told us.   With the starvation being faced by the people in Gaza in addition to the lack of drinking water, our service providers are reporting on daily basis of pregnant women suffering from anaemia, malnutrition and in desperate need of prenatal vitamins and supplements.   Our service providers in Gaza are also witnessing many women who are either having premature deliveries or miscarriages. Women of newborns are unable to breastfeed their babies due their own malnutrition and anxiety, while at the same time most families cannot afford milk formula as prices are becoming extremely high - and that is if they can find it in the market. When medical facilities are available, many women are unwilling to leave their shelters to obtain pre- and post-natal care, as they worry if they are separated from their families there will be military attacks and bombings and fear for their and their loved one's fate if they do so.   Ammal Awadallah, Executive Director of PFPPA, said:  “Nine months on, and a woman who conceived at the start of these hostilities will now be giving birth. But where, how, and what life is that baby entering? This will be a lost generation in Gaza, a generation born into genocide. We’re doing the best we can to offer support to women in Gaza, but the conditions to get aid into Gaza, let alone warehouse supplies, make our jobs extremely difficult. PFPPA has always been committed to women’s health and that doesn’t stop, now or ever.”   Over 37,900 people have now lost their lives in Gaza. Women and girls that survive are facing a myriad of challenges; deprived of sexual and reproductive health services, sanitary and hygiene products. We believe every single person and organisation needs to mobilise to end this, by calling on their governments to demand unhindered humanitarian aid access, to demand a permanent ceasefire, and divest from any organisations aiding and abetting Israel’s military campaign against Palestine.   We are working in close collaboration with colleagues in Palestine on how best to serve those caught up in the violence, to ensure health workers are safe and able to provide sexual and reproductive health care without threat to life.   For more information and to speak to our Executive Director in Palestine, please email [email protected]     About the Palestinian Family Planning and Protection Association  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 three safe spaces to provide Gender Based Violence (GBV) related services in the Jerusalem area.  About 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. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries.  Our work is wide-ranging, including comprehensive sex education, provision of contraceptive, safe abortion, and maternal care and responding to humanitarian crises. We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and crucially no matter how remote.   

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.    

Another horrendous attack by Israel on displacement camps in Rafah, Gaza, has occurred this week, ignoring the orders of the UN’s top court, the International Court of Justice (ICJ), to halt its offensive. Thousands of innocent people are sheltering for their lives in this area, having been told to move there for their safety by Israeli authorities. Instead, they were attacked as they slept, with men, women and children facing nightmarish deaths.    The deaths, displacement and destruction in Gaza must stop. We stand in support of Palestinians who have endured decades of apartheid, land dispossession, and gross human rights violations. The injustices faced by Palestinians are deeply rooted in colonialisation and lack of accountability. Our international systems, which were created to ensure international rule of war, must apply evenly to all member states – including those in the Global North.    Over 37,000 people have now lost their lives. Women and girls that survive are facing a myriad of challenges, deprived of sexual and reproductive health services, sanitary and hygiene products. There must now finally be a critical mass of people of conscience saying enough is enough. Every single person needs to mobilise to end this, by calling on their governments to demand unhindered humanitarian aid access, and to call to trial any governments who have supplied weapons to Israel, aided in Israel’s impunity, and failed to call for a ceasefire.   We call for an immediate end to Israel’s military offensive in Rafah and the ongoing atrocities across the Gaza Strip.   Ammal Awadallah, Executive Director of the Palestinian Family Planning and Protection Association, said:   “Every second, every minute that passes a horrific and devastating situation becomes worse. More and more people are being killed and seriously injured. Pregnant women are fearing the worse for their own fate and that of their pregnancies, what should be a happy time for expecting mothers has become for thousands a living nightmare.   Women and girls are living in a state of anxiety and trauma of getting their period and not having access to menstrual pads, clean water or any sort of hygiene supplies. We need all people and governments to take a stand for what is right for humanity recognizing that the Palestinian people have a right to live with dignity and respect with full access to safe and sufficient health care. There is no justification, that this tragedy continues for millions of Palestinians in Gaza. An immediate and full ceasefire is the only option.”  Dr Alvaro Bermejo, Director-General of IPPF, said:    “In Rafah, nearly all hospitals in Rafah have been forcibly evacuated, and are either out of service or barely functioning, leaving no possibility for the provision of or access to medical care for pregnant women about to give birth.    We are inspired by our health workers in Gaza, who continue to provide sexual and repreoductive healthcare to those in need, but our concern for them, and all Palestinians, will not stop until a permanent ceasefire is reached.    All our humanity is on trial right now. Our organisation is committed to anti-colonialism, anti-racism, and liberation for all, we will speak out in defence of civilians facing peril every day. Silence is not an option.”   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.   Photo credit: IPPF/Samar Abu Elouf/Palestine

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