USA – Abortion clinics are closing, even in states that have become key access points

There are about a dozen fewer brick-and-mortar abortion clinics in the US than there were two years ago, according to a new report

By Deidre McPhillips
Feb 18, 2026

Dozens of abortion clinics closed in the US after the Supreme Court Dobbs decision revoked the federal right to an abortion in June 2022 — mostly in states that enacted bans. But the churn has continued, leaving even states with some of the most protective abortion policies to do more with less.

There were 753 brick-and-mortar abortion clinics in the US at the end of 2025, according to a new report by the Guttmacher Institute — ​54 fewer than in ​2020, including a net loss of 12 abortion clinics since March 2024.

Continued: https://www.cnn.com/2026/02/18/health/abortion-clinic-closures-guttmacher


Foreign aid groups urge Canada to maintain funding for abortion, LGBTQ+ advocacy

Dylan Robertson, The Canadian Press
Feb 16, 2026

OTTAWA - Feminist and development groups are urging Canada not to turn its back on funding reproductive health and gender initiatives, as Canada focuses its foreign aid cuts on global health programming.

"A bold diplomatic voice is really crucial," Oxfam Canada executive director Lauren Ravon told a panel she hosted on Parliament Hill earlier this month.

Continued: https://www.thecanadianpressnews.ca/national/foreign-aid-groups-urge-canada-to-maintain-funding-for-abortion-lgbtq-advocacy/article_322b0c7b-beef-5035-87ec-405a44751a26.html


Adding It Up 2024: Investing in Sexual and Reproductive Health in Low- and Middle-Income Countries in Asia

Guttmacher Institute
January 2026

The Adding It Up study examines the need for, impact of and cost of fully investing in sexual and reproductive health (SRH) care—services that ensure people can decide whether and when to have children, experience safe pregnancy and delivery, have healthy newborns, and have a safe and satisfying sexual life.

Access to comprehensive sexual and reproductive health services is recognized as a fundamental human right, essential for achieving gender equality and enabling individuals to make autonomous decisions about their own bodies, health and futures. Realizing this right for all women, especially those facing systemic barriers, upholds human dignity and advances equity across communities.

Continued: https://www.guttmacher.org/fact-sheet/adding-it-up-2024-investing-sexual-and-reproductive-health-asia


Fragile and conflict-affected settings: post-abortion care generally satisfactory, but communication needs to be improved

Quality of care is not enough without dialogue with women.

19 January 2026

The AMoCo* study continues to highlight persistent challenges related to abortion care and complications in fragile and conflict-affected settings. Conducted in two hospitals in Bangui (Central African Republic) and Jigawa State (Nigeria), it reveals that a significant proportion of patients seeking post-abortion care experienced poor communication with healthcare staff and mixed experiences in terms of respect and dignity. Women with less education and adolescents appear to be particularly vulnerable. This study, which had already revealed that severe post-abortion complications were five to seven times more likely in these two hospitals, demonstrates the importance of listening to women, giving them the opportunity to ask questions, and ensuring their privacy. These elements are essential to ensuring quality care for all women, regardless of their age or level of education.

Continued: https://www.itg.be/en/health-stories/articles/post-abortion-care-fragile-and-conflict-affected-settings


Year One of Project 2025: Tracking the Trump Administration’s Devastating Campaign Against Sexual and Reproductive Health and Rights


Guttmacher institute
Jan 15, 2026

During the 2024 campaign, President Trump repeatedly tried to distance himself from the Heritage Foundation’s far-right policy agenda Project 2025,1 claiming to know nothing about the framework or the people behind it (despite many of its authors having roles in his first administration). One year in, however, it is clear that Project 2025 is serving as the Trump administration’s playbook for implementing an extreme policy agenda at the federal level, attacking sexual and reproductive health and rights (SRHR) both domestically and globally. 

… This fact sheet summarizes key components of Project 2025’s anti-SRHR agenda and then describes how and to what extent each has been implemented during the first year of the current administration.

Continued: https://www.guttmacher.org/fact-sheet/year-one-project-2025-tracking-trump-admins-campaign-against-srhr


In Post-Roe America, Abortion Care Is Being Reborn From the Ground Up

A British doctor finds fear and legal chaos being transformed into a new, decentralized model of reproductive freedom

Sabrina Das
Jan 13, 2026

Along the broad, ceremonial expanse of Pennsylvania Avenue in Washington, D.C., its lanes framed by rows of evenly spaced trees, Amy Allina paused to remember how her career began. Years before she established herself as a consultant for reproductive rights nonprofits, she learned how to perform abortions with nothing more than a length of plastic tubing and a mason jar.

