Access to abortion is widely restricted in the other countries to co-sponsor the declaration. “There is no international right to abortion,” Pompeo said.
Though the document does not directly address same-sex marriage, the only co-sponsors to have legalized it are Brazil and the United States, while the text’s language affirming the family as “the natural and fundamental group unit of society” has clear meaning for countries that restrict LGBT rights. Among the co-sponsors, the Egyptian government targets LGBT people in a “systematic fashion,” according to a recent Human Rights Watch report, and in Uganda, gay sex is punishable by death.
Critics said Thursday’s declaration, less than two weeks ahead of the presidential election, marked the latest move by the Trump administration to build alliances with leaders accused of human rights abuses while working to promote abortion restrictions worldwide.
The Geneva Consensus formalizes a coalition united in opposition to the United Nations’ Universal Declaration of Human Rights, which forms the basis for the characterization of abortion and same-sex marriage as human rights under international law — a position that key U.S. allies, such as Britain and France, support.
Azar said Thursday that the coalition is intended to “hold multilateral organizations accountable."
In addition to the six co-sponsors, 26 countries, including Belarus, Saudi Arabia and Poland, have joined as signatories.
“None of those countries [that have co-sponsored] at least currently have a strong commitment to women’s health and rights,” said Gillian Kane, a senior policy adviser for Ipas, a U.S.-based organization focused on abortion and contraception access around the world. “This administration is out of touch with the needs of women.”
The declaration is not legally binding and does not change any existing laws. But it is in step with the Trump administration’s repeated bypassing of traditional avenues of diplomacy to build parallel tracks.
“This will undoubtedly bring harm to LGBTQ people and roll back the established global consensus about the necessity of protecting the sexual and reproductive health and rights of women and girls in all their diversity,” said David Stacy, government affairs director of the Washington-based Human Rights Campaign.
In May, U.S. officials accused the United Nations of using coronavirus-related emergency funding for sexual and reproductive health services as a pretext to promote abortions, a charge that the global body denied.
One of President Trump’s first moves in office was to reinstate a policy known as the global gag rule, which bans U.S.-funded health-care providers from providing or discussing abortions. Democratic presidential nominee Joe Biden has pledged to overturn it if elected, as President Barack Obama did shortly after taking office in 2009.
A 2019 study published in the Lancet found a global “pattern of more frequent abortions and lower contraceptive use” during periods when such U.S. restrictions have been in place.
The declaration could create “unnecessary legal, policy and service delivery hurdles that will obstruct interventions by Uganda to address the persistently high numbers of women and girls dying due to pregnancy-related complications,” a coalition of Ugandan civil society groups said Thursday in a statement opposing their government’s participation.
This report has been updated.
Correction: A previous version of this article said that the U.N. Human Rights Council has characterized abortion access as a right. It has not taken a unified position.