PEPFAR Reauthorization: The Debate About Abortion

Kellie Moss and Jennifer Kates
Sep 21, 2023

Despite a long history of broad and bipartisan support, reauthorization of the President’s Emergency Plan for AIDS Relief (PEPFAR) is currently being held up by congressional debate around abortion. PEPFAR, first created in 2003 by President George W. Bush and reauthorized three times thus far, is the U.S. government’s signature global health effort in the fight against HIV. Widely regarded as one of the most successful programs in global health history, PEPFAR reports having saved 25 million lives due to its efforts, and KFF analyses have found a significant impact of the program beyond HIV, including large reductions in both maternal and child mortality and significant increases in some childhood immunization rates. Still, its fourth reauthorization has been drawn into broader U.S. political debate about abortion, in the wake of the Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision (which overturned the nationwide right to obtain an abortion), even though U.S. law prohibits the use of U.S. foreign assistance, including PEPFAR funding, for abortion. This policy watch provides an overview of the current debate and issues.

Continued: https://www.kff.org/policy-watch/pepfar-reauthorization-the-debate-about-abortion/


Abortion: Women more at risk of death in fragile and conflict-affected settings

5 September 2023
Médecins Sans Frontières

Complications following unsafe abortions are up to seven times more severe in fragile or conflict-affected settings: these are the findings of one of the very first studies on the subject, carried out in two referral hospitals in Bangui in the Central African Republic and Jigawa State in northern Nigeria. Behind the statistics, real stories of real women – and a universal vulnerability.

“I was distraught. I had drunk the traditional medicine. Before that, someone had shown me how to insert a piece of iron into my vagina... It was a piece of iron like this [she shows the interviewer the size],” says Rasha*, a 32-year-old woman admitted to Bangui referral hospital with potentially life-threatening abortion-related complications.

Continued: https://www.msf.org/abortion-women-more-risk-death-fragile-and-conflict-affected-settings


UNFPA Deploys U-Plan, a Family Planning WhatsApp Chatbot Revolutionizing Reproductive Health Education

The United Nations Population Fund (UNFPA) has deployed an applaudable innovation called U-Plan

by Joan Aimuengheuwa 
August 23, 2023

The WhatsApp chatbot is designed to provide accurate and adequate information on contraception as well as contraceptive methods to AYP, PWD and all Women of Reproductive Age. This will be done in the comfort of their homes, in utmost confidentiality, with linkages provided to the Service Delivery Points.

In an interview with an officer from UNFPA, part of the inspiration that birthed U-Plan was revealed as an effort to mitigate challenges young people encounter in accessing contraceptives due to social and cultural beliefs.

Continued: https://techeconomy.ng/unfpa-deploys-u-plan-a-family-planning-whatsapp-chatbot-revolutionizing-reproductive-health-education/


Decriminalising abortion in Asia: Perspectives from India and Nepal

Decriminalising abortion encourages access to safe abortion and proper post-abortion care. It does not mean that the law would no longer regulate abortion, but that no one would be punished for providing or having an abortion, and the law provides a positive framework to ensure access to safe abortion.

RADHIKA SAXENA AND PRABINA BAJRACHARYA
MAY 28, 2023

“FIFTEEN-year-old Sita (name changed), who got pregnant due to rape, ended her pregnancy by consuming medical pills her father obtained from a local pharmacist. Sita’s district court statement noted that she sought an abortion to safeguard her and her family’s reputation. The court convicted Sita of illegal abortion and sentenced her based on her admission.” – Center for Reproductive Rights & Forum for Women, Law and Development, Decriminalization of Abortion in Nepal: Imperative to Uphold Women’s Rights, 2021

The ability to make and exercise decisions about one’s body, sexuality and reproduction is at the core of gender, economic and social justice. Under international human rights law, States are obliged to respect, protect and fulfil rights related to sexual and reproductive health, including the rights to life, health, privacy, information, freedom from ill-treatment, non-discrimination and equality. States are also required to guarantee access to quality sexual and reproductive health information and care, including abortion services.

Continued: https://theleaflet.in/decriminalising-abortion-in-asia-perspectives-from-india-and-nepal/


Abortion rights: Are women aware of legal status of MTP in India

As a result, their health issues are often ignored or dismissed, leading to inadequate or delayed treatment.

March 29, 2023

By Debanjana Choudhuri

Imagine being a woman in India, trapped in an unwanted pregnancy but clueless about your legal rights. Sadly, this is a common reality as health of women is viewed with indifference in our country. Millions of women, especially in rural India, lack access to accurate information on abortion and are oblivious to the legal status of Medical Termination of Pregnancy (MTP). This is a pressing issue that gravely affects the health and wellbeing of women.

