IPPF Director General Tewodros Melesse has said that a decision by the US Government to withdraw funding from the United Nations Population Fund will have “devastating consequences” for women and girls around the world. Mr Melesse said: “The money the US administration now wants to withdraw would have been spent on health care for some of the poorest and most vulnerable women and girls in the world. “It will take away funding for contraception, maternal care and the safe delivery of babies, as well as  programmes to counter gender-based violence. “IPPF works closely with UNFPA in some of the most difficult situations in the world to provide this kind of care, especially in the poorest regions of the world’s poorest countries. The women and girls living in these situations are especially vulnerable, and this will have devastating consequences for them.” Mr Melesse added: “This is the second blow this year delivered to health care for women and girls around the world by the new US Administration. “The re-enactment of the Global Gag Rule (also known as the Mexico City Policy) has already denied US funding for contraception services, HIV programmes and work to counter the Zika outbreak to IPPF and other health organisations. “We estimate that the $100m in funding IPPF expects to lose will stop us from preventing 20,000 maternal deaths, will lead to 4.8m unintended pregnancies and 1.7 million unsafe abortions. “We should be clear. None of the funding being withdrawn by the US administration is spent in the provision of abortion or in support of coercive reproductive policies. This is a smokescreen for cuts in funding, nothing more. “As a rights-based organisation, IPPF works in partnership with UNFPA and other health and human rights organisations to provide tens of millions of women and girls with the right to choose how and when they use contraception and to access other live-saving health services. “UNFPA brings governments together to work on commonly-agreed policies such as the Sustainable Development Goals, which are vital in the fight to try to ensure sexual and reproductive health care for everyone. “I am deeply sorry that for a second time in the space of three months the US Administration has decided to deny critical health services to the people who need them most. We know that tens of thousands of lives will be lost as a result.”

Sulueti was pregnant when the Cyclone Winston hit Fiji. Thanks to IPPF, she received all the essential care and supplies she needed for her pregnancy.  Meet all the mothers and community leaders

IPPF’s Director General, Tewodros Melesse, has paid tribute to the Government and people of Japan, following the announcement that Japan will support the provision of sexual and reproductive health and rights (SRHR) for 2017.  The Japanese Government has announced that it will contribute approximately 3.1 billion yen (roughly $28 million) to IPPF and the United Nations Population Fund (UNFPA) in annual support.  Mr Melesse said: “IPPF is grateful for Japan’s continuing support to SRHR through funding IPPF and UNFPA. Particularly in the current negative climate around SRHR, Japan’s expression of its strong will to continue its support for SRHR is warmly welcome.”  “Japan’s long-lasting support for IPPF and for sexual and reproductive health care and rights has always been appreciated. These funds will help IPPF member associations around the world mitigate the cuts in funding we are seeing from some other sources. This will help protect health and save the lives of many people, especially women and girls.”  Mr Melesse added: “We agree completely with the Government of Japan when it says that the provision of services relating to sexual and reproductive health and rights is essential for realizing universal health coverage (UHC), that ensures affordable access to basic health services for all whenever they need them throughout their lives.  This is stated clearly in the Basic Design for Peace and Health, Japan’s global health policy and one of the outcome documents of the G7 Ise-Shima Summit, as well as in an outcome document from the The World Assembly for Women in Tokyo 2016 (WAW), the Third United Nations World Conference on Disaster Risk Reduction and the Sixth Tokyo International Conference on African Development (TICAD VI).  IPPF would like to congratulate Japan’s leadership and commits to working closely with the Government of Japan to make a real difference to the lives of women, men and young people in around world and to achieve the Strategic Development Goals.”  IPPF received approximately $1.13m  from Japan in early 2017 for its activities targeted to Syrian refugees and internally displaced people, and will receive funding of $7.76m which was recently approved by the Japanese Parliaments.  

