Guttmacher has always been here to make the invisible visible, holding governments accountable for people’s real experiences. In this report, we are proud to share stories of Guttmacher’s staff and partners doing just that—and making real inroads, even in calamitous circumstances.
Destiny Lopez
Co-President and CEO
Jonathan Wittenberg
Co-President and CEO
Dear friends,
There is no way to sugarcoat it: the values we stand for are under assault. Since the second Trump administration took office in January, we’ve witnessed a series of devastating setbacks for hard-won policies and legal precedents that have supported sexual and reproductive health and rights for decades.
The Guttmacher Institute was founded on the belief that what gets counted counts. Over the years, we’ve worked in countries around the world where reproductive rights are curtailed and access to reproductive health care is extremely limited. Because of the evidence generated by Guttmacher and our partners, politicians can no longer claim, “This doesn’t happen in my country.” Guttmacher has always been here to make the invisible visible, holding governments accountable for people’s real experiences.
In this report, we are proud to share stories of Guttmacher’s staff and partners doing just that—and making real inroads, even in calamitous circumstances. You’ll read how we’ve supported new US state coalitions with tools to preserve access to contraception, helped turn abortion incidence data into a viral movement in Kenya and prevented drastic cuts to sexual and reproductive health care funding in the Netherlands. You’ll also see some of the data we’ve generated that lays bare the harms of the Trump administration’s actions.
As you’ll see in the conversation among our team leads who are rapidly responding to new and increased threats to bodily autonomy, Guttmacher’s dedicated staff have been working tirelessly, in close coordination with each other, partner organizations and policymakers in governments around the world. Though this administration has raised the threat level, our shared will to make a better world will never waver.
We are especially grateful to you, our community of supporters, for powering our team. Because of you, we’re making a real impact—as seen in the 18,200 times our data have been cited in the media over the last year, in the words of policymakers working to uphold reproductive rights and in the daily actions of health care providers and advocates around the world. This report celebrates our collective strength, our capacity to respond in crisis and our ongoing impact. Thank you for your continued partnership.
Onward,
Destiny Lopez and Jonathan Wittenberg
The State of Sexual and Reproductive Health and Rights
The inauguration of the second Trump administration in January 2025 has had a profound and gutting impact on access to sexual and reproductive health and rights around the world. Guttmacher’s team of experts continues to track the impact of funding cuts, restrictive policies and harmful narratives within US borders and beyond, while providing advocates and lawmakers with rigorous data to preserve care whenever and wherever possible.
in 2024
155,000 people
traveled across state lines for an abortion, nearly 2x the number before the Dobbs decision.
in 2024
1,050,000 abortions
took place in states without total abortion bans in the US. That is an increase of 11% since 2020.
in 2023, ABOUT
63% of all abortions
in the United States were via medication, up from 53% in 2020.
FOLLOWING THIS YEAR’S FUNDING FREEZE
30% of patients
served at Title X–supported health centers lost access to Title X–funded sexual and reproductive health care.
34,000 pregnancy-related deaths
will occur in the first year following cuts to US federal funding for family planning in low- and middle-income countries.
29 million women and girls
and counting will be denied contraceptive care because of foreign aid cuts.
In the Report
2025 Estimated Expenditures
Your Guttmacher Story
We asked some of our top supporters to tell us what Guttmacher means to them. Here are their stories.
I was in law school in Missouri when the 48-hour mandatory waiting period before an abortion was passed [in the state legislature]. There was only one abortion provider in Missouri—Planned Parenthood of St. Louis—and there were so many hecklers outside. It was really traumatizing for folks who were just trying to get care, and for providers entering the premises, I wanted to make sure no one would have that experience.
I ended up working for the political arm of Planned Parenthood, and it was there that I gained a profound appreciation for Guttmacher’s research. Guttmacher became one of the top organizations I would turn to, helping me understand how what I was seeing in my state and district compared to what’s happening across the country and around the globe.
Fajer Saeed Ebrahim
I am 81 years old, and I’ve been 20 years retired from the practice of pediatrics. But, I remember very well when I was a second-year medical student. I was married, and I was pregnant. And I found in my heart that I would never become a doctor if I had this baby. I contacted a relative who put me in contact with Alan Guttmacher, who steered me to an illegal abortion on 5th Avenue [in Manhattan]. And now I’m a doctor. Every time I think about abortions, I think of my gratitude to Alan Guttmacher for putting me into this field. So, of course, I’ve become a supporter of the Guttmacher Institute.
Joyce
My family was involved in reproductive health care for a long time. Both my parents talked about the importance of access. My mom lost a student to an illegal abortion, and my uncle, who was a doctor, also had a student who passed away for the same reason. They saw it firsthand. That’s what brought me to the Guttmacher table. My passion is born from teaching, which is about helping students have control of their own futures. Reproductive health care, abortion access, medical access is all about allowing people to have control over their futures.
Ben Kahrl
In some ways, I was born into this movement. My uncle, Alan Frank Guttmacher, was not only my namesake, but the obstetrician who delivered me.
And I am also a pediatrician, so I care profoundly about the health and lives of children and families, and the vital role state-of-the-art science plays in them. Thus, I believe deeply in the mission of the Guttmacher Institute and the unique niche that it occupies, developing the facts and insights that both providers and policymakers need.
Alan Edward Guttmacher
