BURNING ISSUE
Abortion Rights in enlarged EU.
Before 2004 enlargement of the European Union most EU member
states allowed wide access to abortion. Only Ireland and
Portugal had very restrictive laws related to abortion. This
situation was not an outcome of Union policy as such, since the
EU has limited authority in relation to national laws on
abortion, but rather the general liberal European approach to
the issue of reproductive rights and/or women’s rights. While
the debate about the access to abortion continued in Ireland and
Portugal, there was no evidence of abortion laws being a
regional issue. This situation, however, changed when the number
of countries restricting access to abortion expanded as a
consequence of EU enlargement. Three of the 10 new member
nations either restrict or ban abortion, and some of the other
seven have restrictions on abortions occurring after the first
trimester. Additionally, the anti-choice movement seems to be
much stronger in Europe today then it was in the past. It is
true that antiabortion groups in Europe may not be so well
established as those in United States, but never the less they
are supported by the Roman Catholic Church, an are given
legitimacy by the continent's low birth rates. As the
consequence abortion is becoming increasingly important,
polarizing and contradictory issue in Europe. As it was already
said in a number of new member states access to abortion is
restricted. At the same time pro-choice activists in some of the
new EU countries (for example in Poland) have been hoping that
EU membership will provide new avenues for ensuring reproductive
rights of women in their countries. Unfortunately quick
achievement of reasonable uniformity of laws and approaches to
reproductive rights across the EU is unlikely.
In Portugal, a conservative Catholic country, new Prime Minister
Jose Socrates has promised to hold a referendum on whether to
liberalize the abortion law. At the same time even his Socialist
Party colleagues are divided on the issue. More information on
abortion referendum in Spain is provided in ‘Global Updates’
section of this Bulletin. In contrast in Poland, despite the
efforts of pro-choice lobby, the ruling Democratic Left Alliance
Party did not live up to its promise to change strict
antiabortion law. This is regardless the fact that surveys show
most Poles support introduction of more liberal law. According
to Wanda Nowicka, head of the Federation for Women and Family
Planning based in Warsaw, Poland "Politicians think it's better
to listen to what the church is saying, not the society,". The
situation is different in Roman Catholic Slovakia, which has
retained its pre-transformation laws allowing abortion on
demand. Olga Pietruchova, head of Pro-Choice Slovakia says that
"It's a political issue, because the country is really quite
liberal. On Sundays, most people go to shopping malls, not to
church." Despite this, the pro-choice activists say, a growing
number of doctors and hospitals refuse to perform abortions.
Further, anti-abortion lawmaker Anna Zaborska of Slovakia was
elected to head the European Parliament's women's committee in
July.
Abortion laws in EU member states
Allowed on demand in first trimester or later:
Austria, Belgium, Czech
Republic, Denmark, Estonia, France, Germany, Greece, Hungary,
Italy,
Latvia, Lithuania, Netherlands, Slovakia, Slovenia, Sweden
Allowed for health, economic and social reasons: Finland,
United Kingdom
Allowed for health reasons or in cases of rape, incest or
fetal
impairment: Cyprus, Luxembourg, Poland, Portugal, Spain
Allowed only to save woman's life (including from
suicide): Ireland
Banned: Malta
Source: IPPF
REGIONAL UPDATES
Kazakhstan: need for
HIV
awareness amongst youth needed.
Despite
efforts to raise the level of HIV/AIDS awareness in Kazakhstan,
young people continue to feel embarrassed to speak openly about
the issue and how it may impact their lives. HIV remains largely
a taboo in the country. Most young people still do not know much
about AIDS. As part of the government's efforts students (grade
5 to 11) are educated on reproductive health and HIV. The
program is in place since 1998, but much more is needed before
student will transfer their knowledge into everyday practice.
Unfortunately awareness development is constrained by lack of
financial resources: Kazakhstan is not a rich country and
further, it spends only 2.6 percent of its GDP on healthcare as
a whole.
