U.S. global health aid policy and family planning in sub-Saharan Africa-Reference-Cited by-同舟云学术

U.S. global health aid policy and family planning in sub-Saharan Africa

Published:2023-12-08 Issue:49 Volume:9 Page:
ISSN:2375-2548
Container-title:Science Advances
language:en
Short-container-title:Sci. Adv.

Author:

Brooks Nina¹^ORCID,Gunther Matt²^ORCID,Bendavid Eran³^ORCID,Boyle Elizabeth H.²⁴,Grace Kathryn²⁵^ORCID,Miller Grant³⁶^ORCID

Affiliation:

1. Department of Global Health, Boston University School of Public Health, Boston, MA, USA.

2. Institute for Social Research and Data Innovation, University of Minnesota, Minneapolis, MN, USA.

3. School of Medicine, Stanford University, Stanford, CA, USA.

4. Sociology Department, University of Minnesota, Minneapolis, MN, USA.

5. Department of Geography, Environment and Society, University of Minnesota, Minneapolis, MN, USA.

6. National Bureau of Economic Research (NBER), Cambridge, MA, USA.

Abstract

The Trump administration reinstated and expanded the Mexico City Policy (MCP) in 2017 as the Protecting Life in Global Health Assistance (PLGHA) policy, forbidding international organizations receiving all U.S. health assistance from promoting abortion. Existing evidence suggests that abortion rates rise under the MCP, but the direct effect of U.S. funding restrictions on supply and use of family planning has received less attention. By studying PLGHA’s impact on health service delivery providers and women in eight sub-Saharan African countries, we are able to fill this gap. We find that health facilities provide fewer family planning services, including emergency contraception, and that women are less likely to use contraception and more likely to have given birth recently under the policy. These findings suggest that PLGHA has important unintended consequences that are detrimental to reproductive health and the autonomous decision-making of health service providers and women.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Link

https://www.science.org/doi/pdf/10.1126/sciadv.adk2684

Reference38 articles.

1. Kaiser Family Foundation The Mexico City Policy: An Explainer (2021); www.kff.org/global-health-policy/fact-sheet/mexico-city-policy-explainer/.

2. The White House Memorandum for the Secretary of Health and Human Services and the Administrator of the United States Agency for International Development: The Mexico City Policy (2017).

3. U.S. Department of State Protecting Life in Global Health Assistance Fact Sheet (2017).

4. ‘Protecting Life in Global Health Assistance’? Towards a framework for assessing the health systems impact of the expanded Global Gag Rule

5. The White House Office of Policy Development, US Policy Statement for the International Conference on Population. Popul. Dev. Rev. 10, 574–579 (1984).