Making Legal Abortion Accessible in India

Rural healthcare workers in India are fighting to overcome stigma and systemic shortcomings to help patients.

BY SANKET JAIN
AUG 28, 2023

When Kiran Kumbhar (name changed for safety reasons) was pregnant with her first child, she experienced severe complications that almost took her life. And the debilitating symptoms have continued in the years since: weakness and dizziness, weight gain, and delays of as long as six months between periods. For years she tried to ignore the health ailments, but things got so bad that she eventually sought medical care. She was diagnosed with hypothyroidism, which limits the secretion of necessary hormones that control how a body uses energy, and polycystic ovarian disease (PCOD), in which enlarged ovaries secrete hormones that cause health issues.

Then, 15 years after giving birth to her son, she found herself pregnant again. She faced insults and name-calling daily because of her age and the long gap since her first baby. Both are considered shameful by those who carry conservative beliefs in India.

Continued: https://www.yesmagazine.org/health-happiness/2023/08/28/india-legal-abortion-access


India: Late-term abortion ruling highlights mothers’ rights

Abortions in India are usually permitted only up to 24 weeks of pregnancy. But in a recent landmark ruling, a Delhi court allowed a woman to undergo an abortion in the 33rd week due to fetal abnormalities.

Dec 12, 2022
Nidhi Suresh

The High Court of Delhi last week permitted an Indian woman, who was 33 weeks pregnant to undergoa medical termination after doctors found abnormalities in the fetus.

"The ultimate decision in such cases ought to recognize the choice of the mother," said Justice Prathiba M.Singh on December 6.

Continued: https://www.dw.com/en/india-late-term-abortion-ruling-highlights-mothers-rights/a-64068504


At Least 1 in 4 Abortions in India Self-done at Home; ‘Unplanned Pregnancy’ Most Common Reason: Govt Data

JUNE 17, 2022

At least one in every four abortions in India was performed by the woman herself at home, whereas almost half of the women said the main reason for seeking an abortion was an unplanned pregnancy, government data for 2019-21 analysed by CNN-News18 shows.

The data also shows that the share of abortions performed by the woman herself at home has increased by one per cent from the last analysed period of 2015-16.

Continued: https://www.news18.com/news/india/at-least-1-in-4-abortions-in-india-self-done-at-home-unplanned-pregnancy-most-common-reason-govt-data-5386663.html


Despite Being Legal Indian Women Don’t Have Access To Safe Abortion; Why?

RITIKA JOSHI
June 17, 2022

The fact that abortion in India is legal under various circumstances is commendable. Legalising abortions means that women have access to safe abortions and do not have to resort to unsafe abortions or harmful at-home abortions. While the United States fights for the right to abortion, India has been taking steps towards more progressive abortion rights. So why aren’t more women in India having legal abortions and resorting to at-home abortions?

Abortion has been legal in India since 1971 through the Medical Termination of Pregnancy (MTP) Act, yet it is still stigmatised and considered to be taboo.

Continued: https://www.shethepeople.tv/top-stories/opinion/women-unsafe-abortions-india-stigma/


India: Why are women seeking unsafe abortions?

Although abortion is legal, over two-thirds of abortions in India are considered to be risky. Barriers to safe abortion include a shortage of doctors in rural areas, a lack of confidentiality and widespread stigma.

April 13, 2022

Chitra (name changed) had to travel more than 40 kilometers (25 miles) from her home to the city of Gurgaon to get an abortion so that her family members would not find out.

"The contraceptive failed, and I did not wish to have a child," she said. "I was repeatedly questioned and treated rudely by the doctors as well as nurses and other staff at the clinic," the 20-year-old student told DW.

Continued: https://www.dw.com/en/india-why-are-women-seeking-unsafe-abortions/a-61464727


Tubectomy: Last hope for hapless women

Women are willing to face any risk to undergo sterilisation in order to avoid unintended pregnancies through mostly unprotected sex

Saturday, 09 April 2022
Swapna Majumdar

In August last year, over a hundred women, majority of them tribal, underwent tubectomy surgeries in the Surguja district of Chhattisgarh. Unbelievable as it may sound, all the 101 sterilisation procedures were carried out by one surgeon within a span of eight hours in a small community centre. Under the central Government’s National Family Welfare Programme guidelines, a doctor can conduct a maximum of 30 sterilisations in a day.