Sexual and Reproductive Health and Rights The key to gender equality and women’s empowerment The face of poverty is female  2/3 It is estimated that women account for two-thirds of the 1.4 billion people currently living in extreme poverty and make up 60% of the 572 million working poor in the world. The world is changing rapidly and this change has opened doors for women to fully participate in social, economic and political life. Despite this optimism, gender norms still hold women and girls back. Sexual and reproductive health and rights are critical to achieving gender equality. Why? Because when women are able to maintain good health their well-being is directly affected. There are fewer maternal deaths and less illness. Women are able to participate in education, and in all facets of life, free from violence. When women and girls can realize their sexual and reproductive health and rights they are more free to participate in social, economic and political life. Sexual and reproductive health and rights: the key to gender equality Sexual and reproductive health and rights are fundamental human rights. Having access to those rights will bring about huge changes to the lives of women and girls around the world. Only when women and girls have those rights will we have gender equality and only then will we be able to tackle some of the world’s most pressing problems. In this animation we have used the stories of two girls to illustrate what happens when you give women and girls the power to decide for themselves and the ability to be in control of their own bodies. It can make all the difference to individual lives as well as to the lives of families and the communities they live in. Equal opportunities for all This is what gender equality is all about All individuals should have equal opportunities. But there are huge challenges to achieving equality. Society’s expectations for girls and women can limit their opportunities across social, economic and political life. Across the globe, women and girls still have lower status, fewer opportunities and lower income, less control over resources, and less power than men and boys. Son preference continues to deny girls the education they have a right to. And the burden of care work that women face impinges and intrudes on their opportunities in education and work. Equal opportunities for all This is what gender equality is all about In the most extreme cases, gender norms can kill. We see examples of this in all corners of the world. Women die at the hands of their violent partners. Women die because they cannot access the abortion services they need. Women die of preventable causes in childbirth. Transgender people are murdered for being different. Gender inequality persists and prevents girls and women from reaping the benefits of our evolving world. It also limits possibilities for men and boys. HEALTH Poor sexual and reproductive health outcomes represent one-third of the total global burden of disease for women between the ages of 15 and 44 years, with unsafe sex a major risk factor for death and disability among women and girls in low and middle-income countries. HIV Globally, HIV is the leading cause of death among women of reproductive age and the second leading cause of death among adolescents. Women and girls have a greater physical vulnerability to HIV infection than men or boys. This risk is compounded by social norms, gender inequality, poverty and violence. Women living with HIV are also more likely to face stigmatization, infertility, and even abuse and abandonment, contributing to their disempowerment. 47,000 women die every year due to complications of unsafe abortion. 70% of maternal deaths occuring in developing countries could be avoided if the world doubled its investment in family planning and maternal and newborn health care. 74% of all maternal deaths could be avoided if women had access to the interventions needed to address complications during pregnancy and childbirth. Maternal Health ​ Control over their own fertility can allow women to reduce their chances of a high-risk pregnancy (including those that occur too late or early in life, or too soon after a previous birth) and associated complications. It can also reduce harmful reproductive stress and maternal nutritional depletion and reduce unsafe abortions. EDUCATION The education of women and girls is widely recognized as a powerful tool to empower them within their family and society, and as a key pathway to employment and earning. Each additional year of schooling for girls improves their employment prospects, increases future earnings by about 10% and reduces infant mortality by up to 10%. Post-primary education has far stronger positive effects on empowerment outcomes than primary education. Lack of access to sexual and reproductive health and rights acts as a significant barrier to post-primary education for girls. For example, early marriage reduces girls’ access to education, and anticipation of an early marriage often prevents secondary education for girls. Girls who undergo forced marriage and female genital mutilation face harmful health consequences and reduced educational opportunities. Sexual and reproductive health policies should be combined with educational policies to address quality and equity, including social pressures such as stigma, as these impact keenly on young mothers and girls who have abortions, and may prevent their return to school. Education affected: Nepal Early and forced marriage has terrible consequences for girls and young women. This film follows the story of Ashmita, a survivor of early marriage and forced to give up her education at a young age. She eventually completes her education, inspiring change