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Trump Aid Cuts End Contraception Access for Millions of Women

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Trump Aid Cuts End Contraception Access for Millions of Women

The United States is ending its financial support for family planning programs in developing countries, cutting nearly 50 million women off from access to contraception.

This policy change has attracted little attention amid the wholesale dismantling of American foreign aid, but it stands to have enormous implications, including more maternal deaths and an overall increase in poverty. It derails an effort that had brought long-acting contraceptives to women in some of the poorest and most isolated parts of the world in recent years.

The United States provided about 40 percent of the funding governments contributed to family planning programs in 31 developing countries, some $600 million, in 2023, the last year for which data is available, according to KFF, a health research organization.

That American funding provided contraceptive devices and the medical services to deliver them to more than 47 million women and couples, which is estimated to have averted 17.1 million unintended pregnancies and 5.2 million unsafe abortions, according to an analysis by the Guttmacher Institute, a sexual health research organization. Without this annual contribution, 34,000 women could die from preventable maternal deaths each year, the Guttmacher calculation concluded.

“The magnitude of the impact is mind-boggling,” said Marie Ba, who leads the coordination team for the Ouagadougou Partnership, an initiative to accelerate investments and access to family planning in nine West African countries.

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The funding has been terminated as part of the Trump administration’s disassembling of the United States Agency for International Development. The State Department, into which the skeletal remains of U.S.A.I.D. was absorbed on Friday, did not reply to a request for comment on the decision to stop funding family planning. Secretary of State Marco Rubio has described the terminated aid projects as wasteful and not aligned with American strategic interest.

Support for family planning in the world’s poorest and most populous countries has been a consistent policy priority for both Democratic and Republican administrations for decades, seen as a bulwark against political instability. It also lowered the number of women seeking abortions.

Among the countries that will be significantly affected by the decision are Afghanistan, Ethiopia, Bangladesh, Yemen and the Democratic Republic of Congo.

The money to support international family planning programs is appropriated by Congress and was extended in the most recent spending bill that keeps the government operating through September. The move by the State Department to cut these and other aid programs is the subject of multiple lawsuits currently before federal courts.

The Trump administration has also terminated American funding for the United Nations’ sexual and reproductive health agency, U.N.F.P.A., which is the world’s largest procurer of contraceptives. The United States was the organization’s largest donor.

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Although the United States was not the sole supplier of contraception in any country, the abrupt termination of American funding has created chaos in the system and has already caused clinics to run out of products.

An estimated $27 million worth of family planning products already procured by U.S.A.I.D. are stuck at different points in the delivery system — on boats, in ports, in warehouses — with no programs or employees left to unload them or hand them over to governments, according to a former U.S.A.I.D. employee who was not authorized to speak to a reporter. One plan proposed by the new U.S.A.I.D. leadership in Washington is for remaining employees to destroy them.

Supply chain management was a major focus for U.S.A.I.D., across all areas of health, and the United States paid to move contraceptive supplies such as hormonal implants, for example, from manufacturers in Thailand to the port in Mombasa, Kenya, from where they were taken by trucks to warehouses across East Africa and then to local clinics.

“To put the pieces back together is going to be very difficult,” said Dr. Natalia Kanem, executive director of U.N.F.P.A. “Already this has had a catastrophic impact — it’s literally affecting millions of women and families. The poorest countries don’t have the resilient buffer.”

The United States also paid for data and information systems that helped governments track what was in stock and what they needed to order. None of those systems have operated since the Trump administration sent a stop-work order to all programs that received U.S.A.I.D. grants.

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Bellington Vwalika, a professor of obstetrics and gynecology at the University of Zambia, said that contraceptives had already begun to run short in some parts of the country, where the United States supplied a quarter of the national family planning budget.

“The affluent can buy the commodity they want — it is the poor people who have to think, ‘Between food and contraception, what should I get?’” he said.

Even before the United States pulled out of family planning programs, surveys found that globally, about 250 million women of reproductive age wished to avoid pregnancy but did not have access to a modern contraceptive method.

