Over the past 30 years, more than 60 countries and territories have liberalized their abortion laws. Only four have regressed, including the United States. Abortion rights are increasingly becoming recognized as fundamental human rights for millions of people worldwide. The global landscape of abortion rights continues to evolve in 2024, with new legislation and feminist movements fighting for better access. Let's take a trip around the world to see the latest developments.

The Japanese Ambassador Emphasizes Importance of the Tokyo International Conference for African Development (TICAD) and Reproductive Health for Advancing Human Security and Enhancing People’s Wellbeing in Africa at The 11th African Conference on Sexual Health and Rights (ACSHR) Today is the last day of the 11th African Conference on Sexual Health and Rights (ACSHR) held in Rabat, Morocco from February 26 to March 2, 2024, under the esteemed patronage of His Majesty King Mohammed VI. The conference theme is “The Sexual and Reproductive Health and Family Well-being in Africa”. As the 11th SCSHR organize committee, IPPF has been working hard jointly with its Member Association in Morocco (AMPF) and like-minded organizations such as UNFPA as driving force to make sure of the following conference objectives are met: • Take stock of responses to sexual and reproductive health and rights of women and youth in Africa; • Identify, interrogate and consolidate on best and promising SRHR policies and practices for women and youth SRHR in Africa; • Provide networking opportunities, strengthen coalitions and movements for advancing women and youth SRHR in Africa. At the Plenary Session held in the morning of the last day of the three-day conference, Ambassador Extraordinary and Plenipotentiary of Japan to Tunisia, H.E. Mr Takeshi Osuga made a presentation entitled ‘TICAD 8 and Japan’s Cooperation on African Continent’. After introducing TICAD's history since 1993, he explained how the SRHR have been incorporated into the TICAD Summit outcomes. He also briefed about Japan’s contribution to African development in relevant areas in partnership with IPPF and its member associations. During his speech, H.E. Mr Osuga said: "Japan will continue to invest in SRHR projects in Africa and support the advocacy efforts in support of SRHR. Whether or not SRHR will be further mainstreamed internationally and especially in Africa, in line with African Union's Agenda 2063 and the Goal 3, target 7 of the SDGs, is totally up to African countries and the civil society in each country." IPPF has participated in the TICAD process since 2006. In next year 2025, the 9th TICAD will be held in Yokohama. IPPF will continue to advocate SRHR to make it one of the core topics of the TICAD. For further information, please contact Mr Mustapha Kameyal [email protected] (Arabic and English) and Ms Yuri Taniguchi [email protected] (Japanese).   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.

With support from the Government of Japan, International Planned Parenthood Federation’s (IPPF) Member Associations in five countries, namely Afghanistan, Palestine, Sudan, Ukraine and Yemen, will provide urgent sexual and reproductive health (SRH) services to communities affected by natural disasters and conflict situations.  These IPPF Member Associations will: Provide sexual and reproductive health (SRH) and maternal and child health services for women and girls and marginalized communities in six remote and flood affected provinces in Afghanistan; Provide urgent sexual and reproductive health services to communities affected by the escalating violence in Palestine; Improve accessibility of services and community sustainability to decrease sexual and reproductive health-related mortality and morbidity of women and girls in three States with high internally-displaced populations in Sudan; Restore health facilities and access to maternal health services in conflict affected areas for populations affected by the destruction of the Kakhovka Dam in Ukraine;  Provide critical sexual, reproductive and maternal health care to internally displaced people and local communities in Yemen. This vital funding from Japan will help with provision of badly needed but currently missing health services, especially for women, so that they can live with dignity and free from unwanted pregnancies, death of themselves and their newborns, and reproductive ill-health. It will allow us to provide essential and quality SRH and maternal and child health services in the communities, prevent and manage the consequences of sexual and gender-based violence, including the clinical management of rape, equip community-based midwives with skills to provide high quality obstetric and neonatal services and strengthen health information systems to collect high quality data to respond to the needs and priorities of women and girls’ health. IPPF Director General, Dr Alvaro Bemejo, said, "I offer heartfelt thanks to the Government of Japan for their  unparalleled generosity to enable IPPF to respond to the needs of women and girls caught up in crises around the world. This generosity will allow IPPF and our local partners to provide a critical lifeline to the growing number of people in desperate need of humanitarian assistance."   By the end of December 2024, IPPF, through our local partners in the five countries, will aim to deliver health services and information to at least 239,000 people in total.   For further information, please contact Yuri Taniguchi, IPPF London Office, at [email protected].   Photo Credits: IPPF/Hannah Maule-ffinch/Sudan

