Six months ago, one powerful white man in the White House, watched by seven more, signed a piece of paper that will prevent millions of women around the world from deciding what they can and can’t do with their own bodies.
In that moment, on his very first Monday morning in office, Donald Trump effectively signed the death warrants of thousands of women. He reversed global progress on contraception, family planning, unsustainable population growth and reproductive rights. His executive order even has implications for the battle against HIV, tuberculosis and malaria.
Rarely can the presidential pen have been flourished to such devastating effect. The policy it reintroduced will shut health clinics in Uganda and HIV programmes in Mozambique; it will compel women from Nepal to Namibia to seek out deadly back-street abortions.
“It is an unprecedented attack on women’s rights – it goes much deeper than abortion,” said Ulla Müller, president and CEO of EngenderHealth, a leading advocacy organisation.
“Girls are kicked out of school if they get pregnant. They are very often forced to marry the fathers. Very often they have to live in their in-laws’ house, where they have to do unpaid labour. It is a violation of women’s rights. We need to see this as a gender issue and very much as a power issue.”
Tewodros Melesse, director general of the the International Planned Parenthood Federation (IPPF), which stands to lose as much as $100m, said the US move “seeks to restrict the rights of millions of women. It asks us as a health provider, to stop providing services which are entirely legal in countries through our members – where some of the most poorest women, depend on them.
“The human cost of the gag rule will have a long and fatal legacy.”
Like so many far-reaching American policies, Trump’s executive order is enshrouded in complexity to the point where it seems almost designed to confuse.
The order reinstated the Mexico City policy (so called because it was first signed at the International Conference of Population in Mexico City, in 1984). Under this policy, any NGO outside the US seeking American funding for family planning has to pledge it will not carry out abortions anywhere in the world, even with its own money. Such organisations must agree not to talk to women about a termination, nor lobby governments to liberalise their policy on abortion.
What is the ‘global gag rule’, and why does Trump support it?
US aid has never been used to fund abortion services (it is forbidden, by law). This is a ban on speaking about abortion – a restriction on free speech which the First Amendment does not permit within the US. For this reason, the rule became known as the global gag.
Trump’s version of the policy has massively expanded its reach. It is no longer just international family planning organisations that must agree not to “perform or actively promote abortion”. Every global health organisation that accepts US funding now has to sign the same clause. Anyone working to fight HIV, get vaccines or vitamins to children, or prevent Zika or malaria is facing a stark and unprecedented choice: sign, or lose all funding from the biggest aid donor in the world.
I believe that President Trump doesn’t give a hoot about any of these issues
Jon O'Brien, president, Catholics for Choice
As much as $10bn (£7.7bn) of global health funding hangs in the balance. Among those who will lose money if they refuse to sign up to the anti-abortion orthodoxy are the two big international family planning organisations, Marie Stopes International (MSI) and the IPPF. But for the first time, global NGOs such as Save the Children, WaterAid and the International HIV/Aids Alliance are also targeted.
The effects will be felt most keenly in the tiny, frontline clinics run by small NGOs struggling to help women and children in crowded townships, refugee camps and remote rural villages. There are no abortion doctors in such places (in most African countries, abortion is banned unless the woman’s life is in danger). These clinics instead offer contraceptive injections and condoms for those who would struggle to feed numerous children. But they also treat children for malaria and malnutrition and their mothers for HIV. This integrated care is now under threat.
But that’s not all. Trump has also decided to stop funding the UN Population Fund, which does hard and heroic work, reaching some of the most oppressed women in the world in refugee camps and war zones, as well as getting contraception to the remotest parts of the planet. In 2016, the US gave the organisation $69m in core funds and for its humanitarian response work.
And deep budget cuts to foreign aid under Trump include a proposal to axe every cent for overseas family planning, currently $600m a year.
The triple blow is already being felt by some of the world’s poorest women.
