human rights, Politics, Women's Rights

Unsafe abortions cost lives: understanding abortion as a human right and maternal health pandemic

Every day across the world, women are arrested, harassed, and prosecuted for having abortions. Whatever your position on the pro-choice/pro-life debate, we need to raise awareness of how aggressive and inhumane the punishments on women can be, when they reach the point where they feel that abortion is their only option.

In most of the ‘developed’ world, abortion is legalised, which means that though there are often social and financial barriers which remain set against women, they should still be able to receive a medically controlled abortion that is safe, and responsible post-abortion care, without fear of imprisonment or persecution. However, in the majority of the world, abortion is almost totally illegal. Exceptions are made in some countries in the case of rape, or if the life of the mother is at risk, however in parts of Latin America there is a total ban in all circumstances. This leads to tragic consequences for women, such as the case below.[1]

…A 28-year-old woman in the city of Santa Cruz became pregnant as the result of rape. She attempted to self-induce an abortion and ended up in the hospital with severe complications. While in the hospital, she was reported to the police authorities by her doctor, was apprehended and handcuffed on charges of illegal abortion. She spent her 10-day hospital stay under police custody and was then transferred to a prison where she subsequently spent eight months in preventive detention (IPAS, 2015).

abortion-laws-of-the-world

This map shows the status of abortion laws worldwide. (Source: WHO, 2008)

Whatever their reasons, those who actively enforce policies to criminalise abortion do so in the hope that it will discourage women from seeking them, for fear of arrest or imprisonment. These laws operate in major contradiction to global human rights laws. They also intimidate trained medical professionals to not only deny women access to the decent medical services that is their human right, but incite them to turn these women in: branding patients as criminals. By doing so, vulnerable women are forced to seek expensive and dangerous illegal abortions, either through backstreet surgeons who may be untrained, or through medications that come from unregulated sources. By forcing them to behave like criminals, the upholders of laws against abortion put women in serious, even life threatening danger- every single day. The numbers of women who have to go through this are staggering- millions suffer major health complications, and it is estimated that 47,000 die every year as a consequence (IPAS, 2014). This is the ironic, and tragic result of a worldwide campaign that is allegedly ‘pro life’.

Another inevitable tragedy of this situation is the fact that it disproportionately discriminates against those who are already in a vulnerable social position: often very young, very poor, and likely uneducated women. Though it is by no means easy for middle class women, for them there are financial means to travel to somewhere where abortions can be done legally, and to see a better private surgeon or doctor- though of course, they are still subject to blackmail, abuse, and the emotional and physical trauma of the procedure itself.

For the very poorest, however, it may be impossible to scrape together money for the procedure. The options available to them are likely to be crude, brutal, and they are unlikely to receive advice or support either pre or post-abortion. They may have to borrow, and get themselves in debt, through unregulated lending- to prevent further poverty in the longer term. Many are coerced to have sexual relations with the provider in exchange for the procedure- an outrage against human decency, but sadly widely reported (Casas and Vivaldi, 2014).

Those who identify as ‘pro life’ on the grounds of their own convictions, be they based in religious, cultural, or personal moral feeling, are perfectly within their rights to hold these views. However, whatever viewpoint you might take, there is one key consideration to bear in mind when trying to justify the escalation these personal feelings to the establishment of a global political regime in which denial of abortions is part of an enforced legal framework: the criminalisation of abortion is not shown to be effective whatsoever in reducing the rates of abortion procedures taking place each year. Statistics from the World Health Organisation demonstrate this:  ‘The abortion rate is 29 per 1,000 women of childbearing age in Africa and 32 per 1,000 in Latin America—regions in which abortion is illegal under most circumstances in the majority of countries. The rate is 12 per 1,000 in Western Europe, where abortion is generally permitted on broad grounds. (WHO, 2012)’ [2]

Inevitably, there are other factors associated with this that might skew the results (i.e. more widespread access to reliable contraceptives in ‘developed’ countries). However, all of these issues are relational, and a hard line conservative stance cannot be shown to have any benefit where, firstly, abortion rates will stay the same regardless of what the law dictates but secondly, because by enforcing an aggressively anti-abortion stance, ‘legal’ authorities actually put human lives at risk.  In 2003, and again in 2008, WHO undertook studies which found that, in both years, ‘complications from unsafe abortion accounted for an estimated 13% of all maternal deaths worldwide’. The criminalisation of abortions therefore inherently cannot be considered pro life, when evidence proves that it necessarily endangers life.

While laws preventing abortions may have been created with the intention of preserving life, there is no compassion in forcing a woman to carry and deliver an unwanted baby- for her, or for the child. It is for this reason that, for example, Brazil has such a problem with huge numbers of homeless street children; whose chances of a decent life are stacked against them from the start. There is no compassion in forcing a woman to go through with a pregnancy when she has suffered from rape, and will never be given the chance to recover from the trauma. There is no compassion in forcing an underage girl to carry a baby she is not physically capable of delivering safely, or without extreme damage to herself or threat to her life.