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

Since the start of the brutal armed conflict between the Sudan Armed Forces (SAF) and the paramilitary Rapid Support Forces (RSF) in mid-April 2023, conflict-related rape and sexual violence against women and girls in Sudan has increased significantly.   ‘I have witnessed firsthand the impact of this heinous war on our country’s most vulnerable people, including women, girls and other marginalized groups’, said Dr. Hiba Ahmed Khalil Badr, Director of Emergency and Humanitarian Interventions at the Sudan Family Planning Association (SFPA), IPPF’s local partner.   The Rapid Support Forces (RSF) continue to use sexual violence against women and girls as one of the means of warfare in their conflict with the Sudan Armed Forces (SAF). Since April last year, the UN has reported an increase in all types of sexual and gender-based violence (SGBV) including mass rapes, gang rape, domestic violence, sexual exploitation and sexual slavery. Women and girls who are internally displaced are especially vulnerable to sexual violence in temporary shelters, border crossing or while fleeing between states for safety.  The armed crisis has worsened the existing ethnic conflict, especially in West Darfur. The Arab-dominated RSF and allied Arab militiamen have targeted non-Arab communities like the Masalit in West Darfur. They have committed sexual violence against Masalit women and girls, including forced pregnancy, forced prostitution and sexual slavery. They have also specifically targeted local women human rights defenders, subjecting them to rape and sexual violence to punish and terrorize them. 

Week after week, heavy Israeli bombardment from air, land, and sea, has continued across most of the Gaza Strip. According to the Ministry of Health, at least 21,320 Palestinians have been killed in Gaza since October 7th, about 70% of whom are women and children. Nearly 2 million people have been displaced from their homes, forced to live in extremely overcrowded and unsanitary shelters. The Ministry of Health says that 50% of pregnant women in the shelters suffer from thirst and malnutrition, and there is a lack of health care and vaccinations for newborns.  The suffering is unimaginable, yet it is all too real.  Many of those bearing witness to the seemingly endless death and misery are frontline healthcare workers - including those delivering sexual and reproductive healthcare. But they, too, are at risk of being killed just for doing their jobs. Israel continues to bombard Gaza’s health facilities and residential areas, despite mounting international pressure for a ceasefire - something IPPF and many other humanitarian organisations have been demanding for months. According to the World Health Organization (WHO) there have been more than 200 Israeli attacks on hospitals and ambulances since Oct. 7, with many medical workers detained during Israeli raids. At least 300 healthcare workers have been reported killed, according to the UN. This is more than the total number of health worker deaths recorded across all countries in conflict last year, and in any single year since 2016.   Staff at IPPF's local member association, the Palestinian Family Planning and Protection Association (PFPPA), are among the heroic healthcare workers in Gaza that continue to provide care as best they can in the ongoing humanitarian catastrophe. We fear for their safety - and that of the 2.3 million civilians in Gaza - every single day. In their own words, PFPPA and other health workers describe what it's like to provide care under bombardment and blockade in Gaza and in the West Bank - offering glimpses of terror, devastation, and even some hope. 

Conflict everywhere is a reproductive health and justice issue. This reality is acutely felt in Palestine, where women have faced barriers and systematic denial to comprehensive sexual and reproductive health and rights since long before Israel’s declaration of war on the Gaza Strip in October. The consequences of this essential health care service denial exhibit gendered patterns disproportionately impacting aspects of women's sexual and reproductive health, such as pregnancy, childbirth, menstruation, contraceptive access and bodily autonomy.   To be a woman in Gaza right now is to have your basic needs – and your life – relegated to the backseat. It’s not a coincidence that the vast majority of the more than 17,000 deaths in Gaza so far are women and children. The systematic denial of sexual and reproductive health and rights in Palestine - and the urgency in integrating these services into broader humanitarian responses in Gaza and the West Bank - is a crucial point of discussion.   Palestinians have long been systematically denied their sexual and reproductive health and rights  Prior to 7 October, around 94,000 Palestinian women lacked access to sexual and reproductive health services, as reported by the United Nations Population Fund (UNFPA). Likewise, the UN had previously stated that restricted movement adversely affects maternity services, influences decisions regarding labor induction and c-sections, and deters postnatal care-seeking due to travel challenges. 

