Weaponizing Aid: How U.S. Policies Undermine Reproductive Health in Humanitarian Crises

U.S. restrictions on foreign aid like the global gag rule are endangering women and girls by cutting off access to essential reproductive healthcare in humanitarian crises.

2/18/2025
by Ira Memaj

Shortly after taking office, the Trump administration issued a cascade of executive orders—among them, the reinstatement of the Mexico City Policy, commonly referred to as the global gag rule (GGR). The GGR restricts U.S. funding for international nongovernmental organizations (NGOs) that provide, refer for, lobby or counsel on abortion care. While much has been covered about the GGR’s adverse effects on global health and NGOs, its impact on vulnerable populations in humanitarian settings, particularly refugee women and girls, has received less attention.

In 2024, a record 122.6 million people worldwide were forcibly displaced due to climate change, political unrest, persecution and armed conflict. More than 90 million women and girls are expected to require humanitarian aid, including sexual and reproductive health services, such as perinatal and abortion care, gender-based violence (GBV) support, and STI screening and treatment.

Continued: https://msmagazine.com/2025/02/18/us-global-gag-rule-refugee-women-healthcare-crisis-trump/


How Trump and Musk’s War on Government Will Lead to More Abortions

There would be 1.3 million unsafe abortions.”

David Corn, Washington, DC, Bureau Chief. Mother Jones
Feb 12, 2025

In 2023, during a speech at a Washington, DC, gala for the far-right Faith & Freedom Coalition, Donald Trump declared that he was proud to be “the most pro-life president” in US history. Yet with the war on the federal government that he and his billionaire sidekick Elon Musk are now waging, one probable result will likely not please his conservative Christian allies: an increase in the number of abortions, perhaps by over 1 million.

The first target of the Trump-Musk crusade has been the US Agency for International Development, the federal agency that distributes foreign aid through programs that help millions of people defend against deadly diseases (such as malaria, AIDS, tuberculosis, Covid, and ebola), obtain clean water, gain access to health care, bolster democratic institutions, and build more productive local economies. Of its $23.4 billion budget for 2024, the agency earmarked $2.2 billion for health initiatives. About one-quarter of that was to be spent on clean-water programs. Two-hundred-and-forty-seven million dollars was committed to maternal and child health. Programs for family planning and reproductive health received $191 million. (Including other government programs, Congress in recent years has annually appropriated about $600 million in total for overseas family planning.)

Continued: https://www.motherjones.com/politics/2025/02/donald-trump-elon-musk-usaid-abortions/


USAID’s reproductive health funding has saved millions of lives. Now it’s gone.

For decades, USAID’s family planning program was the main source for contraception and HIV treatment in some countries. Experts say without it, women and LGBTQ+ people will die.

Jessica Kutz
February 7, 2025

On Sunday, Elon Musk, the world’s richest man, boasted that he was gutting the federal agency tasked with providing foreign aid to its poorest.  “We spent the weekend feeding USAID into the wood chipper,” Musk, the tech billionaire head of the so-called Department of Government Efficiency, posted on his social media platform, X.

The United States Agency for International Development (USAID) was established in 1961 to provide foreign assistance to impoverished countries around the world through food aid and humanitarian and economic development work. It is also one of the world’s largest providers of contraception through its family planning program. According to the Congressional Research Service, the agency’s funding in 2023 was about $40 billion, which represented less than 1 percent of the federal budget.

Continued: https://19thnews.org/2025/02/usaid-women-lgbtq-reproductive-health-funding-pause/


Trump expected to quickly revive ‘global gag rule’ on abortion

by Alejandra O’Connell-Domenech
01/19/25

President-elect Trump is expected to reinstate a controversial policy soon after taking office that would further bar foreign nongovernmental organizations that perform, counsel on or provide information on abortions abroad from receiving U.S. funding.  

The Mexico City Policy, referred to as the global gag rule by its opponents, was first introduced during the second Reagan administration and has been rescinded by every Democratic president and reinstated by every Republican president since then. Trump previously restored the policy four days into his first term before President Biden rescinded it again a week into his own. 

Continued: https://thehill.com/policy/healthcare/5092735-trump-abortion-mexico-city-policy/


Anti-AIDS program in peril after US finds nurses in Mozambique provided abortions

By Simon Lewis and Patricia Zengerle
January 16, 2025

WASHINGTON (Reuters) - The flagship U.S. aid program on HIV/AIDS is in jeopardy, a senior Republican warned on Thursday, after U.S. officials said four nurses in Mozambique performed abortions that are banned under the multibillion-dollar program that has saved millions of lives globally.

