top border graphic  
  bullet graphic contact us bullet graphic order materials
woman

Impacts on Affected Countries

 
Access Denied - U.S. Restrictions on International Family Planning
impacts on affected countries

Kenya

  • Kenya’s leading reproductive health care providers
    have suffered serious budget cuts and were forced to
    close eight clinics, lay off large numbers of staff and
    scale back programs.

  • In most cases, those shuttered clinics were the only
    source of health care for local communities.

  • Community-based outreach services throughout
    Kenya’s rural areas have been greatly curtailed as the
    country’s primary family planning organizations cut
    back due to a lack of funds. Outreach services are
    often the only access rural men and women have to
    contraceptive supplies and education on HIV/AIDS.

  • Kenya’s leading family planning organizations have
    been forced to withdraw from a U.S.-funded project to
    provide comprehensive and holistic reproductive and
    child health care, as well as HIV/AIDS prevention and
    treatment, to vulnerable populations in Kenya; the
    project is consequently losing ground.

A History of Family Planning Services in Kenya

1950s

Modern methods of contraception are available in Kenya.
1962

The Family Planning Association of Kenya (FPAK) is established and affiliates with the International Planned Parenthood Federation (IPPF).
1963

Kenya gains independence from Great Britain. Pathfinder International begins family planning and reproductive health programs in Kenya.
1965

The Government of Kenya formally accepts familyplanning as part of its national development strategy.
1967

Kenya is the first African country to establish a population policy and national family planning programs.
1974

The Ministry of Health establishes a Family Planning Welfare Center to scale up government family planning efforts. This agency later becomes the Division of Primary Health Care (PHC) and evolves into the Division of Reproductive Health of the Ministry of Health.
1982

FPAK becomes the first Kenyan non-governmental organization (NGO) to establish a community-based distribution program with support from the U.S. Agency for International Development (USAID).

EngenderHealth begins working in Kenya and helps to ensure access to safe and voluntary family planning.
1984

The first reported case of HIV/AIDS in Kenya occurs.

USAID’s Private Sector Family Planning (PSFP I) project is established to provide a full range of managerial, programmatic and clinical assistance to private companies and industries to initiate and provide health and family planning services for their employees and surrounding communities. The second phase of this project, PSFP II, assists a select number of private health practitioners in initiating family planning services.

The Reagan administration announces the Mexico City Policy. At this point, FPAK is only receiving U.S. funds through the International Planned Parenthood Federation (IPPF). However, IPPF rejects the terms of the gag rule, loses U.S. funding and, consequently, reduces donations to FPAK. FPAK then turns to USAID/Kenya for direct assistance and reluctantly agrees to the terms of the gag rule. As a result, FPAK receives USAID funds directly for the first time.
1985

Marie Stopes International Kenya (MSI Kenya) begins providing services in the country.

Kenya hosts the World Conference on Women in Nairobi.
1991

“Family Planning Policy Guidelines and Standards for Service Providers” is published by the Ministry of Health to help family planning workers assist Kenyan couples in making appropriate contraceptive choices.
1992

USAID’s global Family Planning Services Project (FPSP) begins. Its overall goal is to meet growing demand for family planning and reproductive health services by building capacityto create and improve access to the fullest possible range of quality information and services.
1993

The Mexico City Policy is rescinded by President Clinton.
1995

EngenderHealth expands its focus to broader reproductive health care, including contraceptive services, maternity services, post-abortion care and infection prevention.

The Government of Kenya provides financial support through its National Coordinating Agency for Population and Development to expand FPAK facilities. This enables FPAK to open new clinics and build headquarters in Nairobi.
1997

“Reproductive Health/Family Planning Policy Guidelines and Standards for Service Providers” is published by the Ministry of Health (MoH) to provide the most current knowledge of contraceptive methods and other aspects of reproductive health.

The Kenyan MoH publishes the National Reproductive Health Strategy (1997-2010).
2000

USAID’s global FPSP project ends.
2001

USAID lists Kenya as a “rapid scale-up” country for HIV/AIDS assistance.

President George W. Bush reinstates the Mexico City Policy, or Global Gag Rule as it is known by then.

The USAID-funded integrated health project - AMKENI - is launched.

IPPF refuses the terms of the gag rule and loses U.S. funds

FPAK refuses the terms of the gag rule and loses 58 percent of its budget through direct cuts from U.S. funds and indirect cuts from IPPF.

MSI Kenya also refuses the terms of the gag rule and loses 40 percent of its operating budget. The same year, MSI Kenya closes two clinics, lays off one-fifth of its staff, cuts salaries and increases client fees.

FPAK closes three clinics that collectively served about 1,560 women, men and children every month. Thirty percent of FPAK’s staff is laid off.
2003

The Adolescent Reproductive Health & Development Policy is launched by the MoH with support from NGOs and the United Nations Population Fund (UNFPA). This holistic policy addresses poverty and socio-economic issues, reproductive health information and services, harmful practices, and gender issues.
2004

Preliminary results of the Kenya Demographic Health Survey are released, showing no increases in contraceptive use since 1998 and a reversal of the previous trend toward declining fertility.

The results of a national assessment on the magnitude of abortion complications in Kenya are published in BJOG: An International Journal of Obstetrics and Gynaecology. The study was conducted by the Kenya Medical Association, the Federation of Women Lawyers-Kenya and Ipas.
2005

FPAK opens a maternity unit in Nairobi to increase access to safe delivery and to offer permanent and long-term contraceptive methods.

Three more FPAK clinics are closed in Kakamega, Nkubu and Nyeri in March.
1950
1950s
1960
1962
1963
1965
1967
1970
1974
1980
1982
1984
1985
1990
1991
1992
1993
1995
1997
2000
2000
2001
2003
2004
2005

A Closer Look

Nepal (map)

Population: 34.3 million (by 2005)

Percentage of women aged 15-49: 48.4%

Contraceptive prevalence
(natural and modern methods): 39%

HIV prevalence in adults aged 15-49: 6.7%

Average births per woman: 5.0

Percentage of population aged 24 or younger: 65.7%

Life expectancy: 50.3 years

Abortion policy: Abortion is permitted to save the life of a woman.

background on the policy
how you can help
news room
watch the video
about the project
HomeContactOrderImpactsBackgroundHelpNews RoomVideoAbout
Population Action International Planned Parenthood Federation of America Ipas
International Planned Parenthood Federation Pathfinder International