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THE GLOBAL
GAG RULE
101
THE POLICY
On January 23, 2017, in one of his first actions as President,
Donald Trump reinstated and expanded the Global Gag
Rule—a policy that forces foreign NGOs to choose between
receiving U.S. global health assistance and providing
comprehensive sexual and reproductive health care.
Providers must agree not to provide information, referrals or
services for legal abortion or to advocate for the legalization
of abortion in their country with their own non-U.S. funds.
Increase in Maternal Deaths
Rural and youth programs
cut back
Family Planning
Clinics closed
Reduced services
Loss of U.S.-donated contraceptives
Efforts to increase contraceptive
method mix hindered
HIV/AIDS
Prevention efforts weakened
Screening and treatment for
sexually transmitted infections
(STIs)
PREVIOUS EFFECT ON HEALTH
SERVICES
CURRENT POLICY
Global Gag Rule Expansion under President Trump
EXPANSION
TO ALL U.S.
GLOBAL
HEALTH
ASSISTANCE
Global
Health
Assistance
The policy now applies to nearly half
of all U.S. bilateral economic
assistance
Family
Planning
Assistance
President Trump expanded the policy
from international family planning
assistance to all global health assistance
EXPANSION TO ALL U.S. GLOBAL
HEALTH ASSISTANCE
Previous Global
Gag Rule
Expanded Global Gag Rule
…and other public health threats, including
neglected tropical diseases and other infectious
diseases, non-communicable diseases, and
health system strengthening
SECOND EXPANSION
MISCONCEPTIONS
The policy does not prevent the use of U.S. funds for
abortion; existing U.S. law—the Helms Amendment—
already restricts U.S. foreign assistance dollars from
paying for abortions as a method of family planning.
It puts strings on all the funding that doesn’t come
from the U.S.
ABORTION
FUNDING
The Global Gag Rule itself
does not affect funding levels
or create a funding gap in U.S.
foreign assistance.
The policy denies funding to highly
qualified service providers who are
providing comprehensive sexual and
reproductive health information,
services and supplies when they
decide not to comply.
PRELIMINARY IMPACTS
Emerging Effects of the Expanded Global Gag Rule
PAI-DOCUMENTED EFFECTS IN THE FIELD
Referral networks
dismantled
Vulnerable groups at
risk
Partnerships ended Services reduced
NGO resources
diverted to compliance
Non-U.S. donor
programs impeded
Advocacy halted
Contraceptive supply
chain obstructed
National health
priorities hindered
A WAY FORWARD
THE WAY FORWARD
Technical assistance to minimize
disruption of service delivery
Engage with donors
Promote domestic resource
mobilization and policy advocacy
Permanent legislative repeal

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The Global Gag Rule explained by PAI.

  • 2. THE POLICY On January 23, 2017, in one of his first actions as President, Donald Trump reinstated and expanded the Global Gag Rule—a policy that forces foreign NGOs to choose between receiving U.S. global health assistance and providing comprehensive sexual and reproductive health care. Providers must agree not to provide information, referrals or services for legal abortion or to advocate for the legalization of abortion in their country with their own non-U.S. funds.
  • 3. Increase in Maternal Deaths Rural and youth programs cut back Family Planning Clinics closed Reduced services Loss of U.S.-donated contraceptives Efforts to increase contraceptive method mix hindered HIV/AIDS Prevention efforts weakened Screening and treatment for sexually transmitted infections (STIs) PREVIOUS EFFECT ON HEALTH SERVICES
  • 4. CURRENT POLICY Global Gag Rule Expansion under President Trump
  • 5. EXPANSION TO ALL U.S. GLOBAL HEALTH ASSISTANCE Global Health Assistance The policy now applies to nearly half of all U.S. bilateral economic assistance Family Planning Assistance President Trump expanded the policy from international family planning assistance to all global health assistance
  • 6. EXPANSION TO ALL U.S. GLOBAL HEALTH ASSISTANCE Previous Global Gag Rule Expanded Global Gag Rule …and other public health threats, including neglected tropical diseases and other infectious diseases, non-communicable diseases, and health system strengthening
  • 9. The policy does not prevent the use of U.S. funds for abortion; existing U.S. law—the Helms Amendment— already restricts U.S. foreign assistance dollars from paying for abortions as a method of family planning. It puts strings on all the funding that doesn’t come from the U.S. ABORTION
  • 10. FUNDING The Global Gag Rule itself does not affect funding levels or create a funding gap in U.S. foreign assistance. The policy denies funding to highly qualified service providers who are providing comprehensive sexual and reproductive health information, services and supplies when they decide not to comply.
  • 11. PRELIMINARY IMPACTS Emerging Effects of the Expanded Global Gag Rule
  • 12. PAI-DOCUMENTED EFFECTS IN THE FIELD Referral networks dismantled Vulnerable groups at risk Partnerships ended Services reduced NGO resources diverted to compliance Non-U.S. donor programs impeded Advocacy halted Contraceptive supply chain obstructed National health priorities hindered
  • 14. THE WAY FORWARD Technical assistance to minimize disruption of service delivery Engage with donors Promote domestic resource mobilization and policy advocacy Permanent legislative repeal