Donald Trump’s reinstatement of the Global Gag Rule (GGR) has sparked widespread concern among activists and NGOs, who warn it will severely restrict healthcare access for women worldwide. The policy bars organisations receiving US funding from providing or advocating for abortion, even with their own funds. Many healthcare groups now face the impossible choice of losing critical financial support or restricting life-saving care. The impact is expected to be devastating. One NGO estimates that there will be 2.4 million unintended pregnancies and increased maternal deaths due to unsafe abortions. In Zimbabwe alone, service cutbacks will result in 460,000 unintended pregnancies and 1,400 preventable maternal deaths. The rule has also led to widespread clinic closures, reducing access to contraception, maternal care, and HIV testing. With US foreign aid frozen and USAID dismantled, the humanitarian fallout is severe.