Thursday, May 26, 2016
Local health care providers and wider contraceptive options increase contraceptive use in many countries
Vox (May 20,2016): What the US can learn from Ethiopia about birth control, by Sarah Frostenson:
The use of modern contraceptives has tripled in Ethiopia since 2005, following a government program to train women health workers to go door to door to deliver birth control.
What's more, women in Ethiopia are having fewer children (the fertility rate fell from an average of 6.5 children per woman in 2000 to 4.6 currently), maternal deaths are in decline, and more women are staying in school longer. Plus, more women are opting for long-acting reversible contraceptives (LARCs) instead of more traditional short-term methods like birth control pills or condoms.
Local health care providers can make a big difference in women's access to contraceptives as can providing a range of contraceptive options. Long acting reversible contraceptives (LARCs) play a big part in increasing effective use of contraceptives in many countries. LARC implants last for 3 years and do not require going to a clinic to take medication or remembering to take a pill. They also allow women to keep their contraceptive use secret. However, LARC use can be prohibitively expensive for low-income women who would otherwise choose them. Some poorer countries are able to provide contraceptives that are donated by NGOs and the international community, removing the cost-barrier for many women.
Use of LARCs is increasing at a faster rate in some poorer countries than in the U.S. About 12% of women in the U.S. use LARC methods. Recent cuts to family planning in the U.S. resulting in closure of local family planning clinics decrease women's options of contraceptive methods and make it more difficult and expensive for them to access birth control. For instance in Texas, 82 of family planning clinics closed following a recent drastic cut in family planning funding. A study found the cuts lead to an increased birth rate for low income women and a "sharp decrease " in use of LARCs.
Monday, May 9, 2016
Care 2 (Apr. 11, 2016): Success! Women Will Finally Get Access to Safe Abortions on Prince Edward Island, by Judy Molland:
In contrast to many jurisdictions in the United States, Canada does not criminalize abortion, the Supreme Court having struck down restrictions on abortion in 1988. Nonetheless, there has been no access to abortion in the province of Prince Edward Island. Women on the island have had to go elsewhere to obtain pregnancy termination services. The government has been sued twice in ten years for not providing access on the island.
After receiving a petition with 18,000 signatures, Premier Wade MacLauchlan capitulated, stating, "We have been advised the probabilities are very low that the province could successfully defend policies that provide a legal, provincially funded medical procedure only if obtained outside of the province." The policy would probably violate the Canadian Charter's Rights and Freedoms provisions and its security-of-the-person guarantee.
Thursday, May 5, 2016
New York Times (May 3, 2016): Fewer Surrogacy Options as Nepal Joins a Trend, by Rachel Abrams:
Nepal has banned surrogacy after serving as a robust surrogacy destination for hopeful parents from around the world. Nepal became a popular destination especially for gay couples after India decided to bar gays from have children via surrogacy there. Developing countries like Nepal, India and Thailand have one by one restricted or prohibited surrogacy to respond to concerns that surrogacy is akin to human trafficking and that surrogates in those countries are exploited by couples who cannot afford surrogacy in the United States. They may also be exploited by agencies and few protections if an agency refuses to pay or the surrogate becomes ill or is injured. Complicating the debate is the fact that surrogates in these countries can earn much, much more than other employment options afford them.
Wednesday, May 4, 2016
Irish Examiner (Mar. 20, 2016): Asylum Seeker Refused Abortion Sues State, by Ann O'Loughlin:
An asylum seeker who arrived in Ireland pregnant as a result of a kidnapping and rape in her country of origin but was refused an abortion in Ireland has sued the state for trespass, assault and battery, negligence, and the intentional infliction of emotional distress. The plaintiff has also brought deprivation of constitutional rights and human rights claims.
Her child was delivered by cesarean section.
A judge hearing the matter has allowed the case to proceed anonymously.
Tuesday, May 3, 2016
Center for Reproductive Rights Press Release (Apr. 1, 2016): Case of Illegal Detention and Death of Woman at Hospital Heads to High Court of Nigeria:
With support from the Center for Reproductive Rights, an advocacy group has filed suit in the case of a woman illegally detained by a hospital to which she was admitted after suffering complications in the course of a cesarean section at another hospital. Folake Oduyoye was discharged after two months but was locked in a guarded ward that lacked toilet facilities and mosquito netting because she could not pay her bill in full. Oduyoye eventually died from post-partum sepsis and pneumonia.
The lawsuit seeks a declaration that the detainment was illegal, unconstitutional, and in breach of Oduyoye's rights, along with financial reparations and a public apology.
The Center has been working to end the mistreatment of women in maternity hospitals.
