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Zambia's new constitution may limit women's reproductive rights

Date: 19 May 2012
Source: Times of Zambia


Zambia's new draft constitution states that women have the right to reproductive health. However, another article in the same draft constitution states that a person has the right to life beginning at conception. The Planned Parenthood Association of Zambia has expressed concern over this clause. They point out that determining the point of fertilisation is medically difficult.
The Planned Parenthood Association of Zambia opposes the clause that stated that life begun at conception because it would compromise the human rights of women in Zambia and call for the new draft to be consistent with international human rights law.




New guide: Pregnancy pathways for teenagers, UK

Date: 22 May 2012
Source: Education for Choice


The UK organisation, Education for Choice, has just launched a new tool aimed at planners and service providers who are involved in supporting teenagers who are pregnant or who are worried about becoming pregnant.

The tool sees the pregnancy pathway as a continuum from education about pregnancy, through access to pregnancy prevention services, good quality impartial support with pregnancy decision-making, referral into abortion and maternity services and finally back into contraceptive services.

The tool is interactive and provides a series of audit questions that can be completed online or downloaded, so that service providers can measure how well they are doing. Although some information is UK-specific, the good practice guidelines and essential service linkages are relevant for all settings.

The tool is hosted on this website, and is free to download.




Attempted shooting of Colombian abortion rights activist

Date: 13 May 2012
Source: Huffington Post


On 7 May, Mónica Roa was sitting at her desk in her offices in Bogotá when a bullet hit the window next to her desk - and a further five followed. It seems most likely that the attack was timed with this week's sixth anniversary of Colombia's landmark Constitutional Court decision revising one of the world's most prohibitive abortion laws. Roa, as programme director of international rights group, Women's Link Worldwide, had filed the case, which eventually liberalised the total abortion ban to allow for abortion in the instances of rape, incest, severe fetal abnormality, or when there is a risk to the life or physical or mental health of the woman.

Women's rights activists say the Constitutional Court ruling and subsequent case law are totally clear in defining how the decision should be implemented. However, the new law remains opposed by many, including the Attorney General, Alejandro Ordoñez, who has been throwing up roadblocks to enforcing the decision, rooted in his personal religious beliefs.

Earlier this year a criminal complaint was filed against Roa by the Attorney General's deputy, which seems to be a response to a case submitted to the Constitutional Court by Women's Link Worldwide along with over 1,200 Colombian women. The case requests that the Attorney General and his deputies give true and accurate information on sexual and reproductive rights, complying with the Constitution and the jurisprudence of the Court.

Women's Link Worldwide recently launched a campaign to spotlight the need to have an Attorney General who complies with his or her Constitutional duties and defends the rights of all Colombians. Ordoñez's position is up at the end of 2012 and he is seeking another four-year term.




Malawi's new president commits to overturning homosexuality ban

Date: 18 May 2012
Source: Sexuality Policy Watch and International Lesbian, Gay, Bisexual, Trans and Intersex Association

Malawi's new President, Joyce Banda, has said she wants Malawi to overturn its ban on homosexual acts during her first speech to parliament. This would make Malawi 
the first African country to do so since 1994. According to local media reports, she has the support of a majority of MPs and so should be able to get parliament to overturn the law. 

Two Malawian men were sentenced to 14 years in prison in 2010 after saying they were getting married. After a storm of international condemnation, then President Mutharika did pardon the two Malawian men on "humanitarian grounds only" but said they had "committed a crime against our culture, against our religion, and against our laws". 

T
his is welcome news in a continent where laws against homosexuality are being introduced and the lesbian, gay, bisexual, transgender and intersex community face daily attacks and widespread discrimination. In another welcome step, the Kenya National Commission on Human Rights, the country's official human rights watchdog, recently asked the government to decriminalise homosexuality and sex work.

 

 

 

 




Launch of global action report on preterm birth



Date: 18 May 2012
Source: World Health Organization


Each year, some 15 million babies in the world, more than one in 10 births, are born too early. An estimated three-quarters of those preterm babies who die could survive without expensive care if a few proven and inexpensive treatments and preventions were available worldwide.

The newly published report Born too soon provides the first-ever national, regional and global estimates of preterm birth. The report shows the extent to which preterm birth is on the rise in most countries and is now the second leading cause of death globally for children under five, after pneumonia.

The report is a joint effort of almost 50 international, regional and national organisations, led by the March of Dimes, The Partnership for Maternal, Newborn & Child Health, Save the Children and the World Health Organization. The report proposes actions for policy, programmes and research by all partners that can substantially reduce the toll of preterm birth, especially in high-burden countries.

The report is available here in English as well as supporting information, maps and country data. Other language versions will be available soon.




Medabon - combination mifepristone misoprostol - licensed for marketing in Europe

Date: 17 May 2012
Source: Concept Foundation


Medabon® is a combination pack of
mifepristone and misoprostol, that can be used for safe, early medical abortion. It is produced by Sun Pharmaceutical Industries Ltd and designed by Concept Foundation, under agreement with, and using clinical data generated by WHO's Special Programme for Research, Development and Research Training in Human Reproduction.

Since 2009, more than 1.5 million doses of Medabon® have been used in Cambodia, India, Nepal, Ethiopia, Ghana and Zambia. Formal studies and routine use have shown Medabon® to have a high efficacy rate and high acceptability.

Medabon® has just received marketing authorisations from the Dutch and United Kingdom medicines regulatory authorities. Achieving registration with a stringent regulatory agency in Europe means that there can be rapid approval by regulatory authorities in several lower and middle income countries either based directly on the European approvals or through a fast-track process, which will rapidly expand the choice for women . The new combination package is being made available at a low preferential price to the public sector in developing countries.

A resource pack, developed by Concept, PATH and Ipas, provides full supportive documentation, and can be downloaded here. 




US court upholds right to prosecute pregnant women on pregnancy outcomes

Date: 16 May 2012
Source: Soraya Chemaly in RH Reality Check


In March 2011, Bei Bei Shuai was arrested and charged with feticide, following her desperate attempt to commit suicide by swallowing rat poison. She survived but the premature newborn she delivered by caesarean surgery did not.

Last week, the Indiana Supreme Court refused to review a Court of Appeals decision, thereby allowing her case to move forward and essentially supporting the idea that the fetal murder and feticide charges against her can be applied to all pregnant women.

Her case is not only a personal tragedy but it also sets a very dangerous precedent. A spokeswoman for National Advocates for Pregnant Women, who are supporting Bei Bei Shuai in this case, states that this decision means that women can be charged and imprisoned if they engage in any intentional act that law enforcement believes will threaten the life or health of the fertilised eggs, embryos and fetuses they carry.

Rights advocates are fighting the creeping expansion of these laws that challenge women's citizenship and rights and also challenge accepted law, logic, science and public health. Where will it end, with women potentially being charged under chemical endangerment laws because they have exposed a fetus to garden pesticides, hospital chemicals that nurses use or even prescription medicine?

Forty-seven medical and legal advocacy groups have filed amicus briefs describing their objections to this "disturbing trend". This blog argues that this is more than a slow trend, it is a planned strategic assault on women and their rights.




Statement on later abortion: Catholics for Choice and Advancing New Standards in Reproductive Health

Date: 1 May 2012
Source: Catholics for Choice

Catholics for Choice and Advancing New Standards in Reproductive Health organised a discussion on later abortion on 2010. This has now led to a statement signed by many US organisations.

Key issues from the statement are below.

- We believe in bodily autonomy and a woman's right to choose whether and when to have a child.
- We also believe in the right to receive safe medical care.
-
We stand with women who need abortions later in pregnancy and with the providers who care for them.
- We recognise the need for policies that address the full range of a woman's reproductive needs.
- Women deserve to have all the time they need in order to make the best pregnancy decision for themselves and for their families, even if this means needing a later abortion.
- We believe that the provision of an abortion procedure requested by a woman in the second or third trimester is preferable to its denial.
- We defend later abortions because we understand that women need them.

The full statement is published in the recent issue of Conscience magazine, alongside a statement from an obstetrician who provides later abortion and a report on which US women have second-trimester abortions.




New Global Equality Fund to advance lesbian, gay, bisexual and transgender rights

Date: 1 May 2012
Source: UNAIDS

In December 2011, the US government announced a new Global Equality Fund, leveraging public and private resources to strengthen civil society groups, support advocates, and increase public dialogue. The Fund's overall goal is to advance the fundamental human rights of lesbian, gay, bisexual and transgender people globally.

The US Department of State has contributed more than $3 million to the Fund, which will be managed by the Bureau of Democracy, Human Rights and Labor (DRL). There are three priorities - support programmes that advance justice through documenting and responding to human rights violations, support and protect advocates through emergency assistance and organisational capacity strengthening and increase public dialogue on the rights of lesbian, gay, bisexual and transgender people.

The DRL announced a Request for Proposals (RFP) on 13 April 2012.

The Dignity for All initiative will fund emergency assistance to human rights defenders and civil society to address legal, medical, humanitarian, and relocation needs, as well as small grants to support discrete advocacy initiatives. DRL will award one cooperative agreement to a consortium of international NGOs with global reach, with one lead organisation serving as the primary recipient.

T
he second funding stream seeks proposals to build capacity of local civil society to strengthen legal protection; to address protection from violence, including sexual violence, and hate crimes and to combat societal discrimination and negative social attitudes. DRL anticipates awarding funding to as many as three separate applications.

More information is available here. Applicants must submit proposals using www.grants.gov by 28 May 2012.

The US State Department is also launching a separate small grants initiative of between $5-25K to build capacity of local civil society organisations working in country addressing LGBT issues.




Kuala Lumpur Call to Action: sexual and reproductive rights for sustainable development



Date: 10 May 2012
Source: ARROW


The Kuala Lumpur Call to Action is a 12-point Call for sexual and reproductive health and rights for sustainable development.

More than 120 activists, advocates and civil society representatives from 27 countries in Asia and the Pacific gathered in Kuala Lumpur from May 2-4 2012. The meeting - Beyond ICPD and MDGs: NGOs Strategising for Sexual and Reproductive Health and Rights in the Asia-Pacific Region - culminated in the Call. This sets out a set of key messages for governments, international organisations, development partners and other duty bearers. They call for recognition of the centrality of gender equality, equity and sexual and reproductive rights for sustainable development. The call focuses on the need for accountability mechanisms are in place and adhered to, to monitor progress in achieving sexual and reproductive health and rights.

The Kuala Lumpur Call to Action can be viewed here. Please share widely!

 




Call for legal abortion to save mothers' lives, Botswana

Date: 2 May 2012
Source: Botswana Gazette


Botswana's Assistant Minister of Local Government has recently called for
the liberalisation of abortion. Currently abortion is illegal in Botswana, except in cases of risk to health of the child or in cases of rape. Recent media coverage highlights the risks that women face, with complex and lengthy legal procedures and, reportedly, delays that prevent abortion. This call follows media reports about the growing number of deaths due to illegal abortion. Media coverage is starting to explore the need to consider the rights of women to avoid unsafe abortions.




Adolescents' right to sexual and reproductive health recognised

Date: 4 May 2012
Source: ASTRA


A landmark resolution supporting young people's sexual and reproductive health and human rights has been adopted by the UN Commission on Population and Development. The resolution was adopted at the Commission’s 45th session on 27 April.

The resolution calls on governments to recognise the right of young people to decide on all matters of their sexuality and provide young people access to comprehensive sexual and reproductive health services with full respect for their privacy and confidentiality and to protect and promote young people's right to control their sexuality free from violence, discrimination and coercion.

This includes safe abortion where legal. The resolution calls for the training and equipping of health service providers and for other measures to ensure that legal abortion is safe and accessible. The resolution also contains a number of important provisions on employment, HIV, youth participation, eliminating early and forced marriage, and others.

Read the resolution here.

At the same time, a UNICEF report on adolescents highlights the challenges faced by young men and women. The UNICEF report Progress for Children: A Report Card on Adolescents can be downloaded here.




Regional HIV bill passed without criminalisation clause, East Africa

Date: 27 April 2012
Source: PlusNews


East Africa's Legislative Assembly has passed a regional HIV/AIDS Bill that seeks to protect the rights of people living with HIV and harmonise regional legislation and policy on the prevention and treatment of HIV. The East Africa Community HIV and AIDS Prevention and Management Bill (2012) was passed by the East Africa Legislative Assembly on 23 April at its fifth session, held in Nairobi. The heads of state of the member countries are expected to assent to it before it becomes law.

Activists have welcomed the passing of the Bill, because
it does not criminalise the deliberate transmission of HIV, unlike some laws recently passed in Burundi, Kenya and Tanzania that criminalise wilful transmission. Rwanda and Uganda have not yet passed legislation. The regional Bill has a strong focus on a human rights approach to HIV. Activists are calling for countries in the region to use this Bill as a template for their legislation.




First national data on abortion published, Rwanda

Date: 1 May 2012
Source: The Independent, Uganda and Guttmacher Institute
 

For the first time, national data has become available in Rwanda. One in 40 women aged 15–44 had an abortion in 2009 - around 60,000 women - and virtually all of these abortions were illegal and highly likely to be unsafe. Of the women who had abortions in that year, 25,000 women (more than 40% of the total) suffered complications that required medical treatment. Nearly one third of these women did not receive the medical care that they required.

The study was conducted by the National University of Rwanda's School of Public Health and the Guttmacher Institute, in collaboration with the Ministry of Health, found a national rate of 25 abortions per 1,000 women of reproductive age, lower than the rate Sub-Saharan African rate of 31 per 1,000 and Eastern African rate of 36 per 1,000.

The Minister of Health has endorsed the findings and declared that illegal abortion is an issue that must be addressed. Around one in five Rwandan women will require treatment for complications from an unsafe abortion at some point in their lifetime. The study found, while 92% of health facilities in the country provide some form of treatment for abortion complications, the majority do not use techniques recommended by the World Health Organization.

The Ministry of Health has stressed the importance of addressing the unmet need for modern contraception, incljuding moves to increase access to condoms and other forms of modern contraception.

Abortion is an extremely sensitive subject in Rwanda's culturally conservative environment. Currently abortion is only permitted in case of risk of maternal death and only with the consent of two separate doctors. Women who seek abortions can face prison sentences of one to five years, while those that facilitate the practice can be sentenced to five to ten years behind bars. There is ongoing debate in parliament over potential amendments to the Penal Code that would make it permissible to have an abortion or assist in an abortion if the woman is pregnant because of incest, rape, forced marriage or if the pregnancy threatens the health of the unborn baby or the pregnant woman. The amendment was approved by the Chamber of Deputies and is now under consideration by the Senate. There is strong religious pressure to reject the amendment but there is also substantial public pressure. This report is a welcome source of additional data to move the debate forward. 

The report appears in the Journal of Family Planning here.




Kenyan High Court upholds right to health

Date: 25 April 2012
Source: Plusnews

The Kenyan High Court has made a landmark ruling that will increase access to affordable, generic drugs. HIV activists say that the ruling will save millions of lives and protect the right to life of citizens.

The case was filed in July 2009 by three people living with HIV. They argued that the 2008 Anti-Counterfeit Act contained ambiguities, which, if misinterpreted or abused, would restrict Kenyans' access to essential generic medicines.

The judge found that the Act failed to clearly distinguish between counterfeit and generic medicines, noting that this could result in the arbitrary seizure of generic medicines under the pretext of fighting counterfeit drugs. The ruling orders Parliament to review several ambiguities in the Act. The judgement also ensures that government agencies cannot interfere with the importation and distribution of generic medicines.

More than 80 per cent of the drugs in Kenya are generic and largely manufactured in India. Although Kenya has not had a case where patients were denied access to generic drugs as a result of the Act, generic drugs bound for Africa had been held in Europe in the past. In 2009 a shipment of drugs headed to Nigeria was held at an airport in The Netherlands on the grounds that they violated patent rights. Other East African countries such as Uganda, Rwanda and Burundi depend on Kenyan ports to import drugs, so this ruling will also benefit patients in those countries also.




Pro-choice groups in Ireland call for new abortion legislation

Date: 25 April 2012
Source: Irish Examiner

On 24 April, MPs in the Irish Parliament rejected a private members bill calling for the 20-year-old Supreme Court judgement to be implemented. In 1992, a court ruled that women have a legal right to have an abortion in the State, where there is a real and substantial risk to their lives, including suicide. This followed the case of ‘X', a schoolgirl who was pregnant following sexual abuse by a friend’s father, and who was forbidden from leaving the country to have an abortion.

Successive Governments have failed to introduce laws that would implement the judgement. In 2002, the government tried to pass a constitutional amendment that would have even removed the right of suicidal women to an abortion. This was thankfully rejected by referendum. In 2010, the European Court of Human Rights said the Irish state was breaching women’s rights by failing to implement a framework to allow a woman to have access to lawful abortion, which in Ireland is only in cases of risk of suicide by the mother. This ruling has been deferred to an expert group.

So the situation remains the same for women in Ireland – other than those who can afford to travel at short notice and have a medical abortion in the UK, women must wait for up to two months and then travel for a surgical abortion, with the risk of not using vital after-care services, because of the stigma about a procedure that, if performed in Ireland, could result in a conviction and a life-sentence. This applies also to women who discover late in their pregnancy that their child has a condition incompatible with birth.

This parliamentary debate was the first time that an abortion Bill was debated in the parliament. Yet despite verbal support for legal reform by many MPs, only one Labour politician – the party supposedly supporting women’s rights - supported the Bill.

http://www.rhmjournal.org.uk/news.php?newsID=1033




Feminists undress to protest new abortion law, Ukraine

Date: 23 April 2012
Source: Agence France Press

Ukrainian feminist group Femen staged a protest last week against a Church-backed bill that would ban abortions. The women climbed the bell tower of Kiev's central Saint Sophia cathedral, stripped off their tops and rang the bells in a protest against what they called "a criminal plot between the Church and the State".

They also lowered a black banner reading "Stop" from the cathedral tower. The cathedral is a former Orthodox Church which is now officially a museum of religion and belongs to the state.

The bill, if passed, would ban voluntary abortions with a few exceptions, allegedly to boost the birth rate after the population fell from 52 to 46 million in the last 12 years. Abortion is currently legal in Ukraine up to the 12th week, and in certain cases up to the 22nd week of pregnancy. The proposed bill would apply to all abortions except special cases allowed by the law like medical emergencies.

For more news about the bill, and links to a petition signing the bill, click here.
http://www.rhmjournal.org.uk/news.php?newsID=1120c




Thai teenagers asked about soccer or sex

Date: 20 April 2012
Source: World news, MSNBC

If you are a teen with a sexual urge, what should you do? This is the question that high school students in Thailand were asked a nationwide multiple-choice test for students hoping to win a place at university. They were given five possible options to choose from:

A: Call friends to go play football (soccer)
B: Talk to your family
C: Try to sleep
D: Go out with a friend of the opposite sex
E: Invite a close friend to see a movie

Most students had no idea how to respond. But it became clear that not only students were confused. The story attracted media attention and Thai educational experts were interviewed to share their insights. They were uncertain but most thought that students were probably expected to pick option B - Talk to your family. There was widespread incredulity when the preferred answer was eventually revealed by the head of the national exam board that drew up the tests -  option A —“Call friends to go play football” – both boys and girls.

For many Thais, the key lesson learned was that Thai officials have a total lack of understanding about the lives of teenagers and the importance of sensible sex education.

Thailand has the second-highest pregnancy rate among 15-19 year-olds in the world, according to the government. In the culturally conservative country, the subject is rarely discussed in Thai families and the university exams demonstrate how far schools are from providing suitable information to Thai youth.

For girls who do get sex unintentionally, they have limited choices. Out of the approximately 250,000 Thai teenagers who become pregnant each year, half of them seek abortions. Abortion is illegal except in cases of rape, incest or underage sex, or when the mother's physical or mental health is at risk. Even when the woman has a legal right, she faces opposition from health workers. Most women opt for illegal abortions. A small number of abortion clinics run by NGOs providing safe treatment are technically illegal, but have generally been allowed to operate, as long as they do not promote their services too openly. But recently police raided one of these clinics after a well-known model told the media she had an abortion there. This may end up discouraging some women from seeking abortions at responsible clinics.

Thai teenagers need access to safe and non-judgemental sexual and reproductive health information and services. Policy makers and service providers need to step up to meet this challenge.




Dominican Republic has new national policy on teenage pregnancy prevention

Date: 20 April 2012
Source: IPPF/WHR

Adolescent girls and boys have limited access to comprehensive sexual and reproductive health services. This has recently changed, with a new national policy and plan to reduce teenage pregnancy.

In 2009, the Dominican Republic adopted a new constitution that rolled back gains on comprehensive sexual and reproductive health services and created new barriers for women who sought to access sexual and reproductive health care.

A number of civil society groups have been working since then to secure political and public support for reducing teenage pregnancy and ensuring access to youth-friendly health services and education. In the Dominican Republic, high rates of adolescent fertility and maternal mortality have attracted the attention of national authorities and civil society organizations.

Over the past several years, civil society worked with government to build the evidence for investing in adolescent reproductive health. A reproductive health budget analysis and a study that identified risk factors for teenage pregnancy built a solid foundation for advocating for a government policy to address teenage pregnancy.

Profamilia is one of the civil society organisations who are advocating for the inclusion of maternal health and preventing unwanted teenage pregnancy into policies. The Plan to Reduce Teenage Pregnancy is to be rolled out nationwide this year.




Urgent call for support for emergency contraception, Honduras

Date: 13 April 2012
Source: Consorcio Latinoamericano de Anticoncepción de Emergencia (CLAE)


The Honduran Congress is about to vote on a proposal that would send women to jail if they use the morning-after pill, even in cases of sexual assault. Doctors or anyone selling emergency contraception could also be jailed.

The Honduras Congress first passed this measure in April 2009, but just a month later the then-president bowed to pressure from campaigners and vetoed it. After the recent coup, the new regime has forced the bill back to a vote.

There is opposition within Congress to the proposed bill and local women's groups are coordinating a petition calling on the President of the Honduran Congress to stand up for women's rights.

The vote could be as early as Monday 16 April.
Please sign the urgent petition here.




Publication: WHO guidelines on adolescent pregnancy prevention

Date: 16 April 2012
Source: World Health Organization


'Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries' has just been published by WHO.

The guidelines focus on two sets of key actions. The first set of actions seek to prevent early pregnancy by preventing marriage before 18 years of age, increasing knowledge and understanding of the importance of pregnancy prevention, increasing the use of contraception and preventing coerced sex. The second set of actions seek to prevent poor reproductive outcomes by reducing unsafe abortions and by increasing the use of skilled antenatal, childbirth and postnatal care.

The guidelines have been developed through a systematic review of the evidence and through consultation with policy-makers, programme managers and front-line workers from countries around the world, in partnership with the Guttmacher Institute, the International Center for Research on Women, Family Health International, Population Council and Centro Rosarino de Estudios Perinatales in Argentina.

The guidelines and accompanying policy brief and powerpoint slides are primarily aimed for for policy-makers, planners and programme managers from governments, NGOs and development agencies. They can be downloaded in English here.




Small step toward liberalising abortion in Brazil

Date: 12 April 2012
Source: Buenos Aires Herald


Brazil's Supreme Court last week voted to legalise abortion in cases where the fetus is severely brain-damaged. The measure applies specifically to cases of anencephaly, a disorder that leads to a malformation or absence of large parts of the brain and carries an overwhelming likelihood that the baby will die shortly after birth.

Brazil's abortion law is extremely strict, with a ban on all abortion except in case of rape or where the woman's life is at risk. Activists have been campaigning for this amendment for years. However, religious groups fiercely opposed the change in law, holding a protest outside the Supreme Court and continue to have a huge influence on policy. The vote to lift the ban was passed by eight votes to two and marks a small but historic shift in abortion law in Brazil.




Urgent petition - oppose proposed abortion ban in Ukraine

Date: 12 April 2012
Source: ASTRA


A proposed law has been submitted to the Ukrainian parliament that would ban abortion and add a penalty for couples who do not have children. Abortion is currently legal in Ukraine.

Supporters of the proposed law in parliament say that they support this initiative out of concern for Ukraine's declining population and low fertility rate. However, the initiative clearly intends to control women's choices. The proposed law also includes a ban on the act of sex in the missionary position. An initiator of the bill said that the missionary position has been proven ineffective for conceiving children. Activists argue that the inclusion of the anti-missionary law is only a diversion tactic to distract from the initiative's anti-choice purpose.

Please sign the petition to urge Mykola Azarov, the Prime Minister of Ukraine, not to support this proposed law here.




Forced sterilisation in Uzbekistan

Date: 16 April 2012
Source: BBC Radio News

A half hour radio documentary reports from Uzbekistan where women are described as having become the new target of one of the most repressive regimes on earth. The report provides uncovers evidence that women are being sterilised, often without their knowledge, in draconian population control efforts.

The programme speaks to victims and doctors who fear for their lives if they speak openly. Women and men describe their experiences of forced sterilisation, which match those of senior doctors who report that they are expected to perform hysterectomies or sterilisations, especially in rural areas. Doctors report that they have been given quotas for sterlisation of women. People wonder why there is no effort to reduce birth control through repression rather than information and contracteptive services. Women and their partners have fled the country in order to escape the practice.

The programme is available as a podcast and on the BBC magazine.




Colombia Constitutional Court protects women's right to abortion

Date: 23 February 2012
Source: La Mesa por la Vida y la Salud de las Mujeres and Reprohealthlaw 

Colombia's Constitutional Court has protected the fundamental rights of a 12 year-old girl who applied for a voluntary termination of pregnancy because her life and her health were in danger.

The girl complied with all the requirements necessary for an abortion on Colombia but, after ten weeks of paperwork and formalities imposed on her by the health authorities, she was forced to continue with her pregnancy. The girl and her legal guardians submitted the case to the Constitutional Court, which has ruled that an irreparable harm had been caused and ordered the public health authorities to compensate her as well as provide unlimited services for her mental health.

The court has established that there should be a five day time limit in such cases and has declared that it is forbidden to dismiss professional medical opinion that determines that the continuation of the pregnancy represents a risk to a woman's life or health. From now on, Colombian judges are ordered to guarantee anonymity to protect the right to privacy of women filing a writ of injunction so that they may undergo a voluntary termination of pregnancy.

This ruling ratifies access to voluntary termination of pregnancy as a fundamental right and states clearly that the State and health authorities have obligations to fulfil this right.




Indian state courts rule on women's fundamental right to survive pregnancy and childbirth

Date: 9 April 2012
Source: Reproductive Rights Center and Human Rights Law Network

In two separate rulings, High Courts in the Indian states of Bihar and Madhya Pradesh have ruled that the Indian State has a constitutional obligation to protect the health and safety of pregnant and childbearing women.

Last month, the Division Bench of Patna with the State High Court of Bihar handed down an order holding the state responsible for failing to protect, respect and fulfil the rights of pregnant women. The Court has ordered the government to account for nearly $680 million from a national programme called the National Rural Health Mission, a central government-funded public health scheme aimed at addressing India's high maternal and infant mortality. 

Similarly, the High Court of Madhya Pradesh has recently passed a similar landmark final judgment. The Court documented the failure of the government to implement the National Rural Health Mission and
rejected the government's claim that financial constraints served as a barrier to full implementation, noting a significant health budget underspend at the end of 2009. The Court ordered immediate implementation of the NRHM and ordered a time bound plan for "strict and timely" implementation. The Court set specific directives, including 24-hour availability of trained community health workers, minimum staffing levels around the clock, uninterrupted electricity and water supplies, proper sanitation and transport and essential drugs. It has ordered the establishment of monitoring committees.

Both cases are part of Human Rights Law Network's national strategy to use litigation as a means of addressing India's high maternal mortality and morbidity. Full details of these and other pending law suits can be found at the HRLN website.




UK development assistance funding forced sterilisation, India

Date: 15 April 2012
Source: Guardian
 
A report by the Observer newspaper has revealed that UK Department for International Development (DFID) funds of up to £166 million have been spent on a programme that has forcibly sterilised Indian women and men. A 2010 DFID report from 2010 cites the need to fight climate change is one of the key reasons for such population control programmes.
 
Court documents filed in Madhya Pradesh and Bihar states earlier this month claim that many victims have been left in pain, with little or no aftercare. In February, Madhya Pradesh’s Chief Minister had to publicly warn his officials after widespread reports of forced sterilisation. A few days later, a 35-year-old woman bled to death after doctors sterilised, while she was pregnant with twins. In April, India's supreme court heard how a surgeon operating in a school building Bihar in January carried out 53 operations in two hours, assisted by unqualified staff, with no access to running water or equipment to clean the operating equipment. The court gave the national and state governments two months to respond to the allegations.
 
Activists say that it is India's poor – and particularly tribal people – who are most frequently targeted and who are most vulnerable to pressure to be sterilised, through threats that they will lose their ration cards or through bribes. Funding varies from state to state, but in Bihar private clinics receive 1,500 rupees for every sterilisation, with a bonus of 500 rupees a patient if they carry out more than 30 operations on a particular day. NGO workers who convince people to have the operations receive 150 rupees a person, while doctors get 75 rupees for each patient.
 
An Indian government report shows that sterilisation remains the most common method of family planning in its current Reproductive and Child Health Programme. When it announced changes to aid for India last year, the DfID promised to improve the lives of more than 10 million poor women and girls. It said: "We condemn forced sterilisation and have taken steps to ensure that not a penny of UK aid could support it. The UK does not fund sterilisation centres anywhere."



US state abortion law challenged at high personal cost

Date: 16 February 2012
Source: The Independent


New state laws in the US that place strict limits on abortion are starting to be enacted - and the changed laws are placing the women affected by these laws at the centre of the bitter abortion debate.

The case of Jennie Linn McCormack is at the centre of a national debate. The single mother of three from Idaho decided to self-administer a termination when she became pregnant and found that there would be no prospect of support from the potential father. The nearest abortion clinic is in Salt Lake City, almost three hours' drive away, and she had no car and no one to care for her youngest child, aged two. The local law mandates a waiting period for abortions, so she would have been obliged to make two round trips.

She was allegedly told that you could buy a pill (RU-486) via the internet. She has no internet access but asked a sister to do this and took it the day that it arrived. Her pregnancy was further advanced than is recommended. She was apparently not aware of the time limit and was very distressed when the the termination resulted in a lot of blood. She called a friend who then called the police.

Ms McCormack was arrested and prosecuted under Idaho's recent state law which bans women from carrying out their own abortions. The case was first dismissed last year due to lack of evidence. The autopsy found no medicine in the foetus and prosecutors had no evidence of the pill being bought or delivered. However, she could be charged again. Her lawyer has now filed a lawsuit claiming that Idaho's law is unconstitutional and should be overturned. If the lawsuit succeeds, it will set a precedent that will allow women to legally access medical abortion drugs. Although 35% of American women have abortions at some stage, many face severe upheaval to access them, since 98% of rural counties do not have abortion clinics. The lawsuit is currently at the Ninth Circuit Court of Appeals, one rung beneath the Supreme Court.

Whilst the lawsuit progresses and has huge implications for all women in the US, the woman at the centre of the controversy faces daily stigma from her small, conservative community. She quit her job when customers refused to be served by her. The change in law will be an advance for many women, but the personal price being paid for this case is extremely high.




Abortion legislation goes to Senate in Rwanda

Date: 9 April 2012
Source: AllAfrica


Rwanda's Chamber of Deputies approved a new draft penal code last Wednesday, amidst wide debate on the implications for abortion. Article 165 of the draft penal code absolves criminal liability for a woman who aborts her pregnancy and a medical doctor who helps a woman to abort in cases of rape, forced marriage, incest in the second degree, and when continuation of pregnancy jeopardises the health of the fetus or that of the pregnant woman. The current penal code only allows for abortion when pregnancy puts to risk the health of the mother.

The draft code has led to opposition from those who both oppose and support abortion. Anti-abortion representatives argue that even the existing exception should be repealed, whilst pro-choice activists are saying that the changes in the draft penal code are not enough. They are calling for a safe legal environment for abortion without fear of the need to go to courts of law. The law requires a woman seeking an abortion to present a court order to the doctor, confirming that she fulfils the exceptions provided for in the law. Activists argue that medical doctors should be able to make these decisions themselves.

About 60,000 pregnancies are terminated in Rwanda every year, with 40% leading to complications needing medical treatment, according to a recent Ministry of Health and Guttmacher Institute report.

During the passing of the legislation in parliament, seven women lawmakers abstained from voting on the abortion section, saying any form of abortion should be outlawed.

The amended penal code has been before parliament for about three years. It has been forwarded to the Senate for approval.




Thailand abortion problems highlighted in Bangkok meeting

Date: 7 April 2012
Source: Bangkok Post

Thai campaigners and medical experts met this week in Bangkok to call for safer and more effective abortion methods in a meeting convened by Women's Health and Reproductive Right Foundation of Thailand (WHRRF), the Women's Health Advocacy Foundation and the Thai Health Promotion Foundation.

Thailand's abortion law permits termination only for women at physical risk and for those who are raped. WHRRF head, Kamhaeng Chaturachinda, stated that doctors do not dare offer the service when abortion is seen as immoral and illegal. According to statistics from the Public Health Ministry, 300 out of 100,000 women died as a result of illegal abortions in 1999.

Meeting participants urged the National Health Security Office to make sure that safe abortion techniques are available in hospitals throughout the country and that more affordable and safer abortion methods are introduced, notably manual vacuum aspiration and medical abortion, in line with Thailand's neighbours, Malaysia and Cambodia. Currently, public hospitals only provide the less safe and more costly D&C.

Without easier access and use of safer methods, the numbers of women opting for illegal abortions and the deaths from illegal abortions will remain high.




Chilean Senate blocks abortion reform

Date: 5 April 2012
Source: Guardian


The Chilean Senate has rejected three bills that would have eased the country's absolute ban on abortions. The bills would have permitted abortion when two doctors said it was needed because of risks to a mother's life or other medical reasons, and in cases of rape.

Abortion for medical reasons was permitted in Chile until 1973. The current conservative government has opposed any loosening of the prohibition.

Lawmakers will have to wait a year to propose any new abortion bill. However, the bill that would have permitted abortion for medical reasons was only defeated by a fairly narrow margin of 18-15 votes, which leaves a window of hope for ongoing activism to increase women's choice.




New HIV guidelines for prevention of vertical HIV transmission

Date: 3 April 2012
Source: World Health Organization


WHO has just released a programmatic update on the use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants.

This update outlines the benefits of the currently recommended Option B approach, which is a single, universal triple-combination regimen both to treat HIV-positive pregnant women and prevents mother-to-child transmission of HIV. It also discusses the advantages of the newly emerging Option B+ approach, which is to not only provide the same triple drugs to all HIV-positive pregnant women beginning in the antenatal clinic setting but also continuing this therapy for all of these women for life. Important advantages of Option B+ include: further simplification of regimen and service delivery and harmonisation with HIV treatment programmes, protection against mother-to-child transmission in future pregnancies, a continuing prevention benefit against sexual transmission to serodiscordant partners and avoiding stopping and starting of ARV drugs.

WHO has begun a comprehensive revision of all ARV guidelines, including guidance on ARVs for pregnant women, planned for release in 2013.

The programmatic update can be downloaded here in English and the 2010 guidelines are available here and supplementary rapid advice here, both in English.




Enter vagina stage left - or is it right?

Date: 28 March 2012
Source: Wayne Drash and Jessica Ravitz, CNN

There has been a growing move from the US Republican Party and its supporters to 'regulating women's private parts', as many activists see it. This includes controversy over talk show host Rush Limbaugh's highly derogatory comments about a student who advocated contraception and over the removal of funding for the Planned Parenthood Association.

A new term has emerged for the leaders of states where abortion laws have tightened - gyno-governors.
A website called Government Free VJJ offers tips on how to knit or crochet a vagina or uterus and send it to men in Congress, stating that "if they have their own, they can leave ours alone!" A Facebook campaign has targeted at least five gyno-governors, with women asking anything from intimate questions about their vaginas to advice on menopause.

State lawmakers are also proposing bills and amendments that challenge the trend towards anti-abortion legislation. In January, amid debate over the abortion ultrasound legislation in Virginia, one state senator introduced an amendment to require that men seeking erectile dysfunction drugs get rectal exams and cardiac tests. Mock bills to ban vasectomies have been offered in Georgia and Missouri, suggesting the procedure deprives potential children from ever being born. An Ohio State Senator submitted a bill that would require men seeking erectile dysfunction drugs to submit an affidavit from a sexual partner to certify impotence, see a sex therapist, receive counselling, undergo a cardiac stress test and be warned of risks and complications.

People are seeing this moment as a pivotal point that could get younger women more active in health issues and policy, because of "the vile rhetoric from anti-choice politicians and radio show hosts," said a pro-choice spokesperson from NARAL Pro-Choice America. Republicans and others on the anti-abortion side of the debate claim that there is a move to brainwash people, including those campaigning for the re-election of Obama. While campaigning last year for Mississippi governor, Republican Phil Bryant declared that if the state's "personhood" amendment failed, then "Satan wins." Yet in a state referendum, Mississippi voters ultimately sided with women's rights.

Eve Ensler, playwright and activist behind 'The Vagina Monologues' feels both amused and vindicated about the centre-stage role that the vagina is playing in US politics. "For so many years, people told me I was too vaginally centric and clearly I wasn't vaginally centric enough!" She sees the potential for greater women's liberation if this momentum continues to grow. She feels that the religious and political campaigners on the left will face growing opposition from the grass roots. "The only thing they want to regulate is our bodies. It's profound if you think about it. To some degree, the world has changed. And they don't know what to do in the new world."




Women prepare to transform economic power

Date: 30 March 2012
Source: AWID

AWID announce their preparations for the 2012 AWID Forum on Transforming Economic Power to Advance Women's Rights and Justice. There have already been over 1,600 registrations so make sure not to miss out and register today.

AWID hopes that the Forum will be a space for feminists and women's rights activists, political leaders, donors and allies to renew strategies toward a just and sustainable global economy and human rights for all. The idea is to engage in serious reflection about the implications of the significant content shifts our world is experiencing and how they will affect our present and future struggles to advance human rights, gender equality, justice and environmental sustainability.

For more information on the Forum theme, logistics and program, please visit the 2012 AWID Forum website.




Videos: Women mobilise action for Cairo+20

Date: 2 April 2012
Source: Development Alternatives with Women for a New Era (DAWN)

DAWN has launched the second part of the feminists' Call to Action towards Cairo+20 video series. The series aims to mobilise action and support initiatives that address sexual and reproductive health. Women across the South talk of their experiences. The videos contain interviews with women from Fiji, India, Mongolia, Egypt, Pakistan and Indonesia who describe their work with women facing all forms of sexual and reproductive health challenges. The videos chart their routes toward Cairo+20.

The videos can all be viewed here and are posted on YouTube.




Working together to avoid maternal deaths in Mexico

Date: 2 April 2012
Source: Amirainai on YouTube


In Mexico, many rural communities lack access to health care. Only 60% of women receive obstetric care by skilled personnel in the middle of the country in rural areas. Maternal mortality is 62.8 per hundred thousand live births, of whom about 70% is due to direct obstetric causes. Nine out of ten of these deaths could be prevented using the three delays model.

This short video simply illustrates eight proven and simple strategies to deal with Emergency Obstetric Care that can be implemented in rural communities. These include community-trained 'godmother or godfather obstetricians' who monitor and control pregnancies and can recognise alarm signals, a network of health providers and community members who can refer women for emergency obstetric care and use of radio to liaise between the community and health services.

The video is available in Spanish only or with English subtitles.

Reproductive Health Matters 39 deals with the issue of maternal mortality - coming soon!




New publication: Research for universal health coverage in Africa

Date: 2 March 2012
Source: Oxford Journals

Health Policy and Planning have published a supplement addressing universal coverage reforms in Africa. Universal coverage means ensuring financial protection for all from the costs of health care enabling access to needed health care for all citizens.

The Social Health Insurance for Equity in Less Developed countries (SHIELD) project critically evaluated the health systems of three African countries (Ghana, South Africa and Tanzania) through an equity lens and the extent to which expanded or new financing mechanisms could address the equity challenges faced by these countries. This supplement presents the key findings of the research.

Articles address overall health equity questions, analyses of the distribution of the current health care financing burden and of health care benefits across different socio-economic groups, factors influencing out-of-pocket payments and membership of voluntary insurance schemes and the willingness of citizens to support income and risk cross-subsidies in the health system. The supplement concludes with papers that critically evaluate options for the likely future development of financing mechanisms in the study countries, particularly in relation to their financial sustainability, potential equity impact and their feasibility given attitudes of key stakeholders.

Abstracts, and the full articles for journal subscribers, can be viewed here.




Asian women - positive and pregnant

Date: 2 April 2012
Source: Asia Pacific Alliance for Sexual and Reproductive Health and Rights


Positive and Pregnant: how dare you is a study on the access to reproductive and maternal health care for women living with HIV in Asia. The report was developed by the Women of the Asia Pacific Network of People. It contains findings from six countries in the Asia Pacific region: Bangladesh, Cambodia, India, Indonesia, Nepal, Vietnam. The study aimed to assess the experience of accessing reproductive and maternal health services as reported by HIV-positive women over 16 years of age and pregnant in the past 18 months. The study used quantitative and qualitative methods: a survey among 757 women, 17 interviews and 10 focus group discussions.

The full report can be downloaded here.




Fatal consequences of El Salvador's ban on abortion

Date: 21 March 2012
Source: Center for Reproductive Rights 

The fatal consequences of El Salvador's absolute ban on abortion were highlighted in a petition that has just been filed with the Inter-American Commission on Human Rights. El Salvador is one of five countries in Latin America and the Caribbean where abortion is absolutely prohibited even when the woman's health or life is at risk.

The petition was filed on behalf of "Manuela" (a pseudonym) and her family. Manuela was a 33-year-old Salvadoran mother of two who was convicted of murder and sentenced to 30 years in prison after suffering severe complications giving birth. From the moment that Manuela arrived at the hospital seeking emergency health care, doctors treated her as if she had attempted an abortion and immediately called the police. She was shackled to her hospital bed and accused of murder. Manuela was sentenced to 30 years in prison without ever having a chance to meet with her lawyer, without an opportunity to speak in her own defence and without the right to appeal the decision. The judge overseeing her case said that "her maternal instinct should have prevailed" and "she should have protected her child".

After several months in prison, Manuela was diagnosed with advanced Hodgkin's lymphoma - a disease that is likely to lead to the severe obstetric emergency she suffered. Manuela did not receive the appropriate treatment for her disease and died in prison in 2010. Her illness could have been caught earlier if she had received adequate medical attention when she had consulted about her tumours prior to this pregnancy, and if the doctors at the emergency room had focused on her condition rather than her assumed crime of suspected abortion.

This petition marks the first time an international judicial body will hear the case of a woman imprisoned for seeking medical care due to obstetric emergencies as a result of a total abortion ban. The case argues that El Salvador's absolute ban on abortion violates a number of human rights, including the right to life, right to personal integrity and liberty, right to humane treatment, and the right to a fair trial and judicial protection.




Police say advertising illegal abortions is like selling a car, South Africa

Date: 22 March 2012
Source: Mail and Guardian 

This week, attention was drawn to the advertising of illegal and dangerous backstreet abortions in South Africa. Just days ago a young woman died from what police believe to be a botched abortion. Even though advertisements for 'safe same-day' abortions litter lamp posts across the country, the South African police spokesperson stated that street advertising of illegal abortions was like 'selling a car' and that it was a matter for the Advertising Standards Authority (ASA).

The ASA, for its part, says that it is unable to enforce any rulings made on the matter. The ASA agreed with the police for patrols to remove posters and arrest those putting them up, but this proved ineffective. The ASA complains that there is no preventative measure to act against backstreet abortionists and that police can only make an arrest after an abortion has been performed.

Abortion has been legal in South Africa since 1996 for all women on request at state or private facilities up to 12 weeks into the pregnancy and up to 20 weeks in extraordinary circumstances. The Act states that any person who performs an abortion and is not a medical practitioner or registered nurse with special training can be fined or imprisoned for up to 10 years. But it does not explicitly forbid the advertising of such services.

More than ten years after this Act about a third of South African women still believe that abortion is illegal. Even when a woman seeks a legal abortion, she faces opposition from many health care workers, the fear of stigma and few trained providers and abortion facilities. From 2004 to 2007, more than half of the 136 deaths as a result of complications arising from abortions were avoidable. According to the last year’s Fourth Report on Confidential Enquiries into Maternal Deaths in South Africa, the state's capacity for providing abortions is declining, and activists report that only 40% of designated facilities are operational.

Abortion care providers are calling for illegal abortionists to be identified and for women to have greater access to information concerning their right to reproductive healthcare, including abortion services. Abortion needs to be normalised instead of stigmatised. This is the only way to avoid deaths related to illegal abortion.




Young Asian activists demand sexual and reproductive health rights

Date: 22 March 2012
Source: Women's Global Network for Reproductive Rights  

Young sexual and reproductive health and rights activists from Asia-Pacific released a statement demanding that governments fulfill the commitments made under international documents and instruments. The statement is an outcome of a two-day meeting held in Bangkok, Thailand on young people's rights.The statement captures the urgent concerns of young people in the Asia-Pacific region and targets the 45th session of the Commission on Population and Development, which will be held April 23-27 in New York.

There are approximately 850 million young people in the Asia Pacific region. They face worrying HIV prevalence rates and immense legal, cultural and political barriers to health. Young people, especially young women and girls, lack access to quality health and life-saving services and information that would allow them to lead safe, healthy, and fulfilling lives.

The statement demands mainstreaming of gender perspectives and impacts, calls for a youth-centred budget in national health system financing and pushes for access to comprehensive sexuality education and youth friendly services, including pre and post safe abortion care. Activists call for quality, scientific, disaggregated data on young peoples' sexual and reproductive health and rights to enable active engagement of communities for evidence-based advocacy and policy making. Underscoring the commitments made, advocates demand full support for young peoples' meaningful participation, leadership and involvement at all levels of decision-making.

The full statement is available for download in English here.




Turkey first country to ratify European Convention on violence against women

Date: 15 March 2012
Source: Human Rights Education Associates


Turkey today ratified the Council of Europe Convention on preventing and combating violence against women and domestic violence. Seventeen other member states have also signed the Convention since its opening for signature last May in Istanbul.

The Council of Europe has called on European governments to follow Turkey's lead so as to permit the treaty's rapid entry into force.

The Convention recognises that violence against women constitutes a serious violation of human rights and a form of discrimination. It represents a major step forward in combating such violence through measures aimed at preventing it, protecting victims and reinforcing the criminal penalties that can be imposed on perpetrators under national legal systems. It criminalises acts such as female genital mutilation, forced marriage, harassment, psychological violence, forced abortion and forced sterilisation.

 




High Level Task Force For Promoting Sexual And Reproductive Health And Rights launched in Finland

Date: 16 March 2012
Source: Ministry for Foreign Affairs, Finland


Former Finnish president, Tarja Halonen, met with UNFPA in Helsinki this week to discuss the establishment of a High-Level Task Force for Promoting Sexual and Reproductive Health and Rights. President Halonen and former President Joaquim Chissano of Mozambique will co-chair the High-Level Task Force, whose main assignment is to advance sexual and reproductive health and rights globally on a political level.

The High-Level Task Force will hold its first meeting during the United Nations Conference on Sustainable Development, Rio+20 in June 2012 in Brazil. Before this the two will meet to discuss the Task Force in more detail.




New publication: Women's rights and prenatal protections

Date: 20 March 2012
Source: Center for Reproductive Rights 

Whose Right to Life, Women's Rights and Prenatal Protections under Human Rights and Comparative Law examines international standards and national court precedents to demonstrate that human rights law does not recognise a right to life before birth.

The toolkit is a brief and practical resource that examines the legal and human rights implications of recognising an embryo or fetus as a rights holder, and proposes how states can legitimately promote an interest in prenatal life without undermining women's rights.

The toolkit is an essential tool for any activist who is challenging the increasingly strict abortion legislation that is being pushed in many countries. It can be downloaded from the Center for Reproductive Rights’ website.




Abortion rights victory is victory for all women in Argentina

Date: 19 March 2012
Source: Slate


As reported here earlier this week, the Supreme Court in Argentina has issued a ruling clarifying the scope of the abortion current law. It has made clear to judges, doctors and Ministers of Health that Argentina's Penal Code rules that any women who has been raped has the right to access to an abortion.

The ruling is groundbreaking because the National Supreme Court ruling emphasises that all rape victims are entitled to legal abortions. For nearly a century, the only pregnant rape victim eligible for a legal abortion in Argentina was a 'mujer idiota o demente' (an 'idiot or demented woman'). Now, 91 years after the penal codes were drafted into Argentinean law, the nation's highest court has affirmed that abortion is available to all rape victims, not just the mentally impaired. By Latin American standards, this is a huge victory.

The case that prompted this ruling was that of a 15 year old girl, pregnant as a result of rape by her stepfather, whose family requested judicial permission from a family court judge to get an abortion. Even though such authorisation is not required by law, the request was summarily denied on the grounds that she did not have a mental disability. The girl's family filed an appeal with the Supreme Court of the Province of Chubut. This court overrode the family judge's decision and determined that the girl, A.G., could have a legal abortion. However, the province's Public Defender appealed the decision to the National Supreme Court on behalf of A.G.'s fetus. His argument was that the girl did not fall under the mental disabilities category. His strategy backfired. The National Supreme Court unanimously rejected the appeal and affirmed its support of the Chubut Court decision to permit A.G. a legal abortion on the grounds of rape.




Argentina Supreme Court affirms right to abortion in case of rape

Date: 14 March 2012
Source: CEDES (personal communication)

The Supreme Court in Argentina has issued a ruling clarifying the scope the current abortion law. It has made clear to judges, doctors and Ministers of Health that Argentina's Penal Code rules that any women who has been raped has the right to access to an abortion. The Court established in this ruling that no judicial authorisation is needed before having an abortion in such cases, a doctor's note will be sufficient. It exhorted the State to implement local and national protocols for the provision of safe abortion at public health facilities.

This followed an earlier ruling, in March 2010, by the Superior Court of the Province of Chubut. The Court had ruled that abortion is permitted, following the case of A.G., a 15-year old girl who became pregnant after being raped by her stepfather. After the abortion was performed the Public Defender, representing the fetus, appealed the ruling before the National Supreme Court. The Defender argued that the right to life of the fetus had been violated. The case caused outrage in Argentina, partly because of the length of time it took the lower court to reach its decision. By the time the ruling in favour of an abortion was made, the girl was 20 weeks into her pregnancy.

The Supreme Court has unanimously backed this earlier decision. The Supreme Court is Argentina's highest judicial instance and its decision can not be appealed against.

This decision is an important turning point and will help in advancing the move for expanding access to abortion till 12 weeks of pregnancy.




More than half of all reproductive-age US women live in states hostile to abortion rights

Date: 15 March 2012
Source: Guttmacher Institute


Fifty-five percent of all reproductive-age U.S. women lived in a state hostile to abortion rights in 2011, up significantly from 31% in 2000,
according to a new Guttmacher Institute policy analysis. There has been a dramatic shift in state abortion legislation over the past decade, including a record number of abortion restrictions that were enacted in 2011.

The analysis finds that most states (35) did not change category over the decade. But all of the 15 states whose abortion policy landscape changed substantially became more restrictive. The analysis divided states into supportive, middle ground and hostile and measured their abortion policy landscape against 10 categories of major abortion restrictions. There are striking regional differences, with states in the west and northeast remaining consistently supportive of abortion rights. In the middle of the country, half the states moved from being middle-ground states in 2000 to hostile in 2011. And in the 13 states in the South, half were hostile in 2000 but all had become so by 2011.

Shoring up the remaining states in the middle-ground group may be key to stopping the further national erosion of abortion rights and that efforts to do so may well be successful. These states may be ripe for progress on related reproductive and sexual health issues such as contraception and sex education. For instance, Colorado has mandated contraceptive insurance coverage and Wisconsin has expanded access to comprehensive sex education.

Click here to read the full report: Troubling Trend: More States Hostile to Abortion Rights as Middle Ground Shrinks.




Ten years of legal abortion has saved thousands of lives, Nepal

Date: 13 March 2012
Source: Himalayan Times


A government/UNICEF study estimated that 20% of all pregnancy deaths in 2000 were due to unsafe abortion. Following sustained campaigning and with government support, abortion became a safe and legal choice for women in Nepal in March 2002. A decade of legalisation of safe abortion has saved the lives of thousands of women. Abortion is free on request up to 12 weeks and allowed up to 18 weeks if the woman's life is in danger and in cases of rape and incest, when carried out at hospitals or clinics run by health ministry certified doctors.

Before 2002, a woman suspected of undergoing abortion could be jailed. About half of gynaecological admissions to hospital were due to backstreet abortions. Since that time, not a single woman has been imprisoned for abortion and unsafe abortions are significantly down.

In the past ten years a reported 500,000 women have received legal abortion services, according to the safe abortion programme at the Family Health Division of the Health Ministry. The rate of complications has been low - around 2% according to one 2008 survey. There are more than 500 public and private clinics and 1,322 service providers have been trained. 

 




Journal disavows study touted by US abortion foes

Date: 7 March 2012
Source: Reuters

The Journal of Psychiatric Research has just published a commentary, co-authored by one of the journal's editors-in-chief, distancing itself from a controversial study it published in 2009. The 2009 paper suggested a link between abortion and mental illness, including post-traumatic stress disorder, panic attacks, and drug addiction. It has been widely cited by legislators and advocates to argue that abortion raises a woman's risk of mental illness and to push for laws requiring providers to advise women of a link between mental illness and abortion. The recent commentary from the journal concludes that criticism of the study "has considerable merit" and states that it "does not support assertions that abortions led to psychopathology."

The study used data from the National Comorbidity Survey, which assesses the prevalence of mental illness in the US. It concluded that there is a link between past abortions and mental illness. In 2010 a review of the same data, by authors commissioned by the Guttmacher Institute, identified a number of errors in the original paper. The biggest flaw was that many incidents of mental illness included in the analysis came before the abortion. Despite an admission from the lead author, Dr Coleman, acknowledging statistical errors and conceding that she had used lifetime estimates of mental illness rather than only episodes after an abortion, she has refused to retract the paper.

C
ritics say the paper is flawed enough to be excised from the scientific literature. They are also concerned about the lead author's possible conflicts of interest. Last year she gave a talk to the American Association of Pro-Life Obstetricians and Gynaecologists in which she says she would like to establish an organisation to "publici[se] the real risks of abortion".

Thirty-five states require pre-abortion counselling. It is not yet clear whether this commentary from the original publishers will affect policy on abortion counselling requirements.




Lebanon's gender violence law under threat


Date: 8 March 2012
Source: IRIN


Proposed amendments to a draft law on gender violence in Lebanon have sparked demands from civil society organizations that parliament uphold an original draft criminalising "honour crimes", marital rape and other abuses.

The original draft has been worked on since 2007 by a coalition of over 40 civil society organizations, and primarily aims to protect women from mental, physical and economic violence. It criminalises different types of violence experienced by women, calls for appointment of public prosecutors to investigate cases of family violence and establishment of special units within the police to oversee such cases and allows women and their children to seek restraining orders against abusers. It also proposes giving civil, not religious courts, jurisdiction over family violence cases.

In April 2010, this draft was approved by the Council of Ministers which referred it to a parliamentary committee. According to the original drafters of the law, the committee (seven men and one woman) has modified the law so dramatically that it has been emptied of its original purpose. This is attributed to influence from Lebanon’s main religious authorities.

Lebanon's 15 religious courts currently preside over personal cases and have attacked the draft law as an attempt to undermine their authority and to Westernise the Arab family.

The controversy over the draft law highlights the difficulties faced by those campaigning for secular laws in Lebanon, said director of the Resource Center for Gender Equality (ABAAD). Activists are calling to galvanise male involvement in the fight against gender-based violence.




Gender-based violence untreated, Papua New Guinea

Date: 8 March 2012
Source: IRIN News


Critical gaps in the treatment of survivors of domestic and sexual violence are placing thousands of women at serious physical and psychological risk in Papua New Guinea, according to a recent report by Medecins sans Frontieres.

The organisation is currently the largest provider of medical care to survivors of family and sexual violence. They treat high numbers of survivors of intimate partner violence and of sexual violence. This is the first time that there has been concrete data from a health provider. According to the Papua New Guinea, 70 percent of women say they have been physically abused by their husbands. That number reaches 100 percent in some parts of the country.

The report recommends that the National Department of Health sets up treatment protocols and guidelines for survivors, implements operational guidelines, provides support to family support centres, and waives fees for treatment of survivors of family, sexual violence and child abuse.

Download the full report here.




American war over sexuality

Date: 10 March 2012
Source: Guardian


US politics is overshadowed by bitter debates over sexual politics, from abortion to contraception and personal morality. In the past week, protests in Texas, Arizona, Utah, Georgia and Alabama all involved some aspects of sex and sexuality. In Utah, it was over the passing of a law that means the only sex education children will get in school will be about abstinence. In Texas, it was about cuts to health insurance that covers birth control. In Georgia, eight of the nine women in the state senate walked out over a bill that attacked abortion rights. A radio presenter, Rush Limbaugh, verbally abused a student who had testified in Congress on the importance of government funding for birth control. His comments triggered an advertiser boycott of his show and led to criticism from Republican nomination candidates and Obama. But many people see this is a sign of the powerful forces on the right who are determined to undo decades of advancement in sex and women's rights, shown most clearly in Rick Santorum, the main challenger to Mitt Romney for the Republican presidential nomination, who has hardline views on abortion and contraception.

Yet images of sexuality are all around, on television, in a thriving sex industry said to be worth more than $12 billion a year and in increasingly sexualised images aimed at young girls.

A recent book by Nancy Cohen, Delirium: How the Sexual Counter-Revolution is Polarising America, points to a movement that has aggressively campaigned to set back women's rights, focused on issues around sex and birth control. It is, she says, largely motivated by religion. The results are a growing number of laws over reproductive rights that are increasingly being described as a war on women by liberals.




Sri Lanka Attorney General joins calls for expanding abortion in cases of rape

Date: 10 March 2012
Source: Daily News


A recent statement from the Child Development and Women Affairs Ministry Secretary that girls made pregnant after rape should have the right to abortion has been reaffirmed by Sri Lanka`s Attorney General. She was delivering the keynote address at International Women’s Day National celebrations 8 March.

The Attorney General said that if women are discriminated based on gender by government officials it would be a human rights violation. The debate in the country about abortion rights is being put on the national agenda by senior women leaders.




Male circumcision still effective for HIV prevention five years after trial

Date: 13 March 2012
Source: AIDS

A recent study of the longer-term effectiveness of male circumcision has found that male circumcision continues to be highly effective for HIV prevention almost five years after the end of a male circumcision trial in Uganda. 4996 HIV-negative men had been enrolled in a randomised control trial and surveillance continued for almost five years after the trial. Over three quarters (78.4%) of uncircumcised trial participants accepted male circumcision following trial closure. Overall HIV incidence remained lower in circumcised men than in uncircumcised men.

Gray R, Kigozi G, Kong X et al. The effectiveness of male circumcision for HIV prevention and effects on risk behaviors in a posttrial follow-up study. AIDS 2012:26(5):609-15.




Abortion Provider Appreciation Day, 10 March

Date: 9 March 2012
Source: Marion Stevens, Mail & Guardian

March 10 is Abortion Provider Appreciation day, a day that began in 1996 in memory of Dr David Gunn, the first abortion provider to be murdered (on that day in 1993) in the United States. It is a day to honour every provider who dedicates his or her life to help women and make reproductive choice possible. Without abortion providers, there is no access to abortion and no "choice".

In South Africa, nurses or midwives provide up to 70% of first-trimester abortions. Their work is undervalued and unsupported.

Talking openly about abortion is hard for both providers and for any woman who is faced with an unwanted pregnancy. Ironically, it is often easier to talk publicly about HIV than unwanted pregnancies. South Africa's HIV prevention of mother-to-child transmission programmes seldom implement a key component, the prevention of unintended pregnancies. The new national HIV strategy has no indicators to address fertility management, the quality of contraception or abortion care in relation to HIV as part of prevention programming.

There is huge concern about the fact that half of the pregnancies in the country are unplanned, yet the number of abortions in state facilities is declining dramatically because pregnancy clinics designated for termination are being closed. Despite South Africa`s liberal abortion laws, there was a 44% increase in abortion-related death in 2005-2007.

The silent wave of death from unsafe abortion caused by declining services needs to be brought back into focus. The introduction of early medical abortion could make a huge difference.

Make a difference on March 10 – show your local abortion provider that you appreciate him or her!




British Pregnancy Advisory Service website hacked

Date: 9 March 2012
Source: British Pregnancy Advisory Service

Today the British Pregnancy Advisory Service (bpas) issued a press release, following media reports about hacking of their website.

"The website of the British Pregnancy Advisory Service was hacked into and defaced for a period on 8 March 2012 in what appeared to be a sophisticated cyber attack by an anti-abortion extremist. This incident appears to be the most extreme example of what is now a very concerning escalation in anti-abortion activity aimed at providers and the women who need their services.

Around 26,000 attempts to break into our website were made over a six hour period, but the hacker was unable to access any medical or personal information relating to women who had received treatment at bpas.

