In that moment, on his very first Monday morning in office, Donald Trump effectively signed the death warrants  of thousands of women. He reversed global progress on contraception, family planning, unsustainable population growth and reproductive rights. His executive order even has implications  for the battle against HIV, tuberculosis and malaria.
Rarely can the presidential pen have been flourished to such devastating effect. The policy it reintroduced  will shut health clinics in Uganda  and HIV programmes in Mozambique; it will compel women from Nepal  to Namibia to seek out deadly back-street abortions.
“It is an unprecedented attack on women’s rights – it goes much deeper than abortion,” said Ulla Müller, president and CEO of EngenderHealth, a leading advocacy organisation.
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Ruth Maclean in Maiduguri, Nigeria, and Liz Ford in Mbale, Uganda, contributed to this report. Sarah Boseley is the Guardian’s health editor.