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Eswatini (27 August 2024) - IPPF’s Member Association in Eswatini, the Family Life Association of Eswatini (FLAS), is soon to roll out the first women-controlled HIV prevention product, the dapivirine vaginal ring (DVR). FLAS will be among the first organisations to offer the DVR outside implementation or pilot studies anywhere in the world. Made of flexible silicone, the ring is inserted into the vagina by a woman and slowly releases the antiretroviral drug dapivirine in the vagina over a one-month period, helping to reduce a woman’s risk of acquiring HIV. In 2023, in sub-Saharan Africa, women and girls accounted for 62% of all new HIV infections and every week, 3,100 adolescent girls and young women aged 15–24 years became infected with HIV. Therefore, there continues to be an urgent need for HIV prevention methods that females can use to protect themselves. The DVR is a product women can control themselves and use without the knowledge or consent of their partners, unlike condoms, which men often refuse to use. The DVR is inserted into the vagina and left for a one-month period, where it can then be replaced each month for continued protection. Unlike daily oral PrEP, the DVR does not rely on remembering to take a pill each day and is also discreet as it stays inside the vagina throughout the month. The DVR does not prevent pregnancy or other sexually transmitted infections (STIs), so women choosing to use the ring may want to consider combining it with condoms and methods of contraception. The availability of the DVR is an exciting step in supporting women’s autonomy and choice in HIV prevention. This need for women-controlled HIV prevention products has long been advocated for, with the African Women Prevention Community Accountability Board launching the HIV Prevention Choice Manifesto in early 2023. The Choice Manifesto prioritises the principle of choice to ensure that women and girls have the right to choose which HIV prevention methods work for them. Currently the ring is available at selected facilities through implementation studies across six countries in East and Southern Africa; South Africa, Kenya, Zimbabwe, Lesotho, Eswatini, and Uganda.  Diantha Pillay, Associate Director for Product Access for IPM South Africa NPC (an affiliate of the Population Council), said:  “It is encouraging to see the efforts made by FLAS and IPPF to support the choice agenda for HIV prevention for women and make effective HIV prevention methods, like the DVR, more widely accessible in a real-world setting. We hope this can pave the way for introduction of future pipeline products that speak to the needs of women.” The Population Council is currently developing a longer duration DVR that women would use for three months versus one month to significantly lower annual product costs and offer women a more convenient option to protect themselves. Thabo Lizwe Masuku, Programs Manager for FLAS, said: “Women have been telling us for a long time that  there is a need for a variety of methods for HIV prevention, since they are highly exposed. For women and girls to truly have choice about what works for them as they navigate different stages and circumstances of their lives, policy makers, donors, governments and implementers must ensure the mix of HIV prevention methods are available, accessible, and affordable. Access to the ring through our clinics in Eswatini now gives women choice and options to protect themselves against HIV.” IPPF is committed to ensuring that choice in HIV prevention is a reality for women and girls and aims to roll out the dapivirine vaginal rings at as many Member Associations as possible, as well as offer other HIV-prevention choices, as we work alongside our partners towards a future free of HIV in Africa and beyond. For more information and to speak to staff in Eswatini, please email [email protected]   Notes: The dapivirine vaginal ring has been recommended by the WHO since January 2021. (25) In clinical trials, the  ring was shown to reduce HIV infection by 35% in The Ring Study (26,27) and 27% in the ASPIRE Study. (28,29) Recent open-label studies show greater adherence to the ring, and modelling data suggest that HIV risk could be reduced by about 50%. (30) The dapivirine ring has received regulatory approval from the European Medicines Agency (EMA), as well as from local medicines regulators in Namibia, South Africa, Kenya, Zimbabwe, Uganda, Zambia, Malawi, Rwanda, Eswatini, Lesotho, Botswana and is currently under regulatory review in a number of other countries Our Member Associations (MAs) that provide clinical services are required to provide comprehensive SRH services through our Integrated Package of Essential Services (IPES) which include services for sexual health and well-being, contraception, abortion care, sexually transmitted infections (STIs)/reproductive tract infections (RTIs), HIV, obstetrics and gynaecology, fertility support, and sexual and gender-based violence. IPPF’s new five-year strategy, Come Together, focuses on expanding choice. In support of this, we recently launched a special programme to expand our HIV prevention options, which aims to integrate the newest HIV prevention methods – the vaginal ring and injectable PrEP - into our comprehensive sexual and reproductive health services.  