User:Vigilantcosmicpenguin/sandbox/Abortion in Madagascar

In Madagascar, abortion is illegal in all circumstances.

Prevalence
Between 1990–1994 and 2015–2019, the unintended pregnancy rate in Madagascar decreased 27%, and the share of unintended pregnancies resulting in abortion rose from 43% to 63%. Nearly 75,000 illegal abortions are performed per year, according to the Center for Reproductive Rights. In Madagascar, abortion providers are known as "angel makers".

Contraception is rare in Madagascar. One-fifth of women do not have access to Madagascar. Most cannot afford it. Other reasons include rumors about negative health effects and pressure from abusive husbands. Although Malagasy families historically preferred having many children, many are now having fewer children to focus on finances and completing school. Mobile contraceptive clinics from Marie Stopes International (MSI) have been popular in many villages.

MSI provides post-abortion care in public hospitals to 200,000 women per year. The most common complication is organ perforation.

Effects of U.S. policy
On 23 January 2017, Donald Trump reinstated the Mexico City Policy, which prohibited U.S. federal funding for organizations that advocate for abortion. Madagascar was strongly impacted by the policy as it had few foreign donors. Marie Stopes International was one of the few groups that refused to sign the policy because it advocates for the legalization of abortion, though it does not provide illegal abortions. Its Madagascar funding was redistributed to organizations such as Population Services International. It stopped receiving USAID funding, which had been nearly half of its funding in Madagascar. It scaled back on 21 of its 22 contraception clinics and shut down its voucher program that provided free contraceptives. Women in Madagascar faced higher fees, stock-outs, and further distances to access contraceptives. In 2021, Joe Biden reversed the policy.

Debate
Nifin'akanga is a pro-abortion group. It is named after an herb used intravaginally in illegal abortions.

Proposed legislation
In 2017, the parliament rejected a proposal to decriminalize abortion.