The website does store details (names, addresses and phone numbers) of people who have requested information from bpas via the website, including those making personal inquiries as well as health and education professionals, the media and students. [...] 

While the confidentiality of women receiving treatment was never in danger, this episode was taken very seriously indeed. A court injunction was obtained to prevent the publication of the data and, in the early hours of this morning an arrest was made."

The full press release can be viewed here.

 




Compulsory ultrasound when seeking abortion in State of Virginia, US

Date: 16 February 2012
Source: Dahlia Lithwick, Slate


This week in the US, the State Legislature in Virginia passed a bill that would require women to have an ultrasound before they may have an abortion. The great majority of abortions occur during the first 12 weeks, meaning that most women will be forced to have a transvaginal procedure. A proposed amendment to the bill, requiring that the woman consent to this bodily intrusion and allowing the doctor to opt not to do the vaginal ultrasound, failed on a 64-34 vote.

This means that women seeking an abortion in Virginia will be forcibly penetrated for no medical reason. Furthermore, a provision of the law would ensure that the doctor records in the woman's medical record that the patient either did or did not "avail herself of the opportunity" to view the ultrasound or listen to the fetal heartbeat. The result is that a physician is being compelled by the state to perform a medically unnecessary procedure upon a woman, despite clear ethical directives to the contrary.

Opponents argue that the rights of woman and physician are being violated. Also, recent research shows that women forced to see ultrasound images opt to terminate anyhow. The law is likely to be passed and the governor is unlikely to veto the bill, but he still has the power to amend it to require the patient's consent or say that physicians can opt not to do the vaginal probe.




CEDAW Committee condemns gender stereotyping in rape case, Philippines

Date: 13 February 2012
Source: Optional Protocol to CEDAW


A recent decision of the CEDAW Committee, Karen Tayag Vertido v. The Philippines, takes issue with the widespread problem of stereotypes in rape trials. It is the first case addressed by the CEDAW Committee that is concerned primarily with wrongful gender stereotyping.

In 1996, Karen Tayag Vertido, Executive Director of Davao City Chamber of Commerce and Industry, filed a complaint of rape against the then President of the Chamber. She alleged that the accused offered her a lift home following a business meeting one evening and then raped her in a nearby hotel.

Eight years later, after an extremely slow journey through the court, the accused was acquitted. The judge said there was insufficient evidence to prove beyond all reasonable doubt that the accused was guilty of the offence charged. She based her decision to acquit on 'guiding principles' from other rape cases and an assessment that Ms Vertido had, among other things, failed to take advantage of perceived opportunities to escape from the accused.

Ms Vertido took her concerns to the CEDAW Committee, claiming that the judge's decision had no basis in law or fact, but 'was grounded in gender-based myths and misconceptions about rape and rape victims … without which the accused would have been convicted.'

The Philippines claimed that the communication was inadmissible because Ms Vertido should have used all available national processes before going to the CEDAW Committee. This was rejected by the CEDAW Committee, which concluded that the the Philippines had failed to end discriminatory gender stereotyping in the legal process, thus violating several CEDAW articles, and had failed to deal with the allegation in 'a fair, impartial, timely and expeditious manner.'




Publication: Social science methods for research on sexual and reproductive health

Date: 16 February 2012
Source: WHO


An updated and expanded version of Social Science Methods for Research on Sexual and Reproductive Health is now available online.

These guidelines focus on the sexual and reproductive health issues of greatest public health and social concern, where action and intervention are likely to bring about change.

Aimed at trained social scientists as well as biomedical and other scientists with an interest in social science research, this book contains practical advice on how to plan and conduct social science research in sexual and reproductive health.

The document addressed objectives of social science research, research design options, methods for data collection, practical aspects of research planning and implementation and ethical issues. An appendix provides information on international sources of information on sexual and reproductive health.




Indonesian government denies plans for mandatory male circumcision

Date: 20 February 2012
Source: PlusNews


Authorities in Indonesia's remote Papua Province say they have no plans to make male circumcision mandatory. They do state that the government is promoting medical male circumcision as part of its reproductive health strategy. The comments follow local media reports claiming that the local government plans to require all male residents to undergo mandatory circumcision as part of efforts to curb HIV transmission rates.

Only about 5 percent of ethnic Papuans in the region are circumcised, against 70 percent of non-Papuans. HIV prevalence in Papua stands at 2.4 percent among 15-49 year-olds, against 0.2 percent in the rest of the country, where male circumcision is commonly practised.

The possibility of making male circumcision mandatory would be controversial. Most native Papuans, who are Christian, associate male circumcision with Islam, the majority religion of most Indonesians. At the same time, some church officials continue to question its importance in curbing the spread of HIV, preferring to call for abstinence and fidelity.




Hundreds gather to demand abortion legalisation in Ireland

Date: 22 February 2012
Source: Workers Solidarity Movement


A meeting calling for abortion legalisation in Ireland, in Dublin on 21 February, was attended by hundreds. The meeting marked 20 years since the X case and the failure of all political parties in the years since to legislate for the limited abortion provision required by the X case court judgement. The clear message was that it was time for Action on X.

Speakers included journalists, legal experts and several members of parliament, who shared examples of the human rights violations experienced by women and their families. The current practice of going to the UK for abortions discriminates against those on low income and puts immigrants in a terrible situation.

Many of the speakers from the floor talked about how inspired they were to see so many people at the meeting, yet how shocking it was that twenty years on from the X case judgement women were still waiting for abortion rights in Ireland. There have been positive changes, with only a tiny anti-choice picket outside and only one anti-choice speaker who made her points calmly and reasonably.

A private members bill, which would legislate for the X case judgment, will be debated in parliament on 19th April.




Male circumcision setback in Kenya

Date: 2 March 2012
Source: PlusNews


Kenya`s campaign to circumcise more than one million men by 2013 has run into problems as the government`s rapid results initiative failed to meet its target. Conducted between November and December 2011, the initiative aimed to circumcise 70,000 men over a 30-day period. However, results released in February show that only 40,000 men were circumcised. This is the first time the annual initiative - which began in 2008 - has failed to reach its target. Officials are stepping up efforts to identify and fix the problems.

The problems are
, in part, due to heavy rains in November and December that made rendered many roads impassable to the mobile circumcision clinics. However, there are more serious challenges in communication and in health service delivery. The health worker that faces competing priorities, possibly having to choose whether to focus on male circumcision or antenatal care in a poorly staffed clinic with limited resources.

The programme has been successful in convincing younger men to volunteer for the procedure, but less successful in attracting older, married men. Many new infections are occurring within marriage. Attempts are being made to involve women at the centre of men`s decision-making and using already circumcised but married men as peer educators. Recent research revealed that cohabiting or being in a marriage were the strongest predictors of engaging in early sexual activity, a high risk activity for six weeks after transmission.

Lack of adequate counselling for girls and women is seen as potentially scuppering the programme, as was found in recent research. Counselling women would also help to reduce cases of early resumption of sexual activity. The programme`s Communications Manager reports that `Men will tell you they fear losing their wives or girlfriends during the healing period, but when you talk to women, they tell you they will be ready to support their men during this time, so long as they have adequate information.




Rapid syphilis test toolkit: new publication

Date: 7 March 2012
Source: London School of Hygiene and Tropical Medicine


This newly published Rapid Syphilis Test Toolkit provides a framework and series of tools for the introduction of rapid syphilis tests into country programmes. It was developed at the London School of Hygiene and Tropical Medicine for a project funded by the Bill & Melinda Gates Foundation, to determine the feasibility and cost-effectiveness of different strategies for the introduction of rapid syphilis tests in seven countries in Africa, Asia and Latin America.

The project has shown that rapid tests can increase access to syphilis screening in areas not served by laboratories; strengthen health systems by providing more rapid client-friendly services, and enable women to prevent adverse outcomes of pregnancy.

The toolkit can be downloaded here.




Video: Abortion in Ireland



Date: 7 March 2012
Source: Irish Family Planning Association


Every day 12 women leave Ireland to access abortion services in the UK.

Abortion in Ireland is a new video developed by the Irish Family Planning Association as part of an initiative to facilitate an open, honest dialogue on abortion and to dispel myths that stigmatise women who seek abortion services. The video provides accurate factual information on abortion in Ireland.

Join IFPA in the change and pass on this video to others to ensure the debate about abortion in Ireland is informed by facts, not misinformation.




Sri Lanka considers legalisation of certain abortions

Date: 26 February 2012
Source: The Nation


The Deputy Minister of Child Development and Women's Affairs has announced that authorities are studying a proposal to legalise certain abortions, particularly for underaged rape victims. According to the minister, the move was being contemplated in response to the large numbers of illegal abortions carried out in the country. At present, it is estimated that over 1,000 illegal abortions are carried out daily in Sri Lanka.

Abortion is currently illegal except in the case of risk to the mother's life. Interviews with Catholic and Buddhist religious leaders indicate that there will be resistance to any change in the current law. This announcement will lead to a welcome public debate.




Indian court rules that abortion decision in marriage rests with the wife

Date: 14 February 2012

Source: The Hindu


The Punjab and Haryana High Court last week ruled that the right to abort a pregnancy in a marriage rests with the wife and not the husband.

The court declared that "A woman is not a machine in which raw material is put and a finished product comes out. She should be mentally prepared to conceive, continue the same and give birth to a child. The unwanted pregnancy would naturally affect the mental health of the pregnant woman." The decision stressed that marital intimacy between a couple does not automatically translate to the woman's consent to child bearing.

Women's rights groups have welcomed the news which has sent a clear message to all about women's rights within marriage.




Many HIV-positive women in the US have experienced trauma

Date: 16 February 2012
Source: aidsmap 

New research has found that a majority of HIV-positive women in the US have experienced violence or some other form of psychological trauma.

Women account for 27% of new HIV diagnoses in the US and the majority of HIV-infected women come from disadvantaged communities. Trauma is a recognised factor in poorer HIV treatment outcomes.

Investigators looked at the results of 29 studies that examined experiences of trauma and post-traumatic stress disorder in women with HIV in the US. They found that about a third of women had post-traumatic stress disorder. Over half (55%) had experienced intimate partner violence. Just over a third of women reported adult sexual abuse and 54% reported being physically abused as an adult. The prevalence of trauma and abuse reported by HIV-positive women was much higher than that observed in the general US population.

The researchers recommend that detecting trauma and the provision of appropriate support and treatment should be a priority for HIV care.




Bill for limited abortion presented in Irish Parliament

Date: 18 February 2012
Source: Irish Times


A Private Members' Bill which would provide for limited access to abortion will be introduced in the Irish Parliament next week.The bill seeks to make abortion legal where there is a "real and substantial risk to the life" of the pregnant woman. The bill will be voted on in the House on 19 April.


Over 60 organisations and individuals, including seven members of parliament, two Senators, trade unions, academics and doctors have called for immediate legislation in line with the 'X' case. One Labour MP supporting the bill said it was shameful that 20 years after the Supreme Court ruled that a girl who had been abused could have an abortion, and after two referendums on the issue, six successive governments have failed to act.




Call to oppose reintroduction of anti-homosexuality bill, Uganda

Date: 22 February 2012
Source: AWID


Uganda's Parliament reintroduced the Anti-Homosexuality Bill on 7 February. During the bill's reintroduction, the Speaker informed the House that the bill will not need to be considered again by the Legal and Parliamentary Affairs Committee, thereby making the process faster and raising the possibility of it becoming law.

The bill introduces draconian provisions on top of Uganda's existing prohibitions on consensual same-sex relations. Lesbian, bisexual, transgender and intersex (LGBTI) people in Uganda could face the death penalty for the crime of "aggravated homosexuality", which includes consensual sexual conduct, activity by "serial offenders" or those who are HIV positive. It also criminalises the "promotion of homosexuality", compels HIV testing in some circumstances and imposes life sentences for entering into a same-sex marriage. It also punishes those who do not report violations of the bill's provisions within 24 hours.

The bill would seriously undermine the work of human rights defenders in Uganda, putting some of them at risk.

Human rights groups have raised their voices in condemnation of this and other acts of oppression in recent weeks. These include a raid by the Ugandan government on 14 February of a workshop run by LGBTI activists and the attempted arrest of FARUG's Executive Director, Kasha Jacqueline Nabagesera. FARUG is a human rights organisation which fights discrimination against LGBTI people.

Countries in the global South such as Brazil, India and South Africa have all taken leadership in the past two decades in legal and policy reform to support and respect LGBTI people's rights. Groups are encouraging Uganda to do the same.

In a statement released today, AWID calls on other women's rights groups to challenge this bill. If passed the bill would represent a grave assault on the human rights of all Ugandans, and particularly would further authorise discrimination against those who are, or who are believed to be gay, lesbian, bisexual or transgender. The bill not only violates multiple protections guaranteed by the Constitution of Uganda, but also contravenes the African Charter on Human and People's Rights, the International Covenant on Civil and Political Rights and other international human rights treaties to which Uganda is a party.

Links for more information, analyses from Ugandan activists and to take action can be downloaded via the AWID website.




New women's clinic opens in Mexico City


Date: 22 February 2012
Source: GIRE

The Marta Lamas Specialised Clinic for Women's Health was launched in Mexico City on 20 February.
This state of the art clinic will provide services including legal abortion, contraception, diagnosis and treatment of sexually transmitted infections and mammograms. It is named after Marta Lamas, founder of GIRE, board president, and feminist pioneer in Mexico.

The clinic was inaugurated in an event attended by the Mayor of Mexico City and the Minister of Health. It is the third specialised sexual and reproductive health clinic to be opened in Mexico City since the decriminalisation of abortion in 2007 and represents another important step towards democracy and freedom for women in Mexico, putting the power and trust in their hands to make their own decisions regarding their reproductive lives.

RHM congratulates all those who played an important role in helping this happen, advocating for women's reproductive rights and providing the financial and technical support to help this happen.




Change in UK guidelines for treatment of HIV in pregnancy

Date: 22 February 2012

Source: aidsmap

Draft UK guidelines on the treatment of HIV in pregnancy no longer recommends that the drug efavirenz should be avoided by pregnant women and women hoping to become pregnant.

P
revious guidelines had stated that the drug should be avoided during pregnancy. Therapy with the drug during the first three months of pregnancy had been linked to a theoretical risk of rare birth abnormalities. However, UK doctors conducted a rigorous review of the evidence and concluded that there are insufficient data to support the former position of avoiding the drug. This means women who are hoping to become pregnant can continue to take efavirenz, as can women who become pregnant.

World Health Organization (WHO) guidelines recommend the use of efavirenz during pregnancy. However, US guidance issued in 2010 says that the drug should be avoided during the first trimester.

The draft UK guidelines are available to view here during their consultation phase.

 

 

 

 




WHO upholds guidance on hormonal contraceptive use and HIV

Date: 16 February 2012
Source: World Health Organization

The World Health Organization has concluded, on the advice of its Guidelines Review Committee, that women living with HIV or at high risk of HIV can safely continue to use hormonal contraceptives to prevent pregnancy. The recommendation follows a thorough review of evidence about links between hormonal contraceptive use and HIV acquisition.

Current WHO recommendations in the 'Medical eligibility for contraceptive use, Fourth edition, 2009' therefore remain. There are no restrictions on the use of any hormonal contraceptive method for women living with HIV or at high risk of HIV. Couples seeking to prevent both unintended pregnancy and HIV should be strongly advised to use dual protection - condoms and another effective contraceptive method, such as hormonal contraceptives.

Some recent studies suggest that women using progestogen-only injectable contraception may be at increased risk of HIV acquisition, other studies do not demonstrate this
association. WHO convened a technical consultation from 31 January to 1 February 2012 of 75 experts from 18 countries to review existing WHO recommendations in the light of these findings. The group reviewed all the available evidence and agreed that the data were not sufficiently conclusive to change current guidance.

The experts recommended that women living with HIV, or at high risk of HIV, continue to use hormonal contraceptives to prevent pregnancy, but emphasised the need to also use condoms to prevent HIV acquisition and transmission. They also stressed the need for further research on the issue and the importance of offering a wider choice of contraceptive options.These recommendations will be continually reviewed in the light of new evidence.

The group further wished to draw the attention of policy-makers and programme managers to the potential seriousness of the issue and the complex balance of risks and benefits. The group noted the importance of hormonal contraceptives and of HIV prevention for public health and emphasised the need for individuals living with or at risk of HIV to also always use condoms, male and female, as hormonal contraceptives are not protective against HIV transmission or acquisition.

On 15 February, WHO's Guidelines Review Committee upheld the recommendations. The Guidelines Review Committee is the body responsible for ensuring that all WHO recommendations are based on the best available scientific evidence and have been developed in a transparent, unbiased and clearly reported manner.

The technical statement and background documentation can be downloaded from here.




UN Women turns one year old

Date: 17 February 2012
Source: AWID


In 2011 the United Nations created one UN agency working on women's rights. One year after its foundation, Charlotte Bunch, founding member of the Gender Equality Architecture Reform (GEAR) campaign, reflects on its acheivements and challenges.

UN Women's
strategic plan has six thematic priorities - increasing women's leadership and participation, ending violence against women, engaging women in peace and security processes, enhancing women's economic empowerment, gender budgeting and coordination and accountability across the UN System for gender equality. Most of the focus in 2011 was on existing strengths such as engaging in peace and security. GEAR welcomes the agency's announcement this month of a renewed push for women's economic empowerment and political participation.

Economic empowerment of women badly needs some leadership from UN Women, particularly to challenge existing, powerful economic and political interests that are standing in the way. This will require close collaboration between UN Women and civil society.

UN Women has reported that core funding for UN Women has doubled this year but is asking for a more robust increase to $700 million in the coming year. GEAR urges NGOs to pressure governments to live up to the promises made in creating the agency, and believes that a UN Women strategy in partnership with national NGOs could help to increase this amount in many countries. This includes lobbying the private sector to put money alongside stated commitments to gender equality.

In 2012, the GEAR campaign will continue to advocate for greater civil society participation and will continue to work for greater funding from governments.




Social grounds for free abortion cut still further, Russia

Date: 16 February 2012
Source: RIA Novosti


This week the Russian Health Ministry announced that sexual assault is the only social ground under which women can have a free abortion. Previously, a woman qualified for a free abortion if there was a court decision to relieve a woman of her parental rights, if a woman was in jail or if a father became disabled or died during a woman's pregnancy.

Medical grounds for qualifying for a free abortion include HIV infection, cancer, active tuberculosis, grave genetic diseases and other health problems threatening a woman's life.

This news further reduces abortion access for poor women. Russia's new abortion bill seriously limits access to abortion services and toughen criminal punishment for doctors who carry out illegal abortions.




Call for national registry of doctors who object to abortion, Spain

Date: 13 February 2012
Source: El País

Experts working for the UNESCO Chair in Bioethics at the University of Barcelona, Spain, are calling for a national registry of doctors who will not perform abortions, in order to improve women's access to pregnancy termination.

The Chair's director, María Casado, expressed opposition to restrictions to abortion in Spanish law proposed by the new government and called for a more stringent definition of conscientious objection for doctors. This proposal has been opposed by anti-abortion doctors. The Chair stated that the core principle is respect for women's rights as well as doctors' rights. This means conscientious objection should have a clear framework: doctors should make their position known before entering an operating theatre and should not be allowed to exert their right when the woman's health is in danger. She stated that "When conscientious objection is transformed into a collective stance for ideological reasons, it turns into civil disobedience", citing the Catholic Church's role in promoting conscientious objection to abortion.




Komen and abortion stigma in the US

Date: 6 February 2012
Source: Huffington Post

This week there was a major battle in the US between two important women's health organisations, Susan G. Komen for the Cure, a breast cancer charity, and Planned Parenthood. The battle started when Komen announced they were cutting funding to Planned Parenthood, citing the congressional investigation called for against Planned Parenthood, called for by Republican senators in an overtly political, anti-abortion move. A huge outcry followed the announcement, with staff resigning, public figures expressing support for Planned Parenthood and demonstrations by women across the country. Two days later, Komen made a public retraction, announcing that it will honour existing grants to Planned Parenthood and allow the organisation to continue to apply for future funding.

A commentary by Anu Kumar, Executive Vice President of Ipas, argues that abortion stigma has been deliberately attached to Planned Parenthood, as it is with any others who dare to provide comprehensive women's care, even though only 3% of services provided by Planned Parenthood are abortion procedures, compared with 16% devoted to cancer screening or 35% to contraception.

Abortion stigma is contagious and anti-abortion groups work by "identifying and isolating the stigmatising condition" as they have done in the US over the years since the Roe vs. Wade case in 1975, slowly eroding abortion access for poor women and silencing and shaming anyone or any group that dares to continue any sort of relationship with abortion rights advocates or providers. This stigma runs from groups who refuse to provide services to abortion providing companies all the way to the White House, where President Obama is reluctant to utter support for a woman's right to abortion. "When access to health care is limited by money or geography, we cannot afford to limit it further with politics. Yet we see it happen again and again when it comes to women's health. The abortion stigma card can be played at any time to scare off opposition."

It is great news that in this case Komen's attempt to demean and isolate abortion providers backfired by alienating their own supporters. However, the challenges remain until it is acknowledged that abortion is a part of comprehensive health care, just as breast exams and pap smears are.




Honduras upholds absolute ban on emergency contraception

Date: 13 February 2012
Source: Reproductive Rights

Today, the Honduras Supreme Court upheld the country's absolute ban on emergency contraception. This ban criminalises the sale, distribution, and use of the morning-after pill with punishment equal to that of obtaining or performing an abortion - three to ten years in prison for someone performing an abortion and three to six years in prison for the woman obtaining an abortion. With today's decision, simply being caught with an emergency contraceptive pill would be considered an abortion attempt.

A representative of the Center for Reproductive Rights said that, through this act "Honduras is telling the world it would rather imprison the women of its country than provide them with safe and effective birth control". The law ignores women's fundamental reproductive rights and will cause significant harm in the lives countless women and doctors across the country.

Local and international women's rights groups have been fighting the proposed ban since it was first passed by the Honduran Congress in April 2009. One month after it was passed into law, the then-president agreed to veto the ban, and the issue was automatically referred to the Supreme Court. After the June 2009 coup d'etat, however, the de facto minister of health issued an administrative regulation banning emergency contraception, despite the fact that the Supreme Court had not yet ruled on the proposed ban.

Today's ruling now allows the Honduran Congress to impose the previously proposed criminal punishments on any medical professionals who distribute and sell emergency contraception and any woman who uses or attempts to use the medication to prevent an unintended pregnancy.




White House bill now requires contraceptive coverage by health insurancers

Date: 10 February 2012
Source: RH Reality Check

The White House announced a change today in the forthcoming contraceptive coverage plan, that will enable women to get contraceptive coverage directly through their insurance plans without having to negotiate with or through hostile religious employers or state legislations.

White House
officials stated that "a woman's insurance company will be required to reach out directly and offer her contraceptive care free of charge. The religious institutions will not have to pay for it." Contraceptive care will be part of the basic package of benefits offered to everyone, rather than an opt in service at greater cost to the woman.

The White House stressed that this change is an "accommodation" to religious organisations that object to paying for contraception for employees. Those organisations who cite religious objection will be permitted to offer a health insurance package that does not include contraception, and the same insurance company must simultaneously offer contraceptive coverage to all employees and cannot charge an additional premium. The rule will be applied to all but those institutions that were originally exempted who have religious ends as a primary purpose.

White House officials said that this change ensures that all women will have access to the health care they need no matter where they work, with guaranteed contraceptive services access and, at the same time the beliefs of religious institutions are respected.

The final rule is due to be published as soon as possible and is expected to go into effect on 1 August 2012, a year earlier than the original plan.




Two new resources on rape and human rights

Date: 8 February 2012
Source: AWID

Two new publications have just been launched that will be of use for those advocating for or developing gender-based violence laws.

TrustLaw has recently produced a research report to support the reform of rape legislation in Haiti. The report, 'Achieving justice for victims of rape and advancing women's rights: a comparative study of legal reform', was commissioned by the international women's rights organisation MADRE and prepared by Thomson Reuters Foundation. The report reviews rape legislation and procedures in six countries - Brazil, Canada, France, South Africa, Sweden and the United States (California, New York and Pennsylvania states). The report supplies concrete examples of laws and policies that implement women's human rights. It includes models for statutes, protocols for victim services and guides to police and prosecutorial procedures which respect the experiences of victims and advance gender justice.

This is the first of two reports commissioned by Madre. The second report will compare current and proposed Haiti law with the best practices identified in those six countries. A French translation of the first report will be available shortly. The full document can be downloaded here.

A related publication was launched by Amnesty International last year. 'Rape and sexual violence: human rights law and standards in the International Criminal Court' identifies how the crimes of rape and sexual violence must, as a requirement of its own statute and a matter of international human rights law, be interpreted and applied with equality between men and women by the International Criminal Court.

The report argues that the International Criminal Court has a significant role in promoting women's equality before the law in ensuring that rape and sexual violence is consistently, fully, and competently prosecuted. The Court has yet to rule on this matter.

The report can be downloaded here.




US CDC recommends HPV vaccine for young men

Date: 6 February 2012
Source: aidsmap

The Advisory Committee on Immunization Practices has recommended that young men and adolescent boys between the ages of 11 and 21 should be vaccinated against human papillomavirus, the cause of genital warts, anal and cervical cancer. The committee also recommends that all gay and bisexual men and HIV-positive men aged 26 and under should be vaccinated.

Vaccination has been shown to reduce the subsequent risk of genital warts, precancerous cervical changes and cervical cancer in women. In young men the vaccine has been shown to reduce the risk of HPV infection. US guidelines already recommend that young women and girls aged 11 to 26 should receive the vaccination. In the United Kingdom HPV vaccination is offered free to girls aged 12 to 13 through the public health system, and girls aged 14 to 17 years can also be vaccinated.

Related research, published this week in Clinical Infectious Diseases online, finds that the genital wart vaccine Gardasil reduces the risk of high-grade pre-cancerous anal lesion recurrence in men who have sex with men by approximately half in the first two years after immunisation, possibly reducing in effectiveness after this point. The US study involved 202 middle-aged HIV-negative gay and other men who have sex with men, all of whom had undergone therapy for human papilloma virus-related high-grade pre-cancerous anal cell changes. The investigators believe the vaccine may be an effective post-treatment adjuvant to prevent recurrent HGAIN (high-grade intraepithelial neoplasia).

Click on the these links to download the full details of the new immunisation guidelines, the accompanying editorial and the Gardasil study.




Remembering the abortion case that made shockwaves in Ireland

Date: 4 February 2012
Source: Irish Times


This week marks the twenty year anniversary of the case of an Irish girl whose abuse and pregnancy led to a state attempt to block an abortion. The "X case" was a 14-year old schoolgirl who became pregnant after two years of sexual abuse by the father of one of her schoolfriends.

In January 1992, the girl discovered she was pregnant and disclosed the abuse to her family, who arranged for her to travel to London for an abortion. When her parents sought police advice on criminal proceedings, the public prosecutor was informed. The Attorney General immediately obtained an interim injunction from the High Court, banning the girl from leaving Ireland for nine months. The family voluntarily returned to Ireland when told of this. There was immense global outrage, with marches, demonstrations and vigils in Ireland and around the world, a French newspaper questioning
Ireland's membership of the European Community and Swedish politicians calling for the cancellation of a royal visit to Ireland. The girl was placed under medical supervision because of suicide fears. Two months later the interim injunction, which had been made permanent, was successfully overturned in the Supreme Court, following the family's appeal. The girl later had a spontaneous miscarriage in an English hospital.

Twenty years later, the Supreme Court judgement has still not been legislated for. There is some progress, however, The majority of Irish people supporting legalised abortion at least in certain circumstances. Attempts to roll back the X case judgments were twice rejected in popular referendum
. An expert group has been tasked to come up with recommendations on how to translate the European Court of Human Rights decision about Irish abortion rights into action. This must be done in six months.

The young girl is now 34. Her abuser was sentenced in 2003 to three and a half years for the kidnap and sexual assault of a 15-year-old girl who had hailed his taxi. Activists continue to fight for women's right to choose.




Cote d`Ivoire government scraps free medical care

Date: 26 January 2012
Source: IRIN News


The Ivoirian Health Minister announced on 24 January that his government is abandoning its policy of free health care for all because of skyrocketing costs, claimed to be 30 billion CFA francs (about $60 million). As of February, the free service will only be available for deliveries and treatment for diseases affecting children under six years old.

The minister cited theft, poor management and rising costs. For example, the central medical supplies body had just 30% of its required stock, much of which had been pilfered.

Some NGOs and aid organisations state that the government move is understandable given the recent political turmoil, and are satisfied that women and children continue to receive free care. Others argue that free health care would have been more viable had health authorities spelt out details of the policy and had practitioners and patients been given clearer information about the free health care policy.




Morocco's Prime Minister declares support for abortion

Date: 11 January 2012
Source: New York Times


Morocco's Prime Minister has declared his support for allowing abortions in cases of rape and incest. This follows earlier statements from the social and family development committing the newly elected moderate Islamic party to a change in abortion law.

The government's new position on the issue was unexpected. The ruling party took a tough line on moral issues when it was in opposition. But the party appears to have shifted its opinion, in line with opinion polls showing that half of respondents wanted abortion to be legalised in cases of incest or rape.




Breast cancer remains under-diagnosed in developing countries

Date: 26 January 2012
Source: IRIN

A recent report on cancer care and control, by the Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries, states that breast cancer continues to be misunderstood, under-diagnosed and fatal, particularly in developing countries, despite more than one million official annual diagnoses and almost half a million recorded deaths annually.

80% of up to 3.7 million of deaths by cancer are reported in developing countries and an estimated 70-80% of breast cancer cases are diagnosed at late stages in lower- and middle-income countries. However, only 5% of global cancer funding is spent in developing countries. Since 1980, breast cancer cases globally have risen annually by an average of 3.1% and continued rises are predicted by WHO.

The report highlights the lack of cancer prevention and awareness campaigns in low-income countries. When cancer is diagnosed, treatment options can often include palliative care, which is scarce, expensive and stigmatised. The report calls for public health systems to boost cancer detection alongside anti-poverty, maternal and child health, sexual and reproductive health and HIV programming.

The full report can be downloaded here.




Men who have sex with men may now be the highest HIV risk group in Africa

Date: 1 February 2012
Source: aidsmap


A review of at risk populations in Kenya (Mombasa and Nairobi) and South Africa (Cape Town) has found that men who have sex with men may now be at considerably higher risk of acquiring HIV than other at-risk groups such as female sex workers or young people of either sex.

The study, conducted by the International AIDS Vaccine Initiative, compared populations of MSM, heterosexual women (largely sex workers) and heterosexual men who bought sex between 2007 and 2010. The review found lower-than-expected HIV incidence amongst female sex workers and their clients and high levels of HIV incidence in MSM (6.1- 9.7%). In comparison, annual HIV incidence in non-MSM men was 0.9% in Mombasa and 0% in the other two sites. There was lower than expected HIV incidence amongst female sex workers and their clients of an unexpectedly low 0.4% to 3%. The study found that people who paid for sex were more than five times less likely to acquire HIV than people who did not, which was described as unexpected but suggests that people having paid-for sex may be more wary of HIV and STIs and more likely to use condoms.




Quarter of men resume sex before wounds from circumcision fully healed, Zambia

Date: 31 January 2012

Source: aidsmap

New research from Zambia shows that around one quarter of men undergoing circumcision resume sexual activity before their wounds have fully healed. Most of the men reporting the early resumption of sexual activity engaged in unprotected sex, often with multiple partners. This could undermine the overall national protective effect of circumcision against HIV and, if the proportion of men engaging in sex during wound healing increased to 30%, circumcision would lead to more new HIV infections in women than it would avert. 

Men undergoing circumcision are counselled not to resume sexual activity until six weeks have passed. A total of 225 men were interviewed about their sexual behaviour before circumcision and again six weeks later. 24% of men reported resuming sex within the six-week healing period. Almost half (46%) of these men had sex within the first three weeks after surgery. Moreover, four in five men who resumed sex during the healing period reported unprotected sex and almost one third said they had had unprotected intercourse with two or more partners. These men were more likely to have had a higher number of lifetime sexual partners and unprotected sex in the period immediately before circumcision.

This study demonstrates the importance of identifying men who already engage in risky sexual behaviour when they present for circumcision and provide targeted, high quality counselling.

 




Remembering David Kato, Ugandan gay rights activist



Date: 26 January 2012
Source: Behind the Mask & Sophia Sahli, UK NGO AIDS Consortium

26 January marks the anniversary of the murder of Ugandan gay rights activist, who was murdered in his own home.

Gay rights activists paid tribute to David in a memorial service in Kampala, attended by more than 100 activists, human rights defenders and allies of Uganda's gay community, with a mass spoken by a retired Ugandan bishop and US pastor. David was described by the bishop as a selfless leader who served the gay community in Uganda to challenge discrimination and stigma for homosexuals.
David Kato's mother spoke at the ceremony, saying she was thankful for the love extended to her in the last one year since her son's death.

David campaigned fearlessly for the rights of all minorities. His death is a tragic example of the increasing homophobia witnessed across Africa, but his work continues as David's organisation, SMUG, continues to fight for gay equality in Uganda.

David Kato and his work remain in all our thoughts.




No more access for later term abortions in Australia

Date: 26 January 2012
Source: RH Reality Check

Australia's only clinic that offered later term surgical abortions has announced that it will no longer provide abortions to women after 24 weeks' pregnancy. The Australian Health Services Commissioner has said she was concerned that if women could not access the legitimate health service it could lead to unsafe solutions. This was the only clinic in the southern hemisphere to offer the medical procedure.

Late abortions will be available from women's hospitals in cases of fetal abnormality, but will only do so by inducing early labour.




Spanish government plans to tighten abortion law

Date: 26 January 2012
Source: AFP

Spain's justice minister announced this Wednesday that the abortion law will be changed to oblige girls aged 16 and 17 seeking the procedure to have their parents' consent. The current law, introduced in 2010, gives women the legal right to choose to have an abortion up to 14 weeks of pregnancy, or 22 weeks in cases where the mother's health is at risk or the foetus shows serious deformities.

Currently, girls aged 16 and 17 can have abortions without parental consent, on condition that they could prove they risked suffering domestic violence if they told their parents.

The recently elected conservative government promised in its manifesto to change current abortion law "in order to reinforce the protection of the right to life as well as female minors".

Women's activists
and service providers are challenging the proposed reform, arguing there is no evidence of a rise in abortions in this age group since the law came into place. They warn of the risk that these young women will resort to clandestine means. Most girls of 16 and 17 come accompanied by their parents, and the few that cannot do that will be left defenceless.




Newsletter highlights violence against women, Pakistan

Source: Peace Foundation
Date: 25 January 2012

The Peace Foundation is a Pakistani sexual and reproductive rights organisation, providing information on family planning and reproductive rights, legal assistance for victims of human rights violations and provide medical abortion facilities and counselling.

Their monthly newsletter, Break up, highlights incidents of violence against women and girls, the attitude of police officers, legislators and the community. The latest newsletter can be downloaded here.




New Brazilian law requires compulsory registration of all pregnant women

Date: 24 January 2012
Source: RH Reality Check and A Paper Bird

In the dead of night on December 27, while parliament was closed, Brazilian President Dilma Rousseff enacted a "provisional measure" that, if approved by the parliament within two months, will require all pregnancies to be registered, under women's names, with the government. Provisional Measure 557 (PM 557, translated here for the RHM website) creates a National System of Registration, Vigilance and Monitoring of Women's Care during Pregnancy and Post Childbirth for the Prevention of Maternal Mortality.

The President claims that PM 557 will address Brazil's high rates of maternal mortality by ensuring better access, coverage and quality of maternal health care, notably for high-risk pregnancies.

However, activists are extremely concerned about the anti-abortion implications of PM557. The decree gives the fetus rights with the same status as the pregnant woman for the first time in Brazil. Abortion is legal only in the case of rape, severe genetic abnormalities, or danger to the woman's life, yet it is estimated that one in five Brazilian women will have an abortion in her lifetime. The Health Ministry estimates that 200,000 women are hospitalised each year as a result of unsafe induced abortion. By placing the woman's name in a national registry, a woman may be treated as legally 'obligated' to have every child she conceives.

Anti-abortion politicians are pushing for further laws and will be greatly heartened by this measure. For example, the Chamber of Deputies is currently considering a bill to pay women who become pregnant due to rape and do not have an abortion a minimum wage until the child reaches 18 years of age, what activists are calling a "rape pension".

PM557 is unlikely to reduce maternal mortality, despite that being its stated aim. Although pregnancies will be monitored, there is no guarantee that maternity care will be available to all pregnant women and no funding is mandated to improve maternity services. The bill does say the federal government will provide financial support of about US$27 for registered pregnant women to pay for transportation to health facilities for antenatal and delivery care. However, women must comply with specific conditions set by the state to receive the stipend and access to antenatal tests, timely diagnosis of complications, skilled attendance at delivery, emergency obstetric care, or referrals for specialist care if needed are also not mentioned. Maternal morbidity and mortality in Brazil are primarily related to unsafe abortion and the poor quality of obstetric care in some public health facilities, mainly affecting the poorest women.

Activists compare this measure to similar surveillance of pregnant women which had pronatalist, anti-abortion intention under Ceausescu's dictatorship in Romania in the 1980s.

The measure has to be submitted for approval to the parliament within two months.

Brazilian women's groups and NGOs are considering the implications and deciding how to respond to this surprise event.




Abortion safer than giving birth, new US study

Date: 24 January 2012
Source: Fox News

A new study, published in Obstetrics and Gynecology journal, shows that women in the US are about 14 times more likely to die during or after giving birth to a live baby than to die from complications of an abortion.

The study found that between 1998 and 2005, one woman died during childbirth for every 11,000 or so babies born, compared to one woman of every 167,000 who died from a legal abortion. The researchers used government data on live births and pregnancy- and abortion-related deaths with estimates on legal abortions performed in the US from the Guttmacher Institute.

The findings are not unexpected, given the high proportion of safe early medical abortion, but provide important evidence to contradict some state laws that suggest abortions are high-risk procedures. The research provides important medical evidence to challenge the requirements, in some states, to provide misleading and factually unsound 'advice' for women seeking abortion.




Calling young African women leaders - MILEAD Fellows Program applications

Date: 24 January

Source: AWID

The Moremi Initiative for Women's Leadership in Africa announces its call for applications for the 2012 Moremi Leadership Empowerment and Development (MILEAD) Fellows' Program. 

Deadline for applications is 15 March 2012. 

The MILEAD Fellows Program is a one-year leadership development program designed to identify, develop and promote emerging young African women leaders to attain and succeed in leadership in their community and Africa as a whole. The program targets dynamic young women interested in developing transformational leadership skills that help them tackle issues affecting women in their communities and society as a whole by equipping them with the world class knowledge, skills, values and networks they need to succeed as 21st century women leaders.

Applications are welcome from young African women living in Africa and the Diaspora.

The MILEAD Fellowship will be awarded to 25 outstanding young women with exceptional qualities who have exhibited leadership potential in their community, organisation and/or profession. To be eligible for the one-year program, an applicant must be African, living on the continent or in the Diaspora, agree to participate in all required activities related to MILEA including a three-week residential summer institute in Ghana and commit to a community change project. Applicants must be between 19 - 25 years of age.

More details and an application package are available online at Moremi Initiative or by request via email at info@moremiinitiative.org




Women feel HIV threat is reduced after male circumcision, Kenya

Source: IRIN PlusNews
Date: 23 January 2012

A study of 51 women in Kenya whose male partners have been recently circumcised has highlighted the importance of counselling for women during male circumcision. Just over half of men but over three quarters of women said they felt that HIV is a less serious threat. More women than men felt that condoms were less necessary: 51% of women compared to 4% of men. A greater number of women than men said that after a male circumcision they were more likely to have more than one sexual partner (22% compared with 2% of men) and to have sex without a condom (28% against 2% of men).

Male circumcision programmes have a strong counselling component for men, but this study demonstrates the vital need for female partners to have more counselling. In Nyanza province, where this study was conducted, more than 350,000 men have been circumcised since 2008 with a target of 1.1 million men by 2013. The authors suggest counselling for couples should take place before the procedure, as well as public education that clearly spells out the message of partial protection and the risks of unsafe sex following male circumcision.

The study also showed that all the women in the study were pleased with their partners' decision to become circumcised and 91% of women found sex more enjoyable after the circumcision.




Health, hunger and gender inequality are main threats to women, South Sudan

Date: 20 January 2012
Source: IRIN News

A recent report by Small Arms Survey states that women in South Sudan face greater threats within their home, from problems rooted in women's lack of empowerment and economic independence, than from weapons, despite the prevalence of militias and armed conflict.

South
Sudan has the highest maternal mortality rate in the world, estimated at 2,054 per 100,000. Nine out of ten women give birth without a trained health assistant. The report highlights the pressure placed on women to have children, with a married woman of childbearing age likely to become pregnant at least once every three years until menopause. The study, drawing on focus group discussions and interviews over the past two years, states that women face "endemic" domestic violence, exacerbated because of women's low legal status. Fathers in many communities traditionally enjoy automatic custody rights and widowed and divorced women are highly stigmatised.

The report ends with a call for a focus on human security, within the home as well as outside the home, in the world's newest nation.




Abortion rates lower where laws are more liberal

Date: 18 January 2012
Source: Guttmacher Institute

New research from the Guttmacher Institute and WHO show that, after a period of substantial decline, the global abortion rate has stalled. Between 1995 and 2003, the overall number of abortions per 1,000 women of childbearing age dropped from 35 to 29. In 2008, the global abortion rate was virtually unchanged, at 28 per 1,000. This coincides with a slowdown in contraceptive uptake.

 

Importantly, the findings demonstrate that restrictive abortion laws are not associated with lower rates of abortion. The chart below clearly shows that where abortion is highly restricted, such as Africa and Latin America, abortion is much higher than in Europe, where abortion laws are generally more liberal. Restrictive abortion laws do not reduce abortion, just make them less safe.

The study, published in the Lancet, is available online.

 

 




International code of practice to stop health worker brain drain

Date: 22 December 2011
Source: New England Journal of Medicine


In November 2011, WHO released guidelines on monitoring implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel. The Code was adopted by all 193 member states of the World Health Assembly in May 2010 and is a critical multilateral framework for tackling the shortage in the global migration of health care workers from low- and middle-income countries.

The Code includes ethical norms and legal and institutional arrangements to guide national action and multilateral cooperation. Its key principles focus on developing sustainable health systems, protecting the human rights of migrant health workers, and supporting health systems in low- and middle-income countries.

Some countries are already incorporating the Code into national law and practice. For example, Kenya has entered into bilateral agreements with other African countries regarding collaborative health workforce training and promotion of circular migration of health workers, Zimbabwe has drafted a national policy to address health workforce shortages and Thailand has organised a national subcommission on the Code's implementation and has created a three-year plan of action. Norway has formally stopped the recruitment of health personnel from countries facing critical health workforce shortages and the US has convened an interagency working group on implementing the Code.

The Code, User's Guide and Implementation Strategy are available for download on the WHO website.

Critical shortages of health service providers (nurses, doctors and midwives).

Data are from the WHO Global Atlas of the Health Workforce - 2006.

Source: Taylor A, Hwenda L, Larsen B-I at al. Stemming the Brain Drain - A WHO Global Code of Practice on International Recruitment of Health Personnel. N Engl J Med 365;25.




Breast implant scandal raises outcry over private UK health providers


Date: 15 January 2012
Source: The Guardian and The Lancet

In the UK, controversy over the breast implant scandal is turning the spotlight on private sector providers.

All women who received breast implants from the public health service can have them removed for free. Whilst some private companies have agreed to remove faulty implants at no cost, several major providers have refused to do so. The chairperson of one of the largest companies, the Harley Medical Group, announced that free removal is the responsibility of government because the regulatory agency did approve the use of PIP implants and that the company would not be able to afford to replace implants. This lead to a march by around 60 women, on 14 January, on the offices of several cosmetic surgery companies.

The next day, a newspaper claimed that private cosmetic clinics are employing cosmetic surgeons who are not qualified to work as consultants in the public sector. The clinics state that their surgeons have years of experience in the procedures they do and that all surgeons meet regulatory standards. Members of the expert group set up by the health minister have expressed serious concern, as have members of the national association of cosmetic surgeons. The expert group is expected to investigate qualifications and training of cosmetic surgeons.

A commentary in the Lancet journal states that the breast implant scandal has demonstrated how little power the government and the health service has over the actions of private care providers, warning of lack of accountability and duty of care to patients, and one that is more concerned with cost than it is with quality. It calls for the government's proposed Health and Social Care Bill, which will open up the national public health service to private sector providers, to be shelved.




US woman imprisoned for self-administered abortion

Date: 16 December 2011
Source: Amanda Marcotte, Alternet

 

A US woman has been arrested and charged for choosing to abort an unwanted child. The mother of three learned she was pregnant by a man who in prison for robbery. Deciding that she could not afford another baby, nor the $500 fee and two trips to get an abortion needed to have an abortion (two trips, because Idaho state law requires women to wait 24 hours after their first visit to the doctor to 'think it over'), the woman bought the abortion drug RU-486 from a vendor online. She was later arrested and charged with an illegal abortion, with police claiming that she was over Idaho's legal limit of 20 weeks for an abortion. Although charges have been dropped because gestational age cannot be determined, prosecutors are retaining the right to re-charge the woman. She has also been fired from her job and has effectively had a request for help to care for her children denied by social workers. 

Activists argue that abortion is no longer a true right, from the point in 1976 when Congress passed the Hyde Amendment barring federal funds from being used to pay for abortion. The expense needed to pay for abortion makes it impossible for poor women to access although they are the women who often need it the most.




Link found between FGM and mental disorders in Iraq

Date: 13 January 2012
Source: IRIN

New research has confirmed that girls who have undergone female genital mutilation/cutting are more prone to mental disorders.

The research, by a psychotraumatology expert from the University of Freiburg, found "alarmingly high rates" of post traumatic stress disorder (44%), depression (34%), anxiety (46%) and somatic disturbances (37%) among a group of 79 circumcised girls in the Kurdistan region of northern Iraq, aged 8-14, who did not otherwise suffer any traumatic events.

These rates were up to seven times higher than among non-circumcised girls from the same region and were comparable to rates among people who suffered early childhood abuse.

Last year, shortly after receiving the results of the research, the Kurdish parliament in northern Iraq introduced the Family Violence Bill which bans 
female genital mutilation. Estimates of its prevalence in Iraqi Kurdistan indicate an overall figure of around 40 percent.




Right to abortion as emergency procedure, Norway

Date: 13 January 2012
Source: Aftenposten

A woman without residential documents was denied an abortion at the main hospital in Oslo because she could not pay the money up front and because they did not see it as an emergency. Abortion is free of charge for Norwegian residents. She was 8-9 weeks pregnant. Luckily a hospital just outside Oslo did the abortion.

The Norwegian Board of Health Supervision has now stated that the hospital in Oslo did not have the right to refuse to do the abortion. According to Norwegian law, every treatment that needs to take place within three weeks is an emergency. Everybody has also got the right to have an abortion within 12 weeks if they request it and all emergency treatment should be given free of charge.




Pope reported to International Criminal Court for sexual violence and crimes against humanity

Date: 9 January 2012
Source: AWID


On September 13, the Center for Constitutional Rights and the Survivors Network of those Abused by Priests filed a complaint with the International Criminal Court to investigate and prosecute the Pope, the Vatican Secretary of State and two Cardinals for rape, other forms of sexual violence, and torture as crimes against humanity.

The case seeks to establish that the sexual violence perpetrated in the Catholic Church is systematic and widespread. It estimates that between 1981 and 2005 the number of victims was in the range of 100,000, but this is evidence only from Europe, North America and Australasia. Taking into account cases from Africa, Latin America and elsewhere, it is likely many times higher worldwide.

The case establishes that high-level Vatican officials either knew or should have known about the brutality being perpetuated by its members.
Although the Court's jurisdiction only goes back to 2002, the submission to the ICC makes the argument that the numerous cases that occurred prior to 2002 are vital to establishing the "culture of rape and impunity" within the Church. It also argues that cases that occur in the US or in other countries that have not ratified the ICC statute are admissible as evidence because they further establish the widespread, systematic nature of sexual violence within the Church.

During this period, the current pope headed the Congregation of the Doctrine of the Faith, the body to which all sexual violations within the Church must be reported. The pope is accused of ordering, encouraging, facilitating, or otherwise abetting those policies and practices related to the cover-up of credible sexual violence claims. Also named in the complaint is Vatican Secretary of State, who said that bishops should not be obliged to report offending priests to civil authorities, citing the 'professional secrecy' of priests. Another cardinal is also named, for his instrumental role in preventing accountability for a notorious case of sexual violence by a priest, who was denounced but continued to abuse children. One of those children has come forward to report that the cardinal also raped him.

The two organisations presenting the case, CCR and SNAP, are asking for those who know of others with information or evidence they want to share in relation to the case to contact CCR or communicate directly to the ICC. The more cases that are presented at the ICC, the greater chance there is that it will hear a complaint against the Vatican.




HPV vaccination for adolescent girls - the numbers increase

Date: 1 December 2012
Source: Bulletin of the World Health Organization


An article in the most recent edition of WHO's Bulletin highlights the successes in increasing HPV vaccination, following the GAVI Alliance announcement last year that they would subsidise HPV vaccinations in low-income countries.

This is a huge opportunity for women's and girls' health. Cervical cancer affects close to half a million women ever year, killing an estimated 275,000 women. Over three quarters of these deaths occur in the developing world, where cancer screening and treatment services are scarce. The HPV vaccine can avert up to 70% of these deaths.

The article highlights successes in countries such as Bhutan and Rwanda - but emphasises the ongoing challenges of delivering these vaccines in settings where the health system needs substantial strengthening.




Saudi Arabia fears premarital sex if women drive

Date: 11 January 2012
Source: AWID

A report given to a high-level advisory group in Saudi Arabia in December claims that allowing women in the kingdom to drive could encourage premarital sex, according to a rights activist, Waleed Abu Alkhair. The report, by a well-known academic, apparently claims that allowing women to drive will threaten the country's traditions of virgin brides. The suggestion is that driving will allow greater mixing of men and women and could promote sex.

Saudi women have staged several protests defying the driving ban. The king has already promised some reforms, including allowing women to vote in municipal elections in 2015.

Social media sites were apparently flooded with speculation that Saudi's traditional-minded clerics and others will fight hard against social changes suggested by the current ruler.




Publication: Global family planning providers' handbook updated

Date: 9 January 2012
Source: Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs

The global handbook for health care providers offers the latest guidance on providing contraceptive methods to clinic-based health care professionals in developing countries. The book is one of the World Health Organization's Family Planning Cornerstones. The 2011 edition contains approximately 13 pages of material that has been updated from the 2007 edition, in accordance with WHO's 2008 and 2011 revisions to its Medical Eligibility Criteria and Selected Practice Recommendations.

The updated guide in English is available for download here. For those with the printed copy of the 2007 guide, the 13-page supplement can be downloaded here.

The earlier guide can also be downloaded in Arabic, French, Hindi, Persian, Portuguese, Romanian, Russian and Spanish. The new 2011 versions are currently in translation and will be available soon.




Twenty years of ICSI and 2.5 million children born

Date: 9 January 2012
Source: Human Reproduction

Twenty years ago the first baby was conceived using intracytoplasmic sperm injection (ICSI) in the US. The procedure, injection of a single sperm into an egg, is usually used in cases of male infertility. Since that first conception, more than 2.5 million children have been born using ICSI technology. The procedure has assisted enormously in male factor infertility, in countries where assisted reproduction technologies are affordable.




Venezuela offers free removal of faulty PIP breast implants

Date: 28 December 2011

Source: The Guardian

 

Venezuela's health ministry has said that women with implants made by the now-defunct French company, Poly Implant Prothese, can go to hospitals that carry out plastic surgery to have the implants removed. The procedure would not include replacing them. An estimated 35,000 to 40,000 women in the country have breast enlargement surgery each year, although numbers with PIP implants are not known. The Venezuelan president, Hugo Chávez, has criticised the widespread popularity of breast surgery.

Brazil and Argentina have just recommend check-ups for women with PIP implants and have not yet recommended removal.  

As already reported, the British government has insisted that PIP breast implants present no increased risk of rupture or cancer to women. Meanwhile the founder of PIP, French citizen Jean-Claude Mas, is reported on Interpol's website as wanted by Costa Rican authorities for crimes involving "life and health".

 




Uruguay senate passes bill to legalise abortion

Date: 28 December 2011
Source: Global Post

On 27 December, the Uruguayan Senate passed a bill to legalise voluntary abortion in the first 12 weeks of pregnancy. Until now, abortion has been legal only in cases of rape or when the woman's life is at risk. Both women who have an abortion and those who assist them have faced prison.

The vote was passed by 17 to 14, following a heated 10 hour debate. The bill will next go to the lower house, where it is currently expected to be approved. Opinion polls indicate that most Uruguayans support greater access to abortion.

If the bill passes, it will reverse the ban on abortion that has been in place in Uruguay since 1938, and make the country one of the few in Latin America to allow the practice without restriction.




France to order removal of dangerous implants

Date: 22 December 2011
Source:
The Guardian

 

A scandal erupted in France surrounding the use of implants for breast enhancement and reconstructive surgery that were made from industrial rather than medical silicon.

 

The implants were made by the company Poly Implant Prosthese (PIP) and have been implanted into around 30,000 French women. They have been found to be subject to leakage and more prone to bursting than properly made implants. This week they were also linked by French researchers to eight cases of cancer.

 

Senior French officials this week told the Libération newspaper that the state would order the removal of the implants.

 

In Britain even more women have had the PIP implants than in France, with an estimated 40,000 in receipt of the implants via both private clinics and, it is suggested, the NHS. At least 250 women with implants made by the company plan to sue the clinics which implanted them, and which entered into contracts promising that they would last a lifetime and be safe.

 




Asia Pacific feminists gather in historic regional forum

Date: 22 December 2011
Source: Rochelle Jones, AWID

The first ever Asia Pacific Feminist Forum was held from 12-14 December in Chiang Mai, Thailand. The meeting, organised by the Asia Pacific Forum on Women, Law and Development (APWLD), brought together about 120 women to celebrate collective achievements, reflect on challenges, deepen feminist knowledge, strengthen sisterhood, solidarity and collaboration, and reaffirm their resolve to advance women's rights.

Despite enormous diversity across the region, women face many common problems. Asia's leading role in global economic growth has placed a huge burden on women in the region, many of whom work in hazardous economic processing zones separated from their families and communities. The region suffers more climate-related disasters than any other region, with the greatest impact on women. Cultural and religious fundamentalism restrict women's rights across the region, as do conflict and militarisation.

The three-day event included workshops on migrant domestic worker rights, using technology for women's rights, sexual and reproductive health rights, women holding states accountable, building a feminist sustainable development framework and CEDAW and Muslim Family Laws. There was also fun with morning yoga, a Feminist Film Festival and Feminist Fashion Show. The event used new and participatory approaches, avoiding speeches and formal plenaries, instead using interviews, experiential workshops, story-telling and skills sharing.

Major outcomes include forming an Asia Pacific Network for Women with Disabilities and developing a process to collectively address the reduction in funding for women’s rights work in the region. The forum suggested that it is repeated every two or three years.




Mali's new family law increases discrimination against women

Date: 16 December 2011
Source: AWID


On 2 December the Malian Parliament adopted a new family law which eliminates many women's rights and perpetuates discrimination. This is a severe setback, after two decades of activism for a family law that would increase protection for women.

A first draft of the Family Code was adopted by the National Assembly in August 2009. It did not enshrine equal rights between the sexes, but did contain significant advances on the law that was in place. Following protests by conservative forces, the draft law was not enacted and the President sent it back to Parliament for a second reading. The revision processes included substantial changes, all of which erode women's rights. According to the new Code, a woman must obey her husband and men are considered head of the family. Legal age for marriage is 18 years for males and 16 for females although as young as 15 years in some cases.

Activist groups, including FIDH, have lobbied about the harmful consequences of weakening the text. However, recommendations made by civil society have been ignored whilst the demands of the High Islamic Council have been taken into account in the new law.




UN report on human rights, sexual orientation and gender identity

Date: 16 December 2011
Source: Development Alternatives with Women for a New Era (DAWN)


The first ever United Nations report on the human rights of lesbian, gay, bisexual and transgender (LGBT) people was released on 15 December by the UN Office for the High Commissioner for Human Rights (OHCHR)
. It details how around the world people are killed or endure hate-motivated violence, torture, detention, criminalisation and discrimination in jobs, health care and education because of their real or perceived sexual orientation or gender identity.

The report states that violence against LGBT persons tends to be especially vicious compared to other bias-motivated crimes. It has been recorded in every region of the world, and ranges from murder, kidnappings, assaults and rapes to psychological threats and arbitrary deprivations of liberty. Violent incidents or acts of discrimination frequently go unreported because victims do not trust police, are afraid of reprisals or are unwilling to identify themselves as LGBT.

The report was prepared in response to a request from the UN Human Rights Council earlier this year. In the report, the UN High Commissioner for Human Rights, Navi Pillay, calls on countries to repeal laws that criminalise homosexuality, abolish the death penalty for offences involving consensual sexual relations, harmonise the age of consent for heterosexual and homosexual conduct, and enact comprehensive anti-discrimination laws. The High Commissioner also calls on countries to ensure that no one fleeing persecution because of their sexual orientation or gender identity is returned to a territory where their life or freedom is at threat, and that asylum laws recognise that sexual orientation or gender identity is a valid basis for claiming persecution.

The report will be discussed by Council members at a meeting in March next year.

The full report can be downloaded in English from the OHCHR’s website here.




Lebanon's new nationality law only for men

Date: 16 December 2011
Source: AWID


On 12 December 2011, the Lebanese Cabinet issued a draft law to reinstate Lebanese nationality to emigrants of Lebanese descent. However, the draft law was endorsed after "minor modifications", according to the Minister of Interior. One modification was the specification that Lebanese descent shall be limited to fathers and grandfathers only, not mothers or grandmothers.

The Claiming Equal Citizenship Campaign is concerned about this development and by the government's speedy endorsement of this draft law. An earlier law petition calling for equal nationality rights regardless of sex was submitted in July 2011 with no response or reaction from the Prime Minister. The Campaign objects to the outright definition of lineage as being solely patriarchal. 

The Campaign is asking the elected Lebanese Parliament to refrain from endorsing this draft law, while considering equality and inclusive citizenship rights to be the guiding principles for any law.




Abortion across Africa still needs legal backing

Date: 15 December 2011
Source: Alexis Okeowo, International Herald Tribune

Abortion was a strong focus of the recent International Conference on Family Planning, in Dakar, Senegal. Every sub-Saharan African state already allows pregnant women to abort when their lives are in danger, and in recent years Benin, Chad, Ethiopia, Ghana, Mali, Swaziland and Togo have been working at expanding their laws to allow abortions in other circumstances. However, in sub-Saharan Africa, abortion on demand is legal only in Cape Verde and South Africa. Every year, there are over six million unsafe abortions conducted in Africa, and about 30,000 women die from the procedure. Unsafe abortions are among the leading causes of death for women admitted to hospitals around much of the continent.

Just two years after abortion became legal in South Africa, the number of deaths among pregnant women who had an abortion had fallen by 90 percent. However, even though 45 African countries signed the 2005 Maputo Protocol, pledging to relax their abortion laws, local health-care providers throughout the continent have refused to provide safe procedures or counselling. Many restrictive abortion laws in Africa date back to colonial codes from the 19th century that have permeated into popular belief and custom.




Publication: Global standards for responsible ethics in research and publication

Date: 14 December

Source: Committee on Publication Ethics (COPE)

 

The Committee on Publication Ethics has launched two new position statements that set out international standards for responsible research publication for editors and authors. The standards were developed collaboratively, by experts across the scientific, philosophy and social research fields from Africa, Asia, Australasia, Europe, the Middle East and North America.

 

The standards cover issues such as ensuring that research funders and sponsors cannot veto publication of findings that do not favour their product or position, separation of a journal's commercial activities  and editorial processes, making sure that any research complies with national and international laws and best practice guidelines before publication.

 

The two international standards can be found on the COPE website.

 




Publication: Surviving FGM

 

Date: 22 November 2011

Source: UnCut Voices Press

 

Blood Stains: A child of Africa reclaims her human rights is the memoir of Khady, a Senegalese woman living through and speaking out against FGM. It tells her story from a child marriage in Senegal, the birth of three children before the age of 19, and her journey from the village to international activism.

 

Blood Stains is published by UnCut Voices Press, a publisher dedicated to ending female genital mutilation.

 

Contact UnCut Voices for more information or to purchase a copy of Blood Stains.




Human rights organisations abandon GBV campaigns, Egypt

Date: 30 November 2011
Source: AWID

Egyptian feminist organisations cancelled their planned participation in the 16 days of activism against gender based violence campaign due to start on November 30. A number of feminist organisations decided that they could not focus on the GBV campaign in the current political situation in Egypt and, instead, had to join the popular protests against police and military brutality and the abuses by the ruling authorities.

On 19 November security forces violently dispersed people who were injured in the revolution in June and who had been calling for state compensation and payment for treatment by organising a sit-in in Tahrir Square and other places. Others joined the injured in protest against police brutality and military rule.