IPPF’s IMAP Statement on Biomedical HIV Prevention can be found here. About the Family Life Association of Eswatini (FLAS)  For over 30 years, the Family Life Association of Eswatini (FLAS) has provided sexual and reproductive health (SRH) services to the people of Eswatini (formally Swaziland). While family planning, antenatal, post-natal and post-abortion care form a key part of FLAS services, there’s a significant focus on HIV and AIDS programmes. Eswatini has some of the highest HIV and AIDS prevalence rates in the world. As a result, the prevention and management of HIV and AIDS, the provision of voluntary counselling and testing (VCT), and the prevention of mother to child transmission (PMTCT) are central to FLAS’s work. FLAS has 15 service points, including three permanent clinics and three mobile facilities, staffed by a permanent team of 40 staff backed by 230 volunteers, 180 Youth Action Movement members and 29 peer educators. About the International Planned Parenthood Federation (IPPF) 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 contraceptives, 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. Our services are available to all, and reach the most marginalised groups in societies, including key and priority populations, youth, and people with disabilities. Most of our MAs have special programs to engage youth (10-24) inside and outside of school settings. Because our clinics offer comprehensive services, attending our clinics is non-stigmatizing and does not label people as having a particular disease or membership to a particular group. This model of services that are integrated and open to all, embedded in indigenous, locally owned organisations, is ideal for ensuring that the most vulnerable and marginalised groups can access the HIV prevention services they need. About the Population Council The Population Council is a leading research organization dedicated to building an equitable and sustainable world that enhances the health and well-being of current and future generations. The Council transforms global thinking on critical health and development issues through social science, public health, and biomedical research. We generate ideas, produce evidence, and design solutions to improve the lives of underserved populations around the world.  

U.S congressional leaders have announced they have reached a final spending deal for the fiscal year 2022. This bill results from months of negotiations over funding and policy decisions, including those that impact sexual and reproductive healthcare globally. Despite the inclusion of language to permanently repeal the global gag rule passed in the House and introduced in the Senate, the final legislation fails to permanently end the harmful policy that has destroyed the lives of women and girls around the world for so many years. It also does not remove discriminatory abortion bans like the Hyde, Helms, and Weldon amendments or include much-needed new investments in sexual and reproductive healthcare and international family planning programs. Dr Alvaro Bermejo, Director-General of the International Planned Parenthood Federation, said: “We are outraged to learn that the long-awaited U.S spending bill failed to permanently repeal the global gag rule, nor did it include other areas of sexual and reproductive health and rights progress on which advocates had built strong momentum. The bill fell foul to anti-choice Congress members whose primary goal is to control the bodies and reproductive rights of women and girls they will never know, whose lives they could never imagine. “Failure to utilize this golden opportunity risks the continuation of the flip-flopping of American policy that has played with the lives of millions across the globe for nearly 40 years. Ultimately the global gag rule destroys long-term access to lifesaving contraception, maternal health and HIV/STI services and forces vulnerable women and girls to carry pregnancies to term or make the agonizing decision to get a potentially deadly unsafe abortion. It also manipulates the ability of international organizations, like IPPF, to use their own funding to provide legal, safe abortion, which unethically denies women care and imposes neo-colonial policies around the world. “While the global gag rule poses serious challenges to sustained engagement with USAID, especially at a time when anti-choice movements continue to attack the rights of people worldwide, IPPF is grateful to the Biden-Harris administration for the current rescission of the policy. We will continue to engage with U.S Government global health assistance programs when possible. We are also thankful to our relentless Member Association, the Planned Parenthood Federation of America. Despite the challenges, they have worked tirelessly alongside thousands of women’s rights campaigners across the United States and worldwide to advocate for vulnerable women and girls everywhere. The fight for reproductive rights and justice will not end until every person can access high-quality sexual and reproductive healthcare when and where they need it.” Santos Siminone, Executive Director at Associação Moçambicana para Desenvolvimento da Família (AMODEFA), said: “We are deeply saddened by the failure to permanently repeal the Global Gag Rule. For AMODEFA, IPPF’s Member Association in Mozambique, a national provider of sexual and reproductive healthcare in the country since 1989, the impact of the global gag rule meant a $2 million gap in funding - about 60% of our total budget. “The impact was almost instantaneous, forcing the closure of six programs across 12 districts in Mozambique. This denied nearly 390,000 clients access to contraception, STIs, HIV, malaria, and tuberculosis services. Almost every local population was affected, with closures impacting adolescents, youths, women, and marginalized people. “For the people we serve, the permanent repeal of the policy would have meant an end to the violation of human rights. It would have meant dignity and that women’s lives would no longer be at risk. It would have meant an end to fear, pain, tears, and chaos, especially for black and brown women from low-income countries who bear the brunt of restrictive abortion policies.” For media enquiries, please contact Karmen Ivey on [email protected] or [email protected]  

