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Zambia, Tanzania, Kenya, Congo, Dem. Rep., Mali
Over 1.4 Million Women and Girls in Africa Left Without Contraception as U.S. Orders Destruction of Global Supply
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| 05 August 2025
Over 1.4 Million Women and Girls in Africa Left Without Contraception as U.S. Orders Destruction of Global Supply
6 August 2025 - The International Planned Parenthood Federation (IPPF) has learned that over $9.7 million worth of US-funded contraceptives are now set to be incinerated in France. Seventy-seven percent of these essential supplies were earmarked for five countries in the Africa Region - including the Democratic Republic of the Congo (DRC), Kenya, Tanzania, Zambia, and Mali — many of which are already facing severe humanitarian crises. The incineration of these contraceptives will deny more than 1.4 million women and girls access to life-saving care. Rather than reaching the communities who need them most, these essential medical supplies - many of which don’t expire until 2027 to 2029 - are being needlessly and egregiously destroyed.IPPF Member Associations in the affected countries were due to receive a share of these contraceptive stocks. Instead, they are now facing a sharp decline in supply following the decision to incinerate them. More than 40% of the total value of the contraceptive stockpiled in Brussels was allocated for shipment to Tanzania alone. Dr Bakari Omary, Project Coordinator at UMATI, IPPF’s Member Association in Tanzania, said: “We are facing a major challenge. The impact of the USAID funding cuts has already significantly affected the provision of sexual and reproductive health services in Tanzania - leading to a shortage of contraceptive commodities, especially implants. This shortage has directly impacted clients' choices regarding family planning uptake.”This development adds a new layer of outrage to what is already a cruel political decision. These contraceptives were already manufactured, packaged, and ready for distribution. IPPF offered to take them for redistribution at no cost to the US taxpayer, but this offer was declined. The actions of the U.S. administration make it clear that politics trump economics, given the additional costs necessary for transportation, storage, and incineration of these products. “This decision to destroy ready-to-use commodities is appalling and extremely wasteful. These life-saving medical supplies were destined to countries where access to reproductive care is already limited, and in some cases, part of a broader humanitarian response, such as in the DRC. The choice to incinerate them is unjustifiable and undermines efforts to protect the health and rights of women and girls,” said Marie-Evelyne Petrus-Barry, Africa Regional Director of IPPF.IPPF's local partners in Africa will now face increased challenges to deliver essential and life-saving care. According to RHSC, the loss of these supplies is projected to result in 362,000 unintended pregnancies and 110,000 unsafe abortions: Tanzania: 1,031,400 injectable contraceptives and 365,100 implants will not be distributed. These products represent over 50% of USAID annual support to Tanzania's health system and a terrifying 28% of the total annual need of the country.Mali: 1,100,880 oral contraceptives and 95,800 implants will be denied, 24% of Mali’s annual need.Zambia: 48,400 implants and 295,000 injectable contraceptives will be denied to women.Kenya: 108,000 women will not have access to contraceptive implants, 13.5% of its annual need. Nelly Munyasia, Executive Director for the Reproductive Health Network in Kenya (IPPF Member Association): “In Kenya, the effects of US funding disruptions are already being felt. The funding freeze has caused stockouts of contraceptives, leaving facilities with less than five months' supply instead of the required 15 months; reduced capacity building for health workers; disrupted digital logistics and health information systems, and caused a 46% funding gap in Kenya’s national family planning program. These systemic setbacks come at a time when unmet need for contraception remains high. Nearly 1 in 5 girls aged 15–19 is already pregnant or has given birth. Unsafe abortions remain among the five leading causes of maternal deaths in Kenya.” Sarah Durocher, President of Le Planning familial (IPPF’s French Member Association): “We call on the French government to take responsibility and act urgently to prevent the destruction of USAID-funded contraceptives. It is unacceptable that France, a country that champions feminist diplomacy, has remained silent while others, like Belgium, have stepped in to engage with the US government. In the face of this injustice, solidarity with the people who were counting on these life-saving supplies is not optional: it is a moral imperative.”“We will not stay silent while essential care is destroyed by ideology”, continued Marie-Evelyne Petrus-Barry.Notes: IPPF’s local partners in the countries affected include Reproductive Health Network Kenya, Chama cha Uzazi na Malezi Bora Tanzania, Association Malienne pour la Protection et la Promotion de la Famille, Planned Parenthood Association of Zambia, Association Burkinabé pour le Bien-Etre Familial and the Association pour le Bien-Etre Familial/Naissances Désirables.For more information or to interview one of our staff, please contact media@ippf.org or +66628683089. About 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. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 158 Member Associations and Collaborative Partners with a presence in over 153 countries. Our work is wide-ranging, and includes services for sexual health and well-being, contraception, abortion care, sexually transmitted infections and reproductive tract infections, HIV, obstetrics and gynecology, fertility support, sexual and gender-based violence, comprehensive sex education, and responding to humanitarian crises. We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and, crucially, no matter how remote.