The 16 Days of Activism is a chance to draw attention to violence against women living under military rule, but the immediate need to go onto the street was felt to be more important. Feminist organisations report that women are participating more in this second wave of revolution. Women are on the frontline, including women politicians who were not on the street earlier in the year, making human shields and in the field hospitals. Despite the opposition that women are facing from some men, who are trying to stop women from taking part in the protest, there are many other men who are supporting women's involvement.

Nazra for Feminist Studies, The Egyptian Initiative for Personal Rights, The New Woman Foundation, El-Nadeem Center for Rehabilitation of Victims of Violence and the Women and Memory Forum are calling for support to move into a peaceful stage and continue women's participation in remaking their country.




Climate change and reproductive rights must be integrated

Date: 2 December 2011
Source: Population and Sustainability Network


As the world's population nears seven billion, Population and Sustainability Network drew attention to the links between population dynamics, sexual and reproductive rights and climate change, in a launch of two new publications at the UK parliament.

The publications report on a symposium held in 2010, organised in association with Commat, BMA and PPD Africa. They call for political leadership to ensure that both population and consumption issues are addressed in an integrated way. One report is presented as an advocacy toolkit for use by activists and policy makers.

The developing world contributes the least greenhouse gas emissions, will be most affected by climate change and are least able to deal with the negative effects. Urgent action is needed to challenge climate change scepticism. Family planning is an essential right for women and there must be funding for sexual and reproductive health. Most importantly, climate change funding needs to recognise family planning as part of effective adaptation strategies. There must be political leadership to ensure that issues related to population growth are addressed in tandem with efforts to reduce consumption.

The reports can be downloaded from the PSN website. See the RHM blog for more comment on this issue.




iPhone voice recognition shows anti-abortion bias

Date: 1 December 2011
Source: Guardian

The technology giant, Apple, is under fire from reproductive rights activists who report that Siri, the voice recognition software for the iPhone 4S, appears reluctant to talk about reproductive health services.

 

When asked to find an abortion clinic in Manhattan, for example, Siri replies "Sorry, I couldn't find any abortion clinics." However, the service is easily able to find escort agencies or advise on where to dump a dead body. Reportedly it has also directed individuals to anti-abortion agencies in some places. 

Activists have written to Apple's Chief Executive Officer asking for the application to be fixed so that it can provide accurate information about reproductive health options.




Russian parliament passes abortion bill

Date: 1 December 2011
Source: ASTRA


Women's rights have been set back significantly by the recent passing of a controversional abortion bill in Russia that will require a mandatory waiting period before performing an abortion, and allows doctors to abstain from performing abortion.

However, there have been some changes to the initial proposed start of the bill thanks to advocacy from women's rights groups and medical practitioners. The new bill guarantees free family planning consultations and, for those who choose to be pregnant, free medical assistance during pregnancy, delivery and post-pregnancy and nutritional support for pregnant women and breastfeeding mothers as well as children under 3 years old.




TV talks about reproductive rights, Tajikistan

Date: 1 December 2011
Source: ASTRA

In Tajikistan, a new series of television programmes is to provide information on modern family planning methods, the importance of condoms in preventing sexually transmitted diseases and a medical abortion as a safer and less expensive option as compared to the traditional method. This will fill a much needed gap in a country where access to sexual and reproductive rights information is restricted. The stories will raise awareness about the sexual health risks that male migration to and from Russia is contributing to, and will focus on the high level of maternal deaths in the country. Alongside these social messages, women friendly offices are to be set up to support women in need.




Albanian and Lithuanian rights groups protest against rising domestic violence

Date: 1 December 2011

Source: ASTRA

A group of 23 human rights and women's rights organisations have issued a public letter to protest against an increasing number of domestic violence acts against women in Albania. They call on Albanian society to raise its voice against the damage this violence causes to society and call on the state to use legal action against violence in family relations. This year alone, seventeen women have been killed at home by domestic violence. The organisations are calling for changes in the law to provide more effective protection to victims of domestic violence.

Meanwhile, in Lithuania, women's rights groups are organising a march to publicise a new law against domestic violence. In December 2011 a new law came into force providing special protection for women who are victims of domestic violence. The new legislation establishes and funds ten new centres for victims of violence.




Abortion clinic staff supported to fight back against harassment, US

Date: 1 December 2011

Source: Abortion Care Network

For many years, abortion care providers in the US have faced harassment, threats and violence. In response, a manual called Fight Back! has just been published by the Abortion Care Network, a network of US-based independent abortion providers, allies and individuals who provide quality abortion care for women. 

The short guide aims to help those fighting to keep abortion clinics safe for women who choose to use them. It suggests a number of strategies that providers have used which have pushed back against harassment and intimidation, including guidance on identifying and removing internet harassment, tips on dealing with direct harassment by anti-abortion activists outside clinic sites and legal remedies which are specific to the US but could be adapted for elsewhere.

 

The guidelines can be requested by .

 

 




Set back for sex workers' rights in South Africa

Date: 1 December 2011
Source: Sex Workers Education and Advocacy Task Force (SWEAT)

The Sex Workers Education and Advocacy Task Force (SWEAT) has issued a press release condemning the last-minute removal of all specific commitments on human rights from South Africa's new National Strategic Plan on HIV, STIs and TB 2012-16. The last-minute change to the strategic plan has dealt a huge blow to the evidence-based, public health response on issues for sex workers.

Police abuse and stigma towards sex workers fuels the epidemic. Recent findings from South Africa's Modes of Transmission Study has found that one in five new HIV infections in South Africa is sex work-related. Yet in the face of this evidence, the government has chosen to remove a five year commitment to progress the decriminalisation of sex work from the new Strategic Plan.

SWEAT had representation on the South African National AIDS Commission (SANAC) working group on sex work but the voice of sex work and public health advocates has not succeeded in maintaining a commitment to decriminalisation of sex work. The failure to endorse an evidence-based HIV prevention method -- decriminalisation of sex work -- is a disappointing lack of leadership and a step backward for HIV prevention.




Undiagnosed HIV infections and low retention in care in the US

Date: 1 December 2011

Source: Aidsmap

Only half of all US HIV-positive patients remain in care and only 28% of people with HIV have an undetectable viral load. The review of recent surveillance data also finds that a fifth of HIV infections in the country were undiagnosed. Of the 77% of diagnosed patients who were initially receiving care, only just over half continued to regularly access care.

Treatment, for those who continued, had good medical outcomes with 77% of patients on antiretroviral therapy having undetectable viral load. But the high rate of undiagnosed infections and the large proportion of patients dropping out of care meant that only 28% of all HIV-positive patients in the US had an undetectable viral load. The study found racial disparities, with white patients having highest rates of viral suppression, Hispanic patients with lower rates of treatment adherence and black patients with the lowest rates. Only 70% of black patients on treatment achieving virological suppression. Only 45% of patients in care had received HIV prevention counselling. There were significant disparities in age, with younger patients more likely to have received counselling, and also disparities in race and HIV risk group.

This study highlights the challenges of the use of HIV treatment as prevention unless consistently accompanied by other forms of HIV prevention.




Ireland sets up expert group on abortion rights

Date: 30 November 2011
Source: Irish Times

Following the European Court of Human Rights' ruling that Ireland must increase abortion rights, the Irish Minister of Health has established a 14-member expert group. The group will have six months to deliver a report to government on the recommendations of the European Court. 

The European Court ruled that Ireland had failed to implement existing rights to lawful abortion where a mother's life is at risk. The court found the State violated the rights of a woman with cancer who said she was forced to travel abroad to obtain an abortion.




Women and men march on Zimbabwe parliament to celebrate 16 Days of Activism

Date: 30 November 2011
Source: AWID

Around 800 members of the human rights group, Women of Zimbabwe Awake (WOZA), marched to parliament on 28 November at the launch of the 16 campaign against gender violence. The march was to launch WOZA's campaign under the theme - From Peace in the Home to Peace in the World: Let's Challenge Militarism and End Violence against Women. The march was held in defiance of the Ministry of Gender and Women’s Affairs who barred the celebration.

Although the march was barred and marchers were closely watched by officials, the protesters reached the door of Parliament and sang and gave speeches for 20 minutes, calling for an end to gender violence and militarism. Speakers talked of the high levels of domestic violence and the fact that in Zimbabwe, women aged 15-44 years are more at risk from rape and domestic violence than from cancer, car accidents, war, and malaria. WOZA also highlighted the forced recruitment of children into youth militia and the increase in militia bases in Harare.

Bystanders came up and testified to their own experiences of abuse and to offer solidarity.




Infant and maternal mortality rate halved, Afghanistan

Date: 30 November 2011

Source: Guardian

A 2010 national mortality survey by the Afghanistan health ministry indicates that lifetime maternal mortality has dropped from one in 11 to one in 50 and that infant mortality has halved from one in five to one in ten children under the age of five years. The investment in training community health workers and midwives is demonstrating results. However, one Afghan woman dies about every two years from pregnancy-related causes and the reduction in international aid that comes with the withdrawal of foreign troops is a threat to ongoing progress.




Fistula hotline launched in Sierra Leone



Date: 22 November 2011
Source: Irin News

The launch of a free fistula hotline at the Aberdeen Women's Centre, in Freetown, Sierra Leone, offers free help to the many women in Sierra Leone who have, until now, suffered in silence. Vesico-vaginal fistula (VVF) is very common in Sierra Leone. The highest estimates put fistula prevalence at a similar rate to maternal mortality - one in eight women - but there is little research to back up these estimates. Lack of awareness of the cause of fistula and the stigma and blame mean that few women talk about the condition. Fistula occurs most often in young women (15 to 30 years old), most of whom come from rural areas with poor access to healthcare. Widespread rape trauma, during and after Sierra Leone's long civil war, was also a cause of high fistula rates several years ago.

The hotline is a free phone number, staffed by three nurses, run as a partnership between the clinic, UNFPA, private foundations and a telecommunications company. In the first month more than 8,000 calls have been received, but so far just 0.1 percent have been about cases of fistula because of the very low levels of information about VVF. This low percentage, however, means that the clinic has received 90 cases since the hotline opened and this is the start of success. The clinic provides the only comprehensive fistula repair service in the country.

The Ministry of Health emphasises the need for prevention, with information and reproductive health services, especially for adolescent girls. Sierra Leone is currently finalizing a strategic plan to tackle fistula and will appoint a focal person by the start of 2012.




Women journalists face violence across the world

Date: 28 November 2011

Source: AWID

On the International Day on the Elimination of violence against women and girls, the International Federation of Journalists (IFJ) has written an open letter to the UN General Secretary denouncing the extreme levels of violence women journalists face. 

The letter denounces aggression, threats, political pressure, violence, rape and abuse that women journalists have to face due either to their gender or simply for doing their job. The situation is made much worse by the prevailing culture of impunity which protects and emboldens the perpetrators of these crimes. The majority of these crimes remain unsolved, and attackers or killers do not face justice. Authorities tend to deny that these women have been killed because of their work as journalist.

Among the countries failing to protect women journalists adequately the IFJ points at Mexico, the Philippines, Somalia, Russia, Nepal and Israel.




Home births as safe as hospital, UK

Date: 25 November 2011
Source: The Guardian


A study of more than 64,500 births in England has found that giving birth at home or in a midwife-led birth centre is just as safe as going into hospital for women who already have a child, but there is a slight extra risk of problems for the babies of first-time mothers who opt to stay at home. Women with low-risk pregnancies should have the right to choose where they want to give birth, conclude the authors of the research.

The report found that adverse outcomes for the baby, such as still birth, were rare in women who had low-risk pregnancies and there were no significant differences between hospital obstetric units and elsewhere. There was an increase of nearly 3% in the risk of an adverse outcome for babies of first-time mothers at home, although the study was not able to identify which aspects of the care or site contributed to this.

The study also found the experience for the woman was very different between hospital and other settings, with fewer interventions such as caesarean sections, epidurals for pain relief and forceps deliveries amongst women who had planned to give birth at home or in a birth centre and at least started their care there.

Currently only 4% of women give birth at home and midwife-led birth centres are available in only half the areas of England.




Abortion hotline opened in Pakistan

Date: 24 November 2011
Source: Deutsche Welle

Illegal abortion is often the only option for women in Pakistan, where abortion is illegal, women have little access to sexual and reproductive health, contraceptive use is low and where few married women are able to make their own decision about their own health care. This has had drastic results. The Guttmacher Institute estimates that in Pakistan as many as one in six deaths occur as a result of illegal abortions.

The Dutch-based NGO, Women on Waves, recently set up an abortion hotline in Pakistan to give practical information about unwanted pregnancy, and sexual and reproductive health in general. They are working in partnership with the Pakistani women's group, Aware Girls. Information about safe abortion, with other sexual and reproductive health, is offered to women who call in. Despite violent opposition from Islamic groups and some political parties, the organisations are determined to continue to offer this essential service.




Breaking the silence on abortion in Zambia



Date: 21 November 2011
Source: Alice Klein, Guardian


In Zambia, the taboo surrounding abortion leads to thousands of women dying every year as they try to terminate pregnancies illegally. These deaths account for 30% of the already high maternal mortality rate of 591 deaths per 100,000 live births. Girls and young women under 19 years old account for a staggering four in five of these deaths.

Although abortion is legal in case of maternal physical or mental wellbeing, few people know about it. Even for those who do, getting the required signatures from three doctors is extremely hard. Cultural taboos about abortion, and difficulties of talking about such issues with parents and fears about confidentiality, make it harder for adolescent girls, even when they could afford an abortion.

In the face of these challenges, there are some initiatives trying to educate people about unsafe abortion. Africa Directions, a local NGO in Lusaka, performs plays in the community, using local stories to raise discussion about unsafe abortion. After the performances, which are led by a local TV soap star who coordinates the project, and is always a draw, the actors hand out slips directing local residents to a nearby health centre where they can obtain sexual and reproductive health advice.




High levels of violence against marginalised women, South Asia

Date: 18 November 2011
Source:
Paulo Longo Research Institute


New multi-country research from Bangladesh, India and Nepal provides evidence about the high levels of violence experienced by disabled, sex-working and lesbian women. The report provides evidence that women face marginalisation and social exclusion on the grounds of disability, sex work and/or sexual orientation. This increased the risk of suffering inter-personal violence from a wide range of perpetrators and also reduces the likelihood of successfully accessing care and support. Access to care and support is further reduced because interest groups tend to work in silos, so - for example - disability rights groups are often not active about gender.

The research interviewed over 1,600 disabled, sex-working and lesbian women in the three countries, along with service providers and stakeholders. Policy recommendations were shared with key decision-makers and policymakers, who commented on the acceptability and feasibility of the recommendations. The policy makers stressed the need to focus on implementation of policies and resource allocation.

The research is one of the first to provide evidence about the situation experienced by excluded and marginalised women in South Asia. The report is published by CREA, a global, feminist, human rights organisation based in India, in collaboration with a number of academic institutes in Bangladesh, Nepal, India and the UK.

 

The executive summary can be downloaded here or via the CREA website.

 




Pregnant young women expelled from school, Burkina Faso

Date: 17 November 2011
Source: LeFaso.net


The recent expulsion of a secondary school student in Ouagadougou, Burkina Faso, has led to widespread media interest. The pregnant student was married. Her husband has raised concerns over the expulsion, as well as over the manner in which it was done. Reportedly, the young woman and others were told to lift up their shirts so that the teacher could check for pregnancies. The husband is defending his wife's right to remain in school. The Department of Secondary and Higher Education has become involved, confirming that girls have the right to remain in school when pregnant and apparently the school has agreed to allow her to return.

It is rare for a husband to support his wife's right to study. Apparently six more girls have also been excluded from the same school, according to the pregnant student's husband. Unlike this case, the other girls have apparently preferred to stay away from school to avoid having to disclose to their parents that they are pregnant. Enabling pregnant girls to continue to study and provision of reproductive health information for girls are important steps towards ensuring young women's reproductive health and rights.




Donors still not transparent about their aid programmes

Date: 16 November 2011
Source: IRIN News

A recent report by the campaign group Publish What You Fund finds that most international aid donors are still not open enough about their aid programmes, and some offer no information at all.

The study ranks 58 aid-giving countries and organisations according to their openness about 37 aspects of their aid programmes, covering information about the organisation itself, about their operations and about the activities that donors funded. The campaign is part of the International Aid Transparency Initiative, launched in Ghana in 2008.

The results are disappointing, with the highest performers only providing 78% of the information requested. There is also a wide range of variation between bilateral and multilateral agencies, those that are well established and those that are relatively new.

This lack of transparency leads to waste, overlap and inefficiency, according to Publish What You Fund. It is particularly disappointing given that many donors make transparency a condition for the aid that they provide yet do not practice what they preach.

The full report can be accessed on the Publish What You Fund website.




Parliamentary debate on legal abortion, Argentina

Date: 10 November 2011

Source: National Campaign for the Right to Legal, Safe and Free Abortion

A proposed Legal Abortion Bill, submitted to the Argentine parliament for debate, has become mired in confusion. The draft law would legalise voluntary termination up to 12 weeks, and in cases of rape, fetal malformation or risk to the woman's life and health after that.

According to Argentina's National Abortion Campaign
, the Penal Legal Commission approved the resolution, which would allow the draft bill to proceed forward for debate by other parliamentary commissions. At the start of the meeting, held on November 1st, the chair of the Commission tried to put aside the draft law in favour of a new draft law prepared by him. This proposal was rejected by many of the MPs present, and apparently a vote was taken on the initial draft law, leading to a majority vote. However, this was denied by the chair of the commission and media reports then announced that the draft resolution had been rejected.

 

It remains unclear what the next steps are for the proposed bill, but the campaign for safe, free and legal abortion continues.




New US policy for an AIDS-free generation sidelines reproductive health and rights

Date: 14 November 2011
Source: Plus News

US Secretary of State, Hilary Clinton, has announced three policy priorities for the US government with the aim of achieving an AIDS-free generation within three years. The priorities are the elimination of mother to child HIV transmission, scaling up medical male circumcision and expanding early treatment for people living with HIV. The announcement was accompanied by commitment of an additional US$60 million to rapidly scale up combination prevention in four unspecified countries in sub-Saharan Africa to measure the impact of this approach.

However, these priorities sideline reproductive rights and any woman-centred prevention approach. In this announcement, there was no mention of family planning or access to safe abortions, reflecting the current reluctance for the US government to advocate robustly for women's reproductive rights within the US. Activists have pointed out that Clinton’s prevention-as-treatment approach could have been furthered by supporting women's reproductive choices, such as increasing HIV-positive women's access to contraception.




Rape cases soar in Somalia's camps

Date: 11 November 2011
Source: IRIN News

There has been a sharp increase in the number of rape cases and in the severity of assaults in central Somalia, according to gender activists working in the central Somali town of Galkayo.

Many rape survivors live in internally displaced people's camps, in flimsy shelters without doors or other structures that would deter an attacker. The increase is also attributed to a deterioration of security, with armed gangs of young men roaming about the town who have impunity because many of the women have no clan support. The town is divided between two self-declared autonomous regions, Puntland and Galmudug, and rapists are able to cross the border. Lack of action against rapists has created a sense of impunity amongst the gangs of young men.

Women's groups have launched campaigns and invited traditional elders, religious leaders and security officials to discuss the issue. Women's groups have set up community watch groups, often headed by women, who patrol the camp at night. The United Nations Population Fund (UNFPA) has started to collect data to record and track data and respond to sexual assault and is providing Post Exposure Prophylaxis kits and kits for sexually transmitted infections to the hospitals in the region.




Silence and stigma after rape in Pakistan

Date: 9 November 2011
Source:
IRIN News

In Pakistan, rape is rarely reported to the authorities so there is little accurate information about how many rapes occur. The independent Human Rights Commission of Pakistan states in its 2010 annual report that 2,903 women - almost eight a day - were raped last year, yet few cases are reported to police. Police are often implicated in rape cases themselves, or demand that victims drop charges in return for bribes from perpetrators.

The Karachi-based NGO, War Against Rape, reviewed data from local hospitals and police stations and found that the the average age of victims had fallen from 18 years in 2010 to 13 in 2011 in Karachi. Only a minority of the cases reported from hospitals had been reported to the police. The reluctance to report rape is even greater in rural areas, where people in power can threaten families of girls who have been raped and bribe police to ignore cases.




Mississippi voters decide fertilised eggs are not people

Date: 8 November 2011
Source: New York Times and British Medical Journal

Voters in Mississippi, one of the most conservative states in the US, rejected a measure that could have outlawed all abortions and many forms of contraception on 8 November. The proposed amendment, Initiative 26, known as the 'personhood' amendment, would have amended the state Constitution to define life 'to include every human being from the moment of fertilisation, cloning or the functional equivalent thereof'. This would have outlawed all abortions, including in cases of rape and incest and when the mother's life was in danger, would have barred morning-after pills and certain contraception such as IUDs, and could have limited in vitro fertility procedures.

Supporters of the proposal were hoping that successful passage of the amendment into Mississippi law would build support for similar laws in other states and challenge the basic right to abortion for women in the US. There was fierce debate on the motion, including from anti-abortion campaigners themselves, who disagreed about the wording and also the strategy of putting the amendment to a public vote.

Nearly two thirds of voters rejected the amendment. Similar 'personhood' amendments have been rejected twice in Colorado, but have been introduced in many other states and may be voted on soon.




UN Committee recommends that Peru eases abortion restrictions

Date: 7 November 2011
Source: Center for Reproductive Rights

The United Nations Committee on the Elimination of Discrimination against Women (CEDAW) has condemned Peru for violating the human rights of a young woman seeking legal abortion services. The case was brought to CEDAW on behalf of a 13-year-old rape victim who, after four years of repeated rapes by different men in her neighbourhood, discovered she was pregnant and attempted suicide by jumping from a roof. She suffered a broken spine in the failed suicide attempt. Doctors refused to perform surgery on her back because the procedure could harm her pregnancy. It was only after the girl had a miscarriage that doctors were willing to perform surgery, but the long delay reduced the success of the intervention and she is now unable to walk.

In Peru, abortion is legal in cases where a woman's health or life is at risk. CEDAW decided that Peru should amend its law to allow women to obtain an abortion in cases of rape and sexual assault, establish a mechanism to ensure the availability of abortion services and guarantee access to abortion services when a woman's life or health is in danger. The ruling also recommends that the Peruvian government provide adequate reparation and compensation to the young woman.




Misconceptions leading to low participation rates in HIV vaccine trials

Date: 4 November 2011
Source: Newswise

Researchers working on HIV vaccines have struggled to convince people in at-risk communities to participate in HIV trials. A recent study with people eligible for participation in these trials has found a number of misconceptions. University of Toronto researchers interviewed nine focus groups of people that would be eligible for an HIV vaccine trial and discovered that there were a lot of misconceptions. Many falsely believe that vaccine trials expose them to the risk of getting HIV, have a general distrust of doctors and medical researchers, and are also concerned about perceived targeting of individuals who are 'at risk'.

GeoVax labs, a biotechnology company that is developing HIV vaccines, has expressed concern about the implications of this research. The biotechnology company talked of the paramount importance of engendering trust within the communities who they argue would benefit from the HIV therapeutic vaccine that is currently being tested.

 

Therapeutic vaccines, when used in combination with existing oral medications, could eventually cure someone of HIV. Last February, GeoVax announced the results of Phase 1 clinical trial testing of its vaccine products involving three trial regimens; the vaccines showed excellent safety characteristics in each.




Mifepristone registered in Mexico

Date: 2 November 2011
Source: IPAS


Mexico has recently decided to register mifepristone, marking an important step toward free and safe early abortion.

Mexico City decriminalised abortion during the first trimester in April 2007. Women with no health insurance who reside in the Federal District can receive free abortions and women living outside the Federal District pay on a sliding scale. While mifepristone has not been registered in Mexico, misoprostol was widely available. Now that mifepristone is registered in Mexico, it will soon be available to physicians in private offices and clinics that are registered to administer it. It will also be available from pharmacies.




Male circumcision and sexual difficulties, Denmark

Date: October 2011
Source: International Journal of Epidemiology

A recent study in Denmark explored the associations between male circumcision and sexual experiences and current difficulties with sexual desire, sexual needs fulfilment and sexual functioning.

A national survey asked questions about circumcision status and details about their sex lives and then compared the responses between circumcised and uncircumcised men and their female sexual partners. The analysis took into account differences such as age, frequency of intercourse and religious and cultural backgrounds.

The research
found that circumcision was associated with frequent orgasm difficulties in men (11% of circumcised men reported difficulties compared to 4% of uncircumcised men) and with a range of sexual difficulties in their female sexual partners, notably orgasm difficulties, pain during intercourse and a sense of incomplete sexual needs fulfilment. The researchers suggest further research in higher prevalence communities. In Denmark about 5% of men are circumcised.




Creating tomorrow's abortion providers, Medical Students for Choice, US

Date: 12 October 2011
Source: Medical Students for Choice

In 1993, the group Medical Students for Choice (MSFC) was created, following a US anti-abortion pamphlet campaign seeking to reach medical students. The pamphlet campaign backfired, by bringing together medical students who were angry about the limited choices facing women. At the time, there were few medical residencies training their residents to provide abortions and even fewer medical schools educating their students on comprehensive women's reproductive health care.The group seeks to provide training on abortion and family planning, and increase access to choice for women.

By 2010, MSFC has more than 10,000 members, is a strong presence at most medical schools in the US and Canada and supports medical students organising around abortion education at schools in the UK, Ireland, Israel, the Dominican Republic, and Lebanon.

Every year the MSFC Annual Meeting provides between 350 and 500 medical students an opportunity to learn about abortion techniques and family planning issues that are not typically covered in their medical school curricula. MSFC supports students on 139 medical school campuses to educate their fellow students and add abortion and family planning content to their school's formal curriculum. Research has demonstrated through that intention to provide abortion prior to entering an obstetrics-gynaecology residency is the strongest predictor of future abortion provision. MSFC provides financial support, guidance and professional connections for students who are seeking to increase access to abortion care.

Although there is a continued decline in the number of abortion providers in the US, over half of former MSFC-supported students have entered reproductive health or family care and almost one third provide abortion care. They are located all over the US including 16% in rural communities, where abortion is less accessible.

'Without my involvement (in MSFC), I probably would have assumed that 'someone else' would provide abortions if I didn't receive appropriate training. I will be an abortion provider because of MSFC!' (Ob-gyn resident, Florida)

An editorial in Contraception journal detailing the history and current work of MSFC can be accessed here.




New chlamydia treatment and vaccine hopes

Date: 12 October 2011
Source: Science Daily


Researchers in the University of Southamption, UK, and Ben Gurion University, Israel, have made a significant breakthrough in accessing the chlamydial genome which could pave the way for more effective treatment of the disease.

Until now, it has not been possible to study chlamydial genetics, making it difficult to study the disease comprehensively. The researchers managed to access the chlamydial genome, proving that they could do so by inserting the gene for a fluorescent protein into C. trachomatis which identified the chlamydial-infected cells by making them glow green.

They hope that it could eventually lead to the development of a vaccine for C. trachomatis. Chlamydia is a major cause of sexually transmitted infections, causing pelvic inflammatory disease, increasing the risk of infertility and ectopic pregnancy.

Their paper is published in the Public Library of Science journal PLoS Pathogens and has been selected as the Editor's Choice for the journal Science.




Landmark decision establishes state's responsibility on preventable maternal death, Brazil

Date: 16 August 2011
Source: Center for Reproductive Rights

In August, the Committee on the Elimination of Discrimination against Women (CEDAW) issued a landmark decision that establishes a state's responsibility on preventable maternal death case within the UN Human Rights System.

Alyne da Silva Pimentel Teixeira was a young Brazilian woman who died in 2002 when she was six month's pregnant. After feeling severe nausea and abdominal pain, she had been examined in a health centre. Before returning for scheduled tests two days later, her health situation worsened. When she returned to the centre, she was told her fetus had died. After delivering a still birth in a private health facility, she underwent curettage surgery and became disoriented. The private clinic had no transport available, so she had to wait eight hours to be transferred to a public health hospital, where no beds were available. She had been left unattended in the hallway of the public hospital for 21 hours when she died.

The case was filed against the state of Brazil in 2007 by two reproductive rights organisations, . The CEDAW Committee decided that her death was a maternal death. The Brazilian state was found to have neglected its due diligence obligation to ensure appropriate pregnancy services, neglected its duty to regulate and monitor private health care institutions, failed to address discrimination against a woman who was poor and of African descent, and failed to ensure effective judicial protection for the family. The CEDAW Committee made several recommendations to Brazil to comply with its international human rights obligations, including appropriate compensation to her family, and more generally ensuring women's rights to safe motherhood and affordable access to emergency obstetric care.

The CEDAW Communique and ruling can be accessed here.




UN Member States stand up for women's reproductive rights in Ireland

Date: 18 October 2011
Source: Irish Family Planning Association

In a hearing in Geneva in October 2011, UN member states examined Ireland's domestic human rights record, including abortion and other reproductive rights records and demanded concrete legislative action on the abortion issue from the Irish Minister for Justice. Eight countries made strong recommendations or asked tough questions regarding Ireland's restrictive abortion laws. Five countries called on Ireland to either decriminalise abortion or allow for abortion in the case of rape, incest and when a woman's health and wellbeing are at risk.

In response to questions and recommendations at the hearing, the Minister for Justice made a commitment to deal with the abortion issue in an 'adequate and comprehensive' way and to 'meet our obligations under the convention of human rights'. The Justice Minister must now outline the terms of references and timeline of a proposed expert group which the Government has promised in response to a pending abortion legal judgement, and must also make a firm commitment to provide legislation for adequate abortion services and to give clarity to women and their doctors.




Poll shows most Argentineans support abortion access

Date: 28 October 2011
Source: Catholics for Choice

A poll released today shows that most Argentineans are in favour of liberalising the abortion law. A parliamentary committee is preparing to discuss the abortion law at a hearing on November 1. Over 80% of those polled support a woman's right to access abortion care when her health is at risk  or when the pregnancy is a result of rape and almost 70% support abortion being available when the fetus has severe abnormalities. The survey also showed that while abortion is officially almost completely unobtainable in Argentina, a third (34%) of Argentineans know someone who has had an abortion.

About three quarters of the population is Catholic, but 70% of respondents rejected the idea that Catholics have a moral obligation to vote against candidates who support legal abortion, while nearly six in ten say that the bishops do not play an important role in their voting decisions.

A copy of the survey is available on the Catholics for Choice website.




Moroccan government to increase abortion access

Date: 14 October 2011
Source: Khaleej Times

Abortion is illegal in Morocco, except in cases where the mother's health is in jeopardy. The Moroccan social and family development minister announced on 14 October that the government wants to change the law to allow abortion in cases of rape and incest. The Minister said that legal abortion is part of a government agenda and recourse to legal abortion in extreme cases, like rape, incest, or a seriously malformed fetus, is no longer taboo.

Currently up to 1,000 illegal abortions are said to take place daily, with 600-800 of them performed by medical professionals but an additional 200 carried out without proper medical precautions taken, according to reproductive rights groups.




Kenya grapples with counterfeit ARVs

Date: 19 October 2011
Source: IRIN News

Kenya's government is scrambling to remove thousands of batches of counterfeit antiretrovirals (ARVs) from circulation after patients and health workers reported irregularities in the appearance and texture of Zidolam-N, a combination treatment containing zidovudine, lamivudine and nevirapine. Zidolam-N is a WHO-certified generic drug purchased through a distributor endorsed by the Kenya Pharmacy and Poisons Board (KPPB), the country's drug regulatory authority. 

According to the KPPB, the fake drugs were not manufactured by the licensed producer, Hetero Drugs Limited, based in India. WHO's investigations found
that the batch number that appeared on the fake drugs was the same as one that appears on a Hetero-produced batch, manufactured and controlled according to WHO-recommended specifications, found to be of acceptable quality and not been supplied to Kenya.

A
ll patients have been asked to return these drugs to clinics. Of an estimated 16,340 batches of the counterfeit drug that have been released, 15,000 have been returned and KPPB is tracking down the remaining counterfeith drugs that have been issued. Officials say the government is investigating how the drugs found their way into the country, and is looking into strengthening surveillance systems. Activists have criticised the regulatory authorities for allowing counterfeit drugs into the supply chain, especially where treatment requires strict adherence to a regimen.




Court conviction for harassment of women seeking abortion, Austria

Date: 23 October
Source: Die Standard


An Austrian court has convicted four members of an anti-abortion group for harassment of a doctor who is performing abortions. The head of the group Austria was sentenced to 6,200 Euros and three of his colleagues to fines of several hundred Euros each. This was the verdict of the court of appeal, which means that no further appeal is possible. This is the first time in Austria that harassment in relation to abortion has been declared illegal by a court.

In British Columbia, Canada, there has been legislation in place since 1996 to prevent activity of anti-abortion demonstrators near abortion services or the homes and offices of doctors providing abortions. This legislation was enacted with significant consultation of stakeholders, following the attempted murder of a Canadian abortion provider. There have been challenges to this legislation over the years in courts, but the legislation has been upheld to date.




Russian parliament seriously limits legal abortions

Date: 21 October 2011
Source: Associated Press

In July 2011, Russia's president Medvedev signed into law new restrictions on abortion. President Medvedev has made the fight against Russia's falling birthrate a feature of his presidency and, at the same time, the conservative Russian Orthodox Church leadership has been proposing serious restrictions to the abortion law.

On 21 October, the Russian Duma passed another law severely restricted legal abortions. That law limits abortions to 12 weeks of pregnancy, except for women who say they cannot afford a child, who may have an abortion up to 22 weeks. The law also stipulates a mandatory waiting period of 2-7 days before the procedure to allow a woman to reconsider her decision. It does not include other even more punitive restrictions proposed by the Russian Orthodox Church, such as a requiring a husband's consent for married women, parents' consent for teenage girls or a doctor's right to refuse an abortion.

To encourage more childbearing, the bill proposed that all pregnant women would receive monthly payments from the 13th week of pregnancy and special crisis centres would be established to provide pregnant women in difficult situations with 'necessary help'. First reports do not indicate whether or not this measure has also been passed.

Russia's abortion rates are among the world's highest, and the likelihood is that the restrictions will cause a serious rise in the number of illegal, unsafe abortions, especially in the second trimester and this is already currently the cause of 5% of maternal deaths in Russia.




Life long advocate for women's right to choose, New Zealand

Date: 31 May 2011
Source: Abortion Law Reform Association New Zealand

In March 2011, the Abortion Law Reform Association of New Zealand (ALRANZ) honoured and expressed gratitude to their long-time president, Dame Margaret Sparrow. Margaret has been president for a total of 32 years, from 1975-1980 and from 1984-2011. Expressions of gratitude came from far and wide. New Zealand's former prime minister, Helen Clark, stated that women's rights and status in New Zealand would be much the poorer without Dame Margaret's strong advocacy. Tributes came from nurses who have worked with her, politicians who have worked together with her for abortion law reform, advocates from other national campaigns and women who first met her when they sought reproductive health care at the clinic where she first practised. Dame Margaret continues to be active and remains on ALRANZ's National Executive Committee.

"Women’s rights and status in New Zealand would be much the poorer without Margaret's strong advocacy. In being prepared to stand up and be counted on issues of such importance, Margaret has been an inspiration to many of us in our own lives." said Helen Clark, head of UNDP and former Prime Minister of New Zealand.




Pregnancy counselling centres, UK, show serious flaws

Date: 14 October 2011
Source: Education for Choice

A recent review of independent Crisis Pregnancy Centres (CPCs) in the UK has found many concerns with the way that these centres operation.
CPCs are independent organisations oferring discussion around pregnancy choices for women who are uncertain about continuing with a pregnancy . Some CPCs offer free pregnancy testing and other services.

Education for Choice surveyed the quality of service that CPCs offer to women facing an unplanned pregnancy by 'mystery shopping' eight CPCs. The mystery shopper presented herself as someone with an unwanted pregnancy who was considering abortion, but required additional information and support to make up her mind.

The review found that many of the counsellors were genuine and well-meaning, but were hampered by a lack of good basic listening skills and lack of practical, accurate information about abortion or other options. Some centres deliberately deterred the mystery shopper from having an abortion at any cost, for example by giving dramatic misinformation such as that 100% of women who have abortions will get cancer. Two of the eight centres did provide impartial and helpful advice but it was not clear what added value they offered in comparison with counselling by an abortion provider.

The study concludes that, at worst, CPCs are operating in ways which go against good practice principles. At best, what they offer is acceptable but not necessarily valuable. Before signposting women to pregnancy services, health services should investigate fully their local service before recommending, promoting or funding them in any way.

The report can be downloaded here.




UK abortion law reform campaigner is remembered

Date: 12 October 2011
Source: The Guardian

Madeleine Simms, a key architect of the 1967 Abortion Act in the UK has died, age 81. After the birth of her first child in 1959, she became aware for the first time that abortion was illegal in Britain and she became a tireless campaigner for legalising abortion. She had a passionate concern for social justice and deplored the fact that rich women could access abortion but poor women could not and concern about the possible neglect and abuse of unwanted children.

She became involved in the Abortion Law Reform Association, which successfully lobbied for the 1967 act that legalised abortion. She continued to be active in reproductive and sexual rights, working at the Birth Control Trust and Simon Population Trust, followed by a secondment to the Department of Health research management division. Her tireless campaigning, in favour of choice and equity, continued until the very end, including campaigning for Assisted Dying following the recent death of her husband, Dennis, with whom she was happily married for 54 years.




Our Bodies Ourselves turns 40

Date: 6 October 2011
Source: Our Bodies Ourselves

1st October 2011 was the 40th anniversary of the original 'Our Bodies, Ourselves' book, a groundbreaking publication that provided practical and accurate information by and for women, about our bodies, sexuality, and health. The book was recently named one of the 100 most influential books written in English since 1923 by Time Magazine.

The anniversary was celebrated by a free public symposium at Boston University on women's health and human rights, 'Our Bodies, Our Future: Advancing Health and Human Rights for Women and Girls'. The speakers highlighted the most pressing issues that impact the health and safety of women and girls today and discussed ways to secure their full civic and political involvement.

The book is a product of Our Bodies Ourselves, also known as the Boston Women's Health Book Collective, which is a nonprofit, public interest women's health education, advocacy and consulting organisation. The Our Bodies Ourselves Global Initiative collaborates with women's organisations developing resources based on Our Bodies, Ourselves for outreach and advocacy in their own countries. Since 2001, the initiative has worked with more than 22 groups, providing the technical assistance and support they need to deliver evidence-based, culturally meaningful health resources in print, digital and interactive formats to millions of women and girls.

A newly revised and updated edition of Our Bodies Ourselves was launched on 1 October 2011. It continues to address the broad range of women's reproductive health and sexuality. The book also has new sections on how health care reform affects women and how to get the care you need, safer sex, environmental health risks and how to minimise exposure to everyday pollutants that endanger our bodies and reproductive health, body Image and healthy approaches to looking and feeling good, local and global activism.

More information about how to order the new edition is available here.




Mexico dismisses unconstitutionality claim

Date: 29 September 2011
Source: GIRE

Mexico's Supreme Court has dismissed the unconstitutionality claim against the constitutional amendment in two states, Baja California and San Luis Potosi, that protects life from the moment of conception.

Although seven of the 11 justices in the first hearing argued that the amendment is unconstitutional, one additional vote was needed to annul the constitutional amendments. Dismissing the claim simply means that amendments will stand as originally approved. The Court did not declare the protection of life constitutional.

Despite this disappointment for pro-choice campaigners, the arguments presented by the seven Justices in favour of annulment - that the protection of life is compatible with women's rights - offer excellent support for future advocacy and can also be used to support the pro-choice movements' demands for respect of women's rights. The Supreme Court's discussion was widely covered in the media and the topic was even among the top trends in Twitter in Mexico in the days leading up to the decision.

Mexican states continue to be obligated to guarantee women's access to legal abortion, birth control




Cakes and the right to choose, UK

Date: 29 September 2011
Source: The Guardian

When pro-life activists decided to hold a US-style prayer vigil outside a London abortion clinic, a couple of friends decided to show public support for the clinic by cheering up the staff with cake and biscuits.

A protest group, 40 Days for Life, started a demonstration outside the British Pregnancy Advisory Services, which provides counselling and early abortions in September, making it harder for women facing difficult decisions, according to the service.

In response to this, especially after the recent attempt to prevent abortion providers from counselling women facing decisions, two women launched 40 Days of Treats. They turn up everyday with cake and biscuits for the staff. 'We thought it would be nice to show lots of us appreciate the work they are doing. It's not combative, or confronting the protesters in a way that no one would want,' says one of the women. Supporters in Bristol and Brighton have already agreed to do the same in their local clinics.




Supreme Court may annul state constitutions that restrict abortion, Mexico

Date: 13 September 2011
Source: Grupo de Información en Reproducción Elegida

The Mexican Supreme Court has received two case briefs that propose the annulment of state constitutional amendments that protect life from the moment of conception. The briefs provide guidance on two challenges that have been made to the Supreme Court. These two cases challenge constitutional amendments that protect life from the moment of conception that have been introduced in the states of Baja California and San Luis Potosí. The briefs argue that the protection of prenatal life cannot be absolute, given that this would disregard women's dignity and restrict their reproductive rights, including reproductive freedom and sexual and reproductive health.

If the briefs are approved, the reforms would be declared unconstitutional and void in the Mexican states where they are currently in effect. Eight votes are required to approve the briefs to annul the reforms and are due to be discussed by the Supreme Court shortly.




Sudanese doctor freed after five years in jail for abortion

Date: 19 September 2011
Source: Mohammed Abdulrahman, Radio Netherlands Worldwide

A Sudanese gynaecologist, Abdulhadi Ibrahim, has been released from prison after serving five years for carrying out terminations. Despite the fact that he faces the threat of being banned from practicing medicine in Sudan, he says that he does not regret what he did and insists his work saved thousands of lives.

In 1991, Sudan amended its Penal Code to expand the circumstances under which abortions are permitted. Abortions are allowed in Sudan either to save a pregnant woman's life or if a woman is pregnant due to rape or incest. However, many women will seek abortions from traditional herbal healers or traditional midwives, especially those that are unmarried.




Referendum narrowly rejects abortion on request, Liechtenstein

Date: 18 September 2011
Source: Abortion-information

Voters in Liechtenstein narrowly rejected a law proposing abortion on request in the first 12 weeks. There were 52.3% 'No' votes in the national referendum ballot.

The initiative had asked for abortion on request in the first 12 weeks of pregnancy, after counselling and a further three day wait. It would also have allowed abortion with no time limit for health and for severe fetal reasons.

Abortion campaigners feel that this is a surprisingly good result in a very catholic country. Parliament will now have to decide whether another compromise bill should be presented.




Publication: The Lancet explores 9/11 and its aftermath

The Lancet
Volume 378, Issue 9794,
3 September 2011

This issue of The Lancet explores the short-term and long-term physical, mental, and public health consequences of the attacks in the US on 11 September 2001.

Papers explore not only the domestic health effects but also some of the international consequences, especially of US policy in Iraq and Afghanistan. New data on battlefield ethics and casualties in civilians and coalition soldiers in Iraq are presented, while Arab-Muslim refugee health in the USA and public health preparedness are reviewed.

The edition includes a wide range of leaders and opinion pieces addressing the overall implications, accompanied by a wide range of articles providing up to date evidence on the health and social outcomes of this event.

Available free online from The Lancet




Polish parliament rejects two draft bills changing abortion law

Date: 5 September 2011
Source: ASTRA Network

The Polish Parliament has rejected two draft bills that would change abortion law.

Despite existing Polish abortion regulation being extremely restrictive, a civil society initiative has emerged that is attempting to introduce a total abortion ban. Their
proposed draft law was debated by Parliament on 1 July and was transferred for consideration by the Parliamentarian Commissions for Health and Social Affairs. On 31 August this draft was rejected by a narrow margin of five votes.

A second draft bill had been introduced by the Social Democrats in response to the proposed total abortion ban. This draft aims at introducing abortion on demand and facilitating women's access to reproductive health services. The draft bill was rejected by the vast majority of Parliamentarians after the first reading on the same day.

On 1st September a new pro-choice initiative called Tak Dla Kobiet (Yes for Women) was formed. It is currently promoting its new draft bill - 'law on responsible parenthood and other reproductive rights'. This draft bill calls for abortion on demand up to 12 weeks and changes to the current provisions regulating access to sexual and reproductive health services. The initiative must collect 100,000 signatures to proceed with the project. After the signatures are collected, the draft will be debated by the Parliament.




Proposed new Russian law threatens women's reproductive rights

Date: 5 September 2011
Source: Russian Association for Population and Development Coalition


A commission reviewing Russia's abortion legislation is developing proposals that, if passed, would severely restrict women's access to abortion. Russia's current law guarantees the right to abortion, but in practice this right has been slowly but steadily undermined over recent years. Legally, a woman can ask for an abortion on request up until 12 weeks of pregnancy. Between 12 and 22 weeks an abortion can be performed on the basis of defined medical or 'social' reasons. Over the years, government has reduced the number of medical and social reasons, although these currently only make up 2-3% of current abortions.

The measures now being proposed by the commission that is reviewing abortion law include the need for married women to obtain a permission from their husbands to perform an abortion and for teenage mothers to obtain consent from their parents or legal guardians. A waiting period of one week will be instituted during which the woman seeking an abortion will have compulsory 'psychological consultations', mandatory viewing of ultrasound and listening to the embryo's heartbeat. The stated purpose of these obligatory procedures is to pressure the woman into changing her mind about the termination of her pregnancy. 'Social reasons' to undergo an abortion after 12 weeks of pregnancy, such as the husband's death during the pregnancy will be eliminated, with the only remaining social reason being a pregnancy resulting from rape. Doctors will be allowed to refuse to perform abortions with no guarantees of referral to another health care provider. An informed consent form is proposed, which warns women of 'serious risks' associated with abortion.

The abortion amendments are likely to be introduced to the new version of the Health Law that is currently being debated by the Russian Parliament.
If adopted, the proposed changes to the current law will significantly limit women's access to abortion, and will be likely to cause the rise of criminal abortions, already currently the cause of five per cent of maternal deaths in Russia.




Save the NHS!! Call for the withdrawal of Lansley's Bill

Date:  1 September 2011
Source:  Marge Berer, Editor, Reproductive Health Matters
 
Next week, MPs will be voting on massive changes to the NHS, which will open the way to widespread privatisation of services. 38 Degrees obtained thorough, independent legal advice about the meaning of these changes, which are in line with Conservative ideology. The lawyers identified two major problems in the legislation: 1) the Secretary of State's duty to provide a health service will be scrapped, and 2) the NHS will almost certainly be subject to UK and EU competition law, allowing private health providers to compete for contracts. In addition, the legislation lifts the cap on the NHS filling hospitals with private patients.
 
This is our NHS, and it's up to us to defend it. Now is the time to flood MPs with emails opposing the bill.  Email your MP today at www.38degrees.org.uk/page/speakout/email-your-MP-now. But make your message even stronger than the one on the 38 Degrees website.  Call on your MP to vote down the Bill, full stop! And forward this information to everyone you know to do the same.
 
For further information, go to:
 



Women and girls forgotten in post-earthquake Haiti



Source: Human Rights Watch
Date: 30 August 2011

A report by Human Rights Watch has drawn attention to the desperate situation faced by women and girls in post-earthquake Haiti. In addition to the extreme hardships faced by all people living in post-earthquake Haiti, women and girls face lack of access to sexual and reproductive health care, often have to engage in survival sex to buy food for themselves and their children, and face high levels of sexual violence. Pregnancy rates in displaced person camps are three times higher than in urban areas before the earthquake. The maternal mortality rate is among the world's worst.

The report strongly condemns the failure to protect these women and girls and calls on all those with human rights obligations - the Haitian government, donor states and agencies, and non-government international organisations - to have greater mutual accountability.

The full report can be downloaded here in English and French.




UK man jailed for infecting partner with genital herpes, concerns raised about legislation

Date: 22 August 2011
Source: Caroline White, British Medical Journal

The sentencing of a UK man to a 14 month prison term for infecting his former partner with genital herpes has prompted calls for an amendment to the existing legislation. It is the first time that the law on deliberate transmission of a sexually transmitted infection has been applied to genital herpes.

The man was found guilty of 'reckless transmission of an incurable sexually transmitted infection' under the 1861 Offences against the Person Act. His former partner had been given a diagnosis of genital herpes after entering into a relationship with him. He had failed to disclose his previous history of infection. The judge said that the injury caused by this infection 'is at least, if not more, serious than a wound leaving a lifetime and visible scar'.

A number of groups representing people with sexually transmitted infections will meet this week to discuss an action plan. The Terrence Higgins Trust intends to appeal the length of the sentence, arguing that sexual transmission of disease is disproportionately punished and stigmatises sexually transmitted diseases over other diseases.

In 1997 there was an attempt to reform the legislation, but this was dropped because the reforms had been intended to cover only HIV and were opposed by HIV activists who said that they stigmatised HIV.

A spokesperson for the British Association for Sexual Health and HIV argues that the law should clarify what is serious life threatening sexually transmitted disease and what is not. He argues that it would be impossible to prove who passed on genital herpes to whom, as six million people in the UK are infected and many people do not know they have it. He questioned the quality of expert advice that judges received and fears that this sentence will reignite misconceptions about herpes, which is a treatable condition. The case has reawakened inappropriate stigma against genital herpes and sexually transmitted infections in general.




Condoms4Life gets visibility at Catholic World Youth Day, Spain

Date: 21 August 2011
Source: Catholics for Choice

The World Youth Day 4 All coalition raised the profile of their Condoms4Life campaign at the six day Catholic World Youth Day event in Madrid, which ends on 22 August. The campaign raises awareness about the devastating effect of the bishop's ban on condoms and draws attention to the pope's statements on condoms as an HIV prevention method that saves lives. 

When the local authorities in Madrid censored the campaign's advertisements on buses and bill boards, the coalition beamed the ads onto walls outside the archbishop's residence, onto the offices of the advertising company who had accepted and then rejected the campaign's ads for buses and bus shelters. They also projected the ads onto the office of the city council member who was reported to be behind the decision to ban the ad. Pilgrims were given wristbands and postcards. Many of them were seen using stickers that appeared around the city.

The campaign was an enormous success and received extensive coverage in the national and international media. The visible presence, nightly screenings on buildings and extensive press coverage led to animated discussions on the use of condoms for HIV prevention.

The ads can be seen on the Condoms4Life website.




Pro-natalist policies in Eastern Europe hit young women hard

Date: 19 August 2011
Source: AWID

Across Eastern Europe, governments are worried because there are fewer younger people to pay taxes and therefore finance pensions and social programs. The economic crisis, mass emigration for study and work, growing xenophobia and falling birth rates have led to calls by right-wing movements for young women to have more babies - as long as they are not members of poor, ethnic minority or immigrant communities. The Russian government has introduced incentives such as a dedicated 'day of copulation' that releases citizens from work for one afternoon to have sex, an all-expense-paid summer camp for young adults complete with private tents and no condoms, and cars and cash payments for parents with newborns. Abortions have been banned in Poland since 1993, in Lithuania individuals must pay for contraception costs themselves and anti-abortion campaigns are increasing in Hungary. Countries such as Slovakia, Bulgaria, the Czech Republic and Lithuania have introduced higher maternity benefits and salary compensations.

Yet these short-term pro-natalist policies are unlikely to counteract the economic reforms that have led to privatisation of education, housing and increasingly unregulated labour markets. Unemployment rates for women are rising faster in Eastern Europe than any other region of the world and initiatives to keep women in the market place, such as subsidised child care, have decreased.




Australian advocacy to increase access to medical abortion, sex education and contraception

Date: 18 August 2011
Source: Caroline Da Costa, Mamamia

In 2006, medical abortion through the use of mifepristone (RU486) with misprostol became legally permitted through a private members' bill to parliament that overturned the 'Harradine Amendment', legislation that meant that importing and marketing the drug required the special permission of the Federal Minister for Health. However, despite this change in the law, it is still necessary for a drug company to apply to, and gain approval from, the TGA (Therapeutic Goods Administration) to market the drug. This has not yet happened.

Yet despite these constraints, doctors started to use a piece of TGA legislation, the Authorised Prescriber legislation, which allows doctors to import and use drugs recognised overseas but not available in Australia within their own practices. Over the past five years, more than 100 doctors across Australia have become Authorised Prescribers of mifepristone and they can be found in all states except Tasmania and the Northern Territories. However, their ability to use the drug is confined to their own practices or hospitals, so while access for women to early medical abortion using mifepristone is relatively easy in capital but it is limited or non-existent for women in other urban areas and in rural and remote areas.

Advocates are now making an application to the TGA to market the drug nationally and they hope that this will be successful within the next few months. These doctors are also advocating for more effective provision of contraceptive services, contraceptive information services and high-quality sex education in schools in order to increase the proportion of pregnancies that are both planned and wanted.




Pope arrives in Spain amid censorship controversy whilst Spanish archbishops affirm freedom of expression

Date: 18 August 2011
Source: Catholics for Choice

Catholic World Youth Day opened on 16th August in Madrid, Spain. This six-day event takes place every three years and is expected to draw close to one million young pilgrims. Pope Benedict XVI will lead a huge outdoor Mass on Sunday.

Condoms4Life is a campaign of the World Youth Day 4 All coalition. The coalition arranged for their Condoms4Life advertisements to be displayed in Madrid's transit system to coincide with World Youth Day. Their message, 'Good Catholics Use Condoms', was deemed too offensive by ultra conservatives and the municipal authorities did not allow the campaign to run. Authorities in Madrid barred bus ads and billboards on the campaign. However, the Condoms4Life message has been attracting attention and pilgrims have encountered stickers and projections on walls around the city. As a result of the ban, the advertisement has received extensive coverage in the Spanish media. Thirty young activists are active during the event, drawing attention to statements by Pope Benedict XVI that condoms have a role in prevention of HIV transmission.

A number of other topics are causing controversy during this event. Patrons at the Madrid public library have allegedly complained they were unable to access Web sites providing information on protests being organised against World Youth Day.

World Youth Day 4 All welcomed the remarks from Archbishop Braulio Rodriguez of Toledo, Spain, who pointed out that the Catholic World Youth Day celebration is taking place in a country where freedom of expression is protected.




UN special rapporteur on right to health releases report on right to abortion

Date: 3 August 2011
Source: Women's Global Network for Reproductive Rights

The Special Rapporteur on the Right to Health has released a report calling for the decriminalisation of abortion. The report calls for the elimination of criminal laws that penalise and restrict induced abortion, describing them as impermissible barriers to the realisation of women's right to health by severely restricting decision-making by women in respect of their sexual and reproductive health.

The report will be presented at the General Assembly on October 24th.

The full report can be downloaded here.




Understanding the drivers of homophobia in Ghana

Date: 1 August 2011
Source: IRIN News

Recent condemnation of homosexuality by religious and political leaders in Ghana has led to a climate of fear preventing men who have sex with men (MSM) from accessing vital health services, say local NGOs.

The minister of Ghana's Western Region publicly described homosexuality as 'detestable and abominable' and has called for increased security in the region and the arrest of all homosexuals. Other religious leaders and politicians have followed suit, condemning homosexual activity.

As a result, NGOs providing services to MSM report a steep drop in numbers of men accessing HIV peer education programmes and health services. An estimated 25 percent of Ghanaian MSM were HIV-positive in 2006, according to USAID.




Sex for school fees in Madagascar

Date: 1 August 2011
Source: IRIN News


Health and social workers are reporting a worrying increase in the levels of sex work, often by children who use the proceeds to pay for their education. This, and increasing child homelessness, is one of many social indicators of growing poverty.

Madagascar is experiencing international sanctions, the cancellation of preferential trade agreements and a withdrawal of international aid. Madagascar's $600m textile industry has been hard hit, after Madagascar's membership of the African Growth and Opportunity Act (AGOA) was cancelled in 2009.

A recent Ministry of Health HIV prevalence survey found that there was at least a 30 percent increase in new cases of sex workers, with many of them under 18 years of age. NGOs working with sex workers report that from a quarter to a half of the new sex workers are under 18.




Limited success for campaigns to end female genital mutilation/cutting, Kenya

Date: 1 August 2011
Source: IRIN News

A campaign to end female genital mutilation/cutting (FGM/C) in Kenya's Rift Valley Province is showing slow but steady progress. The campaign urges FGM/C practitioners in the area to put down their razors and campaign for women's rights in their communities. The campaign has also targeted community male elders to fight FHM/C and is preparing a campaign to educate young men, many of whom refuse to marry uncut women. The campaign sees girls’ education as essential to long-term success.

So far, around 35 practitioners claim to have been reformed because of various campaigns. Recently, Ilchamus practitioners, elders and community members signed a declaration to abandon FGM/C.

Challenges remain. The high income of the practitioners often means that others become practitioners. The government has stated that they intend to provide alternative sources of income to women who wished to leave the profession to discourage them from returning to it.




Adding Value to Health: Global Health Workforce Alliance annual report 2010 now available


Date: 27 July 2011
Source: Global Health Workforce Alliance

The Global Health Workforce Alliance annual report 2010, Adding Value to Health, details the influence and impact of the more than 300 Alliance member organisations over the past year. This year's report focuses on: human resources for health; progress on development and adoption of the WHO Global Code of Practice on the International Recruitment of Health Personnel; progress on the health related Millennium Development Goals; and outcomes from the Second Global Forum on HRH in Bangkok, in January 2011.




International Consortium for Medical Abortion, July newsletter

Date: 27July 2011

Source: International Consortium for Medical Abortion

 

The following articles have been published in the recent July issue of the ICMA's newsletter.

 

The Eastern European Alliance of Reproductive Choice (EEARC) argues why abortion country profiles are important. It has conducted these profiles in 13 countries in the region and the profiles have provided a solid base for advocacy and action. Abortion is legal and widely practiced across the region, but the profiles identify un­solved problems regarding accessibility, quality of services, along with a growing abortion opposition movement in several countries. The EEARC identifies key priority actions in this report.

 

The UN Commission on Human Rights issued a ruling sentencing the Argentine State to pay damages and to imple­ment measures to impede future violations of women's rights to access safe, legal abortion.

 

The African Network for Medical Abortion (ANMA) reports on a recent regional Training for Trainers workshop on medical abortion and manual vacuum as­piration.

 

Space Allies, a Japanese NGO, summarises their situation analysis of abortion access in Japan. Abortion is still a crime in law, although it can be practiced legally through a 'Maternal Protection Law' on the grounds of medical/economic reasons and rape. However, medical abortion is still rarely available and there have been recent prosecutions in cases of medical abortion, costs remain high and issues such as requiring a husband's permission are big barriers to women's access to medical abortion. A petition is underway to change the law.

 

The Consorcio Latinoamericano Contra el Aborto Inseguro (CLACAI) announces recipients of their third Small Grant Program for local initiatives to promote access to safe abortion in Latin America. Projects include support to phone lines, media and mobile services into rural areas for increasing access to information on safe abortion, development of tools and protocols for reducing risks of unsafe abortion and several projects to reach adolescents with information and services about pregnancy termination. The projects are in Argentina, Brazil, Mexico and Nicaragua.




Lebanon: New Resource Center for Gender Equality

Date: 26 July 2011
Source: ABAAD-Resource Center for Gender Equality

On July 28, the ABAAD Resource Center for Gender Equality will open. ABAAD aims to promote sustainable social and economic development in Middle East and North Africa through protecting and empowering marginalised groups, especially women. ABAAD focuses on gender equality and the elimination of gender-based violence through strategies and action plans, rights and protection policies, protocols and codes of conduct, fundraising and partnering, designing and implementing activities, evaluating programmes, building and administering trainings, conducting research and studies, and designing advocacy and media campaigns.




Panel recommends free contraceptives coverage, US

Date: 19 July 2011
Source: New York Times

A leading medical advisory panel in the US has recommended that all insurers be required to cover contraceptives for women free of charge as one of several preventive services under the new health care law.

 

The panel said insurers should be forbidden to charge co-payments for contraceptives and other preventive services because even small charges could deter their use. In addition to contraceptive services for women, the panel recommended that the government require health plans to cover screening to detect domestic violence; screening for HIV; and counselling and equipment to promote breastfeeding. The recommendation would, however, not help women without insurance.

 

Obama administration officials said that they were inclined to accept the panel's advice and that the new requirements could take effect for many health insurance plans at the beginning of 2013. In January 2011, the US secretary of health and human services unveiled a 10-year program to improve the nation's health, of which one goal is to 'increase the proportion of health insurance plans that cover contraceptive supplies and services.'

 

The recommendations immediately touched off a fierce debate over the government's role in reproductive health. Women's groups and medical professionals applauded the recommendations, while groups representing the Roman Catholic Church raised strenuous objections. Defending its recommendations on contraceptive coverage, the panel said that nearly half of all pregnancies in the United States were unintended, and that about 40 percent of unintended pregnancies ended in abortion. Thus, it said, greater use of contraception would reduce the rates of unintended pregnancy, teenage pregnancy and abortion.

 

 




Australian Catholic Church says sorry over forced adoptions

Date: 25 July 2011
Source: ABC News

The Catholic Church in Australia issued a national apology today over past adoption practices that have been described as a 'national disgrace', following an ABC investigation into claims of abuse and trauma in Newcastle, New South Wales. 