Following the disturbing reports coming out of Ukraine, IPPF has released a media statement on behalf of the Federation and its Member Association in Ukraine.   Despite the fact that sexual and reproductive healthcare (SRHR) needs increase significantly during conflict and humanitarian situations, the significant vulnerabilities of affected populations and displaced people are often overlooked, especially the experiences of women, girls and marginalized populations who are at increased risk of unintended pregnancy, sexually transmitted infections and sexual and gender-based violence. IPPF’s Director-General, Dr Alvaro Bermejo, said:   "The International Planned Parenthood Federation (IPPF) is deeply concerned about the escalation of conflict in Ukraine. We take our responsibility to preserve the enormous gains made in life-saving sexual and reproductive healthcare across the country very seriously, especially for women, girls and marginalised populations, whose vulnerability and experiences are so often overlooked in humanitarian situations.  "For 20 years, IPPF has consistently worked to strengthen and protect the reproductive rights of people in Ukraine, working in the frontline conflict zones of Lugansk and Donetsk since 2014, training medical specialists to provide life-saving reproductive healthcare, psychosocial support and quality care to survivors of sexual and gender-based violence. “Our teams are now contingency planning across the region to address not only the needs of those still in Ukraine, but also the millions who are likely to be displaced by the conflict and who will require critical support to continue accessing healthcare. We will work closely with partners and other NGOs to ensure the least possible disruption to services. "IPPF stands in solidarity with the international community and the brave people of Ukraine who for the last eight years have faced terrifying and difficult circumstances that nobody should ever have to suffer through. We stand by IPPF's frontline team, who, despite the dangers, continue to facilitate life-saving healthcare for those who need it most. We will be monitoring the situation closely to ensure the safety of our colleagues across the region.” For European outlets, please contact [email protected] For UK and other international media outlets, please contact Karmen Ivey on [email protected] or [email protected]  

The Guttmacher Institute has today released new data showing the impact of the UK aid cuts on sexual and reproductive health and rights for the fiscal year 2021 - 2022.  The figures show the devastating impact on the lives of women and girls around the world. Together with the effects of the Covid-19 pandemic, the cuts threaten to undo years of progress towards gender equality and increasing access to reproductive choice. When surveyed, major sexual and reproductive health organizations reported they expected to receive at least £218.9 million in the fiscal year (FY) 2021–2022 (from April 2021 to March 2022) for family planning activities in low- and middle-income countries. The resulting cuts to the family planning programs of these major program-implementing organizations are estimated to have totalled £132.4 million in FY 2021–2022. The loss of funding will result in: 9.5 million fewer women and couples receiving contraceptive services  4.3 million more unintended pregnancies 1.8 million more unplanned births 1.4 million more unsafe abortions and 8000 more maternal deaths  The figures also show how much could have been achieved through sustained UK aid spending.  IPPF’s Director-General, Dr Alvaro Bermejo, said:   “The Guttmacher figures are a harrowing, but sadly unsurprising, insight into the catastrophic impact that the UK aid cuts will have on the health and lives of millions of women, girls and marginalized people across the globe, and serve to confirm what sexual and reproductive health charities have been saying since they were first made aware of the cuts. “We must also remember that the Guttmacher numbers are just a snapshot of the 2021 – 2022 fiscal year, and the effects of the Government’s sudden and short-sighted termination of support will stretch far beyond that, piling unthinkable pressure on people already dealing with the fallout of the COVID-19 pandemic, and leading to millions of unintended pregnancies and thousands of preventable deaths. “With the upcoming spending review in November, we ask the UK Government to reconsider the cuts, which IPPF still believe to be outside of the boundaries of the law, and reinstate the 0.7% commitment, so that it can finally deliver on its promises to the millions of people it chose to abandon.” IPPF also signed on to a joint letter from the UK SRHR Network. For media inquiries please contact [email protected]