Global Survey Highlights: Impacts of the Trump Administrations Actions on IPPF Member Associations.

In July 2025, 86 IPPF Member Associations (MAs) from every IPPF region responded to a rapid survey on how recent U.S. funding cuts and policy decisions continue to negatively affect services, clients, funding, and SRHR outcomes in their countries. Findings show significant and ongoing disruption to programme delivery, financing, and supply chains across the Federation and to partner organisations in country.

IPPF Response

Based on the survey findings, IPPF is launching a second round of harm mitigation grants to support the most affected Member Associations maintain essential services and supplies, though overall needs continue to exceed available funding. A targeted supply chain triage process is using detailed data from MAs to prioritise commodity support where shortages are most critical. More information on the second round of Harm Mitigation Grants is being shared this week. At the same time, IPPF is coordinating closely with reproductive health, family planning, and HIV partners to align mitigation efforts and strengthen advocacy for urgent resource mobilisation.

Key Findings at a Glance

• $87.2 million: Estimated total funding loss to the Federation over 2025–2029.
• 106 projects affected: 64 cancelled; 42 reduced in budget/scope with UNFPA (41) and USAID (37) projects most impacted.
• Staffing and access: 969 staff lost across 34 MAs; 1,394 service delivery points closed across 29 MAs, reducing access for an estimated 8.86 million clients.
• HIV services: 35 MAs report negative impacts, most commonly reduced testing capacity, services, and commodity access.
• Commodities: 28 MAs report declining SRH stock levels, with contraception most affected; immediate gaps acute in several countries.
• Organisational health: 33 MAs report financial sustainability challenges; 27 report reduced capacity for partnerships and movement building.

Funding Impacts

• 46 MAs have already lost funding. Reported losses for MAs total $43.0M (2025–2029), of which $31.7M falls in 2025–2026. Of the $43M funding lost, $26.0M was lost in the Africa region and $9.4M in Arab World region.
• Eight MAs lost more than $2M each; 25 MAs lost at least 20% of their 2025 budgets; at least $9.8M more remains at risk.
• Secretariat losses total $14.3M through 2028.
• In addition, across the Federation, multi-year proposals/pending contracts worth $29.9M are unlikely to proceed.

Service Delivery and Reach

• Of the MAs who responded to the survey, 40 per cent (34 MAs) have terminated staff representing 969 jobs across MAs globally; one third (29 MAs) closed service delivery points. For 7 MAs, this represents half or more of their service delivery sites.
• 969 staff redundancies (Africa: 396; South Asia: 301) and 1,394 service delivery site closures (including 1,175 in Africa) translate to 8.86 million fewer clients able to access SRHR services (including – Africa: 5.9M; Arab World: 2.6M).

HIV-Specific Impacts

• 35 MAs report negative effects on HIV programmes, primarily reduced testing capacity, reduced service provision, and diminished access to HIV commodities.

Commodities and Supply Chain

• 28 MAs report declining SRH stock levels — contraceptives are most affected, followed by STI testing/treatment. Services impacted include contraception (20 MAs), STI testing/treatment (14), gynaecology (9), clinical management of rape/SGBV clinical support (8), obstetric care (7), and safe abortion (6).
• Two-year commodity funding gaps are $13M across five MAs (e.g., Uganda, Mozambique, Nigeria, Tanzania, Bangladesh/PSTC) with an additional ~$1.0M needed across 11 other MAs.
• Some larger MAs report sufficient 2025 stocks due to IPPF’s Harm Mitigation Fund and restricted programmes (e.g., FCDO WISH2, GAC EmpowHER). However, significant UNFPA Supplies funding gaps are anticipated in 2026 in multiple countries.

Broader Organisational and Country-Level Effects

• 33 MAs note impacts on financial sustainability; 27 MAs report reduced capacity for partnerships, networking, and activism.
• Country-level concerns include CSO/NGO closures or staff reductions and reduced SRH service provision nationally.