It is believed that at least 150,000 Australian women had their babies taken against their will by some churches and adoption agencies between the 1950s and 1970s. The ABC investigation interviewed many women with harrowing experiences. One woman, who says she was forced to give up her baby at a Catholic-run hospital in Newcastle in 1970, described how 'My ankles were strapped to the bed, they were in stirrups and I was gassed, I had plenty of gas and they just snatched away the baby... It was just like a piece of my soul had died. And it's still dead.' The women claim they were not told about single parent benefits or their rights to revoke consent for adoption. Women have also told the ABC they were given milk suppressing drugs that have now been linked to cancer, as well as barbiturates that caused sedation and in some cases delirium. Women have told the ABC there was pressure to sign adoption papers well before consent could legally be obtained, and in some cases documents were forged.

The chief executive of Catholic Health Australia says he is sorry for what happened. He says the organisation is committed to righting the wrongs and wants to develop protocols to assist women affected. The Catholic Church's adoption agency has previously apologised for misguided, unethical or unlawful practices, after an inquiry by a parliamentary committee in New South Wales in 2000 and, last year, the Western Australian Government also apologised. A Senate inquiry is currently examining the country's former adoption practices.

A representative from the forced adoption support group, Origins NSW, is sceptical about apologies - 'I don't think that anyone can accept an apology for something that's never been basically dealt with legally.'




US House Foreign Affairs Panel favours 'Global Gag' rule on international funding for family planning services

Date: 21 July 2011

Source: Associated Press

 

In the US, the House Foreign Affairs Committee on Thursday, as part of foreign aid legislation, endorsed reinstating the so-called Mexico City Policy, also known as the 'global gag rule', which blocks federal funds to international family planning groups that use their own funds to perform abortions or offer abortion information, except in cases of rape, incest or when a woman's life is in danger.

 

The policy has been in and out of law since it was first adopted by President Reagan in 1984. President Clinton in 1993 reversed the ban, but President George W. Bush reinstated it in 2001. President Obama overturned the restriction within his first days in office.

On Wednesday, the committee voted 25-17 to reject an amendment offered by Rep. Howard Berman (D-Calif.) that would have removed the policy provision. Berman said the policy 'prevents poor women and families around the world from gaining access to essential information and health care services'.

The House foreign aid bill would cut about $6.4 billion from President Obama's request of $51 billion for the State Department and other foreign operations in next year's budget. The bill is not expected to pass the Democratic-controlled Senate.




Midwives now permitted to perform medication abortions, France

Date: 24 July 2011
Source: Assemblée Nationale

On 13th July, the French Parliament passed an amendment to the law on hospitals that allows midwives working at public or private hospitals to perform medication abortions (medical abortion or non-surgical abortion, carried out up to 7 postmenstrual weeks). According to the amendment, Regional Health Agencies can decide to authorize midwives to counsel women seeking an early abortion and administer the drugs. This is a two-year trial period and every year government will have to present a report evaluating the experience.




Argentina: A groundbreaking decision on abortion

Date: 18 July 2011
Source: Denise Hirao, RH Reality Check

When LMR got pregnant after being raped by a relative, she was 19 years-old and had a mental disability that limited her understanding to that of an 8-10 year-old child. Her mother requested an abortion for her daughter. Abortion is illegal in most circumstances but not in cases of rape of a woman with mental disability. Despite multiple attempts with the support of women rights advocates, which obtained a favourable decision by the Buenos Aires Supreme Court, LMR was not able to have an abortion at the public health system. She ultimately terminated the pregnancy at an illegal abortion clinic.

Three Argentinean rights organisations took the case to the UN Human Rights Committee. The Committee issued a groundbreaking decision in late April, concluding that the facts amounted to physical and moral suffering that violated the International Covenant on Civil and Political Rights. The Committee also concluded that there were violations to the right to privacy and equality between men and women because only women are vulnerable to this type of human rights violations, as only women can get pregnant. The UN Human Rights Committee urged Argentina to take measures to compensate LMR and to prevent similar cases from happening in the future. The state has now 180 days to report such measures to the Committee.




Russia enacts law opposing abortion

Date: 15 July 2011
Source: Sophia Kishkovsky, New York Times

President Medvedev has signed into law the first steps intended to restrict abortion since the collapse of communism.

The changes require abortion providers to devote 10% of any advertising to describing the dangers of abortion to a woman's health, including infertility, and they make it illegal to describe abortion as a safe medical procedure. The changes were passed by the upper house of Parliamenet, and tighter restrictions on abortion may follow after Parliament considers a separate health bill in the autumn.

In Soviet times, abortion was free and unrestricted after the late 1960s. But contention over abortion has recently begun to sound like the debate in the US.

Mr. Medvedev has made the fight against Russia's falling birthrate a feature of his presidency, offering payouts for a third child and land plots to encourage women to give birth.

Official statistics placed the number of abortions at 1.3 million in 2009, a significant drop from the 1990s. Russia's increasingly vocal anti-abortion activists, some in Parliament, say it is perhaps many times higher, and Mr. Medvedev's wife has taken up the cause, launching a national campaign "Give Me Life!", including a "week against abortion". The campaign was tied into the "Day of Family, Love and Faithfulness," a holiday created by Mrs. Medvedeva and the Russian Orthodox Church to encourage family values and childbirth.

Sensing a threat, Russian abortion-rights activists have held seminars for journalists and a small protest in St. Petersburg.




New data shows PrEP reduces risk of HIV among heterosexuals

Date: 13 July 2011
Source: Centers for Disease Control and Prevention (CDC) Press Release, University of Washington Press Release

Two new studies provide the first evidence that a daily oral dose of antiretroviral drugs can reduce HIV acquisition among HIV-negative individuals exposed to the virus through heterosexual sex. The strategy of providing daily oral antiretroviral drugs to uninfected individuals prior to HIV exposure is called pre-exposure prophylaxis, or PrEP.

The CDC TDF2 study found that a once-daily tablet containing tenofovir disoproxil fumarate and emtricitabine (TDF/FTC, known by the brand name Truvada) reduced the risk of acquiring HIV infection by roughly 63% in the study population of 1,219 HIV-negative heterosexual men and women aged 18-39 in Botswana, who were randomly assigned to take a daily TDF/FTC pill or a placebo pill. The study had high adherence to taking the drugs: 84% as determined by the pill count.

The Partners PrEP study, carried out by the University of Washington, found that daily PrEP reduced HIV transmission in a study population of 4,758 heterosexual serodiscordant couples - where one partner has HIV and the other does not - at nine sites in Kenya and Uganda. Two separate antiretroviral regimens - tenofovir (brand name Viread) and TDF/FTC - significantly reduced HIV transmission by 62% and 73%, respectively. Good safety and tolerability were reported for both drugs, and adherence based on dispensed drug dosages was extremely high at more than 97%. The findings were released after the trial's independent data safety monitoring board conducted an interim review and recommended that the placebo arm of the study be discontinued due to strong evidence of effectiveness, so that all participants could be offered PrEP.

Both study results have been released in advance of the International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention (www.ias2011.org) in Rome, where the results will be presented and discussed on Monday 18 July 2011.

"These are exciting results for global HIV prevention. We now have findings from two studies showing that PrEP can work for heterosexuals, the population hardest hit by HIV worldwide," said Kevin Fenton, director of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. "Taken together, these studies provide strong evidence of the power of this prevention strategy."

A previous study (iPrEx) had already shown PrEP reduced HIV transmission among men who have sex with men (MSM), but it was not previously known if the strategy could prevent HIV infection among heterosexuals.

A related study, FEM PrEP, was discontinued in April 2011 because an interim analysis found that the trial was unlikely to show a definitive result of the effectiveness of the antiretroviral Truvada in preventing HIV infection among women in Kenya, Tanzania and South Africa.




Pro-choice demonstration in Poland

Date: 13 July 2010
Source: Worldbytes

A pro-choice demonstration took place in Poland on 12 July 2011, against the total abortion ban, which is currently being considered by a committee and will be presented to Parliament in September.

The banners held said exactly what the ban would lead to:

"Every embryo has a right to a belly"
"No woman is innocent"
"Bishops know better than women"
"Man up - sacrifice your wife's life"
"Let's sacrifice women's lives for Pope John Paul II"

For more photos, please click here




States enact record number of abortion restrictions in 2011

Date: 13 July 2011
Source: Guttmacher Institute

In the first six months of 2011, states of the US enacted 162 new provisions related to reproductive health and rights. Fully 49% of these new laws seek to restrict access to abortion services, a sharp increase from 2010, when 26% of new laws restricted abortion. The 80 abortion restrictions enacted this year are more than double the previous record of 34 abortion restrictions enacted in 2005 - and more than triple the 23 enacted in 2010. All of these new provisions were enacted in just 19 states.

Five states adopted laws related to abortion counselling and waiting periods.

15 states introduced measures that ban abortions at and after 20 weeks' gestation, based on the spurious assumption that a fetus can feel pain at that point. These laws appear to conflict with Supreme Court rulings.

In Ohio, the House adopted a measure that would ban abortion once a fetal heartbeat can be detected, which usually occurs between six and 10 weeks' gestation. The bill is awaiting action in the Senate.

Restrictions on insurance coverage for abortion were enacted in eight states, and in four states, new laws restrict abortion coverage under all private health insurance plans.

Five states banned the use of telemedicine for the provision of medical abortion, which has been improving access to medical care, particularly in rural areas. Kansas and Oklahoma require abortion providers to use an outdated protocol which restricts medical abortion to 49 days' gestation, rather than the 63 days permitted by the latest protocol.

State legislatures devoted significant attention to issues related to family planning. Family planning escaped major budget reductions in nine of the 18 states with a specific budget line item for family planning. Programmes in six states sustained deep cuts in line with cuts in other health programmes, but in three states the cuts to family planning were disproportionately large. Two states, Maryland and Washington, moved to expand Medicaid eligibility for family planning. Indiana and Wisconsin restricted eligibility for family planning funds for providers that have any association with abortion; North Carolina adopted a measure that explicitly bans Planned Parenthood from obtaining funding through the state; and two other states took aim at agencies that provide mostly family planning services, regardless of whether they have any connection to abortion.




Update on PEPFAR anti-prostitution loyalty oath

Date: 6 July 2011
Source: Center for Health and Gender Equity (CHANGE) Press Release

A federal appeals court has ruled that the US government cannot require US organisations that receive US foreign assistance to fight HIV/AIDS globally to denounce prostitution. CHANGE applauds this decision as a step toward advancing the rights of persons who face stigma and expanding equal access to care.

The policy, also known as the "anti-prostitution pledge policy" or the "anti-prostitution loyalty oath," is a provision in the 2003 United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act (Leadership Act), that required organisations receiving US funds to fight HIV/AIDS globally to adopt a specific organisation-wide policy opposing prostitution. The provision was not removed by reauthorisation legislation passed by Congress and signed by President Bush in 2008, and remains in place.

Global health advocacy groups have criticised the law because it does nothing to advance its stated goals of defeating HIV/AIDS and fighting the trafficking of persons. Instead, the policy actually weakens the best HIV prevention efforts among sex workers, and exacerbates stigma and discrimination against already marginalised groups.

While the ruling only blocks application of the policy to US based organisations, foreign organisations and those they serve are left unprotected from its imposition. Given that part of the Obama Administration’s global AIDS strategy includes efforts to advance the rights of populations that face stigma - including sex workers and men who have sex with men - and expand equal access to care, CHANGE is calling on the administration to do the right thing and refrain from enforcing the anti-prostitution pledge policy requirement against US-based and foreign organisations.




Publication: Progress of the World's Women

UN Women, 2011

Progress of the World's Women: In Pursuit of Justice is UN Women's first major report, following the organisation's launch in early 2011.

It offers a global review of women's rights around the world. It uses the issue of women's access to justice to highlight the many ways in which injustice against women is still rife, right across the globe - in the home, in the workplace, in politics and in justice systems. The report contains case studies, statistics and graphics illustrating both positive examples of progress in women's access to justice, and areas where more action is urgently needed.

UN Women provides ten recommendations including calling on governments to:

  • Repeal laws that discriminate against women and ensure that legislation protects women from violence and inequality.
  • Support innovative justice services, including one-stop shops, legal aid and specialised courts.
  • Put women on the frontline of justice delivery, as police, judges, legislators and activists.
  • Invest in justice systems that can respond to women's needs. Donors spend US$4.2 billion annually on aid for justice reform, but only 5% of this spending specifically targets women and girls.

Landmark cases that have sped reform of laws and changed attitudes include the case of Maria da Penha in Brazil, whose husband's attacks, including an attempt to electrocute her, left her paralysed. She took the case to the Inter-American Court of Human Rights, resulting in stronger legislation in Brazil on domestic violence. Unity Dow, a judge from Botswana, demanded that she be able to pass on citizenship to her children, whose father was a foreigner. Unity won her case, and at least 19 African countries have since reformed their laws to allow women to pass on citizenship to their children.

The report argues that legal reform is just a start. Laws must be implemented to translate into true equality.

Available from:
UN Women
New York, US
Click here




Citizen's bill on abortion ban in Poland

Date: 1 July 2011
Source: Federation for Women and Family Planning, Poland

On 30th June, the Polish Parliament debated on the citizen's bill that would totally ban abortion in Poland, even if a woman's life is in danger. The left-wing party (SLD) put forward a proposal to reject the bill during the first reading but the other political parties (PiS, PSL and PJN) demanded to refer the bill's draft to the committee. The biggest party in Parliament (PO) allowed its members to vote on the bill.

In a vote on 1st July, 261 MPs voted in favour of referring the draft bill to the committee, while 155 voted against. The committee will present a report on the bill to Parliament by early September.

The draft - named "On the protection of human life from the moment of conception" - was initially submitted to Parliament in April 2011. The draft was made by the Committee of Legislative Initiative led by Mariusz Dzierzawski, a fanatic opponent of abortion, known as an organiser of the macabre anti-abortion exhibitions held in the Polish cities.




Rainbow of colours and gender equality at innovative Brazilian school

Date: 1 July 2011
Source: Mario Osava, IPS News

In the last three years there have been no teen pregnancies among the youngsters at Casa do Zezinho, an extracurricular educational and cultural facility in Brazil attended by 1,500 children and young people from favelas or shantytowns in São Paulo. 

A unique experiment in the sex education workshops has helped prevent teen pregnancy, a problem that tends to lead to school dropout and fuels poverty. Three years ago, a few boys and girls aged 15 to 20 were selected to be "pregnant", and to wear a plastic belly for a few months that grows as the pregnancy advances. The youngsters missed out on activities that pregnant women would normally have to avoid, such as engaging in sports like football and swimming. Eventually the baby - a papier maché doll they have made themselves - is "born" and they have to care for it, nursing and bathing it and changing nappies. They continue to miss the dances and parties organised at the Casa, just like adolescent mothers in the favelas.

In 1994 a teacher named Dagmar Garroux, who was dissatisfied with conventional teaching methods, founded Casa do Zezinho and developed a "rainbow teaching system" which is based on equal treatment for everyone and on the concept that educating is love and sharing. There is a horizontal relationship between staff and students, and students are split up into seven grades, each identified by a colour of the rainbow.

Numerous and varied activities such as dance, art and music are offered by this NGO based in a small middle-class neighbourhood surrounded by three large, notoriously violent favelas. All children and adolescents attending the school must also be enrolled in a regular public primary or secondary school. 2,000 young people are on a waiting list, because the Casa does not have space for them.




Court blocks South Dakota "crisis pregnancy centre" abortion law

Date: 30 June 2011
Source: Planned Parenthood

In a decisive victory for Planned Parenthood and the women of South Dakota, US, a federal court has blocked a state law from going into effect that would have gone further than any in the country in restricting access to abortion and intruding on women's personal medical decisions.

The law would have required a woman seeking an abortion to wait at least 72 hours after first meeting with her doctor and in the interim she must seek "counselling" at a so-called "pregnancy help centre" whose mandate it is to dissuade her from seeking an abortion.

The law was to have taken effect on 1 July 2011. In granting temporary relief from the law, US District Court Chief Judge Karen Schreier found that Planned Parenthood is likely to prevail on its challenge to each of the requirements of the law.

The Court said: "Forcing a woman to divulge to a stranger at a pregnancy help centre the fact that she has chosen to undergo an abortion humiliates and degrades her as a human being. The woman will feel degraded by the compulsive nature of the Pregnancy Help Centre requirements, which suggest that she has made the 'wrong' decision, has not really 'thought' about her decision to undergo an abortion, or is 'not intelligent enough' to make the decision with the advice of a physician."

Planned Parenthood was joined in court by attorneys from the law firm Dorsey & Whitney and the American Civil Liberties Union (ACLU).




Preventing gender-biased sex selection

Date: 30 June 2011

Source: World Health Organization

A
joint UN interagency statement on gender-biased sex selection affirms UN commitments to address the multiple manifestations of gender discrimination, including the problem of imbalanced sex ratios caused by sex selection. Sex selection can take place before a pregnancy has been established, during pregnancy through antenatal sex detection and selective abortion, or following birth through infanticide or neglect.


The statement affirms that women must have access to safe abortion and calls for guidelines on the ethical use of relevant technologies and supportive measures for girls and women such as information, nutrition, education, health services, security and incentives for families with daughters. Legislation and policy frameworks are needed to address the root causes of inequalities that drive sex selection, accompanied by advocacy and awareness-raising activities to strengthen the concept of the equal value of girls and boys.

 

The statement can be downloaded from the WHO website.




RESURJ: Realising Sexual and Reproductive Justice

RESURJ is an international alliance of feminist activists seeking full implementation of international commitments to secure all women's and young people's sexual and reproductive rights and health by 2015.

"RESURJ by 2015" is a 10-point action agenda that places women's and young people's human rights, particularly sexual and reproductive rights, participation in decision-making, and accountability at the centre of health programmes and development efforts. RESURJ calls on all decision-makers to:

1. Expand decision-making opportunities for women and young people.

2. Prioritise sexual and reproductive rights in health systems strengthening and development programmes.

3. Guarantee universal access to this package of essential sexual and reproductive health services.

4. Protect women's and young people's human rights in sexual and reproductive health programmes.

5. Create and sustain comprehensive, objective, and accurate sexuality education and information that is accessible and affirming for all children and youth in and out of schools.

6. Allocate funds targeted to HIV that protect and empower women and young people.

7. Ensure that intellectual property agreements support states' obligations to uphold the human rights of women and young people.

8. Foster an enabling environment for the realisation of women's and young people's sexual and reproductive rights.

9. Strengthen transparency and ensure the establishment of effective monitoring and accountability mechanisms for health and education programmes at the local, national, regional and international levels that are supported politically and financially.

10. Guarantee that financing for development is sustainable and harmonised among donors and multilateral agencies and that sexual and reproductive rights and health programmes are prioritised.

To endorse this Action Agenda or for further information contact info@resurj.org or click here




Publication: The Great Wall of Vagina

Jamie McCartney, 2011

 

British artist Jamie McCartney has created a monumental wall sculpture from plaster casts of 400 women's vulvas. Their privates have gone public in this book, which is intended to educate people about what normal women's vulvas look like. Each of the casts is shown life-size with a few special ones explained.

 

RHM editor Marge Berer wholeheartedly supports the project and has written a foreword to the book. Here is an extract:

 

"I published an issue of the journal RHM on cosmetic surgery in May 2010. I contacted Jamie in early 2010 to ask if I could use a photograph of part of the wall as my cover image. The reasons why I did not do so are covered at length in the journal itself, but of relevance here is the extraordinary debate the image engendered among my staff and boards and the journal's authors, who come from all over the world and who range in age from late 20s to about 70, which I also published. I placed the cover inside the journal as the first page of that debate, and I know from people I meet at conferences that it is now having an impact among many people who have seen or read about it."

 

One of the reasons why this is so important is that young people are turning to cosmetic surgery to make themselves "normal", and they need more information about their sexual bodies and the risks of cosmetic surgery.

 

Marge continues: "Any hope of making a dent in young people's lack of information at a national level, and giving them a chance to ask questions and express their fears and concerns before they have their labia excised or put rings through their penises, calls for a multimedia approach. Jamie is taking this approach as an artist and I believe it can make a difference."

Available from Great Wall Publishing on Amazon

For more information on Jamie's work go to www.greatwallofvagina.co.uk

 




Pregnant women who lose babies face murder charges, US

Date: 24 June 2011
Source: Ed Pilkington, The Guardian (UK)

Rennie Gibbs is accused of murder and faces life in prison in Mississippi. She lost her baby in December 2006 in a stillbirth when she was 36 weeks' pregnant and is being charged with "depraved-heart murder" by prosecutors who discovered that she had a cocaine habit. Gibbs is the first woman in Mississippi to be charged with murder relating to the loss of her unborn baby, but across the US more and more such prosecutions are being brought.

Bei Bei Shuai has spent the last three months in prison in Indianapolis charged with murdering her baby. When she was 33 weeks pregnant, she tried to commit suicide by taking rat poison and, although she survived, her baby, to whom she gave birth a week after the suicide attempt, died after four days.

In Alabama at least 40 cases have been brought under the state's "chemical endangerment" law. Introduced in 2006, the statute was designed to protect children whose parents were cooking methamphetamine at home. During her pregnancy, Amanda Kimbrough's fetus was diagnosed with possible Down's syndrome. The baby was delivered by caesarean section prematurely in April 2008 and died soon after birth. Six months later Kimbrough was arrested and charged with "chemical endangerment" of her unborn child on the grounds that she had taken drugs during the pregnancy - a claim she denies. She is awaiting an appeal ruling from the higher courts in Alabama, which if she loses will see her begin a 10-year prison sentence.

Women's rights campaigners see the creeping criminalisation of pregnant women as a new front in the culture wars over abortion.

70 organisations across America have come together to file testimonies, known as amicus briefs, in support of Gibbs that protest against her treatment on several levels. Perhaps the most persuasive argument put forward is that if such prosecutions were designed to protect the unborn child, then they would be utterly counter-productive: "Prosecuting women and girls for continuing [a pregnancy] to term despite a drug addiction encourages them to terminate wanted pregnancies to avoid criminal penalties."

At least 38 of the 50 states across America have introduced fetal homicide laws that were intended to protect pregnant women and their unborn children from violent attacks by third parties - usually abusive male partners - but are increasingly being turned against the women themselves.




Publication: WHO Guidelines on HIV and STIs among MSM and transgender people

Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people: Recommendations for a public health approach 2011represents the first public health guidelines on the subject issued by WHO.

Designed for use by national public health officials and managers of HIV/AIDS and STI programmes, NGOs and health workers, the guidelines include evidence-based recommendations, implementation issues and key research gaps. Although the focus is on low- and middle-income countries, WHO recommends that the guidance is available in high-income countries as well. The guidelines focus on ensuring an enabling environment for the protection of the human rights of MSM and transgender people, including antidiscrimination and protection laws to increase the inclusiveness of health services.

WHO calls for consistent condom use, which has been found to reduce HIV transmission in these groups by 64%. MSM-specific programme activities are recommended such as the use of water- and silicone-based lubricant for the correct functioning of condoms during anal sex. Medical male circumcision for HIV prevention is not advised due to the lack of sufficient research on its effect among MSM.

MSM are nearly 20 times as likely to be infected with HIV than the general population, and infection rates among transgender people range between 8% and 68%, depending on the country. There has been a recent resurgence of HIV infection among MSM, particularly in rich countries, and data are emerging of newly identified HIV epidemics in Africa, Asia, and the Caribbean and Latin America. Reported HIV prevalence rates among MSM exceed 20% in Bolivia, Jamaica, Mexico, Myanmar (Burma), Thailand, and Zambia. In Thailand's capital, Bangkok, prevalence among MSM rose from 17.3% in 2003 to 30.8% in 2007. In the US half of all people infected with HIV are MSM.

MSM and transgender people face major barriers to accessing good quality health care due to widespread stigma about homosexuality, which is still a criminal offence in over 75 countries.

One example is Kenya, where rural MSM have an especially hard time. When Kipsowen, 30, a cattle keeper in Kenya's Rift Valley Province, and his partner have sex they use oil-based jelly used for milking cows, which can degrade condoms. He has never heard of water-based lubricants. Kipsowen is scared to tell anyone about his sexuality, even though he and his partner have been together for a few years. He would risk being an outcast, or even killed. When he had an STI he told a local nurse and social worker, but refused to visit a health centre. Local health workers have very little experience and no training in dealing with MSM.

Guidelines available from:
WHO Department of HIV/AIDS, Geneva, Switzerland
Web version available here

Source: Zarocostas J. WHO issues its first guidelines on HIV in men who have sex with men. BMJ 2011;342:d3940.




Stop annulment of Women's Ministry in Turkey

Date: 21 June 2011
Source: Women for Women's Human Rights (WWHR)

The Turkish Government announced on 8 June 2011 the annulment of the State Ministry responsible for Women and the Family to be replaced by the Ministry of Family and Social Policies. In Turkey, where 42% of women and girls are systematically subjected to violence, this decision will render the already imperfect equality and social support mechanisms ineffectual.

The position of "Women's Status Expert" has been replaced with "Family and Social Policies Expert", thus undermining women's studies departments and centres at universities. The Women's Status Units that organise women's activities have been repositioned to work under Special Provincial Administrations.

Women's Platform for Equality Mechanisms (WPEM) asks you to stand against the annulment of "Women" from the title of the newly established ministry.

PLEASE SIGN the petition here
With this petition, we demand the government to step back from this initiative; include and prioritise WOMEN back into the name and mandate of the ministry which will be titled: MINISTRY FOR WOMEN and EQUALITIES. We also expect the government to prepare, plan, implement and enhance gender equality policies independent of family policies, and most crucially, in close cooperation with the women's movement, and independent civil society.

The Equality Mechanisms Platform includes Anayasa Kadin Platformu, Avrupa Kadin Lobisi Türkiye Koordinasyonu, Adana Kadin Danisma Merkezi (AKDAM), Adana Kadin Kuruluslari Birligi and 75 other organisations.




Publication: The State of World's Midwifery 2011

Supported by 30 partners, The State of World's Midwifery 2011: Delivering Health, Saving Lives, is a comprehensive analysis of midwifery services, providing data from 58 developing countries. It confirms that the world lacks 350,000 skilled midwives to fully meet women's needs.

The report, launched by UNFPA at the triennial congress of the International Confederation of Midwives in Durban, South Africa, says that up to 3.6 million deaths would be avoided annually if midwifery services in the 58 countries were upgraded by 2015. In 2009, 58% of the world's babies were born in these countries, but they carry 91% of the global burden of maternal mortality, 80% of stillbirths and 82% of newborn mortality. Less than 17% of the world's skilled birth attendants are in the 58 countries, which have about 40% of the world's population.

Unless an additional 112,000 midwives are trained, deployed, and retained in supportive environments, 38 of the 58 countries surveyed might not meet their target to achieve 95% coverage of births by skilled attendants by 2015, as required by the UN millennium development goal on maternal health.

22 countries need to double the midwifery workforce by 2015; seven need to triple or quadruple it; and nine - Cameroon, Chad, Ethiopia, Guinea, Haiti, Niger, Sierra Leone, Somalia, and Sudan - need to "dramatically scale up midwifery by a factor of between 6 and 15."

If adequate facilities were available to deal with complications at their onset, 61% of maternal deaths could be averted, 49% of stillbirths, and 60% of newborn deaths. If midwives were available to refer women with severe complications to specialised care, up to 90% of maternal deaths could be prevented.

Babatunde Osotimehin, executive director of UNFPA, said, "The report points to an urgent need to train more health workers with midwifery skills and ensure equitable access to their lifesaving services in communities to improve the health of women and children."

Date: 20 June 2011
Source: Moszynski P. Number of midwives is critically low in many poor countries, study shows. BMJ 2011; 342:d3881.




UN Human Rights Council adopts first resolution on rights, sexual orientation and gender identity

Date: 17 June 2011
Source: UN News Centre

The United Nations Human Rights Council has adopted a resolution on human rights, sexual orientation and gender identity - the first of its kind.

The resolution, proposed by South Africa, affirms the universality of human rights, and notes concern about acts of violence and discrimination based on sexual orientation and gender identity. It requests the UN High Commissioner for Human Rights to carry out by December a study that details "discriminatory laws and practices and acts of violence against individuals based on their sexual orientation and gender identity, in all regions of the world." The resolution calls on the study to consider how international human rights law can be used to end such violence and related human rights violations.

The resolution also calls for a panel discussion to be held at the Human Rights Council to discuss the study's findings, and to consider appropriate follow-up.

The resolution was passed with 23 countries in favour, 19 against and three abstentions.

The following countries voted in favour: Argentina, Belgium, Brazil, Chile, Cuba, Ecuador, France, Guatemala, Hungary, Japan, Mauritius, Mexico, Norway, Poland, Republic of Korea, Slovakia, Spain, Switzerland, Ukraine, Thailand, UK, USA, Uruguay.

The no votes were as follows: Angola, Bahrain, Bangladesh, Cameroon, Djibouti, Gabon, Ghana, Jordan, Malaysia, Maldives, Mauritania, Nigeria, Pakistan, Qatar, Moldova, Russian Federation, Saudi Arabia, Senegal, Uganda.

Countries abstaining: Burkina Faso, China, Zambia.




Afghanistan is most dangerous country for women

Date: 15 June 2011
Source: The Guardian (UK)

A survey by the Thomson Reuters Foundation asked 213 gender experts from five continents to rank countries by overall perceptions of danger to women as well as by the risks of health threats, sexual violence, non-sexual violence, cultural or religious factors, lack of access to resources and trafficking.

Afghanistan emerged as the most dangerous country in which to be born a woman, followed by the Democratic Republic of Congo (DRC), Pakistan, India and Somalia.

High maternal mortality rates, limited access to doctors and a "near total lack of economic rights" render Afghanistan such a threat to women, as well as continuing conflict, Nato airstrikes and cultural practices. Women who speak out are often intimidated or killed.

The "staggering levels of sexual violence" in the east of the DRC account for its second place.

Pakistan is ranked third on the basis of cultural, tribal and religious practices harmful to women, including acid attacks, child and forced marriage and punishment or retribution by stoning or other physical abuse.

India's central bureau of investigation estimated that in 2009 100 million people, mostly women and girls, were involved in trafficking and there were three million prostitutes, 40% of whom were children. Other dangers are forced marriage, forced labour and female infanticide or feticide.

Somalia suffers high levels of maternal mortality, rape, female genital mutilation and limited access to health care and education.

Some experts said the poll showed that subtle dangers that don't grab the headlines, such as discrimination and lack of access to education or health care, are sometimes just as significant risks for women as bombs, bullets, stonings and systematic rape in conflict zones.

The survey was compiled to mark the launch of a website, TrustLaw Woman, aimed at providing free legal advice for women's groups around the world.




Cosmetic procedures not hit by global financial crisis

Date: 16 June 2011
Source: Mona Chollet, Le Monde Diplomatique

 

Cosmetic surgery has been less hard hit by the global financial crisis than many other businesses. There are signs that women are becoming more determined to change their appearance in order to grow in value on the love or labour market. The industry has grown at 465% over the past decade, with patients spending almost $12.5 billion each year.

 

A review of a recent book by Laurie Essig, American Plastic: Boob Jobs, Credit Cards, and Our Quest for Perfection, outlines these trends. The book observes that cosmetic surgery is an attempt at normalisation, both racially and sexually.

 

In the US, people pay for 85% of the cosmetic procedures by borrowing, and no minimum down payment is required, unlike all other countries apart from Australia and Mexico. Interest rates can reach 28%, doubling if a month’s repayment is missed.

 

This trend is reflected in France, where a job centre in Paris has recently organised ‘makeover days’ for women who have been unemployed long-term.




Publication: Preventing gender-biased sex selection

Date: 14 June 2011
Source: UN Women

An interagency statement on sex selection calls for action against gender discrimination by highlighting the problem of imbalanced sex ratios caused by sex selection. The statement is issued by the Office of the High Commissioner for Human Rights, UNFPA, UNICEF, UN Women and WHO. It reviews the evidence behind the causes, consequences and lessons learned regarding 'son preference' or sex selection favouring boys in many parts of South, East and Central Asia, where ratios as high as 130 boys for every 100 girls have been observed.

The guidance calls for the development and promotion of policies in areas such as inheritance laws, dowries and financial and other social protection in old age and also calls for advocacy and awareness-raising activities that stimulate discussion and debate around the concept of the equal value of boys and girls.

The full report can be downloaded here.




Interim evaluation of OneLove campaign, South Africa

Date: 7 June 2011
Source: Soul City Institute

In 2009, the South African Soul City Institute launched the OneLove HIV prevention campaign which uses mass media, social mobilisation and advocacy to challenge the practice of multiple concurrent partnerships.

An interim evaluation describes the key activities in the first 18 months and reports on three evaluation studies.

A nationally representative household survey was conducted five months after the campaign's launch and included 10,000 respondents, aged 16 to 55, across all nine provinces of South Africa. One qualitative study assessed the reception and self reported intended behaviour related to the campaign in three provinces, and a second explored target audience responses to the Love Stories film series.

The campaign reached an estimated 61% of the adult target population, or 17 million people, within five months. Soul City 9 TV reached 51% of the population and was the second highest performing programme in terms of viewership. In the first 18 months, over 16,000 adults attended OneLove HIV community-based training, and over 4,000 people attended 55 community dialogues. Some 91 newspaper articles and 37 magazine articles addressing OneLove were published.

Qualitative data revealed that the target audience found the messaging relevant, realistic, educational and entertaining.

There was evidence of some impact on knowledge, attitudes and behaviour or intended behaviour. Single women were 66% less likely to have multiple sexual partners than the previous year, men exposed to the campaign were 42% less likely to become involved in transactional sex, and there was increased condom use overall. The campaign was not associated with a decrease in the proportion of people who reported multiple partners in the past month.




Irish coalition urged to clarify law on abortion

Date: 6 June 2011 and 17 June 2011
Source: Jamie Smyth, The Irish Times

The Commissioner for human rights at the Council of Europe, Thomas Hammarberg, has told the Irish Government it should have "more guts" and legislate to clarify the circumstances when women can have an abortion. He has accused the Government of ignoring almost all of the recommendations the Council of Europe made in a damning report on Ireland's human rights record published in April 2008.

The report recommended 34 specific actions to address human rights concerns involving Travellers, asylum seekers and children in care, and urged the Government to pass legislation to implement the landmark 1992 Supreme Court judgment in the "X" case, which ruled that abortion is legal if the life of a woman is in danger. But successive governments have still not legislated to provide legal certainty on when a physician may carry out an abortion.

Mr. Hammarberg visited Ireland to meet Ministers and human rights groups. He said it was "striking" how few of the council's recommendations have been implemented.

In December 2010, the European Court of Human Rights ruled Ireland had failed to properly implement the constitutional right to abortion in the circumstances of the "X" case. This ruling is binding on Ireland and the government has published an action plan stating that it will set up by November 2011 an expert group to determine how it should respond the Irish abortion test case.




Publication: Putting women at the heart of the AIDS response

From Talk to Action: Review of Women, Girls, and Gender Equality in National Strategic Plans in Southern and Eastern Africa.
By E Tyler Crone, Andrew Gibbs, Samantha Willan, HEARD and ATHENA Network, 2011.

From Talk to Action is an analysis of all 20 countries in southern and eastern Africa assessing how they scored against the Framework on Women, Girls and Gender Equality in National Strategic Plans on HIV and AIDS in Southern and Eastern Africa. It highlights that the majority (16 out of 20) of National Strategic Plans on HIV and AIDS in the region fail to comprehensively address women, girls and gender equality. Where the National Strategic Plans on HIV and AIDS do address women and girls, it is in the context of the prevention of vertical transmission services and programmes. This report clearly identifies the current weaknesses in the response to women and girls in the context of HIV and AIDS.

Collaboratively developed and endorsed by nineteen regional and global organisations, the Framework presents a vision as to how National Strategic Plans on HIV and AIDS across southern and eastern Africa should meaningfully address women, girls, and gender equality.

Available from:
HEARD and ATHENA Network,
Durban, South Africa.
E-mail: Samantha.willan@gmail.com, Tyler.crone@gmail.com

Click here to download the report.




UK aid cuts hit health care, Malawi

Date: 3 June 2011
Source: IRIN News

Malawi's health care sector is facing major setbacks following a decision by its largest international donor, the UK's Department for International Development (DFID), to freeze its aid.

The UK provided about US$122 million annually to Malawi, of which $49 million went to funding Malawi's public health sector, but DFID decided not to renew a six-year funding commitment which ends in June.

This decision followed the expulsion of its top envoy Fergus Cochrane-Dyet by the Malawian government for allegedly writing in a leaked memo that Malawian President Bingu wa Mutharika was "ever more autocratic and intolerant of criticism".

Malawi's health sector is nearly entirely donor-funded with foreign aid covering 90% of the costs of all medicines. Stockouts are common and likely to worsen due to the UK decision.

A DFID-sponsored programme was tackling the critical shortage of health workers in Malawi through improving working conditions and training. It had helped increase the doctor to patient ratio from 1 to 60,000 in 2004, to 1 to 46,000 today. These gains are now at risk as health workers become frustrated by a lack of resources.

It is unlikely that the UK and Malawi will re-establish ties soon. No new aid will be committed until a review of the UK's relations with Malawi, including DFID's aid programme, has been completed.

President Mutharika responded to the withdrawal of UK support by announcing a "zero-deficit" budget that will necessarily entail increased taxation. Meanwhile, Finance Minister Ken Kandodo told Reuters he plans to introduce austerity measures to deal with the country's budgetary gap. Such measures could include shifting the burden of health care costs to Malawians, which would only aggravate poverty levels.




For more than 200 million women, a world without options

Date: 2 June 2011
Source: John Skibiak, RHRealityCheck

There are over 200 million women in the developing world who want to prevent or delay pregnancy, but are not using any means of modern contraception, and this figure has not moved in nearly two decades. Contraceptive prevalence is increasing but each step forward is more than matched by increases in demand.

If donor funding were to remain at current levels, there would be a cumulative shortfall of about $1.4 billion for commodity support for contraceptives in donor-dependent countries over the 2008 to 2020 period. It is also clear that the need and demand for sexually transmitted infection diagnosis and treatment, as well as antenatal and emergency obstetric supplies, are also rapidly increasing.

A reinvigorated effort is needed to ensure reproductive health commodity security.

The Reproductive Health Supplies Coalition (RHSC) is gathering reproductive health leaders in Addis Ababa, Ethiopia, at the Access for All conference. This marks the 10th anniversary of the 2001 Istanbul conference, Meeting the Challenge, which gave rise to today's global reproductive health commodity security movement.

The coalition will work to ensure that programmes can rationally forecast, finance, procure and distribute the products they need. The leaders will formulate a "Global Call for Action" for the next decade.

RHSC will continue to secure commitments to achieve 100 million new modern contraceptive users in the next five years through the Coalition's HANDtoHAND Campaign. Meeting this challenge means 96 million fewer unintended pregnancies, 54 million fewer abortions, 110,000 fewer mothers dying in childbirth and 1.4 million fewer infant deaths.

Now is the time for countries to come together and make reproductive health supplies and commodities available to everyone.




Publication: African activists explore sexuality

African Sexualities: A Reader
Edited by Sylvia Tamale
Fahamu Books & Pambazuka Press

African Sexualities is the first publication of its kind to be written by African activists themselves. It aims to provide fresh and critical insights into the complex issues of gender and sexuality.

The volume is built around themed sections, each introduced by a framing essay and including essays, case studies, poetry, news clips, songs, fiction, memoirs, letters, interviews, short film scripts and photographs from a wide political spectrum to examine different sexualities, analyse the body as a site of political, cultural and social contestation and investigate the intersections between sex, power, masculinities and femininities. Contributors provide a critical mapping of African sexualities that informs readers about the plurality and complexities of African sexualities and challenge the reader to interrogate assumptions about the intricate and complex terrain of African sexualities.

Available for £24.95 from Fahamu Books




Indians increasingly use abortion to ensure male child

Date: 24 May 2011
Source: Kurt Achin, Voice of America

More Indian families are using abortion to favour the birth of male babies. A new international study led by Canada's Centre for Global Health Research used census data to examine 250,000 births in India from 1980 to 2005.

The study found a drop in the number of girls being born - from an average of 906 girls per 1,000 boys born in 1990, to just 836 girls per 1,000 boys born in 2005. Professor Prabhat Jha, who led the research, said the most dramatic declines in girl births took place in families in which a girl had already been born. Households at the top end of the income scale also had a much greater decline in female births than those at the bottom. This may be because the wealthy can afford access to ultrasound equipment and medical services.

Preference for male children is deeply ingrained in India's traditional culture. Part of that has to do with the fact that many Indians set aside a dowry as an incentive to marry off the daughter into another family. Other reasons include the belief that men will look after them in old age and carry the family name forward.

Abortion is legal in India, but it is illegal for medical professionals to inform parents of their unborn baby's gender. That prohibition is difficult to enforce and extremely easy to circumvent.

Jha said the best way to confront the problem of India's unbalanced sex ratio is for media and policymakers to raise the public profile of the issue.

2011 census data revealed earlier this year show there are seven million fewer girls under the age of six than boys in India.

Reference:
Jha P, Kesler MA, Kumar R, et al. Trends in selective abortions of girls in India: analysis of nationally representative birth histories from 1990 to 2005 and census data from 1991 to 2011. The Lancet 2011;377(9781):1921-28.




Publication: Global Health Sector Strategy on HIV/AIDS, 2011-2015

Date: 23 May 2011
Source: World Health Organisation

The new Global Health Sector Strategy on HIV/AIDS has just been launched. It has four strategic directions:

1. Optimise HIV prevention, diagnosis, treatment and care outcomes.
2. Leverage broader health outcomes through HIV responses.
3. Build strong and sustainable systems.
4. Reduce vulnerability and remove structural barriers to accessing services, including promotion of gender equality and removal of harmful gender norms, advancing human rights and promoting health equity and ensuring health in all policies, laws and regulations.

The strategy recommends country actions and contributions of WHO for each core element. The main themes across all activities are: improving the efficiency and effectiveness of HIV responses, better integrating HIV programmes with other health programmes, supporting the strengthening of health and community systems, improving health access and equity, and ensuring that the health sector informs broader multisectoral responses, such as legal and policy reform.

The strategy can be downloaded here.




International Day against Homophobia and Transphobia

Date: 17 May 2011
Source: British Humanist Association


The Uganda Anti-Homosexuality Bill proposes the death penalty for the offence of "aggravated homosexuality". The British Humanist Association (BHA) and the Gay and Lesbian Humanist Association (GALHA) believe that being outraged is not enough. They have come together to back a new initiative in support of the seventh annual International Day Against Homophobia and Transphobia (IDAHO) - held each year on 17 May - to create a high-profile, visible and vocal outlet for the outrage that discrimination is still prevalent, mainstream, and endorsed by religious and political leaders.

The BHA and GALHA worked with Liberal Democrat MP Stephen Gilbert in tabling an "Early Day Motion" (EDM) in support of IDAHO, cosponsored by MPs from across the political parties.

EDM 1780 states: That this House welcomes the annual International Day Against Homophobia and Transphobia on 17 May 2011; supports those local authorities, police, health authorities and voluntary organisations who will mark this day with events, campaigns and statements of support; further supports the raising of the rainbow flag to reaffirm that homophobia and transphobia are unacceptable wherever they occur, whether in the UK or around the world; and calls on the Government to bring full equality to lesbian, gay, bisexual and transgender (LGBT) people in the UK and to actively encourage equality for LGBT people around the world.

Ask your MP to support EDM 1780 in support of IDAHO.




Swedish parliament votes to fight conscience rights for doctors

Date: 12 May 2011
Source: Hilary White, LifeSiteNews

The Swedish parliament has passed a resolution, by a vote of 271 to 20, to condemn an October 2010 motion in the Parliamentary Assembly of the Council of Europe (PACE) which supports the rights of doctors to refuse to participate in abortions.

In September 2010, a resolution was put forward in the PACE by a UK member and abortion activist Christine McCafferty, to "regulate" conscientious objectors to abortion across Europe. The proposed resolution had been identified by pro-life advocates as part of a larger effort to establish abortion as a universal human right. That resolution was defeated in a vote; its title and wording reversed to assert the rights of medical practitioners to conscientious objection.

The Swedish motion called upon their delegation at the PACE to "take more action" to reverse the reversal. "Sweden should support efforts which makes abortions free, safe and legal for all women. Sweden is one of few countries who are central in the international work focusing on sexual and reproductive health and rights."




Study confirms HIV treatment prevents transmission

Date: 12 May 2011
Source: UNAIDS Press Release, NIH News Release

Results announced by the US National Institutes of Health show that if an HIV-positive person adheres to an effective antiretroviral therapy (ART) regimen, the risk of transmitting the virus to their HIV-negative sexual partner can be reduced by 96%.

"This breakthrough is a serious game changer and will drive the prevention revolution forward," said Michel Sidibé, executive director of UNAIDS. "It makes HIV treatment a new priority prevention option."

The trial, conducted by the HIV Prevention Trials Network (HPTN), enrolled 1,763 sero-discordant couples in 2005 at 13 sites in Botswana, Brazil, India, Kenya, Malawi, South Africa, Thailand, the US and Zimbabwe. Only couples where the HIV-positive partner had a CD4 cell count of between 350 and 550 cells/mm³, thus not yet eligible for treatment according to latest WHO guidelines, were enrolled.

The HIV-positive partners were randomly assigned to either immediately start ART, or to begin ART only when their CD4 counts fell below 250 cells/mm³. Both groups received the same care and counselling.

The reduction of sexual transmission of HIV was so significant that the trial was stopped 3-4 years ahead of schedule. 27 HIV infections linked to the HIV-positive partner occurred among couples which started ART only when needed, whereas only one infection occurred among couples where the HIV-positive partner began ART immediately. Earlier initiation of ART led to a 96% reduction in HIV transmission to the HIV-negative partner.

UNAIDS urges that Treatment for Prevention be one of the options made available to couples. The new WHO guidelines coming out in July will help countries to make this a reality for people who choose to use this new HIV prevention option.

No single method is fully protective against HIV. Treatment for Prevention needs to be used in combination with other HIV prevention options. These include correct and consistent use of male and female condoms, waiting longer before having sex for the first time, having fewer partners, male circumcision, and avoiding penetrative sex.




New mechanism to respond to violence against human rights defenders in the Americas

Date: 12 May 2011

Source: AWID

 

The Inter-American Commission on Human Rights (IACHR) has established an Office of the Rapporteur on the Situation of Human Rights Defenders to address the increasing violence against those who defend human rights in the region. Women’s rights and human rights organizations have raised concerns about the growing violence directed at women human rights defenders - women defenders and those working on women’s rights or gender issues. These include kidnapping and murder, including attachs on multiple members of one family in which four siblings were recently killed.

 

The new Rapporteur seeks to address the numerous complaints received by the IACHR about violations of human rights defencers, ranging from threats and harassment to murders, extrajudicial executions, and forced disappearances.

 

There are seven other Rapporteurs at the IACHR, who address the rights of persons deprived of liberty, migrant workers and their families, children, indigenous peoples, women; afro-descendants and racial discrimination; and freedom of expression. They conduct promotion activities, develop thematic research and provide support to individual cases where human rights violations occur.

 

A new Meso-American initiative linking women human rights defenders from Mexico and Central America have recently completed a study describing the types of violence experienced, which groups are the most vulnerable, the main actors involved in committing violations and some of the strategies used to protect themselves.




New publication: Queer Malawi

by Patricia Watson
Centre for the Development of People (CEDEP) and Gay and Lesbian Memory in Action (GALA), November 2010

This book tells the stories of 12 Malawian lesbian, gay, bisexual, and transgender (LGBT) women and men. It portrays the joys of love and the heartache of rejection, the dangers posed by homophobia and hatred in communities, and the comfort of friends and relatives. Multiple concurrent partnerships and cross-generational sex feature in many stories, and two writers recall that their first sexual experience was with a family member.

The book was compiled in the shadow of the high-profile 2010 trial of Tiwonge Chimbalanga and Steven Monjeza, two Malawian men charged with sodomy and indecency after they became engaged to be married in December 2009. The couple were found guilty but later released on condition that they have no further contact.

The author designed and facilitated oral history workshops during which participants' experiences were recounted, recorded, and translated into English. There are also intimate photographs of the participants. A foreword by the Coalition of African Lesbians provides a context and insight into the complex dynamics in the LGBT community, including the divisions between its men and women.

Available from:
Gay and Lesbian Memory in Action (GALA)
Johannesburg, South Africa
Email: info@gala.co.za

Source: IRIN PlusNews, 11 May 2011




Uganda antigay bill going forward

Date:  10 May 2011
Source:  AllOut

Conservative lawmakers in Uganda are working to advance a bill that would sentence LGBT people to death. The bill won't just target LGBT Ugandans - Nurses and doctors could be jailed for failing to "turn in" their patients. And neighbors would be obliged to "report gay activity." This bill is part of a pattern from conservatives in Uganda to marginalize pro-democracy forces - in recent weeks, opposition activists have been beaten, teargassed, jailed and even killed. And in the last year LGBT Ugandans have been repeatedly targeted, attacked, and murdered - like activist David Kato, murdered just months after a local tabloid published his picture under the headline, "Uganda's Top Homos: Hang Them." Others have been driven out of the country as refugees, and sometimes even threatened abroad by the government.

A conservative leader recently presented the Ugandan parliament with 2 million signatures in support of the law. They are trying hard to push the bill forward before the millions who oppose it have a chance to speak out. The bill may go before Parliament in the next 24 hours.
 
While some conservative members of parliament have staked their political careers on this bill, Ugandan President, Yoweri Museveni, has shown himself to be sensitive to international pressure.  Last year, a massive response from people around the world pushed him to stop the bill in its tracks.
 
A broad coalition of human rights activists, including Bishop Christopher Senyonjo, an internationally respected religious leader and outspoken supporter of LGBT equality in Uganda, will deliver petitions directly to the President.  
 
Please sign the Allout  petition to Ugandan president Museveni, demanding that he veto the bill should it be passed in Parliament--and then pass it on to all of your friends.  
 
http://www.allout.org/uganda




Fundamentalists unite for complete ban on abortion, Poland

Date: 2 May 2011
Source: Verena Buschmann, European Pro-Choice Network

There have been attempts by fundamentalist forces in Poland to further restrict the law on abortion. A draft law introducing a complete ban on abortion was submitted to Parliament, together with 450,000 signatures of support collected mainly before or after Sunday masses. Polish abortion law is one of the most restrictive in Europe and even more restrictive in practice than on paper. Although the law allows termination of pregnancy under three conditions - including for therapeutic reasons and when it results from a criminal act - legal abortion is not accessible for women. Nevertheless, fundamentalists and the Catholic Church find the annual 500 pregnancy terminations (out of ten million women of reproductive age) unacceptable and are calling for further restrictions. A few years ago right wing politicians tried to introduce a provision protecting "life from the moment of conception" into the Polish Constitution which failed narrowly.




Cut off from health care, Palestine

Date: 2 May 2011
Source: IRIN News

Access to health care for Palestinians has been restricted by Israel's security measures, including the wall.

Fuad Ahmend Jabo called a Palestinian ambulance when his 70-year old mother had a heart attack at home in the Palestinian village of Tantour, between Israeli-controlled Jerusalem and the Palestinian city of Bethlehem. But delays at the checkpoint between Bethlehem and Tantour held it up. The Israeli ambulance services told Jabo that because his house fell inside a militarised zone, they would not be able to help. The family tried to carry her to hospital, but she died after 200m.

"It would have taken two minutes for an ambulance to get here from Jerusalem. It used to take me three minutes to get to Bethlehem but since the wall was finished, it takes at least half an hour," said Jabo, 50.

Jabo and his family are some of 1,500 West Bank ID holders who have been
displaced to the Jerusalem side of the wall. They are not covered by Israeli national insurance so cannot go to hospitals in Israeli-controlled East Jerusalem. They have to cross into the West Bank to get medical help.

Palestinians from the West Bank and Gaza can only enter Jerusalem with permission. However, in emergencies, they be given a permit to enter Israel on the same day of the request but this requires security coordination and the patient has to be transferred from a Palestinian to an Israeli ambulance. There can still be delays at checkpoints, however.

The blockade on Gaza, imposed since 2007, has affected the health system. In 2008, the Palestinian Ministry of Health referred 3,118 patients to East Jerusalem for treatment, against 382 in 2006. In 2010, of the approximately 11,600 patients who requested permission to be treated outside the Gaza Strip, 78.1% were approved, 16.3% were delayed and 5.6% were denied.




Publication: ICMA newsletter

Source: ICMA Newsletter No. 5, April 2011

The International Consortium on Medical Abortion (ICMA) produces a quarterly newsletter. The latest issue contains articles on second trimester abortion, advocacy for abortion access in Malaysia, the Eastern European Alliance for Reproductive Choice's (EEARC) training of trainers on the "safe abortion concept", the Latin American Consortium Against Unsafe Abortion's (CLACAI) regional strategy to improve knowledge on sexual and reproductive rights, and the Asia Safe Abortion Partnership's (ASAP) mass media training programme.

ICMA are currently updating their information package on medical abortion which should be available by 2012. For more information on medical abortion, visit the ICMA website.




Interagency statement on sex selection

Date: 29 April 2011
Source: World Health Organisation (WHO)
This OHCHR, UNFPA, UNICEF, UN Women and WHO joint interagency statement reaffirms the commitment of UN agencies to encourage and support efforts by States, international and national organisations, civil society and communities to uphold the rights of girls and women and to address the multiple manifestations of gender discrimination including the problem of imbalanced sex ratios caused by sex selection.

Sex selection can take place before a pregnancy has been established, during pregnancy through prenatal sex detection and selective abortion, or following birth through infanticide or neglect.

States have an obligation to ensure that these injustices are addressed without restricting or denying women access to safe abortion.

Renewed and concerted efforts are needed, including more reliable data on the magnitude of the problem and its social and health consequences; guidelines on the ethical use of relevant technologies; supportive measures for girls and women such as information, nutrition, education, health services, security and incentives for families with daughters; legislation and policy frameworks to address the root causes of inequalities that drive sex selection; and advocacy and awareness-raising activities to strengthen the concept of the equal value of girls and boys.




New Hungarian constitution enshrines discrimination

Date: 26 April 2011
Source: Eurasia Review

The Hungarian President has signed a new Constitution, despite concerns from Human Rights Watch and others that it contains provisions that could lead to discrimination. The constitution could put at risk the rights of people with disabilities, women, and lesbian, gay, bisexual and transgender (LGBT) people, including:

  • A right to life for the fetus from the moment of conception. This could result in restrictions on abortion that would put fundamental women's rights at stake;
  • A definition of marriage as between a man and a woman while implying that a family based on marriage is the only type protected by the state. This denies LGBT people access to state protection for their families and relationships, and is inconsistent with Hungary's obligations under the European Convention on Human Rights and the European Union Charter on Fundamental Rights;
  • Although the wording explicitly prohibits discrimination on grounds of "race, colour, sex, disability, language, religion, political or other views, national or social origins, ownership of assets" or "birth", discrimination on the basis of sexual orientation and gender identity will remain constitutional.

Human Rights Watch is also concerned that civil society and opposition groups in Hungary were largely excluded from the process of drafting and reviewing the constitution.

The adoption of this new constitution comes in the midst of a number of other human rights concerns in Hungary relating to media freedom, the rights of Roma people and treatment of asylum seekers.




Discontinuation of FEM-PrEP trial

Date: 19 April 2011
Source: Global Campaign for Microbicides press release

Family Health International (FHI) announced its decision to discontinue the FEM-PrEP study - a randomised, placebo-controlled, clinical trial of the effectiveness of daily oral Truvada for HIV prevention among women in Kenya, South Africa and Tanzania. Truvada combines two antiretroviral drugs - emtricitabine and tenofovir disoproxil fumarate - in a single pill taken once a day.

This follows a recommendation by the Independent Data Monitoring Committee to stop the trial early because it was unlikely to show a definitive result of the effectiveness of Truvada. A statistical interim analysis showed that the same number of HIV infections took place in the Truvada arm compared to the placebo arm. Even if the trial were to continue, the number of participants would be too small to ascertain a conclusive outcome on the effectiveness of oral daily Truvada.

These early findings are still being reviewed. In the meantime, some interesting and unexpected findings from FEM-PrEP have emerged. A higher rate of pregnancy was noted in the Truvada arm, although the reasons for this are as yet unknown.

The results have surprised many given the positive outcome of the iPrEx trial last year, which showed that the same drug with the same daily regimen used by men who have sex with men can reduce HIV infection.

Three other studies are currently underway that will help to answer if oral Truvada or tenofovir can reduce HIV transmission in those at greatest risk of infection, including injecting drug users (CDC 4370), women at high risk (Vaginal and Oral Interventions to Control the Epidemic, VOICE), and sero-discordant couples (Partners PrEP).




Philippine President risks Church ire on contraception bill

Date: 17 April 2011
Source: Manuel Mogato, Reuters

Philippine President Benigno Aquino has pledged to push for the passage of a reproductive health bill in Congress despite opposition from the Roman Catholic Church. Efforts to enact a law that would promote access to sex education and contraception have been blocked since the 1990s by Roman Catholic bishops. Around 80% of the country's 94 million people are Catholic.

"I remain committed to push the passage of a law for responsible parenthood," Aquino said in his speech. "I know there are those who oppose it. At risk of excommunication, it is my obligation as leader to explain my principles to them, even if their minds are already closed. But, in the end, I must listen to my conscience and do what is right."

In 2010, Catholic bishops denied threatening to impose canonical sanction against the president due to his plans but reminded him to consider the church's position. The bishops said some forms of contraception were tantamount to abortion, which is illegal in the Philippines.

Aquino has indicated support for the bill, raising hopes it could be passed, but the measure was not on a list of priority bills submitted to Congress.

The church says tackling corruption would do more to reduce poverty than slowing population growth, but foreign missions and international agencies have been urging the Philippine government to adopt a reproductive health legislative framework as an anti-poverty strategy. The European Union has promised $50.5 million to raise contraceptive use in low-income, rural communities.

See previous RHM report here




First International HIV Social Science and Humanities Conference , 11-13 June 2011

Date:  15 April 2011

Source:  International Association of HIV Social Scientists

 

The 1st International HIV Social Science and Humanities Conference will take place from 11-13 June 2011 in the ICC (International Convention Centre) in Durban, South Africa. This is the first international conference specifically aimed at discussing and supporting contributions of the social sciences and humanities to HIV research and action.

 

The contribution of the social sciences and humanities to successful HIV prevention efforts has been evident in the history of the epidemic to date. This conference will provide a forum for those keen to extend the scope of the social sciences and their capacity to trace connections between all kinds of phenomena, notably those that contribute to the complexity and changing nature of the HIV epidemic.

 

Conference themes will include:

 

   Treatment as prevention

   HIV and the body

   Global ethnography

   HIV, biomedicine and subjectivity

   Social epidemiology and social networks

   HIV and global politics

   HIV, responsibility and risk governance

   Social theory and HIV: new directions, new possibilities

 

For more information, see www.iaohss.org




Lancet series on stillbirths launched

Date: 14 April 2011
Source: The Lancet
The Lancet Series on stillbirths highlights the rates and causes of stillbirth globally, explores cost-effective interventions to prevent stillbirths (as well as maternal and neonatal deaths), and sets key actions to halve stillbirth rates by 2020.

Also included in the series are Comments from professional organisations and parent groups, the latter demonstrating the unique tragedy for families of the birth of a baby bearing no signs of life.


Around 2.6 million stillbirths (the death of a baby at 28 weeks' gestation or more) occur each year. Although 98% of these deaths take place in low-income and middle-income countries, stillbirths also continue to affect wealthier nations, with around 1 in every 300 babies stillborn in high-income countries.

While the number of stillbirths globally has fallen from an estimated three million in 1995, the decline lags behind progress reducing deaths in children under five. There is a lack of recognition of the issue at a global health level.

An estimated 1.2 million stillbirths happen during labour and delivery, highlighting the need to increase skilled attendance at birth. Other recommendended interventions include: improved emergency obstetric care; provision of basic information and service access to women; improved family planning; and ensuring health workers have skills, knowledge and resources. Other measures include the provision of folic acid supplements, supplying insecticide-treated nets in malaria-endemic areas and routine syphilis screening during antenatal visits.

There is a dearth of data on stillbirths. Improved mechanisms are needed to monitor stillbirths and better understand their causes.

It is hoped that this series will promote further work in this area, which RHM would also be interested in publishing.




Locking up pregnant women: The new cure for mental health problems?

Date: 30 March 2011
Source: Lynn Paltrow, National Advocates for Pregnant Women, on RH Reality Check


In December 2010, Bei Bei Shuai, a 34 year-old pregnant woman living in Indiana, US, attempted to end her life by consuming rat poison. She made it to hospital and survived but the premature newborn she delivered by caesarean surgery did not.

She has been to charged with murder (defined to include viable fetuses) and feticide (defined to include ending a human pregnancy at any stage). She has been arrested, denied bail, and will, unless bail is granted, be imprisoned for the duration of the court case.

