European governments must ensure safe and timely access to abortion care during the COVID-19 pandemic

European governments must ensure safe and timely access to abortion care during the COVID-19 pandemic

A joint statement signed by the ICJ and 102 other organizations. 

The COVID-19 pandemic and public health crisis is presenting grave challenges for health care systems across Europe.

As European countries work to address the pandemic, protect their populations, and meet the increased demand on health care workers and health care facilities it is vital that they adopt measures to safeguard the health, human dignity, physical and mental integrity, and reproductive autonomy of women and girls in the region.

In many countries the lack of government measures to guarantee individuals’ safe and timely access to essential sexual and reproductive health services, goods, and information during the pandemic is of particular concern.

Women and girls – this statement refers to women and girls, as the majority of individuals who are needing abortion care identify as such but it equally applies to all individuals who may become pregnant and need abortion care or other sexual and reproductive health care – are facing significant restrictions in safely accessing essential sexual and reproductive health services, particularly timely abortion care, post abortion care, and emergency contraception.

Such restrictions disproportionately impact individuals belonging to marginalized groups, including women living in poverty, women with disabilities, Roma women, undocumented migrant women, adolescents, and women at risk or who are survivors of domestic and sexual violence.

These restrictions also create unnecessary risks of exposure to COVID-19 for women and girls and their families as well as for health care providers.

Particularly grave barriers are arising for women and girls living in European countries where abortion care is illegal or severely restricted, and where as a result they must travel to other countries to access legal care or must obtain abortion medication from outside their own jurisdiction.

These issues can also arise in those European countries where individuals are forced to go through burdensome or harmful administrative processes to access abortion care or where they may have difficulty finding doctors in their country willing to provide care.

We applaud those governments that have moved swiftly to safeguard access to essential time- sensitive sexual and reproductive health care during this time, in particular through ensuring access to telehealth and early medical abortion from home.

We call on all other European governments to follow suit and to follow the guidance of medical and public health experts.

We call on the six European countries (Andorra, Liechtenstein, Malta, Monaco, Poland and San Marino) where abortion is illegal or severely restricted to urgently reform these laws, which place women’s health and lives at risk.

Limitations on travel and transport now compound the impact of these highly restrictive laws. Individuals in these countries may no longer be able to travel abroad or to obtain medication for abortion sent by post from medical providers in other countries. As a result, they face heightened risks to their health and wellbeing.

We call on those countries where abortion is legal but where clinical services are unavailable or difficult to access due to a range of barriers, including medically unnecessary requirements that oblige individuals to take multiple or unneeded trips to health care facilities or undergo mandatory hospitalization, to urgently eradicate those barriers and ensure access to services.

Urgent steps should also be taken to ensure that refusals of care because of private beliefs by doctors do not jeopardize timely access to legal abortion care.

In accordance with human rights obligations3 and the recommendations of medical experts4 the following measures should be adopted, and at a minimum remain in place for the duration of the COVID-19 pandemic:

  • Ensure that abortion is treated as essential and time-sensitive health care and guarantee access to care in a timely manner.
  • Authorize and make available in a timely manner telehealth consultations for anyone who is seeking abortion care or information. Specific measures should be adopted to ensure that telehealth consultations are free or low cost and easily accessible for marginalized groups.
  • Guarantee timely access to early medical abortion throughout each jurisdiction and allow doctors to prescribe the necessary medication via telehealth consultation.
  • Allow individuals to take all abortion medication at home. Requirements in some European countries that one pill must be taken in the physical presence of a doctor or in a health care facility should be removed.
  • Remove mandatory waiting periods prior to abortion as well as mandatory counselling requirements or ensure counselling can be conducted through telehealth consultation.
  • Authorize primary care doctors and midwives to provide early medical abortion.
  • Adopt health system safeguards to guarantee access to care in cases where early medical abortion is not possible or is contraindicated, for individuals who need abortion care later in pregnancy or post-abortion care, or who may need to visit a health care facility for other reasons. Travel in such cases should be deemed essential and permitted even where governments have otherwise restricted free movement.
  • Where a doctor’s authorization is required, this should be limited to one doctor. Requirements for multiple doctors’ approval of an abortion should be removed.
  • Guarantee timely access to prenatal testing and psychosocial support where requested.
  • Guarantee an adequate number of providers willing and able to provide abortion care throughout the country and widely publicize information on how women can identify health care professionals willing and available to provide abortion care. Urgently ensure that refusals of care by doctors do not jeopardize access to abortion care in a time of crisis.
  • Widely disseminate information on those changes to SRHR policies and health care services that are being made in the context of COVID-19 responses.
  • Ensure access to contraception including emergency contraception, including through authorizing telehealth consultations and provision of emergency contraception over the counter in pharmacies without a prescription.

