Interview, 28 September 2020
Médecins Sans Frontières
The United States policy known as the Global Gag Rule has had a devastating impact on women’s access to sexual and reproductive healthcare since it was reinstated and greatly expanded by the Trump Administration more than three and a half years ago. The policy – which already forces health providers to choose between providing information to patients or receiving US funding – is now set to be expanded even further. Dr Manisha Kumar, head of Médecins Sans Frontières' (MSF) task force on safe abortion care, explains the risks facing women and girls.
Médecins Sans Frontières
Posted 21 Aug 2020
“If you think about times of crisis—whether it’s disease, displacement, or conflict—women and girls are often disproportionately affected,” says Eva De Plecker, a midwife and head of the Doctors Without Borders/Médecins Sans Frontières (MSF) working group on reproductive health and sexual violence. MSF teams on the ground are seeing that the COVID-19 pandemic is no exception.
“While we are still learning about COVID-19
and how pregnancy may be affected by the virus,” De Plecker says, “experience
from past epidemics such as Ebola has shown that the shutdown of services
unrelated to the outbreak resulted in more deaths than the disease itself.”
03 July 2020
Kgaladi Mphahlele, Doctors Without Borders
In 2015, MSF surveyed 800 women between the ages of 18 and 49 in Rustenburg and found that one in four women had been raped in her lifetime, yet fewer than 5 per cent of those women reported to a health care facility. Since then, MSF has run several sexual and reproductive health programs for the community— including for survivors of sexual violence— across Bojanala district, where Rustenburg is located, in partnership with local health authorities.
In addition to community outreach and health
education in more than 20 schools in the district, MSF supports four Kgomotso
Care Centers (KCC) providing sexual violence care.
Jul 2, 2020
By Avril Benoît, executive director for Doctors Without Borders/ Médecins Sans Frontières in the United States (MSF-USA)
As world leaders attempt to tackle an unprecedented number of humanitarian crises, many of them deepened beyond imagination by the coronavirus pandemic, the United States is throwing its weight around on the global stage to obstruct lifesaving aid efforts.
The Trump Administration appears intent on blocking international efforts and resolutions containing these critically important words: sexual and reproductive health.
How the Pandemic Is Changing Abortion Care in Vulnerable Countries
By Rachelle Hampton
May 18, 2020
This as-told-to essay from Dr. Manisha Kumar has been edited and condensed for clarity from an interview with Rachelle Hampton.
I am currently the head of Médecins Sans Frontières’ task force for safe abortion care. It’s a relatively new initiative that started in 2016 to increase provision of contraception and safe abortion care in MSF projects. Before this role, I worked for MSF in many different capacities. I was both a field staff doctor in the Democratic Republic of Congo and a medical coordinator in DRC and Bangladesh. Just like many people, I’m working from home now, in Amsterdam. I’ve never spent this much time in my apartment, behind my computer, on Zoom meetings and calls. So much of MSF and who we are is based in the field.
Colombia was close to legalizing abortion. Instead, a top court kept restrictions in place.
By Miriam Berger
March 3, 2020
Colombia’s constitutional court ruled Monday to keep the country’s abortion restrictions in place, dashing the hopes of activists pushing for a decision that could have made it the first and most populous state in Latin America to legalize abortions during the first 16 weeks of a pregnancy.
The decision “was a missed opportunity to stand on the right side of history to provide Colombian women and girls safe access to abortion,” human rights lawyer Paula Avila-Guillen said in a statement. She described the current law as “poorly regulated and rarely implemented,” such that for “women who have been victims of sexual abuse or face economic barriers, access to abortion is almost impossible, which puts their lives at risk.
Colombia to decide on historic abortion ruling
February 16, 2020
Fourteen years after Colombia's landmark decision to legalize abortions in some cases, the country is once more bracing itself for a historic vote.
The Colombian Constitutional Court has until Feb. 19th to decide whether it will legalize abortion for pregnancies up to 12 weeks. The current law allows for abortion in only three instances: if the mother's life is at risk, if a fetus is malformed or if the pregnancy is a result of rape.
This is the "first real opportunity to actually advance reproductive rights," according to Paula Avila-Guillen, the director of Latin America Initiatives for the Women's Equality Center.
There's a New Website That Teaches People How to Do Abortions
A series of how-to videos shows providers how to do abortions with pills. But they can also help people who want to do it themselves.
by Marie Solis
Jan 28 2020
In the same amount of time it takes you to boil an egg, or answer an email, a new online video will show you how to end a pregnancy with pills.
Animated figures, accompanied by voice-over narration, take viewers through the process step by step: When to take the mifepristone, the first part of the two-part drug regimen for medication abortion; how long after that to take the misoprostol, how to place those pills under the tongue; and when to expect the cramping and bleeding, which signal that the passing of the pregnancy has begun. The 11-minute video also provides instructions on how to relieve pain or discomfort, and when to seek medical help. At the very beginning, it tells viewers how safe and effective this abortion method is, and how low the rate of complication.
Safe abortion access for all who need it
MSF and HowToUseAbortionPill.org have created an online training course
Jan 23, 2020
Doctors Without Borders
Talking about abortion is not a crime. These days, however, health care providers and humanitarian workers who receive US funding overseas risk being shut down if they do just that.
The Global Gag Rule—which President Donald Trump reinstated and expanded on January 23, 2017—prohibits doctors, nurses, and other health workers around the world from even speaking about abortion. If they do, they could lose their US government funding. Health workers are relied upon to provide thorough, evidence-based medical information, and now they’ve been silenced in the places where that information is needed the most.
“These are basic women’s needs”: Treating Venezuelan women in Colombia
Report from Médecins Sans Frontières
Published on 27 Sep 2019
Mirla Milagro remembers when she and her children ate three meals a day in Venezuela. She gave manicures and cleaned houses, and they got by. Their medical needs were all covered by the Venezuelan health system.
When the clinics started experiencing stock-outs of medicines and supplies, volunteer doctors from Cuba stepped in. But after a while, there seemed to be no medicine anywhere, and if they were available, they were too expensive. Milagro’s income also dried up. Food became difficult to get. “If we had breakfast, we’d have nothing for lunch,” she said. “If we had lunch, there would be no dinner. Sometimes we’d eat something at noon and leave a little for later. It really got bad.”