National Advocates for Pregnant Women is working to secure Ms. Shuai's freedom and defend the basic idea that when a pregnant woman is suffering from mental illness, severe depression, or any other health problem, she does not lose her right to be treated like other human beings. Working with a wide range of health care organisations and professionals, two amicus briefs have been filed in support of a motion to dismiss the charges.
This story and the heart-rending video that accompanies it, Attorney Rips Prosecutor In Infant Rat Poison Death, Pence: Prosecuting Pregnant Women 'Bad For Babies', provides a glimpse of the jailhouse dehumanisation that awaits pregnant women who become the targets of state feticide and murder laws that have defined eggs, embryos, and fetuses as legally separate from pregnant women.

If Ms. Shuai's prosecution is upheld, these charges would set a precedent that would make every pregnant woman in Indiana criminally liable for the outcome of her pregnancy. It would also mean that women who intentionally end their pregnancies will go to jail as murderers if Roe is ever overturned.

This prosecution flies in the face of medical and public health recommendations regarding the most effective ways to address suicide attempts, drug dependency problems, and health problems pregnant women experience.




RHM protests against public service cuts and NHS privatisation

On 26th March 2011 RHM joined half a million others on a huge march through London. We were protesting against massive cuts to the National Health Service (NHS), education and almost every other area of the public sector:

 

 

A medical student holds a sign depicting Andrew Lansley, the Secretary of State for Health and author of the UK government's proposed privatisation of the NHS:

 

One of the more direct placards being carried past Downing Street:

 

A placard being carried near the beginning of the march:

 

Protesters looking at the global picture rather than the UK cuts only:

 

The RHM staff carry a banner reading 'Keep Our NHS Public':

 

Photos by Alex Mavrocordatos and Marge Berer




Protest in support of midwifery in Brazil

Date: 27 March 2011
Source: Mães de Pátria



In protest against the threatened closure in 2012 of the
University of São Paulo's Midwifery course (the only one in the country), there were two demonstrations, several manifestos and thousands have signed petitions.

Activists and researchers in the health care field believe that Brazil needs to invest in the capability of health care professionals to facilitate physiological, respectful birth, reducing the unacceptable high rates of caesarean sections, episiotomies, labour inductions and other interventions, which are aggressive, risky and painful.

Brazil needs midwives urgently working in a comprehensive, integrated care system, to assist women during birth. This model is associated with better maternal and neonatal outcomes.

Here are more pictures from the demonstration.

To sign the petition calling for the maintenance of the direct entry midwifery course:
For English click here.
For Spanish click here.
For Portuguese click here.




International hearing on rape epidemic in Haiti

Date: 25 March 2011
Source:
MADRE press release


Today, petitioners MADRE, the Institute for Justice & Democracy in Haiti (IJDH), the Bureau des Avocats Internationaux (BAI), the Center for Constitutional Rights (CCR), CUNY School of Law and Women's Link Worldwide are testifying before the Inter-American Commission on Human Rights (IACHR) in Washington, DC on the crisis of sexual violence in Haiti.

In October, the aforementioned group of advocates and attorneys submitted a legal petition to the IACHR, calling for immediate action to address the epidemic of rape in Haiti's displacement camps. In response, the IACHR issued a call for urgent "precautionary measures" to protect women and girls in the camps.

As an IACHR member state, the Haitian government is legally obligated to uphold this ruling. These measures include the installation of lighting, the provision of security and the inclusion of grassroots women's voices in policy-making spaces.

At the hearing, the petitioners will underscore the constant threat of sexual violence faced by women and girls in Haiti's displacement camps and the need for immediate implementation of the IACHR's recommendations. They will highlight the need for the international community to support the capacity of the Haitian government to meet its human rights obligations. Representatives of KOFAVIV, a grassroots Haitian women's organisation founded by and for rape survivors, will participate in this hearing.

To read the legal petition submitted to the IACHR in full, click here




Unprecedented UN support for sexual orientation and gender identity

Date: 22 March 2011
Source: Association for Women's Rights in Development (AWID)

At the United Nations Human Rights Council (UNHRC) in Geneva, Colombia delivered a Joint Statement on behalf of 85 States that called on States to end violence, criminal sanctions and related human rights violations based on sexual orientation and gender identity, and urged the Council to address these important human rights issues. This builds on a similar statement delivered at the UNHRC in 2006 (on behalf of 54 States), and another at the General Assembly in 2008 (on behalf of 66 States).

During the same debate, an intervention delivered by Nigeria on behalf of the African Group, reaffirmed that "laws that criminalise sexual orientation should be expunged". Other UN Member States and entities such as South Africa, the Russian Federation and Holy See also spoke out against violence and discrimination on the basis of sexual orientation.

A powerful civil society statement was delivered on behalf of 119 organisations from over 60 countries welcoming the Joint Statement and encouraging future dialogue within the Council.

A group of 19 National Human Rights Institutions, including those from Korea, Senegal and South Africa, also delivered a strong statement on the issue. These institutions are important for addressing violations - including investigating complaints, reviewing laws and policies, holding national inquiries and public education.

Signatories to the Human Rights Council joint statement include: Albania, Andorra, Argentina, Armenia, Australia, Austria, Belgium, Bolivia, Bosnia-Herzegovina, Brazil, Bulgaria, Canada, Central African Republic, Chile, Colombia, Costa Rica, Croatia, Cuba, Cyprus, Czech Republic, Denmark, Dominica, Dominican Republic, Ecuador, El Salvador, Estonia, Fiji, Finland, France, Georgia, Germany, Greece, Guatemala, Honduras, Hungary, Iceland, Ireland, Israel, Italy, Japan, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Marshall Islands, Mexico, Micronesia, Monaco, Mongolia, Montenegro, Nauru, Nepal, Netherlands, New Zealand, Nicaragua, Norway, Palau, Panama, Paraguay, Poland, Portugal, Romania, Rwanda, Samoa, San Marino, Serbia, Seychelles, Sierra Leone, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Thailand, Timor-Leste, Tuvalu, Ukraine, United Kingdom of Great Britain and Northern Ireland, United States of America, Uruguay, Vanuatu, Venezuela, and the Former Yugoslav Republic of Macedonia.




Montevideo Declaration of Young Feminist Activists from Latin America and the Caribbean

Date: 21 March 2011
Source: Development Alternatives with Women for a New Era (DAWN)

We, the young feminist activists from across Latin America and the Caribbean gathered in Montevideo, Uruguay from the 18th to 21st of March 2011 for a Regional Consultation and Training Institute on Gender, Economic, and Ecological Justice convened by Development Alternatives with Women for a New Era (DAWN) and the Gender Education Office (GEO) of the International Council for Adult Education (ICAE). In this space we collectively developed the following declaration:

We recognize the dynamic and complex reality of our region, where neoliberal and progressive governments coexist, where human rights, particularly those of women, have been constrained by conservative forces, and where material disparities across gender, race, ethnicity and class continue to widen.

We recognize the failure of the prevailing growth and development models, driven by the invisible hand of the market that the majority of our governments practice and promote. We reject these models based on extractive-ism and the current production and consumption patterns that do not contemplate an integral vision of development but on the contrary, deepen social inequalities and undermine environmental sustainability. These are hetero-normative, racist and colonialist models among whose economic consequences are labor discrimination, lack of access to social security and quality education for persons of African descent, indigenous people, migrants, homosexuals, lesbians, transgender and intersex persons. The systemic crises in our region is happening in a wider context of deep disparity between the global North and South based on a historically unfair international division of labor and reflected in the sexual division of labor of the global care economy.

We reject the mercantilism and privatization of nature and condemn the use and dissemination of technologies that endanger the welfare of Mother Earth and are false solutions to the climate crisis. These include agrofuels, genetically modified organisms, nanotechnology and geo-engineering, as well as mechanisms for reducing emissions from deforestation and degradation (REDD), monoculture plantations and other mega-projects. We also reject the development and generation of nuclear energy, which does not present a solution to reducing greenhouse gases and instead poses a serious threat to the survival of all life forms on our planet.

We believe that the afore-mentioned context demands a radical reformulation of development policies and practices. As evidence shows the quality of democracy depends on equal participation of women and men, including the youth, in all aspects of decision-making. We young feminist activists from across Latin America and the Caribbean therefore call for the following 12-point action plan:

1. We demand that our governments ensure the meaningful participation of women and young people in designing new development models that address the diverse problems we face stemming from the financial, political, climate, food, energy, and care crisis. Such participation is critical in strengthening peoples’ autonomy and freedom to define their present and their future.

2. We demand that our governments constitutionally recognize Economic, Social, Cultural and Ecological Rights and create mechanisms to enact them. We further demand an integral social policy that equitably redistributes power, resources, income and services taking into account gender differences across ethnicity, race, class, sexual orientation, generation, ability and belief.

3. We reaffirm the importance of the Beijing Platform for Action (1995) and the Quito Consensus(2007), both hard won gains of women's movements struggle for justice. We demand compliance through the formulation of national policies and mechanisms.

4. We demand the recognition and quantification of women's work in all its modalities (formal and informal remunerated, precarious and non-remunerated), giving value to women's significant contribution to the economic system as well as to their quality of life and dignity.

5. We demand universal access to social security, development of public services for children, youth and the elderly, regardless of their sexual orientation, as well as the execution of policies focused on the equitable redistribution of paid and unpaid work between women and men.

6. We demand recognition of homo-parental families in the national statistical systems and the public policies of the region.

7. We demand full respect for the secular state, the recognition and guarantee of sexual and reproductive rights and health as well as the decriminalization and legalization of abortion, thereby affirming women's right to make free and informed choices and preventing deaths due to clandestine abortions.

8. We demand government compliance with the CEDAW, the Convention of "Belem Do Pará" and the Convention and Protocols of Palermo, as mechanisms to prevent and eradicate all forms of discrimination, inequality and violence against women. Governments must give special attention to combating the trafficking of women and femicide. The high rates of these problems in the region show the lack of political will to fight these realities that threaten the lives of girls and women. Governments must also fully guarantee the elimination of all forms of violence and fundamentalisms based on misogynist, homophobic, lesbian phobic, trans-phobic ideas, insuring the integrity and autonomy of the body, especially that of women.

9. We demand the creation of a Climate Justice Tribunal for Latin America and the Caribbean that establishes responsibilities for the consequences of climate change and the ecological debt incurred by developed countries including financing programs in communities most affected, giving priority to women.

10. We affirm that our planet is a living entity with rights and spirit and in this regard, we call for citizen dialogues to collectively construct the principle of "buen vivir" (good living) as a necessary alternative that respects the human rights of peoples in harmony with the rights of Mother Earth.

11. We call for mobilization against militarisation, imperialist arms policies and dictatorial governments, and form solidarity around issues of social, environmental and humanitarian crises with full respect for peoples' human rights, especially in Honduras, Haiti and Japan.

12. We call for greater dialogue and articulation among social movements, particularly among young women in all their diversity to participate and influence the political, social, economic, and ecological processes, at local, regional and global levels.

To add your organisational support to this statement, please send your name and work role, full name of organisation, and contact details to: info@dawnnet.org or noelene@dawnnet.org.




The end of the one-child policy in China?

Date: 19 March 2011
Source:
The Lancet (Editorial), Volume 377(9770):968.

In the plenary sessions of the annual Chinese People's Political Consultative Conference and the National People's Congress, a two-child policy was proposed, to start in 2015. Experts have suggested that the one-child policy has resulted in an increase in older people and a decrease in younger workers, as well as a sex-ratio imbalance, which might threaten China's economic growth.

China's one-child policy, introduced in 1979, was a controversial social decision. The policy was launched at the beginning of China's economic reforms, and the Chinese Government saw population containment as an essential component to alleviate its social, economic, and environmental predicaments. In 2007, Chinese authorities claimed the policy had helped prevent 400 million births and contributed greatly to economic growth. In a survey undertaken in 2008, 76% of the Chinese population apparently supported the policy.

However, the one-child policy has been criticised within and outside the country as a serious violation of the right to reproductive freedom. It has led to forced abortions and sterilisations, maternal deaths among women with pregnancies outside of family planning, female infanticide, and child abandonment.

The debate around China's policy on the number of children allowed by a family deserves greater global scrutiny. The issue should not be one of economics. Instead, it should be about fully realising the right of each woman to determine her own reproductive health and exercise her own choices over the number of children she and her family have. China's economic success has delivered huge benefits to her people. But one benefit yet to be achieved, essential to China's sustainable future, is the expansion of freedoms to enable each individual's life path to be pursued without state coercion. Reproductive health is a vital, and neglected, dimension of those freedoms.




Day of giving thanks to providers of abortion care, USA

Date:  11 March 2011
Source:  RH Reality Check

March 10th was Abortion Provider Appreciation Day. This day began in 1996 in memory of Dr David Gunn, the first US abortion provider to be murdered (on March 10 1993). It is a day to honour all the providers who dedicate their daily lives to helping women and making reproductive choice possible. Without abortion providers, there is no access to abortion and no "CHOICE".

Dr. Gunn was murdered in 1993.
In 1993, Dr. Tiller was shot but not killed.
In 1994, Dr. John Bayard Britton and his escort, James H. Barrett, were assassinated.
In 1994, Dr. Garson Romalis was shot but not killed.
In 1995, Dr. Hugh Short was shot and killed.
In 1997, Dr. Jack Fainman was shot but not killed, the shooter was a suspect in an unnamed NY physician's murder
In 1998, Dr. Barnett Slepian was shot and killed. His murderer, James Koop, was the suspect in 1997's shooting of Dr. Fainman and the other unnamed doctor.
In 2009, Dr. Tiller was shot, again, and killed.
Julie Burkhart, who used to work with Dr Tiller in Kansas, writes:

Today, we give thanks to the women and men across America and around the world who courageously provide reproductive health care. In light of the stigma, marginalization and demonization that abortion care providers face in their professional and personal lives, it is incumbent upon us as advocates for women's rights to reflect on the positive impact that their services bring to individual lives and society as a whole.  [read more]




Imperial feminism, Islamophobia, and the Egyptian revolution

Date: 8 March 2011
Source: Nadine Naber, Jadaliyya
To mark International Women's day, we draw your attention to this article (written on February 7th) about the role of women and women's rights in the recent Egyptian uprising, and their effect on the US discourse on the revolution.

"...I'm making this video to give you one simply message: We want to go down to Tahrir Square on January 25. If we still have honour and want to live with dignity on this land, we have to go down on January 25."

These are the words of Asmaa Mahfouz, a 26 year old woman whose January 18th vlog is said to have helped mobilise the million that turned up in Cairo and the thousands in other cities on January 25th. Asmaa's vlog, like the stories of many Egyptian women of this revolution offer up a challenge to two key questions framing US discourse on the Egyptian revolution:

1) Where are the women?

2) and... "but what if Islamic extremists take over?"

Often ignored in US discussions on Egypt is how protests led by labour unions - many women-based labour unions in the manufacturing cities of Egypt - have catalysed the Egyptian revolution. The women now holding down Tahrir Square as we speak - are of all ages and social groups and their struggle cannot be explained through Orientalist tropes that reduce Arab women to passive victims of culture or religion or Islam. They are active participants in a grassroots people-based struggle against poverty and state corruption, rigged elections, repression, torture, and police brutality...

The rest of this article can be found here 




Bills that could legalise killing abortion providers, US

Date: 28 February 2011
Source: Nick Baumann and Daniel Schulman, Mother Jones
Similarly worded bills in South Dakota, Nebraska and Iowa have recently cropped up in state legislatures with the purpose of expanding justifiable homicide statutes to cover killings committed in defence of the unborn child.

Critics of the bills, including law enforcement officials, warn that these measures could invite violence against abortion providers and possibly provide legal cover to the perpetrators of such crimes.

These measures are part of a campaign orchestrated by a Washington-based anti-abortion group, Americans United for Life (AUL) which has lobbied state lawmakers to introduce legislation that it calls the "Pregnant Woman's Protection Act". Over the past two years, the group has succeeded in passing versions of this bill in Missouri and Oklahoma. But while these two laws specifically cover pregnant women, the latest measures are more sweeping and would apply to third parties. The bills are so loosely worded, abortion-rights advocates say, that a pregnant woman could seek out an abortion and a boyfriend, husband - or, in some cases, just about anyone - could be justified in using deadly force to stop it.

A Planned Parenthood official has testified that such legislation "authorises and protects vigilantes." And Omaha's deputy chief of police fears that "This could be used to incite violence against abortion providers."

After Republicans won the House of Representatives and swept to almost unprecedented state-level success in November 2010, social conservatives were invigorated. AUL's efforts to expand justifiable homicide statutes are part of a broader push by social conservatives to advance the political front lines on abortion and other social issues.




Mass rapes escalate in Fizi, South Kivu

Date: 28 February 2011
Source:
IRIN News

More than 200 women, men and children have been treated for rape by Médecins sans Frontières (MSF) since January 2011 in the Fizi region, South Kivu. While large-scale attacks on civilians, in which rape is used as a weapon of war, are a permanent feature of the conflict in eastern DRC, MSF said such repeated large-scale attacks on the same locations were unusual.

The most recent incidents occurred between 12 and 13 February, and 18 and 19 February respectively, involving at least 56 people, around the villages of Misisi/Milimba, and Bwala/Ibindi.

The survivors told MSF they were taken hostage, undressed and tied up with ropes. Women, men and children were systematically beaten and raped. All their belongings were stolen.

Witnesses said the attackers were armed men who appeared to be members of the Forces Démocratiques pour la Libération de Rwanda (FDLR), a group founded by perpetrators of Rwanda's 1994 genocide, which has been in eastern DRC ever since.

In South Kivu, some 8,000 rapes were recorded for the year 2010, according to humanitarian organisations.

MONUSCO (UN stabilisation mission in DRC) claims to have reinforced its presence in the region and recently organised patrols to accompany villagers when they go to market. In August 2010, MONUSCO was severely criticised for its failure to protect civilians subjected to large-scale and systematic rape in Walikale. More than 300 women were targeted in three days of sexual violence and attacks by the FDLR and the Mai Mai.




Planned Parenthood march, US

Date: 26 February 2011
Source: Asha George



Up to 6,000 people attended a rally in Manhattan, New York, in support of reproductive rights which have come under threat from the newly appointed Republican Congress. Holding signs, some of which were more traditional (Hands off my Uterus) to the more creative (No More Wire Hanger...EVER), the crowds of men and women gathered. Republicans in the House of Representatives have chosen to attack a 40 year old piece of legislation called Title X, which allows for funding for birth control, sex education and cancer screening at health clinics, and would target particularly poor women of colour, as well as the young.

See here more photos from the demonstration




Hungary wants more children, but won't ban abortion

Date: 25 February 2011
Source: Veronika Gulyas, Wall Street Journal

Hungary won't ban abortion in its new constitution, contrary to initial plans. Still, the country's government wants to see more children and will use other means than a constitutional ban on abortion to achieve it.

The number of newborn babies in Hungary fell 6.3% to 90,350 last year, according to official data. The government is determined to boost this number and put Hungary's population back above 10 million.

It has so far cut income taxes for parents and extended maternity leave to three years from two. It plans more places at kindergartens and considers granting extra voting rights to parents.




The War on women, US

Date: 25 February 2011
Source: New York Times Editorial
In addition to the three anti-abortion bills reported here on RHM, Republicans in the US House of Representatives are mounting further assault on women's health and freedom.

The cuts in the House resolution include the elimination of support for Title X, the federal family planning programme for low-income women that provides birth control, breast and cervical cancer screenings, and testing for HIV and other sexually transmitted infections. In the absence of Title X's preventive care, some women would die. The Guttmacher Institute says a rise in unintended pregnancies would result in 400,000 more abortions a year.

The House resolution would reduce support for international family planning and reproductive health care. And it would reimpose the global "gag" rule, which forbids giving federal money to any group that talks about abortions. That rule hampered family planning groups working abroad to prevent infant and maternal deaths before President Obama lifted it.

This bill is not likely to pass unchanged, but the urge to compromise may take a toll on these programmes.

Another Republican resolution would cut by 10% the Special Supplemental Nutrition Program for Women, Infants and Children, better known as WIC, which serves 9.6 million low-income women, new mothers, and infants each month, and has been linked in studies to higher birth weight and lower infant mortality. The bill also removes US$50 million from the block grant supporting programmes providing prenatal health care to 2.5 million low-income women and health care to 31 million children annually. President Obama's budget plan for next year calls for a much more modest cut.

To stop these scale-backs in women's reproductive and essential health care, President Obama's firm leadership will be crucial. So will the rising voices of alarmed Americans.




Girl's education in Afghanistan - a new beginning?

Date: 17 February 2011
Source:
IRIN News

The Taliban appear to be changing their attitude to female education in southern Afghanistan, according to the Ministry of Education (MoE) which said there had been no opposition to the reopening of 52 schools in Kandahar Province in the past year. Taliban commanders told elders that girls can attend separate schools provided they wear the hijab and the curriculum is in keeping with religious and cultural values. The Taliban's self-proclaimed government has not publicly confirmed its policy shift. Girls were banned from education and women were prohibited from outdoor activities during Taliban rule in 1996-2001. Kandahar was the military and political capital of the Taliban in 1995-2001 and has emerged as an insurgent stronghold since 2004.

MoE officials said that scores of schools had been reopened in several other insecure provinces. Hundreds of schools were shut down in 2007-2009 following a series of attacks, and over 400 are still dysfunctional. Dozens of reported attacks took place during the September 2010 parliamentary elections when schools were used as polling stations.

Local NGO Afghanistan Rights Monitor (ARM) has called on Education Minister Farouq Wardak, who was quoted by the British Guardian newspaper on 13 January as saying "the Taliban's leadership is prepared to drop its ban on girls' schools", to give further details. "The international community must ensure that any understanding with the Taliban on females' education would not compromise the values and principles enshrined in the constitution of Afghanistan," said an ARM statement.




Doctors bypass NHS for their daughters' HPV vaccination

Date: 15 February 2011
Source: British Association for Sexual Health and HIV (BASHH) press release

A survey for the British Association for Sexual Health and HIV (BASHH) showed that 93% of the 520 UK sexual health clinicians consulted would advise paying privately for a vaccination for their daughters which Government will not fund, rather than accept the alternative treatment, which is available on the NHS. The coalition Government is set to review the tender decision made by Labour in 2008.

Currently administered to 12-14 year old schoolgirls, the bivalent vaccine (Cervavix) protects patients against Human Papillomavirus (HPV) types 16 and 18, responsible for 70% of cervical cancer cases. However, the quadrivalent vaccine (Gardasil), offers additional protection against HPV types 6 and 11, which cause over 90% of genital warts, 30% of minor (non-serious) cervical smear abnormalities, and almost all cases of Recurrent Respiratory Papillomatosis (RRP - i.e. warts on the vocal cords), and appears to be the vaccine of choice amongst the clinical community.

Of those surveyed who actually had daughters in the school vaccination programme, 61% had paid for their daughters to be vaccinated with Gardasil rather than Cervarix, and some had given Gardasil after their daughters had already had the other vaccine.

Dr Keith Radcliffe, President of BASHH, said: "If the government had purchased Gardasil back in 2008, like almost all other developed countries did at the time, today we could be well on the way to eradicating genital warts. Instead, over the last three years, cases of genital warts continue to consume valuable resources in our clinics. Choosing the quadrivalent vaccine would increase our capacity to tackle more complicated STIs, like HIV and save the NHS at least the £46 million it costs to treat genital warts in clinical time and pharmacy costs."

In Australia, where nearly 70% of women under 28 have been vaccinated with Gardasil, new cases of genital warts among young women fell to almost a quarter of pre-campaign levels after three years, with significant measurable effects within only 6 months.

In contrast, since England's school-based HPV vaccine programme began in 2008, there has been no significant change in numbers of genital warts with some 91,000 new cases diagnosed each year and a further 70,000 cases undergoing repeat treatments.

BASHH will take the results to Parliament, to show MPs the clinical community's support for an HPV vaccine that tackles both cervical cancer and genital warts.




SIS research on the impact of polygamy, Malaysia

Date: 15 February 2011
By: Jessica de Cruz, Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR)
One key women's rights issue in Malaysia is polygamy, the impact of which has been studied by the NGO Sisters in Islam (SIS) over the last three years. Researchers interviewed and surveyed husbands, first and second wives in polygamous marriages across Malaysia on their experiences of polygamy.

In 1994, Malaysia's Islamic Family Law (IFL) was amended allowing men to contract polygamous marriages without prior permission from a Syariah court, provided that they subsequently obtain legal endorsement. Courts tend to endorse such marriages, failing to thoroughly examine the impact on existing wives.

Whilst in most states, Muslim family law stipulates that existing wives must be informed of their husbands' application for polygamous marriage, many men circumvent this by taking an additional wife in a different state. Women often struggle to ascertain that their husband has taken an additional wife.

The emotional distress caused by polygamous marriages is exacerbated by the financial repercussions. Whilst the Qur'an and IFL stipulate that a man may enter a polygamous marriage only if he can provide equally in material as well as intangible needs, the rule is poorly enforced. 40% of first wives stated that their husband's financial contribution to the family diminished significantly after their second marriage. Second wives generally reported feeling more financially secure than first wives.

Children are profoundly affected as many resent their absent fathers, particularly when denied their right to proper education owing to their fathers' financial neglect. Within the existing IFL there is little a woman can do to escape the deleterious effects of a polygamous marriage; she loses her entitlement to maintenance if she leaves the marital home without her husband's approval. 82.8% of first wives stayed in a polygamous marriage merely for the sake of their children.

Many polygamous marriages in Malaysia fail to live up to the Qur'anic image of a humane institution designed to protect women and children in the exceptional circumstance of a post-war period. The 2005 amendment to the IFL no longer requires that a polygamous marriage be proven "both just and necessary"; only "just or necessary" thus allowing the notion of justice, the raison d'etre of polygamy in the Qur'an, to be almost completely undermined or disregarded in court deliberations.

SIS intends to use the research findings to lobby the Malaysian government to amend the IFL to ensure that polygamous marriages uphold justice and equality for all concerned.




UK ruling prevents women taking second abortion pill at home

Date: 14 February 2011
Source:
BPAS press release, BMJ 2011;342:d1045

BPAS, the UK's largest independent provider of abortion services, has lost its High Court bid to reinterpret the 1967 Abortion Act in line with advances in medical science, to allow the second dose of the two drug treatment for early medical abortion, mifepristone and misoprostol, to be administered by the woman at home rather than in a clinic. The charity argued that this would be in line with practice in some other countries and that the restriction meant that women faced the possibility of miscarrying on the way home from the second round of treatment.

The charity argued that "treatment" under the act covered the prescription but not necessarily the administration of the drugs. Secretary of State Andrew Lansley argued that the act required both the first and second doses to be taken under supervision at a hospital or other medical premises. The judge upheld the government's interpretation that the administration of both doses constituted "treatment" that must be carried out by a registered medical practitioner on premises approved under the act.

BPAS is disappointed and is taking legal advice on a possible appeal. But it was "very pleased" that the judge ruled that the act gave the health secretary "the power to approve a wider range of place, including potentially the home, and the conditions on which such approval may be given relating to the particular medicine and the manner of its administration or use."

Since the case went to court the Royal College of Obstetricians and Gynaecologists has produced new evidence based guidelines noting the weight of evidence in support of home use of misoprostol for abortions up to nine weeks' gestation and the importance of giving women a choice of method. This guidance was supported by the Department of Health.

BPAS said that resolving the issue was now "a matter of great urgency," as there were around 70,000 early medical abortions in 2009, accounting for almost half of all early abortions, up from 18% in 2002.

Its chief executive, Ann Furedi, said, "If the law as it stands cannot allow what is safe, right, and proper then it is not fit for purpose and must be changed to reflect modern medical practice. But if the law as it stands allows the secretary of state to approve a woman's home as a 'class of place' for abortion then this is what he must do. We look forward to discussing with ministers and officials how quickly this can happen."




Comprehensive abortion care should be incorporated in health delivery system, Ghana

Date: 12 February 2011
Source:
Ghana News Agency

The University of Cape Coast (UCC's) Department of Population and Health organised a forum to disseminate results from a study on abortion in Ghana, carried out in collaboration with the Guttmacher Institute. The researchers suggested the inclusion of comprehensive abortion care in the national health system to stem the increasing incidence of unsafe abortion which causes 13% of all maternal deaths. Abortion services should include counselling both before and after.

Although abortion is widespread, particularly among the youth, getting data on abortion was a challenge as most health personnel were reluctant to divulge information because of perceived illegalities. In five facilities, between 2008 and 2010, 1,233 abortions were reported, but the true figure is probably higher.

Recommendations for the future include addressing barriers to contraceptive use, educating young people, raising awareness about Ghana's abortion law and conducting more research on abortion.

The full report can be found here




US fight over abortion heats up again

Date: 8 February 2011
Source: Katie Connolly, BBC News, and Center for Reproductive Rights

The debate on abortion in the US is heating up. Three abortion-related measures, introduced by Republicans, are headed to the House of Representatives.
The Smith Bill would bar the federal government from providing any funds for abortion. It would make permanent the 1976 Hyde amendment which must be renewed every year and bans taxpayer funds covering abortion for Medicaid recipients. Women choosing health insurance plans covering abortion would not be entitled to any tax credits or subsidies, even if the woman pays for abortion cover herself. Similarly, employers whose health insurance plans include abortion would be denied tax credits. The bill has generated controversy after abortion rights groups objected strongly to language in the bill that made exemptions on the ban on abortion coverage in the case of "forcible rape" while leaving out other forms of rape. The word "forcible" has now been removed but pro-choice groups see its original inclusion as evidence that conservatives are seeking to restrict women's reproductive choices as tightly as possible.

The Pitts Bill ("Protect Life Act") allows virtually any health care entity to refuse to provide, cover, pay for, or refer patients for abortions. New language in the bill allows hospitals that receive federal funds but are opposed to abortions to refuse to provide emergency abortion care even when necessary to save a woman's life. Nor would they have to facilitate a transfer.

The Pence Bill aims to stop Planned Parenthood, a reproductive care organisation and America's leading abortion provider, receiving federal funds. Anti-abortion activists' campaign to deny it federal funds has been aided by the release of several hidden camera videos showing a man posing as a pimp asking Planned Parenthood workers about services for under-age prostitutes. Live Action, the group behind the videos, contends that they demonstrate the willingness of Planned Parenthood "to aid and abet in the sexual exploitation of minors and young women". Planned Parenthood said that it was aware of "pimp" visits to at least 12 clinics prior to the release of the videos and had found them concerning. It contacted the FBI, who began investigating the alleged sex traffickers. Planned Parenthood notes that it is already legally barred from using federal money for abortions and it ensures that taxpayers' money is used for other services.

TAKE ACTION HERE: Fight back against attacks to women's rights NOW - Tell your Members of Congress to vote "NO" on the bills!




Alarmist media reports ignore that Global Fund resources deliver tremendous results

Date: 7 February 2011
Source:
International AIDS Society

Following the publication of several media reports which seriously distort the extent of fraud discovered in grants financed by the Global Fund to Fight AIDS, TB and Malaria, the International AIDS Society (IAS) urges all donors and governments to continue their funding.

The Global Fund, created in 2002, is a unique and innovative financing instrument which attracts, manages and disburses resources to prevent and treat HIV/AIDS, tuberculosis and malaria. By December 2009, Global Fund-supported programmes were providing antiretroviral therapy to 2.5 million people in 104 low and middle-income countries, and the Global Fund Board had approved proposals totaling US$19.2 billion and disbursed over US$10 billion.

A distinguishing feature of the Global Fund is its strict and transparent auditing system, and its openness when it uncovers corruption. "Last week's reports on this subject contained no real news, and only referred to the Global Fund's own published audits which openly acknowledged that sums of money had been misappropriated," commented Julio Montaner, IAS Past President. "It would be a bitter irony if the Global Fund loses funding because of these reports, only for the same resources to be directed towards other multinational AIDS agencies who face the same challenges when it comes to fraud, but who may not be as transparent in their reporting." The amount of money misspent represents less than 0.3% of the total amount disbursed by the Global Fund.




Is providing abortions creating a "nuisance"?

Date: 4 February 2011
Source: Kate Sheppard,
Mother Jones

The first doctor to try to offer abortion services in Wichita, Kansas, since Dr. George Tiller was gunned down in a church in May 2009 has been blocked from doing so by her landlord, who has claimed this would create a "nuisance."

Dr. Mila Means is a family practitioner in Wichita, and has been preparing to provide abortion services there. But a state judge issued a temporary restraining order barring Means from performing abortions at her medical office, at the behest of Foliage Development, Inc., the owner of the building that houses Means' office. The landlord initially turned down Means' request to offer abortion services, maintaining that it would violate her lease by "creating a clear nuisance to and disturbing the peaceful possession of all other tenants." The nuisance, however, would stem from protests the landlord anticipates, not from anything that Means would do. Anti-abortion activists from Operation Rescue, headquartered in Wichita, have already begun protesting outside her office. Kansas Coalition for Life has threatened to hold daily protests outside Means' office and Operation Rescue has posted Means' office address and contact information on its website.

Wichita has long been an abortion-rights battleground. Operation Rescue relocated its headquarters there in 2002, to concentrate on its campaign against Tiller. The city had four abortion providers in the 1990s, until fierce campaigns pushed them out. Eventually, Tiller was the only one left. Now the one doctor who wants to fill the vacancy left by his murder is being thwarted because anti-abortion crusaders are creating a nuisance.




Ugandan woman wins temporary reprieve

Date: 1 February 2011

Source: BBC News

 

Ugandan Brenda Namiggade, due to be deported on Friday, was granted a temporary injunction allowing her to stay in the UK. Her case will now go to a judicial review.

 

Ms Namiggade says that she is a lesbian, and fears for her life if returned to Uganda, where living as a gay person is illegal.

 

A UK Border Agency spokesman told the BBC that Ms Namiggade had been found not to have a right to remain in the UK and that her sexuality was in question. "An immigration judge found on the evidence before them that Ms Namiggade was not homosexual" said the spokesman.

 

In Uganda homosexual acts carry a penalty of up to14 years in prison. The government recently considered increasing penalties to include the death sentence in some cases.

 

Last week, prominent gay rights campaigner David Kato was beaten to death near the Ugandan capital Kampala.

 

Ms Namiggade fled to the UK in 2002. She says she was beaten and victimised because of her sexuality.




Danish study on abortion and mental health

Date: published 27 January 2011
Source: New England Journal of Medicine

A large Danish study has found no increased risk of mental disorders in the year following a first-trimester induced abortion.

Concern has been expressed about potential harm to women's mental health in association with having an induced abortion, but the relationship remains unclear. This population-based cohort study involved linking information from the Danish Civil Registration system to the Danish Psychiatric Central Register and the Danish National Register of Patients. Data was collected on women and girls born in Denmark between 1962 and 1993 with no record of mental disorders who had a first-trimester induced abortion (n=84,620) or a first childbirth (n=280,930) during 1995-2007. Rates of first-time psychiatric contact (an inpatient admission or outpatient visit) for any type of mental disorder were estimated within the year after the abortion or childbirth compared to the nine-month period preceding the event. Incidence rates of first psychiatric contact per 1000 person-years among women who had a first abortion were 14.6 before abortion and 15.2 after abortion. The corresponding rates among girls and women who had a first childbirth were 3.9 before delivery and 6.7 post partum. The relative risk of a psychiatric contact did not differ significantly after abortion as compared with before abortion (p=0.19) but did increase after childbirth as compared with before childbirth (p<0.001). The finding that the incidence rate of psychiatric contact was similar before and after a first-trimester abortion does not support the hypothesis that there is an increased risk of mental disorders after a first-trimester induced abortion.

Reference:
Munk-Olsen T, Munk Laursen T, Pedersen CB, et al. Induced first-trimester abortion and risk of mental disorder. New England Journal of Medicine 2011;364:332-39.




Mexico: Young woman given 23-year sentence for having an abortion

Date: 22 January 2011
Source:
Red de Salud

A 21-year old woman accused of having an abortion has been sentenced to 23 years in prison in the State of Baja California, Mexico, for the crime of aggravated homicide for what she says was a miscarriage in 2008.

In December 2008, amendments to the Constitution of Baja California were adopted to protect life from the moment of conception, similar to reforms in 15 Mexican states. Since then, authorities from three states have sought to imprison women who have made decisions with regard to their bodies.

This case has inspired an urgent national, regional and international campaign demanding that the Governor of Baja California authorise the woman's immediate release. It urges the State Congress to observe and enforce regulations protecting women's human rights, demanding that the State Government respect the separation of Church and State. Finally, it asks the Human Rights Ombudsman of Baja California to protect the rights and legal status of women, strictly in accordance with the Constitution.

The demand is signed by the Red Iberoamericana Pro Derechos Humanos Alaide Foppa A.C., Federación de Mujeres Universitaria de Baja California.

Signatures in support of these demands should be sent to:
meritxell_c@hotmail.com
sarah.calderon.v@gmail.com
labic54@gmail.com




Remarks on the 38th Anniversary or Roe v. Wade

Date: 20 January 2011
Source: RHRealityCheck


by Dr. Maureen Paul, Chief Medical Officer of Planned Parenthood NYC

 

Dr. Maureen Paul spoke at an event to commemorate the 38th Anniversary of Roe v. Wade in New York, sponsored by Planned Parenthood and 40 co-sponsoring organisations. Here is a shortened version of her remarks:

 

I was a teenager in 1968 when I learned that I was pregnant. Through a friend, I tried to arrange for an illegal abortion, only to be sent down a rabbit hole that involved a uniformed police officer, secret password, and hundreds of dollars that I didn't have. Young and terrified, unable to raise the money, and turned down by the therapeutic abortion committee at my local hospital, I eventually was forced to carry the pregnancy against my will and put the child up for adoption, an experience that was hands down the most difficult and painful of my life.

 

Now, as Chief Medical Officer at Planned Parenthood of New York City, I make sure that women have access to the reproductive health care they need. But on a day like today, the 38th anniversary of Roe v. Wade, I cannot help but think of another provider - a friend, colleague, and hero, Dr. George Tiller. George was a family physician who took over his father's practice in Wichita after his parents, sister, and brother-in-law were killed in a plane crash. It was only when women in the community began asking him if he would offer them the same services that his father did that he learned that his father had provided then-illegal, but safe, abortions. When one of those women sought care from someone else and died because of it, George Tiller devoted his career to abortion provision, eventually becoming one of the few doctors in the country with the skills and commitment to provide later abortions to women whose wanted pregnancies had gone awry.

 

For this dedication and service, he became the target of vehement anti-abortion hatred.  His clinic was firebombed, and he was shot in both arms, harassed relentlessly at his home, persecuted, prosecuted, and finally assassinated while serving as an usher in his church...the one place, the only place in his community where he said he always felt safe.  

I have often wondered to myself how Dr. George Tiller did what he did. As a physician, I know the emotional fortitude it takes to care for even one woman who is experiencing the pain of losing a wanted pregnancy. George put his whole heart and soul into caring for thousands and thousands. As an abortion provider, I have some inkling of the enormous stress providers feel when they are subject to even one act of harassment and violence. George experienced it every day and kept coming back again and again. How does anyone have that much courage? The answer comes from a phrase from one of my favorite authors, Anne River Siddons. "Close your eyes and think about what you would die for...and now open your eyes and live for it."

George Tiller never should have died the way that he did.  But he lived every minute of his life with the passion of a man who knew it might be his last...a passion guided by the needs, hopes and aspirations of women, a passion that fostered unfathomable courage, undaunted by hatred, and marked by the most exquisite love, joy, humility, and grace.

I was one of the young girls who "went away." I was also one of the few fortunate enough to come back. Thousands upon thousands of women of my generation faced the back alleys of America before the legalization of abortion. They stood on dark street corners and were taken in cars blindfolded to clandestine locations. They filled the beds of special wards in public hospitals, misogynously called "septic tanks" by some because they were dedicated to the care of women sick with and dying of sepsis - an overwhelming infection caused by botched abortions. They were the poor and desperate women who resorted to coat hangers, catheters, coke bottles,  turpentine, and lye because they had nowhere else to turn.

Today we live in a world where we have the technology to provide safe abortion to every woman who chooses it. Yet somewhere in the world, one woman continues to die every 8 minutes from an unsafe abortion. Today we live in a country where generations of women have never known what it is like to not have the legal right to abortion. Yet hundreds of bills are introduced in state legislatures every year to restrict their access to abortion, and many women have to travel long distances, cross picket lines, survive harassment, and brave the stigma to get a safe abortion. Often, I am struck by how similar the experiences are for these younger generations of women and my own.

So, today on the 38th anniversary of Roe v. Wade, I dream of a world where a woman's ability to control her fertility, to decide whether or not to have a child, and to have that child thrive and grow is not compromised by poverty or discrimination or violence or age or immigration status or how close she lives to a toxic waste dump.

Achieving this bold mission will certainly take all of us.  As George Tiller understood so well, it is a mission rooted in the everyday stories of women that coin our personal passion and become our movement...a human rights movement that reaches into all parts of the globe and will never be stopped because it is ultimately rooted in matters of the heart.




CREA conferences in South Asia, April and June 2011

Count Me In! South Asia Conference on Violence Against Marginalised Women

April 16-18, 2011
Kathmandu, Nepal

 

The conference is open to people who represent/work with sex workers, lesbians, young and disabled women, HIV-positive and trans people from India, Pakistan, Bangladesh and Sri Lanka, or are interested in strategies to decrease violence against these marginalised groups.


Visit the new conference website here

Registration opens
21st Jan 2011


CREA's 5th Sexuality, Gender and Rights Insitute: Exploring Theory and Practice
June 18-26, 2011
Istanbul, Turkey

This is an annual, week-long, residential course - begun in 2007 - that focusses on a conceptual study of sexuality. It examines the links between sexuality, rights, gender, and health and their interface with socio-cultural and legal issues. Participants will critically analyse policy, research and programme interventions using a rights-based approach. Activists and academics will teach the course using classroom instruction, group work, case studies, simulation exercises, fiction and films.
Individuals working on issues of sexuality, rights, HIV/AIDS, violence against women, health or gender are eligible to apply. 25-30 participants will be selected.


For application form, go to CREA website 
Applications due before 15 February 2011

 




Anti-abortion media campaign launched by Macedonian Government

Date: 19 January 2011
Source: Verena Buschmann, European Pro-Choice Network


HERA (Health Education and Research Association) and the Macedonian Association of Gynecologists and Obstetricians held a press conference to oppose the Government media campaign which provides misleading and intimidating information on abortion. The Government campaign entitled "Chose life - You have a right to chose" includes a video about the procedure of termination of pregnancy and misleadingly explains that the consequences of abortion are infertility, sepsis, perforations of the uterus, anaesthetic complications and severe mental problems.

Both associations called for the Government to stop and withdraw the campaign. Both said that there have been no deaths or serious complications of abortion registered in the last couple of years and that the consequences outlined in the video can be found with any medical intervention and there is no evidence to link them exclusively to abortions. The campaign contradicts the framework of national policies for improving sexual and reproductive health rights and denies a woman's right to choose about her life and parenthood planning. Macedonia's current law allows abortion in five cases: if a woman's life, physical or mental health is endangered, if the child is found to be suffering abnormalities, or it was conceived by rape. These provisions are similar to those across most of the European Union.

Both the associations recommend a government campaign to raise awareness about oral contraception to reduce unwanted pregnancies, improvement in safe motherhood services, sex education in schools, and that the right of women to freely decide on parenthood planning should be guaranteed.




Uganda: Desperately seeking condoms in the north

Date: 18 January 2011
Source: IRIN PlusNews

 

For the third month running, people seeking condoms at local health centres in some northern Ugandan districts have found empty dispensers. HIV/AIDS focal persons for Gulu, Kitgum and Nwoya districts say health facilities have no condoms for free distribution and commercially available condoms are too expensive for many people. Those who cannot afford them are left with two choices: abstain or have sex without a condom. A sex worker in Gulu said: " have turned down a number of clients who opted to have it live [without a condom] but I don' know what my other colleagues are doing in this hard situation."Another sex worker said she had had to make the difficult choice to have "live" sex.

 

Hotels and youth centres say they too have run out. The condom shortage in the north follows a similar scarcity reported in several districts in mid-2010. At the time, the government blamed a long procurement process and irregular delivery of condoms to the country. According to Zainab Akol, in charge of HIV programming at the Ministry of Health, the problem lay with district health officials who did not order condoms well in advance.



Uganda: Muslim women back condoms for HIV prevention

Date: 12 January 2011
Source: IRIN PlusNews

Some Muslim women in western Uganda are demanding that a new HIV prevention programme for Muslims includes condom promotion, going against calls by local Muslim leaders for the US$43,000 programme to be limited to messages on faithfulness and abstinence. The four-year programme, localised to Kasese district and funded by USAID, is to be led by the Uganda Muslim Supreme Council.

Sheikh Habib Mande, a local religious leader, said condoms promoted immorality and went against the Koran's teachings. Despite the women's calls, project officials say the campaign's main focus will be abstinence and marital fidelity. Health workers in the area have called for greater sensitisation of Muslim women to their vulnerability to HIV and ways to handle prevention in polygamous marriages. "I cannot come out and tell my husband to use condoms," said one woman. "But I buy them for him and place them where he can easily see them so that in case he wants to go out with other women, he can use them and protect us from getting the virus."




India: Drop charges against maternal death protesters

Date: 10 January 2010
Source: Human Rights Watch Press Release
1,000 people gathered on 28 December 2010 in Madhya Pradesh State, India, to peacefully protest the high numbers of maternal deaths at the Barwani district hospital and lack of accountability for the deaths. Law enforcement officials arrested one protester, threatened to arrest others, and issued a warrant for another.

In November 2010, activists recorded nine maternal deaths at the hospital, which is designated a comprehensive emergency obstetric care unit. Despite a 2010 national policy mandating states to investigate maternal deaths and take corrective action, the state did not review any of the deaths. Health rights activists also recorded a number of cases in which pregnant women seeking emergency obstetric care had been turned away from the hospital and referred to a larger hospital in Indore city, five hours away.

The rally was held by tribal communities - who face challenges in accessing maternal health care - and activists from a grassroots organisation of tribal and dalit communities, because the Indian health system has no mechanism for officially airing and redressing grievances. Instead of listening, district health authorities brought in the police.

Yawning disparities in maternal health in India remain. A 2007 UNICEF report revealed that nearly 60% of all maternal deaths in six northern states occurred in tribal or dalit (so-called "untouchable") communities.

India's National Rural Health Mission aims to "improve access to rural people, especially poor women and children to equitable, affordable, accountable and effective primary health care."

Human Rights watch said that the authorities should drop all charges against the protesters and tell the police to stop threatening peaceful protesters; that all states should investigate maternal deaths; and that the government should create grievance redress mechanisms that are accessible to communities in which many people are poor and illiterate.


 




MTV's shockingly good abortion special

Date: 29 December 2010
Source: Lynn Harris, Salon

 

Lynn Harris expresses her delight that MTV got it right.

 

Since the launch of MTV's pair of reality series about teen pregnancy and motherhood, we have never seen any pregnant teen seriously consider abortion. But on 28 December 2010, MTV aired a 30-minute interview special called "No Easy Decision," in which three teenagers spoke candidly about their decisions to have abortions. Though MTV had not planned to promote the show, a leak by EW.com did just that - and had everyone prepared for the worst.

 

But the author of this article is relieved, delighted and amazed to report that MTV got it right. They told the many-sided truth: that abortion is safe and common, that abortion has been made difficult to get, and, most importantly, that abortion is a complex decision made by complex human beings.

 

Here's Dr. Drew opening the show: "About 750,000 girls in the US get pregnant every year. And although nearly a third of these teen pregnancies result in abortion, we've never shown this choice on '16 and Pregnant' up until now. It can be a polarising topic, and there's quite frankly no way to talk about this and please everyone. Although controversial to some, abortion is one of the three viable options, and it's among the safest, most common medical procedures in the US, so we thought it was important for us to discuss."

 

We then meet Markai and her partner as they wrestle with their options for her unplanned second pregnancy, the result of a missed appointment for her shot of Depo-Provera. As a mother, Markai is tormented both by the prospect of terminating a pregnancy and by the prospect of raising a child whose needs will splinter their already slim resources. In Dr. Drew's follow-up interview with her and two other young women, the show manages to include: medically accurate information about abortion procedures, the challenge of finding the birth control method that works for you, the positive presence of supportive family and friends, the compassionate voice of a clinic counsellor, the complex emotions of male partners, the cost of abortion, the cruelty of parental notification requirements, the positive presence of supportive family and friends, the normalcy of mixed feelings after the procedure, and the characterisation of abortion as "a parenting decision."

 

And as Dr. Drew himself said: "Having an abortion is not uncommon. But talking about it publicly is." At this time, there are evidently no plans to repeat or extend the special. So here's a high-five to MTV for - finally, and so finely - getting this thing going.

 

But next time, how about prime time?




A moral defence of late abortion

Date: 22 December 2010
Source: spiked

by Ann Furedi, Executive Director of bpas

© spiked, reproduced by kind permission


The chief executive of bpas urges faltering pro-choice campaigners to rediscover their respect for women's moral autonomy.

 

The blogosphere has been jangling in response to American writer Will Saletan's appeal for the pro-choice community to accept restrictions on later abortions. Saletan argues that later abortions would be unnecessary if women behaved responsibly and society provided the means for them to do so. Contraception would, he argues, reduce the abortion rate by voluntary means.


We should, says Saletan, see good contraceptive use as 'moral practice', abortion should be re-stigmatised and women requiring abortions repeatedly should be targeted for particular approbation: 'One unintended pregnancy should be enough to warn you - and the doctor who vacuums out your uterus - not to risk another.'


These arguments have been well-rehearsed by Saletan and others and are common in Britain as well as the US. Two years ago, many British parliamentarians supporting a (failed) attempt to move the 24-week 'time limit' for abortion forward to 20 weeks' gestation of pregnancy believed that late abortion was unnecessary because it could be prevented. This thinking underpins the laws in most European countries, which allow abortion 'on request' in early pregnancy but impose stringent conditions at later gestations.


Saletan has written an intelligent book on abortion and has a reputation for being a bit of a thinker, so his recent interventions have attracted support. In November 2010, in a conversation on Bloggingheads.TV, Frances Kissling, a former president of the US organisation Catholics for Choice, said that in view of the 'evolving potential of fetal life', she was willing to discuss rolling back the legal deadline for unrestricted abortion to 18, 16, or even 14 weeks. She stated her position this way: 'As long as women have an adequate amount of time to make a decision, and there are provisions for unusual circumstances that occur after that time, I would be satisfied… Women have an obligation to make this decision as soon as they possibly can.'


Kissling no longer speaks for Catholics For Choice, which has stressed its support for women's choice. But as a visiting scholar at the University of Pennsylvania, her comments have carried some weight.


The heated character of the debate around 'late' abortion is curious, given that 'early' abortion is almost beyond controversy. Most developed countries now accept that women should be able to access abortions up to gestations of 10 or 12 weeks - the first trimester of pregnancy - with little debate or stigma around such procedures. But, paradoxically, as early abortion has become more accepted, later procedures have attracted increasing concern. And even some of those associated with the pro-choice movement have begun to express doubts openly about whether a woman should be able to choose to end her pregnancy once her fetus begins more closely to resemble a baby.


How do we account for this shifting approach to the parameters of choice?

'Early' abortion

Society's difference in attitude to early and late abortion is simple to understand on a pragmatic level. Modern democratic societies tend towards a framework of values that are relative rather than absolute. So, abortion is often perceived as 'wrong' but, at the same time, it is accepted as the 'right' thing to do in certain circumstances. No one likes the idea of abortion, and everyone agrees it would be better if unwanted pregnancies were prevented. But when contraception fails, or people fail to use it effectively, abortion is usually seen as preferable to the alternative: an unwanted birth to an unwilling mother. In short, abortion is a 'lesser evil'.


It would be difficult for society to eschew support (at least, qualified support) for abortion and maintain other values it holds dear. For example, society attaches huge importance to the wantedness of children and the responsibility that their parents have for their care. It is seen as right and proper that people should plan their families. At the same time, sex is seen as a normal, healthy part of an adult relationship: most people accept sex is an expression of love, intimacy and pleasure; no longer is it, normally, associated with the intention to reproduce. It follows from this that preventing the conception of unplanned, unwanted children is seen as responsible and moral.


Given that society believes that unwanted pregnancies should be prevented by contraception, it also follows that, when this fails, society accepts abortion may be used as a 'back-up' to prevent an unwanted birth.

 

Britain has based its law on the principle that abortion should be available to women who were 'unfit' to have children since its legislative defence against criminal abortion was codified in the Abortion Act 1967. Today, this view holds: abortion is a part of 'public health'. Almost all abortions are commissioned and funded by the state healthcare system, and access to early abortion has been part of official national strategies to improve sexual health.

 

But abortion still needs to be 'necessary': even at early gestations, two doctors must certify that legal grounds are met. An abortion is approved because it is the best outcome for the woman and her existing family. In essence, early abortion is justified pragmatically: it is socially necessary because, without it, the inevitable and unavoidable large numbers of unplanned pregnancies will result in the social cost of unwanted children born to unwilling mothers.


This relatively conservative rationale for abortion is accepted throughout most of society in the early weeks of pregnancy. But as the gestation advances, support for abortion declines for a combination of practical, ethical and aesthetic reasons, which are usually difficult to untangle.


The problem of later abortion


There is little dispute that when abortion is necessary, there is a sound clinical case for abortion as early as possible. The risks of abortion increase with the size and development of the fetus because later abortion techniques are more specialised and are associated with a greater risk of complications. Although any increased risks associated with later abortion are still lower than those of full-term delivery, the procedure is more demanding physically and emotionally for patients and providers than in the early weeks of pregnancy.


Public support for early abortion is far stronger than for late abortion. The early abortion of an unrecognisable embryo is more acceptable to public opinion than a procedure that destroys an 'unborn baby' that is identifiably human. The ethical distinction between an abortion at six weeks and one at 16 weeks is less clear (and we will return to this point), but many hold the view that early abortion is 'more right than wrong' whereas late abortion is 'more wrong than right' and thus requires a special justification.


The pro-choice movement has tended to sidestep a moral, normative discourse, preferring to concentrate on the truthful claims that later abortions are as necessary as early abortions and so can be justified on the same grounds.


We accept that abortions should be carried out 'as early as possible'. We, too, have advocated that it is better to prevent the need for later abortions, and promote contraception. Our defence of second-trimester abortions has been based largely on the pragmatic acceptance that early abortion is not always a possible solution to a problem pregnancy and that later abortions are necessary, if regrettable. We believe that the delivery of an abortion procedure in the second (and even third) trimester is preferable to its denial, since the denial of abortion has consequences for a woman's life, for the lives that are touched by hers, and for the life of the child that will be born.


Why do women have later abortions?


We know that later abortions are necessary because we know why they are requested. The causes are well documented in Europe and the US, and although national circumstances affect some aspects, the reasons women give are broadly the same. In the US they tend more towards problems of access and cost, reflecting the difficulties with access and availability. In Britain, the reasons for delays are more idiosyncratic and are usually based on personal circumstances - but as research into why women have late abortions indicates, these reasons are no less compelling.


In Britain, we know that the proportion of women requesting abortions after 20 weeks remains remarkably consistent (at around two per cent) regardless of changes to access in early services. This implies that better access to early abortion would not reduce the need for later procedures. Doctors explain that there are few later abortions because women rarely request them. Many women, who would have few qualms about opting for a pregnancy to be terminated in its early weeks, balk at the thought of ending a life they have felt move inside them. A late medical induction, or a surgical procedure, is no trivial matter.


In February 2008, the British Pregnancy Advisory Service (bpas), which provides most procedures in the UK between 20 and 24 weeks' gestation, audited the case notes of all women requesting abortion after 22 weeks' gestation. During this 28-day period, requests from 32 women aged between 14 years and 31 years were documented. A table of the case summaries is appended at the end of this essay, with the comment bpas issued at the time.


This data is interesting in the light of the comments made by Saletan and Kissling, which imply that women delay making 'their' decision needlessly and that an adequate amount of time for a woman to make up her mind might be 18 weeks or less (with special provision for those in 'exceptional circumstances'). It is striking that the circumstances of all of the women attending bpas clinics could be seen as either 'exceptional' (as in exceptionally difficult and complicated) or 'unexceptional' (as in so similar in their causes).


It may seem exceptionally lax for a woman to 'not realise she is pregnant' for four or five months after she has conceived, until you consider how many of these women were not menstruating for various reasons, or didn't consider they could be pregnant - sometimes because they had been using contraception 'responsibly'. When this is factored in, women's 'delay' seems exceptionally understandable. Every single case can be seen in this way - including the women whose circumstances change 'exceptionally' during their pregnancy, because a relationship ended or a fetal anomaly was identified, and the young girls who are 'exceptionally' driven to deny or conceal their pregnancy.

 

If our defence of later abortion is simply as a pragmatic response to the needs of a woman with a problem pregnancy, then there is no reason to assume that any higher burden of justification is required than for earlier procedures.


If we think later abortions should only be an option in exceptional circumstances, we must ask: who should decide what those circumstances should be? And what makes a circumstance 'exceptional'? Who do we think is better placed than the woman herself to understand and judge her situation? Why do we not trust women to make the decision about whether their own circumstances are 'exceptional' enough? Do we doubt that what individuals find exceptionally compelling about their own case may be insufficiently compelling to us? Do we fear that others do not possess sufficient capacity to weigh the balance of 'right' and 'wrong' as precisely as we do?


This takes us into the realm of moral argument, and it is right that it should do so. We should scrutinise whether the decision to end a pregnancy is a matter for individual conscience or if it must be justified to others according to defined criteria. A discussion based on the pragmatic need for abortion does not, and cannot, address this.

 

The ethics of later abortion

 

The ethical issue is straightforward for those who believe that abortion is absolutely wrong and should never be solely a matter of individual personal choice. Similarly, there is little ambiguity for those who believe that a woman has absolute autonomy to decide on the future of her pregnancy. The difficulty exists only for those who try to straddle the gap between these fundamental positions and argue that abortion should be a woman's choice, but it should be less of a choice in later pregnancy.


These 'ethical straddlers' represent a substantial section of the pro-choice community. Marge Berer, editor of the journal Reproductive Health Matters, wisely cautioned a recent pro-choice conference that: 'How late in pregnancy abortions should be permitted and carried out is a matter of great controversy among almost everyone - except the women who need them.' She might have added that even many of the 'women who need them' would claim that in general later abortion is wrong but their own case is 'exceptional'.


To me, the argument for a gradualist approach to the ethical rightness or wrongness of abortion that depends on the gestation of the fetus is weak, lacks intellectual consistency, and seems self-serving. It seems little more than an instrumental argument to justify women's access to abortion according to personal preference: to allow it when 'I approve' and to deny it when 'I don't approve'. Excepting those who think abortion is always wrong, most of us have personal preferences and subjective inclinations that cause us to empathise with some women's requests but not others'. For example, some of us will identify with the woman who requests abortion on grounds of fetal abnormality, some of us will be appalled by her thinking. Some of us will be sympathetic to a woman who wants to end a pregnancy that happened because the condom stayed in the packet; some will think her undeserving. Some of us will personally feel that an abortion is acceptable in early pregnancy, but not when more time has passed.


If we are honest, we will probably admit that we all make judgements about which abortions we think are right and which we think are wrong - just as women do for themselves. But there is a world of difference between making an individual judgement and seeking to constrain others from making, for themselves, the decisions we would not. Our colleagues who argue that there should be greater justification for an abortion after x weeks are really no different to those doctors who argue that, before they approve a woman's request, she should justify her failure to use contraception or why she is returning for a second procedure. In essence, all they are saying is that abortion should be approved when I approve and not when I do not.


To the 'ethical straddlers' concerned about gestation we must ask: is there anything qualitatively different about a fetus at, say, 28 weeks that gives it a morally different status to a fetus at 18 weeks or even eight weeks? It certainly looks different because its physical development has advanced. At 28 weeks we can see it is human - at eight weeks a human embryo looks much like that of a hamster. But are we really so shallow, so fickle, as to let our view on moral worth be determined by appearance? Even if at five weeks we can only see an embryonic pole, we know that it is human. The heart that can be seen beating on an ultrasound scan at six weeks is as much a human heart as the one that beats five months later.


Claims that the fetus has 'evolving potential' make little sense. The potential of the fetus does not evolve; it just is. A fetus may draw closer to fulfilling this potential as it develops and as its birth approaches, but the potential does not change. Indeed, from the time of conception, as soon as embryonic cells begin to divide, an entity with the potential to become a person is created. It is the product of a man and a woman, but distinct from them. It has a unique DNA and, unless its development is interrupted or fails, it will be born as a child.

 

To accept that the blastocyst or embryo has the potential to evolve into a person is not to say it should be treated as a person, or even that it must be accorded moral worth because of its potentiality. As the ethicist Professor John Harris argues,  we are all potentially dead, but that does not mean that we treat people as though they are already dead.


The fact that a biological entity is potentially a person does not mean that we must treat it as a person - or even consider its moral status as special. We may wish to do this because we may feel something that has the potentiality to be a person has greater worth than something that does not. We may feel that a human embryo has greater moral status than a cat (which for all its conscious abilities and sensory perception can never be a human person), or we may believe that a cat has greater moral claims than an embryo, which is potentially a person but not yet an independent living being. Both of these positions can be presented as consistent, rational, logical arguments. But it is difficult to see how it can be argued that a fetus should be accorded a moral status that differs at different stages of its development on the grounds of 'evolving potential', since a fetus at 28 weeks is no more or less potentially a person than one at eight weeks.