Take Nigeria, a country with one of the world’s fastest growing populations. The average woman there has more than five children. MSI predicts that because of Trump’s “global gag rule”, there will be an additional 660,000 abortions in Nigeria over the next four years, with 10,000 women dying as a result.
“This is going to be really huge,” said MSI country head Effiom Effiom of the US decision to pull funding. “They’ve been key in strengthening healthcare. It’s their funding that allowed us to reach 500,000 women in the past three years. Who will bridge that gap?” he asks.
It’s a question that bothers Sakina Sani as well. She has two children already and knows she cannot afford many more. She is grateful to a family planning clinic in northern Nigeria for furnishing her with a contraceptive implant that will enable her to plan out her family for the next four years. But after that, she’ll be on her own.
Sakina Sani, a mother of two, receives a contraceptive implant
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Sakina Sani, a mother of two, has a contraceptive implant – known informally among young Nigerians as a ‘tattoo’ – placed in her arm. Photograph: Ruth Maclean for the Guardian
“I’d have to have more children,” she admits. “All I could do is pray harder for God to help feed them.”
Across the continent, in Uganda, her experience is replicated by Dausi Mukwana, 26, who had the first of her four children at the age of 14. An injectable contraceptive called Sayana Press and a tireless healthworker called Aisha Mugoya have belatedly given her control over family planning. But this is now in jeopardy: funding will dry up in the coming weeks.
“The number of maternal deaths will increase as the number of pregnancies increases, and the number of abortions is going to increase,” said Dr Moses Okilipa of Reproductive Health Uganda, a branch of the IPPF, which refuses to sign up to the Mexico City policy.
Dausi Mukwana, 26, a rural Ugandan, receives a contraceptive called Sayana Press. Photograph: Juozas Cernius/for The Guardian
The glaring paradox is that the global gag policy doesn’t even work. “The gag rule contributes to the very thing it purportedly seeks to reduce: the frequency of abortion,” said a report in June from the Guttmacher Institute, a US research organisation focused on sexual and reproductive health and rights. Evidence shows that when the gag is imposed, unwanted pregnancies and abortions go up.
Banning abortions and forcing NGOs not to offer any counselling or advice about them drives desperate women to the back-street abortionists and witch doctors.
Hardline opponents of abortion don’t understand this; they don’t believe it or don’t care. At Trump’s right elbow when he signed the order was Mike Pence, a born again Christian. Trump is not religious, but some of his most influential advisers are – and the choice of Pence as his running mate brought on board the religious right. The new, improved global gag is their reward.
“I believe that President Trump doesn’t give a hoot about any of these issues one way or the other,” said Jon O’Brien, president of Catholics for Choice. He pointed out that Trump’s closest advisers include a significant number of ultraconservative Catholics. Kellyanne Conway has been a prominent anti-choice campaigner for decades, he said, claiming in interviews that “unborn babies can feel pain at 20 weeks” (a view that the evidence does not support). Steve Bannon, chief strategist and Sean Spicer, White House press secretary, are both conservative Catholics. Katy Talento, a health policy aide on the Domestic Policy Council, recently published an article alleging that “chemical birth control causes abortions and often has terrible side effects, including deliberate miscarriage”, a claim about the pill that is not supported by scientists.
And then there is Pence. At the Republican National Convention in Ohio last July, he called himself “a Christian, a conservative and a Republican, in that order”. Born into an Irish Catholic Democrat-voting family in Indiana, he found God at a Christian music festival in Kentucky in 1978. He was still a Democrat in 1980, when he voted for Jimmy Carter, but his views started to shift to the right at college and he became a big admirer of Ronald Reagan’s “common sense conservatism”. By 1988 he was running for Congress as a Republican. He lost but won a seat in the House of Representatives for Indiana in 2000.
In his 2000 Congressional campaign, he urged that the Ryan White Act, which provides funds for HIV treatment for the poor, should only be renewed if the money was “directed toward those institutions which provide assistance to those seeking to change their sexual behaviour”.