| 27 June 2025
Amid Devastating Budget Cuts, Groundbreaking HIV Prevention Injectable Launches in Eswatini, Lesotho & Malawi
30 June 2025 - The International Planned Parenthood Federation (IPPF) is proud to announce the roll out of CAB-LA (cabotegravir-long acting), a form of pre-exposure prophylaxis (PrEP) for HIV, in Eswatini, and Malawi, and a pilot project in Lesotho - a major milestone in the fight against HIV. IPPF Member Associations (MAs) in the three countries - Family Life Association of Eswatini (FLAS), Lesotho Planned Parenthood Association (LPPA), and Family Planning Association of Malawi ( FPAM) will soon begin to distribute CAB-LA for HIV prevention to individuals who would like to use this form of HIV prevention. CAB-LA, a long-acting injectable PrEP, is a game changer for HIV prevention. PrEP is an HIV prevention method where HIV-negative individuals take medication to significantly reduce their risk of acquiring HIV. Administered every 8 weeks, CAB-LA greatly reduces infection risk and does not rely on remembering to take a daily pill, addressing adherence challenges faced by some people using oral PrEP. This roll-out comes when US budget cuts have severely impacted governments and organizations providing sexual and reproductive health services, HIV prevention, and humanitarian aid. These financial restrictions have significantly impacted access to essential sexual and reproductive health medications globally, compromising HIV prevention and treatment for many, especially those most in need. The arrival of CAB-LA is a major step forward in the fight against HIV/AIDS, providing longer-term protection, a more convenient option, and a discreet alternative to daily pills. Family Life Association of Eswatini, Lesotho Planned Parenthood Association, and the Family Planning Association of Malawi will be providing CAB-LA for PrEP through their static clinics and other public service delivery points. This effort underscores the vital role our MAs play in securing and delivering universal access to sexual and reproductive healthcare. For more information, please contact media@ippf.orgAbout 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. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 158 Member Associations and Collaborative Partners with a presence in over 153 countries. Our work is wide-ranging, and includes services for sexual health and well-being, contraception, abortion care, sexually transmitted infections and reproductive tract infections, HIV, obstetrics and gynecology, fertility support, sexual and gender-based violence, comprehensive sex education, and responding to humanitarian crises. We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and, crucially no matter how remote.