 

If it is 'drawing closer' to the fulfilment of the fetus's potential that changes its moral status, then it seems that there is a difficult problem in finding a moral - as distinct from a pragmatic - justification as to when is close enough for the status to change. Since a fetus draws closer to fulfilling its potential from the day it is conceived, and is constantly evolving as it grows, which day - or which developmental change - matters morally? Is it when there is evidence of a beating heart, or fetal movement, or a particular neurological or brain development? Who makes this decision? And why?


It seems to me that the attempt to accord a 'gradualist' moral significance to the development of the fetus is little more than an attempt to disguise a personal reaction as an ethical argument. It exemplifies thinking that starts from an a priori assumption that something is 'bad', and then tries to construct an argument to justify the badness. In this case, the assumption is that later abortions are 'bad' and the arguments about the significance of the evolving potential of the fetus are an intellectually elevated way of justifying an assumption that is, in fact, no more than prejudice.

The case for permitting abortion 'as late as necessary'

 

To summarise: why should we assume later abortions are 'bad' - or, at least, 'more wrong' than early ones? There is no clinical evidence that later abortions are harmful, and certainly not more harmful than coercing an unwilling woman to endure a full-term pregnancy and labour. Later abortions are undoubtedly gruelling for both the patient and provider, but we assume that both have made a conscious decision to undertake the procedure. The life that is destroyed is no more or less a potential person than it was in early pregnancy. Late abortions may cost more and use scarce resources, but funding implications are a separate issue and distinct from the ethics of the procedure per se.

 

Ultimately, the distinction between early and late abortion seems reducible to our response to the appearance of the fetus - which is why so much influence has been attributed to the development of high-resolution fetal imaging, which has enabled us to see the fetus in utero. The argument seems reducible to this: it looks more like a child, so it should be treated more like a child.

 

Without doubt, it is much more difficult to countenance the destruction of a fetus once it looks like a miniature baby than before its body parts can be seen. It is even harder when an ultrasound scan shows movements that bring to mind familiar, endearing gestures - a 'yawn', thumb-sucking and grasping tiny fingers - and when we can see whether it is a boy or a girl. This is a fair enough response when it is expressed as a personal, subjective observation. It seems illegitimate, however, either dishonest or shallow, to dress it up as a moral philosophical principle.


The moral principle at stake in the debate on later abortions, the one that genuinely matters, has been ignored completely in the recent discussions. This is the principle of moral autonomy in respect of reproductive decisions. To argue that a woman should no longer be able to make a moral decision about the future of her pregnancy, because 20 or 18 or 16 weeks have passed, assaults this and, in doing so, assaults the tradition of freedom of conscience that exists in modern pluralistic society.


The ethicist Ronald Dworkin explains it like this: 'The most important feature of [Western political culture] is belief in individual human dignity; that people have the moral right - and moral responsibility - to confront the most fundamental questions about the meaning and values of their own lives for themselves, answering to their own consciences and convictions.'


If we accept this, it is clear that to deny a woman her capacity to make the moral decision about abortion is to strip away her humanity. It is to take away not just a right but a responsibility to come to a decision that accords with her values. This has profound consequences for how we see individuals and how they see themselves. Are they capable moral agents? Or must their agency be stripped away?


Dworkin's argument is interesting because, like most of us who participate in the current debates, he believes that it is 'irresponsible to waste human life without a justification of appropriate importance'. It is unclear whether he extends that principle to potential human life, but I am prepared to. Most of us think it is better to prevent a pregnancy than to end one. However, this is not the issue at stake: we can all have our own views on when life begins to matter. The crucial questions are: who decides what is 'a justification of appropriate importance', and on what basis should they decide this?


Saletan has previously argued for hospital panels to sit in judgement and to adjudicate on women's requests. Dworkin argues that 'the decision whether to end human life in early pregnancy should be left to the pregnant woman, the person whose conscience is most directly connected to the choice and who has the greatest stake in it'. Dworkin does not argue that this decision should be limited to early pregnancy; and in later pregnancy, too, I believe that the decision, and the responsibility that comes with it, should rest with the pregnant woman.


Left to make their own moral judgements, some women will inevitably make decisions that we would not; perhaps even those we think are 'wrong'. And we must live with that: tolerance is the price we pay for our freedom of conscience in a world where women can exercise their human capacity through their moral expression. We either support women's moral agency or we do not. Part of our valuing of fetal life is the value of what it means to be the humans they have the potential to become. Moral agency is part of that humanity.

 

The moral case for late abortion, and for preserving the right of women to exercise their moral agency in making their decision, is at least as strong as the pragmatic case. And our normative, moral case is more consistent and ploughs deeper than the instrumental attempts to find moral reasoning to restrict later abortion. Either we support women's right to make an abortion decision or we don't. We can make the judgement that their choice is wrong - but we must tolerate their right to decide. There is no middle ground to straddle.


Ann Furedi is chief executive of bpas, the British Pregnancy Advisory Service.

Bpas Client Study 

 




Male circumcision kicks off in the northern Uganda

Date: 22 December 2010
Source: IRIN PlusNews


Men in northern Uganda are taking advantage of a government move to provide the procedure free of charge as part of its national male circumcision policy, launched in September 2010. 25% of Ugandan men are circumcised, but in the north, that figure drops to 2.4% in some areas. So far, in Apac District, where the programme began in September, more than 1,300 men have been circumcised. In the town of Gulu, more than 100 men registered for the procedure in the first week, while Lira saw more than 250 men circumcised in the first week. Local health officials say the introduction of free male circumcision is a much-needed addition to the region's HIV prevention tools. HIV prevalence in northern Uganda is 8.2%, higher than the national figure of 6.2%, and urban areas in the north have even higher levels.

The male circumcision programme is limited to five main hospitals, but the government intends to roll it out to smaller health facilities, which will need to be significantly improved to successfully expand the service. HIV programmes in northern Uganda have been beset by problems, including shortages
of antiretrovirals and poor tuberculosis management. A local chemist said he doubted the ability of male circumcision programmes to function properly under current levels of health service provision. Health workers have urged the government to invest in the region's health facilities to ensure the expansion of male circumcision and other HIV services.



Elective single versus double embryo transfer for IVF

Date: 21 December 2010
Source: Allan Templeton, BMJ 2010;341:c7083

 

This year, Robert Edwards received the Nobel prize for his contribution to the development of human in vitro fertilisation (IVF). The first child to be conceived after IVF was born in 1978, and by the mid-1980s the main problem with IVF was the increased incidence of high order multiple births. At first, clinicians transferred too many embryos, but by about ten years ago the transfer of more than two embryos was exceptional. However, numbers of twins continued to increase. Clinicians in Finland, then Sweden, Belgium and Holland began to carry out comparative studies of replacing one rather than two embryos in order to determine the best strategy to maintain an acceptable outcome but obviate the risk of twins.

 

A meta-analysis by McLernon and colleagues (reference) compares the effect of elective single embryo transfer versus double embryo transfer on pregnancy outcomes by combining individual patient data from the five substantial published trials, as well as three other unpublished trials of single embryo replacement, two of which were stopped. Interestingly, in one case the trial was stopped because insufficient women were willing to be randomised to single embryo transfer and in the other because women were unwilling to be randomised to double embryo transfer.

 

The meta-analysis showed that replacing one embryo twice (one fresh embryo then one cryopreserved embryo several months later if needed) gives the same live birth rate as replacing two embryos at the same time. However with single embryo transfer the singleton live birth rates at term are significantly higher (odds ratio 4.93, 95% confidence interval 2.98 to 8.18), and the risk of preterm birth (at 24-32 weeks) as well as the delivery of a low birthweight baby are significantly lower (0.08, 0.01 to 0.65 and 0.36, 0.15 to 0.87, respectively). In other words, the risk of twins and the attendant morbidity are all but avoided. This is important because the embryos needed for single embryo transfer can be obtained from one egg recovery procedure, and it is that procedure and the ovarian stimulation that precedes it that are responsible for the main costs and morbidity associated with IVF. The largest Swedish study also shows that the costs of this approach are hugely beneficial to any health care system when the costs of managing twin births are taken into consideration.

 

So why has this approach not been adopted in the UK? The main problem is clinical leadership. In a commercially competitive environment, clinicians have been distracted by success rates and do not see the more important healthy outcomes. Single embryo transfer rates vary enormously around the world. Australia and Japan lead the way. In Europe, Sweden, Finland, Belgium, and the Netherlands top the list, whereas the US is at the bottom. Practitioners have a responsibility to develop the use of assisted reproduction wisely and not take risks with the health of the next generation.

Reference:

McLernon DJ, Harrild K, Bergh C, et al. Clinical effectiveness of elective single versus double embryo transfer: a meta-analysis of individual patient data from randomised trials. BMJ 2010;341:c6945.




Irish abortion law "violated woman's right" to abortion on health grounds

Date: 16 December 2010
Source: BBC News

The European Court of Human Rights ruled today on the cases of three women who had had terminations in Britain and who had filed for a ruling on whether they should have been able to have their abortions legally in Ireland under existing law. Abortion in the Irish Republic is allowed in law if the woman's life is at risk. The Court ruled that two of the women had not had their rights breached. However, the ruling in the third woman's case was that her rights had been violated, which could require a change to Irish regulations or even the law.

All three women said they believed they had not been entitled to an abortion under Irish law, but all three had suffered medical complications on returning to the Irish Republic. They all complained that Irish restrictions on abortion had stigmatised and humiliated them, risking damage to their health.

The first two women in the case were a single mother, who had other children in care, and a woman who was concerned about the danger of an ectopic pregnancy. The third woman, who had previously had cancer and feared that pregnancy could cause it to recur, argued that although she believed her pregnancy had put her life at risk, there was no procedure under which she could have established whether she had a right to an abortion in Ireland. The court ruled that in her case, there had been a 'failure to implement the existing constitutional right to a lawful abortion' in Ireland.

The main paragraphs of the decision of the European Court of Human Rights are appended below. The full text is available here: http://www.echr.coe.int/echr/Homepage_EN.

Decision of the Court

Scope of the case

The Court emphasised that its role was to examine the legal position on abortion in Ireland in so far as it directly affected the present applicants.

It then observed that it had not been disputed that all three applicants had travelled to England for abortion: the first two for reasons of health and well-being, and the third applicant given her fear that her pregnancy posed a risk to her life. While travel abroad had undoubtedly represented a psychological burden for all three, and for the first applicant a financial drain, the Court found that the necessary medical advice and treatment had been available to them in Ireland both before and after their abortions. The Court found that, apart from the psychological impact on the applicants of going abroad to do something which was a criminal offence in their own country, the criminal sanctions in Ireland applicable to abortion had had no direct relevance to the complaints of the first and second applicant. The Court examined the risk of those sanctions in the third applicant's case together with the merits of her complaint.

Exhaustion of domestic remedies

The Court found ineffective the domestic legal remedies which the Government considered the applicants should have exhausted, which remedies included a constitutional action and an application under the European Convention on Human Rights Act 2003. Consequently, there was no need for the first and the second applicant to use them before turning to the Court. As regards the third applicant, the Court examined that question together with its analysis on the merits.

Article 2

The Court recalled that there had been no legal obstacle to any of the applicants travelling abroad for an abortion. Given that the third applicant, who had suffered post-abortion complications, had not claimed that those had represented a threat to her life, the Court rejected her complaints as inadmissible.

Article 3

The Court rejected all three applicants' complaints under Article 3, as it found that the psychological and physical burden undoubtedly suffered by each of them as a result of their travelling abroad for an abortion, had not been sufficiently grave to represent inhuman or degrading treatment prohibited under Article 3.

Article 8

Third parties provided lengthy submissions both in favour and against widening access to abortion services in Ireland.

The Court held that, while Article 8 could not be interpreted as conferring a right to abortion, its prohibition in Ireland came within the scope of the applicants' right to respect for their physical and psychological integrity, hence within their private lives, and thus under Article 8. The Court examined the complaints of the first and second applicant separately from those of the third applicant.

First and second applicant

The Court found that the prohibition on the termination of the first and second applicants' pregnancies had represented an interference with their right to respect for their private lives. That interference had been in accordance with the law and had pursued the legitimate aim of protecting public morals as understood in Ireland.

Examining whether the prohibition had been necessary in a democratic society, and in particular, whether a pressing social need had existed to justify it, the Court observed that a consensus existed among the majority of the members States of the Council of Europe allowing broader access to abortion than under Irish law: abortion was available on request in some 30 European countries; it was available for health-related reasons in approximately 40 States; and it was available for well-being reasons in about 35 of those. Only three States had more restrictive access to abortion than Ireland, in which States abortion was prohibited regardless of the risk to a woman's life. In addition, Ireland was the only Council of Europe member State which allowed abortion only when the pregnancy posed a risk to the life of the expectant mother.

However, the Court found that the undisputed consensus among the Council of Europe member States was not sufficient to narrow decisively the broad margin of appreciation the State enjoyed in that context. The Court had accepted in a prior case - Vo v. France - that the question of when life began came within the States' margin of appreciation. As there was no European consensus on the scientific and legal definition of the beginning of life and as the right of the foetus and mother were inextricably linked, a State's margin of appreciation concerning the question of when life began implied a similar margin of appreciation as regards the balancing of the conflicting interests of the foetus and the mother.

The Court then applied that margin of appreciation. Having regard to the first and second applicants' right to travel abroad to obtain an abortion and to appropriate pre- and post-abortion medical care in Ireland, as well as to the fact that the impugned prohibition in Ireland on abortion for health or well-being reasons was based on the profound moral values of the Irish people in respect of the right to life of the unborn, the Court concluded that, the existing prohibition on abortion in Ireland struck a fair balance between the right of the first and second applicants to respect of their private lives and the rights invoked on behalf of the unborn.

There had, therefore, been no violation of Article 8 as regards the first and the second applicants.

Third applicant

The Court noted that the third applicant had a rare form of cancer and she feared it might relapse as a result of her being pregnant. The Court considered that the establishment of any such risk to her life clearly concerned fundamental values and essential aspects of her right to respect for her private life.

It went on to find that the only non-judicial means for determining such a risk on which the Government relied, the ordinary medical consultation between a woman and her doctor, was ineffective. The uncertainty surrounding such a process was such that it was evident that the criminal provisions of the 1861 Act constituted a significant chilling factor for women and doctors as they both ran a risk of a serious criminal conviction and imprisonment if an initial doctor's opinion that abortion was an option as it posed a risk to the woman's health was later found to be against the Irish Constitution.

Neither did the Court consider recourse by the third applicant to the courts (in particular, the constitutional courts) to be effective, as the constitutional courts were not appropriate for the primary determination of whether a woman qualified for a lawful abortion. It was likewise inappropriate to ask women to pursue such complex constitutional proceedings when their right to have an abortion if pregnancy posed a threat to their life was not disputed. In any event, it was unclear how the courts were to enforce any mandatory order requiring doctors to carry out an abortion, given the lack of clear information from the Government to the Court as regards lawful abortions currently carried out in Ireland.

The Court concluded that neither the medical consultation nor litigation options, relied on by the Irish Government, constituted effective and accessible procedures which allowed the third applicant to establish her right to a lawful abortion in Ireland. Moreover, there was no explanation why the existing constitutional right had not been implemented to date.

Consequently, the Court concluded that Ireland had breached the third applicant's right to respect for her private life given the failure to implement the existing Constitutional right to a lawful abortion in Ireland. Accordingly, there had been a violation of Article 8.

The Court rejected the applicants' remaining complaints.




UN Security Council: A step towards justice for women

Date: 16 December 2010

Source: Human Rights Watch

 

The UN Security Council unanimously adopted a resolution that calls for annual publication of a list of armed groups proven to engage in deliberate campaigns of sexual violence. The resolution spells out steps the perpetrators must take to end the practice and avoid future shaming, and makes clear that using rape as a weapon of war can lead to sanctions. Over the past year, the Security Council has stepped up its attention to sexual violence in war, including creating a new senior post to lead the UN's response to rape in war, and authorising the existing Security Council working group on children in armed conflict to gather and publish information about rape committed against children. The new resolution ensures that this concern applies to adult women too. A Security Council resolution is rarely effective unless backed with adequate funding and political will to ensure its implementation. Human Rights Watch hopes the system will be fully supported financially and politically by all UN member states, and believes the new resolution is a tremendous step towards ending rape in war.



Documentary: "Abortion Democracy: Poland/South Africa"

Date: 16 December 2010
Source: Marcy Bloom, RHRealityCheck

 

"Abortion Democracy" by Sarah Diehl contrasts the differences in abortion policies and laws regulating abortions in Poland and South Africa and describes their impact on women's lives. The film reveals how the legal status of women is a direct result of the silencing-or the empowering-of women's voices. It also illustrates the paradox that the implementation of such laws may have a minimal impact on the accessibility of safe abortion care. The reality for women and girls remains oppressive and disrespectful in both countries. In the 90s, Poland banned abortion due to the increasing influence of the Catholic Church, and legal abortions are virtually impossible to obtain. However, illegal abortions are generally available although very expensive. South Africa legalised abortion after the fall of apartheid but it is unavailable - particularly for black women - and women have a much more difficult time obtaining information and services in public hospitals due to anti-choice language and stigma.

 

Interviews include personal stories from activists, medical professionals, journalists, economists, researchers, writers, and non-profit organisational workers, primarily women, who describe how women suffer from abortion laws and how the rights of the fetus remain far elevated above the rights of women. In fact, women who have abortions are frequently labelled as evil and consorts of the devil. One woman from each country was chosen as a case study.




Review published on methodologies for estimating abortion

Date: 15 December 2010
Source: The Guttmacher Institute

This newly published 202-page review is based on papers presented at the International Seminar on Measurement of Abortion Incidence, Abortion-Related Morbidity and Mortality, convened by the International Union for the Scientific Study of Population (IUSSP), which took place in Paris, France, in November 2007. The report aims to improve research on the measurement of abortion incidence and abortion-related morbidity. The 14 chapters provide detailed descriptions and examples of key methods.

Reference:
Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: A Review. Edited by Susheela Singh, Lisa Remez, Alyssa Tartaglione. New York: Guttmacher Institute; and Paris: IUSSP, 2010.




Rights groups condemn election of Saudi Arabia to UN's new women's rights agency

Date:  6 December 2010

Source: UN Watch


Human rights groups condemned today's election of Saudi Arabia to the governing board of the UN's new women's rights agency.

"It's morally perverse to reward a country that lashes rape victims, and that systematically subjugates women in every walk of life, with the power to negatively influence the global protection of women's rights," said Hillel Neuer, executive director of the Geneva-based UN Watch, who is currently visiting New York to monitor today's vote.

UN Watch organized a worldwide internet campaign to mobilize public opinion against the candidacies of Iran and Saudi Arabia: www.facebook.com/stopiran. The non-governmental human rights group lauded the democratic governments who pushed to defeat Iran, but Neuer expressed "deep regret that there has been complete silence on the offensive election of the fundamentalist and misogynist regime in Riyadh. The realpolitik of oil should never justify actions that legitimize the discrimination [against] women".




Muslim women unite against sexual violence

Date: 7 December 2010
Source: Magharebia
and AWID


A major grassroots campaign recently called international attention to the underreported issues of sexual harassment and assault against women in Muslim states. Scores of women's organisations from Africa, Europe, the Middle East and Asia joined forces for a campaign led by the Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR). As part of the "One Day, One Struggle" simultaneous event in November 2010, public demonstrations, film screenings, theatre performances and workshops were held in Bangladesh, Egypt, Ghana, Indonesia, Iran, Lebanon, Malaysia, Pakistan, Palestine, Sudan, Turkey and Tunisia. The day was a declaration of action against "all the reactionary forces that look to control, dispose of and possess women's bodies", and aimed at calling attention of Muslim societies to sexual abuse, genital mutilation, honour killings, stoning or lashing of women and the "right to bodily and sexual integrity of all people".

Bodily rights include protection from sexual harassment, which is of particular concern in Tunisia, the only Maghreb participant in the campaign. While the penalty for rape is a life sentence in Tunisia, the country still lags behind Algeria and Morocco when it comes to harassment. A victim of sexual harassment has to file a complaint to the prosecutor of the republic rather than directly to a court, who decides whether or not it is suitable for referral to a judge. Even when it is, the victim could still be legally prosecuted if the defendant is acquitted.




Storm over Congolese child brides

Date: 6 December 2010
Source: Héritier Maila,
Institute for War and Peace Reporting (IWPR)


Three magistrates in Bukama territory, in south-eastern Democratic Republic of Congo (DRC), who prosecuted two men implicated in the marriage of underage girls have been attacked in their homes and had their offices ransacked and set on fire by an angry mob, highlighting the tensions between traditional practices and the law. Locals say the marriage of children to men is common in Bukama, but following the establishment of a magistrates office there in September 2010, officials have begun investigating such unlawful unions and making arrests. The violence blew up after two men were tried and sentenced to 20 years each in prison for marrying a nine-year-old and a 13-year-old girl respectively, acts considered to be crimes of sexual violence according to a new Congolese law, which sets the age of consent at 18.

"In this country honest people are not liked. I was beaten up only because I did my work correctly. These vandals even destroyed Bukama's prosecution office," said magistrate Charles Kabozia, whose home was also set on fire by the angry crowd. The general prosecutor of Katanga's appeal court, said: "We must rigorously eradicate sexual violence in this country. We will not step back because of this intimidation. We will do everything with the help of the police to deploy a special team find these criminals, arrest them and put them on trial." Mireille Kilufya, from the Centre for the Social Integration of Abandoned Women, an NGO, said that Bukama magistrates should have received more support from the police and local government, both in raising awareness of the new law and in enforcing it. Matthieu Monga, from Bukama, typifies local attitudes. "I don't see what's wrong with these kinds of weddings," he said. "Where is the problem if someone marries a girl under 18? We have our traditions that we shouldn't lose."




To end violence against women we must all join together, says UN Women

Date: 3 December 2010
Source: AWID


Message from Under-Secretary General Michelle Bachelet, UN Women:

 

We join with the millions of women and men, community groups, women's rights networks, government partners, parliamentarians, health workers and teachers who have made 25 November - the International Day to End Violence against Women - a day to come together and renew our common commitment to ending the global pandemic of violence against women.

 

Worldwide women and girls continue to suffer violence inside and outside of their homes, often at the hands of intimate partners or persons of trust. Gender-based violence, particularly sexual violence has also become a troubling and persistent feature in situations of armed conflict. Stopping violations of women's human rights is a moral imperative and one which we must come together to combat. The impact of such a scourge on society - psychological, physical, and economic - cannot be overstated. Addressing this persistent violation can also reverse the economic impact of significantly lower productivity and higher health care costs - funds drained away on a preventable problem.

 

The Secretary-General's Campaign UNiTE to End Violence against Women has given new impetus to efforts to end violence against women. More than 130 countries now have laws against domestic violence, but more needs to be done to enforce them and counter impunity. More men and men's organisations are joining in the campaign to end violence against women and girls but we need to combat attitudes and behaviours that permit or even encourage this violence. We need services so that the millions of women and girls who survive abuse every year can recover and secure justice. We must hold perpetrators to account. We must intensify prevention efforts, so that someday we will no longer need to meet on 25 November and call for ending violence against women.

 

Joining in the efforts to stop violence is everybody's responsibility. Governments, private enterprises, civil society groups, communities and individual citizens can all make essential contributions. Men and boys must be active in encouraging respect for women and zero tolerance for violence. Cultural and religious leaders can send clear messages about the value of a world free of violence against women.

 

As we come together to end violence, a core part of our responsibility must be providing enough resources. So far, this investment has been inadequate. Last year, the UN Trust Fund to End Violence against Women met only 3% of the requests it received for programmes vital to progress. The fund has a US $100 million annual funding goal that we can all strive to reach. These funds will go to governments, civil society groups and UN Agencies at the forefront of advocacy and innovation to end violence against women and girls.

Step by step, we can work together towards the day when all women live free from violence, and realize their full potential as powerful agents for thriving, peaceful societies.



Kenya: Walking 26km for a condom

Date: 2 December 2010
Source: IRIN PlusNews


Correct and consistent condom use is one of the bedrocks of Kenya's HIV/AIDS prevention programme but many people in rural areas have limited access to condoms. A 21-year-old Maasai moran - warrior - in Kenya's Rift Valley has to walk to Narok sub-district hospital, 26km away, to fetch condoms. One peer educator who trains his fellow morans on condom use - says the demand is so high that he and his colleagues have started stocking condoms along with their education materials as they go around the community.

Nicholas Muraguri, head of the National AIDS and Sexually transmitted infections Control Programme, NASCOP, said: "We can now say knowledge and awareness about condoms both in rural and urban areas could be above 90%". However, erratic funding and supply chain problems have led to fluctuations in condom distribution over the years. According to the
UNAIDS Modes of Transmission Analysis 2008, condom distribution is very low generally and very unequal.

Ineffective condom placement can also hinder access. In the rural Samburu district, government condoms are often kept at the chief's camp, to which many young men are reluctant to venture. Despite shyness, condoms in health centres do go fast. High levels of awareness and demand for condoms mean the government must increase access.




UNAIDS Annual Report for World AIDS Day

Date: 1 December 2010

Source: UNAIDS


The 2010 report by UNAIDS, released ahead of World Aids Day on 1 December, was generally upbeat, announcing that the the global AIDS epidemic appears to have stabilised, and that the incidence of new HIV infections has declined over the past ten years. In 2009, an estimated 2.6 million people became newly infected with HIV, 19% fewer than the 3.1 million people newly infected in 1999.

In 33 countries, including 22 in sub-Saharan Africa, HIV incidence fell by more than 25% between 2001 and 2009. In Western, Central, and Eastern Europe, Central Asia, and North America, rates of annual new HIV infections have been stable for at least the past five years. In seven countries, HIV incidence increased by more than 25%, however. A resurgence was found in several high-income countries among men who have sex with men, and incidence was high in Eastern Europe and Central Asia among people who inject drugs and their sexual partners.

The total number of children newly infected with HIV dropped by 24% in 2009 from five years earlier. UNAIDS attributes this to increased access to services preventing mother-to-child transmission. Over the same period the number of children dying from AIDS-related illnesses fell by 19% from 320,000 to 260,000.

While the annual number of new HIV infections has been steadily declining since the late 1990s, fewer people are dying of AIDS-related illnesses due to significant scale up of antiretroviral therapy over the past few years. The number of people living with HIV worldwide increased by 27%. UNAIDS estimates that there were 33.3 million people living with HIV at the end of 2009 compared with 26.2 million in 1999.




International Day of Women Human Rights Defenders

Date: 30 November 2010
Source: The Women Human Rights Defenders International Coalition

The Women Human Rights Defenders International Coalition (WHRD IC) has called for the release of Nasrin Sotoudeh, a lawyer detained in Iran. The coalition made the call on 29 November 2010, the International Day of Women Human Rights Defenders. Sotoudeh has been detained since 4 September 2010 in Evin Prison, Tehran.

Sotoudeh has defended Nobel Laureate Shirin Ebadi and other human rights activists.  She has been held in solitary confinement since her arrest, and is awaiting trial on charges of "acting against national security", "congregation and collusion with intent to disrupt national security" and "cooperation with the Center for Human Rights Defenders."

Two other female human rights lawyers - Sara Sabaghian and Maryam Kiyan Ersi - are also currently in detention in Iran, following their arrest, together with three other human rights lawyers, on 13 November. They were also charged with  "activities against State security". Child rights' lawyer Mohammad Oliaifar has also been detained since May, in what the WHRD IC calls "a wholesale crackdown by the Iranian authorities on defence lawyers for human rights defenders". 

The International Day of Women Human Rights Defenders is part of the 16 Days of Activism Against Gender Violence campaign, running November 25 - December 10.

November 29 also saw peaceful marches in Zimbabwe, Pakistan, Nepal and the Philippines, among others.




HIV prevention jeopardised by PM's call for arrest of gays, Kenya

Date: 30 November 2010
Source: IRIN PlusNews


Addressing a rally in Nairobi on 28 November 2010, Kenyan Prime Minister Raila Odinga ordered the police to arrest and bring criminal charges against anyone found engaging in sex with someone of the same gender. He added that the country’s constitution made it clear that homosexual activity was not tolerated. Activists believe that gay Kenyans will be driven further underground and away from HIV prevention, treatment and care services, and that few would be willing to participate in a government survey that aims to draw on responses from the country's gay population to inform HIV programming for men who have sex with men (MSM). Gains already made in involving MSM in HIV programmes will be eroded. MSM and prisoners account for 15.2% of all new HIV infections annually. However, Peter Cherutich, head of prevention programmes at the National AIDS and Sexually Transmitted Infections Control Programme (NASCOP), said Odinga's remarks would not affect plans to involve gay people in their programmes. Homophobia is widespread in Kenya, and in October 2010, a cabinet minister who called for tolerance towards gays was urged to resign for promoting "un-African" culture.




Iraq is no country for women

Date: 28 November 2010
Source: IRIN News


The improved political representation of women in Iraq is in sharp contrast to their broader disempowerment, as highlighted by the persistence of domestic violence and early marriage, according to the UN Inter-Agency Information and Analysis Unit.

Women may hold 25% of seats in parliament, but 20% in the 15-49 age group has suffered physical violence at the hands of her husband. Anecdotal evidence alleges that "many women are being kidnapped and sold into prostitution", and female genital mutilation is still common in the north. Women's participation in the labour force has fallen sharply since 2003. Before the invasion, 40% of public sector workers were women, according to a report by the Brussels Tribunal, but "new, fundamentalist thinking" emerged after 2003 and has been aggressively imposed by militias purporting to uphold religious law. The collapse of public social services has also limited access to education, health and jobs, while a high level of insecurity has pushed women into the seclusion of their homes, and an ineffective judicial system has created an atmosphere of impunity. School enrollment figures for girls have been progressively declining, while drop-out rates are increasing. Factors pushing girls out of schooling include "security risks, attitudes to girls and education, the state of the nation's schools, what is taught and how it is taught, the skills and attitudes of teachers and family poverty," UNICEF said.

Many women have left Iraq, but asylum does not end their difficulties. Syria is home to the majority of what UNHCR considers as Iraqi "persons of concern" - people who have left their home country out of fear for their safety but do not conform to the legal definition of "refugee".




Kurdish government promises more action on honour killings, Iraq

Date: 27 November 2010
Source: IRIN News

In a conference to celebrate the International Day for the Elimination of Violence against Women, the Kurdish Prime Minister, Barham Salih, said honour killings were a result of "social backwardness and a patriarchal domination" and the government would take measures to end the "embarrassing" act.

According to the Doaa Network Against Violence, more than 12,000 women died in honour-based killings between 1991 and 2007. In the first study of honour killing in the semi-autonomous northern region of Iraq, Bagikhani highlighted the mentality in many parts of Kurdistan that sees family honour as more important than women's lives. Murders typically happen when a woman is accused of having sex with a man other than her husband, or even for falling in love. Earlier this month, two Kurdish cousins in the UK were jailed for life for murdering a relative because her family disapproved of her boyfriend. In Kurdistan, mobile phones and the internet have widened the opportunity for social interaction between young men and women, beyond the censorious eyes of male relatives.

Bahar Rafiq, the director of a shelter set up by the regional government to tackle domestic violence for women in Erbil, last month looked after 41 women. But the government's best work has been amending a law that previously either let off perpetrators of honour killings, or handed down light sentences. The new law, approved in 2008, regards honour killing as murder.




International Day for the Elimination of Violence against Women

Date:  25 November 2010
Source:  The World Organisation Against Torture (OMCT)

 

The World Organisation Against Torture (OMCT) is again calling attention to the Democratic Republic of Congo (DRC), theatre of the most deadly conflict of the last 50 years and massively affected by rapes committed on a daily basis by belligerents.

 

The extreme high level of sexual violence against women is used as a 'weapon of war' in order to control the area with 'sexual terror', to break down the families and communities to whom the women belong. A woman who has been raped in the DRC risks expulsion from her home or community and in consequence, women victims of sexual torture are frequently reluctant to report sexual violence out of fear and shame.

 

The lack of reporting by women is used by the DRC authorities as an excuse for inaction and the torturers can commit their crimes with impunity. The current climate of impunity is a major factor in the continued systematic practice of rape.  The perpetrators return to the place where they committed the crime and the people who denounced them publicly are now the ones afraid for their security.

 

The growing acceptance of relativist theories with respect to the absolute prohibition of torture and ill-treatment in particular, under pressure from arguments emphasizing, 'public security', or 'culture' or like in the DRC 'in the name of peace' is one of the problems nourishing the erosion of the absolute prohibition of torture and ill-treatment, which OMCT considers today as the most serious challenge ever in its fight against torture and ill-treatment. In order to raise public awareness of this problem OMCT launched an International Campaign for the Absolute Prohibition of Torture and Ill-Treatment which is online and open for signature.

 

On the occasion of the International Day for the Elimination of Violence against Women, OMCT recalls that torture of women is a fundamental violation of human rights and one which is absolutely and unreservedly prohibited under international law. In spite of the international legal prohibitions on torture and other cruel, inhuman and degrading treatment or punishment, the torture of women continues to occur in the DRC as well as in many other countries around the world. When women become the targets of torture or ill-treatment, the act often is of a sexual nature. As a result of the determinative impact of gender on the torture, women have been denied equal protection against torture under both international and national law and there is widespread impunity for the perpetrators of torture and other cruel, inhuman or degrading treatment or punishment committed against women.




Thailand: Discovery of fetuses sparks abortion debate

Date: 23 November 2010
Source: Robert Horn, Time Magazine


Following the discovery of more than 2,000 aborted fetuses at a temple crematorium in Bangkok last week, Thai police have promised a crackdown on clinics performing illegal abortions. The crackdown immediately sparked criticism from reproductive-rights activists, who say it will force poor women into more illicit and unsafe conditions.

Police were called to the Phai Ngern Chotanaram Buddhist temple after neighbours complained of a foul odour, and initially discovered 348 fetus remains wrapped in small plastic bags. After arresting an undertaker and a health-clinic worker, over 1,500 more fetuses were found. The undertaker told police the temple's crematorium had broken down a month before. Police pledged to shut down clinics providing abortions illegally and arrested a woman whom they accused of performing abortions. She said she had transported the fetuses from several clinics.

Though abortion is illegal in Thailand, there are exceptions in cases of rape, incest, a threat to the mother's physical or psychological health or if the mother is underage. Nonetheless, according to Professor Kamheang Chaturachinda, president of the Women's Health and Reproductive Rights Foundation of Thailand, 300,000 to 400,000 abortions are performed each year, most of which are unsafe. "The crackdown will drive the price of abortion up, and cause more complications and deaths to women," Kamheang says. "And the Thai national health programme will also pay more to care for women suffering from complications."

These events have reopened the conversation about abortion in Thailand. In a 2004 book titled Abortion, Sin and the State in Thailand, Andrea Whittaker wrote that abortion in Thailand "challenges the Kingdom's most cherished images and stereotypes about itself, especially those that present Thailand as a Buddhist state ... where women enjoy a high status and equality." As a result, Thai women's advocacy groups have struggled to convince authorities of the health implications of the current policy. Prime Minister Abhisit Vejjajiva recently said Thailand's abortion laws were flexible enough as they are now and that he would not change them.




Pope says "Yes You Can" use condoms



Pope Benedict has acknowledged that condoms have a role to play in the fight against HIV.

Date: 20 November 2010
Source: Conscience News Journal 2010 (Vol XXX1 - No. 3)




One Day, One Struggle campaign launched

Date: 16 November 2010
Source: www.jismi.net

The 9th November saw the launch of the second "One Day, One Struggle" campaign. The campaign focuses on the bodily autonomy and sexual rights of individuals, particularly in Muslim societies. Lebanon-based groups Nasawiya, Helem and Meem have developed an online video resource for this year's campaign at www.jismi.net. The website provides a platform for individuals to discuss personal experiences relating to sexual and bodily choices, and the restrictions placed upon them. "Jismi" translates as "my body". Users of the site are invited to add comments and to upload video responses.

As well as the launch of the website, this year's campaign saw around 50 human rights organisations and other groups making a simultaneous call for greater public attention. Events were held in 12 countries: Bangladesh, Egypt, Ghana, Indonesia, Iran, Lebanon, Malaysia, Pakistan, Palestine, Sudan, Tunisia and Turkey. The campaign's aim is to "fill a gap" in discussion of bodily and sexual issues which exists due to the "taboo" or "private" nature of the topic, particularly in regimes with more repressive moral codes.

The first "One Day, One Struggle" campaign was a 2009 initiative led by the The Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR). The CSBR, founded in 2001, is an "international solidarity network" of NGOs with the remit of promoting sexual, bodily and reproductive rights as human rights in Muslim societies.




Parental infertility and cerebral palsy in children

Date: published online 2 November 2010
Source: Human Reproduction


A new study has found that subfecundity, at least for periods up to 12 months, does not appear to be associated with the risk of cerebral palsy in children, whereas being born after IVF/ICSI confers an increased risk.

It has been previously reported that children born after in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI) have a higher risk of cerebral palsy, perhaps due to the higher frequency of preterm birth, multiple births or vanishing embryo in the pregnancies. However, it has been suggested that the underlying infertility may be part of the pathway. This study examined whether untreated subfecundity (measured by time to pregnancy) or infertility treatment was associated with an increased risk of cerebral palsy. Using the Danish National Birth Cohort (1997-2003), the study compared children born after 0-2 months of waiting time to pregnancy (n=35,848) with those born after a time to pregnancy of 3-5 months (n=15,361), 6-12 months (n=11,528) and >12 months (n=7,387), as well as those born after IVF/ICSI (n=3,617), ovulation induction with or without intrauterine insemination (n=3,000), and unplanned pregnancies (n=13,462). Cerebral palsy cases were identified through the Danish Cerebral Palsy Register. In total, 165 (0.18%) children were diagnosed with cerebral palsy. There was no significant association between time to pregnancy and the risk of cerebral palsy in children conceived spontaneously. However, children born after IVF/ICSI did have an increased risk of cerebral palsy, even after adjusting for preterm and multiple births (hazard ratio 2.30, 95% confidence interval 1.12-4.73).

Reference:

Liang Zhu J, Dorte Hvidtjørn D, Basso O, et al. Parental infertility and cerebral palsy in children. Human Reproduction 2010;25(12):3142-45.




Mozambique: Technology revolution hits HIV testing and treatment

Date: 25 October 2010
Source: IRIN PlusNews

Mozambique's Ministry of Health is experimenting with new technology to make diagnosing and monitoring HIV patients quicker and easier. After a successful 2009 pilot the country has nationally rolled out SMS or text message printers, which transmit the results of infant HIV tests electronically from two central reference laboratories in Maputo and the northern provincial capital, Nampula, to more than 275 health centres.

Previously test samples and results took on average three weeks to be transported to and from clinics via car, plane and even kayak. With the new technology, dried blood spot samples from infants are transported to the nearest reference lab, and results are entered into a database and uploaded onto an online server, which then uses a wireless phone network to transmit results back to clinics. These clinics receive a small, receipt-like print out of the results alongside a patient identification number.
Clinics receive test results in an average of three days which means that infants can be started on antiretrovirals sooner, and that fewer new mothers disappear from the clinic's programme while waiting for results. With regular interruptions in electricity and wireless network signal, results are safeguarded in an online queue until the printer is available.

Clinic-based, or point-of-care, CD4 count machines - vital to measuring an individual's readiness to start antiretroviral treatment - will also be rolled out to selected clinics, following positive results from a seven-site trial. However, these machines cost $5,000 each and need regular maintenance.




Reform unlikely after abortion verdict, Australia

Date: 15 October 2010
Source: Rick Feneley and Evan Schwarten

Sydney Morning Herald

 

A Cairns District Court jury has dismissed the case against Tegan Leach, 21, and her partner Sergie Brennan, 22, who had been charged with procuring an abortion and supplying the drug RU486 to procure an abortion, respectively. RU486 was legalised in Australia in 2006 but its use is restricted, and many doctors stopped providing it in 2009 due to the implementation of the 1899 law banning attempts to "procure a miscarriage." The court decision has done nothing to allay obstetricians' fears of performing medical abortions because of the uncertainty surrounding prosecution. The law against obtaining and inducing an abortion has never been used to prosecute a woman seeking an abortion before.


Pro-choice advocates greeted the verdict with cheers, and the case has reignited pressure on the Queensland government to decriminalise abortion. Abortion remains a crime in New South Wales and Queensland except to "preserve the woman from serious harm to her life or physical or mental health," while all other states and territories have decriminalised abortion. But neither state government intends to change its abortion laws. Pro-choice MPs fear putting forward a bill, saying a conscience vote is likely to be defeated in Parliament. The Queensland Premier, Anna Bligh, wrote: "I support decriminalisation of abortion, but the majority of MPs do not [and] law change requires that majority."




Cairns abortion case begins

Date: 6 October 2010
Source: Robin Marty, RH Reality Check


Reproductive rights advocates in Queensland, Australia, are focussed on the trial - beginning 12th October - of a woman and her partner who are being prosecuted for obtaining an abortion.  The couple, who allegedly obtained RU486 out of the country in order to induce a miscarriage at home, are facing a combined ten years of jail time. 

 

The law against obtaining and inducing an abortion has never been used to prosecute a woman seeking an abortion.  Dr. de Costa was one of the first doctors in the country to prescribe RU486 once it was legalised in 2006, and then stopped providing it in 2009 due to the implementation of the 1899 law banning attempts to "procure a miscarriage." "We can not have a situation where our clients are put in a similar position and face prosecution. We have always known that medical abortion is not clearly defined in Queensland law," said Dr. de Costa.

 

The trial offers a highly public chance to narrow down and solidly define these laws, and reproductive groups are stepping up efforts. Pro Choice Cairns, a local reproductive rights group, has been arranging protests and public awareness. Researchers suggest that 85% of Queenslanders support women's right to choose. Over the past 20 years there have been numerous attempts to reform the law relating to abortions, but there is a reluctance by the majority of MPs to express their opinion on the need for criminal code reform. The Australian Council for Civil Liberties (ACCL), a civil libertarian action group, believes abortion should be decriminalised up to 20 weeks of pregnancy, as is the case in Victoria. As activist and organiser Kathy Newnam explains: "The Bligh government continues to claim that the case is related to the way the abortion allegedly took place. But the facts of the case demonstrate this to be untrue. The couple have been charged under the anti-abortion laws, not drug related laws. The drugs allegedly used are not banned in Australia. Worst of all, the Bligh government is lining up with the most conservative anti-abortion forces in their scaremongering about the abortion drug."




Religious outrage over minister's support of gay rights, Kenya

Date: 6 October 2010
Source: IRIN PlusNews


Kenya's Special Programmes Minister Esther Murugi recommended more tolerance towards men who have sex with men (MSM) at a national symposium on "most-at-risk populations". Several Christian and Muslim religious leaders have called for Murugi's resignation and threatened street protests if she is not fired immediately.

While religious groups have contributed significantly to the care of people living with HIV, their frequent opposition to providing HIV services to MSM, and the promotion of condom use, has led to clashes with national HIV policy. The head of the country's National AIDS Control Programme defended Murugi's stance, and the government plans to incorporate MSM into the country's HIV programme.

Kenya's recently promulgated constitution does not specifically mention homosexuality, but the penal code makes "carnal acts against the order of nature" punishable by up to 14 years in prison. The latest strategic plan for HIV/AIDS recognises the "difficult legal issues" in trying to provide healthcare directly to groups like MSM, and notes the need to improve access to services.




Reproductive health bill fight may damage Church, Philippines

Date: 4 October 2010

Source: Amando Doronila, Philippine Daily Inquirer

Within hours after President Aquino of the Philippines declared that his administration supports a reproductive health bill which would provide families with contraceptives to limit the number of their children, the Church threatened him with excommunication. The Catholic Church in the Philippines, with the biggest number of practicing Catholics in Asia, has rarely used excommunication, the most severe of sanctions, to obtain compliance. The threat of excommunication has now been denied by the Catholic Bishops' Conference of the Philippines in an effort to lessen the conflict which could be mutually damaging, after Mr. Aquino firmly reiterated his position to the bishops. Bishop Odchimar of Tandag emphasised "dialogue not confrontation." However, fundamental differences remain. The Church opposes the use of contraceptives as family planning because it is anti-life and anti-family. The Aquino administration believes that contraceptive use takes place before the conception so that no human life is aborted. The public is being deluded into false and unrealistic expectations that dialogue will close the gap. But members in Congress are pushing the President to certify an urgent legislation, and further confrontation will have to take place when the reproductive health bills are taken up in congress.




New ways to bridge the AIDS funding gap

Date: 30 September 2010
Source:
IRIN PlusNews

One main message emerging from the MDG summit in New York and the latest UNAIDS report is that money is key to meeting global health targets. After years of steady increases HIV/AIDS funding, the global economic downturn has seen most donor countries cut or flat-line their contributions. The innovative financing mechanisms listed below are attracting growing support from NGOs and governments as alternative ways to bridge the funding gap. The first four are already being implemented.

1.
Air Tax: UNITAID: has raised nearly 1.5 billion US dollars since 2006, mainly from a small levy on air tickets bought in 34 participating countries, mostly in Africa. The levy ranges from $1 to $2 on economy-class tickets, and up to $40 on business- and first-class fares. UNITAID negotiates price reductions on second-line and paediatric antiretroviral drugs and other medicines.

2.
MASSIVEGOOD: Started by the non-profit Millennium Foundation for Innovative Finance in March 2010, the project invites travellers to make a voluntary "micro" contribution of $2 towards global health, including HIV/AIDS, when booking a plane ticket, hotel room or rental car through participating travel agencies and travel websites. The aim is to raise one billion dollars over the next four years, most of which will be disbursed through UNITAID.

3.
Debt2Health initiative: Since 2007, The Global Fund has brokered agreements in which "creditor" countries forgo repayment of a portion of the loans owed by developing countries on condition that recipients invest an agreed-upon amount in Global Fund-approved programmes. Germany agreed to allow Indonesia and Pakistan to convert millions of dollars of debt into investments in HIV-services and public health interventions, and Australia cancelled $71 million owed by Indonesia on condition that it pay half that amount to the Global Fund for tuberculosis programmes. Other countries have yet to follow suit.

4.
(RED): Launched in 2006 by Irish musician Bono, (RED) partners with major brands like American Express, Apple, Gap and Starbucks to design and market special (RED) products. Half the profits go to the Global Fund to finance HIV/AIDS projects in Africa. The initiative has raised US$150 million so far, and is the Global Fund's largest private sector contributor.

5. Currency transaction levy (CTL) or "Global Solidarity Levy":
A number of countries and civil society organisations have been advocating the introduction of a small levy on all currency transactions to help finance global health. The intergovernmental
Leading Group on Innovative Financing for Development estimates that a transaction tax of 0.005% on the four largest currencies - the US dollar, yen, euro and sterling - could generate $33 billion a year. The International Monetary Fund says such a tax is feasible.

6. Financial transaction tax (FTT): A proposed levy of 0.05% on all financial transactions, not only currency transactions. This could generate $600-$700 billion a year if implemented globally. French President Sarkozy and Spanish Prime Minister Zapatero backed the proposal at the recent MDG summit. Supporters argue that it would produce revenue to help the world's poor, and stabilise the financial market by discouraging speculative trading; opponents say it would slow global economic development.




UN stoning call: please lobby your head of government

Date: 22 September 2010
Source: The Guardian (UK)

We are writing to ask that the UN general assembly condemn stoning as a crime against humanity and issue an emergency resolution calling for an end to the medieval and barbaric punishment as well as the immediate release of Sakineh Mohammadi Ashtiani and others sentenced to death by stoning.

We also ask that Mahmoud Ahmadinejad not be allowed to address the general assembly and that his government be boycotted.

A government that still stones people to death in the 21st century must have no place in the United Nations or any other international institution or body.

Mina Ahadi, Spokesperson International Committee against Stoning and International Committee against Execution, Germany
Maryam Namazie, Spokesperson Iran Solidarity, Equal Rights Now and One Law for All, UK and 38 others (for a full list see guardian.co.uk/letters)

 




Pope protest and placards, UK

by Marge Berer (RHM editor)
Date: 21 September 2010

On Saturday 18 September 2010 there was a good-humoured demonstration through the streets of London with 10-20,000 people (estimates differ) to protest the policies espoused by Pope Benedict, including protection of paedophile priests, refusal to report child abuse to public authorities, condemnation of condom use to prevent HIV transmission, rejection of modern contraception, refusal to acknowledge women's right to safe abortion and willingness to see women die from unsafe abortion, condemnation of stem cell research and assisted conception, condemnation of homosexuality, and interference in governmental policy in primarily catholic countries on all these issues.

Here is a selection of images from the protest:

 

 

 

 

 

 




Ecuadorian abortion hotline blocked by government

Date: 14 September 2010
Source: Salud Mujeres


On 12 September 2010, the free "Salud Mujeres" hotline was blocked by an order from the Attorney General of the Ecuadorian state. However, the women - exercising their fundamental rights which are constitutionally recognised - have re-established a new number: 098301317.

This hotline provides information to women about how to get a safe medical abortion. It also provides information about contraception, including emergency contraception, and sexuality in general. This work is enshrined in the country's legislation and hence is constitutional and legal. Salud Mujeres works in defence of women's rights relating to access to health information, sexual and reproductive rights, access to science and technology, freedom of expression and privacy, among others. The hotline does not encourage any particular decisions but recognises the capacity and intelligence of women to make their own decisions about their lives and reproductive health. This voluntary work hopes to reduce deaths of women from unsafe abortion.



Original article:

Nos declaramos en rebeldia, seguiremos entregando informacion con nuestro nuevo número 098301317.

Salud Mujeres es una linea gratuita que brinda informacion a las mujeres sobre como pueden realizarse un aborto de forma segura mediante el uso de medicamentos. También informamos acerca de anticoncepcion, incluyendo la de emergencia, y sexualidad en general. Nuestra accion se enmarca en la legislacion del pais, concretamente en el articulo 18 de la Constitucion vigente, por lo cual es constitucional y legal.

Trabajamos en defensa de los derechos de las mujeres: a tener acceso a la informacion, a la salud, a tomar decisiones informadas sobre su vida sexual y reproductiva, a no sufrir discriminación por su sexo, a tener acceso a los avances de la ciencia y la tecnologia, a la libertad de expresion, a la libertad de conciencia, a la libertad religiosa, a la privacidad, a no ser sometidas a trato cruel, inhumano y degradante, a decidir el número de hijos e hijas que quiere tener y el intervalo entre sus nacimientos, a decidir si quiere ser madre o no y, a la vida; derechos todos respaldados en nuestra constitucion y en las múltiples convenciones de derechos humanos de las que nuestro pais es signatario.

Aclaramos también que nosotras no aconsejamos, no obligamos, ni inducimos a ninguna mujer a tomar ninguna decision, pues uno de nuestros principios fundamentales es el reconocimiento a la capacidad e inteligencia que tenemos todas mujeres para tomar decisiones sobre nuestras vidas y nuestra reproduccion. Nuestro trabajo se encuentra comprometido con todas las mujeres que requieran la informacion que se da a través de nuestra linea, es un trabajo voluntario y desinteresado de activistas feministas que luchamos en contra del sistema patriarcal-capitalista-heterosexista de nuestro pais y el mundo. Trabajamos para destruir las limitaciones a las decisiones de las mujeres y para disminuir las muertes de ellas por abortos inseguros.

El dia de ayer, Domingo 12 de septiembre de 2010, el número telefónico de Salud Mujeres, 099004545, fue bloqueado por Movistar, por una orden enviada desde la Fiscalia General del Estado Ecuatoriano.

Frente a esta accion, y en uso de nuestros derechos fundamentales constitucionalmente reconocidos, nos declaramos en resistencia y seguiremos entregando información: el nuevo número de Salud Mujeres es 098301317.

Nos declaramos en desacuerdo con las normas penales que discriminan a las mujeres y violan la constitucion, con aquellas que nos obligan a asumir maternidades que no queremos, y con las que intentan callarnos para seguir manteniendo el aborto y la sexualidad de las mujeres en el silencio y el tabú.

Es por esta razon que pedimos apoyo de la gente, organizaciones y colectivos que conocen nuestro trabajo y que también están en desacuerdo con las leyes que criminalizan a las mujeres, necesitamos apoyo para difundir nuestro nuevo número y para evitar que estas acciones de persecucion continúen. Enviennos su apoyo o adhiéranse al formato adjunto, llenándolo y enviándolo a saludmujeresecuador@hotmail.com 




Michele Bachelet as head of UN Women

Date: 14 September 2010
Source: Unofficial transcript of Secretary-General's press encounter at UN headquarters


The UN Secretary General has announced the appointment of Ms. Michele Bachelet, former President of Chile, as the head of UN Women, the newly created UN Entity for Gender Equality and Empowerment of Women, established on 2 July by the General Assembly Resolution. The General Assembly asked that the entity should be fully operational by 1 January 2011, and Ban Ki-Moon said he would do his best to make it operational as soon as possible.

He said: 
"This has been a top and very personal priority of mine and I therefore take special satisfaction in this appointment. Nearly four years ago, I took office determined to see the merging of the four separate gender entities into one powerful, dynamic and effective entity. UN Women will promote the interests of women and girls across the globe. Ms. Bachelet brings to this critical position a history of dynamic global leadership, highly honed political skills and uncommon ability to create consensus and focus among UN Agencies and many partners in both the public and private sector. I am confident that under her strong leadership, we can improve the lives of millions of women and girls throughout the world."

 




Child detention is 'state sponsored cruelty'

Date: 9 September 2010
Source: Emma Ginn, Medical Justice

 

Nick Clegg branded the immigration detention of children as 'state sponsored cruelty' and on 21st July said that Yarl's Wood Immigration Removal Centre would close. The next day the UK Borders Agency (UKBA) confirmed that Yarl's Wood would close for the detention of children. Despite this, UKBA continue to detain children at Yarl's Wood.

Medical Justice has published its report "'State Sponsored Cruelty': Children in immigration detention", which presents the key findings from the UK's first large scale investigation into the harms caused by detaining children for immigration purposes. Medical Justice demands the immediate release of any detained children and their families, and that the government sends in a team from the HM Inspector of Prisons to oversee an immediate decommissioning of all facilities for the immigration detention of children. The collation of findings of medical evidence justifies calls for a full public inquiry investigating how UK immigration policy led to the routine detention of children for the purposes of immigration control, the harm that this policy caused, and how UKBA seem to have violated the substance of government announcements.

 

The report features 141 cases involving children detained between 2004 and April 2010. These children spent a mean average of 26 days each in immigration detention. One child had spent 166 days in detention, over numerous separate periods, before her third birthday. 48% of the children in this report were born in the UK. The report found that:

 - 74 children were psychologically harmed. Symptoms included bed wetting and loss of bowel control, heightened anxiety, and food refusal. 34 children exhibited signs of developmental regression, and six children expressed suicidal ideation either whilst in or after they were detained. Three girls attempted to end their own lives.

 - 23 children would not eat food for a period of time. UKBA have admitted that some detainees were being offered food beyond its 'best before' date. Some children lost significant amounts of weight.

 - 48 children were reported to have witnessed violence, mostly during attempts to remove them from the UK, and 13 were physically harmed as a result of violence in detention.

 - 92 children had physical health problems which were exacerbated, or caused by immigration detention, including fever, vomiting, abdominal pains, diarrhoea, musculoskeletal pain, and coughing up blood. 50 of these children were reported to have received inadequate healthcare in detention including failures to recognise medical needs, failures to make appropriate referrals, and delays in treating. Some children were left in severe pain.

 - Despite official guidelines that children should be given appropriate protection from infectious diseases such as malaria, malaria, tuberculosis, and yellow fever, there were concerns in 50 cases about failures in this respect. Some children were alleged to have been administered inappropriate and dangerous malarial prophylaxis in attempts to ensure their removal from the country. 

 - 73 adults were reported to have been suffering to such an extent that it was affecting their ability to care for their children. Many of these parents were assessed by independent doctors who verified injuries consistent with claims of torture. Numerous parents expressed suicidal ideation and were self-harming.

 - 38 children were separated from their families, sometimes after parents were put in isolation having voiced concerns about the way their children were being treated. Some children were removed from their parents and taken into care whilst their parents were detained. Some parents were separated from their children for weeks.

 




7 women in "miscarriage" cases freed in Mexico

Date: 8 September 2010
Source: Mark Stevenson, Associated Press

 

Seven women in Mexico serving prison terms of up to 29 years for the death of their newborns were freed after a legal reform enacted in the state of Guanajuato lowered their sentences. The women's release is likely to staunch the fiery debate about whether some conservative states are overzealously enforcing bans on elective abortion by charging women who may have suffered miscarriages.

 

The women, largely poor and uneducated, claim they suffered miscarriages - not viable births - and did nothing to harm their unborn children. State prosecutors maintained that the women's trials were fair, that their babies were born alive but died because of mistreatment, a crime defined under state law as "homicide against a relative." The women were not absolved, but released after the state government concluded that their sentences "were inappropriate, given that they were excessively punitive and ranged from 25 to 35 years." The reform reduced the sentences to 3 to 8 years, the time already served by the women.

 

While Guanajuato still allows abortion under very limited circumstances, like rape, rights activists say that even that possibility is often denied women, who require a letter from prosecutors confirming the rape. Authorities often delay until the window for such an abortion - 12 weeks in most states - has passed. Abortion on demand in the first trimester is legal only in Mexico City, under a 2007 law that has enraged the country's conservatives and sparked a wave of state right-to-life laws.

 

See here for previous RHM story on this issue.




1992 Brazilian data: Relevant today

Post-abortion complications after interruption of pregnancy with misoprostol

 

Source: Faundes A, Santos LC, Carvalho M, et al., Advances in Contraception 1996;12:1-9.

 

The high incidence of abortion in Brazil and the increased use of misoprostol among women having clandestine/unsafe abortions led to an interest in evaluating the association between the use of misoprostol and the incidence of septic complications post-abortion. A retrospective cohort study, published in 1996, included all 1,840 women treated for complications of abortion at the Instituto Materno-Infantil de Pernambuco (IMIP), Recife, between January 1988 and December 1992.

 

In the univariate analysis, the incidence of infection was significantly lower in women stating they had used misoprostol (4.2%) than in those stating that the abortion was not induced i.e. spontaneous (7.9%, p<0.043) and was 12 times lower than in women stating that they had used other methods for inducing abortion (49.4%, p<0.001). There was no significant difference in incidence of serious infection between the misoprostol group (0.8%) and those claiming the abortion was not induced (0.9%). However, women who reported using other methods for induced abortion had 18 times more serious infections (14.6%) than women using misoprostol (p<0.001). In the multivariate analysis, factors associated with infection were gestational age and woman’s age. Induction of abortion with a method other than misoprostol was the only variable associated with serious infection (p<0.001).

 

Misoprostol has a uterotonic effect with softening and dilation of the cervical canal, and therefore the possibility of infection is lower than if the abortion is induced by manipulation of the cervical canal and insertion of an instrument or object into the uterine cavity, especially when aseptic conditions are not met. These results suggest that misoprostol with an evidence-based dosage and regimen is a far safer method for inducing abortion, including in a country like Brazil where abortion is not available from the health service because it is legally restricted, because it leads to far fewer complications and consequently shorter hospital stays for post-abortion care.

 




India: Prohibit degrading "test" for rape

Date: 6 September 2010
Source: Human Rights Watch

 

A 54-page report documents the continued use of the "finger test" as part of forensic examinations of rape survivors in India and the continued reliance on the "results" by many defense counsel and courts. The practice is used to determine whether a rape survivor is "habituated" to sexual intercourse and involves a doctor inserting fingers in the vagina to determine the presence or absence of the hymen and the so-called "laxity" of the vagina. These findings perpetuate false and damaging stereotypes of rape survivors as "loose" women. Finger test findings are scientifically baseless because an "old tear" of the hymen or variation of the "size" of the hymenal orifice can be due to reasons unrelated to sex. Carried out without informed consent, the test would constitute an assault, and is a form of inhuman and degrading treatment.

 

The Indian government amended its evidence law in 2003 to prohibit cross-examination of survivors based on their "general immoral character." The Indian Supreme Court has described opinions based on the finger test as "hypothetical and opinionative," and has ruled that they cannot be used against a rape survivor. However, the Indian government has yet to take steps to ensure that all states eliminate it. There are no nationwide guidelines or programmes to standardise forensic examinations and to train and sensitise doctors, police, prosecutors, and judges to survivors' rights. But the Indian government is currently reviewing laws regarding sexual violence, presenting a unique opportunity for change.

 

The report is based on 44 interviews in Mumbai and Delhi with activists, rape survivors and their parents, prosecutors, other lawyers, judges, doctors, and forensic experts. Research also included a review of forensic examination templates used in those cities, and an analysis of 153 High Court judgments on rape that referred to the finger test findings from 18 states. The finger test-related information continues to be collected and used, particularly in the Maharashtra and Delhi governments where it is recommended in the forensic examination templates.

 

The WHO's "Guidelines for medico-legal care for victims of sexual violence" recommends that health care and forensic services be provided at the same time, and by the same person, to reduce the potential for duplicating questions and further traumatizing the survivor of sexual assault. Forensic examinations should be minimally invasive to the extent possible and that even a purely clinical procedure such as a bimanual examination (which also involves the insertion of two fingers into the vagina) is rarely medically necessary after sexual assault.

