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In this pre-pandemic photo, participants in a March 8, 2017 International Women's Day march in Washington, D.C. hold a sign demanding an end to the anti-choice Mexico City Policy, also known as the global gag rule, which had been revived by then-President Donald Trump in January 2017. (Photo: Justin Sullivan/Getty Images) 

GOP-Backed Global Gag Rule Is Still Harming Women and Must Be Permanently Revoked: Report

"It is time for U.S. policymakers to pass the Global HER Act and end the global gag rule for good. Women's health and lives are at stake."

Former U.S. President Donald Trump's aggressively anti-choice global gag rule may be a thing of the past for now, but it is still causing "immense harm" to women around the world and should be permanently revoked.

"The Trump administration is gone but the harm from this policy continues to impact access to healthcare, particularly for the most marginalized women and girls around the world."
—Shannon Kowalski, IWHC

So says a report published Wednesday by the International Women's Health Coalition (IWHC), which documented the policy's harmful effects on women in four countries. 

The IWHC report (pdf), entitled Care Denied: Year Three Impact of Trump's Global Gag Rule, studied the effects of the global gag rule—which blocks foreign organizations that provide information, referrals, or services for abortion, or advocate for decriminalization or expanding access, from receiving U.S. funding—on women in Kenya, Nepal, Nigeria, and South Africa. 

Formally known as the Mexico City Policy, the global gag rule first went into effect during the administration of then-President Ronald Reagan in 1985. Every Democratic president since then has revoked the policy, while all Republican presidents—most recently Donald Trump in 2017—have reinstated it. Trump, who expanded the policy to cover all U.S. international healthcare aid, sought to further broaden it in 2020. President Joe Biden rescinded the policy in January.

Reseach has shown that the global gag rule has had the opposite effect of what its proponent intended—it has been linked to increased pregnancies and abortions in countries that accept U.S. aid.

The new IWHC report found that although the global gag rule has been revoked, it "continues to exacerbate existing barriers to healthcare access," with "services including comprehensive abortion care, contraceptive services, and HIV/AIDS testing and treatment" becoming less accessible, according to an executive summary.

That's because it takes months or even years following the lifting of the policy for organizations to draft and deliver funding proposals to U.S. aid agencies, and groups know that all their hard work may have been in vain due to the possibility of a future Republican administration reinstating the global gag rule. 

The report's summary says the Mexico City Policy "continues to be harmful to the health and well-being of women and marginalized groups such as young people, people living in rural areas, and poor communities," and "creates funding gaps" while continuing "to fragment health services and halt critical health programs."

Additionally, the global gag rule is "shrinking civil society spaces, silencing voices, and creating distrust amongst collaborators and partners. Partnerships and coalitions are becoming fractured due to the policy, thereby limiting civil society's ability to work effectively and hold their governments accountable."

"The policy continues to embolden regressive actors and is creating new opportunities for such players to expand their influence," the summary states. "It has also been providing an excuse to hinder progress on sexual and reproductive health for individuals who do not support comprehensive sexual and reproductive health and rights within their professional capacities."

"Governments of countries receiving large amounts of U.S. global health funds have remained largely silent regarding the consequences of the policy on the health of their own people and have failed to take significant steps to mitigate its effects," it adds. 

IWHC recommends the following steps to mitigate the ongoing impact of the global gag rule:

  • The U.S. Congress should permanently end the Mexico City Policy through passage of the Global HER Act, proposed legislation led by Rep. Barbara Lee (D-Calif.) that would permanently repeal the global gag rule;
  • Congress should also repeal other abortion restrictions in U.S. law including the Helms Amendment and similar restrictions on the use of American foreign assistance funds; and
  • Donor governments and organizations should seek to close the funding gap by increasing funding to groups affected by the global gag rule, while prioritizing local and community-based organizations.

"The research is clear that the global gag rule is a deadly policy and will have far-reaching implications on global healthcare for years to come," said IWHC advocacy and policy director Shannon Kowalski in a statement introducing the report. "The Trump administration is gone but the harm from this policy continues to impact access to healthcare, particularly for the most marginalized women and girls around the world. And the threat of future harm is still very much a concern."

"We are encouraged by the Biden administration's action so far to remove this policy," Kowalski added. "Now, it is time for U.S. policymakers to pass the Global HER Act and end the global gag rule for good. Women's health and lives are at stake."

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