within her community. Discrimination against girls Larger family size exacerbates and is exacerbated by son preference. This includes educational preference for boys, where girls are more likely than boys to be taken out of school to care for siblings. It has been observed that smaller family size can also be associated with parents less likely to discriminate by sex. Convincing links have been shown between the caregiving roles and economic responsibilities of children in families living with HIV and disruptions to schooling for girls. Evidence indicates that HIV, among other sexually transmitted infections, exacerbates the gender-based inequalities that already exist in the education sector. In most cases this disadvantages girls in their access to quality education and also disadvantages women in their employment opportunities as educators and administrators. Women and girls are not only biologically more at risk of contracting HIV, but gender norms also reinforce girls’ roles as care- givers and girls often provide economic support to their families, particularly given the educational preference for boys in many countries. When a parent is ill, children’s school attendance drops because child labour may be needed to pay medical expenses, because families cannot afford to pay school fees, and because carers are needed for sick relatives: the impact of an increased domestic workload often falls disproportionately on girls. Once orphaned, adolescent girls may be ‘pawned’ to a relative or neighbour to work in return for money paid to the fostering family, or may seek work in towns (some in sex work and domestic work in the informal economy) in order to provide for the needs of younger children in their household. This has an impact on the life opportunities of young women, including their access to education. Comprehensive sexuality education and positive behaviour change Comprehensive sexuality education is important for young people to understand their rights and have the self-confidence to act on them. Comprehensive sexuality education can be a promising strategy by which to shift norms and attitudes, and empower young people to negotiate safe, consensual and enjoyable sex. A review of 87 studies of comprehensive sexuality education programmes around the world showed that it increased knowledge, and two-thirds of programmes led to a positive impact on behaviour, including increased condom or contraceptive use, or reduced sexual risk-taking. However, such programmes are not available in most countries. Sexual and gender-based violence Globally, one in three women experience either intimate partner violence or non-partner sexual violence during their lifetime. Spanning intimate partner violence, female genital mutilation, early and forced marriage, and violence as a weapon of war, sexual and gender- based violence is a major public health concern in all corners of the world, a barrier to women’s empowerment and gender equality, and a constraint on individual and societal development, with high economic costs.   Women who experience violence are more at risk of unwanted pregnancies, maternal and infant mortality, and sexually transmitted infections, including HIV, and such violence can cause direct and long-term physical and mental health consequences. Women who experience violence from their partners are less likely to earn a living and are less able to care for their children or participate meaningfully in community activities or social interaction that might help end the abuse. In many societies, women who are raped or sexually abused are stigmatized and isolated, which impacts not only on their well- being, but also on their social participation, opportunities and quality of life. Reaching women in Afghanistan: Reducing HIV and gender-based violence There is a direct and cyclical link between HIV and sexual and gender-based violence. Women who have experienced intimate partner violence are 55% more likely to be infected with HIV. Often sexual and reproductive health services are the first point of contact for survivors who require counselling and health checks. HIV can be reduced through combating and sexual and gender-based violence services. ECONOMIC Among the 1.6 billion workers receiving regular wages in the labour market, female workers are paid, on average, significantly less than male workers. Women in most countries earn on average only 60% to 75% of men’s wages. They are also over-represented as micro-entrepreneurs and small farmers, doing low-paid, low-productivity work in small firms or farms. This gendered gap in productivity and earnings is not because women are less capable, but because of women’s lower educational levels and their limited access to resources, as well as social perceptions about the role of women. Unpaid care burden Women across the world shoulder a disproportionate amount of unpaid care work. Unpaid care includes, but is not limited to, child care, elder care, taking care of ill family members, cooking and cleaning. Women devote 1 to 3 hours more a day to housework than men; 2 to 10 times the amount of time a day to care, and 1 to 4 hours less a day to market activities. Unpaid care burdens affect women’s access to economic opportunities. In the formal market, women juggle paid work with unpaid work and often face a ‘motherhood penalty’, so discrimination in the workplace because of their real or perceived roles as carers. Women may also face difficulties in getting a job in the formal economy, as they may not have the flexibility or childcare support to work contracted hours or travel to their workplace. Because of unpaid care burdens, women may seek work in the informal economy, a sector which can allow for more flexible working