When issued a showcause notice by the state health department asking why this was done, the concerned doctor contended he had been pressurised to do so by the villagers. He said the villagers told him that they had travelled long distances for the procedure and it would be difficult for them tocome again. Hence, all the women had to be operated the same day.

Continued: https://www.dailypioneer.com/2022/columnists/tubectomy--last-hope-for-hapless-women.html


India – State of World Population Report: A case for action in the neglected crisis of unintended pregnancy

by Oneindia Correspondent
Thursday, March 31, 2022

The State of World Population (SoWP) is an annual report published by the United Nations Population Fund (UNFPA), the sexual and reproductive health agency of the United Nations.

Each edition covers and analyses developments and trends in world population and demographics, as well as shedding light on specific regions, countries and population groups and the unique challenges they face. Each year, SoWP focuses on a particular theme and presents an in-depth analysis on the subject matter covered. The SoWP 2022 brings the spotlight to a critical theme: Expecting more: The preventable crisis of unintended pregnancy.

Continued: https://www.oneindia.com/india/state-of-world-population-report-a-case-for-action-in-the-neglected-crisis-of-unintended-pregnancy-3390013.html?story=2


India – New abortion rules recognise minors as vulnerable, seek to make services more accessible to them

Jagriti Chandra, NEW DELHI
OCTOBER 30, 2021

The new abortion rules notified by the Government recently recognise minors as a vulnerable category and seek to make services more accessible to them. But social stigma and conflict with POCSO Act, 2012, or the law against child sexual abuse, pose hurdles.

The Medical Termination of Pregnancy Amendment Rules, 2021, define new categories of vulnerable women who are allowed termination up to 24 weeks upon meeting certain conditions and with the permission of two doctors. These include minors, survivors of sexual assault and those with foetal malformation among others. Others may seek abortion up to 20 weeks with the permission of one doctor upon meeting certain criteria…

Continued: https://www.thehindu.com/news/national/new-abortion-rules-recognise-minors-as-vulnerable-seek-to-make-services-more-accessible-to-them/article37253176.ece


Youth Friendly Sexual & Reproductive Health Services a Must! Data shows 14 million Indian girls marry before 18 years

Youth Friendly Sexual & Reproductive Health Services a Must! Data shows 14 million Indian girls marry before 18 years

Updated: March 24, 2019
By Vandana Chavan, Member of Parliament

A 2015 UNESCO report on “Emerging Evidence, Lessons and Practice in Comprehensive Sexuality Education” (CSE) suggests that CSE has far-reaching benefits for SRH, particularly in reducing STI’s and unintended pregnancies.

India, with the second largest population in the world of 1.3 billion, is also home to the world’s largest adolescent and youth at 365 million. Over 50 per cent of the country’s population is under the age of 25. An analysis of the United Nations World Population Prospects 2017 by Bloomberg revealed that by 2027, India with its current increase in the proportion of working age people, also known as the demographic dividend, will have the largest workforce in the world.

Continued: https://www.financialexpress.com/lifestyle/health/youth-friendly-sexual-reproductive-health-services-a-must-data-shows-14-million-indian-girls-marry-before-18-years/1525491/


India – ‘Reduce Stigma To Make Women Comfortable Accessing Safe Abortions’

‘Reduce Stigma To Make Women Comfortable Accessing Safe Abortions’

Swagata Yadavar
August 7, 2018

New Delhi: Abortion was legalised in India almost half a century ago, yet unsafe abortions – performed in unhygienic conditions by untrained providers – are the third largest cause of maternal death. Nearly 78% of the more than 15 million abortions conducted annually in India are outside of health facilities, giving rise to safety concerns. There is only one licensed provider for 224,000 women in rural areas.

India allows medical termination of a pregnancy of up to 20 weeks’ gestation to be conducted by a registered medical practitioner. There have been attempts to amend the act to expand the provider base to include nurses and non-allopathic medicine practitioners, and extend the deadline to 24 weeks from the current 20.

Continued: http://www.indiaspend.com/indiaspend-interviews/reduce-stigma-to-make-women-comfortable-accessing-safe-abortions-88950