Resources

You wouldn’t expect access to contraception to be an issue in EU countries such as Spain. But too many girls and women are still being denied the freedom to make their own reproductive choices. And it is vulnerable people who face the greatest obstacles when it comes to accessing this basic healthcare. In this video by our Spanish member FPFE, we meet Olga, Deli, Lidia, Barbara and Sandra, five young women struggling to overcome barriers in the Spanish system. These range from prohibitive costs, bureaucratic hurdles and the exclusion of immigrant women from the public health system, to the failure to ensure that all young people receive sex and relationships education and can use health care services that are adapted to their specific needs. Contraception is not a luxury. It’s a healthcare issue. And a human right.

In Romania, more than 600 girls aged 10-15 become mothers every year, and almost 10% of new mothers are younger than 19! This video by our Romanian member SECS tells the story of the tens of thousands of young "pigeons" in their country who become parents too early because they are denied contraceptive care and sexuality education. #idecide  

This new toolkit aims to support young people in Eastern Europe and Central Asia who are particularly vulnerable to HIV infection and are facing widespread stigma, discrimination and violence. “Health, rights and well-being” is a practical guide for programming on HIV and sexual and reproductive health care with young key populations in Eastern Europe and Central Asia, available in both English and Russian. It was developed on the basis of discussions in eight countries with young people from groups that are most at risk of HIV infection: sex workers, drug users, men who have sex with men and prisoners. The toolkit describes the situations they face, policy and legal contexts, and includes examples of good practice and tips for implementing successful programmes from the young people themselves. We believe that it provides very practical support to all those working to ensure that the rights of these young people are met, that discrimination is stopped, and that they can fulfil their potential. The guide is designed for public health care professionals, health workers, managers of HIV and SRHR programmes and NGOs, including community groups. We hope that it will also be of interest for international funding organisations as well as advocates and decision-makers.  

This article was written in September 2017. Since then, thanks to the work of NGOs including our member HERA, Macedonia’s government has committed to providing long-term funding for all HIV programmes for marginalised people. Although HIV prevalence is low in Macedonia, with only 151 people registered as living with HIV, these small numbers mask a complex picture, and one that is rapidly changing. In 2016, there were 40 new HIV diagnoses, the majority of them among men who have sex with men.  Macedonia is not alone in facing a rise in HIV cases. In many parts of Central and Eastern Europe, the rate of new infections is growing. Between 2010 and 2015, the region saw a 50 per cent rise in new HIV infections annually. Another looming problem that threatens to send Macedonian HIV rates spiralling upwards is a funding crisis precipitated by donor cutbacks and political uncertainty. Between 2004 and 2016, Macedonian HIV programmes received almost $25 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Much of this money was channelled into HIV prevention, funding NGOs that target those deemed most vulnerable to infection – sex workers, people who inject drugs, men who have sex with men and prisoners. But in 2016 this funding was phased out and NGOs on the frontline are left hoping that the new government will deliver fully on a recent commitment to step in with similar levels of funding in 2018. In the chasm left by the country’s public healthcare system, Macedonia’s sexual health and rights NGOs work tirelessly to plug the gap, often on a shoestring and in an increasingly uncertain funding landscape. HERA, IPPF's member in Macedonia, is a leading NGO providing free HIV testing services, sexual health support and advocacy. It works closely with smaller organisations around the country to ensure support for young people, sex workers, people who inject drugs and men who have sex with men. These NGOs are many people’s first port of call for HIV tests and other vital health care.  

Our member SRH Serbia (the Serbian Association for Sexual and Reproductive Health and Rights) decided to challenge gender stereotypes in Serbian society through the act of theatre-based workshops, in partnership with IPAK Center. In a country where social issues like gender are rarely a serious part of public debate, boys and girls taking part literally walk in one another's shoes to help challenge and dismantle 'gender roles'. As SRH Serbia's Dragana Stojanović says, "gender roles are merely roles that we are playing all our lives, and this is why playing them on the stage makes perfect sense." The project was funded by IPPF's Innovation Fund.

In 2016, IPPF EN continued to support our members and partners in Europe and Central Asia in the fight to make sexual and reproductive health and rights (SRHR) a reality for all. Our focus was, as always, on helping women and young people who are neglected by governments, or attacked by regressive forces that seek to control the bodies and lives of others. This annual report presents some of the highlights of our work. These include championing women’s rights at a time when reproductive bullying is on the rise, helping to ensure that governments deliver on SRHR and gender equality, including in the Global South, and paving the way for increasing numbers of young people to develop crucial life skills through sex and relationships education. In the world’s only region with rising levels of HIV infections, we worked to ensure that the most vulnerable young people don’t slip through the cracks as donors pull out and governments fail to step up, and we helped ensure that life-saving sexual and reproductive health care is not overlooked in humanitarian emergencies, where women and girls are always at greatest risk.