Khartoum, 4 December 2023 — As the war in Sudan enters its eight month with no end in sight, widespread conflict-related sexual and gender-based violence (SGBV) has continued unabated, including reports of mass rapes, sexual exploitation and sexual harassment which demonstrate how sexual violence is being used as a tool of war to subjugate, terrorise and punish women and girls. Since the war between Sudan’s Rapid Support Forces and the Sudanese Armed Forces erupted on April 15th, reports of ethnically targeted sexual and gender-based violence have escalated across Sudan, leading to a surge in unplanned pregnancies and sexually transmitted infections. The International Criminal Court (ICC) in The Hague said in July it is investigating the hostilities in Darfur, including reports of killings, rapes and crimes against children. Rape has often been used as a weapon of war over the years in Sudan, human rights groups have said. Sexual violence is prohibited in conflict, and the accounts of rape could constitute war crimes and crimes against humanity. The prevailing conflict and social unrest in various regions of Sudan have created an environment rife for SGBV, leaving countless individuals exposed to the gravest violations of their most intimate rights. Deeply disturbing accounts of gang rapes, sexual assault, harassment, and other forms of sexual, physical and psychological violence have emerged, highlighting the urgent need for comprehensive sexual and reproductive healthcare for survivors. IPPF’s local member association in Sudan, the Sudan Family Planning Association (SFPA) has been providing these services across Sudan since the outbreak of the war, including counselling, medical assistance, and referrals for survivors of SGBV. Despite unprovoked attacks on six SFPA facilities which have so far killed one youth volunteer and injured numerous clients and staff, as well as interrupted the delivery of some health services, SFPA has continued to work in conflict-affected areas through their large network of community based distributors and mobile clinics. Dr Seham Jaber, the director of Digital Health Interventions and Services at SFPA said:  “We have noticed escalating rates of sexual and gender-based violence in Sudan since the outbreak of the war in April. Violence against women and girls is occurring at the hands of militants, as well as an increase in domestic and intimate partner violence, including rape. Young girls and boys are living in overcrowded shelters are reporting to us cases of sexual harassment and abuse." Confidentiality, sensitivity and compassion are crucial to SFPA’s work, because many survivors of sexual violence don’t seek medical treatment due to the fear of social stigma and reprisals. SFPA's website and hotline have seen a considerable increase in traffic for reports of SGBV from the community since the start of the war. In response, SFPA is also running community awareness and education campaigns on SGBV, and is enlisting the support of local Imams to promote gender equality, and foster a culture of respect and consent. For media inquiries or to speak to one of our staff in Sudan, please contact [email protected]  About the Sudan Family Planning Association The Sudan Family Planning Association (SFPA) was established in 1965 by pioneers in obstetrics and gynecology in response to increases in maternal, neonatal and infant mortality and morbidity. Sudan is a country in great need of frontline sexual and reproductive health (SRH) services. In 2022, SFPA provided 26 million services through 24 clinics, 261 associated clinics, and 37 mobile clinics. Since the start of the war on 15 April 2023; the Association teams have been successful in providing 14,706,000 services through 24 SFPA facilities , mobile clinics, mobile teams ,CBDs and partners clinics . SFPA was able to assist 1,145 deliveries under bombardment and provided 167,000 treatments of HIV&AIDS “HIV screening and care for PLHIV” through its static clinics. Mobile clinics are used to offer integrated SRH services including HIV/STI services and condom distribution, STI testing and management, HIV testing and treatment for HIV opportunistic infections, referrals for ARV treatment including PMTCT and awareness sessions both at mobile clinics and at the community level by community health promoters and community base distributors (CBDs). 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.