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https://www.theguardian.com/global-...lation-reproductive-rights-mexico-city-policy
In that moment, on his very first Monday morning in office, Donald Trump effectively signed the death warrants of thousands of women. He reversed global progress on contraception, family planning, unsustainable population growth and reproductive rights. His executive order even has implications for the battle against HIV, tuberculosis and malaria.
Rarely can the presidential pen have been flourished to such devastating effect. The policy it reintroduced will shut health clinics in Uganda and HIV programmes in Mozambique; it will compel women from Nepal to Namibia to seek out deadly back-street abortions.
“It is an unprecedented attack on women’s rights – it goes much deeper than abortion,” said Ulla Müller, president and CEO of EngenderHealth, a leading advocacy organisation.
“Girls are kicked out of school if they get pregnant. They are very often forced to marry the fathers. Very often they have to live in their in-laws’ house, where they have to do unpaid labour. It is a violation of women’s rights. We need to see this as a gender issue and very much as a power issue.”
Tewodros Melesse, director general of the the International Planned Parenthood Federation (IPPF), which stands to lose as much as $100m, said the US move “seeks to restrict the rights of millions of women. It asks us as a health provider, to stop providing services which are entirely legal in countries through our members – where some of the most poorest women, depend on them.
“The human cost of the gag rule will have a long and fatal legacy.”
Like so many far-reaching American policies, Trump’s executive order is enshrouded in complexity to the point where it seems almost designed to confuse.
The order reinstated the Mexico City policy (so called because it was first signed at the International Conference of Population in Mexico City, in 1984). Under this policy, any NGO outside the US seeking American funding for family planning has to pledge it will not carry out abortions anywhere in the world, even with its own money. Such organisations must agree not to talk to women about a termination, nor lobby governments to liberalise their policy on abortion.
What is the ‘global gag rule’, and why does Trump support it?
US aid has never been used to fund abortion services (it is forbidden, by law). This is a ban on speaking about abortion – a restriction on free speech which the First Amendment does not permit within the US. For this reason, the rule became known as the global gag.
Trump’s version of the policy has massively expanded its reach. It is no longer just international family planning organisations that must agree not to “perform or actively promote abortion”. Every global health organisation that accepts US funding now has to sign the same clause. Anyone working to fight HIV, get vaccines or vitamins to children, or prevent Zika or malaria is facing a stark and unprecedented choice: sign, or lose all funding from the biggest aid donor in the world.
I believe that President Trump doesn’t give a hoot about any of these issues
Jon O'Brien, president, Catholics for Choice
As much as $10bn (£7.7bn) of global health funding hangs in the balance. Among those who will lose money if they refuse to sign up to the anti-abortion orthodoxy are the two big international family planning organisations, Marie Stopes International (MSI) and the IPPF. But for the first time, global NGOs such as Save the Children, WaterAid and the International HIV/Aids Alliance are also targeted.
The effects will be felt most keenly in the tiny, frontline clinics run by small NGOs struggling to help women and children in crowded townships, refugee camps and remote rural villages. There are no abortion doctors in such places (in most African countries, abortion is banned unless the woman’s life is in danger). These clinics instead offer contraceptive injections and condoms for those who would struggle to feed numerous children. But they also treat children for malaria and malnutrition and their mothers for HIV. This integrated care is now under threat.
But that’s not all. Trump has also decided to stop funding the UN Population Fund, which does hard and heroic work, reaching some of the most oppressed women in the world in refugee camps and war zones, as well as getting contraception to the remotest parts of the planet. In 2016, the US gave the organisation $69m in core funds and for its humanitarian response work.
And deep budget cuts to foreign aid under Trump include a proposal to axe every cent for overseas family planning, currently $600m a year.
The triple blow is already being felt by some of the world’s poorest women.
Take Nigeria, a country with one of the world’s fastest growing populations. The average woman there has more than five children. MSI predicts that because of Trump’s “global gag rule”, there will be an additional 660,000 abortions in Nigeria over the next four years, with 10,000 women dying as a result.