| 24 August 2024
Eswatini to roll out first women-controlled HIV prevention product
Eswatini (27 August 2024) - IPPF’s Member Association in Eswatini, the Family Life Association of Eswatini (FLAS), is soon to roll out the first women-controlled HIV prevention product, the dapivirine vaginal ring (DVR). FLAS will be among the first organisations to offer the DVR outside implementation or pilot studies anywhere in the world. Made of flexible silicone, the ring is inserted into the vagina by a woman and slowly releases the antiretroviral drug dapivirine in the vagina over a one-month period, helping to reduce a woman’s risk of acquiring HIV. In 2023, in sub-Saharan Africa, women and girls accounted for 62% of all new HIV infections and every week, 3,100 adolescent girls and young women aged 15–24 years became infected with HIV. Therefore, there continues to be an urgent need for HIV prevention methods that females can use to protect themselves. The DVR is a product women can control themselves and use without the knowledge or consent of their partners, unlike condoms, which men often refuse to use. The DVR is inserted into the vagina and left for a one-month period, where it can then be replaced each month for continued protection. Unlike daily oral PrEP, the DVR does not rely on remembering to take a pill each day and is also discreet as it stays inside the vagina throughout the month. The DVR does not prevent pregnancy or other sexually transmitted infections (STIs), so women choosing to use the ring may want to consider combining it with condoms and methods of contraception. The availability of the DVR is an exciting step in supporting women’s autonomy and choice in HIV prevention. This need for women-controlled HIV prevention products has long been advocated for, with the African Women Prevention Community Accountability Board launching the HIV Prevention Choice Manifesto in early 2023. The Choice Manifesto prioritises the principle of choice to ensure that women and girls have the right to choose which HIV prevention methods work for them. Currently the ring is available at selected facilities through implementation studies across six countries in East and Southern Africa; South Africa, Kenya, Zimbabwe, Lesotho, Eswatini, and Uganda. Diantha Pillay, Associate Director for Product Access for IPM South Africa NPC (an affiliate of the Population Council), said: “It is encouraging to see the efforts made by FLAS and IPPF to support the choice agenda for HIV prevention for women and make effective HIV prevention methods, like the DVR, more widely accessible in a real-world setting. We hope this can pave the way for introduction of future pipeline products that speak to the needs of women.” The Population Council is currently developing a longer duration DVR that women would use for three months versus one month to significantly lower annual product costs and offer women a more convenient option to protect themselves. Thabo Lizwe Masuku, Programs Manager for FLAS, said: “Women have been telling us for a long time that there is a need for a variety of methods for HIV prevention, since they are highly exposed. For women and girls to truly have choice about what works for them as they navigate different stages and circumstances of their lives, policy makers, donors, governments and implementers must ensure the mix of HIV prevention methods are available, accessible, and affordable. Access to the ring through our clinics in Eswatini now gives women choice and options to protect themselves against HIV.” IPPF is committed to ensuring that choice in HIV prevention is a reality for women and girls and aims to roll out the dapivirine vaginal rings at as many Member Associations as possible, as well as offer other HIV-prevention choices, as we work alongside our partners towards a future free of HIV in Africa and beyond. For more information and to speak to staff in Eswatini, please email media@ippf.org Notes: The dapivirine vaginal ring has been recommended by the WHO since January 2021. (25) In clinical trials, the ring was shown to reduce HIV infection by 35% in The Ring Study (26,27) and 27% in the ASPIRE Study. (28,29) Recent open-label studies show greater adherence to the ring, and modelling data suggest that HIV risk could be reduced by about 50%. (30) The dapivirine ring has received regulatory approval from the European Medicines Agency (EMA), as well as from local medicines regulators in Namibia, South Africa, Kenya, Zimbabwe, Uganda, Zambia, Malawi, Rwanda, Eswatini, Lesotho, Botswana and is currently under regulatory review in a number of other countries Our Member Associations (MAs) that provide clinical services are required to provide comprehensive SRH services through our Integrated Package of Essential Services (IPES) which include services for sexual health and well-being, contraception, abortion care, sexually transmitted infections (STIs)/reproductive tract infections (RTIs), HIV, obstetrics and gynaecology, fertility support, and sexual and gender-based violence. IPPF’s new five-year strategy, Come Together, focuses on expanding choice. In support of this, we recently launched a special programme to expand our HIV prevention options, which aims to integrate the newest HIV prevention methods – the vaginal ring and injectable PrEP - into our comprehensive sexual and reproductive health services. IPPF’s IMAP Statement on Biomedical HIV Prevention can be found here. About the Family Life Association of Eswatini (FLAS) For over 30 years, the Family Life Association of Eswatini (FLAS) has provided sexual and reproductive health (SRH) services to the people of Eswatini (formally Swaziland). While family planning, antenatal, post-natal and post-abortion care form a key part of FLAS services, there’s a significant focus on HIV and AIDS programmes. Eswatini has some of the highest HIV and AIDS prevalence rates in the world. As a result, the prevention and management of HIV and AIDS, the provision of voluntary counselling and testing (VCT), and the prevention of mother to child transmission (PMTCT) are central to FLAS’s work. FLAS has 15 service points, including three permanent clinics and three mobile facilities, staffed by a permanent team of 40 staff backed by 230 volunteers, 180 Youth Action Movement members and 29 peer educators. About the International Planned Parenthood Federation (IPPF) IPPF is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries.Our work is wide-ranging, including comprehensive sex education, provision of contraceptives, safe abortion, and maternal care and responding to humanitarian crises. We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and crucially no matter how remote. Our services are available to all, and reach the most marginalised groups in societies, including key and priority populations, youth, and people with disabilities. Most of our MAs have special programs to engage youth (10-24) inside and outside of school settings. Because our clinics offer comprehensive services, attending our clinics is non-stigmatizing and does not label people as having a particular disease or membership to a particular group. This model of services that are integrated and open to all, embedded in indigenous, locally owned organisations, is ideal for ensuring that the most vulnerable and marginalised groups can access the HIV prevention services they need. About the Population Council The Population Council is a leading research organization dedicated to building an equitable and sustainable world that enhances the health and well-being of current and future generations. The Council transforms global thinking on critical health and development issues through social science, public health, and biomedical research. We generate ideas, produce evidence, and design solutions to improve the lives of underserved populations around the world.

