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Love wins! The fight for marriage equality has seen incredible progress worldwide, with a recent surge in legalizations. Across the world, 38 out of 195 countries have legalized equal marriage: Andorra, Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Costa Rica, Cuba, Denmark, Ecuador, Estonia, Finland, France, Germany, Greece, Iceland, Ireland, Liechtenstein, Luxembourg, Malta, Mexico, the Netherlands, New Zealand, Norway, Portugal, Slovenia, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, the United Kingdom, the United States of America and Uruguay.In 2024, two new countries legalized same-sex marriage (Liechtenstein and Thailand), and more made progress towards legislation which would decriminalize same-sex unions. These advancements in 2024, on top of the string of legalizations in the last decade chart a hopeful future for same-sex marriage and equal rights for LGBTQ+ people around the world!The fight for marriage equality isn't over, but the momentum is undeniable. IPPF stands with those working to make love win everywhere.

2010 Haiti PROFAMIL, the IPPF Member Association in Haiti, deployed teams to help communities affected by the earthquake that struck in January 2010.During crises we work closely with our clinics on the ground to deliver life-saving care to people in need. Our mobile clinics provide on-the-spot healthcare such as STI and HIV diagnosis and treatment, short and long-acting contraception, and emergency obstetric and neonatal care.©IPPF/Toan Tran/Haiti Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2011 Bolivia IPPF’s Member Association in Bolivia, CIES, offers the HPV vaccine in schools, health centres, and mobile clinics to ensure widespread access to this lifesaving prevention measure.By 2011, more than 75,000 girls had received vaccinations.©IPPFWHR/Juan Pablo Richter/Bolivia Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2012 Palestine A group of young women attend a theatre session as part of PFPPA’s gender based violence work delivered through a mobile healthcare clinic in a Bedouin village.In 2012, 40% of our sexual and reproductive healthcare was delivered to young people.©IPPF/Graeme Robertson/Palestine Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2013 Philippines In response to the devastating aftermath of Typhoon Haiyan in the Philippines in 2013, IPPF's humanitarian team worked with our Member Association, the Family Planning Organization of the Philippines (FPOP), supporting relief efforts to provide lifesaving healthcare to affected communities.©IPPF/Suzanne Lee/Philippines Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2014 Uganda In 2014, IPPF distributed 187,257,756 condoms globally. Condoms are the only form of contraception that can protect you from HIV and STIs and are 87-98% effective for an external (male) condom and 79-95% effective for an internal (female) condom.Using a condom alongside another form of contraception (for example an IUD or the Pill) is the best way to protect against unintended pregnancy.©IPPFTommy Trenchard/Uganda Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2015 Nepal On Saturday 25 April 2015, a 7.8 magnitude earthquake shook Nepal, causing massive devastation and loss of life. It was the worst natural disaster to strike the country for 80 years.The Family Planning Association of Nepal set up a mobile healthcare clinic in Gagarfedi; one of the worse affected villages in the Kathmandu district north of the city delivering vital healthcare to the local community.©IPPF/Amelia Andrews/Nepal Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2016 Nigeria IPPF has played a major role in the introduction – and accessibility – of Sayana Press; a three-month, progestin-only injectable contraceptive favoured for its convenience in administration and portability.Emiade Kudirat is a Community Health Extension Worker with the Planned Parenthood Federation of Nigeria (PPFN). Specializing in Sayana Press, she says:"I go from house-to-house to provide health education and introduce family planning services. I do counselling and provision of these services too. The PPFN model can really reduce the mortality rate of women in the community. We're taking the clinic to women at the market, to their homes and to their work."©IPPF/George Osodi/Nigeria Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2017 Mozambique Albertina, now retired, worked with HIV patients for Amodefa for 38 years and was their longest serving nurse. “I like helping people, that’s why I do this job.”Albertina headed up Amodefa’s home care programme which provides medical, nutritional and emotional support to HIV positive patients living in the poorest suburbs of Maputo, the capital of Mozambique.©IPPF/Grant Lee Neuenburg/Mozambique Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2018 Ireland 2018 brought a legislative victory to repeal the 8th amendment; on 25 May people voted for a more caring and compassionate Ireland, where women can access abortion care in their own country.Áine, activist with IFPA says, “It was exciting to be part of a big campaign. Young people are often seen as politically apathetic, but it’s important my generation are involved in the reproductive rights movement.For me abortion is about motherhood at the end of the day. It’s about allowing us the right to be the best mothers we can be, if and only when we decide it’s right for us to be."©IPPF/Barry Cronin/Ireland Share on Twitter Share on Facebook Share via WhatsApp Share via Email 2019 India Pradipta Kumar, 22, a security guard and Pankanjini Behera, 21, are recently married. The young couple have decided not to have children for a couple of years.They attended a clinic set up by the Family Planning Association of India (FPAI) to help those affected by Cyclone Fani for advice on types of contraception available.©IPPF/Kathleen Prior/India Share on Twitter Share on Facebook Share via WhatsApp Share via Email