hours and conditions, but which is less regulated. Work in the informal economy is often insecure and precarious and has specific implications for the sexual and reproductive health and rights of women. The formal and informal markets Female workers are paid less and women are overrepresented in low productivity positions because of lower education and the social perceptions about the roles of women. Regulation of rights in the workplace is very low plus discrimination and stigma put vulnerable groups (immigrants, sex workers) at risk of violence, HIV, lower wages, unable to access other sexual and reproductive health and right services. Economic empowerment ​The extent to which women’s increased entry into the labour force may be empowering depends on the context, the reasons for women’s economic participation, the existence of regulatory frameworks to support women’s economic participation, and the type and conditions of the work. True economic empowerment and stability comes from ensuring that programming on women’s economic empowerment and regulatory frameworks across both the formal and informal economies include consideration of women’s sexual and reproductive health and rights. POLITICAL INEQUALITIES Women’s low participation in public and political life is often shaped by the legal framework and by the nature of formal political institutions such as political parties and parliamentary structures, and electoral systems and processes. But gender norms and economic and social factors also limit women’s opportunities and capabilities to participate in decision making. As a result, women’s domestic roles and responsibilities are over-emphasised, so they often have less time to engage in informal and formal decision making and political activities outside of the household. Other reasons women have low participation in public and formal political life is because party politics and strategic resources are dominated by men. These inequalities mean that women often face barriers that men don’t - such as lack of access to networks, resources and limits on mobility, all of which restrain women from political candidacy. Violence against female politicians is not uncommon. Candidates face discrimination based on sexuality, ethnicity, religion, disability, health status and marital and family status. Changing social norms from the ground up Getting more women into office does not by itself guarantee women’s substantive influence on political decision making or guarantee political decisions that further women’s rights, gender equality or other gender outcomes. Women are not a homogeneous group but come from very varied backgrounds. Increasing women’s representation and participation in governance is not simply about numbers and influence, but is also about the need for women’s strategic interests and gender equality concerns to be addressed in public policy decisions and resource allocations so that these better support women’s rights in general. Challenging the social structures at the grassroots level which perpetuate inequalities can lead to an increase in sexual and reproductive health access. This leads to empowerment and not just inserting women into positions within the political framework. Research shows that women’s combined strength, through collective action and women’s movements, can play a central role in building the momentum for progressive policy and legal reforms, changing adverse social norms and promoting accountability. Peace building Of particular concern to the international community is the low political participation and engagement of women in peace building and reconstruction processes in post‑conflict situations across the world.Sexual violence is a major barrier to women’s participation in peacebuilding and recovery. Violence against ‘political’ women speaking up in public, defending human rights or seeking political office is very common in post‑conflict countries and strongly dissuades women from participating in public life, let alone seeking political office. IPPF urges governments, United Nations agencies, multi-lateral institutions and civil society to: Laws that support sexual and reproductive health and rights Funding to support sexual and reproductive health and rights Measure the outcomes that really matter Engage men and boys Laws to eliminate sexual and gender based violence Strengthening political capacity at the grassroots level 1. Support an enabling environment so that sexual and reproductive health and rights and gender equality become a reality. Governments must prioritize the inclusion of sexual and reproductive health and rights within global agendas such as the post-2015 sustainable development framework. Governments should include sexual and reproductive health and rights in national plans to ensure political prioritization and continued investment in sexual and reproductive health and rights. Governments must prioritize sexual and reproductive health and rights within the context of both health and gender equality. At the national level, this requires commitment and investment from the ministry of health and the ministry of gender/women, as sexual and reproductive health and rights span the range of women’s human rights. Governments, UN agencies, multi-lateral institutions and civil society mustprioritize sexual and reproductive health and rights in order to tackle harmful gender norms. They should establish policies and deliver programmes which support not only the health of women and girls, but also their socio-economic development more broadly. There must be a strong focus on girls and the prevention of sexual and gender-based violence, including harmful traditional practices that compromise their health and limit development in other areas of their lives. Governments must include sexual and reproductive health and rights in regulatory frameworks that support women’s access to decent work. Such frameworks should be expanded across the formal and informal economy. e. Donors and civil society must include sexual and reproductive health and rights in programming on women’s economic empowerment in order to support women’s access to decent work. Access to safe and legal abortion in France We need laws that defend our sexual and reproductive health and rights and that protect us from harm. This is the story of Juliette in France. Although French law permits abortion on wide grounds, she found it extremely difficult to find the correct legal and medical information when faced with an unplanned pregnancy. 