The International Sexual and Reproductive Rights Coalition (ISRRC) celebrates the 30th anniversary of the International Conference on Population and Development Programme of Action (ICPD PoA) and the outcomes of its reviews and its transformative impact on the lives of women, adolescents, girls, and structurally excluded groups across all regions.

Climate change is exerting multifaceted pressures on comprehensive sexual and reproductive health care for women and girls, according to Ipas research in countries around the world. As global temperatures soar and extreme weather events intensify, access to essential services—including family planning, pregnancy care and abortion—becomes increasingly difficult.

Our research has shown that displacement, resource scarcity, and breakdowns in social order amidst environmental crises create fertile ground for exploitation and abuse, particularly affecting women and girls.

With damaged facilities, dwindling supplies, overwhelmed providers and sometimes even floods and fires literally blocking access to services, health systems impacted by climate change are unable to meet the sexual and reproductive health needs of their communities.

Indigenous communities, often located in fragile, remote ecosystems, bear the immediate brunt of climate change impacts. This worsens existing socio-economic disparities for Indigenous people and threatens their health, income and cultural practices.

In this report, we are proud to share some of the key impacts of our work in 2023. 

Dr. Deeb Shrestha Dango, a dedicated OB-GYN and head of health systems and policy for Ipas Nepal, has stood at the forefront of this transformation. Navigating a shifting landscape of abortion rights and stigma, she has fought to expand abortion access in Nepal for over twenty years.

Piloted in Guatemala in 2023 and formally launched in Uganda in February 2024, Protego is a threat to existing international human rights frameworks.