What
makes the situation even worse is that most parents continue to
simply instruct young people not to have sexual relations at all
before marriage, and as the consequence young people don not
know how to speak openly about HIV, or other risks associated
with sex. At the same time increasing number of youth engage in
premarital sex. According to Kazbek Tulebaev, deputy director
general of the Kazakh National Centre for Problems of Healthy
Lifestyle Development 44% of young people have sexual relations
before marriage, with 17% of them having more than 10 sexual
partners during a one year period. Dr Issidora Yerassilova,
general director of Kazakhstan's Republican AIDS Centre believes
that although at the moment the country has a low prevalence of
the HIV/AIDS, the risk of its spread is very concerning.
Officially some 4,600 HIV/AIDS cases have been registered in
Kazakhstan, the majority through intravenous drug use. Experts
believe, however, that the real number is closer to 20,000.
Source: Push Journal
Lithuania: Abandon Cult of Motherhood.
Lithuanian Member of parliament
Ausrine Marija Pavilioniene urges to live behind the "cult of
motherhood" and to adopt legislation facilitating the right to
pharmaceutical abortion and artificial insemination. In the MP's
opinion, until artificial insemination and women's reproductive
health is regulated by national legislation Lithuania is not
protecting the rights of the woman as of a human being. She
argues that as long as Lithuania's women will not have the right
to their bodies they will effectively not have any rights at
all. Draft reproductive health law was filed at the parliament
already in 2002 but has not been discussed due to strong
opposition by Catholic organizations. The procedure of
artificial insemination in Lithuania is currently regulated by
the health minister's 1999 decree on approval of artificial
insemination procedure.
Source:
Push Journal
Russia: HIV/AIDS epidemic.
According to Deputy Prime Minister Alexander Zhukov Russia's
HIV/AIDS epidemic is a threat to the country's national
security. He stated that the growth of AIDS is no longer just a
medical problem, but an issue of strategic, social and economic
security. Earlier this year there were more than 300,000 HIV
cases register, which marks an increase from 270,000 registered
last year. This means that currently there are about 860,000
HIV-positive people in Russia. Zhukov also said that the Russian
government understands the extent and importance of this problem
and realizes the need to prevent the development of the
epidemic. He called not only on Russia's government, but also
on businesses to join together to fight HIV/AIDS. Further, he
stressed the role that pharmaceutical companies could play in
improving access to treatment. Health Minister Mikhail Zurabov
announced that Russia has reached agreements with several
international pharmaceutical companies that will allow
HIV-positive Russians to pay about $3,000 annually for
antiretroviral medication. This is very good news, to patient
who at the moment pay about $10,000 annually for treatment.
Unfortunately, while $10 000 is a huge sum for a majority of
Russians, $3 000 is still too much for many. World Bank Vice
President warned that an Russians HIV/AIDS epidemic could have
disastrous consequences for Russia's economy, with Russia's
gross domestic product possibly decreasing by 4% if the number
of HIV-positive people in the country reaches 1% of the
population.
Source: Keysernetwork
GLOBAL UPDATES
CSW – follow up.
Following information provided in last ASTRA
Bulletin: during the second week of the 49th session of the UN
Commission on the Status of Women on Review and Appraisal of the
Beijing Platform for Action (BPfA ) which was held in New York
UN Headquarters from 27 February till 11 March 2005 ten
resolutions were approved. This included:
1.
Gender Mainstreaming in National Policies and Programmes
2.
Trafficking
3.
Women’s Economic Advancement
4.
Women, the girl child and HIV/AIDS
The
resolution on Trafficking was passed without a vote. It still
focuses on demand, includes forced labor (not only prostitution
and other forms of commercialized sex), it does have language on
ensuring protection and assistance to victims of trafficking.
The
text of all the resolutions should be soon available on the
official website of the Commission
http://www.un.org/womenwatch/daw/Review/english/news.htm
Reproductive Health and Rights Statement.
On
Monday, April 4, IWHC (International Women’s Health Coalition)
addressed the UN Commission on Population and Development on
women, girls, and HIV/AIDS. IWHC’s statement "Reproductive
Health and Rights: A Vital Strategy in the Fight Against
HIV/AIDS," is available in English at
http://www.iwhc.org/global/un/cpd2005/index.cfm.
There is also a Russian version of the document available, but
it is not on the web, so if you want to receive it please write
to ASTRA Secretariat at
info@astra.org.pl.
World
Health Day: Mother and Infant Mortality.
According to the experts expressing their opinion on 2005 World
Health Day 2005, for too many women in too many countries,
pregnancy is a threat rather then a reason for happiness. In
contemporary time characterized by technological development and
medical advances, the annual death of 11 million children and
more then half a million mothers around the world seems
paradoxical. Especially since most of death are caused by a lack
of access to health care, malnutrition, or simple infections.
Most of them happen among the poor in developing countries
(Indian subcontinent and Sub Saharan Africa).
To
counteract this World Health Organization and many other
institutions, are trying to promote simple and economic ways to
save millions of mothers and children. This includes provision
of a basic delivery kits consisting of a clean blade to cut the
umbilical cord, soap for washing of hands, and a plastic sheet
to place the baby on. According to Dr. Tinker of Save the
Children it is very important to improve chances of survival of
the mother. Especially since in some regions in Africa and Asia,
I the mother dies the child is very likely to die as well. Death
is particularly probable for girl child because girls are
considered less valuable.
Further, according to the World Bank, bad health is the main
reason for households becoming poor and staying poor. Some
experts say that this bad health includes reproductive health,
especially since 70,000 women around the world die every year
from unsafe illegal abortions. Dr. Elizabeth Lule is an adviser
for Maternal and Child Health at the World Bank stated that
about 200 million women have unintended pregnancies, and that
they need access to reproductive health services including
family planning.
Source: Push Journal
Portugal: Abortion Referendum.
The ruling Socialist party in Portugal
has proposed holding a referendum on decriminalizing of
abortion. The government led by Prime Minister Jose Socrates has
promised a referendum on abortion in its recent election
campaign. The proposal, tabled in parliament, was accompanied by
a bill that would allow abortions to take place up to 10 weeks
of pregnancy. Under current law a women in Portugal can have an
abortion only if her life is in danger, to protect her mental or
physical health, or in cases of rape, incest or fetal
impairment. But the Polls have shown that great majority of
Portuguese, are in favor of liberalizing the national abortion
laws. Its need to be added here, that more than 92 % of
Portuguese are Catholics. The annual number of illegal
abortions in Portugal is estimated to be between 20,000 and
40,000. Additionally thousands of women go abroad to terminate
unwanted pregnancies. Last September, the boat of ‘Women of
Waves’ fighting for reproductive rights of women tried and
failed repeatedly to dock in a Portugal. In 1998 referendum the
Portuguese narrowly rejected a proposal to allow abortion on
demand during the first 10 weeks of pregnancy.
Source: Push Journal
Oral
Contraceptives Reduce Breast Cancer.
Studies have consistently
shown that oral contraceptives reduce the risk of ovarian
cancer. Now another positive link between oral contraceptive and
cancer has been shown. According to recent Australian research
taking oral contraceptives reduces the risk of breast cancer in
persons carrying ‘breast cancer genes’. The carriers of the
gene, a proven risk factor for early onset breast cancer, were
about four times less likely to develop the disease if they were
taking oral contraceptives. The study was conducted by
researchers from University of Melbourne on some 2,000 women
under the age of 40, including 1,156 breast cancer patients in
Australia, Canada and the United States. The findings
contradicted the researchers' original hypothesis that the pill
would increase breast cancer in high risk groups. While the
researchers do not say that oral contraceptive use is going to
be the magic cure, they say that the use of oral contraceptives
should not be discouraged among high risk women. Until now women
genetically prone to disease were discouraged from using the
pill. The results of Australian study are in line with the
recent studies in the United States and Canada that also suggest
that the oral contraceptive can reduce the risk to women with
the high-risk gene.
