Rio de Janeiro, November 2024 – The International Planned Parenthood Federation’s Americas and the Caribbean Regional Office (IPPF ACRO) has been at the forefront of advocacy efforts, urging the G20 to address the escalating crisis in Haiti. During the Civil 20 (C20) Engagement Group discussions, IPPF ACRO played a key role in driving forward a joint statement that calls on the G20, under Brazil’s presidency, to take decisive action to support Haiti amidst its deepening humanitarian emergencies.  The statement, delivered to Brazilian President Luiz Inácio Lula da Silva, highlights the alarming political instability and escalating violence in Haiti, which have severely impacted vulnerable populations. According to the International Organization for Migration (IOM), at least 35,000 people have fled their homes since early 2024, and over 600,000 Haitians are now displaced. The compounded crises have severely threatened fundamental rights, particularly the sexual and reproductive health and rights of women and girls in all their diversity, who face heightened risks of gender-based violence.  Throughout this year, IPPF ACRO has consistently championed the inclusion of Haiti’s crisis on the G20 agenda. “The situation in Haiti is a stark reminder of the vulnerabilities faced by the Caribbean in the face of climate change, political instability, and deep-seated inequality,” said Alessandra Nilo, C20 Sherpa and IPPF ACRO’s External Relations Director. “We pushed for this statement because it is imperative that the G20, especially under Brazil’s leadership, acknowledges the urgent need for action. Women and girls in Haiti are bearing the brunt of this crisis, and they cannot wait any longer for the international community to act.”  Jeffthanie Mathurin, midwife, Member of the Board of Trustees and spokesperson of the Midwife Association of Haiti, IPPF Member Association in the country, further emphasized the urgency of the situation: “The time has come for social solidarity to transition from words to actions, from statements to safeguards, from declarations to transformations. Stand with Haiti, stand with our midwives, with our women and girls, and with every community affected by this crisis. Together, let us ensure that our shared humanity does not turn into a fleeting ideal, but rather a strong force for peace, dignity, and justice for all Haitians.”  IPPF ACRO remains committed to centering the voices of local organizations and communities in the response to Haiti’s crisis. “We believe in a response that prioritizes the rights and needs of those most affected, particularly in access to critical maternal health care and sexual and reproductive health services,” emphasized Eugenia López Uribe, Regional Director of IPPF ACRO. “We call on the G20 leaders to recognize that true resilience and recovery for Haiti must be rooted in ensuring the fundamental rights of its people, especially women and girls.”  The joint statement by the C20, Women 20, and Labour 20 Engagement Groups calls on the G20 to speak out in favor of restructuring Haiti’s healthcare system, including essential maternal health care and sexual and reproductive health services. The statement urges G20 leaders to include a commitment in the official Communiqué for zero tolerance towards sexual and gender-based violence and immediate protection measures for women, children, and those most at risk in Haiti.  “At a time of multiple global crises, we cannot forget Haiti,” added Nilo. “Decades of colonial exploitation, compounded by climate impacts, have created the conditions for today’s instability. The G20 must step up and commit to a future where human rights are protected, and no one is left behind.”      About the International Planned Parenthood Federation (IPPF) and the Americas & the Caribbean Regional Office (IPPF ACRO)  IPPF is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 150 Member Associations and Collaborative Partners with a presence in over 146 countries. we have focused our work on advocating for sexual and reproductive health and rights across the region, with a special focus on abortion, contraception, maternal health, comprehensive sexuality education, child marriage and early unions, LGBTQ+ people, and HIV care.  At the IPPF Americas and the Caribbean Regional Office (IPPF ACRO), we take pride in being local through our Member Associations and Collaborative Partners ,present in 30 countries of our region:  Antigua & Barbuda, Argentina, Aruba, Bahamas, Barbados, Bolivia, Brazil, Canada, Chile, Colombia, Cuba, Curaçao, Dominica, Ecuador, Guadalupe, Guatemala, Granada, Guyana, Haïti, Honduras, Jamaica, Mexico, Paraguay, Peru, St. Lucia, St Vincent & the Grenadines, Suriname, Trinidad & Tobago, and the United States of America.  For more information: Andrea Alcalá Frutos +52 (33) 1409 6790 