It was the early 1990s. She was part of a loose network of feminist health collectives — women who believed, with a conviction that feels almost radical now, that information belonged to everyone, especially when it concerned their bodies. A mentor taught her “menstrual extraction,” a low-tech method capable of removing the contents of the uterus in very early pregnancy. The procedure was performed in living rooms and kitchens, surrounded by friends. There were no machines, no metal instruments, no men in white coats.

Continued: https://newlinesmag.com/reportage/in-post-roe-america-abortion-care-is-being-reborn-from-the-ground-up/


Are abortion rights at risk as African governments negotiate with US?

As African governments sit down with U.S. negotiators to reshape health partnerships, researchers are warning that abortion access could be caught in the crosshairs.

By Amy Fallon
17 December 2025

A new regional study shows that abortion rights in West and Central Africa often exist in law but not in reality — a disconnect researchers fear could deepen as African governments negotiate new, bilateral health agreements with the United States.

Research, conducted by Rutgers and the Centre de Recherche en Reproduction Humaine et en Démographie, or CERRHUD, found that women and girls in Benin, Burkina Faso, Côte d’Ivoire, Togo, and Cameroon faced barriers in accessing safe abortions, including overlapping systems of law, health care, and social norms, despite the countries ratifying the Maputo Protocol. The protocol is the first international treaty to recognize abortion as a human right under certain circumstances.

Continued: https://www.devex.com/news/are-abortion-rights-at-risk-as-african-governments-negotiate-with-us-111565


It Is Sacred Work’: Abortion Clinics Are Stepping Up After the Fall of Roe

Organizations across the country are ensuring people continue to have access to reproductive care.

by Eleanor J. Bader
November 25, 2025

In the first 100 days after the June 2022 Supreme Court Dobbs v. Jackson Women’s Health Organization decision, which overturned Roe v. Wade, sixty-six health clinics in fifteen states stopped providing surgical abortions, and fourteen states enacted near-total bans on the procedure. 

But then something unexpected happened. By 2024, twenty-one new facilities had opened in states where abortion was not completely banned, according to the Guttmacher Institute. Moreover, KFF (formerly the Kaiser Family Foundation) reports that by 2023, 226 virtual providers—including online pharmacies, feminist health centers, and help lines—had set up shop to counsel people seeking abortion services and provide abortion medication through the mail.

Continued: https://progressive.org/latest/it-is-sacred-work-abortion-clinics-are-stepping-up-after-the-fall-of-roe-bader-20251125/


Act on the Evidence: Policy Solutions to Protect and Advance Abortion and Contraception Access in the United States

Kelly Baden, Candace Gibson, Amy Friedrich-Karnik, Guttmacher Institute
November 2025

As the United States contends with the consequences of the Dobbs decision and an emboldened opposition seeking to further dismantle sexual and reproductive rights and access, both providers and people seeking care face unprecedented threats. A growing, global anti-rights and anti-science climate buttressed by the spread of mis- and disinformation, is driving continued attempts to eliminate abortion access. Communities already harmed by unjust systems and policies are experiencing disproportionate impacts.

Rooted in the belief that sound policy starts with high-quality evidence, Guttmacher’s flagship research on abortion and contraception underscores the growing barriers to reproductive health care while pointing to policy solutions that can move us closer to reproductive health care access for all. This analysis draws on findings from leading Guttmacher research projects to identify recent trends in abortion and contraceptive access and offers policy recommendations informed by that evidence.

Continued: https://www.guttmacher.org/2025/11/act-evidence-policy-solutions-protect-and-advance-abortion-and-contraception-access-united


USA – New Federal Medicaid Cuts Will Devastate Coverage for Reproductive Health Care

Adam Sonfield, Sonfield Policy Solutions LLC, Amy Friedrich-Karnik, Guttmacher Institute
Nov 10, 2025

For decades, Medicaid has been central to contraceptive care and other reproductive health services for low-income people in the United States. Massive cuts to Medicaid under the recent federal budget law are poised to strip away coverage and access to care from millions of people, with far-reaching and harmful consequences nationwide.

Medicaid is the second largest source of health insurance in the United States, and it covers 21% of women aged 15–49,* the group most likely to need and use reproductive health care. The program’s role has increased substantially over the past decade after 40 states and the District of Columbia expanded Medicaid for adults with incomes up to 138% of the federal poverty level, as allowed by the Affordable Care Act (ACA).

Continued: https://www.guttmacher.org/2025/11/new-federal-medicaid-cuts-will-devastate-coverage-reproductive-health-care