2. Continue and increase financial and political commitment to sexual and reproductive health and rights in order to sustain the success of health interventions and to expand and increase possibilities for gender equality and the empowerment of girls and women. Donors, multi-lateral institutions and national governments should continue and increase investment in the full range of sexual and reproductive health and rights services, including rights-based family planning. Particular attention should be paid to investing in maternal health and HIV prevention, both of which are leading causes of death among women of reproductive age in low and middle-income countries. Governments and civil society must ensure that the post-2015 sustainable development financing mechanisms and strategies that detail what financing will cover – such as the Global Financing Facility and the updated strategy on women’s and children’s health – prioritize the sexual and reproductive health of women and girls. Donors and multi-lateral institutions must engage civil society meaningfully in the creation of these financing structures as well as national financing plans. Delivering family planning in Kenya This is the story of Beatrice Akoth in Kenya who has had no access to family planning and has struggled to cope with 9 children. Her daughter is determined to have a different life and has been happy with the family planning services she received from IPPF's member, Family Health Options Kenya. Kenya's government made a commitment in 2012 to make sure everyone had access to affordable reproductive health services. Their investment in family planning increased to US $8 million. 3. Measure the things that matter. Governments must prioritize greater investment and effort to fill knowledge gaps and collect robust data. UN agencies and multi-lateral institutions should work with governments to increase data collection, disaggregated by sex and age, on sexual and reproductive health and rights and other core areas relating to gender equality. Donors and multi-lateral institutions should increase investment to support civil society and academic networks to examine the links between sexual and reproductive health and the empowerment of girls and women. More rigorous research is needed on the impact of sexual and reproductive health and rights interventions in education, and the links with women’s economic participation (particularly in agriculture) and representation in political and public life. Establishing these links could have a significant impact on policy and programme interventions related to sexual and reproductive health and rights, gender equality, and the empowerment of women and girls. Measuring gender equality and empowerment We now have a unique opportunity to end gender inequality. But to achieve this we must have accurate data which reflects the true status of women's sexual and reproductive health and rights. Collecting the missing information on the the issues which really matter will make a difference on what programmes are funded and how can achieve proper empowerment of women 4. Engage men and boys as partners in gender transformative change by ensuring that sexual and reproductive health and rights are a reality for all. Civil society organizations, donors and multi-lateral institutions must involve men and boys as partners in programmes on sexual and reproductive health and rights, gender equality, and the empowerment of women and girls. Men as champions for gender justice Evidence shows that where men and boys are engaged in tackling gender inequality and promoting women’s choices, the resulting outcomes are positive and men and women are able to enjoy equitable, healthy and happy relationships. This is Ustaz Muhammad Nursalim's story. He is an imam born and raised in Madura, an island in East Java: "My wife is busy as head teacher of the village kindergarten, so I handle all the domestic duties. We hear of cases of husbands abusing their wives. They don’t know how to manage their anger. So our home has become the emergency consultation room for couples. I give advice based on what I apply daily in my own marriage. Besides teaching, I often give talks at boys’ circumcision or coming of age celebrations. I tailor my words to the people I meet. Yesterday, for instance, I talked about how to respect our daughters and girls in general.” 