The Safe Abortion Action Fund (SAAF) was established in 2006, in response to the US government's Global Gag Rule, as a multi‑donor mechanism to support global abortion‑related programming. Hosted by IPPF, SAAF provides small grants to locally-run organisations that promote safe abortion and prevent unsafe abortion through advocacy and awareness raising, service delivery and research activities, and has supported such projects for over a decade. SAAF Supports projects run by IPPF Member Associations as well as other organisations not affiliated with IPPF. By the end of 2016 SAAF had provided US$43 million funding to 188 projects in over 62 countries. SAAF focuses on the needs of the marginalized and most vulnerable women and girls. By visibly funding projects using an international funding mechanism, SAAF works to destigmatize abortion and to legitimize the abortion debate. For more information about the fund visit the SAAF website www.saafund.org.

This programme addresses critical challenges faced by young women around sexual health and sexuality. It has produced a range of advocacy, education and informational materials to support research, awareness-raising, advocacy and service delivery.    Girls Decide is about the sexual and reproductive health and rights of girls and young women. Around the world, girls aged 10 to 19 account for 23% of all disease associated with pregnancy and childbirth. An estimated 2.5 million have unsafe abortions every year. Worldwide, young women account for 60% of the 5.5 million young people living with HIV and/or AIDS. Girls Decide has produced a range of advocacy, education and informational materials to support work to improve sexual health and rights for girls and young women. These include a series of films on sexual and reproductive health decisions faced by 6 young women in 6 different countries. The films won the prestigious International Video and Communications Award (IVCA). When girls and young women have access to critical lifesaving services and information, and when they are able to make meaningful choices about their life path, they are empowered. Their quality of life improves, as does the well-being of their families and the communities in which they live. Their collective ability to achieve internationally agreed development goals is strengthened. Almost all IPPF Member Associations provide services to young people and 1 in every 3 clients is a young person below the age of 25. All young women and girls are rights-holders and are entitled to sexual and reproductive rights. As a matter of principle, the IPPF Secretariat and Member Associations stand by girls by respecting and fulfilling their right to high quality services; they stand up for girls by supporting them in making their own decisions related to sexuality and pregnancy; they stand for sexual and reproductive rights by addressing the challenges faced by young women and girls at local, national and international levels.

Abortion stigma affects women and girls, abortion providers, reproductive rights advocates and communities. Although abortion is a common experience around the world, it is still largely stigmatised. Negative attitudes and beliefs about abortion may act as barriers to accessing safe services and can make it difficult for people to talk about their experiences of abortion. This can be very isolating, and may force people to continue unwanted pregnancies or to seek unsafe abortion. Since 2011 the David & Lucile Packard Foundation has supported IPPF to implement a range of initiatives to investigate and address abortion stigma. Find out more here, about the effective strategies and learning over the course of this project. It is often young people who are most severely affected by abortion stigma, and who are most at risk of suffering health complications as a result of unsafe abortion. Since 2014 IPPF has delivered a project focused on abortion stigma as it affects young people’s access to services, with targeted work in our Member Associations in Benin, Burkina Faso, India and Pakistan. This builds on previous initiatives and includes: Implementing individual, community and clinic-based interventions in the four countries where abortion stigma research was conducted under the previous grant. Abortion stigma at the community level will be measured at the beginning and end of each project using an adapted version of the Stigmatizing Attitudes, Beliefs and Actions Scale (SABAS) developed by Ipas Developing global guidance and tools to improve abortion messaging to ensure abortion is integrated into peer educator training and better raise awareness of abortion-related services to young people Building capacity of youth advocates to speak out on the right to access abortion services Generating and sharing of evidence and good practices on addressing abortion stigma   In addition to the abortion stigma work supported by the Packard Foundation, the IPPF Western Hemisphere Region (WHR) has been conducting a research study in collaboration with Ibis Reproductive Health to better understand the effects that the provision of abortion-related services have on providers’ and clients’ perceptions and experiences of stigma. This research has been conducted in four countries with different legal contexts and varying degrees of access to services: the Dominican Republic, Uruguay, Colombia, and Argentina. WHR is also working with the University of Michigan to pilot facilitated group workshops to reduce stigma and foster resilience among abortion service providers in Colombia, Argentina, Bolivia, Mexico and Peru. Through this project IPPF has created a range of tools and resources to support understanding of abortion stigma and to increase the capacity of our Member Associations to advocate for safe abortion, and to provide non-stigmatising education and information. How to talk about abortion: A guide for journalists, editors and media outlets encourages accurate reporting of the facts about abortion, and honest portrayals of abortion as part of real people’s lives and relationships. How to educate about abortion: A guide for peer educators, trainers and teachers is a comprehensive guide providing the rationale for teaching about abortion issues, as well a number of practical activities for doing so. The accompanying short animation distills this advice into just two minutes! ​​​​​​ How to talk about abortion: A guide to rights-based messaging is designed to help individuals and organizations think about the language and images they use to communicate about abortion and offers best practice tips. Again, a short animation has been created to share these tips further Our Member Associations in Bosnia and Herzegovina, Cameroon, Ghana, and Pakistan have shared best practices for improving young people’s access to safe abortion services. These feature strategies based on: creating a ‘buddy system’ for young people accessing services, working with educational establishments, using social media, and youth friendly spaces respectively.   In 2015, young people from IPPF Member Associations in Spain, Nepal, Macedonia, Ghana and Palestine were awarded small grants to support projects focused on tackling abortion stigma. Read more about these youth-led projects.    The ‘Youth Against Abortion Stigma’ website features blogposts from young IPPF volunteers around the world. In 2017, young people from IPPF Member Associations in Guinea, Kenya, Nepal, Puerto Rico, Sierra Leone and Venezuela were awarded small grants to support youth-led projects focused on tackling abortion stigma.  SEE OUR RESULTS