At the same time, there had been great progress. Demand for contraception has been rising steadily — with long-acting methods that offer women greater privacy and secure protection — in Africa, the region of the world with the lowest coverage. Supply has improved with better infrastructure that helped get products to rural areas. And “demand creation” projects, of which the United States was a major funder, used advertisements and social media to inform people about the range of contraceptive choices available and the advantages of spacing or delaying pregnancies. Women’s rising levels of education boosted demand, too.

Thelma Sibanda, a 27-year-old engineering graduate who lives in a low-income community on the edge of the Zimbabwean capital, Harare, two weeks ago received a hormonal implant that will prevent pregnancy for five years, at a free pop-up clinic run by Population Services Zimbabwe, which had a multiyear U.S.A.I.D. grant to deliver free family planning services.

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Ms. Sibanda has a 2-year-old son and says she cannot afford more children: She can’t find a job in Zimbabwe’s fractured economy, and neither can her husband. They subsist on the $150 he earns each month from a vegetable stand. She had been relying on “hope and faith and natural methods” to prevent another pregnancy since her son was born, Ms. Sibanda said, and had wished for something more reliable, but it simply wasn’t possible in her family’s budget — until the free clinic came to her neighborhood.

With its U.S.A.I.D. funding, the Zimbabwean organization that provided her implant last year was able to buy six sturdy Toyota vehicles and camping equipment so that an outreach team could travel to the most remote regions of the country, delivering vasectomies and IUDs in pop-up clinics. Since the Trump executive order, they have had to stop using all of that equipment.

The Zimbabwean organization is a branch of the international nonprofit MSI Reproductive Choices, which has stepped in with temporary funds so the teams can continue to provide free care for the women they can reach, such as Ms. Sibanda. MSI can cover the costs only until September.

Ms. Sibanda said her priority was providing the best possible education for her son, and because school fees are costly, that means no more children. But many African women have no way to make this kind of choice. In Uganda, while the national fertility rate is 4.5 children per woman, it’s not unusual to meet women in rural areas with limited education who have eight or 10 children, said Dr. Justine Bukenya, a lecturer in community health and behavioral science at Makerere University in Kampala. These women become pregnant for the first time as teenagers and have little space between pregnancies.

“By the time they are 30 they could have their 10th pregnancy — and these are the women who will be affected,” she said. “We are losing the opportunity to make progress with them. The United States was doing a very strong job here of creating demand for contraception with these women, and mobilizing young men and women to go for family planning.”

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Some women who have relied on free or low-cost service through public health systems may now try to buy contraceptives in the private market. But prices of pills, IUDs and other devices will most likely rise significantly without the guaranteed, large-volume purchases from the United States.

“As a result, women who previously relied on free or affordable options through public health systems may now be forced to turn to private sector sources — at prices they cannot afford,” said Karen Hong, chief of U.N.F.P.A.’s supply chain unit.

The next largest donors to family planning after the United States are the Netherlands, which provided about 17 percent of donor government funding in 2023, and Britain, with 13 percent. Both countries recently announced plans to cut their aid budgets by a third or more.

Ms. Ba said the focus in the West African countries where she works was mobilizing domestic resources and figuring out how governments can try to reallocate money to cover what the United States was supplying. Philanthropies such as the Gates Foundation and financial institutions including the World Bank, which are already significant contributors to family planning, may offer additional funding to try to keep products moving into countries.

“We were getting so optimistic — even with all the political instability in our region, we were adding millions more women using modern methods in the last few years,” Ms. Ba said. “And now all of it, the U.S. support, the policies, it’s all completely gone. The gaps are just too huge to fill.”

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Carney casts himself as NATO defender amid Trump beef, despite Canada missing key benchmark for decades

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Carney casts himself as NATO defender amid Trump beef, despite Canada missing key benchmark for decades

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Canadian Prime Minister Mark Carney defended his country’s NATO commitments after being pressed over alliance spending by President Donald Trump, insisting Ottawa meets the benchmark – even though Canada only reached the 2% defense target in 2025.