| 28 March 2023
IPPF’s Director General Visits Solomon Islands and Australia
The Director General of the International Planned Parenthood Federation (IPPF), Dr Alvaro Bermejo, is in Australia this week for high level meetings with Australian Government Ministers and the Australian Department of Foreign Affairs and Trade (DFAT). He is joined by Ms Tomoka Fukuda, Regional Director of IPPF’s East and Southeast Asia and Oceania Region (ESEAOR) and Ms Phoebe Ryan, IPPF’s Chief of the Australia and New Zealand Office. In Australia, Dr Bermejo has been privileged to meet with Australia’s Minister for International Development and the Pacific, the Hon Pat Conroy. Together, they discussed how Australia can play a leadership role in advancing sexual and reproductive health and rights through Australia’s international development cooperation. Last week, Dr Bermejo and Ms Fukuda visited IPPF’s Member Association in Solomon Islands, the Solomon Islands Planned Parenthood Association (SIPPA). In Solomon Islands, they witnessed SIPPA’s life-saving and critical work delivering sexual and reproductive healthcare on the ground, including mobile outreach in remote communities of Malaita Province. Australia has been a long-standing and critical partner to IPPF, supporting programming to reach women, girls, and marginalized groups across the development–humanitarian continuum around the world, with a particular focus on the Asia Pacific. In December 2022, IPPF and DFAT signed a new four-year global funding agreement for 2023 to 2026, part of which includes dedicated support to programming across the Pacific. AUD 19 million is dedicated as global funding towards the delivery of IPPF’s Strategy 2028, along with a further AUD 5.7 million to support the delivery of IPPF’s Pacific Niu Vaka Strategy, Phase 2. This generous investment will enable IPPF to reach an anticipated 1.8 million people in the Pacific over the next six years with 4.2 million essential sexual and reproductive services. IPPF is proud to stand alongside our Pacific MAs as they continue to advocate for the health and rights of those most underserved and excluded, reaching communities with essential information and high quality, person-centred sexual and reproductive health care. In 2021, IPPF reached over 72 million people around the world with more than 155 million sexual and reproductive health services and contributed to 121 policy and legislative changes in defence of SRHR. IPPF is grateful for Australia’s ongoing support in enabling this impact. IPPF’s Director General, Alvaro Bermejo shared: “IPPF are delighted to be working with the Australian Government to continue improving the sexual and reproductive health and rights (SRHR) of women and girls across the globe. We are grateful to them for helping us deliver more services and support at a time when inequalities are deepening, the opposition is growing, and humanitarian crises continue to place the lives of millions, particularly women and girls, at risk. As we look to build the future with our new strategy, continued support from global partners is crucial to achieving a world where everyone has access to sexual and reproductive healthcare. We hope DFAT’s strong global commitment will inspire other global leaders to take action.” For media enquiries, please contact Karmen Ivey on kivey@ippf.org or Phoebe Ryan on pryan@ippf.org About the International Planned Parenthood Federation The International Planned Parenthood Federation (IPPF) is a global service provider and advocate of sexual and reproductive health and rights for all. For 70 years, IPPF has delivered high-quality sexual and reproductive healthcare and helped advance sexual rights, especially for people with intersectional and diverse needs that are currently unmet. Our Member Associations and partners are independent organizations that are locally owned, which means the support and care they provide is informed by local expertise and context. 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.

