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At the @EngenderHealth session, audience members described their experiences with iatrogenic #fistula, noting the greater challenges of both diagnosis & surgical repair. @FistulaCare Plus is drawing attention to increasing iatrogenic fistula & the importance of #csectionsafety.

At #WACS2020, our @FistulaCare Plus Director, Vandana Tripathi, presented on increasing iatrogenic #fistula related to unsafe cesarean section.
To #EndFistula by 2030, we must protect surgical safety while increasing access to quality emergency obstetric care.

#csectionsafety

Une enquête de ménage conduite en 2018 de l'étude #PMA2020 montre que 209.380 à 288.252 femmes âgées de 15 à 49 ans ont eu recours chaque année à l'avortement et la majorité est pratiquée dans des conditions clandestines #RESOnance #MaputoProtocol #DSSR #civ225 #LesFemmesVeulent

Prof. Serigne Gueye, Pres. of WACS, & Vandana Tripathi, our @Fistulacare Plus Director, formed a new partnership with the goal to end #fistula in W. Africa.
We hope to ensure health providers have the skills, credentials & support they need to end fistula.
#WACS2020 #WomensHealth

On the opening day of the West African College of Surgeons (WACS) Annual Meeting & Scientific Conference in Nigeria, our @fistulacare Plus Director, Vandana Tripathi, launched an MoU to strengthen the health workforce for #fistula care in West Africa.

#WACS2020 #WomensHealth

Congratulations to our Tanzania Country Representative, @MasakoPrudence, who was honored by the World Women Leadership Congress as a Pioneering Leader!

#WomeninGlobalHealth #WomenLeaders

Congratulations @IntraHealth for appointing Polly as your new president and CEO. Welcome, Polly! @EngenderHealth looks forward to continuing our collaboration under Polly's leadership (and I look forward to staying in touch with @pgaye as he transitions to his new role). https://t.co/8WwmOEHSow

Thanks to our supporters for caring about sexual & reproductive health & rights and #genderequality. Today and every day at @EngenderHealth, we strive to spread more equality, humanity, and love. 🧡🧡🧡
Happy Valentines's Day!

#ValentinesDay #SRHR #Equality #Humanity #Love

Congrats to @NutritionIntl on their new #Tanzania office in #Dodoma! 🎉

📸 left to right:
1) Hon. @selemani_jafo, @NutritionIntl Pres. & CEO Joel Spicer
2) @NutritionIntl Tanzania Director Dr. Daniel Nyagawa, @EngenderHealth Country Rep. Prudence Masako, Joel Spicer

Women in crisis settings want & need #familyplanning. Working together is key to meet the challenge. #WeAreFP2020

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The Global Gag Rule

The Expanded Global Gag Rule, officially titled Protecting Life in Global Health Assistance (PLGHA), denies foreign NGOs receiving US government assistance the right to use their own, non-US government funds to provide information, referrals or services for legal abortion or advocate to reduce legal restrictions on abortion in their countries. Under the terms of the policy, in order for an organization to remain eligible for US government funds, doctors, midwives, nurses, and civil society advocates cannot even mention the word abortion—much less provide abortion services—even for cases in which abortion is legal in their country and a woman requests it. Organizations that choose not to meet these restrictions lose all US government funding, including for essential supplies of contraceptives.

President Ronald Reagan first established the Global Gag Rule in 1984. It was later rescinded by President Bill Clinton, reestablished by President George W. Bush, and rescinded again by President Barack Obama. President Donald J. Trump reinstated and expanded the Global Gag Rule in 2017 and expanded it again in June 2019. 

Impact of the Global Gag Rule

Though the purported intent of the policy is to reduce the number of abortions, it has terrible consequences for the health and lives of poor women and their families, including increasing the number of unsafe abortions. Implementation of the Global Gag Rule has resulted in people in Africa, Asia, and the Middle East losing US government-donated contraceptives, and many organizations and clinics have been forced to reduce services, lay off staff, or shut down entirely.

EngenderHealth is a charitable organization focused on family planning, reproductive health, and maternal, newborn, and child health. Since the Global Gag Rule was first implemented in 1984, we have led US government funded programs at the country, regional, and global levels, addressing a range of US global health policy objectives, including advancing family planning, preventing HIV/AIDS, and improving maternal health.

As a US-based organization, EngenderHealth is not directly subject to the gag rule, but, because we work closely with organizations based in other countries and regions, the PLGHA restrictions have a significant impact on our operations, our compliance requirements, our partnerships, and our ability to improve health outcomes through our programs.

EngenderHealth is firmly committed to supporting women and girls in exercising their comprehensive sexual and reproductive rights, including the right to safe abortion. With support from donors other than the US government, EngenderHealth is actively engaged in expanding access to safe abortion for all who need it through a holistic approach involving work with individuals, communities, health systems, civil society, and more.

As EngenderHealth implements programs that yield life-saving and life-changing results, we have a laser-like focus on excellent stewardship of the funds generously granted to us by all our donor partners, which includes scrupulously following the laws and policies of the United States, where we are based, and of the countries where we work. We devote significant organizational resources at all levels to compliance.

Unfortunately, the US policy framework around abortion care, including PLGHA, reduces everyone’s ability to truly meet the health needs of women in those communities, and increases the instances of unsafe abortions and the associated negative health outcomes. These policies even restrict programs supported by funds from sources other than the US government, such as private foundations or other national governments, when we work in partnership with non-US organizations, simply because those partner organizations happen to receive US government funding for other work they do.

For more detail on the impacts, see our more detailed brief on the Global Gag Rule.

 

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