5. Take steps to eliminate sexual and gender-based violence against women and girls by ensuring implementation of legislation that protects women from violence, and ensuring access to sexual and reproductive health services that meet the needs of women and girls, particularly in fragile and conflict affected contexts. Governments must ensure that domestic laws protect women from sexual and gender- based violence in line with international obligations and commitments under human rights treaties and that these laws are enforced at all times. Governments, donors and civil society should support the integration of sexual and reproductive health, HIV, and sexual and gender-based violence services in order to promote women’s health and empowerment. Governments, donors and civil society must ensure that sexual violence is addressed as part of promoting women’s political participation and engagement in peace building and post-conflict reconstruction. Escaping sexual and gender based violence in Syria This is the story of Layla. At 15, she was forced into marriage then was beaten and raped by her husband’s brother. She fled from her home and was forced into sex work. Luckily, Layla received counselling and sexual health services from IPPF's Member Association, the Syrian Family Planning Association. She regained her health and confidence and now helps other young women who are survivors of sexual and gender based violence. 6. Continue and increase investment at the grassroots level, to build women’s individual and collective capacity to participate in political and public life. Donors, multi-lateral institutions and civil society should continue and increase funding to grassroots organizations that build the capacity of women to participate individually and collectively across social, economic, political and public life. Tea parties breaking down taboos in Pakistan Umm e Kalsoom is a 23-year-old woman in the Muzaffarabad region of Pakistan. She started to run tea parties for girls in her local area so that young women could share their sexual and reproductive health concerns in a safe environment without discrimination. Talking about these issues is a cultural taboo for these girls. She also wanted to inspire young girls within the communities to mobilize other girls and women. She says: "If I ever have my own daughter I would like her to be a confident and empowered girl, who knows and exercises her rights to make informed decision in her life." At first the community was very reluctant to participate. But now they discuss issues such as HIV, early marriage and sexual abuse, as well as abortion and contraceptives. For most women the tea parties taught them that these are their human rights.

We calculated the human cost of the U.S. Global Gag Rule. The effects can be devastating for millions of poor and marginalised women.    WANT TO GET INVOLVED? SUBSCRIBE NOW TO GET UPDATES FROM IPPF SUPPORT OUR WORK WITH A DONATION

For over 60 years, IPPF has been at the vanguard of the family planning movement, championing and fighting for rights‑based, voluntary family planning worldwide. 

IPPF has now compiled data outlining how the reinstatement of the Global Gag Rule will affect people’s health around the world. Our global network of local partners delivers more than 300 services every minute of every day. During President Trump’s term, we will forego approximately USD$100m funding from the US government, which would have supported our family planning and HIV programmes for women with the greatest need for these health care services. The regions most affected are sub-Saharan Africa, South Asia and Latin America and the Caribbean.  In practical terms, this level of funding could have prevented: 20,000 maternal deaths 4.8 million unintended pregnancies  1.7 million unsafe abortions  It could have also provided: treatment to 275,000 pregnant women living with HIV to protect their health and help prevent transmission of HIV to their infants  70 million condoms to prevent unintended pregnancies, HIV and other STIs 725,000 HIV tests to enable people to know their HIV status The foregone funding could have also treated 525,000 sexually transmitted infections. As an organisation that seeks to protect and improve the lives of women, men and children around the world, IPPF and its partners in 171 countries will not sign a policy that denies human rights and puts the lives of women at risk. We are working with governments and others to bridge this new funding gap and help keep our clinics open.  Sign up now to get updates on how you can be involved and make a difference. JOIN OUR THUNDERCLAP TO SPREAD THE MESSAGE SUPPORT OUR WORK WITH A DONATION

Mexico City Policy will have a devastating impact for International Planned Parenthood Federation (IPPF) with its extension far beyond family planning.  Restrictions into support for HIV, maternal health and infectious diseases programmes will mean that millions will be denied lifesaving healthcare they need. The policy will hit hardest, the women living at the margins of society – the poorest, the most remote and those under 25.    The Global Gag Rule, also known as the Mexico City Policy, denies US funding to organizations who provide any abortion related services, including counselling, even when such services are legal in a national context.   IPPF has a special focus on working with the world’s most poor and vulnerable and tailoring services to meet their needs. At country levels, the US funding loss will reduce or halt IPPF’s services and arrest opportunities to scale up, build capacity and reach more people.   Tewodros Melesse, IPPF Director General, said in reaction, “For over 30 years, the Mexico City Policy has played politics with women’s lives. It is a cynical attempt to silence the choice and voice of the world’s poorest women.  As a champion for them and people everywhere, we will not be held back.   "This extended policy covers every aspect of IPPF’s work with the world's poorest people. It also fails in its stated intent to reduce the global incidence of abortion. With the expansion of its restrictions to work on broader health efforts it is short-sighted and dangerous, and threatens years of IPPF gains to advance the health and well-being of communities and undercuts health care access for millions worldwide.”   