GUTTMACHER INSTITUTE INC
125 MAIDEN LANE 7TH FLOOR, NEW YORK, NY 10038 www.guttmacher.org

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Organizations Filed Purposes: THE GUTTMACHER INSTITUTE IS A LEADING RESEARCH AND POLICY ORGANIZATION COMMITTED TO ADVANCING SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN THE UNITED STATES AND GLOBALLY. THE INSTITUTE ENVISIONS A WORLD IN WHICH ALL PEOPLE ARE ABLE TO EXERCISE THEIR RIGHTS AND RESPONSIBILITIES REGARDING SEXUAL BEHAVIOR AND REPRODUCTION FREELY AND WITH DIGNITY. THE INSTITUTE PRODUCES A WIDE RANGE OF RESOURCES ON TOPICS PERTAINING TO SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS, INCLUDING TWO PEER-REVIEWED JOURNALS (PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH AND INTERNATIONAL PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH), THE GUTTMACHER POLICY REVIEW, AND A MULTITUDE OF REPORTS, ISSUE BRIEFS, FACT SHEETS AND INFOGRAPHICS. ITS WEBSITE RECEIVES 7.7 MILLION PAGE VIEWS ANNUALLY. GUTTMACHER IS THE RECIPIENT OF THE 2018 UN POPULATION AWARD.

IN 2019 WE PUBLISHED FINDINGS FROM OUR 18TH ABORTION PROVIDER CENSUS, THROUGH WHICH WE CONTACTED ALL KNOWN ABORTION PROVIDERS ACROSS THE UNITED STATES TO OBTAIN INFORMATION ON ALL ABORTIONS PROVIDED IN 2016 AND 2017. THESE DATA ARE USED WIDELY BY HEALTH CARE PROVIDERS, POLICYMAKERS, ADVOCATES, AND OTHER RESEARCHERS, AND THEY ARE THE BASIS FOR A NUMBER OF OTHER RESEARCH EFFORTS AT THE INSTITUTE, INCLUDING OUR BASIC SURVEILLANCE STATISTICS ON ABORTION AND PREGNANCY BOTH NATIONALLY AND AT THE STATE LEVEL. WE PUBLISHED NUMEROUS JOURNAL ARTICLES AND REPORTS FOCUSING ON SEXUAL AND REPRODUCTIVE HEALTH IN THE UNITED STATES, INCLUDING NEW WORK ON ABORTION INCIDENCE AND SERVICE AVAILABILITY, CHARACTERISTICS OF IMMIGRANT WOMEN OBTAINING ABORTIONS, DISTANCES TRAVELED TO OBTAIN ABORTION CARE, PUBLICLY SUPPORTED FAMILY PLANNING SERVICES, AND TRENDS IN RECIEPT OF CONTRACEPTIVE SERVICES AMONG YOUNG WOMEN. THROUGH OUR INTERNATIONAL PORTFOLIO OF WORK, WE PUBLISHED A MONOGRAPH ON ABORTION IN KINSHASA, DEMOCRATIC REPUBLIC OF THE CONGO (DRC), AN IMPORTANT TOOL FOR ADVOCATES WORKING IN THE DRC AND THE REGION. WE ALSO PUBLISHED NEW RESEARCH ON THE COSTS AND BENEFITS OF INVESTING IN FAMILY PLANNING AND MATERNAL AND NEWBORN HEALTH SERVICES IN PAKISTAN, A STUDY THAT RECEIVED WIDE MEDIA COVERAGE AND INFORMED POLICY DISCUSSIONS AT the COUNTRY LEVEL. PARTNERING WITH THE WORLD HEALTH ORGANIZATION, WE PRODUCED ESTIMATES OF THE INCIDENCE OF ABORTION AND UNINTENDED PREGNANCY FOR ALL COUNTRIES AND REGIONS WORLDWIDE; WE PUBLISHED THE RESEARCH PROTOCOL AND DRAFTED AN ARTICLE ON THE STUDY FINDINGS FOR SUBMISSION TO THE LANCET. GUTTMACHER RESEARCHERS ALSO PUBLISHED A STUDY ON INEQUALITIES IN COVERAGE OF KEY REPRODUCTIVE HEALTH SERVICES IN LOW- AND MIDDLE-INCOME COUNTRIES, AS WELL AS RESEARCH ON CONTRACEPTIVE FAILURE RATES GLOBALLY. IN 2019, WE CONTINUED TO WORK ON A STUDY IN UGANDA AND ETHIOPIA TO ASSESS THE IMPACT OF THE GLOBAL GAG RULE, A U.S. GOVERNMENT POLICY THAT RESTRICTS PROVISION OF AND COMMUNICATION ABOUT ABORTION AND WHICH ALSO IMPACTS ACCESS TO CONTRACEPTION. ARTICLES WERE DRAFTED AND SUBMITTED TO JOURNALS AND FINDINGS WERE PRESENTED AT CONFERENCES. A COMPARATIVE STUDY OF THREE COUNTRIES (COLOMBIA, INDONESIA AND NIGERIA) IS BEING CONDUCTED TO ASSESS ACCESS TO AND USE OF MEDICATION ABORTION: IN 2019, WORKSHOPS WERE HELD AND ARTICLES DRAFTED AND SUBMITTED TO JOURNALS. AND, COUNTRY-LEVEL FACTSHEETS WERE PUBLISHED FOR SELECTED COUNTRIES, COVERING NEW ESTIMATES OF COSTS AND BENEFITS OF THE PROVISION OF REPRODUCTIVE HEALTH SERVICES IN THE DEVELOPING WORLD, AS PART OF OUR WIDELY-CITED ADDING IT UP PROGRAM OF WORK.