Despite the legality of abortion, women’s reproductive rights are constantly besieged by regressive laws and societal stigmas. To make matters worse, many women are denied access to safe abortion services due to a lack of education and awareness on the subject. The patriarchal societal structure, which shames and stigmatizes women seeking abortion, is a significant obstacle to women’s rights. Let’s face it, the battle for abortion rights is not merely about reproductive healthcare, but also about ensuring gender equality and justice for women.

Continued: https://www.financialexpress.com/healthcare/wellness/abortion-rights-are-women-aware-of-legal-status-of-mtp-in-india/3024932/


PAHO and partners launch campaign to reduce maternal mortality in Latin America and the Caribbean

Every hour, a woman loses her life in the region due to complications in pregnancy, childbirth or postpartum, the vast majority of which are preventable.

PAHO  / WHO
8 Mar 2023 

Washington DC - The Pan American Health Organization (PAHO) together with other United Nations agencies and partners, today launched a campaign to encourage countries in Latin American and the Caribbean to reduce maternal mortality, which increased by 15% between 2016 and 2020.

Around 8,400 women die each year in the region from complications in pregnancy, childbirth and postpartum. High blood pressure, severe bleeding, and complications from unsafe abortion are the most common causes. However, nine out of ten of these deaths are preventable through quality care, access to contraception and by reducing inequities in access to care.

Continued: https://reliefweb.int/report/world/paho-and-partners-launch-campaign-reduce-maternal-mortality-latin-america-and-caribbean


Vietnam – Teenagers lack knowledge about reproductive health

SGGP
February 21, 2023

Some medical experts believed that minors lack basic knowledge and skills on protection and care for reproductive and sexual health, so they easily become victims of sexual abuse, leading to bad consequences. Lack of parents' and relatives’ care and schooling also worsened the problem.

According to the World Health Organization, children entering adolescence are going through many physical and psychological changes like exploring their own capabilities and expanding many new relationships. Teenagers having early sexual intercourse have a higher risk of sexually transmitted infections, unwanted pregnancy, and unsafe abortion.

Continued: https://www.sggpnews.org.vn/teenagers-lack-knowledge-about-reproductive-health-post100396.html


U.S. Overturn of Roe Will Embolden Anti-Abortion Movements Abroad

11/29/2022
by MICHELLE ONELLO

The U.S. Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, which ruled that there is no U.S. constitutional right to abortion, will have ripple effects around the world, according to the International Center for Research on Women’s (ICRW) policy brief, “U.S. Foreign Policy Implications of Overturning Roe v. Wade.” While Dobbs did not change existing U.S. foreign policy regarding abortion, the brief argues that it will embolden anti-abortion movements abroad, contribute to global stigmatization of abortion, cause confusion for policy implementation and open the door for new restrictions—all of which will negatively impact the health, economic resources and well-being of women throughout the world. 

Dobbs is a reminder that current U.S. foreign aid restrictions “are not aligned with best health care practices nor consistent with human rights and bodily autonomy principles.”

Continued: https://msmagazine.com/2022/11/29/us-overturn-roe-v-wade-abortion-abroad-foreign-policy-helms-amendment-global-gag-rule/


Kenya – Give adolescents contraceptives to address cases of teen pregnancies

By Esther Kimani
Nov 28, 2022

As the world population clocked eight billion recently, more than 3,500 delegates from across the globe gathered in Pattaya City, Thailand, for the International Conference on Family Planning (ICFP).

The conference attended by key women’s rights advocates from Kenya, including Nairobi Woman Representative Esther Passaris, provided a global stage for countries, organisations, and individuals to make important commitments, celebrate achievements, and interrogate barriers to the realisation of Reproductive Health goals, including access to contraception.

Continued: https://www.standardmedia.co.ke/opinion/article/2001461905/give-adolescents-contraceptives-to-address-cases-of-teen-pregnancies


Indian women cautious about Supreme Court’s ‘historic’ abortion ruling

Abortion rights have been extended to unmarried women, but how will this affect women’s lives in reality?

Deepa Parent
12 October 2022

Women who have had abortions in India fear the extension of abortion rights “will do nothing to change the rot in our society”.  They say class inequality and prejudice against women still present the biggest barriers to accessing equal reproductive rights in the country.

Their stark warnings contrast with the hopeful note struck by many Indian women and reproductive rights activists, who have called the Supreme Court’s ruling on 29 September “historic” and “progressive”.

Continued: https://www.opendemocracy.net/en/5050/india-abortion-supreme-court-unmarried-women/