![]() The funding cuts will go far beyond abortion, and even beyond contraception. “This grotesque expansion targets the most effective health organizations in 60 low and middle income countries.” “Trump’s Global Gag Rule is cruel and unusual in that it massively expands an already harmful policy,” said a statement from PAI. Trump’s version of the gag rule will apply to roughly $9.5 billion dollars in global health funding, as opposed to roughly $575 million in family planning and reproductive health funding, according to Population Action International (PAI), a global family planning advocacy organization. The gag rule will apply to 15 times more funding than normal because it applies to all global health funding, not just family planning funding through USAID (United States Agency for International Development) or the State Department. Then Barack Obama immediately repealed.īut Trump did more than just reinstate the Reagan-era policy - he expanded it to an unprecedented degree. Bush immediately reinstated it when he took office. Bill Clinton repealed it immediately when he took office. ![]() The global gag rule has become something of a political seesaw since Ronald Reagan first implemented it in 1984 at a United Nations population conference in Mexico City (which is why it’s also called the “Mexico City policy”). Reinstating and expanding the global gag rule is the first indication of how serious he is. Trump has promised to take sweeping actions against abortion, including appointing Supreme Court justices who would overturn Roe v. Our documentation efforts support our civil society partners in their own advocacy for increased country ownership of sexual and reproductive health policies and funding to defend against fluctuations in the external donor and policy landscape.President Donald Trump reinstated - and massively expanded - an executive order Monday barring US foreign aid from going to any nongovernmental organization (NGO) that either provides abortion services, or even discusses abortion with its patients as an option for family planning. For instance, the 2017 defunding of the United Nations Population Fund (UNFPA) further magnifie d the effects of the policy and ma de it difficult to maintain progress on sexual and reproductive health and rights under the Trump administration’s global health agenda. Because the policy restrictions were not imposed in a vacuum, we document the impacts of the Global Gag Rule as well as the donor and country contexts specific to sexual and reproductive health and rights, the policy and funding landscape and additional country-specific scenarios - including the impact on the larger health system, commodity supply chain and humanitarian response. PAI continues to document the lasting, in-country harm caused by the policy and we use this evidence to advocate for the permanent repeal of the Global Gag Rule. The Trump administration advanced a policy agenda that increased stigma and discrimination against comprehensive sexual and reproductive health services and fueled opposition. ![]() Now that the Biden administration has rescinded the Global Gag Rule, PAI will continue working with partners to mitigate the policy’s chilling effect, and ensure they understand the services they are eligible to provide with their non-U.S. In response, PAI worked with civil society, policymakers and the media to help them understand and mitigate these extensive impacts and navigate the policy’s complex and expanded implementation guidance. Nongovernmental organizations outside of the United States faced stigma and advocacy obstacles, and the policy upended countries’ health priorities. PAI is leading efforts to support civil society partners in navigating the lingering effects of the rescinded Global Gag Rule and advocating for increased country investment in sexual and reproductive health.Īs a result of the imposition and unprecedented expansion of the Global Gag Rule under the Trump-Pence administration, health providers around the world were forced to discontinue services, disproportionately affecting vulnerable groups including youth, people living with HIV/AIDS and rural populations.
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