The extended policy will now affect IPPF’s long record of working on HIV prevention in more than 20 countries covering Africa and Latin America often providing clients integrated sexual and reproductive health care services. The Global Gag rule could also endanger emergency funding for Zika prevention, education and health services in Latin America and the Caribbean, where the epidemic continues to rage.   Examples of Country Impact: Barbados: IPPF partner Barbados Family Planning Association receives funding from the U.S. government to provide HIV prevention and education services to at-risk, hard-to-reach populations including men who have sex with men. The Caribbean has the second-highest HIV prevalence rate among adults after Sub-Saharan Africa.   Nepal: IPPF aims to increase voluntary use of family planning services by increasing accessibility and availability of quality comprehensive family planning services to the hard to reach, disadvantaged, poor and adolescent populations in 11 districts and increase access to voluntary family planning information, education, and services. Nepal has failing and patchy family planning coverage which is often only available at certain times of the year. IPPF are working closely with the government to expand and strengthen static clinics in selected district hospitals, health posts and health facilities with birthing centers to reach all year round, reaching eligible couples with high unmet need. Malawi: The Family Planning Association of Malawi are providing much needed integrated family planning and HIV prevention to young adolescent and women in Malawi via clinics and outreach teams travelling to communities to raise awareness and offer services for vulnerable young women to prevent and treat sexual  gender based violence, HIV infection and access to family planning. Without funding they will no longer be able to provide or expand this vital information, support community learning and offer both family planning services and treatment for sexual and gender based violence in one place.   The rule blocks critical funding for health services like contraception, maternal health, and HIV prevention and treatment for any organization that refuses to sign up to it.    For IPPF, it means foregoing US$100,000,000 that would be directed to proven programmes that provide comprehensive sexual and reproductive health services for millions of women and girls who would otherwise go without vital services that save lives.   IPPF is the world’s largest women’s health network with members in 170 countries with over 45,000 service delivery points delivering over 300 services a minute. Individuals can donate to IPPF’s online appeal www.ippf.org/donate     WANT TO GET INVOLVED? SUBSCRIBE NOW TO GET UPDATES FROM IPPF SUPPORT OUR WORK WITH A DONATION JOIN OUR THUNDERCLAP     View my Flipboard Magazine.

IPPF stands to lose $100 million USD received from the US, even though none of that money is used for abortion services. IPPF spoke out against Trump's reinstatement of the harmful Global Gag Rule (aka Mexico City Policy) to both BBC's Woman's Hour radio show and Australia's ABC 24 News. Our Member Associations have also spoken out against this violation of rights that service restrictions will lead to: "Funding cuts would mean we can't support 37 districts including supporting Government of Nepal effort on sexual and reproductive Health and rights. Additionally we would not be able to run community clinics or mobile health days or train health care workers. The impact also means we would lose essential medical staff like nurses, doctors and health experts. It would be devastating. " - Ms. Amu Singh Sijapati, President of Family Planning Association of Nepal As one of the biggest family planning organizations in the world, we work in over 170 countries to deliver integrated sexual and reproductive health services to the most marginalized women and communities around the globe. Funding cuts will limit the range of services and restricts how well they can be accessed in remote and rural areas by those who can’t afford transport, food or housing, and will now have to pay for services from other providers who charge more for treatment. "Our projects make a real difference. Young people living with HIV face stigma and violence which is a big problem for girls here in Kenya. These issues create barriers for getting care which means higher risks of ill health and harm. It’s vital that we work within local communities and offer services that recognise these specific needs. Without further funding FHOK may be unable to continue this support, scale up or replicate in other parts of Kenya. It would mean denying services to those who need them the most." - Edward Marienga, Executive Director -Family Health Options of Kenya Putting a ‘gag order’ on local providers who know the specific laws and needs of their communities flies in the face of common sense and reason,” said Marta Royo, Executive Director of Profamilia Colombia, an IPPF Member Association. "The impact of the rule under other U.S. Administrations has been dramatic—many organizations were forced to slash services or even shut their doors because they lost US funding for even mentioning abortion. As a result, women lost access to maternal health care, treatment for HIV and contraception that would help them prevent unintended pregnancies in the first place. Unsafe abortion is one of the leading causes of maternal death in the world and evidence has shown that denying women’s access to abortion doesn’t reduce the incidence of abortion; it just makes it unsafe.” WANT TO GET INVOLVED? SUBSCRIBE NOW TO GET UPDATES FROM IPPF SUPPORT OUR WORK WITH A DONATION View my Flipboard Magazine.