In August 2017, weeks of continued and heavy rainfall across Nepal resulted in flash floods and landslides that affected 36 of the 75 districts. Many people lost their homes or were displaced. It was estimated that of those affected, 112,500 were women of reproductive age, including 8,694 pregnant women.  IPPF Humanitarian, through their Member Association, The Family Planning Association of Nepal (FPAN), activated its emergency response system early on. With funding support from the Australian Government, FPAN and IPPF Humanitarian initially mobilised their response in four of the worst affected districts (Sunsari, Saptari, Bardiya, and Dang). Mobile medical camps were established to meet the sexual and reproductive health needs of the affected population, including through the distribution of short and long acting methods of contraception, STI and HIV screening, and GBV referrals. In collaboration with the USAID-SIFPO project, services were then expanded into five more affected districts. IPPF Humanitarian spoke with 21-year old Muna in her home district of Sunsari in Nepal.  “I got married at 16 years old and have two children, a four-year-old girl and two-year-old boy.  In my caste, we get married early, so my parents took me to get an arranged marriage. I was in the 8th class at the time, and returned to school after I got married, but only lasted one year.  My husband works in construction and had to stop working for two weeks when the floods came. When he doesn’t work, he doesn’t get paid, so it’s been very difficult.  A FPAN social worker told me about the mobile medical camp today. I used to be on the three-month injectable but today I changed to the five-year implant in my arm.  When my youngest child was eight months old I found out I was pregnant again. I decided to discontinue that pregnancy, so I took the five small tablets given to me by my neighbourhood doctor. I was two months pregnant at the time.  From this, I had two days bleeding and cramp like pain, and then weakness. I decided to abort that pregnancy because my youngest will still only eight months old, and I didn’t want any more children.  If I had more than two children, it would be very difficult to feed and educate them, and would badly affect my body too. I’m so happy I now don’t have to worry about contraception for another five years.” Want to know more about safe abortion access? Join IPPF'S I Decide movement

Milan Khadka was just ten years old when he lost both his parents to HIV. “When I lost my parents, I used to feel so alone, like I didn’t have anyone in the world,” he says. “Whenever I saw other children getting love from others, I used to feel that I also might get that kind of love if I hadn’t lost my parents.” Like thousands of Nepali children, Milan’s parents left Nepal for India in search of work. Milan grew up in India until he was ten, when his mother died of AIDS-related causes. The family then returned to Nepal, but just eight months later, his father also died, and Milan was left in the care of his grandmother. “After I lost my parents, I went for VCT [voluntary counselling and testing] to check if I had HIV in my body,” Milan says. “After I was diagnosed as HIV positive, slowly all the people in the area found out about my status and there was so much discrimination. My friends at school didn’t want to sit with me and they humiliated and bullied me,” he says. “At home, I had a separate sleeping area and sleeping materials, separate dishes and a separate comb for my hair. I had to sleep alone.” Things began to improve for Milan when he met a local woman called Lakshmi Kunwar. After discovering she was HIV-positive, Lakshmi had dedicated her life to helping people living with HIV in Palpa, working as a community home-based care mobiliser for the Family Planning Association of Nepal (FPAN) and other organisations. Struck by the plight of this small, orphaned boy, Lakshmi spoke to Milan’s family and teachers, who in turn spoke to his school mates. “After she spoke to my teachers, they started to support me,” Milan says. “And after getting information about HIV, my school friends started to like me and share things with me. And they said: ‘Milan has no one in this world, so we are the ones who must be with him. Who knows that what happened to him might not happen to us?” Lakshmi mentored him through school and college, encouraging him in his schoolwork. “Lakshmi is more than my mother,” he says. “My mother only gave birth to me but Lakshmi has looked after me all this time. Even if my mother was alive today, she might not do all the things for me that Lakshmi has done.” Milan went on to become a grade A student, regularly coming top of his class and leaving school with flying colours. Today, twenty-one-year-old Milan lives a busy and fulfilling life, juggling his college studies, his work as a community home-based care (CHBC) mobiliser for FPAN and a burgeoning music career. When not studying for a Bachelor’s of education at university in Tansen, he works as a CHBC mobiliser for FPAN, visiting villages in the area to raise awareness about how to prevent and treat HIV, and to distribute contraception. He also offers support to children living with HIV, explaining to them how he lost his parents and faced discrimination but now leads a happy and successful life. “There are 40 children in this area living with HIV,” he says. “I talk to them, collect information from them and help them get the support they need. And I tell them: ‘If I had given up at that time, I would not be like this now. So you also shouldn’t give up, and you have to live your life.” Watch Milan's story below:      