On the wider scale, it is because women are forced to have unwanted children and remain trapped in an ideology of ‘natural’ womanhood that is part of a gender binary that is damaging to both sexes, that they are restricted from securing intellectual, economic, and sexual equality with men. This inequality has a very real human cost:  because women are denied the right to make decisions over their own bodies and futures, too many die each day in inhumane, poverty struck circumstances- circumstances that could have been avoided had they had access to adequate healthcare and the freedom to make informed decisions.

It is for this reason that one of the key focuses in world health in our time must be to address inhumane denial of adequate reproductive health to women.  Because 47,000 deaths of women a year equates to 129 women dying every day- and around one woman dying every ten minutes.  Probably the time that it took you to read this blog.

 

 

There are various ways to get involved and understand more about the campaign for global abortion rights. See the list of relevant organisations below for further information.

[1] http://www.ipas.org/en/Resources/Ipas%20Publications/When-Abortion-is-a-Crime-The-threat-to-vulnerable-women-in-Latin-America.aspx

[2] WHO (2012) Facts on Induced Abortion Worldwide

List of organisations to support, and to find more information:

Abortion Rights http://www.abortionrights.org.uk/

Agrupación Ciudadana por la Despenalizacióndel Aborto Terapéutico, Ético y Eugenésico
(ACDATEE – The Citizens Coalitionfor the Decriminalisation of Therapeutic, Ethical and Eugenic Abortion) http://agrupacionciudadana.org/en/

Center for Reproductive Rights http://www.reproductiverights.org/

IPAS http://www.ipas.org/

Marie Stopes International https://mariestopes.org/

Planned Parenthood https://www.plannedparenthood.org/ 

Women on Waves http://www.womenonwaves.org/

I’d like to keep adding to this list so if you support, work for, or know of more pro-choice organisations please let me know and I will include them.

 

human rights, humanitarian crisis, Migrant crisis, people, Politics, Refugees

‘Dangerous migrants’- a portrait of the real former inhabitants of the Dunkirk refugee camp

How many more can we take? The ‘swarm’ on our streets! We must stop the migrant invasion!

These are real headlines from the Daily Mail concerning the refugees that have fled to our shores in increasing numbers in the last couple of years as a result of growing instability in the Middle East, Africa and Asia.

There have always been global wars, violence, and instability, but there is no doubt in the last years the world seems to have got darker. Civil war, ISIS, Boko Haram, the Taliban, and further catastrophic bombing by intervening foreign powers, have forced more people than ever to flee their homes, lives, families, and friends, in search of safety in Europe.

In the mean-time the flux of new arrivals has made many people in the UK and the rest of Europe very afraid. It is understandable. Though I am proud to live in a multi-cultural country, and believe it is an inevitable result of our history of colonialism, followed by globalisation, and modern technology enabling easier freedom of movement, there is no doubt that the landscape of Britain has changed rapidly in recent decades. People have had to adapt to people from different countries, and cultures they struggle to understand, arriving in their neighbourhoods. There is a human instinct to be protective of your territory, and family. This fear is liable to be greater if you are already struggling, and people living in severe austerity as a result of the inequality within our own country are naturally more inclined to be concerned over competition for jobs, local resources, etc. Evidence has shown that refugees granted asylum in the UK are also most likely to be placed in the most impoverished areas, that are least able to cope with the growing demand. And in this environment, the media has capitalised on this anxiety to spread fear, suspicion, and hatred towards refugees. There has been a deliberate language choice to favour the term ‘migrants’; implying that these people have travelled for endless months, largely on foot and unsafely hidden in lorries, because they fancy a change of air, rather than because they are fleeing persecution and death in their own home countries.

daily mail refugee

Having returned from volunteering at the Dunkirk refugee camp on the day it burned to the ground, I wanted to share the stories of some of the people that I met, to put some faces to this seemingly faceless threat, and show that these people are humans with lives and fears, and families, and hopes like all of us. No doubt, there were some very dangerous people on the camp; I have been honest in my previous blog about how afraid I felt of the tension within the camp, and the influence of criminal gangs. The majority, however, were normal people that have been victims of a tragic series of circumstances we can barely imagine having to live through. They include women. They include children. They include teenage boys. Good men trying to get by and keep their head down to avoid the violence in order to protect their families. Old men. All desperately looking for a safe home and to protect their loved ones.

I have changed names where I have known them in order to protect people’s identities.