The IPPF hosted Safe Abortion Action Fund (SAAF) is accepting funding applications from organizations in low- and middle-income countries working on any aspect of abortion care, research, education, and advocacy. Please note that only organizations on the list of eligible countries are able to apply. Applications can be sent in English, French or Spanish using the online form and funding guidance on our website. Get your application in before 20 February 2022! https://saafund.org/apply-for-funding Hosted by IPPF, SAAF provides small grants to locally-run organizations that promote safe abortion and prevent unsafe abortion through advocacy and awareness-raising, service delivery, and research activities, and has supported such projects for over a decade. SAAF Supports projects run by IPPF Member Associations as well as other organizations not affiliated with IPPF. For more information about the fund visit the SAAF website www.saafund.org.

Numbers don’t lie: Between 2015 and 2019, on average, 73.3 million induced (safe and unsafe) abortions occurred worldwide each year. Every year, between 4.7% – 13.2% of maternal deaths can be attributed to unsafe abortion. The World Health Organization (WHO) defines unsafe abortion as a procedure for terminating an unwanted pregnancy either by persons lacking the necessary skills or in an environment lacking minimal medical standards or both. Unsafe abortions result in the deaths of 47,000 women every year and leaves millions temporarily or permanently disabled[1]. In Africa, nearly half of all abortions happen in the least safe circumstances. Moreover, mortality from unsafe abortion disproportionately affects women in Africa. While the continent accounts for 29% of all unsafe abortions, it sees 62% of unsafe abortion-related deaths (WHO). An estimated 93% of women of reproductive age in Africa live in countries with restrictive abortion laws. This means that the country’s laws only permit abortion in certain cases, often only if there is risk to the woman’s life, her health, the pregnancy is the result of rape, or there is evidence of foetal impairment. The costs of treating medical complications from unsafe abortion constitute a significant financial burden for developing countries’ public health care systems. Further, the more restrictive the legal setting, the higher the proportion of unsafe abortions. Statistics from unsafe abortions give us a glimpse into the suffering women must endure to end an unwanted pregnancy. We must challenge, re-evaluate different countries’ positions on the provision of life-saving safe-abortion care. We must advocate for changes in laws and policies and push-for the uptake of targeted and budgeted approaches that reach women and girls with safe abortion and contraception services wherever they are. IPPF and other key stakeholders are working towards ensuring that in the next five years, more women and girls will access abortion services differently, as the solutions to terminate a pregnancy will be more easily understood and available through self-managed medical abortion. This new approach promises to radically transform how health care is perceived and accessed by firmly placing women and girls at the centre of the abortion process; shifting the power dynamic from a medicalized and provider-led/decided approach to one that is person-centred and guarantees bodily autonomy. Where women can take control of their bodies and decide when and if to have children; whilst being supported by the healthcare system if needed. Also Read: Safe abortion in the context of COVID-19: partnership, dialogue and digital innovation This approach has been endorsed by WHO and is detailed within the newly released self-care guidelines. Several studies  have confirmed that self-managed abortion is safe, effective, and not inferior to those performed in clinical settings. A recent WHO review revealed that 94–96% of self-managed abortions had similar success rates to those conducted in clinic-based settings. In fact, 90% of clients confirmed they would recommend self-managed medical abortion. As local and global actors working for women’s health, rights and bodily autonomy, we must champion and roll out such new models and approaches that uphold, protect and champion women’s health, sexual rights and reproductive justice. Last July, IPPF joined global actors at the Generation Equality Forum to define and announce ambitious investments and policies for women and girls worldwide. Among our bold commitments, was a resolve to “expand and improve the provision of abortion care through 102 Member Associations, including quality medical and surgical abortion, person-centered abortion self-care support, and abortion care beyond 12 weeks of gestation through a simplified outpatient model using task-shifting to mid-level providers, including self-managed medical abortion.” This is a bold pledge that cannot depend on IPPF alone. It is critical if we are to reach the target of making the self-management of abortion a reality by 2026. Among others, IPPF calls upon the global ecosystem; feminist movements and civil-society organisations to continue to counter the multiple barriers i.e., legal, cultural, social and religious, that impede women from accessing safe abortion freely. Also Read: Abortion Quality of Care from the Client Perspective: a Qualitative Study in India and Kenya IPPF also calls upon policy and decision-makers to uphold their sexual reproductive health and rights (SRHR) commitments and repeal laws and policies that prevent safe abortion. We ask donors to invest in commodities and essential supplies, service delivery partners and prioritize research that promotes this approach. We also urge local and national stakeholders and service providers to embrace this new approach by encouraging, providing and supporting the integration of new models of abortion service delivery within existing clinic-based services. Self-care is not a magic bullet, and neither will this radical change happen by chance. It takes all of us to make it happen. This is not just a question of access. It is a fundamental question of freedom, empowerment, and bodily autonomy. Read more about The Global Comprehensive Abortion Care Initiative (GCACI). By Marie-Evelyne Petrus-Barry, Regional Director, International Planned Parenthood Federation, Africa Region (IPPFAR). Marie-Evelyne Petrus-Barry is the Regional Director of the International Planned Parenthood Federation, Africa Region (IPPFAR). The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading providers of quality sexual and reproductive health (SRH) services in Africa and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region.   For more updates on our work, follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.