“Family Planning Association of Nepal is playing a crucial role in protecting the rights of female sex workers in the whole of Nepal” says Jamuna Sitvla, senior programme officer at Family Planning Association of Nepal (FPAN). There are around 40,000 sex workers in Nepal. Around 1,300 are infected with HIV. FPAN is working to increase awareness among sex workers to practice safe sex and to use condoms to protect from HIV. "One challenge is that when female sex workers carry condoms, if the police find the condoms, they criminalise the women. Some of the sex workers have been organised via different organisations in order to protect their rights. Now the Supreme Court has given an a ruling that policemen have to ensure the sexual rights of female sex workers have to be addressed. This decision includes that women can carry condoms: that is their right. The second decision is that sex workers have the right to organise. Some sex workers are afraid of asking heir clients to wear condoms and this increases their risk of contracting HIV but the more confident sex workers are ensuring that their clients wear condoms". "In 2017 there was a huge conference held at FPAN, with sex workers invited as panelists. People had the opportunity to understand the problems they were facing. One of FPAN’s great successes was to invite the criminal department of police, policy makers and sex workers to come under one roof. We gathered them in the FPAN venue and they made a commitment that from now on the female sex workers will be treated with respect, with dignity, will not be criminalised."   Stories Read more stories about our work with people living with HIV

Lakshmi Kunwar married young, at the age of 17. Shortly afterwards, Lakshmi’s husband, who worked as a migrant labourer in India, was diagnosed with HIV and died. “At that time, I was completely unaware of HIV,” Lakshmi says. “My husband had information that if someone is diagnosed with HIV, they will die very soon. So after he was diagnosed, he didn’t eat anything and he became very ill and after six months he died. He gave up.” Lakshmi contracted HIV too, and the early years of living with it were arduous. “It was a huge burden,” she says. “I didn’t want to eat anything so I ate very little. My weight at the time was 44 kilograms. I had different infections in my skin and allergies in her body. It was really a difficult time for me. … I was just waiting for my death. I got support from my home and in-laws but my neighbours started to discriminate against me – like they said HIV may transfer via different insects and parasites like lice.” Dedicating her life to help others Lakshmi’s life began to improve when she came across an organisation in Palpa that offered support to people living with HIV (PLHIV). “They told me that there is medicine for PLHIV which will prolong our lives,” she explains. “They took me to Kathmandu, where I got training and information on HIV and I started taking ARVs [antiretroviral drugs].” In Kathmandu Lakshmi decided that she would dedicate the rest of her life to supporting people living with HIV. “I made a plan that I would come back home [to Palpa], disclose my status and then do social work with other people living with HIV, so that they too may have hope to live. I said to myself: I will live and I will let others living with HIV live”. Stories Read more stories about our work with people living with HIV

“When I was 14, I was trafficked to India,” says 35-year-old Lakshmi Lama. “I was made unconscious and was taken to Mumbai. When I woke up, I didn’t even know that I had been trafficked, I didn’t know where I was.” Every year, thousands of Nepali women and girls are trafficked to India, some lured with the promise of domestic work only to find themselves in brothels or working as sex slaves. The visa-free border with India means the actual number of women and girls trafficked from Nepal is likely to be much higher. The earthquake of April 2015 also led to a surge in trafficking: women and girls living in tents or temporary housing, and young orphaned children were particularly vulnerable to traffickers. “I was in Mumbai for three years,” says Lakshmi. “Then I managed to send letters and photographs to my parents and eventually they came to Mumbai and helped rescue me from that place". During her time in India, Lakshmi contracted HIV. Life after her diagnosis was tough, Lakshmi explains. “When I was diagnosed with HIV, people used to discriminate saying, “you’ve got HIV and it might transfer to us so don’t come to our home, don’t touch us,’” she says. “It’s very challenging for people living with HIV in Nepal. People really suffer.” Today, Lakshmi lives in Banepa, a busy town around 25 kilometres east of Kathmandu. Things began to improve for her, she says, when she started attending HIV awareness classes run by Family Planning Association of Nepal (FPAN). Eventually she herself trained as an FPAN peer educator, and she now works hard visiting communities in Kavre, raising awareness about HIV prevention and treatment, and bringing people together to tackle stigma around the virus. The government needs to do far more to tackle HIV stigma in Nepal, particularly at village level, Lakshmi says, “Attitudes of younger people to HIV are not changing fast. People still say to me: ‘you have HIV, you may die soon’. There is so much stigma and discrimination in this community.” Stories Read more stories about our work with people living with HIV