Ariya is a young mother. She has a gentle, soft demeanour, and speaks English well. She has been married for two years and has a six month old baby; the cutest and most sweet natured thing you have ever seen, with big, questioning eyes, and long, soft lashes. She was forced to flee Iran with her husband shortly after her marriage. After months of travelling, she fell pregnant. Love will out in any circumstances. She carried her baby to term while living in the Calais Jungle. When she went in to labour, she was brought to a nearby French hospital to deliver the baby. After four days, mother and newborn infant were returned to the camp, in spite of the inhumane and unsanitary conditions. After Calais was closed, she was forced to go on the move again, carrying her baby, and ended up in the Dunkirk refugee camp. She always had a positive attitude considering everything, even though she worried for her baby, who cried at night and sometimes became ill in the cold conditions of their shelter (no more than a small and dark shed).

One thing that moved me was the way in which people still looked out for others, even though their own conditions were so bleak. Roza is a large, middle aged Kurdish lady, with a cheeky gleam in her eye and a wicked smile, in spite of her only having three remaining teeth. One day she grabbed my arm in her large hand, seemingly very concerned, and insistent to drag me off with her into the camp. Her husband joined us on the way to the shelter and with slightly more English, explained ‘not able work man, not good’. They took me to a disabled man who had become ill because he was so cold at night. Through signing they requested blankets to keep him warm at night, and we went back to the centre to find some. Roza was insistent that he must have the best of the ones we had.

A young couple. They sat on the high bank at the edge of the refugee camp looking down to the swampy, filthy water below that separated the camp from the motorway. There was fighting around them, children crying, the smoke from people’s cooking blowing everywhere. They held each other, and rubbed noses, and kissed.

Belen is a very young woman, a few years younger than me, who ties her hair each day into a tidy plait and studies very hard to learn English. Belen is one of those people who is beautiful because their personality and warmth shines out of their face; she has a constant, gentle smile, in spite of everything she has been through. She attended English classes every day, turning up with her pencil and notebook, learned quickly and remembered things instantly, and asked for extra homework to complete herself in her shelter in the afternoons.

A pregnant lady. She was asked if she thought it was a girl or a boy. She said, a boy. She hoped for a boy. She had a boy before, and he was eight. He was shot three times. The third bullet hit his heart and killed him. An eight year old boy.

The children that did make it as far as Dunkirk were very obviously struggling to cope with the trauma they had been through, severely damaging to anyone, let alone at such a young age.

The very small ones were so traumatised that some of them were unable to communicate. A boy of no more than two or three, whose eyes are depths of sadness, and who just stares , silently, or cries. He is unable to interact in any way, no matter how you try to talk to, play with, or comfort him.

The middle aged ones (between about 6 and 11) are sometimes like normal children. They play, and squabble, and are boisterous, and would run around having water fights. But they are also angry. They are frustrated where they are, and apart from the volunteer-run children’s centre, had no outlet for their emotions and energy. They have also not had the chance to go to school or have an education. I was shocked, though I shouldn’t have been, at the level of aggression they displayed when we were not able to meet their demands. But really, it’s not surprising they would demonstrate these behaviours, because violence,  warfare, fear, and a fight for survival, is all they have known.

children dunkirk copyright jamie wiseman

© Jamie Wiseman

The older children (11-16) are heroes. They have a much better understanding of the situation and the difficulties the adults around them are facing, and have undertaken huge responsibilities in caring for their younger siblings, or other children around them. They have maturity far beyond their years and a calm, measured approach to assessing their situation.

I met two brothers. The older, who was 16, told me he was looking after his brother, 14. They wanted to talk to me to improve their English as they were desperate to get to the UK. He asked if he would be able to go to school there. I said I thought he would and would be in around year 11. He then intimated, through motions and broken English, that he would have to start at the beginning, because he could not read or write. I asked, did you go to school even when you were very small? And he said he had started, but then the Taliban came. Motions shooting. Then, schools close. Many of his friends killed. He said he had travelled with his brother for 11 months to get as far as France. They had come with their cousin but had lost him in Serbia. He was going to try to come to the UK soon, maybe by boat, or by lorry. I begged him not to try to come by boat. Tried to motion he might drown.

These are the people trying to reach the UK. They are people who deserve love, and compassion. The media are constantly telling us that people want to come here to change our culture, to bring violence, and take benefits from our hard-earned taxes. Everyone I met wanted to learn English. They wanted to work again, as they had at home, and regain their sense of dignity by providing for themselves. They wanted education, and to contribute to the country they had idealised in their minds as a safe haven. They just wanted a life of safety and dignity, which is the right of us all.

Because people only run the length of the earth, carrying their crying children in their arms, if the alternative is more violent and terrifying than we can possibly imagine. They only leave the homes they love, and the only life they have known, to run with a few possessions on their back into squalid refugee camps for shelter if the alternative is to be killed. See your friends killed. To see your children murdered right in front of you. Wouldn’t any of us do the same in those circumstances?

Love and peace,

Helen