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Love wins! The fight for marriage equality has seen incredible progress worldwide, with a recent surge in legalizations. Across the world, 36 out of 195 countries have legalized equal marriage: Andorra, Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Costa Rica, Cuba, Denmark, Ecuador, Estonia, Finland, France, Germany, Greece, Iceland, Ireland, Luxembourg, Malta, Mexico, the Netherlands, New Zealand, Norway, Portugal, Slovenia, South Africa, Spain, Sweden, Switzerland, Taiwan, the United Kingdom, the United States of America and Uruguay. In 2023, three new countries legalized same-sex marriage (Andorra, Estonia and Slovenia), and three more solidified legislative progress towards decriminalizing same-sex unions: a Japanese court ruled it is unconstitutional for the nation not to legally recognize same-sex unions. And the Supreme Courts of Nepal and Namibia recognized marriages of same-sex couples registered abroad. So marriage equality marches on! Already in 2024, two more countries have said "I do" to equal rights.   According to the Human Rights Campaign Foundation, even more countries could legalize equal marriage in 2024. In particular, the Czech Republic, India, Japan, Nepal and Philippines show signs of growing support for marriage equality. The fight for marriage equality isn't over, but the momentum is undeniable. IPPF stands with those working to make love win everywhere.

Menstrual regulation, the method of establishing non-pregnancy for a woman at risk of unintended pregnancy, has been a part of Bangladesh’s family planning program since 1979. It is allowed up to 10 –12 weeks after a woman’s last menstrual period. Nursing Supervisor Ms. Lovely Yasmin is one of several staff members providing family planning, menstrual regulation, and post-procedure care services at Upzila Health Complex in Belkuchi, Bangladesh. “Before this training we used to sometimes advise people on such services and provided menstrual regulation (MR) services but after the training I’ve have become and confident and efficient in providing MR services,” she says. “Earlier there could possibly have been mistake but now I can provide MR services efficiently and perfectly. I can now provide MR services in more organized manner.” But while Yasmin, who has worked in family planning for 16 years, says that the recent training has increased her confidence in properly doing MR procedures, the health complex still lacks basic supplies. “There were difficulties due to limited equipment,” she says. “We sometimes have to use personal equipment.” But, she says, the presence of Kit 8 has made life easier. “Prior to this kit, many clients did not complete the full course of medical as advices due to financial issues… during floods there are many hardships including financial difficulty,” she says. “However with this kit, most of the medicines are provided and clients are easily managing on their own.”

Menstrual regulation, the method of establishing non-pregnancy for a woman at risk of unintended pregnancy, has been a part of Bangladesh’s family planning program since 1979. It is allowed up to 10 –12 weeks after a woman’s last menstrual period. When Shana Khatun, a mother of three, became pregnant again she says she began to feel very weak and had issues with massive bleeding.Citing her age and the possibility of further medical complications, Khatun decided to undergo a menstrual regulation procedure. “But if the hospital and services weren’t there then I would have had to have continued with my pregnancy, even when (I do) not want another child” she says. Khatun says that the procedure went well, but that without the presence of medicine found in Kit 8 she would have lacked post-operation medicine. “After the menstrual regulations services I was prescribed a few medicines which I could not buy due to poor financial condition,” she says. “But the hospital gave me a number of medicines that I could take.” And while Khatun had talked with women about various family planning methods, she didn’t feel she could talk with anyone aside from her husband about getting the procedure. “I feared they would treat me poorly (the hospital),” she says. But Kahtun says she found the hospital trustworthy and helpful, even when she was suffering complications such as mass bleeding. “I will be very cautious that I should not get pregnant again however in event if I get pregnant again then I will come to this hospital only,” she says.

Menstrual regulation, the method of establishing non-pregnancy for a woman at risk of unintended pregnancy, has been a part of Bangladesh’s family planning program since 1979. It is allowed up to 10 –12 weeks after a woman’s last menstrual period. Auliya Khatun, a mother of three children, was 40 years old when she found out that she had unintentionally become pregnant again. Khatun says she had heard about family planning services and menstrual regulation services available at the Upzila Health Complex from other women in her small village. She discussed the option of undergoing menstrual regulation with her husband. “My spouse was supportive and he gave me the freedom to come to this decision myself,” Khatun says. “If this service was not available then I would have carried on with the pregnancy. It would have been embarrassing, though,” she explains. “It is embarrassing to have another child at this age.” Khatun, who sometimes assists her husband with work in a local handloom, also cited the financial burden another child would have on her family. “We are facing financial difficulty so it is not possible to have another child.” Khatun says she only experienced mild gastric discomfort after the procedure but felt assured about her recovery due to being able to check-in with doctors at the local health centre. The access to the services and doctors, she says, was a major factor in a smooth and easy recovery. “Since this service was in a government facility I could prevail [through] this and survive,” she says. “It is an important service.”  

  Few people are at higher risk of HIV infection or STIs than sex workers. Although sex work is illegal in Thailand, like in so many countries many turn a blind eye. JiHye Hong is a volunteer with PPAT, the Planned Parenthood Association of Thailand, and she works with the HIV and STIs prevention team in and around Bangkok. One month into her volunteer project, she has already been out on 17 visits to women who work in high risk entertainment centres. “They can be a target group,” explains JiHye. “Some of them can’t speak Thai, and they don’t have Thai ID cards. They are young.” The HIV and STIs prevention team is part of PPAT’s Sexual and Reproductive Health department in Bangkok. It works with many partners in the city, including secondary schools and MSM (men who have sex with men) groups, as well as the owners of entertainment businesses. They go out to them on door-to-door visits. “We visit them in their real lives, because they may not have time to go to clinics to check their status,” says JiHye. “Usually we spend about an hour for educational sessions, and then we do activities together to check if they’ve understood. It’s the part we can all do together and enjoy.” The team JiHye works with takes a large picture book with them on their visits, one full of descriptions of symptoms and signs of STIs, including graphic images that show real cases of the results of HIV/AIDs and STIs. It’s a very clear way of make sure everyone understands the impact of STIs. Reaction to page titles and pictures which include “Syphilis” “Gonorrhoea” “Genital Herpes” and “Vaginal Candidiasis” are what you might expect. “They are often quite shocked, especially young people. They ask a lot of questions and share concerns,” says JiHye. The books and leaflets used by the PPAT team don’t just shock though. They also explain issues such as sexuality and sexual orientations too, to raise awareness and help those taking part in a session understand about diversity and equality. After the education sessions, tests are offered for HIV and/or Syphilis on the spot to anyone who wants one. For Thai nationals, up to two HIV tests a year are free, funded by the Thai Government. An HIV test after that is 140 Thai Baht or about four US Dollars. A test for Syphilis costs 50 Bhat. “An HIV rapid test takes less than 30 minutes to produce a result which is about 99% accurate,” says JiHye. The nurse will also take blood samples back to the lab for even more accurate testing, which takes two to three days.” At the same time, the groups are also given advice on how it use condoms correctly, with a model penis for demonstration, and small PPAT gift bags are handed out, containing condoms, a card with the phone numbers for PPATs clinics and a small carry case JiHye, who is from South Korea originally, is a graduate in public health at Tulane University, New Orleans. That inspired her to volunteer for work with PPAT. “I’ve really learned that people around the world are the same and equal, and a right to access to health services should be universal for all, regardless of ages, gender, sexual orientations, nationality, religions, and jobs.”