“This is going to be really huge,” said MSI country head Effiom Effiom of the US decision to pull funding. “They’ve been key in strengthening healthcare. It’s their funding that allowed us to reach 500,000 women in the past three years. Who will bridge that gap?” he asks.
It’s a question that bothers Sakina Sani as well. She has two children already and knows she cannot afford many more. She is grateful to a family planning clinic in northern Nigeria for furnishing her with a contraceptive implant that will enable her to plan out her family for the next four years. But after that, she’ll be on her own.
Sakina Sani, a mother of two, receives a contraceptive implant
Facebook Twitter Pinterest
Sakina Sani, a mother of two, has a contraceptive implant – known informally among young Nigerians as a ‘tattoo’ – placed in her arm. Photograph: Ruth Maclean for the Guardian
“I’d have to have more children,” she admits. “All I could do is pray harder for God to help feed them.”
Across the continent, in Uganda, her experience is replicated by Dausi Mukwana, 26, who had the first of her four children at the age of 14. An injectable contraceptive called Sayana Press and a tireless healthworker called Aisha Mugoya have belatedly given her control over family planning. But this is now in jeopardy: funding will dry up in the coming weeks.
“The number of maternal deaths will increase as the number of pregnancies increases, and the number of abortions is going to increase,” said Dr Moses Okilipa of Reproductive Health Uganda, a branch of the IPPF, which refuses to sign up to the Mexico City policy.
Dausi Mukwana, 26, a rural Ugandan, receives a contraceptive called Sayana Press. Photograph: Juozas Cernius/for The Guardian
The glaring paradox is that the global gag policy doesn’t even work. “The gag rule contributes to the very thing it purportedly seeks to reduce: the frequency of abortion,” said a report in June from the Guttmacher Institute, a US research organisation focused on sexual and reproductive health and rights. Evidence shows that when the gag is imposed, unwanted pregnancies and abortions go up.
Banning abortions and forcing NGOs not to offer any counselling or advice about them drives desperate women to the back-street abortionists and witch doctors.
Hardline opponents of abortion don’t understand this; they don’t believe it or don’t care. At Trump’s right elbow when he signed the order was Mike Pence, a born again Christian. Trump is not religious, but some of his most influential advisers are – and the choice of Pence as his running mate brought on board the religious right. The new, improved global gag is their reward.
“I believe that President Trump doesn’t give a hoot about any of these issues one way or the other,” said Jon O’Brien, president of Catholics for Choice. He pointed out that Trump’s closest advisers include a significant number of ultraconservative Catholics. Kellyanne Conway has been a prominent anti-choice campaigner for decades, he said, claiming in interviews that “unborn babies can feel pain at 20 weeks” (a view that the evidence does not support). Steve Bannon, chief strategist and Sean Spicer, White House press secretary, are both conservative Catholics. Katy Talento, a health policy aide on the Domestic Policy Council, recently published an article alleging that “chemical birth control causes abortions and often has terrible side effects, including deliberate miscarriage”, a claim about the pill that is not supported by scientists.
And then there is Pence. At the Republican National Convention in Ohio last July, he called himself “a Christian, a conservative and a Republican, in that order”. Born into an Irish Catholic Democrat-voting family in Indiana, he found God at a Christian music festival in Kentucky in 1978. He was still a Democrat in 1980, when he voted for Jimmy Carter, but his views started to shift to the right at college and he became a big admirer of Ronald Reagan’s “common sense conservatism”. By 1988 he was running for Congress as a Republican. He lost but won a seat in the House of Representatives for Indiana in 2000.
In his 2000 Congressional campaign, he urged that the Ryan White Act, which provides funds for HIV treatment for the poor, should only be renewed if the money was “directed toward those institutions which provide assistance to those seeking to change their sexual behaviour”.
continues....
https://www.theguardian.com/global-...lation-reproductive-rights-mexico-city-policy