Speaking recently at a press conference in Monteregie, Quebec, Carney said Iran remains a “grave threat” to the Middle East and beyond and argued Canada is meeting its obligations to the alliance.

But Canada only reached NATO’s 2% defense spending benchmark in 2025, after spending years well below the target. Carney acknowledged Ottawa had not hit that mark since the Cold War, underscoring the vulnerability in his pushback to Trump.

“I’ll underscore that just a few weeks ago that we’ve met for the first time since the fall of the Berlin Wall our NATO commitments in terms of 2% defense spending,” Carney added. 

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ECONOMIST EDITOR SAYS EUROPEAN LEADERS NOW FEAR A TRUE NATO ‘DIVORCE’ AFTER TRUMP PULLOUT THREAT

Trump has blasted some NATO allies over what he sees as weak support during the Iran conflict, warning on Truth Social that the alliance “wasn’t there when we needed them and they won’t be there if we need them again.”

When a reporter pressed that Trump threatened to punish NATO, including conflict-averse members Germany and Spain, Carney boasted that Canada “meet[s] its NATO commitments.”

NATO’s 2014-2025 defense expenditure report estimated Canada’s defense spending at 1.01% of GDP in 2014, and below 1.5% through 2024 before reaching 2.01% in 2025.

NATO CHIEF SAYS WORLD IS ‘ABSOLUTELY’ SAFER UNDER TRUMP

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Meanwhile, NATO Secretary-General Mark Rutte has praised Trump for pushing allies to meet the 2% benchmark, as several Eastern Bloc nations have noticeably increased their tithes.

Over the past decade, U.S. defense spending has averaged roughly 3.3% of GDP, compared with about 1.3% for Canada. The U.S. GDP is also a higher gross figure than all other NATO members in dollars.

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Tensions between Canadian Prime Minister Mark Carney and U.S. President Donald Trump flared after the World Economic Forum in Davos, Switzerland. (Renaud Philippe/Bloomberg; Chip Somodevilla/Getty Images)

Greece and the U.K. have been the top two countries consistently contributing to NATO’s funding, while Canada, Spain, Belgium, the Czech Republic and Hungary all sit in the lower tier on average. The only outlier below them is Luxembourg, which contributes an average 0.6% of GDP to NATO, according to calculations made from the report’s figures.

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TRUMP LASHES OUT AT ‘SICK’ IRANIAN LEADERS, CONFIRMS ESTIMATED TIMELINE FOR ENDING WAR

Rutte previously made waves for appearing to refer to Trump as “daddy,” but said this week the Dutch-to-English translation was flawed and that he meant to refer to the president as a strong disciplinarian-like figure at a time when Trump was angry at both Israel and Iran.

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“In Dutch, you would say the translation of your father is ‘daddy’ and I would say hey, yeah, some time, Daddy has to be angry, so I wasn’t going to say [he’s my] daddy,” he said of a meeting between the two men in The Hague last June.

Rutte issued the response after being pressed on whether he still viewed Trump as “Daddy” or an ally amid the president’s issues with some member-nations.

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DHS advised immigrant children to self-deport until a California judge stepped in

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DHS advised immigrant children to self-deport until a California judge stepped in

Last September, the Department of Homeland Security started advising unaccompanied immigrant children that they could either self-deport or expect to face long-term detention.

But a federal judge in Los Angeles on Monday ordered the government to stop using such “blatantly coercive” language, ruling that the new advisals, as they are known, violated a 40-year-old court order that bans immigration agents from pressuring unaccompanied children to give up asylum claims and leave the U.S.

According to court documents, the legal advisal was given to recently detained immigrant children. Unaccompanied children are those in the country without a parent or legal guardian.

The minors were told they had the option to return to their country, that doing so would result in no administrative consequences and that they still could apply for a visa in the future.