Monday, May 2, 2016
The Journal IE (Mar. 30, 2016): The Horrific Case Involving a Young Pregnant Brain-dead Woman May not Be a One-off, by Kate Butler:
Two years ago, the Eight Amendment to the Irish Constitution resulted in a judicial circus act as the court wrestled to define the rights of the 15-week-old unborn fetus carried by a brain-dead pregnant woman reposing in an Irish hospital. The fetus was highly unlikely to survive. The woman's family was forced to bring a petition to the High Court asking it to order that the woman's artificial life support be terminated.
The court held that it was in the best interests of the unborn child to authorise the withdrawal of life support, and said that maintenance of life support would deprive the mother of dignity in death and subject her father, her partner and her young children to “unimaginable distress in a futile exercise.”
Butler notes that this case is not a "one-off." Indeed, new legislation in Ireland grants individuals autonomy to employ advanced healthcare directives to choose the course of their end-of-life care, except if the individual is a pregnant woman. The legislation requires medical professionals to refuse the wish of a pregnant woman to refuse life-prolonging care. Those same professionals have no discretion in the matter. They must refer the case to the judiciary.
Butler is concerned about how the Irish Constitution's guarantee of the right to life of the unborn will apply in cases where the fetus has a greater chance of survival if the brain-dead woman is kept on life support.
The ambiguities . . . are not accidental or due to some governmental oversight. They are intentional. This new legislation makes that clear.
Butler is calling on the new government to launch a referendum to repeal the Eighth Amendment.
Sunday, April 17, 2016
Independent (April 12, 2016): The UK's abortion shame: Northern Ireland urged to stop prosecuting women under abortion ban, by Sioban Fenton:
Northern Ireland is under pressure for recent criminal prosecutions of women for abortions. Earlier this month, a 21 year old woman pled guilty to procuring her own abortion and received a three month suspended sentence. She became pregnant at age 19 and could not raise the money to to travel to England to have a legal abortion. Instead, she purchased medication over the internet to self-induce an abortion. She was reported to authorities by her housemates.
A second woman is due to stand trial in Belfast on April 27 for helping her daughter access pills to induce an abortion. Local media has reported the prosecutors are considering bringing two additional cases for illegal abortions.
Although Northern Ireland is part of the United Kingdom, the UK's 1967 Abortion Act, does not apply there. Instead an 1861 act criminalizing abortion remains in effect, and abortions are only legal if a woman's life or mental health is in danger. As a result, many women travel to England for abortions if they can afford the travel costs.
The UK has been criticized by the UN Human Rights Committee which has recommended that Northern Ireland's abortion law be amended. Leading MPs also have criticized the prosecutions and advocate ending the criminalization of women. MP Liz Kendall stated:
We must end the criminalisation of women in Northern Ireland who, often in desperate circumstances, decide to terminate their pregnancy. Currently, women wishing to terminate a pregnancy are either forced to travel to other parts of the UK, or, if they don’t have the money, attempt an abortion themselves, putting their safety at risk. That is no choice. Women in Northern Ireland should have access to safe abortions, in hospitals or clinics, like women in the rest of the UK.
In an effort to highlight the inequality of Northern Ireland's current law, Claire Bailey, Deputy leader of the Green party has said she is considering proposing legislation that would allow the prosecution of men under a new criminal offense of "reckless conception."
Saturday, April 16, 2016
Social Europe (Apr. 6, 2016): The Polish Church and Government Open New Attack on Women's Reproductive Rights, by Gavin Rae:
In Poland, which has one of the most restrictive anti-abortion laws in Europe, Catholic officials are urging more restrictive regulation. Currently, abortion is available in only three instances: (1) there is a high probability that the fetus will suffer severe and irreversible damage or have an incurable life-threatening disease; (2) continuing a pregnancy threatens the woman’s life or health; or (3) the pregnancy is the result of a criminal act. As in other countries with restrictions on abortion, wealthy women travel to other countries to terminate their pregnancies, and poor women resort to unsafe, backstreet procedures. The new law is an attempt to end nearly all abortion in Poland by limiting it to cases where the pregnant woman's life is directly threatened by continuing the pregnancy. The proposal also increases the jail time for those who perform abortions from two to five years and imposes penalties on anyone who disseminates information about abortion options abroad.
The Catholic church is prominent in the push for the new law. The ruling party leaders are staunch Catholics who received influential church backing in the last elections. They are determined to use their power to enshrine Catholic doctrine in national policy. The move is a reflection of a regime that is becoming increasingly authoritarian.
Wednesday, March 23, 2016
BBC (March 18, 2016): Chile Lawmakers lift abortion ban introduced by Pinochet:
Last week, Chile's lower house of Congress approved a bill that would decriminalize abortion in cases of rape, health risk to the mother, and instances where the fetus is not viable. The bill, which is supported by Chilean President Michelle Bachelet, needs to pass the Senate to become law. Chile is one of seven Latin American countries that ban abortions in all circumstances. The other countries are El Salvador, the Dominican Republic, Haiti, Honduras, Nicaragua and Surinam.