PUBLIC EDUCATION: THE INSTITUTE PUBLISHED A MULTITUDE OF INNOVATIVE RESEARCH FINDINGS AND POLICY ANALYSES IN AN ARRAY OF FORMATS DESIGNED TO ENGAGE TARGET AUDIENCES INCLUDING ADVOCATES, HEALTH CARE PROVIDERS, POLICYMAKERS AND THEIR STAFF, MEDIA, THE SCIENTIFIC COMMUNITY AND OTHER KEY STAKEHOLDERS ACROSS THE U.S. AND THROUGHOUT THE GLOBE. THE INSTITUTE'S WORK-DISSEMINATED TO LARGE AND INFLUENTIAL AUDIENCES IN VARIOUS STYLES AND LANGUAGES, AND THROUGH MULTIPLE CHANNELS-HELPED SHAPE CRUCIAL POLICIES, PROGRAMS AND DEBATES ON SRHR ISSUES AT THE LOCAL, NATIONAL, REGIONAL AND GLOBAL LEVELS. IN ADDITION TO THE INSTITUTE'S DIRECT OUTREACH TO KEY AUDIENCES THROUGH MULTIPLE CHANNELS, OUR WORK WAS CITED AND PROMOTED BY U.S. AND INTERNATIONAL MEDIA OUTLETS, MULTILATERAL ORGANIZATIONS, DONOR GOVERNMENTS, COLLEAGUE ORGANIZATIONS AND POLICY MAKERS WORLDWIDE.

PUBLIC POLICY: IN 2019, THE GUTTMACHER INSTITUTE PUSHED BACK AGAINST ATTEMPTS TO WEAKEN THE TITLE X NATIONAL FAMILY PLANNING PROGRAM. THESE EFFORTS INCLUDED AN ANALYSIS OF THE DOMESTIC GAG RULE, WHICH DISALLOWS HEALTH CARE ENTITIES FROM RECEIVING TITLE X FUNDING IF THEY PROVIDE, REFER, OR ADVOCATE FOR ACCESS TO ABORTION CARE. WE ASSESSED THE POTENTIAL DAMAGE TO THE PROGRAM, USING GUTTMACHER DATA, AND FOUND THAT IT WOULD REDUCE ACCESS TO FAMILY PLANNING CARE FOR LOW-INCOME PEOPLE. WE ALSO WORKED TO PROMOTE EVIDENCE-BASED POLICIES CONCERNING INSURANCE COVERAGE OF SEXUAL AND REPRODUCTIVE HEALTH SERVICES BY PUBLISHING DATA ON INSURANCE COVERAGE OF WOMEN OF REPRODUCTIVE AGE AS WELL AS AN ANALYSIS OF THE DANGERS OF RESTRICTIONS ON PRIVATE INSURANCE COVERAGE OF ABORTION. WE ANALYZED THE TRUMP ADMINISTRATION'S FINAL VERSION OF THE REFUSAL OF CARE RULE, WHICH HAS STRONG POTENTIAL TO UNDERMINE SEXUAL AND REPRODUCTIVE HEALTH POLICY AND PATIENTS' RIGHTS AND CARE IN THE UNITED STATES AND ABROAD. WE PUSHED BACK AGAINST THE PUBLIC CHARGE RULE, WHICH INTENTIONALLY HEIGHTENS THE BARRIERS TO IMMIGRANTS AND THREATENS THEIR OVERALL HEALTH BY DENYING THEM ACCESS TO HEALTH INSURANCE THROUGH MEDICAID. WE EVALUATED HOW SEXUAL AND REPRODUCTIVE HEALTLH AND RIGHTS FITS INTO THE U.S. HEALTH CARE REFORM EFFORTS AND ANALYZED SPECIFIC HEALTH CARE REFORM PROPOSALS. WE HIGHLIGHTED ACTIONS BY POLICYMAKERS AT THE FEDERAL AND STATE LEVELS TO EXPAND THE SCOPE OF SEX EDUCATION PROGRAMS, AND THE WAVE OF ABORTION BANS AT THE STATE LEVEL. IN ADDITION, GUTTMACHER HARNESSED THE DATA AND EVIDENCE TO PROVIDE A ROADMAP FOR POLICY MAKERS TO PROTECT ACCESS TO ABORTION AT THE STATE-LEVEL. THE INSTITUTE FILED DECLARATIONS OR AMICUS BRIEFS IN LEGAL CHALLENGES BROUGHT BY PENNSYLVANIA, CALIFORNIA AND WASHINGTON TO THE ATTEMPTS TO WEAKEN THE FEDERAL CONTRACEPTIVE COVERAGE GUARANTEE. WE HIGHLIGHTED THE IMPLICATIONS OF THE GLOBAL GAG RULE AND LEGISLATION THAT WOULD REVERSE THIS POLICY BY ALLOWING ENTITIES RECEIVING U.S. GLOBAL ASSISTANCE TO PROVIDE SAFE ABORTION CARE USING THEIR OWN FUNDS. WE PUBLISHED DATA ON THE IMPACT OF U.S. FAMILY PLANNING ASSISTANCE OVERSEAS. ANALYZING THE INSTITUTE'S NEWLY PUBLISHED DAta SHOWING A DECLINE IN THE U.S. ABORTION RATE BETWEEN 2011 AND 2017, WE FOUND THAT ABORTION RESTRICTIONS ARE NOT THE MAIN DRIVER BEHIND THIS DECLINE; RATHER, IT APPEARS TO BE RELATED TO DECLINES IN BIRTHS AND PREGNANCIES OVERALL. WE ALSO CONSIDERED HOW MEDICATION ABORTION HAS BEEN TRANSFORMING THE PROVISION OF CARE SINCE IT WAS FIRST APPROVED BY THE FOOD AND DRUG ADMINSTRATION IN 2000.

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