 

Reference:
Dignity on Trial: India's Need for Sound Standards for Conducting and Interpreting Forensic Examinations of Rape Survivors. Human Rights Watch, 2010




Sexual and reproductive health omission disappointing

Date: 1 September 2010
Source: Asia Pacifice Alliance for Sexual and Reproductive Health and Rights

 

The following press release was written and supported by NGOs working in the field of Sexual and Reproductive Health and Rights and Maternal Health in response to the outcomes of a UN conference:

A crucial UN Declaration released today at the UN DPI / NGO Conference "Advance global health achieve the MDGs", held in Melbourne, received support from NGO groups but for many the Declaration overlooked the priority issue of access to sexual and reproductive health which is vital to achieving not only MDG 5 but all the MDGs.

 

"We commend the UN Conference for producing a Declaration that covers so many important and needy areas, but to completely ignore sexual and reproductive health diminishes the outcomes and runs contrary to an internationally accepted MDG goal" said Ian Howie, Board Member of Australian Reproductive Health Alliance and former Country Representative of the United Nations Population Fund. "Ensuring commitment to MDG 5b ensuring universal access to reproductive health services - will not only save women's lives but also improve the lives of their children, families and greater communities" said Sumie Ishii, Chair, Asia Pacific Alliance for Sexual and Reproductive Health and Rights. While sexual and reproductive health NGO groups support the conference's commitments to achieving the MDGs there is disappointment at the omission of the rights of women to access vital life-saving health services. Moreover, the exclusion of sexual and reproductive health, including family planning, is inconsistent with other UN declarations as enunciated by former UN Secretary General Kofi Annan who said, "The Millennium Development Goals, especially the eradication of extreme poverty and hunger, cannot be achieved if population and reproductive health issues are not addressed. In order to address these issues we must work to further promote women's rights and invest in...reproductive health and family planning".

Despite Kofi Annan's pronouncement, NGO groups made repeated attempts over the last three weeks to ensure the message of sexual and reproductive health was reflected in the final UN Declaration, regrettably, the omission remains.

 

Not only is sexual and reproductive health vital to achieving MDG 5: "Improve Maternal Health" but is fundamental to the achievement of all MDGs such as Gender Equality (MDG 3), Infant Health (MDG 4) and MDGs relating to hunger, poverty and education. NGO groups working to achieve global access to sexual and reproductive health believe that global health will never be achieved until women and men have access to the full range of sexual and reproductive health rights, information and services. Otherwise the half a million women who die from maternal causes related to pregnancy and childbirth will continue to be compounded. "Why is it that we at this UN Conference cannot say that 215 million women should have access to contraception so that they can plan their families, space their births and avoid sexually transmitted diseases? Surely this is a fundamental right!" said Ian Howie.




More sterilisations of HIV-positive women

Date: 30 August 2010

Source: IRIN PlusNews

Veronica did not realise she had been sterilised while giving birth to her daughter until four years later when, after failing to conceive, she and her boyfriend consulted a doctor. Veronica tested HIV-positive during a routine antenatal visit and was given a form to sign by nurses at the hospital where she went to deliver. "I didn't know what it was all about," said Veronica, who was 18 at the time. She recalls being unconsciousness and then coming to and giving birth, but did not ask questions about the cut on her abdomen. "My aunt - she's a nurse - went asked them what the cut was all about. They said it was private and confidential."

A growing number of women in
South Africa and other countries have undergone forced or coerced sterilisation after an HIV-positive test result. Local rights groups in Namibia
have uncovered 15 such cases, and a trial involving three women who were sterilised at public health facilities without their consent has resumed in the High Court. Promise Mtembu, an AIDS and women's rights activist who was herself sterilised in 1997, is gathering stories from South African women living with HIV whose reproductive rights have been violated, and hopes to take them to the High Court. The most recent sterilisation case took place in 2009 when PMTCT services were available and had reduced the risk of vertical transmission to less than 5%.

Performing a medical procedure without informed consent is a serious human rights violation yet it seems that a lot of women did not know it was wrong that they had been sterilised. They felt they had no choice. Often the women do not want to go to court because of the stigma associated with sterilisation.




New Kenyan constitution is victory for reproductive health

Date: 27 August 2010
Source: Nduku Kilonzo, Health NGOs Network, Kenya (HENNET)

 

Kenyans overwhelming approved a new constitution in a national referendum, despite an energetic campaign by the church and some politicians to reject the laws. The yes vote won by 6.09 million votes to 2.8 million, a victory for President Mwai Kibaki and the prime minister, Raila Odinga. Despite some compromises (e.g. article 23 (2) below), those working for reproductive health in Kenya involved in drafting the constitution feel that the clauses are a major victory. Relevant clauses as per the constitution:

 

Article 23 :

(1) Every person has the right to life.

(2) The life of a person begins at conception.

(3) A person shall not be deprived of life intentionally, except to the extent authorised by this Constitution or other written law.

(4) Abortion is not permitted unless, in the opinion of a trained health professional, there is need for emergency treatment, or the life or health of the mother is in danger, or if permitted by any other written law.

 

Article 43:

Every person has the right -

(a) to the highest attainable standard of health, which includes the right to health care services, including reproductive health care.




WHO position on misoprostol in the community to reduce maternal death

Date: 25 August 2010
Source: World Health Organisation

 

WHO has clarified its position on misoprostol use in the community to reduce maternal death. In July 2009, at the request of Member States for clear guidance on the use of misoprostol for postpartum haemorrhage (PPH) prevention and management, WHO published a statement, clarifying its position. A recent Lancet commentary by Potts et al. refers to this publication to claim that WHO has changed its position. This is incorrect. WHO currently includes misoprostol in its Model List of Essential Medicines for early pregnancy termination, medical management of mis­carriage and labour induction. An application to include misoprostol for PPH prevention has been deferred until the publication of a large trial in Pakistan and review of its dose-related safety.

For PPH prevention, WHO recommends that "in the absence of active management of the third stage of labour, a uterotonic drug (oxy­tocin or misoprostol) should be offered by a health worker trained in its use for prevention of PPH...For misoprostol, this recommendation places a high value on the potential benefits of avoiding PPH and ease of administration of an oral drug in settings where other care is not available, but notes there is only one study...There is still uncertainty about the lowest effective dose and optimal route of administration."  This recommendation for administration after birth has been misinterpreted as a recommen­dation for community distribution during preg­nancy for use after birth - an approach favoured by Potts et al. While WHO does not condemn community distribution during pregnancy, WHO does not recommend it because its potential benefits and harms are unknown. Among 52 facility-based randomised control­led trials with more than 40,000 participants, 15 maternal deaths were reported in seven trials with 24,609 participants. 11 deaths occurred among women receiving misopros­tol compared with four women receiving other uterotonics or placebo. It is plausible that misoprostol at high doses could have adverse effects that may overshadow its benefits. Furthermore, advance provision may lead to inappropriate use for labour induction at very high doses with catastrophic results. The studies Potts et al. refer to as evidence of safe and effective misoprostol use are all nonrandomised studies conducted by groups who firmly believe that mi­soprostol works. WHO will continue to review the evidence critically and update its guidance.

 

Reference:
Potts M, Prata N, Sahin-Hodoglugil NN. Maternal mortality: one death every 7 min. Lancet 2010;375:1762-63.



South African communities debate microbicide results

Date: 23 August 2010
Source: IRIN PlusNews

The recent release of results from a microbicide trial in South Africa have kick-started discussions between scientists, activists and community workers about the quickest and most responsible way of getting a product into women's hands. The CAPRISA trial found that a vaginal gel containing tenofovir, an antiretroviral drug, reduced women's risk of contracting HIV during sex by 39%. In KwaZulu-Natal Province, where the trial was conducted, even such partial effectiveness could prevent 1.3 million new HIV infections over two decades and avert 800,000 deaths. A meeting was held in Johannesburg to discuss the implications of the results.

Participants wanted to know what the trial results would mean for women in their communities, how soon it could be on pharmacy shelves, and what it would cost. The Medicines Control Council will probably demand confirmatory results from a second study before approving registration of the product. A consortium of six research centres in South Africa is considering repeating the trial on a larger scale, among a wider age group. This could also provide more information about how women might use the gel, and the relationship between adherence and product effectiveness.

Despite the level of behaviour change, 98 women in the CAPRISA trial became infected - 38 in the tenofovir arm and 60 in the placebo arm - and there was some debate at the meeting about whether it was ethical for women participating in future microbicide trials to be given a placebo, now that there was evidence of an effective product.




Donors may get 1,000s of pounds in fertility plan, UK

Date: 23 August 2010

Source: Denis Campbell, The Guardian (UK)

Britain's fertility regulator, the Human Fertilisation and Embryo Authority (HFEA), is planning changes to the rules governing egg and sperm donation in order to prevent couples from seeking treatment abroad, where screening for genetic diseases may not be as rigorous. In 2008, 1,600 children were born in the UK as a result of donated gametes, representing 11% of the total births due to IVF or donor insemination. Payment of sperm and egg donors is currently banned, but both can claim back "reasonable" expenses, up to £250. There are chronic shortages of donated eggs and sperm in the UK, where many fertility clinics have waiting lists of up to two years.

The amount paid to egg donors could rise to several thousand pounds in order to increase numbers, but experts worry this would cause women to donate purely for money. Some argue that Britain should copy the Spanish system which pays £740 for each cycle of eggs. Donated sperm could also be used to start up to 20 families rather than the current limit of ten, despite fears that this would increase the risk of half-siblings unwittingly having children together. The HFEA is deciding whether compensation for women should be closer to the sums a woman receives when she takes part in an egg-sharing scheme where she gives half her eggs to the fertility clinic and in return gets her own treatment free or at a discount, often worth several thousand pounds. It is clear that compensation is too low, but society needs to debate where a limit should be to protect the integrity of donation.




The India HPV-vaccine suspension

Date: 21 August 2010
Source: Heidi J Larson, Pauline Brocard, Geoffrey Garnett, Lancet;376:572-3.

 

In response to pressure from advocacy groups, the Indian Government has suspended demonstration projects for HPV vaccination in Andhra Pradesh and Gujarat. The episode provides lessons about how a lack of public confidence can amplify if not quickly addressed.

 

First, the response to citizen advocates is often too late. The April 2010 memorandum from 68 Indian human rights and women’s groups, academics, and individuals sent to the Indian Minister of Health and Family Welfare was not the first. It called for the immediate halt of the demonstration projects until "concerns relating to safety, efficacy and cost effectiveness of the planned interventions are re-evaluated". It also demanded an inquiry into the reported side-effects and alleged vaccine-related deaths of four girls who participated in the study. The deaths have since been confirmed as unrelated to the vaccine. An earlier memorandum in October 2009 had demanded that "all trials and studies be immediately brought to a halt till in an open forum questions relating to safety, efficacy and cost effectiveness of the planned intervention can be justified". In December 2009, the groups continued their unanswered pleas and convened a public meeting that generated more attention than the October memorandum. By February 2010, GlaxoSmithKline, Merck, and PATH had issued responses on the safety of the vaccine and on the study process. The demonstration projects were suspended on the day the second memorandum was received; and a committee was appointed to conduct an inquiry. A government response to the October memorandum or a willingness to hold a public debate may have made a difference.

 

The second lesson is that there is not one definitive set of evidence that can resolve problems generated by principles and politics. Facts should be clarified and communicated but a different and more sympathetic engagement with the public is required to resolve issues of public distrust. The advocacy groups in this case  obtained their information from fact-finding visits to study sites, information from a US-based anti-HPV vaccination group, and various public documents. They believed  their arguments were evidence-based. Beyond the reasonable broader demands made by the advocacy groups and a member of parliament, there was a mix of facts, misinformation, principles, anger at injustices, and anger at perceived interference by multinational companies, funders, and international non-governmental organisations in local concerns, and a final pointing to the government for its ultimate responsibility to protect people's health and wellbeing.

 

Reluctance by public health authorities to respond to issues of public distrust for fear that they will exacerbate the problem is dangerous. Public distrust does not go away if unaddressed and can lead to programme disruptions and even disease outbreaks. We need to find new ways to engage the public, early on, in health research and in the design and delivery of health programmes. That approach includes taking the time to listen to societal concerns, public emotions, and politics that can derail programmes or research. We might not always understand them, but we cannot ignore them.

 

Response to the Lancet article by Marge Berer, Editor, RHM:

 

"What this article does not say is that the groups opposed to the HPV vaccine programme have been opposed to other beneficial interventions in the past, among other reasons, because they involve the pharmaceutical industry earning income/profit. These groups have focussed on potential disadvantages and negative side effects of medications like the HPV vaccine, without taking account of their advantages and benefits, and have sometimes circulated unsubstantiated negative reports such as the four deaths reported above, in order to support their campaigns. Two examples of SRH technologies which they have opposed in the past are medical abortion drugs and assisted reproduction techniques. It is regrettable that the Indian government has given in to this pressure. The HPV vaccine has been shown to prevent cervical cancer from developing and the quadrivalent vaccine also prevents genital warts, which cause high levels of morbidity in women and men." See Round Ups of recent RHM issues for this evidence.




CREA's South Asia Movement Building and Human Rights Institute

Source: CREA

 

1-5 November 2010
Kathmandu, Nepal

 

This annual five-day residential training programme offers mid-level women leaders in NGOs an opportunity to enhance their conceptual understanding of gender, feminism and movement building and their link to human rights. It aims to build the skills for effective activism and advocacy on human rights and for mobilising oppressed/marginalised women to claim their rights. Activists and academics from the global South will teach the course using classroom instruction, group work, case studies, simulation exercises and films.

 

Funding from the Ford Foundation enables CREA to cover tuition, boarding and lodging costs for all participants, excluding travel expenses. A limited number of travel scholarships from CREA are available on a need basis.

 

Please visit www.creaworld.org for brochure and application form. Applications are due by 10 September 2010 to Sushma Luthra, 7 Mathura Road, 2nd Floor, Jangpura B, New Delhi - 110014, India. Email: sluthra@creaworld.org, fax: +91 11 2437 7708.



Argentina says "Don't Cry" about unsafe abortion

Date: 16 August 2010
Source: Carol King, 
MSMagazine blog

Unsafe abortion is the leading cause of maternal mortality in Argentina. In 2008, more than 20% of deaths resulting from obstetric emergencies were caused by unsafe abortions, according to a report by Human Rights Watch. In July, the health minister signed a resolution that would allow abortions for rape victims without requiring a police report - only to issue a statement on July 30 saying that he had not signed it and that the government was "against abortion." He said the president felt the same way. President Fernandez de Kirchner has firmly stated on numerous occasions that she has "always been against abortion." The president and Argentine congress faced down the Church when they voted to authorise same-sex marriages. But they have not summoned the same resolve to act on abortion.



Afghan couple stoned to death

Date: 16 August 2010
Source: Al Jazeera


The Taliban in Afghanistan has publicly stoned to death a man and a woman over an alleged love affair. This is the first execution by the Taliban in the Kunduz province and followed the previous week's calls by Afghan clerics for a return to sharia and capital punishments under Islamic law. A local Taliban commander confirmed to Al-Jazeera that the man was a married 28-year-old, while the woman was in her early twenties, engaged to marry someone else. "The couple were brought into an open field and about 100 Taliban or supporters of the Taliban gathered and began stoning them just after a Taliban supporter read out a statement of their confession." The incident came a week after officials alleged that a woman accused of adultery was flogged and executed in the northwestern Badghis province. Amnesty International has condemned the latest executions (as does RHM).




New resource on late abortion

Date: 1 August 2010

Source: Tracy Weitz, Director, ANSIRH

 

ANSIRH (Advancing New Standards in Reproductive Health) at UCSF has created a new web resource on late abortion. The site, incorporated into our website, includes referral information; resources for women, clinicians, and journalists; facts on later abortion; and information on legal issues, women's experiences with abortion, and ANSIRH's Second Trimester Abortion Initiative.

 

ANSIRH invites you to take a look and welcomes your feedback. 




Children doing time with their mothers, Zimbabwe

Date: 11 August 2010
Source: IRIN News

  

In Zimbabwe's Central Remand Prison in Harare, adults, juveniles and mothers with babies share the same jails, awaiting trial for crimes ranging from murder to pick-pocketing. There are 15 mothers with children ranging from newborns to five-year-o-ds. Food is in short supply and diseases such as tuberculosis, kwashiorkor (severe protein malnutrition) and pellagra (a vitamin deficiency disease) are prevalent. The prison tries to provide baby food but there is a general shortage. Sometimes the mothers feed on their babies' food because they are also starving. One mother said "raising a child in this situation is like living in hell."

In nearby Harare Prison, where those convicted of their crimes serve their sentences, infants share crowded cells with their mothers until they are four years old; they are then placed in a juvenile section and regularly visit their mothers. There are no educational facilities for the children and few health facilities, and it is difficult for those who are HIV positive to obtain treatment.



HIV-positive Burundians struggle for treatment

Date: 11 August 2010
Source: IRIN PlusNews

 

The Burundian National AIDS Control Council (CNLS) has, for the past two years, provided free medical care to an estimated 22,000 members of the Burundi Network for People living with HIV (RBP+). Under the system, members are issued with cards entitling them to free treatment. However, following the end of the agreement in April 2010, access to these drugs has been difficult. 350 of the 500 registered HIV-positive people in Rutana province must now pay for their own medical care and if medicines are unaffordable, the person simply dies. Many people cannot afford the tests required to determine eligibility for ARVs.

CNLS recently directed health centres to continue offering medical support free to HIV-positive patients and forward the bills for payment. But without official documentation, health centres have refused to implement this. The problem is confounded by an ongoing shortage of Bactrim and other drugs to treat opportunistic infections, partly due to the fact that all patients, not just HIV-positive ones, take these medicines. Burundi has struggled to fund its ARV programme after the Global Fund to fight AIDS, Tuberculosis and Malaria rejected its request for a grant in 2008. 19,000 of 59,000 Burundians needing ARVs have access to them.




UNFPA sponsors Madagascar conservation project

Date: 9 August 2010
Source: Blue Ventures press release

 

Blue Ventures, a marine conservation organisation supporting villagers in southern Madagascar to safeguard the threatened marine environment on which their livelihoods and culture depend, has secured a UNFPA partnership to continue its public health work. Working with regional health institutions and NGOs, the project provides clinical sexual and reproductive health services to 24 villages along the south western coast of Madagascar. Contraceptive methods provided include intrauterine devices, Implanon, oral contraception, Depo-provera injections and condoms. MSI and PSI are supporting this project through provision of subsidised contraceptives and training of Community Based Distributors. Awareness of sexual health issues is raised through peer educators and local theatre groups. In this area of rural Madagascar average family sizes are estimated at 6.7 children. Prior to the Blue Ventures' clinics, women faced a 50km trek to access contraceptive services at the nearest clinic.

 

Blue Ventures' conservation director said: "A human rights and health based organisation is supporting a marine conservation charity for the first time because of its recognition of the inter-relationship between marine resource sustainability, maternal and infant health, and population growth."



Why are French women killing their babies?

Date: 29 July 2010
Source: Bruce Crumley, Time

 

In July, eight infants allegedly smothered to death and buried by their mother in northern France were discovered. The mother was charged for the murders, and the father - apparently unaware of the pregnancies or births - was cleared of wrongdoing. Four other such cases where the father of slain babies was apparently unaware of his wife's pregnancies have been reported since 2003.

 

Experts explained those cases as resulting from pregnancy denial, a misunderstood and minimised condition. According to Michel Delcroix, a former gynecologist, pregnancy denial is a quasi-schizophrenic condition in which women either don't realise or cannot accept that they are with child - not even enough to have an abortion. They refuse to believe they're pregnant even when the reality confronts them. "These women are so convinced pregnancy is impossible that once the child they never wanted arrives, they don't accept it as real and get rid of it to restore order to what they believe is nonpregnant reality," Delcroix says. "However terrible its consequences, pregnancy denial acts in infanticide cases much as a psychotic state that drives someone to kill another person does. Yet we still try women for what they do during pregnancy denial when we don't try psychotic killers deemed not responsible for their actions." Delcroix and others who are fighting for pregnancy denial to be medically and legally recognised as an illness argue that improving ways to identify and treat these women makes more sense than simply punishing the crimes they commit as a result of it.

 

Causes of the condition, says Delcroix, include previous trauma such as beatings and rape; changes in wider social factors that have downgraded the value of childhood, parenting and family; and the inability of women to see themselves as mothers. Most sufferers are either sufficiently overweight or experience such little body change that they simply assume they've gained some weight. In France, 230 women a year discover their pregnancy only while giving birth, although just a fraction resort to infanticide.


One possible explanation for these cases is the increasing difficulty in access to anonymous delivery for women in France. In Austria, anonymous delivery was introduced in 2001. The law allows women to give birth in a hospital without giving their name, and without charge. The child is then given for adoption. Police statistics in Austria were used to compare cases of suspected neonaticides in 1995-2001 versus 2002-2006. A 50% decrease in suspected cases was observed (p<0.001), suggesting that the law was efficacious in reduced neonaticides (see reference below).

Reference: Klier CM, Amon S, Nassan-Agha H, et al. Is prevention of neonaticide possible? - The Austrian experience. Abstract for IACAPAP 2008 conference.




Iran to pay for new babies to boost population

Date: 27 July 2010
Source: Nasser Karimi, Associated Press

 

Iranian President Mahmoud Ahmadinejad inaugurated a new policy to encourage population growth, dismissing Iran's decades of internationally-acclaimed family planning as ungodly and a Western import. The initiative will pay families $950 for every new child and deposit $95 every year into the newborn's bank account until they reach 18. Parents will be expected to pay matching funds into the accounts. Children can withdraw the money at the age of 20 and use it for education, marriage, health and housing. The plan is part of Ahmadinejad’s commitment to increase Iran’s population and would especially attract the lower income segments of the population who formed the backbone of his support in the 2005 and 2009 elections. It is unclear, however, where the funds would come from as the government is already having trouble paying for basic infrastructure projects.

 

Starting in the early 1970s, Iran waged a successful family planning campaign, including banners in health centres reading "two children are enough." It was reversed after the 1979 Islamic revolution only to be brought back 10 years later when the population ballooned and the economy faltered. Throughout the 1990s, Iran reduced population growth by encouraging men and women to use free or inexpensive contraceptives, as well as vasectomies. The government brought down the population growth rate from its 1986 height of 3.9% to 1.6% in 2006. Ahmadinejad caused public outcry, however, when shortly after he was elected in 2005 he said two children per family were not enough and urged Iranians to have more.




Six Mexican women get 25-30 years in jail for abortion

Date: 22 July 2010
Source: EFE News

 

Six Mexican women have been sentenced 25-30 years in prison on homicide charges for terminating their pregnancies. The women, all poor and with little education, have already served between three to eight years of their sentences handed down by state courts in Guanajuato state. One case was a spontaneous abortion, two others were undertaken because of rape and the rest were for accidental pregnancies.

The Centro Las Libres, which provides assistance to over 160 women facing abortion-related charges, will appeal to the federal judiciary. Since early 2010 over 40 women have been put on trial for abortion, which is punishable by up to three years in prison under the Guanajuato penal code.
"The government always has denied that it imprisoned people for the crime of abortion. We had to go from prison to prison to verify it," said the Centro Las Libres director.

The legislation regarding abortion varies in Mexico's 32 jurisdictions. While in Mexico City it is legal, some states continue to treat abortion as a criminal offence.
Conservative-led Guanajuato refuses to teach sex education in schools and is the only state in the country to refuse to promulgate a law against gender violence, as had been federally mandated.




Microbicide CAPRISA 004 trial shows moderate protection against transmission of virus

Date: 20 July 2010
Source: Global Campaign for Microbicides, Johannesburg and Washington DC

 

Results of a clinical trial of an antiretroviral-based microbicide candidate are being announced at the International AIDS Conference in Vienna.  The CAPRISA 004 trial tested the safety and effectiveness of 1% tenofovir gel among 889 women aged 18-40 who were HIV-negative at enrollment, sexually active, and at high risk of becoming infected with HIV, at two sites in South Africa. Women in the trial were asked to vaginally insert a first dose of tenofovir gel no more than 12 hours before having sex and to insert a second dose no more than 12 hours after having sex. No more than 2 doses of gel were used in a 24-hour period, even if the women had sex more than once. The trial found that using the gel before and after sex provided moderate protection against sexually transmitted HIV. 

 

CAPRISA 004 is the first trial to evaluate an ARV-based candidate microbicide gel for the prevention of sexually transmitted HIV infection among women. CAPRISA 004 was a phase IIb trial, designed to explore whether tenofovir gel was a promising microbicide candidate. It was not designed to provide sufficient evidence to licence a new drug (which would generally require a definitive phase III trial). All participants received regular HIV risk-reduction counselling, condoms, and treatment of symptomatic sexually transmitted infections, if required. The trial also measured whether tenofovir gel was safe to use regularly over a longer period of time. Women in the trial typically used the gel for 12-18 months.

 

More information available at http://www.global-campaign.org/CAPRISA004.htm



India: Prosecute rampant "honour" killings

Date: 18 July 2010
Source: Human Rights Watch Press Release


Murders to protect family or community "honour" have increased in recent months in the Northern Indian states of Haryana, Punjab and Uttar Pradesh, where unofficial village councils issue edicts condemning couples for marrying outside their caste or religion and condemn marriages within a kinship group. Family members have threatened couples, filed false cases of abduction, and killed spouses. Some local politicians and officials have been sympathetic to the councils' edicts, implicitly supporting the violence. A recent independent study found that at least 900 such murders occur every year in these states. There are no estimates of other injuries, unlawful confinement or forced marriages suffered in the name of "honour." Police routinely fail to investigate. The Supreme Court has noted the increase and sought a response from central and state governments on prevention measures taken. Proposed legislative changes to reduce honour killings and ensure murder charges for perpetrators are facing resistance from political groups citing traditional and customary rights.


Human Rights Watch believes the Indian Government should urgently investigate and prosecute those responsible for killings, strengthen laws against such violence, take action against local leaders who endorse crimes, ensure that policemen can impartially investigate without bowing to political or other pressure, and publicly promote the right of individuals to choose who to marry.



Equal marriage in Argentina

Date: 16 July 2010
Source: Carlos Figari, University of Buenos Aires, Argentina


The Argentine Senate voted by 33 to 27 to approve a law allowing same sex couples to get married, adopt children and have the same rights and obligations as heterosexual couples. This major step in the legal recognition of LGBT rights is a result of intense political, academic and social activism. In the first stage, slow but effective activism led to the recognition of same-sex civil unions. More recently, a strategy was developed whereby same-sex couples went to the Civil Office (where marriages take place) and asked the officer to marry them. When they were refused they questioned the constitutional status of the prohibition. Several judges authorised the marriages and some even declared that the exclusion of same-sex couples in the Civil Code was not constitutional. In less than a year, nine couples got married. Those marriages are still valid. These processes established the issue - framed as a question of equality before the law, without discrimination of sexual orientation - within the public opinion and the media. Progressive legislators then agreed on a project to reform the Civil Code. A crucial step was to block an alternative project of the religious right - "civil unions" - which aimed to "preserve" the dignity of heterosexual marriage, exclude same-sex couples from adopting and prohibit them from assisted reproduction.




Student pregnancy bill draws controversy in Thailand

Date: 13 July 2010
Source:
The Nation/Asia News Network

 

A draft law giving pregnant students the legal right to take maternity leave and continue their studies after giving birth, is attracting much controversy. While a survey on www.ilaw.or.th showed most respondents supported the draft law, some people are worried the law would encourage teenage pregnancy. The Department of Health records show that each year in Thailand, 10,000 students under 15 become pregnant. The draft will be revised and public hearings held for two months before it is submitted to Cabinet.



Pakistani helpline to facilitate medical abortion

Date: 9 July 2010
Source: Robin Marty, Repro-briefs, RHRealityCheck.org

 

A helpline to facilitate access to misoprostol (RU486) for medical abortion has been set up by Pakistani women's organisations with support from Women on Waves. 12 trained Pakistani staff will provide information on how to use the abortion pill, which costs less than 10 eurocents per pill.

 

Abortion in Pakistan is forbidden unless the woman's life is in danger, and terminating a pregnancy carries heavy social stigma. Nearly 900,000 women undergo illegal and often unsafe abortions every year; 10-15% of whom die, and each year 200,000 end up in hospital. These women are usually married and already have children. Contraceptives are not easily accessible and are often contrary to religion and culture.

 

Unfortunately, having access to safer abortion still does not make it legal in the country.  Despite the number of unsafe abortions being carried out in Pakistan, many leaders are fighting the new hotline as "anti-Islamic."



AIDS experts call for month of sex abstinence

Date: 4 July 2010
Source: Alex Duval Smith, The Guardian (UK)

Experts have called on African leaders to head a month-long sexual abstinence campaign to reduce new infections. After transmission, an individual's HIV viral load spikes in a period of "acute infection" and models estimate that 10-45% of HIV acquisition arises from sex with an individual during this highly infectious period. If everyone in a population abstained from high-risk sex for a given period of time, in theory the viral loads of all recent seroconverters should pass through the acute infection period, and HIV incidence would fall.

 

Recurring population-wide shifts in risk behaviour are not unheard of, and there is evidence that sexual behaviours, including periods of abstinence driven by religious reasons, may have kept the HIV prevalence low in Muslim countries. While confounding makes it hard to attribute the protection from HIV to practices of abstinence during Ramadan, there is scientific plausibility for considering similar interventions.

 

This article calls for a population-wide interruption of risk behaviour and mathematical modelling of periodic risk behaviour interruptions. A policy response, such as a "safe sex/no sex" campaign in a cohesive population, could be a one-off, short-term, cheap adaptation that does not carry stigma. There would be a national campaign with buy-in from all levels of leadership, and the entire population would live by the same rule. In Swaziland, the idea was welcomed by the National AIDS Council.

 

Reference:

Parkhurst J, Whiteside A. Innovative responses for preventing HIV transmission: The protective value of population-wide interruptions of risk activity. Southern African Journal of HIV Medicine 2010;11(1):19-21.



New UN agency strengthens women's voice

Date: 2 July 2010
Source: Human Rights Watch press release

 

The United Nations General Assembly unanimously agreed to overhaul the UN's complicated women's rights infrastructure, combining four agencies to create a new UN women's office with substantially enhanced capacity. The General Assembly agreed to establish a new women's agency in August 2009, but discussions on the details stalled over funding sources and oversight. Women's groups worldwide pressed their governments and regional bodies to support the needed changes. A key feature of the new agency is that it will be headed by an under-secretary-general who will have access to the highest levels of decision-making at the United Nations.



Demopaedia: Multilingual demographic dictionary

Date: 1 July 2010
Source:
International Union for the Scientific Study of Population (IUSSP)

 

The Multilingual Demographic Dictionary is now available online in 14 language modules at www.demopaedia.org. Modules in different languages have been updated or checked by volunteers in a number of institutions with financial support from the United Nations Population Division.

 

It is hoped that Demopaedia will become a basic tool for population specialists. The languages covered are Arabic, Chinese, Czech, English, Finnish, French, German, Italian, Japanese, Polish, Portuguese, Russian, Spanish and Swedish.



Suhaile - Misoprostol hotline launch in Pakistan!

Date: 25 June 2010
Source: European Pro-choice Network

 

A hotline that gives women practical information about sexual and reproductive health in general and the use of misoprostol to prevent heavy bleeding after giving birth and for inducing safe miscarriage at home, will be launched on Saturday 26th June 2010. Misoprostol is on WHO's list of essential medicines and is registered in Pakistan under the brand names Arthrotec, Cytotec, Cytopan, and ST Mom.

 

The launch is at Hotel Ambassador, 7 Davis Road, Lahore, Pakistan, at 13:00.

 

The launch is being carried out by the coalition of Pakistani Organisations who support women's rights: Aware Girls from Khyber Pukhtoonkhwa, Peace Foundation from Sindh and Wake Up Call International from Lahore. The hotline is supported by Asia Safe Abortion Partnership, Women on Waves and Women on Web.

 

Women needing information in Pakistan/ hotline numbers:

0307 - 494 07 07 - (Urdu, Punjabi)

0315 - 917 04 08 - (Urdu, Pastho)

0315 - 947 33 99 - (Urdu, Sindhi)



Launch of Global Commission on HIV and the Law

Date: 24 June 2010
Source: UNDP Press release

 

UNDP, with support from UNAIDS, launched the Global Commission on HIV and the Law. The Commission brings together world-renowned public leaders, with support from experts on law, public health, human rights, and HIV. Commissioners will gather evidence about the impact of law on the lives of people affected by HIV and make recommendations on how the law can better support universal access to HIV prevention, treatment, care and support. Regional hearings, a key innovation, will provide a space for those most directly affected by HIV-related laws to share their experiences with policy makers. Removing punitive laws is now a priority area for UNAIDS and UNDP. The Commission is supported by a range of partners including the Ford Foundation and AusAID. The findings and recommendations will be announced in December 2011.




African women begin test of vaginal microbicide ring

Date: 15 June 2010
Source: David Brown,
The Washington Post

 

The first test of a long-acting vaginal ring loaded with an HIV-preventing microbicide has begun enrolling women in southern Africa. None of the microbicide compounds tested to date have worked.

 

The silicone ring is impregnated with dapivirine, an antiretroviral drug, which is released into the vagina over one month, after which it is replaced. The study, undertaken by the International Partnership for Microbicides, will evaluate the ring's safety through blood tests, pelvic exams and interviews with 280 women. A larger study to test the ring's effectiveness at preventing HIV, beginning in 2011 and costing $90 million, will recruit 8,000 women in seven countries.

 

An 889-woman study of a vaginal gel containing the antiretroviral drug tenofovir is underway in South Africa, with preliminary results due in July 2010. A vaginal ring containing both contraceptives and an antiretroviral is also under development; it would be removed once a month during the menstrual period and could be used for a year.



Abortion drugs given in Iowa via video link

Date: 8 June 2010
Source: Monica Davey, The New York Times

 

Planned Parenthood in Iowa, US, is using remote video-conferencing to support women in rural areas - who might find it hard to make appointments in person - to take abortion medication. Since 2008, 1,500 such abortions have taken place.

 

Patients meet face-to-face with a nurse in a local medical practice who performs routine ultra-sound, blood tests and counselling, before teleconferencing with a doctor at Planned Parenthood to discuss their options, prescribe medication, and explain the procedure to the patient. The doctor's mouse click opens a modified cash register drawer in front of the woman and nurse, with mifepristone inside.

 

While choice campaigners praise the method of overcoming practical barriers to obtaining abortions, anti-choice campaigners have lodged complaints with the Iowa Board of Medicine, arguing that the method does not satisfy the requirement that a licensed medical practitioner perform abortions. Doctors involved deny patient care is being sacrificed, and no serious complications have occurred involving these patients.




New endorsements on injectables brief

Date: 7 June 2010
Source: Family Health International


Seven new international organisations have endorsed the policy brief, Conclusions from a Technical Consultation: Community-Based Health Workers Can Safely and Effectively Administer Injectable Contraceptives: The International Confederation of Midwives, International Council of Nurses, and International Federation of Gynecology and Obstetrics (FIGO) - the three medical professional associations related to this topic - and the International Planned Parenthood Federation, Marie Stopes International, UNFPA, and the World Bank.
The four-page brief summarises conclusions from a 2009 technical consultation convened by the WHO, USAID and Family Health International. The consultation concluded that evidence supports the introduction, continuation, and scale-up of community-based provision of progestin-only injectable contraception. Increased demand for injectable contraceptives and overburdened health systems have prompted the increased provision of injectables by community health workers.

This brief and its endorsements, found here, will be a valuable advocacy tool for those working to expand access to contraceptive options.

For printed copies, contact publications@fhi.org



Groundbreaking decision on maternal mortality in India

Date: 4 June 2010
Source: Marta Kasztelan,
Reproductive and Sexual Health Law Programme, Toronto University

 

The Delhi High Court ordered compensation for violation of constitutional and reproductive rights of two impoverished women. The judgment will have immense health policy implications in India, where 117,000 women die each year from pregnancy-related causes.

 

In one case, Justice Muralidhar instructed Haryana State to pay Rs 2.4 lakhs compensation to the family of Shanti Devi who passed away during childbirth in January 2010. The Respondents were in violation of Shanti Devi's right to life and health, reiterating that her death was preventable.

 

In the other case the High Court directed the Municipal Corporation of Delhi to pay Rs 50,000 compensation to Fatima for violation of her fundamental rights by being compelled to give birth under a tree, due to denial of basic medical services. After delivery, Fatima was denied was nutrition supplements until the court's intervention.

 

The cases demonstrate a failure of the public health system and Government Schemes designed to reduce maternal and neonatal mortality. The judgment also directed that all Below Poverty Line (BPL) pregnant women receive Rs 500 to ensure proper nutrition, under a national scheme. Schemes must be made portable across states so that people can access public health care wherever they move.




Sports stars urge men to "do the right thing"

Date: 1 June 2010
Source: IRIN PlusNews

Top sportsmen including South African football players Matthew Booth and Teko Modise, rugby captain John Smit, cricket captain Graeme Smith and international football stars Ryan Giggs of Manchester United and Lionel Messi of FC Barcelona have signed up to be Sports Ambassadors for Brothers for Life, a South African national campaign encouraging men to take a stand against gender-based violence and HIV. They will promote messages on television, radio and outdoor advertising about the risks of alcohol and unprotected sex, and support a national HIV counselling and testing drive launched in April 2010 by President Zuma. The campaign will call on men to "yenza kahle" (do the right thing). The campaign started 10 days before the FIFA World Cup kicked off, and the rugby and cricket players were included to ensure that the campaign extends beyond the world cup. 40 civil society organisations are partnering government bodies and UNICEF to promote the campaign.




US paediatricians withdraw FGM guidance after criticism

Date: 1 June 2010
Source: Zosia Kmietowicz, BMJ 2010;340:c2922

The American Academy of Pediatrics (AAP) has retracted its 2010 policy statement on female genital cutting (FGC) after criticism and confirmed its opposition to all forms of mutilation, however minor.

The new statement says, "The AAP reaffirms its strong opposition to FGC and counsels its members not to perform such procedures. As typically practised, FGC can be life-threatening. Little girls who escape death are still vulnerable to sterility, infection, and psychological trauma. The AAP does not endorse the practice of offering a 'clitoral nick.' This minimal pinprick is forbidden under federal law and the AAP does not recommend it to its members. The AAP is steadfast in its goal of protecting all young girls from the harms of FGC."

For the previous policy statement click here




Austrian abortion museum wins European prize

Date: 27 May 2010

Source: Agence France-Presse

 

The Museum of Contraception and Abortion, situated in Vienna, received the European Museum Forum's new Kenneth Hudson award - named after the forum's founder - for raising public awareness of contraception and abortion. "This shows a strong recognition for the prevention of unwanted pregnancies, which are still scandalously ignored in Austria," said Christian Fiala, a gynaecologist who set up the museum. Opened in 2007 to raise awareness about abortion, the museum traces the history of contraception, laws banning the termination of pregnancies and the political debate around the issue. It is the only museum of its kind in the world.

 

Documents, videos and a virtual tour of the museum can be accessed at www.verhuetungsmuseum.at



Mexico upholds morning-after pill for rape victims

Date: 27 May 2010
Source:
Associated Press

Mexico's Supreme Court has upheld a law requiring hospitals to offer rape victims a morning-after birth control pill, rejecting an appeal that argued the pill's effect constitutes the equivalent of an abortion. Abortion is regulated under state laws in Mexico, and most of the 31 states outlaw elective abortions. The Supreme Court's decision came in response to a challenge brought by the state of Jalisco to a February 2009 federal health directive (NOM-046-SSA2-2005) that requires health workers to offer emergency contraception to rape victims. The appeal filed by the Jalisco state government says the federal morning-after law is an intrusion on states' rights. But justices disagreed in an 10-1 vote. The majority ruled that use of the pill is not the equivalent of abortion, but rather is part of a public health policy. The court said the federal government has the right to set health policy.




WHO agrees code on ethical recruitment of health personnel

Date: 25 May 2010
Source: John Zarocostas, BMJ 2010;340:c2784.

The World Health Organisation agreed on a new voluntary global code of practice on the ethical recruitment of international health personnel which discourages countries from actively recruiting from poor nations facing critical staff shortages. The code is only the second such accord, the first being the 1981 international code on marketing of breast milk substitutes. There are severe shortages of health workers in 57 poor nations - 36 in Africa and the rest mainly in southeast Asia. Sub-Saharan Africa has only 3% of the world's health work force, and 4.2 million more health professionals are needed worldwide. The code, adopted by ministers during the 2010 World Health Assembly, calls for rich nations to uphold ethical recruitment principles and support medical training in low-income areas. It recommends countries should "facilitate circular migration of health personnel [the freedom for medical personnel who have emigrated to go back and forth without restrictions]" so that skills and knowledge can benefit both source and destination countries. All health sector stakeholders are expected to implement the code. Although the term financial "compensation" is not included, there is an expectation that donor countries and international institutions will support poor countries for the loss of personnel both with technical expertise and financing. There were strong inputs from Norway, the United Kingdom, the European Union, Brazil, the Philippines, Zambia, Kenya, South Africa, and Botswana. The pact was under negotiation since 2004, but the Obama administration took a softer line than the Bush administration, easing the way for compromise. The WHO is to report in five years time on the code's implementation.






In Memoriam: Rhonda Copelon

by Marge Berer

Date: 21 May 2010

Source: Reproductive Health Matters 2010;18(35):115-118.

 

Rhonda Copelon was a pioneering US human rights attorney who helped open US courts to victims of international abuses - especially cases involving violence against women. She studied law at Yale Law School, and after graduating, clerked for a US District Court Judge. For 12 years, she was an attorney at the Center for Constitutional Rights in New York City, a non-profit organisation founded by attorneys representing the civil rights movement, where she began her ground- breaking, feminist-oriented legal work as a staff attorney. In those 12 years, she challenged racial discrimination, government wiretapping, and worked on several landmark cases. She argued with Charles Victor McTeer before the US Supreme Court in 1976 in Drew v. Andrews in support of African-American women who were denied teaching jobs under the Drew Municipal School District policy (in the state of Mississippi) that barred parents of out-of-wedlock children from all but janitorial positions. The young unmarried mothers who were the plaintiffs in the case won their case and got their jobs back on the grounds of race and sex discrimination and the right to privacy and procreative liberty.

 

Rhonda was also one of the founders of CARASA, the Committee for Abortion Rights and Against Sterilization Abuse, which was formed in the late 1970s and was one of the first women's groups to take up what soon began to be called women's reproductive rights.

 

On 30 June 1980, decisions were handed down in what Rhonda described as the two most important cases of her life, which she said defined her subsequent path. One was the landmark human rights case, Filartiga v. Pena-Irala, which established that victims of gross human rights abuses committed abroad had recourse to US courts. She played a key role in winning that case. The other was Harris v. McRae, argued in the US Supreme Court, which narrowly upheld the Hyde Amendment, which prohibited Medicaid reimbursement for almost all abortions (and still does to this day). That case was lost by one vote, five to four.

 

Rhonda was a founding faculty member in 1983 of the City University of New York Law School, where she was a professor of law for almost three decades. She was also the co-founder/director of the International Women's Human Rights Law (IWHR) Clinic at CUNY Law School, with Celina Romany in 1992. Under their direction and guidance, the IWHR Clinic has had a profound impact on the recognition of women's human rights in the international, regional, and US contexts, particularly in establishing rape and other gender crimes as war crimes and crimes against humanity. The Clinic has also enabled students and activists from around the world to participate in a range of precedent-setting legal and advocacy campaigns.

 

In 1994, Rhonda published a highly influential article, "Recognizing the egregious in the everyday: domestic violence as torture" and co-authored the second edition of a leading legal text, Sex Discrimination and the Law: History, Practice and Theory, published in 1996. She has published many influential articles in the field of reproductive and sexual rights and international women's human rights as well.

 

The IWHR Clinic's amicus briefs in the International Criminal Tribunals (for Rwanda and the former Yugoslavia) resulted in the recognition of rape as a crime of genocide and as torture in international law. IWHR played a key role in work with the UN Committee against Torture in establishing the relationship between torture and domestic and other forms of gender violence, including a 1994 communication regarding sexual violence against Haitian women and more recently in a shadow report to the Committee Against Torture, highlighting the sexualised violence at Abu Ghraib, an aspect of torture that has not yet been fully recognised in the United States.

 

One of Rhonda's most important cases was the 1996 lawsuit Jane Doe v. Islamic Salvation Front and Anwar Haddam, which charged Algerian fundamentalists with war crimes and crimes against humanity, including assassination, rape and torture. Rhonda often referred back to this Algerian case, in which the judge made a summary judgment against the defendants because of insufficient evidence. The reason she couldn’t produce enough authoritative evidence, she said, was that Amnesty International and Human Rights Watch had not been willing to gather the evidence, because they were defending the rights of those same fundamentalists against the government and did not want to hear about the abuses their clients had committed against women. So in the end, the record did not truly represent the human rights situation in Algeria.

 

Rhonda co-founded the Women's Caucus for Gender Justice in 1997 and served, along with IWHR, as its legal secretariat, preparing documents with international partners for the negotiations of the Rome Statute, the treaty that established the International Criminal Court (ICC) in 2003. In that role, Copelon contributed to the successful codification of sexual and gender crimes as being part of their jurisdiction.

 

In November of 2000, dozens of alumnae of the IWHR Clinic reconnected at a reunion in New York City. Hailing from four continents, they came to celebrate IWHR's 17 years of cutting-edge human rights advocacy and the worldwide impact it has made. Most poignant was the opportunity for Clinic participants and allies to share their experiences and to take the measure of how IWHR has generated a corps of dynamic lawyers who have brought new vision to their work in many fields, including human rights.

 

On 9 January 2009 the Society of American Law Teachers honoured Rhonda Copelon with the M Shanara Gilbert Human Rights Award in San Diego, CA, USA.

 

In the autumn of 2009, due to her illness, Rhonda retired from her position at CUNY and became an emeritus member of the faculty. But she never stopped working or supporting the work of others. For example, she went to Chile in November 2009 to defend a case at the Inter-American Court of Human Rights, Caso Gonzalez y otras ("Campo Algodonero") vs. Mexico regarding the assassination of three young women aged 15, 17 and 20, in Juarez. In the weeks before her death, she announced the establishment of the Copelon Fund for Gender Justice at the Center for Constitutional Rights, for which she has provided the seed funding.

 

On 6 May 2010, Rhonda died age 65 after a long and courageous battle with ovarian cancer. She was at home in New York surrounded by friends, music and flowers, and enormous love. She was an inspiration to many and will be sorely missed.

 

Sources: CUNY School of Law News Archive; and Madre website network of experts; Katie Gallagher. On the cutting edge: CUNY Law's International Women's Human Rights Clinic, CUNY Law, 2000; Rhonda Copelon's acceptance speech, SALT Annual Dinner, 9 January 2009; Associated Press; David Lerner, Riptide Communications, draft obituary, 7 May 2010; Meredith Tax's Blog Taxonomy; Amparo Claro; Rosalind Petchesky.



Free resources for training in maternal and neonatal care

Source: Luc van Lonkhuijzen, Jos van Roosmalen J, Gerda Zeeman,

International Journal of Gynecology and Obstetrics 2010;109(3):189.

 

Training all health professionals attending births will contribute to reducing deaths of women from pregnancy, labour and delivery, but people planning to initiate a training programme might be hampered by time or cost issues.The following training courses can be freely downloaded from the internet:

 

The Perinatal Education Program encourages health workers to study together in their own time. Modular manuals cover normal labour and delivery and its complications, the normal neonate, feeding, neonatal complications, and communication. Each manual takes about a year. Recently, 6 additional manuals have been introduced covering perinatal HIV/AIDS, primary newborn care, mother- and baby-friendly care, saving mothers and babies, birth defects, and primary maternal care.

 

Midwifery Education Modules, developed by WHO, are aimed at the main causes of maternal death, eclampsia, abortion, prolonged and obstructed labor, postpartum hemorrhage and sepsis. Student participation is encouraged, and each module takes two weeks of teaching

 

Emergency Obstetric Care for Doctors and Midwives consists of a pre-course knowledge questionnaire, participant's notebook, a trainer guide, and an extensive set of presentation Powerpoint graphics. A site assessment tool is included to identify possible barriers to implementing change, and a follow-up tool for continuous support of students and faculty after the course and to assess the effect of the training.




New World Bank Reproductive Action Plan

Date: 11 May 2010
Source: World Bank press release


The World Bank has released its Reproductive Health Action Plan 2010-2015 to help poor countries reduce high fertility rates and prevent widespread deaths of mothers and children. Family planning and reproductive health programmes have fallen off the radars of many donors, governments and development agencies, with World Bank figures showing that while development aid for health increased five-fold from 1995 to 2007, aid for population and reproductive health increased only two-fold. World Bank health financing in 2010 will increase by 40% on the previous year, in stronger support of health systems, prevention and treatment of communicable disease, and improving child and maternal health, hygiene and sanitation. The Bank will help 58 countries with high maternal death and fertility rates to improve their reproductive health systems through more contraception; improved services that prevent or reduce unsafe abortion; more frequent antenatal visits; ensuring care from skilled health professionals during pregnancy, childbirth and in the weeks after delivery; training new health workers; and promoting girls' and women's education. An informal group of heads of WHO, UNICEF, UNFPA and the World Bank - called the "H-4" - meets regularly on measures to strengthen country efforts to improve maternal and child health and improve coordination.




Poland: When "conscience clauses" mean women die

Date: 3 May 2010
Source: Anna Wilkowska-Landowska, RHRealityCheck.org

 

A 25-year-old Polish pregnant woman died of septic shock because doctors were afraid she could miscarry and refused to fully examine her. In May 2004, early in her pregnancy, she developed ulcerative colitis. She was repeatedly admitted to a number of hospitals, and certain examinations such as a colonoscopy were not performed because doctors were afraid of endangering the fetus. She was given medication, and in July was diagnosed with an abscess for which three operations to remove it were performed. During her stay in a hospital a doctor told her she should be taking care of her pregnancy rather than her own health problems. This humiliated and angered her. The woman's mother and partner urged the doctor at a clinic to commence any necessary treatment, irrespective of the consequences for fetus, to save the woman's life. These demands produced no result. The woman lost the fetus in September 2004 and died two weeks later of septic shock.

 

Seeking justice in the Polish courts proved to be ineffective, so her mother turned to the European Court of Human Rights in Strasbourg where she is currently an applicant, represented by the Network of Lawyers of the Federation for Women and Family Planning in collaboration with the Centre for Reproductive Rights. The court is asking whether Poland violated the patient's right to life or freedom from inhumane and degrading treatment by making her suffer. It also seeks to clarify international guidelines for conscientious objection and asks the court to affirm that conscientious objection may not be invoked by institutions such as hospitals.



American Academy of Pediatrics backs ritual 'nick' as female circumcision option

Date: 1 May 2010

Sources:

The American Academy of Pediatrics (AAP) has released a revised policy statement suggesting that American doctors be given permission to perform a ceremonial pinprick or 'nick' on girls. The statement said that current federal law, which "makes criminal any nonmedical procedure performed on the genitals" of a girl in the United States, has driven some families to take their daughters overseas to undergo mutilation. "It might be more effective if federal and state laws enabled pediatricians to reach out to families by offering a ritual nick as a possible compromise to avoid greater harm," the group said. The AAP has downgraded its 1998 recommendation to "oppose all forms of female genital mutilation (FGM)", to "oppose all forms of female genital cutting that pose risk of physical or psychological harm".

 

A member of the academy's bioethics committee, Dr. Ross, said the panel's intent was to issue a "statement on safety in a culturally sensitive context" and that the ritual nick is "a last resort," and is "as benign as getting a girl's ears pierced." The statement says that "in some countries where female genital cutting is common, some progress toward eradication or amelioration has been made by substituting ritual 'nicks' for more severe forms."

                    

Opponents of FGM denounced the statement. FORWARD, an African diaspora women's campaign, is deeply concerned and calls on the AAP to revert to its 1998 policy statement that "opposes all forms of female genital mutilation". Georganne Chapin, executive director of the advocacy group Intact America, said she was "astonished that a group of intelligent people did not see the utter slippery slope that we put physicians on" with the new policy statement. "How much blood will parents be satisfied with?" Some say the recommendation creates confusion about whether FGM is acceptable in any form.




CREA's 4th Sexuality, Gender and Rights Institute, Istanbul, June 12-19

Source: CREA

This is an annual, week-long, residential course that focusses on a conceptual study of sexuality. It examines the links between sexuality, rights, gender, and health and their interface with socio-cultural and legal issues. Participants will critically analyse policy, research and programme interventions using a rights-based approach. Activists and academics will teach the course using classroom instruction, group work, case studies, simulation exercises, fiction and films.

CREA, based in New Delhi, India, is a feminist organisation that promotes, protects and advances women's human rights and the sexual rights of all people by building leadership capacities, strengthening social movements and organisations, increasing access to information, knowledge and resources, and creating enabling social and policy environments.

Individuals working on issues of sexuality, rights, HIV/AIDS, violence against women, health or gender are eligible to apply. 25-30 participants will be selected. Participants are required to stay for the duration of the course.

For application form, go to www.creaworld.org. Applications due before 18 April 2010. Contact: Sushma Luthra at sluthra@creaworld.org




Chokehold on civil society intensifies in China

Date: 12 April 2010

Source: Human Rights Watch

 

On 25 March 2010, China's leading independent women's rights organisation - the Women's Legal Research and Services Center - was notified that its affiliation with Beijing University had been terminated. Because China's restrictive laws governing the registration of nonprofit organisations mandate that applicants be affiliated and sponsored by a governmental unit, the decision effectively ends the existence of the centre as a registered NGO.

 

The founder of the Center, Guo Jianmei, has publicly expressed her concern about the lack of justification for shutting the centre, which provides legal advice to women, and works on anti-discrimination legislation and on domestic violence. Guo has also expressed concerns about the signal this sends regarding the government's proclaimed commitment to eliminate discrimination against women, promote the rule of law, and support vulnerable groups in society. Guo is widely seen as China's leading women's rights activist, and has received numerous domestic and international distinctions. The Center was regularly listed by domestic media as one of the top public interest groups.

A group of Beijing University alumni have written a public letter to the university to protest the decision, but no domestic media has been allowed to report on these developments. Many domestic NGOs are reporting increased interference from the authorities with their work, including police surveillance and individual questioning of their staff, administrative harassment, pressures to cancel conferences and workshops, warnings about bringing public interest lawsuits, and the introduction of stifling regulatory requirements regarding funding and operations of nonprofit groups. On 1 March 2010, the government implemented new regulations that place additional burdens on the ability of domestic NGOs to raise funds from international donors. The government's insistence on registration and operational requirements that few organisations can meet leaves NGOs in a chronically vulnerable position.




Attack on ILGA conference in Indonesia

Date: 9 April 2010

Source: Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR) press release

 

On March 23rd the Indonesian police cancelled the regional Asia Conference of the International Lesbian, Gay, Bisexual, Transgender and Intersex Association (ILGA) that was to be held in Surabaya from 26-28 March and was to be attended by more than 150 activists representing 100 organizations from 16 Asian countries.

 

Freedom of association is protected by the law in Indonesia. Although not required by law, the Organizing Committee had received a permit for the conference which was later withdrawn by the police in Surabaya, which allegedly feared violent attacks by radical Islamic groups.

 

On March 26th these groups did indeed attack the Conference participants in the Oval Hotel where they were trapped, having arrived in Surabaya unaware of the last minute cancellation, and unable to leave the city.  Conference participants were harassed and subjected to verbal and physical abuse. The mob also sealed the office of GAYa NUSANTARA, the local organization that hosted the conference. This office remains closed and human rights activists in Surabaya are still under the threat of further attacks.

 

In a country such as Indonesia that prides itself on its diversity and is supposed to uphold the universal principles of human rights, these acts of violence and intimidation against human rights activists are unacceptable. The state, its legal instruments and its police are duty bound to guarantee the constitutional right of association of the people, and not to deprive them of this right by sheltering pressure groups that wrongfully use the name of Islam to further their political agendas.

 

CSBR asks the press to publicise these violations of human rights, so that the authorities take immediate and solid action to guarantee the safety of the Conference organizers and participants who are still in Surabaya, and reopen the doors of GAYa NUSANTARA and safeguard the security of all its members.

 

The full press release and a list of coalition members can be found here:

 

http://www.wwhr.org/news.php?detay=53




Discriminatory abortion legislation in Georgia

Date: 26 March 2010

Source: SisterSong

 

SisterSong, SisterLove, Spark Reproductive Justice NOW!, Planned Parenthood of Georgia and the Feminist Women's Health Center have been fighting the passage of an abortion ban in Georgia that claims to protect African American and Asian American women from "coerced" race- and sex-selection abortions. The campaign was started with billboards claiming that "Black Children are an Endangered Species" because of abortion.

The Georgia Senate has passed a bill writing discrimination against women of colour into law with SB 529. Although the companion House Bill 1155 is stalled in committee, it is likely that a bill requiring women to publicly disclose their motives for seeking abortion will become law in Georgia. The bill also allows criminal charges against abortion providers who allegedly provide services to women who are choosing abortion because of the race or sex of the fetus.

This bill will:

1) Racially profile African American and Asian American women who seek abortion services;

2) Hold doctors liable for alleged coercion by third parties (such as a parent who urges a young woman to have an abortion);

3) Ignore the underlying causes of abortion in our communities such as health care disparities and other larger, real crises that actually threaten the life, health and well-being of children.

A video on the subject can be seen here. If you would like to join the campaign, visit www.sistersong.net

 




Campaign and March for the right to abort for all women in Europe, 1st April 2010, Brussels

Date: 24 March 2010
Source: European Policy Action Center on Violence Against Women (EPACVAW)

 

The European Women's Lobby is calling on national and European organisations and politicians to join them in celebrating the 20th anniversary of the Belgian law decriminalising abortion and campaigning for the right to abort for all women in Europe. The initiators of the campaign are a platform of civil society organisations from Belgium, Cyprus, Ireland and Poland. The platform has delivered an open letter and is calling on national and European organisations and politicians to sign it by 30 March 2010. The open letter with all its signatories will then be sent to the European states which do not recognise the right for women to abort and to the European Union.

 

Supporters of the open letter can send the name of their organisation to: pape@womenlobby.org, by March 30, or join the 1 April March for the right to abort in Europe, meeting at 10am in Brussels, 29 rue des Gaulois (Metro Merode). The March will pass through the embassies of the four European countries that do not recognise the right for women to abort.




New resource on late abortion

Date: 24 March 2010

Source: ANSIRH

 

Advancing New Standards in Reproductive Health (ANSIRH) at the University of California, San Francisco (UCSF), has created a new web resource on late abortion. The site includes referral information; resources for women, clinicians, and journalists; facts on later abortion; and information on legal issues, women's experiences with abortion, and ANSIRH's Second Trimester Abortion Initiative. The site will continue to expand as new resources are added.

 

This website is dedicated to the memory and spirit of Dr. George Tiller.

 




Men behaving madly: Testosterone replacement therapy

Date: 18 March 2010
Source: Des Spence, BMJ 2010;340:c1493

When young, they get overexcited, climb trees, and fight. As adolescents, their earphones blare out thrash metal, and they grunt in response to any question. Testosterone makes them spotty, hairy, and moody, and sport becomes their only social expression. But feed and water them and with appropriate direction they can, in a limited menial way, contribute to society. Their youth washes off and clogs the sink in their 20s, thanks again to testosterone. They start to go blind, unable to find their own clothes (usually because they have been tidied away), and seem to become deaf, as they stop listening. They don't bother doctors, because they just can't be bothered, being too simple to be introspective or neurotic. In later life they become consumed by the sofa and are considered almost redundant family props. But they can be amusing, loyal, dependable, punctual, and - from years of mute observation - occasionally wise. Surprisingly many people love them dearly - for these are men.

A current disease awareness campaign aimed at men, called "Sorted in 10," promotes "testosterone deficiency syndrome" (a rebranding of the unsuccessful "male menopause"). The campaign suggests that 42% of men with type 2 diabetes are affected, along with many men over 40. Clearly the sponsoring company is showing a benevolent commitment to public service, but it should be noted that it markets testosterone replacement therapy costing £350 a year. A "scientific" screening questionnaire called ADAM (androgen deficiency of ageing men) is used to aid diagnosis and carries a suggestion to take a printout to a local general practitioner. But the truth is that there is no "manopause," because testosterone concentrations decline gradually over time, without an acute cut-off point. And doubts remain over the measurement of testosterone, with wide daily variation within individuals and different men having different sensitivities to testosterone. Also, testosterone replacement therapy turns off endogenous production, causing testicular atrophy. Consider also that there are no long term, large cohort data on the safety of this therapy and persistent concerns about cardiovascular disease and prostate cancer.

