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PLGHA-Compliance Frequently Asked Questions

Overview

The IAWG has addressed some frequently asked questions about complying with the Trump administration executive action “Protecting Life in Global Health Assistance” (PLGHA), which are intended to guide organizations’ engagement and implementation of the MISP and IAFM while PLGHA is in place.

What has been redacted in these PLGHA-compliant materials?

Parts of the IAFM chapter on safe abortion care (Chapter 8) and the SAC additional priority of the MISP have been redacted in the PLGHA-compliant materials, as have other specific references to advocacy and the provision of safe abortion care (SAC) in instances other than rape, incest, or to save the life of a pregnant woman.

Can or should my PLGHA-compliant organization implement the MISP?

Yes!

  • All organizations working in an emergency response have the responsibility to implement the MISP, a humanitarian standard and a set of life-saving interventions.
  • PLGHA-compliant organizations can implement the MISP, with the exception of portions of the SAC additional priority activity, which has been redacted in these documents.
  • Coordination of activities is critical in any emergency and is the first Objective of the MISP. All organizations should participate in the Reproductive Health (RH) working group to facilitate coordinated action. Note: RH working groups often coordinate among organizations that are implementing specific components of the MISP to ensure that the full MISP is implemented to meet the needs of the population.

Can my PLGHA-compliant organization talk about / share information on the MISP?

Yes!

  • The MISP is a set of life-saving interventions that your organization can promote and provide, with the exception of portions of the SAC additional priority activity.
  • PLGHA-compliant organizations can implement, promote and share information about the MISP, with the exception of portions of the SAC additional priority activity, which has been redacted in the PLGHA-compliant MISP fact sheet and PLGHA-compliant IAFM.
  • PLGHA-compliant organizations can additionally share information about the MISP and the IAFM through the redacted materials that have been developed.
  • PLGHA-compliant organizations are always permitted to promote/support and implement programming and service provision for:
    • SAC in cases of rape, incest or to save the life of the woman
    • PAC
    • Contraception including EC

When should my PLGHA-compliant organization use and/or disseminate these materials?

  • If you are a non-US based, PLGHA-compliant organization, you should use the redacted versions of the MISP fact sheet or IAFM for all of your work.
  • If you are a US-based organization, you should use these documents only when the work you are engaged in requires PLGHA-compliance. In all other cases, you should disseminate the complete version of the MISP fact sheet or IAFM.
  • If you are unsure whether your organization or the work in which you are engaged requires PLGHA-compliance, seek guidance from your organization or from the contacts below.

Can my PLGHA-compliant organization give or receive funds to implement the MISP?

  • The MISP, with the exception of portions of the SAC additional priority activity, is compliant with PLGHA.
  • If your organization is PLGHA-compliant, you can still fund PLGHA-compliant activities of the MISP; however, you must additionally enforce PLGHA compliance on all sub-grantees, including those that receive non-US government funds.
  • You can receive funds from other organizations to implement PLGHA compliant activities, even if those organizations themselves do not comply with PLGHA.

Can my PLGHA-compliant organization conduct training on the MISP and the IAFM?

Your PLGHA-compliant organization can conduct training on all aspects of the redacted MISP fact sheet and redacted IAFM.

Can my PLGHA-compliant organization’s staff participate in a MISP training conducted by another organization?

  • If the MISP training is compliant, you can fully participate in the entirety of the training.
  • If the MISP training contains non-compliant sections, you may still attend the training; attending trainings in which abortion is discussed alongside a significant number of other issues should not be considered promoting abortion. However, if your organization is particularly concerned, participants could recuse themselves for the non-compliant sessions.

Can my organization staff participate in a meeting (e.g. an RH working group meeting) where the MISP/IAFM are discussed?

Yes, coordination of activities is critical in any emergency and is the first Objective of the MISP. All organizations implementing SRH should participate in the RH working group meetings and may participate in other meetings in which abortion may be discussed alongside a significant number of other issues, as per the guidance above.

PLGHA may prohibit participation in discussions around SAC beyond cases of rape, incest, or to save the life of the woman. Participants from PLGHA-compliant organizations can recuse themselves for the non-compliant portion of the discussion.

More Questions?

IAWG developed this FAQ sheet and redacted the MISP fact sheet and IAFM to help organizations that are required to comply with the Trump administration executive action ‘Protecting Life in Global Health Assistance’ (PLGHA). They were reviewed by legal and policy experts but do not constitute legal guidance. The redacted MISP fact sheet and IAFM should be used only while PLGHA is in place.

These IAWG members are happy to answer questions and connect you to other resources:

Please see PAI link for more information on PLGHA.

Sexual and reproductive health services remain critical during COVID-19

IAWG members and partners are producing clinical and programmatic guidance, assessments, policy papers, and statements to ensure continued prioritization of sexual and reproductive health and rights throughout COVID-19 response in humanitarian settings.