When the U.S. Supreme Court overturned the national right to abortion a year ago, it shook efforts to legalize and make abortions safer in Africa. Sub-Saharan Africa has the world's highest rate of unintended pregnancies, and 77% of abortions are estimated to be unsafe. Yet the Supreme Court's ruling has emboldened some U.S.-based organizations that advocate against abortion in Africa, especially in largely Christian countries. One Christian conservative group helped to develop a “family values” conference with lawmakers from several African countries this year. African experts worry recent gains in abortion access could be reversed.