Finally, we call on all policy makers across the European region to reject proposals that purport to restrict access to safe abortion care during the COVID-19 pandemic. These disingenuous proposals simply serve to exacerbate the current public health crisis and have negative effects on the health, lives, and wellbeing of women and girls.

Download the full statement with additional information and the list of signatories

 

 

Latin America and COVID-19: how are the justice systems reacting? – Webinars (in Spanish)

Latin America and COVID-19: how are the justice systems reacting? – Webinars (in Spanish)

Various States in the Latin American region have adopted exceptional measures to address the pandemic and manage the health crisis. These measures impact peoples’ human rights and freedoms. A series of webinars will cover this topic. The third one takes place today.

Access to justice and the right to an effective remedy are particularly at risk. In that regard, it is worth analyzing: How are justice systems reacting to the pandemic? What is required to continue guaranteeing access to justice, especially for those people and groups most vulnerable? How does this pandemic affect the provision of services in the justice sector? How can justice systems innovate to respond to this situation?

In order to address these questions, the ICJ together with DPLF, Fundación Construir, Fundación Tribuna Constitucional, Observatorio de Derechos y Justicia, and Fundación para la Justicia y el Estado Democrático del Derecho, supports an initiative of webinars led by a group of women human rights defenders in Latin America.

The webinars will be held in Spanish and through the Zoom platform. Registrations for each webinar can be made by sending an email to info@dplf.org Registered persons will receive the zoom link where the activity can be followed.

The first three conversations are as follows:

  1. Essential justice services in times of emergency: Thursday 02 of April

At: 14.00 México-Central America/ 15 hours Colombia-Perú-Ecuador/ 16.00 Washington-Bolivia/ 17.00 Chile -Argentina/ 22.00 Geneva

  1. Working from home and being a judge: challenges for women that are judges: Tuesday 07 of April

At 14.00 México-Central America/ 15.00 Colombia-Perú-Ecuador / 16.00 Washington-Bolivia / 17.00 Chile -Argentina/ 22.00 Geneva

  1. Innovating in the justice system during times of emergency: Thursday 09 of April

At 14.00 México-Central America/15.00 Colombia-Perú-Ecuador/ 16.00 Washington-Bolivia/ 17.00 Chile -Argentina/ 22.00 Geneva

 

 

Cambodia: State of Emergency bill violates the rule of law

Cambodia: State of Emergency bill violates the rule of law

The ICJ today warned that Cambodia’s draft Law on National Administration in the State of Emergency (“State of Emergency bill”) violates basic rule of law principles and human rights, and called on the Cambodian government to urgently withdraw or amend the bill in accordance with international human rights law and standards.

Last Friday, government spokesperson Phay Siphan explained that the government needed to bring a State of Emergency law in force to combat the COVID-19 outbreak as “Cambodia is a rule of law country”. The bill is now before the National Assembly and, if passed by the Assembly, will likely be considered in an extraordinary session convened by the Senate. The law will come into force once it has been signed by the King – or in his absence, the acting Head of State, Senate President Say Chhum.

“The Cambodian government has long abused the term “rule of law” to justify bringing into force laws or regulations that are then used to suppress free expression and target critics. This bill is no different,” said Frederick Rawski, ICJ’s Director for Asia and the Pacific.

“Any effective response to the COVID-19 outbreak must not only protect the rights to health and life, but be implemented in accordance with Cambodia’s human rights obligations and basic principles of the rule of law.”

