Attempts to slash US funding for family planning and birth control could lead to more pregnancies, abortions and deaths

Last week, a committee in the US House of Representatives approved a spending bill that would slash funding for international family planning and reimpose a harmful policy that reduces contraceptive access and tramples on the rights of healthcare providers.

On Monday, the supreme court ruled that some US employers could deny employees access to birth control coverage if they claim a religious objection to contraception.

Is it just me, or do we seem to be in retreat? This latest disregard for women – in the US and overseas – is not unexpected, but it is certainly disappointing. In many ways, we have been fighting the same battle for the past 30 years. But the battle lines have shifted and, frequently, we have to struggle to retain hard-won ground.

When I started working on this issue in the early 80s, there was true, bipartisan support for family planning. Some of the most sincere anti-abortion Republicans realised that the consistent, commonsense public policy position for them to take would be to support overseas family planning funding. Better access to contraception would reduce unintended pregnancies and abortions, especially unsafe abortions.

The global gag rule, also known as the Mexico City Policy, was one of the first instances of the domestic anti-choice agenda interfering with the health and lives of women in developing countries. Introduced 30 years ago, during the Reagan administration, the policy bars foreign organisations that receive US family planning assistance from using their own private, non-US government funds to provide information, referrals, or services for legal abortion, or to advocate for the legalisation of abortion in their own countries.

Since it was introduced, the gag rule has been subject to the vagaries of US politics – imposed or kept in place by Republican presidents, and repealed by Democrat leaders. Though it was rescinded by President Obama on taking office in 2009, Republicans in the House have tried every year since to reinstate it.

Their efforts are testament to a rightward shift in US politics, including an emboldened anti-choice movement that has continued to gain political power. The middle has shrunk, the partisan divide has grown, and the Republicans being elected to Congress now are more extreme and bent on undermining women's health and rights. Under the guise of "protecting the unborn", the misguided policies they espouse threaten the health and lives of millions of women and families.

The US's $610m contribution to international family planning and reproductive health in fiscal year 2014 helped 31 million women and couples receive contraceptive services and supplies. It prevented 7 million unintended pregnancies and 3 million abortions (2 million of them unsafe), and saved the lives of 13,000 women. In addition, 60,000 fewer children lost their mothers.

The fact is that family planning saves women's lives. But in Washington these days, the facts do not matter. Last week Republicans on the House spending committee imposed a completely unnecessary cap on international family planning funding.

The House committee bill proposes cutting international family planning funding by $149m, almost 25% from current levels. Using analysis from the Guttmacher Institute, this would result in more than 7.7 million fewer couples using contraception, more than 1.6 million additional unintended pregnancies, and 745,000 more abortions. Almost 3,000 more women would die in pregnancy or childbirth, and 13,400 more children would lose their mothers. So much for family values.

We have been fortunate in that during the past few years, Republican attacks in the House have been blocked by Senate family planning champions, where, for now at least, Democrats retain control. This has essentially resulted in maintenance of the status quo on family planning policy and on funding. The Senate version of this year's spending bill counters the House by including $644m for international family planning, and a permanent, legislative repeal of the global gag rule.

But this uneasy stalemate could change, depending on the outcomes in key races in November. If Republicans take control of the Senate, the truce will be broken and battle lines redrawn. The drastic cuts the House committee approved last week could be seriously considered in an omnibus spending bill, and an offensive could be mounted by opponents to attempt to force the gag rule on a pro-choice president.

The health of women around the world is far too important to continue to be thrust on to the frontline of US domestic culture wars.

Craig Lasher is director of US government relations at Population Action International