In the aftermath of Hurricane Beryl, the Grenada Planned Parenthood Association (GPPA) is committed to all people’s health and well-being. As the consequences of the hurricane might have disrupted access to essential services and basic needs, they continue to offer them in this humanitarian context.  Here’s how they can help:  Sexual and reproductive healthcare:They offer a range of confidential services, including Contraception, STI testing and counselling. Emergency contraception: Need Plan B? They can help. Prenatal care: They provide comprehensive prenatal care services to ensure the health of both mothers and babies.  GPPA understands disasters can take a toll on Reproductive health. If you have any questions or need to schdule an appointment, call/message at 440-3341/ 403-3341 

Beyond Civil Unrest: Understanding the Crisis in Haiti and the Path Forward by Eugenia López Uribe, Regional Director at IPPF ACRO     The recent episodes of violence on Haiti quickly made headlines worldwide through media outlets that exploit the image of a country in perpetual crisis, often neglecting the reasons behind it. This insufficient approach not only makes it challenging to understand the context but also to devise effective responses to it. In Haiti, we see the ravages of a colonial history deeply rooted in slavery, interventionism from the global North, natural disasters exacerbated by climate change, the democratic void of an illegitimate state, and an international framework that has historically refused to work together with local actors to find solutions. As organizations and individuals working for human rights, it is our responsibility to prioritize a more concrete response to the Haitian people and to articulate a strategy to mitigate the social and political effects in the rest of the region. In terms of migration, for instance, according to the United Nations, out of Haiti's 11.5 million inhabitants, at least 35,000 have fled their homes since the beginning of 2024 due to the escalating crisis, and over 362,000 have been displaced by violence. According to Human Rights Watch, more than 63,000 people from Haiti crossed the Darien Gap, one of the most dangerous points on the migratory route to North America, between January 2022 and November 2023, risking their lives to escape what is happening on the island. As a counterpoint, according to the International Organization for Migration, in March of this year, 13,000 people were forced to return amid the unfolding crisis. This figure is 46% higher than that of February. We cannot overlook the role of the arms industry, which thrives at the expense of the lives of thousands of people in vulnerable situations. Haiti is part of a list of territories struggling to survive in situations of armed conflict and violence around the world, such as Palestine, Yemen, Sudan, Congo, Syria, and Afghanistan, to name a few. In recent months, we have seen powerful and significant mobilizations that bring us closer to the reality of Africa and the Middle East. However, today we have a humanitarian situation in our region that also requires our attention and resources. The sexual and reproductive health of all individuals, but especially women and girls, in all their diversity, is under imminent threat. The United Nations Integrated Office in Haiti warns that if the situation continues like this, 3,000 pregnant women will not be able to access the medical care they need. This means that nearly 450 women could experience complications during childbirth that could endanger their lives if they do not receive proper care. Furthermore, the risk of being victims of sexual assault and abuse is growing even more in Haiti. The lack of access to gender-based violence services in internally displaced persons camps exacerbates the situation for victims and exposes them to a higher risk of experiencing further abuse. In the past, there have been many efforts to "support" Haiti. However, they have not significantly involved the country's population or the local groups and organizations that have been mitigating the effects of instability for decades. Those who have the experience and knowledge about the root causes of the issues facing Haiti are those who live them. It is urgent not only to involve them in the solutions but also to follow their leadership, invest in the strategies they deem priorities, and address their demands for transparency and accountability throughout the process. What is happening in Haiti today is, above all, the result of colonialism that has hindered the development and construction of an independent state. To de-escalate violence and restore damage in situations like Haiti's, something we can learn from its own history is the urgent need to listen to, empower, and finance local efforts and strategies to begin building a path towards peace and stability.   This text was written by Eugenia López Uribe, Regional Director at IPPF ACRO. Eugenia is an experienced advocate for gender equality and sexual and reproductive rights, promoting innovation in the delivery of health services from a human rights perspective. She has worked with rural and indigenous people, adolescents, youth, LGBTQI+ populations, sex workers and women with HIV in Latin America and the Caribbean.

