17 December 2025 - New data reveals the Trump Administration's funding cuts have forced 34 of International Planned Parenthood Federation (IPPF) Member Associations (MAs) to terminate staff, representing 969 jobs across MAs globally. Nearly 9 million clients worldwide are estimated to lose access to contraception, HIV testing, and clinical care for survivors of gender-based violence. This is in large part due to 1,394 health sites that have been forced to close, or not open as planned, many in remote or conflict-affected areas where our partners were the only provider of sexual and reproductive healthcare.
IPPF's second global survey, conducted in July 2025 with 86 organizations responding across all regions, documents how U.S. funding withdrawals and policy decisions continue to impede access to sexual and reproductive health information and care in contexts where it’s critically needed. Across the Federation, $87.2 million in funding has been lost from 2025 through to 2029 due to cancelled contracts and reduced budgets. The impacts go far beyond dollar figures; they represent the collapse of health infrastructure that communities have relied on for decades, and a radical shift towards conservative ideologies that deliberately block human rights.
By the Numbers: Africa and the Arab World Bear the Brunt
- IPPF MAs in the Africa Region have lost $26.0 million in funding, and those in the Arab World Region have lost $9.4 million, accounting for the majority of service disruptions globally.
- 1,175 health sites have closed (or not been able to open) and 396 staff members lost their jobs in the Africa Region alone, affecting 5.9 million clients.
- 2.6 million clients are set to lose access to sexual and reproductive healthcare in IPPF’s Arab World Region.
"The Trump Administration's funding cuts have gutted local health systems that took decades to build," says Alvaro Bermejo, IPPF’s Director-General. "We're talking about clinics in remote areas, conflict zones, and places where IPPF MAs are often the only providers of contraception and HIV services. When we close, there's nowhere else for people to go."
Commodity Shortages Compound Crisis
28 MAs reported declining stock levels of sexual and reproductive health commodities since January 2025, with contraceptive commodities the most impacted. Five MAs in Uganda, Mozambique, Nigeria, Tanzania, and Bangladesh report a combined 2-year commodity funding gap of $13 million, a crisis made worse by the Trump Administration holding $9.7 million worth of U.S.-funded contraceptives in Belgium rather than delivering them to their intended recipients. IPPF and other organizations have offered to redistribute these supplies at no cost to the U.S. government, but all offers have been rejected. The contraceptives represent 28% of Tanzania's total annual need, and many products risk becoming ineligible for import as the U.S. government holds them in storage.
Beyond contraception, MAs face shortages in STI testing and treatment commodities, gynecology supplies, and clinical support resources for sexual and gender-based violence survivors.
Financial Sustainability at Risk
Of the 77 MAs who responded, 33 reported their financial sustainability has been impacted, while 27 reported reduced capacity to engage in partnerships, movement building, and networking with other civil society organizations.
The ripple effects extend beyond IPPF. In 2025, several MAs have observed national civil society and NGO partners closing down or reducing staff in their countries, with reduced sexual and reproductive health service provisions reported nationwide.
IPPF's Response
IPPF continues to provide emergency support through its Harm Mitigation Fund, with a second round of grants to be distributed to the most affected MAs. The Federation is also working to address commodity gaps and support organizations facing the most severe service disruptions.
"We will not allow these radical macho-political agendas to determine who can and cannot access healthcare," says Alvaro. "These funding cuts have clear and immediate consequences. They mean women giving birth without skilled care, people living with HIV unable to access testing and treatment to stay alive, and survivors of violence being turned away from the only clinic in their area."
ENDS
For more information or to interview one of our staff, please contact media@ippf.org or +66628683089.
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