15 November 2023 - With the forced closure of Gaza’s largest hospital, Al Quds, due to the lack of fuel and incessant Israeli bombardment, and the recent storming of al-Shifa Hospital by Israeli forces, midwives are a lifeline for the estimated 180 women who are giving birth each day.  As of 13 November, all but one of the hospitals in Gaza City and northern Gaza are reportedly out of service due to lack of power, medical consumables, oxygen, food and water, compounded by bombardments and fighting in their vicinities, according to OCHA. 26 year old Narmeen Al Shafee is a midwife currently living in Deir al-Balah in central Gaza, who has previously worked with the Palestinian Family Planning and Protection Association (PFPPA) outreach team. She describes the case of a 29-year-old pregnant woman who fled along with her family from Sheikh Radwan to Deir al-Balah to seek refuge in a school shelter near her home. The women was in her ninth month of pregnancy and not long after being displaced from her home she underwent a cesarean section. Midwife Al Shafee said: “After giving birth, and for her own safety, the shelters did not want to accommodate her due to the widespread infectious diseases and [the] high risk of infection since she had a cesarean section. Her husband was calling out in the streets for someone to receive his wife and three children. My parents welcomed them into our home to take care of her. I would change her bandages daily and monitor her and her child. After ten days, I removed the stitches. Thank God, her condition is now stable, and there are no problems.” In a separate case, Al Shafee describes caring for her 23-year-old cousin who was pregnant for the first time and lost her husband early in the war. “Her delivery date was approaching, and she gave birth at Nasser Hospital in Khan Younis [in southern Gaza]. Her child faced complications during birth, and due to the bombings she sought refuge with us. I took care of her and her child until their situation stabilized. Now, I am helping her with breastfeeding, as she is finding it difficult.” Aminah*, another midwife who has also previously worked with the PFPPA outreach team, said: “I’ve been in contact with two pregnant women multiple times, providing weekly consultations. One woman experienced severe cramps, and after offering advice, she was referred to the hospital. She needed lung maturation injections for the fetus, along with rest and nutritional supplements and iron. Another woman, 29 weeks pregnant, suffered dizziness and vomiting and she took Ancozine [an antiemetic] for nausea during the visit. I also found out that she was taking iron and provided her with information on the correct way to take iron tablets in order for her to benefit from them as needed. I am also providing information to women in my area and around me hoping that it will help them if and when needed.” According to data from the UNFPA, there are an estimated 50,000 pregnant women in Gaza, with 15% expected to encounter complications. In many instances women are only admitted to hospital when they are fully dilated, with some forced to deliver their babies in cars, in the streets, and in overcrowded shelters where the risk of infection and the spread of disease is high. There are reports of c-sections bring performed without anesthesia, and there is currently no type of post natal care available in Gaza.  Levels of early labor and miscarriages are expected to increase with the trauma and conditions being faced.  Al Ahli Hospital, in Gaza City, which currently accommodates over 500 patients, is reportedly the sole medical facility able to receive patients, amid increasing shortages and challenges. In Shifa hospital, 32 patients, including three premature babies, have reportedly died since 11 November, following the power cut and amid dire conditions. Without a full and immediate ceasefire, and the unimpeded delivery of humanitarian aid across all parts of Gaza, maternal and neonatal deaths will continue to rise. 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. Banner image: Midwife Narmeen Al Shafee provides care to a newborn baby in Deir al-Balah, in central Gaza. 

Nama Abu Khalifa, a social worker with the Palestinian Family Planning and Protection Association (PFPPA) in the occupied West Bank, faces near-impossible challenges in getting to work every day.  "Every morning and evening, I undergo physical inspection by the Israeli occupation forces at the checkpoints,” she said. “Additionally, there are armed settler attacks on the roads, attempts to intimidate passersby, and the placement of iron gates to close the entrances and exits of the village, tightening the grip on its residents. The gates are closed and opened without any prior warning, making it difficult for me to return home."  Abu Khalifa works for the Ramallah branch - one of four PFPPA service delivery points across the West Bank that are still operational, despite tightened security and rising violence in the West Bank amid the ongoing war in the Gaza Strip. PFPPA’s only health center in the Gaza Strip was destroyed after an Israeli air strike hit an adjacent building on 8 October.  While all eyes are rightfully on the dire situation in Gaza, Israeli settler violence and increased movement restrictions in the West Bank mean Palestinians are also facing increasing challenges and risks when it comes to seeking sexual and reproductive health care. Attacks, forced displacement, rampant discrimination and harassment by Israeli forces continue – and have increased in the last month. According to the OCHA, nearly 2,000 Palestinians have been displaced amid settler violence since 2022, with 43% since 7 October, severely limiting Palestinians’ access to essential services. As of 20 November, the total number of Palestinians killed by Israeli forces in the West Bank, including East Jerusalem, is 200, including 52 children.