Facts about U.S. International Family Planning Funding and
Policy
How
much has the United States contributed to international family planning
programs?
U.S. funding for international family
planning peaked in 1995 after agreements reached at the 1994 United Nations
International Conference on Population and Development, and has faced funding
cuts and policy restrictions since that time:
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In 1995, the United States led the community of donor
nations in addressing the urgent and growing global need for family planning
services. U.S. funding for these programs—an area of leadership for the United
States since the mid-1960s—reached $542 million in bilateral assistance through
the U.S. Agency for International Development (USAID). The U.S. contribution to
the United Nations Population Fund (UNFPA) was $35 million.
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For FY1996, Congress enacted draconian cuts to family
planning assistance and held U.S. funding to about 30 percent less than 1995
levels until FY 2001. In FY1999,
Congress completely eliminated U.S. funding for UNFPA.
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For FY2001, funding was partially restored--to $425
million for USAID and $25 million for UNFPA. However, as part of a compromise
that secured the funding bill’s passage, USAID’s funds could not be spent until
Feb. 15, 2001, allowing the future U.S. president to make further decisions
about policy surrounding international family planning programs.
What
is the “Mexico City” policy and what is the “Global Gag Rule”?
The “Mexico City” policy was issued by President Reagan in
1984. Named after a population conference held in Mexico City, it prohibited organizations
that received U.S. funds from counseling women about abortion services legal
within their own countries; from speaking out on abortion issues, even during
democratic policy debate; or from performing legal abortion services, even with
their own funds. The restrictions were never enacted into law but were enforced
as executive branch policy from 1984 until President Clinton repealed them in
his first few days of office in early 1993.
The “Global Gag Rule” became law for the first time as part of
the FY2000 Foreign Operations Appropriations bill, a compromise between the
Clinton Administration and congressional leaders to release $900 million in
unpaid dues to the United Nations. The gag rule was struck from the FY2001
spending bill, but international family planning funds were held up until Feb.
15, 2001 to secure the bill’s passage—allowing further policy decisions to be
made after President Clinton left office.
The “Global Gag Rule” in the FY2000 Appropriations bill
prohibited foreign groups that received U.S. international family planning
assistance from lobbying for or against abortion laws in their own
countries—prohibiting them from participating in the democratic process, even
with their own funds. It also prohibited clinics from using their own money to
perform legal abortion services.
Don’t the “Mexico City” and “Global Gag Rule” policies just ensure that
no U.S. government funds pay for abortions abroad?
No. Longstanding current law already keeps U.S. taxpayer funds
from paying for abortions abroad. Since 1973, the Foreign Assistance Act has
prohibited the use of U.S. funds for any abortion services overseas. The gag
rule and other restrictions on family planning programs confuse the issue by
restricting speech.
Why
should the United States support family planning programs in other countries?
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Americans
overwhelmingly support family planning.
A 1998 poll by RAND found that 92 percent of Americans support the right
to plan one’s family, and 80 percent support international family planning
services.
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Family planning
is a basic right and something people want worldwide. Some 150 million married women already
indicate a desire to plan their families, but lack access to family planning,
which includes information, health screening, counseling, and contraceptive
services.
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Demand for family
planning is growing. The largest
generation of young people in history is now or will soon be entering their
prime reproductive years: three billion of the six billion people alive today
are under age 25.
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Family planning
saves women’s lives. International family planning programs actually reduce abortions by providing vital public health services abroad.
They offer maternal health care, HIV/AIDS prevention, and education in nutrition
and sanitation, as well as access to contraceptives, and they are often the
only basic health care for anyone for miles around. Nearly 500,000 women
die each year in pregnancy and childbirth, and some 150 million married women
already indicate the desire to plan their families but lack access to family
planning and reproductive health services.
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Family planning
saves children’s lives. More than 11 million children under the age of five
die every year in the developing world, many due to births that come too close
together, too early or too late in a woman’s life. Family planning could
prevent 25 percent of these deaths—about three million children a year—by
helping women to space births at least two years apart, and to bear children
during their healthiest reproductive years.
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Slower population
growth can help alleviate environmental stress. Access to fresh water, the conservation of forests, and the
preservation of species-rich habitats can all benefit from slower population
growth. For example, the latest water data and population projections indicate
that between 2.4 billion and 3.2 billion people may live in either water-scarce
or water-stressed conditions by 2025. While these figures are many times more
than the 500 million people currently living in such conditions, they are still
lower than projections made in the early 1990s–thanks to population growth that
was slower than expected during the past decade.
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Family planning
is an important arena of international cooperation. Responding to requests from developing
countries in the 1960s, the United States and Sweden were the first wealthy
countries to provide family planning assistance. Today, the donor community includes 21 countries, the European
Union, the World Bank and UNFPA, working in partnership with more than 150
developing countries to help meet the growing demand for family planning and
other reproductive health services.
* For more
information, contact: Cecilia Snyder of
the Communications Consortium Media Center (CCMC)
January 2001