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Global Health Charities Brace for Impact of Potential Trump Return

As the US presidential election approaches, providers of women’s healthcare around the world are gearing up for potentially disastrous consequences should Donald Trump win a second term in office. According to Beth Schlachter, a senior director at MSI Reproductive Choices in the US, the policies pursued during Trump’s previous presidency caused “devastating” harm in numerous countries. Schlachter warns that a second Trump term would escalate the damage to a whole new level.

Impact of Trump’s Policies on Global Health Charities

During Trump’s last administration, global health charities faced significant challenges due to policies such as the “global gag rule.” This rule required organizations receiving US funding for family-planning services to agree not to perform or actively promote abortion. As a result, many facilities offering comprehensive health services, including family planning, were forced to close their doors.

Joe Biden’s Reversal of the Ban and Potential Threat of a Trump Return

In 2021, President Joe Biden reversed the global gag rule, a move celebrated by health groups worldwide. However, right-wing US strategists have outlined detailed plans in their Project 2025 roadmap for a potential Republican administration to change the US government’s operations immediately after a Trump victory. These plans include imposing even stricter restrictions on organizations receiving US funding, withdrawing American support from international agencies, and using the country’s influence to further limit access to abortions globally.

Implications of a Trump Return on Global Healthcare

Beth Schlachter emphasizes the urgent need for the healthcare sector to prepare for the potential repercussions of Trump retaking the White House. Despite attempts by Trump to distance himself from Project 2025, Schlachter believes that the intentions of his allies are clear and pose a significant threat to women’s health worldwide.

Expanding the Global Gag Rule and its Consequences

The global gag rule, which has existed under Republican presidents since Ronald Reagan, was extended by the Trump administration to include all organizations receiving US funding for global healthcare. If this rule were further expanded to cover all foreign assistance, including humanitarian aid, it could have a detrimental impact on approximately $51 billion in overseas aid, affecting crucial healthcare services for women globally.

Challenges Faced by Global Health Charities

Dr. Marleen Temmerman, a professor in obstetrics and gynaecology, warns that such an expansion of the global gag rule would be “huge and terrible,” jeopardizing women’s access to essential reproductive healthcare services. Dr. Carole Sekimpi, senior Africa director for MSI Reproductive Choices, highlights the disastrous effects of the 2017 gag rule on women, leading to increased unintended pregnancies and unsafe abortions due to limited access to contraception and information.

The Role of US Funding in Sexual and Reproductive Health

The US plays a significant role in funding sexual and reproductive health and rights promotion globally. A report by the German Foundation for World Population reveals that almost two-thirds of global funding in this area comes from the US. However, during Trump’s presidency, organizations like MSI experienced a significant drop in donor income, resulting in millions of women losing access to vital family-planning services.

Impact of the Global Gag Rule on Progress in Developing Countries

Research conducted by the Guttmacher Institute in Uganda and Ethiopia found that the global gag rule stalled and reversed progress in expanding access to modern contraception. In Nepal, MSI’s efforts to expand family-planning services were hindered after Donald Trump’s election, leading to the gradual closure of crucial healthcare operations and limited access to services for underprivileged populations.

The Devastating Effects of the Global Gag Rule

Partner agencies in Nepal were reluctant to refer women to MSI for abortion care, even in cases of rape, incest, or life-threatening situations, due to the global gag rule. This restriction forced desperate women to resort to unsafe abortion methods, resulting in severe complications and near-death experiences. Tushar Niroula, operations director at MSI Nepal, emphasizes the devastating impact of these limitations on women’s health and well-being.

Future Plans to Restrict Access to Abortions Globally

Documents published by Project 2025 outline plans for the US government to collaborate with like-minded nations to shape the work of international agencies and further restrict access to abortions globally. The Geneva Consensus Declaration, signed by the last Trump administration and several authoritarian governments, serves as a blueprint for anti-abortion policies that could be implemented on a global scale.

The Urgent Need for Collaboration and Advocacy

Healthcare organizations must work together and potentially establish separate entities to safeguard reproductive healthcare projects from potential restrictions. The withdrawal of US support from international agencies could have dire consequences for women’s health worldwide. It is crucial for advocacy groups to continue fighting for women’s rights and access to essential healthcare services.

In conclusion, the potential return of Donald Trump to the White House poses a significant threat to women’s health and reproductive rights globally. The policies implemented during his previous administration had devastating consequences, and a second term could lead to even more severe restrictions on access to essential healthcare services. It is imperative for healthcare providers, advocacy groups, and policymakers to unite in protecting women’s rights and ensuring access to comprehensive reproductive healthcare for all.