Tuesday, February 23, 2016
RH Reality Check (Feb. 18, 2016): Pope Francis Suggests that Contraception May Be Acceptable for Catholics Fearing Zika Virus, by Jodi Jacobson:
The Zika virus, now found in 34 countries, may cause microcephaly in infants born to recently infected women. Some countries, including El Salvador, have responded to the recent increase in microcephaly by advising that women avoid pregnancy for up to two years. Last week, Pope Francis responded to questions about Zika virus, saying that it may be acceptable for Catholics to use contraception to avoid pregnancy when fearing possible infection.
Asked during a press conference whether abortion or birth control could be considered a “lesser evil” in response to the Zika virus, which appears to be linked to birth defects, the Pope replied that he believes abortion is a crime and is never acceptable, but that the use of modern birth control (“artificial contraception” in church parlance) may be permitted in exceptional circumstances.
Abortion “is an evil in and of itself” the Pope claimed. “On the other hand, avoiding pregnancy is not an absolute evil,” he said, referring to prior circumstances in which the church has sanctioned the use of birth control, such as in the 1960s, when nuns were subject to rape as a weapon of war in the Belgian Congo.
The Pope's statements may encourage Catholic countries to make contraceptives more readily available, thus avoiding increased birth defects due to Zka virus.
Wednesday, February 17, 2016
New York Times (Feb. 9, 2016): Chinese Who Violated One-Child Policy Remain Wary of Relaxed Rules, by Kiki Zhao:
Before China dismantled its one-child policy, couples who violated it often could not surmount the hurdle of obtaining the registration document (hukou) necessary for their second child to attend state schools, receive health care, marry, open a bank account or even buy train tickets. Now that hukous have been declared a right of all citizens and the one-child policy has been lifted, parents are still worried that they will be required to pay a fine for violating the one-child policy when it was the law. Municipal governments throughout China have not been clear or uniform in their messages about whether fines will be imposed retroactively.
Wednesday, February 10, 2016
Guttmacher Institute (Feb. 3, 2016): Adolescents in Developing Countries Face Barriers to Accessing Safe Abortion Services, by Rebecca Wind:
This week, the Guttmacher Institute released a fact sheet on barriers to adolescents seeking abortion. According to the report, 3.2 million adolescent women in developing countries had unsafe abortions in 2008.
The new fact sheet incorporates data from three recent studies of adolescent sexual and reproductive health needs and services in developing countries. It includes information about unsafe abortion incidence in specific countries and in the developing world in general, abortion service provision, access to postabortion care and barriers that adolescents face in accessing safe abortion services. The data show that adolescents are more likely than older women to self-induce abortion or go to an untrained provider, and they are more likely to have abortions later in pregnancy. Adolescents are also less likely than older women to start using contraceptives following postabortion care, which increases their likelihood of experiencing future unplanned pregnancies.
The report also highlights barriers to adolescents in seeking safe abortion services. Chief among these are cost and confidentiality.
Find more information on the fact sheet here.
Sunday, February 7, 2016
New York Times (Feb. 5, 2016): Female Genital Cutting: Not Just "an African Problem," by Pam Belluck and Joe Cochrane:
New documentation shows that female genital cutting is widespread in Indonesia, one of the most populous countries in Asia and the world's most populous Muslim-majority nation. It is estimated that 60 million women and girls have been cut, using a technique that is less invasive than is common in Africa. Current regulations require the cutting to be performed by a medical professional who may do no more than scratch the clitoral hood without injuring the clitoris. Most cutting is performed on infants. Unicef has been working in Indonesia to end the practice.
The practice of female genital cutting persists, despite reductions in its incidence worldwide. The reductions are not keeping up with population growth with the result that the number of girls and woman being cut is expected to rise over the next 15 years. Cultural beliefs about the practice vary, including that without it women cannot truly be women and cannot marry.
Tuesday, January 19, 2016
New York Times (Jan. 17, 2016): On Paper, Italy Allows Abortions, but Few Doctors Will Perform Them, by Gaia Pianigiani:
Thirty years ago, the long fight for abortion rights resulted in a law permits abortion with ninety days of pregnancy and later for women in mental or physical danger or in cases of serious fetal pathologies. But nearly three-quarters of the country's gynecologists--more in some regions--are conscientious objectors to the law, reflecting the influence of the Roman Catholic Church in the delivery of medical care. Many non-objecting physicians, who tend to be part of the older generation of practitioners, are approaching retirement age. Non-invasive abortions are completely unavailable in some regions, despite a national directive that has been in place since 2009. The European Committee of Social Rights has deemed the lack of access to abortion in certain regions detrimental to the health of women.
