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.
Jonathan Wittenberg
President and CEO
The state of sexual and reproductive health and rights
From 2023 to 2025:
463,000
people in the US traveled out of state to access abortion care
Across the US:
21.4M
women of reproductive age in need of low- or no-cost contraception live in a county with a contraceptive access gap
IN LOW- AND MIDDLE-INCOME COUNTRIES:
928M
women want to avoid pregnancy. 214 million women are not using modern contraceptives, and among those, 28 million intend to use or would be open to using contraception
In the US:
58 state bills
21 states have introduced 58 bills that would criminalize the sale, purchase or distribution of medication abortion pills as of June 2026.
95 federal bills
Similarly, 95 restrictive abortion bills were introduced in the 119th Congress.
17 personhood bills
As of June 2026, at least 17 states and one territory have introduced 36 “personhood” bills that would give embryos and fetuses the same rights as people.
122 protections
As of June 2026, 29 states had introduced 122 bills that would protect or expand access to contraception.
In low- and middle-income countries:
$2.48 saved per $1
What health systems save on maternal and newborn care for every $1 invested in contraceptive services.
$8.05 per capita
Spending an additional $8.05 per capita annually in low- and middle-income countries would meet all women’s needs for essential sexual and reproductive health services.
34 million women
Number of women estimated to have unsafe abortions every year.
In the report
Estimated 2026 Expenditure
- 70% Program services
- 23% Management & general
- 7% Fundraising