Full Citation

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

Citation Type: Journal Article

Publication Year: 2023

ISBN:

ISSN: 23752548

DOI: 10.1126/SCIADV.ADK2684/SUPPL_FILE/SCIADV.ADK2684_SM.PDF

NSFID:

PMCID:

PMID: 38055817

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.

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

User Submitted?: No

Authors: Brooks, Nina; Gunther, Matt; Bendavid, Eran; Boyle, Elizabeth H.; Grace, Kathryn; Miller, Grant

Periodical (Full): Science advances

Issue: 49

Volume: 9

Pages: 1-9

Data Collections: IPUMS Global Health - PMA

Topics: Health, Reproductive and Sexual Health

Countries: