Reports, Advocacy Tools and Resources, and Data ************************ 8 June 2016
Claves del proyecto de ley: Interrupción voluntaria del embarazo por 3 causales
(Main points of the law reform bill, legal abortion on three grounds)
In Chile, the second phase of consideration of the draft law "Legal termination of pregnancy on three grounds" has begun. It was approved by the Chamber of Deputies in February 2016. The bill is currently in the Health Committee of the Chilean Senate, who it is feared may delay the process for the rest of this year. The human rights group Corporación MILES has produced a booklet outlining the key points in the draft law. These include the principles that the law establishes regarding women's right to have a legal abortion if there is a risk to her life, in cases of fetal anomaly or the pregnancy is a result of rape. It outlines the principles established in the bill, the overarching one being that as long as one of the three grounds is met, no one can interfere or take legal action against the woman's decision. They go on to outline the responsibility of the health system established by the law, which include the provision of information, the right of the woman to be accompanied throughout the process, and where rape is the reason for the abortion, they must provide the woman with the information she needs to file charges against the perpetrator. Lastly, they explain how conscientious objection is regulated.
Tags: Chile, abortion law reform bill, grounds for legal abortion
Strategies for action to increase women's and girls' access to legal abortions
Católicas por el Derecho a Decidir Argentina; Instituto de Género, Derecho y Desarrollo - Insgenar
Access to legal abortion in Argentina currently faces a range of obstacles: the abuse of conscientious objection in violation of legal and ethical standards; poor training of health care providers in clinical management of legal abortions; restrictive regulations on legal abortions in some parts of the country; barriers through administrative and judicial regulations when women request a legal abortion; limited dissemination of and limited access to information on women's rights, especially sexual and reproductive rights; and to a lesser extent, the persistence of reporting of women having abortions to the police by health professionals.
In response to this scenario, we present this collection of resources on access to legal abortion, as a contribution to the strengthening of technical capacity in the field of litigation and the construction of advocacy arguments to have political impact. These multimedia resources will be accessible to those at national and international level with some background in the law and jurisprudence on the subject of access to safe and legal abortion. A compilation of research and scientific work on the subject is also included. Website sections cover national jurisprudence, national norms, a case of international litigation, regional jurisprudence, the UN and the European Court of Human Rights.
Regional Advocacy Tools for Cairo@20: analysis and advocacy papers from six regions of the global South
DAWN is happy to make available these Regional Advocacy Tools on sexual and reproductive health and rights that have been part of our contribution to feminist mobilization for the 20th year review of the International Conference on Population and Development (ICPD).
The DAWN Regional Advocacy Tools for Cairo@20 are analysis and advocacy papers from six regions of the global South – South Asia, Southeast Asia, the Pacific, the Caribbean, Latin America and the MENA region. (Unfortunately we were unable for a variety of reasons to complete a corresponding paper for sub-Saharan Africa. We aim to fill this gap in our ongoing regional work).
The aim of each paper is to provide substantive overview and analyses of the three key sexual and reproductive health and rights issues identified above. These RATs have been part of DAWN's inputs to support SRHR advocacy in each region in the lead-up to various official and civil society regional and global meetings.
In addition to identifying available data sources, these advocacy tools have drawn on the strongest and sharpest country and regional analyses and present such data and analyses based on the advances made, the barriers to implementing ICPD and the regressions that occurred since 1994, for each of the key thematic areas.
The RATs are NOT meant to be comprehensive either in terms of the issues or of the countries covered. Each RAT identifies one (or more) main issue/s in the region for each of the 3 themes. The chosen issue/s have been analysed using specific country experiences as illustrations.
All of the papers are available for download from the DAWN website here. Each paper in PDF form: Latin America ; The Caribbean ; South Asia ; Southeast Asia ; Pacific ; Middle East & North Africa Read more on our website
Tags: global South, advocacy tools, ICPD@20
Strategies to advance abortion rights and access in restrictive settings: a cross-country analysis
Globally, myriad organizations recognize the importance of understanding how best to advance abortion access as an essential element of sexual and reproductive health and rights. Where that right is violated, women’s health and security suffers. Despite this truth, legal restrictions, stigma, and lack of enforcement to uphold abortion rights have ensured that access to safe abortion remains varied, worldwide. As such, advocates and implementers who support women’s sexual and reproductive health and rights must identify strategies to navigate the varied legal and social contexts in which women live. In 2015, Pathfinder undertook a cross-country stakeholder analysis to identify key characteristics of strategies adopted to advance abortion rights and access, focusing on four countries – Mozambique, Burkina Faso, Tanzania, and Democratic Republic of Congo – in which we and our partners have collaborated toward this end. This technical brief explores key themes from these four countries, each representing differing profiles of legal and social abortion restrictiveness. Findings from this analysis intend to offer lessons for advocates and implementers working in similar contexts to advance abortion rights and access.
This paper describes contraceptive uptake in 319,385 women seeking abortion in 2,326 public sector health facilities in eight African and Asian countries from 2011 to 2013. Ministries of Health integrated contraceptive and abortion services, with technical assistance from Ipas. Interventions included updating national guidelines, upgrading facilities, supplying contraceptive methods, and training providers. We conducted unadjusted and adjusted associations between facility level, client age, and gestational age and receipt of contraception at the time of abortion. Overall, postabortion contraceptive uptake was 73%. Factors contributing to uptake included care at a primary-level facility, having an induced abortion, first-trimester gestation, age ≥25, and use of vacuum aspiration for uterine evacuation. Uptake of long-acting, reversible contraception was low in most countries. These findings demonstrate high contraceptive uptake when it is delivered at the time of the abortion, a wide range of contraceptive commodities is available, and ongoing monitoring of services occurs
Abortion incidence between 1990 and 2014: levels and trends
Gilda Sedgh et al. Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends, by The Lancet.
Abortion rates declined significantly across most developed regions between 1990 and 2014, but remained largely unchanged in developing regions. In that period, the overall number of abortions dropped from 46 to 27 per 1,000 women aged 15–44 years in developed countries but in developing countries, it fell from 39 to 37 per 1,000 women, a non-significant change.
The study also found that the total number of abortions per year increased as a result of population growth. The annual number of abortions globally grew from 50.4 million in 1990-94 to 56.3 million in 2010-14. The estimated global abortion rate in 2010–2014 was 35 per 1,000 women. By marital status, it was 36 per 1,000 for married women and 25 per 1,000 for unmarried women. Some 73% of all abortions, or 41 million, were obtained by married women.
The authors also estimated that in 2010–2014, a quarter of all pregnancies worldwide ended in abortion. The percentage fell in developed regions from 39% in 1990-94 to 28% in 2010-14 while in developing countries it rose from 21% to 24%. However, the proportion of pregnancies ending in abortion increased in Latin America and the Caribbean (from 23% to 32%), South and Central Asia (from 17% to 25%), and Southern Africa (from 17% to 24%).
Lead author Gilda Sedgh said: “These trends suggest that women and couples in the developed world have become more successful at avoiding unintended pregnancies… over the last two decades. High abortion rates are directly correlated to high levels of unmet contraceptive need.”
In 2010-14, the abortion rate was 37 per 1,000 where abortion is restricted or prohibited altogether. In countries where it was available on request, the abortion rate was 34 per 1,000.
The researchers also noted that their findings provide further evidence that even if all women and couples who wish to avoid pregnancy had universal access to contraception, unintended pregnancies and abortions would still occur, making access to safe abortion essential.
The researchers report that the updated methodology used for this analysis resulted in more accurate projections by bringing more evidence to bear on the estimates than did previous studies.