| 17 November 2022
UK Autumn budget doesn't go far enough
If you are covering the UK autumn budget and reporting on foreign aid, you may find the below statement from the International Planned Parenthood Federation (IPPF) helpful: “The UK government has already decimated the aid budget and its reputation through severe economic mishandling, cutting billions from the very things that protect people during economic, political and social upheaval, including life-saving sexual and reproductive healthcare. “It is also the only country to be spending the majority of its dedicated overseas aid budget within its own borders, taking advantage of legislation to pay for refugee and asylum costs in the UK rather than increasing domestic and overseas budgets accordingly. “The UK government cannot continue to fight the fire of one humanitarian crisis by diverting much-needed resources from other vulnerable people, nor continue to balance its books on the backs of the poorest people in the world - who, as MP Andrew Mitchell stated, will be damaged, maimed, or die as a result. “This government promised to give women and girls the freedom they need to succeed and prevent the worst forms of human suffering worldwide. If it is to deliver on its promises and revive its sunken reputation, it must spend dedicated budgets correctly, support people in the UK and beyond appropriately, and MP Andrew Mitchell and the Chancellor must ensure a return to the 0.7% as soon as possible.”

| 21 February 2022
Statement on the first anniversary of the rescindment of the Global Gag Rule
28 January 2022 heralds one year since President Biden rescinded the harmful Global Gag Rule (GGR). Otherwise known as the Mexico City Policy, its expansion in 2017 under Trump affected 12 billion dollars of funding, impacting thousands of life-saving healthcare services worldwide – especially across low-income countries. But while rescindment is a positive first step, the long-term harm of the Global Gag Rule lingers on. For IPPF, 53 healthcare projects in 32 countries were hit, with some Member Associations losing up to 60% of their funding. Programmes affected include HIV prevention and care, maternal health and nutrition, STI services, gender-based violence prevention, and services for vulnerable children. And although we have begun to re-establish long-standing partnerships, it takes time for funding to flow and to re-open closed healthcare clinics and community services – with some lost forever. In the meantime, there are women and girls who desperately need healthcare that have nowhere to turn. But in February, the US Congress has an opportunity to change the sexual and reproductive health landscape forever through a final negotiated funding bill that includes a permanent end to the deadly Global Gag Rule. As we celebrate one year of rescindment, we know the work is not done yet, but we are hopeful for the futures of millions of women and girls worldwide. We urge the US Congress to permanently repeal the Global Gag Rule to fully eradicate the lasting impact of the Mexico City Policy that has harmed women and girls around the world for 40 years. Dr Alvaro Bermejo, Director-General of the International Planned Parenthood Federation, said: "Five years ago, Trump expanded the Global Gag Rule, a devastating neo-colonialist policy that forbids US aid to any organization that supports access to safe abortion care, disproportionately affecting women and girls in low-income countries. Today we mark one year since President Biden rescinded it, but the long-term harm and impacts don't simply go away. "The Gag Rule is a callously designed mechanism set up to deny women and girls the right to decide what happens to their bodies. Its implementation doesn't just destroy life-saving abortion services but erodes access to other sexual and reproductive healthcare, including contraception, leading ultimately to increases in unintended pregnancy and forcing many to turn to unsafe and dangerous abortion methods. "While rescindment is a positive first step, the looming threat of reinstatement under future anti-rights administrations undermines the sustainability of global sexual health programs and the pace of progress. After 40 long years, the time to act is now – we urge the US Congress to end this political game and stand up for the futures of millions of at-risk women and girls by permanently repealing the Global Gag Rule. "By leaving a legacy that gives hope and stability to the sexual and reproductive health of people worldwide, the US will once again be a champion, leader, and innovator of human rights for all." For media inquiries please contact media@ippf.org