IPPF works to ensure people are free to make choices about their sexuality and well-being, in a world free from discrimination. The Federation is active in over 140 countries. In the Americas and the Caribbean, our dynamic network includes affiliates in 29 countries to advance gender equality and sexual and reproductive rights and justice. The network comprises Member Associations (MAs), associate members and collaborative partners. Staff, youth advocates, and volunteers provide essential, rights-based healthcare and education to over 4.2 million people every year. We are leading service providers, advocates, activists, and vocal defenders of sexual and reproductive rights and justice in challenging political and social environments. Every day, we serve our communities in all their diversity, including women, adolescents and young people, girls, people with disabilities, migrants, LGBTIQ+ people, indigenous and rural people, Afro-descendants, people living with HIV, and sex workers.

The IPPF Americas and Caribbean Team (ACRO), together with representatives of Member Associations from Colombia, Trinidad and Tobago, Peru, and Ecuador met in Bogota in March 2022 for a training on implementation of the Minimum Initial Service Package on Sexual and Reproductive Health in humanitarian settings and on addressing gender-based violence led by the IPPF Humanitarian Team. Nearly 40 participants had the opportunity to update their knowledge and learn about new approaches to implementing humanitarian responses in Sexual and Reproductive Health, as well as share their experiences with the implementation of humanitarian responses in the diverse regional context of the Americas and the Caribbean, with particular emphasis on the Venezuelan migration crisis. During the training week, special relevance was given to the issue of coordinating efforts in humanitarian response with other allied actors as well as among the different IPPF Member Associations in the region because the Venezuelan migration crisis is a regional phenomenon. People from Venezuela, especially women, adolescents, and girls, are forced to leave their country due to the precarious economic situation, political instability, insecurity, lack of basic health care, and in other cases due to threats to their lives. They seek refuge in other countries in the region, with Colombia and Peru being the main destinations.  Migrants, who travel through entire countries to reach their final destination, face enormous difficulties and barriers in accessing health services in general and sexual and reproductive health services in particular, as well as discrimination and stigma. That through the humanitarian response they access programs and services provided by IPPF Member Associations, including STI and HIV diagnosis and treatment services, family planning, safe abortion care, and survivors of gender-based violence. IPPF Global and ACRO humanitarian team visit to key health care points for migrants from Venezuela. The humanitarian team had the opportunity to visit the points where services are being provided as part of the humanitarian response to Venezuelan migration in the cities of Cúcuta and Santander, which allowed them to learn more about the ongoing response in Colombia, a country that as of January 2021 has received more than 1,700,000 migrants from the neighboring country, according to data from Migration Colombia. IPPF's Humanitarian Program contributes to the consolidation of an innovative model for sexual and reproductive health and rights in crisis situations, connecting key elements of humanitarian action with long-term development. We are one of the world's largest providers of sexual and reproductive health services in emergencies. Sexual and reproductive health and rights in crisis The need for women's reproductive health care is not suspended in crises. A quarter of those affected by crises worldwide are women and girls between the ages of 15 and 49. One in five women is likely to be pregnant and one and five of all births will experience complications. In crisis settings, there is also an increased risk of child, early and forced marriages and unions, sexual violence, unsafe abortions, and unassisted childbirth. Transmission rates of STIs, including HIV, also increase in emergencies.   During crises, we work closely with our clinics on the ground to provide life-saving care to people in need. Our mobile health clinics bring comprehensive services to where they are needed by people affected by the crisis.  