But the children also were told that if they chose to seek a hearing with an immigration judge or indicated that they were afraid to leave the U.S., they could expect to be held at a detention facility “for a prolonged period of time.”

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Those who turned 18 while in custody would be turned over to Immigration and Customs Enforcement for deportation, they were told. The advisal, though generally passed on verbally, was written out in court documents by lawyers representing the immigrant children, which the government did not dispute.

“If your sponsor in the United States does not have legal immigration status, they will be subject to arrest and removal,” the advisals continued. “The sponsor may be subject to criminal prosecution for aiding your illegal entry.”

U.S. District Judge Michael W. Fitzgerald said that “such a threat disturbingly mirrors” the testimony of Jose Antonio Perez-Funez, a plaintiff in a 1980s class-action lawsuit challenging the tactics of immigration officers.

Perez-Funez, who was 16 when he was arrested near the Mexican border, testified in 1985 in Los Angeles federal court that he agreed to self-deport because federal officers said he would face lengthy detention if he didn’t return to El Salvador.

Perez-Funez’s case originally led the court to establish due process safeguards for immigrant children, giving them the right to speak with a relative or attorney before signing forms that waive their pursuit of legal protection.

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“The Government was thus already on notice that such a statement delivered in this environment is precisely the kind of inappropriate persuasion the Injunction sought to prevent,” Fitzgerald wrote.

Fitzgerald, a judge in the Central District of California, also denied a request by the federal government to end the permanent court-mandated safeguards for immigrant children altogether.

In response to a request for comment, U.S. Customs and Border Protection provided a statement, attributed to a spokesperson who wasn’t named, that the agency is following the law and protecting children. The agency said the advisal document explains to unaccompanied children their options available under federal law.

“Many unaccompanied minors are brought to the border by smugglers and face real risks of exploitation, which is why providing a clear, lawful advisal is essential,” the statement said. “It ensures they understand their rights and options — and for many who were trafficked or coerced, returning home to their family is the safest path.”

Unaccompanied children are first held by Homeland Security before being turned over to the Office of Refugee Resettlement, which is within the Department of Health and Human Services, for long-term housing. Federal law requires ORR to provide them with a legal consultation within 10 days.

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“It is difficult to imagine a scenario more coercive than the one faced by [unaccompanied immigrant children] in the 72 hours before they are transferred into ORR custody, particularly for noncitizen children who likely do not know whether they possess any rights at all,” Fitzgerald wrote in his order.

In declarations to the court, children wrote that they felt threatened by the government’s advisals. One minor, identified as D.A.T.M., said the threats to prosecute their parents and of long-term detention caused them to sign voluntary departure papers.

Mark Rosenbaum, an attorney at the pro bono law firm Public Counsel, helped secure the 1986 court order. He said his legal team discovered Homeland Security had changed the advisals only after a government attorney notified him in November that the agency was going to seek to end the court-mandated safeguards.

“I consider this a war on children — the most vulnerable population,” he said.

The government has until Thursday to decide whether it will appeal the judge’s ruling. Regardless, Rosenbaum said, his goal is to establish more aggressive monitoring of unaccompanied children’s cases to ensure their rights aren’t violated again.

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Trump blasts Spanberger ahead of Virginia meetings, says state faces tax base exodus like New York, California

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Trump blasts Spanberger ahead of Virginia meetings, says state faces tax base exodus like New York, California

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President Donald Trump slammed Virginia Gov. Abigail Spanberger ahead of meetings in the state Saturday, warning her policies are triggering a tax base exodus similar to New York and California.

Trump, in an early morning Truth Social post, said the Democratic governor had imposed a wave of taxes he argued were draining the state’s economic strength.

“She is adding so many Taxes, a Food and Beverage Tax, Digital Services Tax, Utilities Tax, and more,” Trump wrote. “It has lost its Energy, Vitality, and Strength. People are leaving that would never have even thought of doing so!”

Trump’s comments come as Republicans have criticized Democrats in the state legislature over a slate of tax and revenue proposals, warning the measures could hurt Virginia’s business climate, though the governor has not publicly supported or signed the measures referenced by Trump.