Source: The Age (Australia)
REPRODUCTIVE RIGHTS ON THE AGENDA
New Order of Catholic Priests Is Forming to
Fight Abortions. The Roman
Catholic Church plans to establish its first religious society
devoted exclusively to fighting euthanasia and abortion. The
Catholic Church already has similar organizations, including
established in 1991 women's religious community called Sisters
of Life, but this is a first male-only society which will focus
exclusively on the issue. It is called Missionaries of the
Gospel of Life. Its founder Father Pavone said that the order
will be political and will be proactive rather than passive. Its
priests will be trained to be involved in variety of political
activities, and this will include conducting voter-registration
drives, using the media to promote the antiabortion message, and
lobbing decision makers to restrict abortion rights. They will
also be taught to organize and lead demonstrations outside
points where abortions and family-planning services are
provided. The society will begin accepting priests and
seminarians this summer. There are also plans to trained lay
activist.
Source: Push Journal
“Morning
After Pill’
and Abortion.
According to a recently published Canadian
research easy access to emergency contraception is likely to
prevented hundreds of abortions. The research was published in
the Canadian Medical Association Journal just before
levonorgestrel becoming available at pharmacies without a
doctor's prescription. The study, conducted be a researcher from
the faculty of pharmaceutical sciences at the University of
British Columbia, found that women used emergency contraceptive
rationally and promptly. They were also far more likely to get
it directly from a pharmacist than from a doctor. The researcher
believes that quick and easy access to emergency contraception
has the potential to reduce unwanted pregnancies and subsequent
abortions. Still the drug will be kept behind the pharmacist's
counter rather than on the shelf. This approach to emergency
contraception is still not the case in many countries around the
world, including those in CEE/CIS region.
Source: Push Journal
PUBLICATIONS
Medical Abortion Study.
In the February issue (15th, 2005)
of Obstetrics & Gynecology Magazine a study on medical
abortion was published. Researchers from Gynuity Health Projects
and other colleague organizations conducted the study to support
the growing body of literature that shows that the dose of
mifepristone can be lowered and misoprostol can be taken by the
patient at home. For more information about this study and work
with medical abortion go to
www.gynuity.org or e-mail Beverly Winikoff, M.D., at
bwinikoff@gynuity.org
or Caitlin Shannon, the study’s lead author, at
pubinfo@gyuity.org.
Microbicides.
The Global Campaign for Microbicides is a
broad-based, international effort to build support among
policymakers, opinion leaders, and the general public for
increased investment into microbicides and other user-controlled
prevention methods. Specifically, the goals of the Campaign are
to: raise awareness and mobilize political support for increased
funding for microbicide research, female condom and cervical
barrier methods; create a supportive policy environment for the
timely development, introduction and use of new prevention
technologies; and ensure that as science proceeds, the public
interest is protected and the rights and interests of trial
participants, users, and communities are fully represented and
respected. For more info go to
www.global-campaign.org/GCEurope. There is also a
e-newsletter that provides regular updates. Latest edition is
available at
http://www.global-campaign.org/GCNews.htm
LINKS
Euromapping.
ASTRA secretariat would like to inform you,
that for some time now information regarding European Union and
SRHR is available on the website of ASTRA
www.astra.org.pl To access
the information go to the European Union Information section.
In the
section you will find, among others, lists of the members of the
European Parliament from the new member states (CEE countries).
Gradually following items will be added: profiles of the
individual representatives focused on their approach to
reproductive rights; Committees of the European
Parliament which are of interest for ASTRA, descriptions of the
selected European Union Institutions and more. The section of
the website will be constantly updated. It will provide quick
access to information related to potential lobbying in the EU in
the area of SRHR.