Survey by world’s largest network for sexual and reproductive health shows devastation to services, particularly in Africa and the Middle East, and amplification of anti-rights voices

Cuts to US aid funding have directly led to the closure of more than 1,000 family planning clinics, new figures shared with the Guardian reveal.

Millions of people have been left without access to contraceptives or care, including those who have suffered sexual assault, as part of a “radical shift towards conservative ideologies that deliberately block human rights”, according to the International Planned Parenthood Federation (IPPF).

A survey of its member associations found that approximately 1,394 service delivery points, or clinics, have been shut down, including 1,175 in Africa, and that 34 had laid off staff as a result of the Trump administration’s cuts, representing at least 969 job losses.

Campaigners say the cuts have emboldened anti-rights groups, reporting a rise in rhetoric opposing abortion and access to contraception for teenagers.