"There will be more deaths": NGOs on Trump"s anti-abortion rule
Three days after his inauguration, Donald Trump reinstated the “global gag” rule, which prohibits the use of US aid money for abortions, prevents NGOs from using private funds for abortion services, from referring women to groups that provide abortions, and even from offering information on services.
We asked NGOs around the world to tell us how the policy impacted them in the past, and what it means for their work today.
‘The policy constitutes bullying and blackmail’
Sally Griffin, director, ICRH-Mozambique
Mozambique is at a crucial turning point. Abortion was recently decriminalised and the government and its partners are preparing to roll out services. We fear this policy could derail the process, either through its impact on funding for services, or through the climate of fear and restraint it creates.
We receive US funding to provide HIV, sexual and reproductive health (SRH) services to sex workers. The ‘global gag’ rule pushes us into a corner: abandon our efforts to support access to safe abortion or close down our programme providing essential SRH services to marginalised people. Either way, vulnerable women will have their reproductive and sexual rights compromised.
The policy constitutes bullying and blackmail, particularly of local organisations that are heavily dependent on US funding to provide services and to survive, and are therefore effectively powerless to turn it down.
This policy is going to undermine the reproductive health of our women
‘Impoverished women may not be able to afford quality abortion care’
Rani Jha, obstetrician and gynaecologist, Nepal
I work to provide free or subsidised safe abortions and contraceptive services to marginalised women. The services are funded by international donations and we are afraid that we may not be able to secure more funds in the future. Then, we may have to curtail our services or start charging patients. But Nepal is a poor country and impoverished women may not be able to afford quality abortion care. We can expect a rise in the rate of unsafe abortions, and subsequent mortality and morbidity. This is going to undermine the reproductive health of our women.
‘The rule will reduce our work to near zero’
Claudia Dides, executive director, Miles Chile
In the past, the implementation of the policy meant that only government funding was available to support the promotion of sexual and reproductive rights. There was an increase in the number of girls aged 11–14 having unwanted pregnancies, and an increase in the prevalence of HIV/Aids.
The global gag rule will reduce our work to near zero as we depend almost 100% on external support to promote the sexual and reproductive rights of women and teenagers in Chile. They would be left without information on the latest contraceptive methods, they would have limited access to sex education (government programmes are limited or non-existent), and there would be restrictions on advocating preventive actions around HIV/Aids and other sexually-transmitted diseases.
‘Mothers will visit the clinic with problems they might have avoided’
Heloise, Ghana
In northern Ghana, it is common for poor young women to receive financial support from their boyfriend in exchange for sex. But without SRH and rights education, they often don’t know how to prevent pregnancy. If a woman does get pregnant, she will often rely on her boyfriend and his family to support her. And if she goes to school, she may have to drop out. After the baby is born, the man’s family is considered free of responsibility and this can leave the woman without financial or family support. In this region, girls and women are often so poor they have no money to get treatment for any pregnancy or newborn complications, resulting in extremely high rates of maternal and child mortality.
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