At her desk in the small, quiet office, sits an extraordinary Cuban physician and educator, whose accolades are second to none. Today, she is neither writing nor teaching on the advances in medical science, but rather, she is focused on her mobile phone. Engaged in a video call, she listens attentively to the person with whom she speaks. She shuffles in her chair, only for a brief moment, as if to make herself more comfortable and even more attentive. To Dr. Camejo, this is not just a job, this is her way of being present for a community that is in dire need of her help.   Four days a week, Dr. Mabel Camejo conducts TeleHealth, a telemedicine service initiated by the Family Planning Association of Trinidad and Tobago (FPATT) specifically for the Venezuelan and Cuban migrant communities. Her clients consider this service a god-send, as it allows them to book 30-minute consultations over WhatsApp video call. During the call, Dr. Camejo assesses and diagnoses her clients’ illnesses and prescribes medication if needed. If the client needs to be examined, she refers them to the FPATT clinic for hands- on assessment.    “My patients love it here. Many of them just don’t have the money or time to come in to the clinic for an appointment. If they have to take time off from work and that means no income for the day, but it’s easy when they can pick up the phone and send a message or take a call to get the same advice or treatment,” she notes.   Dr. Camejo recalls how technology has advanced since her practice in Cuba over 10 years ago. “In Cuba, the doctors go to the patient’s home so that we can chat with the whole family about how they can help the patient recover – whether it means reducing stress in the home, or cooking with less salt or sugar. There, we have to be the doctor for the entire family. Here, now in Trinidad, we get to do the same with TeleHealth. On the consultation call, we can address the whole family so that everyone understands the recovery path forward,” she said. “When people need help, you just have to help” With over 30 years of practicing medicine, Dr. Camejo specializes in gynecology, pediatrics and post-natal care but says that most of her migrant clients come in with a much wider range of ailments.  “Breast cancer is one I see very often. Then there is polycystic ovaries, diabetes, vaginal infections and even osteoarthritis. These women have been managing chronic illnesses that need constant and consistent treatment but because they cannot get medicine in Venezuela, they have to leave what they know as home to come here to Trinidad. It’s their only chance to survive,” she lamented.   Current policies in Trinidad and Tobago have prevented the migrants from accessing the public health care system unless they need pre-natal or emergency healthcare, so many of them with existing chronic illnesses have no other choice but to seek private care, which can be almost half of their weekly salary. However, FPATT’s mandate is to fight for equal Sexual and Reproductive Health Rights for all persons living within the nation’s borders and that includes the communities that need it the most.  In January 2020, FPATT launched an 8-module Zoom series for the migrant community that focused on the topics that were most critical to helping them integrate into their new home and culture. The structure was based on the IPPF’s One Curriculum, but designed to suit the needs of Trinidad and Tobago’s unique context. Dr. Camejo spoke from her expertise in Sexual and Reproductive Health, highlighting the use of contraceptives for planned pregnancies and the importance of regular pap smears to reduce the risk of cervical cancer.  “It’s information that they desperately need. They are in a new country, everything is different, including the systems, the culture and the food. They appreciate faces and voices that are familiar, sharing information that could save their lives,” she said. “This is what I love to do as a doctor. Since I was a little girl in Havana, I would watch my father speaking to his clients and he would be so careful with them and they would be so grateful that he came to see them. I feel the same way when I get to share and communicate with my clients. When people need help, you just have to help.” Dr. Mabel Camejo has been with FPATT for over 3 years and looks forward to serving the local Venezuelans and Cubans as long as she can. A migrant herself, she understands the intrinsic and changing needs of this community and continues to help FPATT tailor its services to ensure that equal opportunities in sexual and reproductive healthcare are afforded to all.          

IPPF’s Strategic Framework (SF) 2016-2022 commits the organisation to lead a locally-owned globally connected movement that provides and enables services, and champions sexual and reproductive health and rights (SRHR) for all. Increasing numbers of people face crises or live in chronically insecure settings. In recent years we have scaled up the number of sexual and reproductive health services and information provided to people in emergencies from 1.3m in 2013 to 3.2m in 2016, but we can do much more. The goal of this strategy is to improve access to life-saving SRHR for crisis-affected people in all their diversity. As the situation normalises after a crisis, we aim to leave behind stronger MAs sustaining quality services to diverse populations. IPPF’s model for SRHR in crisis connects the key elements of humanitarian action (prevention and preparedness, response, recovery and resilience) with long-term, equitable development.