"My husband used to work in India, and when he came back, he got ill and died," says Durga Thame. "We didn’t know that he was HIV-positive, but then then later my daughter got sick with typhoid and went to hospital and was diagnosed with HIV and died, and then I was tested and was found positive." Her story is tragic, but one all too familiar for the women living in this region. Men often travel to India in search of work, where they contract HIV and upon their return infect their wives. For Durga, the death of her husband and daughter and her own HIV positive diagnosis threw her into despair.  "My neighbours used to discriminate against me … and I suffered violence at the hands of my community. Everybody used to say that they couldn’t eat whatever I cooked because they might get HIV." Then Durga heard about HIV education classes run by the Palpa branch of the Family Planning Association of Nepal (FPAN), a short bus journey up the road in Tansen, the capital of Palpa.  "At those meetings, I got information about HIV," she says. "When I came back to my village, I began telling my neighbours about HIV. They came to know the facts and they realised it was a myth that HIV could be transferred by sharing food. Then they began treating me well." FPAN ran nutrition, hygiene, sanitation and livelihood classes that helped Durga turn the fortunes of her small homestead around. Durga sells goats and hens, and with these earnings supports her family – her father-in-law and her surviving daughter, who she says has not yet been tested for HIV. "I want to educate my daughter," she says. "I really hope I can provide a better education for her." Stories Read more stories about our work with people living with HIV  

Mala Neupane is just 18 years old, but is already an experienced volunteer for the Family Planning Association of Nepal (FPAN). Mala lives in Tansen, the hillside capital of Palpa, a region of rolling hills, pine forests and lush terraced fields in western Nepal. She works as a community home-based care mobiliser focusing on HIV: her job involves travelling to villages around Tansen to provide people with information about HIV and contraception. “Before, the community had very little knowledge regarding HIV and there used to be so much stigma and discrimination,” she says. “But later, when the Community Health Based Carers (CHBCs) started working in those communities, they had more knowledge and less stigma.” The youth of the volunteers proved an effective tool during their conversations with villagers. “At first, when they talked to people about family planning, they were not receptive: they felt resistance to using those devices,” Mala explains. “The CHBCs said to them: ‘young people like us are doing this kind of work, so why are you feeling such hesitation?’ After talking with them, they became ready to use contraceptives.” Her age is also important for connecting with young people, in a society of rapid change, she says. “Because we are young, we may know more about what young people’s needs and wants are. We can talk to young people about what family planning methods might be suitable for them, and what the options are.” “Young people’s involvement [in FPAN programmes] is very important to helping out young people like us.” It’s a simple message, but one reaping rich rewards for the lives and wellbeing of people in Palpa.

“Girls in rural areas often face more problems than girls in the city,” says 23-year-old Sajana Kergi. “For example, when they’re menstruating they might have to stay at home and not touch any kitchen materials, or have to drop school.  “It varies from family to family, but generally the more traditional and superstitious a family is, the more problems a girl will have.”  For the past two years, Sajana has been volunteering as a peer educator and mentor for the Family Planning Association of Nepal (FPAN), since hearing about the programme on Facebook. After an orientation and training programme, she visited different rural schools to give girls training on menstruation management. She now runs classes in schools in and around Bhaktapur. The classes aim to create a relaxed environment for young people to talk and learn about sexual health and rights. This fills a major gap in their learning and knowledge, Sajana says. “At school, these subjects are in the curriculum, but teachers skip these lessons and don’t talk about these issues openly,” she explains. “The teachers don’t create a comfortable environment, and this makes students hesitant to talk about these issues, so there’s no proper knowledge.” FPAN classes are an opportunity for young people to speak openly about sexual health and sexuality therefore are vital.