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GLENN YOUNGKIN ACCUSES GOV SPANBERGER OF ‘ILLEGAL AND UNCONSTITUTIONAL’ GERRYMANDERING IN VIRGINIA MAP FIGHT

Virginia Gov. Abigail Spanberger and President Donald Trump  (Marvin Joseph/Getty Images; Brendan Smilowski/AFP)

“New companies that signed to come into the Commonwealth under Governor Youngkin are now looking for ways to get out — Break their Deal,” he said.

The president, who said he was heading to Virginia for meetings at Trump National Golf Club, drew comparisons to high-tax states like New York and California, which he has frequently criticized.

“We have a similar situation in New York and, most of all, in California, where Rich, Job Producing people and companies are being forced to FLEE at levels never seen before,” Trump wrote.

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He added that California’s tax base was “literally disappearing” as wealthy individuals and corporations relocate, warning Virginia could face a similar trajectory.

VA DEM REJECTS ‘POWER GRAB’ CLAIMS ON SPANBERGER REDISTRICTING AS GOP WARNS 10–1 MAP WOULD SPLIT RURAL VOTE

The Virginia State Capitol during the inauguration ceremony of Virginia Gov. Abigail Spanberger in Richmond Jan. 17, 2026. (Kendall Warner/The Virginian-Pilot/Getty Images)

“Remember, once people and companies leave, they are never coming back!” Trump said.

Spanberger pushed back on the criticism in a post on X, arguing Trump and his allies were mischaracterizing her policies.

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“The president and his allies are talking about taxes that our state legislature never even voted on and I certainly didn’t sign,” she wrote. “Why? Because if they don’t flood the zone with fake news about fake taxes, people might hear about the bills I am signing to lower energy costs, strengthen our schools, make housing more affordable, and bring billions of dollars of business investment to Virginia.”

Spanberger has supported a broader set of revenue measures since taking office, including proposals targeting digital services and business activity, as part of an effort to fund priorities such as education and health care.

A spokesperson for Spanberger’s office also issued a statement criticizing Trump’s claims.

“Virginians are tired of Donald Trump’s lies,” the spokesperson told Fox News Digital. “Governor Spanberger has signed dozens of bipartisan bills to contend with high housing, healthcare and energy costs for Virginians — and not any of the taxes President Trump and his allies are lying about.”

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The spokesperson added that businesses have announced “more than $500 million in new investment in the commonwealth since Governor Spanberger took office in January,” while accusing Trump of focusing on politics instead of economic stability.

On Saturday, House Speaker Mike Johnson and former Virginia Gov. Glenn Youngkin also took aim at Spanberger as a state vote on redistricting approaches during a rally in Rockingham County opposing Democrats’ proposed 10-1 gerrymander ahead of the April 21 referendum election.

“She talks like a moderate, and she governs like a Marxist,” Johnson said. “I mean, this is serious stuff.”

Virginia Gov. Abigail Spanberger delivers the Democratic response to U.S. President Donald Trump’s State of the Union address on Feb. 24, 2026, in Williamsburg, Va. (Mike Kropf/Getty Images)

Johnson also warned that the outcome in Virginia could have national implications, citing the GOP’s narrow House majority.

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Youngkin, meanwhile, accused Spanberger of weakening public safety policies in the state.

“She says she’s going to stand for public safety, and she makes Virginia a sanctuary state after one of the most successful federal-state collaborations in the entire country,” Youngkin said. “We arrested thousands of violent criminals who are here illegally, and she put a stop to it.”

Spanberger defeated Republican Lt. Gov. Winsome Earle-Sears in the 2025 gubernatorial race, securing a Democratic win. Youngkin was not eligible for re-election under state law.

Spanberger campaigned on issues including health care and abortion rights, while positioning herself as a more moderate alternative despite GOP criticism of her voting record.

Fox News Digital’s Preston Mizell contributed to this report.

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