“You have heard the term that when the U.S. sneezes, the rest of the world catches a cold,” said Jade Maina, executive director of Trust for Indigenous Culture and Health, a health advocacy group based in Nairobi.

“This is what we are anticipating.”

She spoke as healthcare experts and advocates for women gathered in Thailand for a global family planning conference where the U.S. high court ruling was a key topic of debate.

“Most of the time, the U.S. is seen as progressive and is seen as the leader, and if the leader is going backwards, so does the people following,” she told the Thomson Reuters Foundation at this week’s meeting.