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Impacts on Affected Countries

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

Zambia

  • The sole NGO to operate reproductive health clinics
    in Zambia has lost nearly 40 percent of its staff members, scaled back services, and ended vital community-
    based distribution of contraceptive supplies and health information.
  • Financial losses caused by the gag rule have made it impossible for Zambia’s primary family planning provider
    to expand and meet the rapidly growing demand for reproductive health services in the country.
  • The effects of the gag rule, coupled with a general shift in donor support from reproductive health to HIV treatment, have greatly hindered HIV prevention efforts.

A History of Family Planning Services in Zambia

1964

The Territory of Northern Rhodesia gains independence from the United Kingdom and changes its name to Zambia. (The territory was administered by the South Africa Company from 1891 until it was taken over by the United Kingdom in 1923).
1972

Planned Parenthood Association of Zambia (PPAZ) is founded.

Medical Termination of Pregnancy Act is passed. The act permits abortion “if continuation of pregnancy involves risk to the life of or injury to the physical or mental health of the woman, or if there is a substantial risk that if the child were born, it would suffer from such physical or mental abnormalities as to be severely handicapped.”
1977

The U.S. Agency for International Development (USAID) establishes a mission in Zambia.
1984

The Reagan administration announces the Mexico City Policy.
1992

The Zambian government begins to decentralize health services in an effort to make them more cost-effective and accessible.

1992-97

Health sector reforms succeed in making the health care system more efficient.
1993

The Mexico City Policy is rescinded by President Clinton.
1997-2000

The Zambian health system falls into crisis.
1998

USAID launches the Zambia Integrated Health Program (ZIHP). A six-year, US$41 million project, ZIHP works in selected districts to meet the needs of adolescents, pregnant women, those caring for children, and people needing services and information regarding HIV, malaria and reproductive health.
2000

The Zambian government begins a five-year plan to address HIV/AIDS.

PPAZ conducts a strategic planning exercise and resolves to focus its work on young people for the next five years.
2001

USAID names Zambia as one of four “rapid scale-up” countries for HIV/AIDS assistance.

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

PPAZ rejects the terms of the gag rule and loses 24 percent of its core grant from the International Planned Parenthood Federation (IPPF); IPPF also refuses the terms of the gag rule. PPAZ loses support from the USAID-supported ZIHP project for integrated family planning, malaria and nutrition activities
in rural areas.
2004

The ZIHP project ends.
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A Closer Look

Population: 11.7 million (2005)

Percentage of women aged 15-49: 45%

Contraceptive prevalence
(natural and modern methods): 34%

HIV prevalence in adults aged 15-49: 17%

Average births per woman: 5.2

Percentage of population aged 24 or younger: 68%

Life expectancy: 39 years

Abortion policy: Abortion is technically legal but extremely difficult to obtain. A woman must first consult with and then get the approval of three physicians before she can go to one of the few facilities that perform the procedure.

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