  Lillian Lamunu and her husband are both out of work and are struggling to look after their six children who all have Sickle Cell Disease. Lillian is worried that if she doesn’t do something soon she might end up having another baby. She spoke to one of RHU’s clinicians who told her that they saw she had a lot of problems and a lot of children. The clinician suggested that she went and got family planning but Lillian wanted something more permanent. “I want them to remove my tube. Let me remain with these six children. Because my children were all born with Sickle Cell Disease and keeping them is very difficult,” said Lillian. She opted for tubal ligation but her husband was yet to grant her permission to undergo the surgery so that she stops giving birth. “I know that he might be convinced but I don’t know when” Lillian added.   One Ugandan commentator said that in Gulu like the rest of Uganda, contraceptive use was still too low and their uptake was still largely driven by male dominated culture and patriarchal values.   Lillian said that it was very expensive looking after her six children who all need daily medication. “I don’t have enough money for keeping them,” she said. Much of her time is spent in hospital with her sick children so she says that she is unable to get a job.     Follow a day in the life of our team and clients in Gulu, Uganda 07:00 08:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 22:00 Prev Next 7am: The team prepare for the long day ahead "Every year tens of thousands of Ugandans come to our clinic. Everyone is welcome. Here are just a few of the people that we served in one day last month." READ MORE 8am: Nancy, 19, becomes a volunteer "I was suffering but when I came here, I was treated and I got better. Now I'm inspired to volunteer here" READ MORE 9am: Monica, 25, a sex worker's story "I am sex working. I came here for Hepatitis B testing and also counselling. I have so many personal problems, but here….they’re so caring." READ MORE 10am: Jane, 23, saved by family planning "After multiple miscarriages, family planning here has helped me a lot. I'm glad we've been able to space the number of children we've had. I am not growing old, I am fresh." READ MORE 11am: Vicky, handling disabilities "I'm deaf so accessing services is hard, but here they really try to speak in sign language." READ MORE 12pm: Dorcus, first time patient "This is the first time I've ever come here, I like the service. They give good counselling so I recommend coming." READ MORE 1pm: Christine, 45, a grandmother's tale of living with HIV "I am living with HIV and had HPV. They treated me and now I'm free of cervical cancer." READ MORE 2pm: Lilian, struggling mother of six with sickle cell " I have sickle cell disease and so do all my children. I want to have my tube removed so that I don't get pregnant again but I don't know if my husband will allow it." READ MORE 3pm: Brenda and Francis get fertility treatments "Fertility treatment is a sensitive issue in Uganda but they help us a lot and we get proper treatment." READ MORE 4pm: Joyce, 25, repected regardless of her disability "I realised that at this place they don't segregate. Us people with disabilities have challenges at the main hospitals. You go there, people around look at you as if you are not a human being and you don't fall sick." READ MORE 5pm: Mobile clinic provides outreach services to remote villages "Our outreach to remote communities is a 'one-stop-centre'. We give family planning, vaccines for HPV, malaria, and Hepatitis B, HIV testing and more." READ MORE 22pm: Still giving the last client our very best "Together, we have great teamwork. Sometimes we're still working up to 10pm because we never chase out our clients. We’ll never close the place when we have a client inside. People come when they have no hope." READ MORE