On 16 August 2023, Japanese House of Representatives member Dr Toshiko Abe visited head office and the Adolescent and Youth Friendly Services Centre of IPPF’s Member Association in Mozambique, the Associação Moçambicana para Desenvolvimento da Família (AMODEFA). Dr Abe visited one of AMODEFA’s eight youth centres in a particularly marginalised and high poverty density area, where youth friendly health services is difficult to reach for the local youth who need them most. Their youth centre functions as the hub of youth target activities such as provision of a range of services from HIV testing and treatment to SRHR counselling and other information and services around sexual health and rights. In 2022 23.57 % of AMODEFA’s family planning services were provided to clients under 20 years. AMODEFA was established in 1989 and has been IPPF’s Full Member Association since 2010. It is an independent, non-profit, and non-governmental association working in 10 provinces in Mozambique. As the leading service provider in Mozambique, AMODEFA provides comprehensive and diverse sexual and reproductive health, including that related to SGBV. Their focus is on vulnerable people such as women, girls, people with disabilities.

Australia’s new International Development Policy was launched this week with a focus on building a peaceful, stable and prosperous region. Announced as the first long term development strategy in almost a decade, it was welcomed by those in the development sector. In contrast to the former government, Australia’s Foreign Minister has committed to rebuilding their ODA budget. While this is likely to be a slow build, with no ODA/GNI targets set, the new policy sets out a clear pathway.   IPPF welcomes the policy’s approach to localisation, the strong focus on climate resilience and humanitarian action, the commitment to gender equality and LBGTQI+ rights and the ongoing support for sexual and reproductive health and rights.   The new policy has a strong focus on Australia’s role as a development partner in the region. While the geographic focus remains unchanged, the approach is quite different. At the launch, Minister Wong highlighted the importance of sovereignty, where ‘each country can determine its own fate’.  In practice for DFAT, this will mean greater accountability at post, more collaborative development of country Development Partnership Plans, more frequent progress reviews and a greater emphasis on implementing learning from evaluation. It also translates to greater investment in local solutions, including funding to support partner governments, local procurement, and civil society. The announcement of a new Civil Society Partnership Fund was well received, although details are lacking.   The other underlying theme which differs dramatically from previous aid policies is climate change, recognised by the Minister as the greatest shared challenge for the region. DFAT plans to increase climate investments and better address climate risk with a target that half of bilateral and regional investments must have a climate objective by 2024-25, increasing to 80% by 2028-29. The policy also references a new humanitarian strategy, which will complement the aid policy and is due to begin consultation in September.   Inclusion is a high priority within the policy. Minister Wong highlighted the importance of a region where ‘all can thrive and reach their potential’. Three focus areas for inclusion are Gender Equality, Disability Inclusion and LGBTQI+ rights, with supporting strategies in development, due for completion by the May budget 2024. The government is reinstating the target for 80% of development investments to address gender equality and a new requirement for investment over $3m to include gender equality objectives.  While health is not a focus area within the policy, it was mentioned as part of infrastructure programming. The policy notes the vulnerability of many health systems in the region and Australia’s continued role to strengthen capacity and support prevention and response for both infectious and non- communicable diseases. There is also a commitment to expand universal health coverage and a specific mention of support for sexual and reproductive health and rights.   Resourcing for international development is explored in detail. Responding to the findings of the Development Finance Review and recognising the limitations of ODA funding, the policy proposes an increase in blended finance, and an investment of up to A$250m to leverage private investment.  This will be supported by a new unit in DFAT to work with philanthropy and impact investment. The policy also highlights changes to reporting and accountability within DFAT, greater transparency of results, and increased investment in DFAT development capability (36.8m announced in the May budget).   Since the integration of AusAID into DFAT in 2013, international development has been a low priority in Australia, undervalued and diminished through multiple budget cuts. The Albanese government has promised something different. While the lack of an ODA funding target is disappointing, this policy is a step in the right direction.  The recognition of shared challenges and shift towards genuine engagement highlight an understanding of the value of development work, not just for beneficiaries but for the region as a whole. Together with DFAT’s investment in development capability and shift to a whole of government approach and Minister Wong’s outspoken commitment to the 2030 Agenda for Sustainable Development there are strong indications that Australia is taking development seriously.   As recipients and partners of the Australian International Development program, IPPF look forward to supporting the roll out of the new Australian International Development Policy, consulting on the strategies and participating in the design of new programs. We hope to see the collaboration continue and the funding match the ambition.   IPPF works closely with the Australian government and is funded through the Department of Foreign Affairs and Trade to integrate sexual and reproductive health and rights (SRHR) into humanitarian preparedness response and recovery through SPRINT; to restore services, particularly to marginalized populations impacted by COVID-19 through RESPOND and to support the ambitious Pacific Niu Vaka Strategy Phase 2, enabling quality SRHR to be realised for everyone in the Pacific.  To read the full policy, click here.  Cover illustration by Edinah Chewe for The Greats.

The Director General of the International Planned Parenthood Federation (IPPF), Dr Alvaro Bermejo, is in Australia this week for high level meetings with Australian Government Ministers and the Australian Department of Foreign Affairs and Trade (DFAT). He is joined by Ms Tomoka Fukuda, Regional Director of IPPF’s East and Southeast Asia and Oceania Region (ESEAOR) and Ms Phoebe Ryan, IPPF’s Chief of the Australia and New Zealand Office. In Australia, Dr Bermejo has been privileged to meet with Australia’s Minister for International Development and the Pacific, the Hon Pat Conroy. Together, they discussed how Australia can play a leadership role in advancing sexual and reproductive health and rights through Australia’s international development cooperation.

In the latest People and Power documentary, the team travel round Mozambique with AMODEFA, to look first-hand at the human impact the Gag rule has had in the country. The Global Gag Rule denies U.S. funding to organisations like IPPF if they use money from other donors to provide abortion services, counselling or referrals—even if abortion is legal in a country. It blocks critical funding for health services like contraception, maternal health, and HIV prevention and treatment for any organisation that refuses to sign it. The documentary talks to AMODEFA clients and staff who have been involved and helped by the US funded health programmes covering young people, HIV and Tuberculosis. AMODEFA faces significant losses to their programming budget of $2 million. Work that has built trust and provided support and treatment for many people who would have been left behind. The documentary spans several provinces, with the team visiting specialised outreach services that go out to the most rural populations. ‘We will have generations that are sick without knowing what they have. They will run the risk of transmitting HIV to other people because they do not know their HIV status,’ says project leader, Dr Marcel Kant. ‘We are condemning our society to live with this illness and there will be a large number of deaths.’ IPPF is working with AMODEFA to find alternative sources of funding. Executive Director Santos Simione, is working tirelessly with his team to ensure AMODEFA’s works continues, “We must be resilient! This also means being resilient to ensure that the progress made in sexual and reproductive health and rights continues and the provision of services minimizes the suffering of our population, particularly adolescents and young people, women and children”. The team Read more about AMODEFA's tireless work in Mozambique