Service providers that get funding through the President's Emergency Plan for AIDS Relief (PEPFAR) are barred from providing abortion services under rules against U.S. foreign assistance being used for abortion-related activities, but the program has still faced criticism from anti-abortion Republicans.

Continued: https://www.reuters.com/world/us/anti-aids-program-peril-after-us-finds-nurses-mozambique-provided-abortions-2025-01-16/


‘Grave and Serious Moment’ for Reproductive Rights

Dr Anu Kumar, CEO of the global reproductive justice organisation Ipas, outlines the impact of a global clampdown on abortion

27/11/2024
Kerry Cullinan

“Unsafe abortion remains a leading cause of maternal mortality, and it is entirely preventable,” says Dr Anu Kumar, CEO of Ipas, an international reproductive justice organisation. “So there is something we can do about it. We know what to do and we know how to do it. We just need to do it.”

But Kumar concedes that the election of Donald Trump as United States (US) President has ushered in a “pretty grave and serious moment”.

Continued: https://healthpolicy-watch.news/grave-and-serious-moment-for-reproductive-rights/


How the U.S. Election Has an Outsized Effect on Global Reproductive Health

U.S. politics harm women by tying health workers' hands, even in countries where abortion care is legal.

November 14, 2024
By Christine Mungai, Harvard Public Health

In Nairobi, Kenya, Cate Nyambura is awaiting the outcome of the U.S. presidential election as if it could change her life—which it might. Nyambura is the director of programs at ATHENA Network, a global feminist collective that works primarily on reproductive health and rights, HIV/AIDS, and gender-based violence. “We hold our breath when the U.S. is having elections,” Nyambura says.

Tuesday’s vote will have an enormous effect on how—and whether—Nyambura and countless other health workers and reproductive rights activists around the world can do their jobs. Thanks to a longstanding rule about abortion that shifts each time the White House changes political parties, every U.S. presidential election pits the American mood against other countries’ sovereignty—and the health of their women and girls.

Continued: https://goodmenproject.com/featured-content/how-the-u-s-election-has-an-outsized-effect-on-global-reproductive-health/


Post-Roe Era Tests Abortion Laws Worldwide

As abortion comes under fire in the United States, some countries have taken a stance toward expanding access

by Mariel Ferragamo
June 5, 2024

As nations around the world have expanded access to reproductive health services, the quality, accessibility, and safety of abortion care has improved, as has maternal health. International authorities have called abortion a crucial aspect of health care. 

Still, opposition to abortion remains strong in parts of the world, especially in the United States. When the United States overturned the right to abortion in 2022, the ruling rattled the nation. Yet the moment spoke to the country's paradoxical and pendulous history with abortion. Even though the United States permitted the practice for decades within its own borders, it has long restricted funding for abortion care abroad.

Continued: https://www.thinkglobalhealth.org/article/post-roe-era-tests-abortion-laws-worldwide


The Terrifying Global Reach of the American Anti-Abortion Movement

Conservatives have not limited their attack on reproductive rights to the United States. They’ve been busy imposing their will on other countries, too—with disastrous consequences for millions of poor women.

Jodi Enda
March 18, 2024

Because Editar Ochieng knew the three young men, she didn’t think twice when they beckoned her into a house in an isolated area near the Nairobi River. One was like a brother; the other two were her neighbors in the sprawling Kenyan slum of Kibera.

Ochieng did not know the woman who performed her abortion. She and a friend scoured Nairobi until they found her, an untrained practitioner who worked in the secrecy of her home and charged a fraction of what a medical professional would. Mostly, what Ochieng remembers is the agony when this stranger inserted something into her vagina and “pierced” her womb. “It was really very painful. Really, really, really painful,” she told me. Afterward, Ochieng said, she cut up her mattress to use in place of sanitary pads, which she could not afford. She was 16 years old.

Continued: https://newrepublic.com/article/179485/american-anti-abortion-movement-terrifying-global-reach


Republican opposition to abortion threatens global HIV/AIDS program that has saved 25 million lives

BY EVELYNE MUSAMBI, FARNOUSH AMIRI, CARA ANNA AND ELLEN KNICKMEYER
September 9, 2023

NAIROBI, Kenya (AP) — The graves at the edge of the orphanage tell a story of despair. The rough planks in the cracked earth are painted with the names of children, most of them dead in the 1990s. That was before the HIV drugs arrived.

Today, the orphanage in Kenya’s capital is a happier, more hopeful place for children with HIV. But a political fight taking place in the United States is threatening the program that helps to keep them and millions of others around the world alive.

Continued: https://apnews.com/article/africa-hiv-aids-united-states-d9ef380acba1a0e96409197b39dea7fa