The "validated" ADAM questionnaire is but quasi-science, just as biased and loaded as all other questionnaires. Even if you accept that the syndrome exists, recent research shows that the questionnaire has low specificity (1), giving a high rate of false positives, undermining a man's sense of wellbeing even further. So it seems that testosterone, rather like the male of the species, is more complex than it seems. Perhaps Mother Nature knows best, and we should reflect on the early claims of hormone replacement therapy in women and the later problems that it generated. There exists a fountain of youth that protects against the oestrogenic effect of obesity, improving muscle mass, energy, concentration, and endurance: exercise. Testosterone replacement therapy is just not wise.

1. Martinez-Jabaloyas JM, Queipo-Zaragoza A, Rodriguez-Navarro R, et al. Relationship between the Saint Louis University ADAM questionnaire and sexual hormonal levels in a male outpatient population over 50 years of age. European Urology 2007;52:1760-7.




Irish support for liberalisation of abortion laws

Date: 8 March 2010
Source: Irish Family Planning Association

 

A YouGov national opinion poll, commissioned by Marie Stopes, indicates high levels of support for increased access to abortion in Ireland, representing a shift in public attitudes. Abortion was supported by 79% of respondents if the pregnancy endangers a woman's health; 78% if the pregnancy is the result of sexual abuse, rape or incest; 87% if the pregnancy seriously endangers a woman's life; 62% if there is evidence of profound fetal abnormality; and 41% if the woman believes it is in her and/or her family's best interests. Only 3% felt that abortion in Ireland is not acceptable under any circumstances. The Irish Family Planning Association (IFPA) believes that the criminalisation of abortion in Ireland has little impact on abortion rates, it merely adds to the stress of women experiencing crisis pregnancies. Abortion is currently legal if there is a substantial risk to the life of the pregnant woman, but illegal when the woman's health is at risk, where the pregnancy is a result of rape or incest, where the fetus will not survive outside the womb or where the women decides the continuation of pregnancy is not in her best interests. Ireland is out of step with its European neighbours: 44 of 47 European countries provide for abortion to protect women's health. IFPA has called on the Government to face up to its responsibilities and stop exiling women who are experiencing crisis pregnancies.



Church and lawmaker in Philippines collide on condoms

Date: 6 March 2010
Source: Jomar Canlas, The Manila Times

 

Rep. Janet Garin of Iloilo, a medical doctor, has accused Catholic bishops in the Philippines of misleading the public by saying that condoms cannot give adequate protection against pregnancy and sexually transmitted infections including HIV. Garin earlier commended the Department of Health for providing concrete solutions to the spread of HIV/AIDS in its Reproductive Health Bill and appealed to the Roman Catholic bishops and leaders to let government officials do their work on reproductive health issues. The Department of Health had come under fire from the Catholic Church over its programme to distribute free condoms and promote artificial contraception. "Unfortunately, the government is not concerned about morality. Profit is more important to the government and worse they are considering humanity as commodity. The government knows that condom use is bad for the health, yet it is still promoting it. Instead of telling the truth, the government is spreading lies," said Archbishop Ramon Arguelles of Lipa.



New Spanish abortion law approved

Date: 24 February 2010
Source:
Associated Press

A Spanish abortion bill has been given final approval in the Senate and will take effect in June 2010. The bill decriminalises abortion and allows it without restrictions up to 14 weeks, and up to 22 weeks if two doctors certify there is a serious threat to the mother's health, or fetal malformation. After 22 weeks, an abortion may only be done for lethal or extremely grave fetal indications. The vote on the bill by lawmakers in December 2009 was 184 in favour, 158 against and 1 abstention. Under the previous law which dates from 1985, Spanish women could in theory go to jail for getting an abortion outside certain strict limits - up to week 12 in case of rape and week 22 if the fetus is malformed. But abortion has been in effect widely available because women can assert mental distress as grounds for having an abortion, regardless of how late the pregnancy is. The new bill may be problematic for women who are unable to get abortions early in pregnancy and for the small group of women unable to get abortions in the few other European countries where it is legal up to but not after 24 weeks, except to save the woman's life or with grave fetal anomaly. So the bill is not a total victory for women. One controversial aspect is that the bill allows 16- and 17-year-olds to have abortions without parental consent, as in Germany, Britain and France, although minors must inform their parents unless doing so would cause serious problems for them such as family violence or coercion. Abortion reform was the last major pending issue by Socialist Prime Minister Zapatero, who took power in 2004. Under him Spain has also legalised gay marriage and made it easier for Spaniards to divorce.






Women to control their sexual and reproductive rights, says EU

Date: 11 February 2010

Source: ASTRA Network press release

 

The European Parliament's yearly "Report on Equality between men and women in the European Union" includes a new Article 38 calling for women's control over their sexual and reproductive rights. The vote in the European Parliament successfully concludes years of the ASTRA network and other women's groups campaigning for such legislation. The full text of Article 38 emphasises that women must have control over their sexual and reproductive rights, notably through easy access to contraception and abortion; emphasises that women must have access free of charge to consultation on abortion; supports measures and actions to improve women's access to sexual and reproductive health services and to raise their awareness of their rights and of available services; invites Member States and the Commission to implement measures and actions to make men more aware of their responsibilities in relation to sexual and reproductive matters. ASTRA Network expresses great satisfaction that sexual and reproductive rights are now included within equality policies and hopes that these changes will be reflected at national level, particularly in Central and Eastern European countries.




AWID strengthens solidarity in Haiti through information provision

Date: 2 February 2010
Source: AWID

In response to the devastating earthquake in Haiti, The Association of Women's Rights in Development (AWID) has launched a special section on its website designed to provide a wide range of information on the context of the crisis, the latest analysis on the aftermath of the earthquake, how the crisis is impacting women and women's rights, how to ensure women's rights are at the centre of responses to disasters, and how you can act in solidarity with the women, men and children of Haiti. The new web section is part of efforts to support feminist contributions to relief efforts in Haiti by fostering awareness about what women's organisations are doing on the ground and in other parts of the world. AWID is also promoting the opening of spaces that give visibility and a voice to the needs and the realities of Haitian women not only during this humanitarian catastrophe but also on a long term basis.



UN: A step to help end rape in war

Date: 2 February 2010
Source: Human Rights Watch

 

The UN Security Council created a senior post on women in armed conflict in September 2009, with a specific mandate to address rape and sexual violence. On 30 January 2010, UN Secretary-General Ban Ki-moon announced his choice of Margot Wallstrom, a Swedish politician who is currently vice-president of the European Commission. Wallstrom served three years as minister for women and youth in Sweden, and has pushed for stronger representation of women on the European Commission. Human Rights Watch says the appointment is an important step. "The UN has long needed a high-level focal point to address this horrific crime that so often goes unpunished during wartime chaos," said Marianne Mollmann, women's rights advocate at Human Rights Watch. "The appointment of a senior position on women in armed conflict is an important step in that direction." She warns that even the most committeed individual needs adequate resources and support from UN member states to get the job done.



Sperm donor shortage hurts UK fertility clinics

Date: 22 January 2010
Source: Andrea Gerlin, Bloomberg

 

Research conducted by the University of Sheffield, UK, reveals that sperm donation has fallen significantly in recent years, with the removal of donor anonymity potentially one reason for this. Another reason may be the growing popularity of intracytoplasmic sperm injection (ICSI). The donor shortage is having an impact on fertility treatment in the UK and in 2007 only 1,779 patients received treatment with donor sperm, compared to almost 9,000 in 1992.

 

Susan Seenan of Infertility Network UK echoed the concerns from the article in The Obstetrician and Gynaecologist. She accepts that many patients are travelling abroad for treatment, often due to a severe lack of sperm donors. Although many patients receive a high standard of care abroad, this is not ideal as rules and regulations may be very different to the UK. There are also concerns that people are purchasing fresh sperm online for DIY insemination. Sperm and egg donors in the UK must be increased, and issues such as payment of donors addressed. Patients deserve access to safe, regulated treatment in their own country.

 

For more information visit www.infertilitynetworkuk.com or call 0800 008 7464




Human Rights Watch: Stop torture in health settings

Date: 21 January 2010

Source: Human Rights Watch press release

 

Health providers in medical facilities, juvenile detention centers, orphanages, drug treatment centres, and so-called social rehabilitation centres are forced to withhold care or engage in treatment that intentionally or negligently inflicts severe pain or suffering for no legitimate medical purpose, according to an essay in the Human Rights Watch 612-page 2010 World Report. The 20th annual review of human rights practices around the globe summarises major human rights trends in more than 90 nations and territories.

The essay documented health providers' complicity in torture or cruel, inhuman, or degrading treatment in many countries throughout the world, including:

  • Government physicians conducting forcible anal exams of men suspected of engaging in homosexual activity in Egypt and forcible vaginal exams to assess virginity in Libya and Jordan.
  • The practice of female genital mutilation by lay midwives in Iraqi Kurdistan, and government physicians promoting the practice and disputing negative health consequences.
  • Staff at drug "treatment" centres in China and Cambodia denying care for drug users in withdrawal and subjecting individuals dependent upon drugs to forced labour or exercise in place of evidence-based treatment.
  • Physicians in Nicaragua denying women life-saving abortions, resulting in preventable deaths.
  • Health providers in India withholding pain medicine for those suffering from severe, chronic pain.

Healthcare providers are often constrained by government action or inaction to provide care that violates international standards. In Nicaragua, for example, physicians risk criminal charges if they perform life-saving abortions. In India, the government has failed to take measures to ensure the availability and access to appropriate pain medications. In China, the government has expanded access to substitution therapy for individuals with drug dependency in community-based clinics but not in drug rehabilitation centres. Health providers must understand how their actions can result in torture and ill-treatment, and speak out more forcefully against laws and practices that compel health providers to be complicit. The international human rights protection system must also address state-sponsored torture and ill-treatment in medical settings.

The full essay can be found here



 




Woman in El Salvador arrested after seeking care for late miscarriage

Date: 21 January 2010
Source: Catholics for Choice

 

El Salvador has one of the most restrictive abortion laws in the world, resulting from the 1997 reform of the Penal Code to withdraw all legal grounds for abortion, including to save the life of a woman. The sentence is life imprisonment for anyone, including the woman herself, who induces an abortion. In 1999, El Salvador also amended its Constitution to recognise human life from the moment of conception. MCPR, an 18-year-old Salvadoran woman, sought help at a local hospital after having a miscarriage. Medical providers reported her to the police, and she was arrested for an alleged abortion and put in prison in July 2009. In October 2009, officials charged her with abortion and aggravated homicide and she faced up to 30 years in prison. Various human rights defenders, including Catolicas por el Derecho a Decidir (CDD) El Salvador, worked tirelessly on the case. On 15 January 2010, she was finally released.

 

The next issue of Conscience will contain an article with more details




Women's movement mourns death of 3 Haitian leaders

Date: 20 January 2010

Source: Jessica Ravitz, CNN

 

Myriam Merlet, Magalie Marcelin and Anne Marie Coriolan, founders of three of the country's most important advocacy organisations working on behalf of women and girls, are confirmed dead, victims of the earthquake.

 

Myriam Merlet, 53,  was until recently the chief of staff of Haiti's Ministry for Gender and the Rights of Women, established in 1995, and still served as a top adviser. An author and activist, she fled Haiti in the 1970s. She studied in Canada, steeping herself in economics, women's issues, feminist theory and political sociology. In the mid-1980s, she returned to Haiti and founded Enfofamn, an organisation that raises awareness about women through media, collects stories and works to honour their names.

 

Magalie Marcelin, a lawyer and actress, established Kay Fanm, a women's rights organisation that deals with domestic violence, offers services and shelter to women and makes microcredits, or loans, available to women working in markets. Two years ago she urged women to pack a courtroom in Haiti, where she succeeded in getting a guilty verdict against a man who battered his wife.

 

With Merlet, Anne Marie Coriolan, 53, served as a top adviser to the women's rights ministry. She was the founder of Solidarite Fanm Ayisyen (Solidarity with Haitian Women, or SOFA), an advocacy and services organisation. Coriolan was a political organiser who helped change the law to make rape, long a political weapon in Haiti, a punishable crime.
 
With the three leaders gone, there is concern about the future of Haiti's women and girls. Before the disaster, a survey of Haitian women and girls showed an estimated 72% had been raped and 40% were victims of domestic violence. Humanitarian emergencies have been linked to increased violence and exploitation and it is essential that women's protection is guaranteed.




Ugandan president distances himself from "cruel" anti-gay bill

Date: 14 January 2010
Source: IRIN PlusNews

 

Ugandan President Museveni will not back a bill that would impose the death sentence for the crime of "aggravated homosexuality" - when an HIV-positive person has sex with anyone who is disabled or under the age of 18. Museveni appears to have bowed to international pressure, telling members of his ruling party that the British Prime Minister, Canadian Prime Minister and US Secretary of State had all urged him to ensure the controversial bill does not go ahead. The Anti-Homosexuality Bill (2009) - introduced as a private member's bill in October 2009 - would also force people accused of aggravated homosexuality to undergo HIV tests, and would impose prison sentences or heavy fines on people who fail to report homosexual activity. Rights groups and health workers have expressed relief that the bill is unlikely to be passed in its current form. Men who have sex with men have never been included in Uganda's national HIV/AIDS response, mainly because of existing laws outlawing homosexuality. A 2009 study recommended that legal impediments to their inclusion be reviewed.



Israeli Chief Rabbis in call against abortions

Date: 7 January 2010

Source: Nathan Jeffay, The Jewish Chronicle (UK)

 

Women's rights activists are furious at a decision by the Israeli Chief Rabbinate to launch a public offensive against abortion. Chief Rabbis Yona Metzger and Shlomo Amar have written to all state-employed rabbis urging them to use their pulpits to raise the issue, linking it to the Torah portion in which midwives in Egypt save Israelite babies in defiance of Pharaoh. They claim in their letter that the "vast majority" of the abortions are "unnecessary" and "forbidden by Jewish law", and argue that the situation "impedes the coming of the Messiah". Despite public ouctry, their request to rabbis still stands, and a plan to strengthen a two-year-old Chief Rabbinate committee established to disseminate Orthodox views on abortion is still going ahead.

 

According to Jewish law, abortion is not permitted for economic or social reasons, but is permitted when continued pregnancy or birth could pose serious physical or psychological danger to the mother. Some rabbis also deem it permitted if a fetus has a serious illness like Tay Sachs or in cases of rape or incest. Israeli law takes a more lenient view. Around 20,000 women apply for state-funded abortions and 98% receive the necessary green light from a panel of doctors and social workers. Common reasons given by the women include that they are unmarried, too young or old to have a baby, or have evidence that their baby will have a physical or mental defect. The Chief Rabbis and their sympathisers claim that the most common reason is actually economic and women just tell panels what they want to hear. In addition to the legal abortions, both sides of the debate estimate that 30,000 women a year circumvent the panel and pay a doctor privately to terminate their pregnancy.

 

Irit Rosenblum, executive director of New Family, a non-profit organisation that opposes rabbinic involvement family affairs, called the Chief Rabbis' offensive a "disgrace" designed to restore the taboo on abortion. Ms Rosenblum was particularly angry about Rabbi Metzger's comments to the local media following the release of the letter, in which he indicated that he views confronting abortion to be part of Zionists' demographic battle to maintain a Jewish majority in Israel. This is a "cynical use of women's bodies under the umbrella of Judaism", she said. Among Orthodox Israelis, opinions are divided. While the Orthodox feminist movement Kolech did not take an official position on the campaign, chairwoman Rachel Keren said that personally she felt it is "irresponsible".

 




Czech court awards compensation for illegal sterilisations

Date: 7 January 2010
Source:
Romea (Czech Republic)

 

Two women who can no longer bear children as a result of operations performed without their consent have been awarded hundreds of thousands of Czech crowns by the High Court in Prague. Some activists say dozens of women, most of them Roma, have been sterilised without their consent, but precise statistics are unknown. The League of Human Rights, which represents the patients, says medical professionals probably did not intend harm. In the case of the woman who was sterilised, they believed they were protecting her from the risk associated with carrying another child to term. For the woman whose ovaries were removed, they believed they were reducing the woman's cancer risk. However, instead of allowing the women to choose, the doctors decided on their behalf. The League informs patients of their rights through "Fair Hospital" which provides free counselling and strives for out-of-court settlements. In the past, several women suing over illegally performed sterilisations have not succeeded and it is taking a long time for Czech courts to learn to award adequate financial compensation which the League believes should be around CZK 500,000.




Iran: Mass arrests of women activists continue

Date: 6 January 2010
Source: Association for Women's Rights in Development (AWID)

A wave of arrests following protests and violence taking place in Iran on Ashura (27 December 2009) has included over sixteen women journalists, women's movement and civil society activists. Among those detained is Noushin Ebadi, the sister of Nobel Laureate Shirin Ebadi. Harassment and targeting of women activists for arrest had already intensified prior to this new wave of mass arrests, and many remain in detention. This systematic clampdown is meant to threaten and silence not only political opposition, but all voices speaking out in support of human rights and reform.




Malaysia: Unmarried couples caught in hotel raids

Date: 4 January 2010
Source: Jennifer Pak, BBC 

 

52 unmarried couples could face charges of sexual misconduct and jail terms after being caught in hotel rooms by Malaysia's Islamic morality police. Scores of officers conducted raids on budget hotels on New Year's Day in the western state of Selangor. Those detained were mainly students and young factory workers. The Muslim couples are expected to be charged with the offence of close proximity, or Khalwat. Under Malaysia's Islamic Sharia Law, couples who are not married to each other should not be in a secluded area or confined space, which could give rise to suspicion that they were engaged in immoral acts. A spokesman for the Selangor State Islamic Department says they chose New Year's Day because many people are known to commit this offence when celebrating a major holiday. If convicted, the couples could get a maximum penalty of two years in prison and a fine. Sharia laws in Malaysia apply only to Muslims, who make up over half the population.




Medical abortion introduced in Mexican public policy

Date: December 2009

Source: ICMA Newsletter

A Regional Conference of the Latin American Consortium against Unsafe Abortion (CLACAI) - Lima, June 2009 - discussed the current regional situation regarding unsafe abortion. Some presentations addressed the Mexican experience with the introduction of Medical Abortion in public policies. The evidence shows that if there is a political will, an institutional response and support from civil society, medical abortion can be rapidly introduced in public policies and clinical protocols with a high acceptability among both women and providers. In April 2007, the law was changed in Mexico city, making abortion legal up to 12 weeks of gestation. A consensus meeting gathered public officials, researchers and experts who agreed on a misoprostol regime based on updated scientific evidence and incorporated it into clinical guidelines. Since then, Medical Abortion has been offered up to the 9th week of pregnancy with two Misoprostol doses administered at home (and a third if an incomplete abortion is confirmed in a follow-up visit) both at hospitals and health care centres. Two years later, studies show that public health facilities are providing 1,900 legal abortions per month (0.3% complication rate), medical abortion is being used in 67% of all legal abortions, the majority of women are requesting a legal abortion before 9th week of pregnancy, and women are taking Misoprostol in their homes, following the indications given by physicians.




Spanish lawmakers vote to ease abortion law

Date: 18 December 2009
Source: Daniel Woolls, Associated Press

Lawmakers have voted to ease Spain's abortion law, approving a bill to allow the procedure without restrictions up to 14 weeks. The vote in the 350-seat Congress of Deputies was 184 in favour, 158 against and 1 abstention. The change would bring this traditionally Roman Catholic country in line with neighbours in northern Europe and the measure will go to the Senate in early 2010. Under the current law which dates from 1985, Spanish women could in theory go to jail for getting an abortion outside certain strict limits - up to week 12 in case of rape and week 22 if the fetus is malformed. But abortion is in effect widely available because women can assert mental distress as grounds for having an abortion, regardless of how late the pregnancy is. The bill wipes away the threat of imprisonment and declares abortion to be a woman's right. One controversial aspect is that the bill allows 16- and 17-year-olds to have abortions without parental consent, as in Germany, Britain and France, although minors must inform their parents unless doing so would cause serious problems for them. Abortion reform was the last major pending issue by Socialist Prime Minister Zapatero, who took power in 2004. Under him Spain has also legalised gay marriage and made it easier for Spaniards to divorce.




PRO 2000 microbicide trial results

Date: 14 December 2009
Source:
Global Campaign for Microbicides

The Microbicides Development Programme released results of its large-scale effectiveness trial of PRO 2000, a candidate vaginal microbicide. The trial showed conclusively that PRO 2000 (0.5% concentration) was not effective at reducing women's risk of HIV. The trial was conducted in South Africa, Tanzania, Uganda and Zambia with over 9,300 women participating. Prior to the MDP 301 trial, PRO 2000 was found to be safe in a trial including women in Europe, the US, India and Africa. In February 2009, the release of promising results from another study testing the same product, HPTN 035, signaled that PRO 2000 might be effective. Unfortunately, MDP 301 showed that PRO 2000 use is not protective. It closes the chapter on the early generation of microbicides that were based on large polyanions thought to non-specifically block HIV from attaching to its target cells. This demonstrates the importance of investment in large-scale human clinical studies that can provide clear and definitive results about a product. The need remains urgent. Fortunately, researchers have begun work on a potentially highly potent generation of long-acting microbicide products containing antiretrovirals and formulated as long-acting vaginal rings, gels and films.




November 2009 issue on criminalisation has been published

The November 2009 issue of Reproductive Health Matters, published by Elsevier, examines the law and criminalisation of HIV/AIDS, reproduction and sexuality. The papers look at criminalisation in relation to a range of global issues: rape and sexual violence; female genital mutilation; selling and buying sex; provision and use of modern contraception and induced abortion; homosexuality, and HIV transmission. The editor, Marge Berer, points out that some of the laws concerned serve as a statement of moral condemnation in response to a behaviour that is considered wrong or a violation of human rights. Others aim to protect health and prevent harm.

 

One of the most controversial groups of laws are HIV-specific laws developed in recent years in a growing number of African countries that both protect the rights of HIV-positive people and criminalize HIV transmission and exposure. At the same time, particularly in Europe and North America, such laws, which have been in place for up to a decade, are increasingly being used to prosecute people for transmitting HIV or exposing others to HIV infection. 

 

All the articles on criminalisation of HIV published in this issue of Reproductive Health Matters examine these legislative responses and contain a wealth of counter-arguments.

 

According to Jurgens et al., applying criminal law to HIV exposure or transmission does not reduce the spread of HIV; it undermines HIV prevention efforts and promotes fear and stigma. Laws criminalising HIV exposure and transmission are often poorly drafted and applied unfairly, selectively and ineffectively. By passing ill-conceived laws, legislators ignore the real challenges of HIV prevention.  Instead, efforts to promote HIV prevention and treatment should be redoubled.

 

On the other hand, in Africa, especially in conflict and crisis settings, criminalisation of HIV transmission and exposure has found support from women's groups who argue that it might protect women and girls from being infected through widespread sexual violence which is being carried out with impunity, and by unfaithful partners and/or by partners who do not reveal their HIV status to them. However, because many more women in Africa are tested for HIV than men, it is possible that women are also more likely to be subject to prosecution than men.

 

Certainly, laws against sexual violence need to be implemented far more efficaciously, in every country. And laws against female genital mutilation, although few people have been prosecuted under them, seem to be changing perceptions and helping to convince people alongside public education efforts, not to mutilate their daughters. 

The editor concludes that the question of the efficacy - and particularly of justice in relation to the criminalisation of the kinds of behaviours covered in these papers - must be answered quite differently in relation to each practice.




Improved PMTCT in South Africa yields dramatic results

Date: 10 December 2009
Source:
IRIN PlusNews

The percentage of HIV-positive mothers who pass the virus to their newborn babies in South Africa's KwaZulu-Natal Province has dropped by nearly two-thirds since dual antiretroviral (ARV) therapy was introduced in January 2008 for the prevention of mother-to-child transmission (PMTCT). Before this, pregnant HIV-positive women were given a single dose of nevirapine during labour, and their babies received a dose at birth. With dual therapy, HIV-positive women receive the ARV drug, zidovudine, from 28 weeks of pregnancy, as well as a single dose of nevirapine. Their babies receive zidovudine for seven days after birth, and a dose of nevirapine. A study conducted in six districts of KwaZulu-Natal between 2008 and 2009, revealed that the province rapidly implemented the revised PMTCT guidelines, bringing down transmission to as low as 4.3% in one district, and 7% on average. 36% of the 38,000 mothers tested HIV-positive. Two-thirds of these women received dual therapy, 14% received nevirapine only, and 13% started ARV treatment. 8,013 babies aged between four weeks and eight weeks were tested for HIV, and of those whose mothers had received dual therapy, 5.6% were HIV-positive compared to 13.5% of babies whose mothers only received nevirapine. The new higher CD4 count threshold for starting HIV-positive pregnant women on ARVs could bring down mother-to-child transmission rates to below 2%, but the new guidelines would place "a very major burden on the health system", according to the study's lead investigator. There are plans to replicate the KwaZulu-Natal study in the country's eight other provinces, using the same methodology.




Cell phones cut maternal deaths in Ghana

Date: 1 December 2009
Source: IRIN PlusNews

Before cell phone and internet technology were introduced to Amensie village in south-central Ghana, some 20 women died in childbirth each year, according to district nurse Owusu. In 2008 none did. Amensie is part of a cluster of villages called Bonsaaso which is part of the Millennium Villages project, in which villages receive assistance in reaching the Millennium Development Goals. Since 2006 development partners have built and improved Bonsaaso's schools and health clinics and provided an ambulance to the nearest district hospital, 12km away. Mobile handset producer Ericsson teamed with mobile telecommunications firm Zain to install internet access and mobile phone coverage. They distributed free handsets to health workers and sold handsets to villagers for US$10. Women can now communicate when they need an ambulance. Information and Communication Technology (ICT) firms are increasingly stepping in to address poverty-related problems. In Ghana's Upper East Region, the Grameen Bank's Applications Laboratory provided affordable handsets to pregnant women who used them to receive answers to common ante- and post-natal questions as well as reminders about check-ups or vaccinations.  




Government boost for PMTCT and paediatric services in Uganda

Date: 1 December 2009
Source:
IRIN PlusNews

In a bid to reduce the rate of HIV transmission from mother to child, Uganda will give all pregnant women highly active antiretroviral therapy (HAART), rather than single-dose Nevirapine currently used in much of Africa. The Government also commits to increasing access to early infant HIV testing and treatment. A recent Ugandan study of 1,829 women found a 1.7% infection rate among infants born to mothers who received HAART during pregnancy, compared with 11.8% among infants whose mothers received single-dose Nevirapine, and 3.7% and 5.0% percent of those who received two types of combination therapy. The scale-up comes as WHO unveiled its new HIV recommendations promoting the use of antiretrovirals (ARVs) earlier in pregnancy, starting at 14 weeks and continuing through to the end of breastfeeding. Breastfeeding should continue until the infant is one year old provided the HIV-positive mother or baby is taking ARVs. Uganda faces a huge challenge - it is estimated that currently 50,000 children and infants in Uganda need ART, but only 17,000 are receiving it. Funding uncertainties could hamper the government's plans and the US President's Emergency Plan for AIDS Relief (PEPFAR) could be cutting as much as US$1 million over the next year.




European court to be told Irish abortion ban violates rights

Date: 30 November 2009
Source: Carl O'Brien, The Irish Times

The European Court of Human Rights will press the Irish Government on whether its abortion ban violates women's human rights. The case, taken by three women who say their health was put at risk by being forced to go abroad for abortions, will be heard before the Strasbourg court's grand chamber of 17 judges on December 9th. The court will seek information on what procedures exist where a pregnancy poses a risk to the mother's life, and how a woman pursues a lawful abortion in Ireland. Abortion is illegal but may be performed if there is a substantial risk to the mother's life, including the threat of suicide. One of the women ran the risk of an ectopic pregnancy, one received chemotherapy for cancer, and one was unable to cope and had her children placed in care. They argue that the lack of any effective remedy at home means they have satisfied the requirement to exhaust domestic legal remedies, although the Government disagrees and challenges suggestions that there is a lack of post-abortion care or counselling in Ireland. The case will be watched closely by observers because a previous ruling by the same court resulted in Poland being instructed to guarantee access to legal abortions.




16 days of activism against gender violence

Date: 25 November 2009
Source: Center for Women's Global Leadership

On November 25th, the Center for Women's Global Leadership (CWGL) launched the 16 Days of Activism Against Gender Violence, a global project it has coordinated for 19 years from Rutgers University, New Jersey. This year's campaign honours groups and individuals who have committed to bringing violence against women to global attention, to encouraging everyone to take action, and to demanding accountability for promises made to eliminate violence. The 16 Days Facebook page generated over 1000 fans in a few weeks. Over its history, more than 2,800 groups from 156 countries have joined the campaign at the local, national and global levels. A quick glimpse of a few of the hundreds of events planned:

  • An international network of community radio broadcasters will host programmes on the theme
  • Numerous self-defense training workshops in schools in Belize
  • A Canadian group's seminar is on masculinity and hip hop with a critical analysis of mainstream music and its intersections with racism, sexism, and gender-based violence



New HIV infections reduced by 17% over past eight years

Date: 24 November 2009

Source: World Health Organisation

 

According to the 2009 AIDS Epidemic Update, new HIV infections reduced by 17% (400,000 fewer infections per year) since 2001. In East Asia HIV incidence has declined by nearly 25% and in South and South East Asia by 10%. In Eastern Europe, after a dramatic increase in infections among injecting drug users, the epidemic has leveled off. However, in some countries there are signs that HIV incidence is rising again. There are more people - 33.4 million - living with HIV than ever before due to population growth and a 10% decline in AIDS-related deaths because of antiretroviral therapy. Around 200,000 new child infections have been prevented since 2001 due to prevention of mother to child transmission using antiretrovirals. The impact of the AIDS response is high where HIV prevention and treatment programmes are integrated with other health and social welfare services. Early evidence shows that HIV may have a significant impact on maternal mortality. The face of the epidemic is changing and prevention efforts are not keeping up. For example, in Asia an epidemic once characterised by transmission through sex work and injecting drug use is increasingly affecting heterosexual couples. Few HIV prevention programmes exist for people over 25, married couples, widowers and divorcees - groups with high HIV prevalence in many sub-Saharan African countries. Funding for HIV prevention is low: only 17% of Swaziland's AIDS budget was spent on prevention despite a 26% national prevalence and Ghana's prevention budget was cut in 2007 by 43% from 2005 levels.




Doctors and ministers oppose EC's plans for testing IVF samples

Date: 24 November 2009

Source: Rory Watson, BMJ 2009;339:b5016

 

The European Commission's plan to insist that reproductive cells being processed or stored for treatments such as in vitro fertilisation (IVF) should be tested for HIV, hepatitis B and hepatitis C to avoid possible cross-contamination is being strongly resisted by national governments and the medical profession. The European Society of Human Reproduction and Embryology maintains that screening both partners before each treatment is unnecessary and could lead to extra costs in Europe of over £130 million annually. Faced with opposition, the Commission asked European Union member states to provide evidence that testing at the time of donation would not offer additional safety measures against potential cross-contamination. But opponents say it is difficult to document something that has never happened. Soren Ziebe, from Copenhagen University Hospital's fertility clinic, maintains that in the whole history of assisted reproduction technology there has been "no single documented report of viral transmission." Currently national legislation on non-partner donation varies across Europe. In Denmark viral screening for diseases is valid for two years and in France for one year.




The first potential treatment for premature ejaculation

Date: 20 November 2009
Source: Medical News Today

 

Data from a study of PSD502 for the treatment of premature ejaculation, which enrolled and randomised 256 patients from the US, Canada and Poland, are consistent with previous results from Europe and showed that men treated with PSD502 five minutes before intercourse were able to delay ejaculation nearly five times longer than those who used placebo (p<0.001). The mean ejaculatory time in the PSD502 group was 2.6 minutes, compared to 0.8 minutes in the placebo group. Results were presented at the annual meeting of the Sexual Medicine Society of North America in San Diego. Patients and partners in both trials reported statistically significant improvements in sexual satisfaction, and the drug was well tolerated. An estimated one-third of US men ages 18 - 59 are affected by premature ejaculation, making it twice as prevalent as erectile dysfunction. Currently, there are no prescription therapies approved in the US for its treatment. PSD502 is a proprietary formulation of the two drugs lidocaine and prilocaine dispensed by a metered dose aerosol. PSD502 works selectively on non-keratinized skin on the head of the penis.



RHM News and Comment No.1

Major decline in global assistance for reproductive health and family planning

Date: 19 November 2009

A newly published report, Euromapping 2009,1 presented in a meeting at the UK Parliament on 5 November 2009, contains good news about stable and increasing levels of official development assistance (ODA) being given by European countries. The annual report on global population assistance for 2007, Financial Resource Flows for Population Activities2 allows tracking of funding for population-related activities, which is a sub-set of ODA. However, data are available only up to 2007, which means current spending and trends can only be estimated.

Both reports raise concerns about major reductions in spending earmarked for reproductive health and family planning since 1995, even as assistance for STDs/HIV/AIDS grows. They also expose a lack of more specific information from governments, in any comparable format, as to what the money for population assistance is actually being spent on, thereby preventing effective monitoring and evaluation of outcomes and impact that should influence future policy.

Here is what the reports said:

Official development assistance (ODA)

The good news:

  • Europe provided 67% of global Official Development Assistance in 2008.
  • Denmark, Luxembourg, Norway, Netherlands and Sweden remain the most committed donors globally, all exceeding the 0.7% UN benchmark.
  • Germany, France, UK, Spain, Belgium, Ireland and Portugal have made significant increases in their development budgets.
  • Germany has the highest volume of ODA, due to the size of its economy, with the EC, UK and France close behind. The Scandinavian countries, Netherlands and Luxembourg are the most generous in terms of expenditure per capita.

Not such good news:

  • European governments continue to distort their aid figures by counting spending on debt relief, educating foreign students and support to refugees in Europe as part of their total ODA, however.

Assistance for health overall

The good news:

  • The UK is the greatest spender in terms of health in absolute terms, with increases since 2004 and a more than two-fold increase in the past two years.
  • Spain has increased its health spending, and Canada more than doubled its spending on health.

Not such good news:

  • Money for health care has been reduced overall because all other donors have either maintained or reduced funding for health; the US also reduced health funding in 2007.
  • The report EC Development Assistance to Health Services in sub-Saharan Africa (European Court of Auditors, 2008) criticises the diminishing aid that the European Commission is providing to the health sector in Africa.

Population assistance

The good news:

  • In 2006, the European Union was the single biggest donor to population assistance globally. In 2007, the top five donors were the US, UK, Netherlands, Sweden and European Union.
  • Japan, Canada and Norway also stood out as major donors.
  • In 2006, spending stagnated for the first time because even though the EU15 increased its contribution by almost US$0.5 billion, the US reduced its contribution by a similar amount. However, population assistance increased from $7.4 billion for 2006 to $8.7 billion for 2007.

Not such good news:

  • Population assistance from all developed countries represented only 6.9% of official development assistance (ODA) in 2007, up from only 6.1% in 2006.
  • In 2009, the UN Commission for Population and Development announced a revised estimate of the costs for financing the ICPD Programme of Action at just under US$70 billion by 2015. For donor countries to meet their one-third share of these costs, population assistance would need to triple over the next nine years.
  • Population assistance was divided in 2007 as follows:
    • STDs/HIV/AIDS - 75% (up from 9% in 1995)
    • Basic reproductive health services - 17% (down from 33% in 1996)
    • Family planning - 5% (down from 55% in 1995)
    • Research, data and policy analysis - 3% (down from 18% in 1995)
  • Estimates of assistance for 2009 indicate amounts for HIV/AIDS/STDs continuing to increase, while reproductive health services and family planning together are likely to receive only 24% of what they need.
  • The only sexual and reproductive health and rights organisations receiving substantial contributions mentioned in Euromapping 2009 are UNFPA and the IPPF. The other four, except for UNIFEM, were primarily for STD/HIV/AIDS work. These were the Global Fund to Fight AIDS, TB and Malaria, which received double the contributions to all the other organisations together, UNAIDS, and the International Partnership for Microbicides.

Comment

There appear to be no data available on how or how well funding is being spent at national level on sexual and reproductive health and rights, let alone how much is going into e.g. maternity care, reducing maternal deaths, providing safe abortions, addressing sexual violence, prevention and treatment of cervical and other reproductive cancers, or health systems strengthening. The meaning of "basic reproductive health care" itself is unclear, but implies a low level of care. If we want to know why maternal mortality ratios, including from unsafe abortions, are not falling fast enough or at all, the answer is here. What we do know from national studies is that women's health needs are still treated as the lowest of the low. Certainly, there will be no gender equality until serious money starts to be spent on women.

Contact: Marge Berer, Editor, RHM. E-mail: mberer@rhmjournal.org.uk

1 EuroNGOs, DSW, EPF, 2009.
2 UNFPA/Netherlands Interdisciplinary Demographic Institute, 2009.




Somali woman stoned for adultery

Date: 18 November 2009
Source: BBC News

A 20-year-old woman divorcee accused of committing adultery in Somalia has been stoned to death by Islamists in front of a crowd of 200 people near the town of Wajid, 400km north-west of Mogadishu. A judge working for the militant group al-Shabab said she had had an affair with an unmarried 29-year-old man. Under al-Shabab's interpretation of Sharia law, anyone who has ever been married - even a divorcee - who has an affair is liable to be found guilty of adultery, punishable by stoning to death. Her boyfriend was given 100 lashes - the punishment for an unmarried person who has sex before marriage. It is thought to be the second time a woman has been stoned to death for adultery by al-Shabab. A girl was stoned to death for adultery in the southern town of Kismayo in 2008. Human rights groups said she was 13 years old and had been raped, but the Islamists said she was older and had been married. The group controls large swathes of southern Somalia where they have imposed a strict interpretation of Islamic law which has been unpopular with many Somalis.




Australian cervical cancer vaccination leads to rapid decline in genital warts

Date: 15 October 2009
Source: Zosia Kmietowicz, BMJ news item: BMJ 2009;339:b2421

The number of young women presenting with new cases of genital warts in Australia has declined since the introduction of the national vaccination programme against cervical cancer, in 2007. A retrospective study (reference below) compared the proportion of new clients with genital warts attending Melbourne Sexual Health Centre (MSHC) from January 2004 to December 2008. Australia has offered free HPV vaccine, Gardasil, to 12 to 18 year old girls in schools since April 2007 and to women aged 26 and younger in general practices since July 2007. Take-up rates are approximately 70%. Gardasil targets HPV types 6, 11, 16, and 18. Types 6 and 11 are associated with the development of genital warts, and types 16 and 18 with the development of cervical cancer. The other HPV vaccine, Cervarix, which targets only HPV types 16 and 18, is used in the UK.

36,055 new clients attended the clinic altogether and genital warts were diagnosed in 3,826 (10.6%). The proportion of women under 28 years with warts diagnosed decreased by 25.1% each quarter in 2008, which was significantly different from the 1.8% increase per quarter from 2004 to 2007 (p<0.001). Women under 28 made up about 13% of clients diagnosed as having genital warts before 2008, and only 6.6% in 2008. The only other group which saw a decline in genital warts was heterosexual men, among whom new diagnoses fell by 5% each quarter in 2008 (p=0.031). The data suggest that a rapid and marked reduction in genital wart incidence may be achievable through an HPV vaccination programme targeting women, and supports some benefit being conferred to heterosexual men. These results may have implications for countries deciding between the bivalent and quadrivalent vaccines.

Fairley CK, Hocking JS, Gurrin LC, et al. Rapid decline in presentations of genital warts after the implementation of a national quadrivalent human papillomavirus vaccination programme for young women. Sexually Transmitted Infections 2009;85:499-502.




Award for Poland abortion woman

Date: 23 September 2009

Source: Adam Easton, BBC News

A Polish court has awarded $11,000 (7,400 euros) in damages to a woman likened to a child killer by a Catholic magazine for wanting an abortion. Ms T had been warned by doctors when she became pregnant that she could go blind if she had her baby. She was denied an abortion - which should be allowed in Poland when the health of the mother is threatened - and her eyesight subsequently deteriorated. The court in southern Poland ruled that the Catholic magazine, Gosc Niedzielny, had drawn clear parallels between Ms T's desire to have an abortion and the actions of Nazi war criminals. The judge said it had shown "contempt, hostility and malice" and although Catholics have the right to express their disapproval of abortion and even call it murder, they do not have the right to vilify individuals. The magazine's editor said the ruling was unfair and denied comparing Ms T to Nazi criminals. His lawyers said they would use the principle of freedom of speech to appeal.




Abortion banned from Dominican Republic

Date: 18 September 2009
Source: Victor Lepoutre, The Argentimes.com

The Dominican Republic's Chamber of Deputies has decided to amend its constitution to read: "the right to life is inviolable from conception until death". The amendment was introduced by President Fernandez and the debate has pitted civil society and medical associations against the Catholic Church. The College of Physicians and the Dominican Gynecology and Obstetrics Society favour abortion to save a woman's life and in cases of rape or incest. The Obstetrics Society warned that the number of maternal deaths, currently 160 per 100,000 live births, will increase because doctors will fear being charged even if they act to save the woman's life. The amendment would also bar abortion of ectopic pregnancies. The cost of abortion is also likely to increase because it will become more clandestine. While politicians and church leaders repeat publicly that abortion is illegal, in practice, the law is not enforced. Various social organisations protested against the law and vow to bring the case to an international human rights organisation.




VOICE Study launched in Zimbabwe

Date: 16 September 2009

Source: MTN Press Release

 

The VOICE Study "Vaginal and Oral Interventions to Control the Epidemic" aims to determine the safety, effectiveness and acceptability of applying a vaginal microbicide gel containing an ARV (tenofovir) or taking an oral ARV tablet (tenofovir or Truvada) daily to reduce a woman's risk of acquiring HIV. It is the first trial testing both approaches and the first effectiveness trial of a microbicide in which women use the gel daily instead of only at the time of sex.  Up to 5,000 women will be enrolled in Uganda, South Africa, Zambia, Zimbabwe and possibly Malawi. They will be randomly assigned to one of five groups: two will apply gel - either tenofovir or placebo - and three will take tablets - either tenofovir, Truvada or a placebo, for an average of 22. 5 months. The study is led by the National Institutes of Health (NIH)-funded Microbicide Trials Network (MTN), based at the University of Pittsburgh and Magee-Womens Research Institute.



UN approves long-awaited new women's agency

Date: 14 September 2009
Source: Thalif Deen, IPS News

The General Assembly of the UN has adopted a resolution to create a separate UN agency for women which will be headed by an under-secretary-general - on a par with UNICEF, UNFPA and UNHCR. The current four women's UN entities - none of which are as politically powerful and financially stable as a fully-fledged UN agency - will be consolidated into one entity. The head of Oxfam's gender campaign said that some member states tried to weaken the new entity's mandate at the last minute and it will mean absolutely nothing if member states fail to give it a clear mission. To ensure that women's rights get real political backing, there must be a swift appointment of an under-secretary-general by next year. Donor countries are still to pledge substantial funding. A coalition of over 300 international non-governmental organisations said it was pleased that the General Assembly expressed strong and unanimous support in adopting the resolution.




A woman's plight exposes our hypocrisy on abortion (Ireland)

Date: 10 September 2009
Source: Martina Devlin, The Irish Independent

Martina Devlin was having a tooth drilled when a listener's email was read out on Today FM which was playing in the background. A 28-year-old single Irishwoman explained why she flew to England for an abortion, what happened during that day, and how she felt in the aftermath. She described fainting in the airport as she waited five hours for her return flight to Ireland, and the guilt, shame and secrecy, which added their weight to this daunting experience. If the procedure had been available at home, it would have taken two hours. Instead she caught two flights, underwent an 18-hour day and endured the experience on her own because of the stigma attached to abortion, which remains illegal in Ireland. Her conclusion was that women should not be obliged to travel to another jurisdiction if they decide against continuing with a pregnancy; that the State is shirking its duty towards living citizens as opposed to unborn ones by denying them the option of a termination on home ground.

All three women in that dental surgery were riveted: the dentist, her assistant and Devlin. Motherhood is venerated in Ireland yet even within this context, it seems excessive that laws make motherhood compulsory. In previous years there were DIY abortions, sometimes with disastrous results. More recently, Irish women go to Britain for terminations. Politicians find this convenient, since it saves them from the furore that would be stirred up by legislating for abortion. Tearful, scared and often alone, these women deal with their pregnancies in circumstances made more distressing by an unwillingness to accept that abortions happen, whether they are legalised or not. The abortion debate is coming to the fore again because it is being mobilised in the anti-Lisbon campaign. European law cannot impose abortion if the Lisbon Treaty is passed, but protesters suggest that ratifying the treaty will bring about backdoor admission to abortion. Meanwhile, thousands of Irish women go to Britain to have their abortions, and the Irish State looks the other way.




Religious dress code for school girls in Gaza

Date: 4 September 2009
Source: Human Rights Watch

Since the school year opened in August, schools in Gaza have been turning away female students for not wearing a headscarf or jilbab (a long traditional gown), on the basis of new orders from Hamas which appear to have no legal basis. One female student was slapped in front of her schoolmates for not wearing the jilbab. Previously, female students had to wear a long denim skirt and shirt. In July 2009, Hamas initiated a "virtue" campaign, saying they were concerned about increasing "immoral" behaviour in Gaza. Hamas police have been questioning women to determine whether the men they are socialising with in public are close relatives. Hamas police beat up three young men for swimming without shirts. Hamas has now shifted focus to schoolgirls. These rules are inconsistent with Palestine Basic Law which guarantees freedom of thought, conscience and expression, and also with international human rights standards, which Hamas has repeatedly committed itself to. Human Rights Watch believes Hamas authorities in Gaza should suspend all orders that violate personal freedoms, including imposition of their Islamic dress code for schoolgirls.




"Giving birth was like being circumcised all over again"

Date: 31 August 2009
Source: IRIN News

FM, aged 48, a mother-of-four in eastern Kenya, remembers clearly the pain of female genital mutilation. Today she is a facilitator for an alternative rite-of-passage organised by the Roman Catholic Diocese and the Catholic Relief Services NGO, using her experience to warn girls about the dangers of the practice.

"Circumcision was something I looked forward to, knowing it would mean I had become a woman at last. I knew that women who were not circumcised never got married and never earned the respect of the community - I saw them discriminated against by their peers, and I didn't want to be like them.

"One day when I was nine years old, my family prepared a large amount of traditional brew and lots of women came to my house to cook a feast. I knew my circumcision was soon because my female relatives had been preparing me for the pain by pinching me in the days before. I and several other girls were stripped naked and wrapped in blankets before being washed; the ladies sang for us as the circumciser cut the girls one by one - she used the same tool.

"The pain was indescribable - my whole body hurt, I almost fainted. I bled so much that I had to have special herbs put on the wound to stop the bleeding. I then spent several days alone at home healing. One lady was assigned to me to wash me and feed me and ensure I healed properly. During the healing period, I was taught other things; I was prepared for sex and marriage.

"When I got married, I found it difficult to enjoy sex. Although I had a healthy sex drive, my husband found it very difficult to please me sexually, and I have always felt that something was missing from my sex life.

"Giving birth was terrible. Each time I gave birth, the scarring from my circumcision meant I had severe vaginal tearing and bleeding, and I had to stay in the hospital for about a week after birth, when other women went home the same day they delivered. Giving birth was like being circumcised all over again.

"I would never allow my girls to go through circumcision - the physical effects alone are a terrible and painful burden. My peers who were never circumcised all went on to complete school and have successful careers, but I had been told the most important thing in life is to be married and respected in the community. Many of these women never married, but because of their careers they are respected.

"Today I tell young girls about my own experience so that they can aspire to greater things than just marriage. They should seek education, not the pain and suffering of female circumcision."




More Queensland hospitals drop medical abortion in protest

Date: 25 August 2009
Source: Jamie Walker, The Australian

Two more public hospitals in Queensland reportedly withdrew medical abortion services and a pregnant woman was sent by the state's biggest hospital to Sydney for treatment. This was despite Premier Anna Bligh's bid to appease doctors who want Queensland to decriminalise abortion with a partial rewrite of the existing law.

State cabinet yesterday agreed to amend section 282 of the Queensland Criminal Code to extend the exemption for doctors to perform otherwise banned terminations to so-called medical procedures using abortion drugs such as mifepristone. But the Royal Australian and New Zealand College of Obstetricians and Gynaecologists said the concession was not enough. Public hospitals in Rockhampton and Mackay are believed to have joined the Royal Brisbane and Women's Hospital (RBWH) in suspending medical abortions, while a service attached to Cairns Base Hospital is also reviewing its legal position.

"They can tinker all they like with section 282 but it does not withdraw the threat of criminal prosecutions," said college president Ted Weaver. "That is really the bottom line here: we would like doctors to be able to practise without the threat subsequently of having criminal charges laid against them." Dr Weaver said more hospitals were set to follow and suspend medical abortion services, which are provided to women with medical complications to their pregnancy or severe fetal abnormalities. These are generally performed later in pregnancy than elective abortions provided in Queensland by private clinics, not public hospitals.

"I know anecdotally that, yes, it already has had an impact on services and those impacts have been conveyed forcibly to the Premier -- she knows," he said. Ms Bligh yesterday ruled out wider reform of Queensland's abortion laws, considered to be the harshest in the country: "None of the parts of the criminal code that relate to termination of pregnancy will be changed by the government. There will be change to another section that provides that where a doctor is prescribing medication, whether it's for chemotherapy or mental illness, they will have the same protections they currently have when performing a surgical procedure."

The move is designed to allay long-standing concern by some doctors that section 282 of the criminal code, allowing abortions to be performed to preserve the life or health of the mother, refers only to surgical procedures. The government disputes that this would make medical terminations illegal, but moved to amend the section to cover them after RBWH last week suspended its service and said women requiring such treatment would most likely be referred interstate.

The move by RBWH and possibly other public hospitals brought to a head a row that has been simmering since Queensland police in March charged a 19-year-old Cairns woman and her boyfriend with criminal offences involving an allegedly self-administered medical abortion. The college backs the push to repeal the offence, under section 225 of the criminal code, of a woman procuring her own miscarriage.




Abortion law liberalised in Catholic Monaco

Date: 5 June 2009
Source: Anna Wilkowska-Landowska, RH Reality Check

After several years of parliamentary battles, Monaco changed its abortion law in April 2009. The law now allows abortion for cases of severe fetal malformation, pregnancy resulting from a criminal act or when the life or health of the woman is in danger. Two doctors have to certify the risk. Minors need the consent of one parent. Abortions can only be done in a public hospital. The law is extremely restrictive although it represents considerable progress for Monaco, where 90% of the population is formally Catholic. Previously, abortion was only permitted to save the life of a woman, and any person performing an illegal abortion was subject to one to five years imprisonment and a fine. Ireland, San Marino, Malta and Andorra are now the only countries in Europe with a total ban on abortion.




George Tiller shot to death at Wichita church, USA

Source: The Wichita Eagle, Reuters

George Tiller was shot to death on 31 May 2009 as he walked into the Reformation Lutheran Church in Wichita, Kansas, where he was a member of the congregation. Tiller has long been a focal point of protest by abortion opponents because his clinic, Women's Health Care Services, is one of three in the US that performs late-term abortions.

Protesters blockaded Tiller's clinic during Operation Rescue's "Summer of Mercy" protests during the summer of 1991, and Tiller was shot by Rachelle Shannon at his clinic in 1993 and wounded in both arms. Shannon remains in prison for the shooting. His clinic was subsequently heavily fortified and Dr Tiller often travelled with a bodyguard. Tiller's clinic was severely vandalised earlier in May 2009, causing thousands of dollars of damage. Tiller and his clinic have faced continuous threats and lawsuits. A Wichita jury ruled in March that he was not guilty of illegal abortion on 19 criminal charges he faced for allegedly violating a state law requiring an "independent" second physician's concurring opinion before performing later term abortions. Dr Tiller had reported aborting more than 2,600 viable fetuses since the second-opinion law took effect in 1998. He faced a number of other legal challenges, including two separate grand jury investigations. Both ended without charges. Scott Roeder, 51, is being charged with first-degree premeditated murder and aggravated assault. Roeder matches the description of a man who vandalised the clinic twice in the month prior to the killing - including the day before Tiller was killed. [1]

Tiller's murder was one of more than 60 threats and incidents of violence in 2009, according to the National Abortion Federation, who believes the attacks are eroding women's access to abortion. 20% of nearly 700 free-standing US abortion clinics experienced violence over the last year, and there have been 1,400 reports in 2009 of hate mail and/or harassing phone calls to clinics, the highest level in a decade.In recent years, U.S. clinics have been bombed, set on fire, threatened with anthrax and acid, and physicians have been stalked and patients harassed. Door locks at clinics have been glued for protection, and patients must sometimes run through shouting protesters to enter. Many abortion opponents have denounced the violence and condemned Tiller's killing. But some say extreme methods are justified, and Operation Rescue, which maintained a "Tiller Watch" on its website before the doctor's murder, is promoting a training course for the "pro-life warrior" to spur new teams of community activists. The violence and threats, combined with legislated restrictions in various states, are frightening providers and hindering women, said Dionne Scott, spokeswoman for the Center for Reproductive Rights. [2]

1. Finger S. George Tiller shot to death at Wichita Church. The Wichita Eagle, 31 May 2009.
2. Gillam C. Threats, violence seen eroding US abortion rights. Reuters, 14 June 2009.




Mexicans protest law promoting fetuses' rights at expense of women's

Date: 28 May 2009
Source: Latin American Herald Tribune

Members of the Coalition for Women's Health in Mexico City before the headquarters of the main political parties against laws approved in some states that "promote the rights of an embryo over those of women." Since October 2008, lawmakers with the right-wing governing party, PAN, and the centrist PRI with some support from other parties, have amended several state constitutions to give legal personhood to embryos such that women who have an abortion could be put in jail, and women who use the morning-after pill, intra-uterine devices, or assisted reproduction, could also be affected. The protest demands that the political parties explain why they are supporting those initiatives to make clear to society who is supporting the rights of women and who is not.

According to the Coalition for Women's Health, 13 Mexican states have adopted laws granting personhood to fetuses. Mexico City, where the leftist PRD governs, is the only jurisdiction to have decriminalised abortion in all circumstances up to 12 weeks.




Attempts to close down Safe Abortion Hotline in Chile

Date: 29 May 2009
Source: Women on Waves

Anti-abortion groups in Chile announced they will attempt to close down the safe abortion hotline that was launched on 28 May 2009. This would be a severe violation of the constitutional right to freedom of Information.

Red Mujeres Chile launched the hotline "Aborto: Información Segura", marking the International Day of Action for Women's Health. The launch took place in a plaza in central Santiago, Chile. The hotline will give information about the safe and effective use of Misoprostol to induce an abortion. The hotline is supported by Women on Waves (Netherlands) and the Coordinadora Juvenil por la Equidad de Género (Ecuador). In the previous weeks, members of the network were trained in-depth about the use of Misoprostol, and have been working out legal strategies and expanding their support-network to make the hotline as effective as possible. Numerous women are already calling the hotline.

Chile has one of the highest rates of abortion in Latin America. Between 120,000 and 160,000 women have abortions every year, representing about 1 in 3 pregnancies.

For more information:
Press inquiries: +56 984668855
Women needing help in Chile: 08-8918590.
www.womenonwaves.org/set-1936-en.html




President Obama ends abstinence-only funding

Date: 8 May 2009
Source: James Wagoner, Advocates for Youth

President Obama released the first budget of his presidency which included the elimination of all funding for abstinence-only-until-marriage programmes. Studies have shown that these programmes are ineffective despite the $1.5 billion the U.S. government has spent on them. Abstinence-only programmes often contain false or misleading information about condoms and contraception.

With this budget, President Obama fulfilled his campaign promises to return to science-based policies and to cut programmes that do not work. The question now is whether congress will follow through on this. As the budget process moves forward, it must be ensured that there is no "back door" route for these programmes to receive funding, and that support is built for comprehensive sex education that takes a holistic approach to the issues facing young people's sexual health.




Taliban shoot dead politician who championed women's rights

Date: 13 April 2009
Source: Jon Boone, The Guardian (UK)

Sitara Achakai, a leading female Afghan politician, was shot dead after leaving a provincial council meeting in Kandahar, which her colleagues had begged her not to attend. Sitara was attacked by two gunmen as she arrived home in a rickshaw - a vehicle she chose rather than an armoured Humvee to avoid attracting attention, but which also made her easier prey. The Taliban, whose spiritual home is Kandahar, claimed responsibility.

Achakai was a women's rights activist who had organised a "prayer for peace" with 1,500 attendees on International Women's Day 2008. She was secretary of the provincial council, which, until her death, had four female members in the 15-strong body. She returned home to Kandahar in 2004 after many years living in Germany, and was aware of the danger she was in.

Taliban militants target anyone associated with the Afghan government and last month launched an assaut with four suicide bombers on the provincial council building in Kandahar, killing 17 people. There have been many other attacks on women in the province including the assassination in 2006 of the head of the province's women's affairs department, the killing of a top policewoman, and acid thrown in schoolgirls' faces for attending school.




China pledges to set up a clinic in each of its 700,000 villages

Date: 8 April 2009
Source: Jonathan Watts, The Guardian (UK)

China will build or maintain a clinic in every one its 700,000 villages over three years as part of a 850bn yuan (£84.5bn) revamp of the health care system. Basic medical coverage and insurance will be extended to 90% of the population, almost one third of whom currently meet their own health care costs. The health ministry will train 1.4 million doctors, nurses and other medical practitioners to staff village clinics and half a million health care workers in towns and cities. The government plans to build 2,000 county hospitals and build or renovate 3,700 community clinics and 11,000 health service centres in urban areas. 40% of the costs will be covered by the central government, and the rest by local authorities, with priority given to impoverished areas in central and western China.

This investment aims to upgrade neglected medical care in the countryside. In the 1960s, the government raised an army of "barefoot doctors" and the health of China's rural population was a proud boast of the Communist party. But market reforms of the late 1970s eradicated the rural co-operative insurance system and most farmers could not afford treatment, leading to clinic closures. Large health inequalities exist between rich cities and poor rural areas which have sparked protests, including a riot by 2,000 protesters in Guangan province in 2006.




Obama puts an end to Global Gag rule

Date: 23 January 2009
Source: The White House

Here is the exact text of the memorandum ending the Mexico City Policy:

MEMORANDUM FOR THE SECRETARY OF STATE, THE ADMINISTRATOR OF THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT

SUBJECT: Mexico City Policy and Assistance for Voluntary Population Planning

The Foreign Assistance Act of 1961 (22 U.S.C. 2151b(f)(1)), prohibits nongovernmental organizations (NGOs) that receive Federal funds from using those funds "to pay for the performance of abortions as a method of family planning, or to motivate or coerce any person to practice abortions." The August 1984 announcement by President Reagan of what has become known as the "Mexico City Policy" directed the United States Agency for International Development (USAID) to expand this limitation and withhold USAID funds from NGOs that use non-USAID funds to engage in a wide range of activities, including providing advice, counseling, or information regarding abortion, or lobbying a foreign government to legalize or make abortion available. The Mexico City Policy was in effect from 1985 until 1993, when it was rescinded by President Clinton. President George W. Bush reinstated the policy in 2001, implementing it through conditions in USAID grant awards, and subsequently extended the policy to "voluntary population planning" assistance provided by the Department of State.

These excessively broad conditions on grants and assistance awards are unwarranted. Moreover, they have undermined efforts to promote safe and effective voluntary family planning programs in foreign nations. Accordingly, I hereby revoke the Presidential memorandum of January 22, 2001, for the Administrator of USAID (Restoration of the Mexico City Policy), the Presidential memorandum of March 28, 2001, for the Administrator of USAID (Restoration of the Mexico City Policy), and the Presidential memorandum of August 29, 2003, for the Secretary of State (Assistance for Voluntary Population Planning). In addition, I direct the Secretary of State and the Administrator of USAID to take the following actions with respect to conditions in voluntary population planning assistance and USAID grants that were imposed pursuant to either the 2001 or 2003 memoranda and that are not required by the Foreign Assistance Act or any other law: (1) immediately waive such conditions in any current grants, and (2) notify current grantees, as soon as possible, that these conditions have been waived. I further direct that the Department of State and USAID immediately cease imposing these conditions in any future grants.

This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. The Secretary of State is authorized and directed to publish this memorandum in the Federal Register.

BARACK OBAMA
THE WHITE HOUSE, January 23, 2009.




Call on South East Asian governments to address sexual and reproductive rights

Date: 27 September 2012
Source: Asia Pacific Alliance for Sexual and Reproductive Health and Rights

Young women, female sex workers, transgender women, women who use drugs and women living with HIV have called on the Association of South East Asian Nations (ASEAN) to support women and girls living with and affected by HIV in last week's ASEAN consultative meeting on HIV and key affected women and girls, held in Lao PDR.

Women and girls from civil society, including communities representing the voices from young women, female sex workers, transgender women, women who use drugs and women living with HIV, came together under the umbrella of a new platform, Unzip the Lips. Working as a united movement, they played a leading role in the development of recommendations arising from the meeting. Delegates committed to repealing punitive laws and ensuring that existing laws, regulations and policies of ASEAN Member States address the rights of key affected women and girls affected by HIV and AIDS.

The full recommendations are available here.




Call on South East Asian governments to address sexual and reproductive rights

http://www.asean.org/news/asean-secretariat-news/item/consultative-meeting-on-hiv-and-key-affected-women-and-girls-reducing-intimate-partner-transmission-of-hiv-within-asean