Friday, May 8, 2015
The Daily Beast: Chile’s Shocking DIY Abortion Ad Campaign, by Nina Strochlic:
“It’s important that you find a long and steep set of stairs,” a young, brunette woman says in Spanish to a hand-held camera. She walks up steps of an anonymous building. “Make sure there’s no security cameras, so no one can see you.” . . .
“In Chile an accidental abortion is the only kind of abortion that is not considered a crime,” the video displays in bold type. The satirical videos are part of a campaign launched last month called Abortion Tutorials. It was conceived for theMiles Organization, a reproductive rights NGO, by advertising agency Grey Chile. The groups are hoping the Chilean government will be shamed into reforming what is the strictest abortion law in the world. . . .
Thursday, April 30, 2015
Metro.co.uk: Pregnant girl, 10, ‘denied life-saving abortion after being raped by stepfather’, by Harry Readhead:
A 10-year-old girl who was raped by her stepfather has allegedly been denied the abortion she desperately needs.
The child was found to be 21 weeks pregnant after arriving at hospital in Asunción, Paraguay, this month complaining of stomach pains.
Amnesty International reports that the girl’s pregnancy came as a result of being raped by her stepfather, but she has allegedly been denied a life-saving abortion and sent to a centre for young mothers instead. . . .
Tuesday, March 17, 2015
The Hill: Iran's War on Women, by Soona Samsami:
March 8 marked International Women’s Day, a day to reflect on the situation of women throughout the world. With all the talk about Iran’s nuclear program, little attention is being paid to the internal situation, particularly Iran’s ongoing war on women. . . .
The bill itself undermines the reproductive rights of women, and limits access to contraception among other restrictions. The law would block employment at certain jobs for Iranian women who choose not to have children, making it clearly discriminatory and unfair. . . .
The Guardian: Iran aims to ban vasectomies and cut access to contraceptives to boost births, by Saeed Kamali Dehghan:
Iran is seeking to reverse progressive laws on family planning by outlawing voluntary sterilisation and restricting access to contraceptives, in a move human rights groups say would set Iranian women back decades and reduce them to “baby-making machines”.
The Iranian parliament is considering two separate bills aimed at boosting the population. But Amnesty International warned in a report published on Wednesday that the proposals are misguided and, if approved, would “entrench discriminatory practices” and expose women to health risks. . . .
Sunday, March 8, 2015
Sinn Féin drops opposition to abortion at Derry congress
The Guardian: Sinn Féin has dropped its historic opposition to abortion at its annual congress held in Derry, by Henry McDonald:
The party voted this weekend to support terminations in limited cases, such as pregnant women with fatal foetal abnormalities. This involves women whose babies will be born dead and who have to either go full term in Ireland or seek abortions across the Irish sea in Britain. . . .
Wednesday, March 4, 2015
The Guardian: Britain's House of Lords approves conception of three person babies, by Hannah Devlin:
Britain has become the first country in the world to permit the use of “three-person IVF” to prevent incurable genetic diseases.
The House of Lords voted by 280 votes to 48 on Tuesday evening to approve changes to the law allowing fertility clinics to carry out mitochondrial donation. Babies conceived through this IVF technique would have biological material from three different people – a mother, father and a female donor. . . .
Technically the baby would have three biological parents, with 99.8% of genetic material coming from the mother and father and 0.2% coming from the mitochondrial donor. . . .
PBS: Why the term 'three-person baby' makes doctors wince, by Rebecca Johnson:
MELAS is one of about 200 known mitochondrial diseases, a subject that has featured prominently in the news since the British Parliament’s House of Commons on Feb. 3 approved further testing and research on mitochondrial replacement IVF. The procedure has beencommonly referred to in news stories as “three-person babies” or “three-parent babies.”
But it’s a term that makes doctors wince. . . .
Thursday, February 26, 2015
The New York Times: Review: In Mo Yan’s ‘Frog,’ a Chinese Abortionist Embodies State Power, by Janet Maslin:
When the Chinese writer Mo Yan won the Nobel Prize in Literature in 2012 and was warmly lauded by the Communist government, he became one of the most reviled winners in the history of that great honor. Among the more benign accusations lobbed at him was that he was undeserving. . . .
Too easily lost in all this howling was Mr. Mo’s writing. His latest novel, “Frog,” gracefully and colloquially translated by Howard Goldblatt, is not the work of a hack or an ideologue. It is a rich and troubling epic — and a very human story — about China’s one-child policy, and Western readers who think they understand how this works have another think coming. . . .