The Trump Effect on Sexual Health in Africa

By Robert Wyrod

As the Trump presidency enters its third month, we are beginning to see the implications for the U.S. role in promoting global sexual health. Trump’s reinstatement and expansion of the Mexico City Policy, aka the global gag rule, has rightfully received much attention. By prohibiting U.S. foreign aid from funding any organization providing or promoting abortions, it severely limits America’s ability to improve sexual health in the Global South. For the many health clinics across Africa that rely on U.S. funding for reproductive health and family-planning services, this may likely mean dramatically scaling back services or shuttering clinics.

Efforts are underway to challenge the reinstatement, most prominently the Global Health, Empowerment, and Rights (HER) Act led by Senator Jeanne Shaheen (D-NH). But there is another, less-discussed issue that could have an even greater impact on sexual health worldwide, especially in Africa. Will Trump defund the President’s Emergency Plan for AIDS Relief? The PEPFAR program, launched in 2004 during the George W. Bush administration, is the largest health initiative in history focused on fighting a single disease. To date, over $70 billion has been spent on PEPFAR programs, mostly in sub-Saharan Africa. This makes PEPFAR a tempting target for the current administration, especially given Trump’s deep skepticism of foreign aid. In mid-January, the Trump transition team sent a series of pointed questions to the State Department about U.S. aid to Africa, asking “Is PEPFAR becoming a massive, international entitlement program?” Continue reading “The Trump Effect on Sexual Health in Africa”

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