Several serious shortcomings are evident in the State of Emergency bill, including:

  • No delineation of a timeline for the imposition of a state of emergency, or criterial process for its termination. The bill provides vaguely that such declaration “may or may not be assigned a time limit. In the event that a state of emergency is declared without a clear time limit, such a state of emergency shall be terminated when the situation allows it” (article 3);
  • Expansion of government powers to “ban or restrict” individuals’ “freedom of movement, association or of meetings of people” without any qualification to respect the rights to association and assembly in enforcing such measures (article 5);
  • Expansion of government powers to “ban or restrict distribution of information that could scare the public, (cause) unrest, or that can negatively impact national security” and impose “measures to monitor, observe and gather information from all telecommunication mediums, using any means necessary” without any qualification to respect the rights to privacy, freedom of expression and information in enforcing such measures (article 5);
  • Overbroad powers for the government to “put in place other measures that are deemed appropriate and necessary in response to the state of emergency” which can allow for significant State overreach (article 5);
  • Severe penalties amounting to up to 10 years’ imprisonment of individuals and fines of up to 1 billion Riel (approx. USD 250,000) on legal entities for the vaguely defined offence of “obstructing (State) measures related to the state of emergency” where such obstruction “causes civil unrest or affects national security” (articles 7 to 9);
  • No specific indication of which governmental authorities are empowered to take measures under the bill, raising concerns that measures could be taken by authorities or officials in an ad-hoc or arbitrary manner in violation of the principle of legality;
  • No indication of sufficient judicial or administrative oversight of measures taken by State officials under the bill – The bill states that the government “must inform on a regular basis the National Assembly and the Senate on the measures it has taken during the state of emergency” and that the National Assembly and the Senate “can request for more necessary information” from the government (article 6) but does not clarify clear oversight procedures for accountability.

“The State of Emergency bill is a cynical ploy to further expand the nearly unconstrained powers of the Hun Sen government, and will no doubt be used to target critical comment on the government’s measures to tackle COVID-19,” said Rawski.

“If passed in its current form, this bill will reinforce the prevailing lack of accountability which defines the government in Cambodia. The government’s time would be better spent developing genuine public health policy responses to the crisis.”

Contact

Frederick Rawski, ICJ Asia Pacific Regional Director, e: frederick.rawski(a)icj.org

To download the statement with detailed background information, click here.

See also

ICJ report, ‘Dictating the Internet: Curtailing Free Expression, Opinion and Information Online in Southeast Asia’, December 2019

ICJ report, ‘Achieving Justice for Gross Human Rights Violations in Cambodia: Baseline Study’, October 2017

ICJ, ‘Cambodia: continued misuse of laws to unduly restrict human rights (UN statement)’, 26 September 2018

ICJ, ‘Misuse of law will do long-term damage to Cambodia’, 26 July 2018

ICJ, ‘Cambodia: deteriorating situation for human rights and rule of law (UN statement)’, 27 June 2018

ICJ, ‘Cambodia human rights crisis: the ICJ sends letter to UN Secretary General’, 23 October 2017

South Africa: authorities must work urgently to curb gender-based violence under lockdown

South Africa: authorities must work urgently to curb gender-based violence under lockdown

As South Africa enters into its second week of a 21-day lockdown, the ICJ calls on  national, provincial and local government authorities to urgently implement measures to prevent sexual and gender-based violence (SGBV) and protect women and children from it.

The country has been under lockdown since 26 March, with the population remaining at home, physically isolated in an attempt to ‘flatten the curve’ of transmission of the Covid-19 virus.

However, the lockdown means that some are trapped in their homes with their oppressors.

“A lockdown impacts women differently. For some women, being forced into lockdown with an already abusive partner heightens the risk of abuse and violence. It also means less support and fewer chances to seek help,” ICJ Senior Legal Adviser Emerlynne Gil said.

On 3 April, Police Minister Bheki Cele said that the South African Police Services had received 87,000 SGBV complaints violence during the first week of the national Covid lockdown.

Among the complainants was the wife of a police officer who reported that her husband had raped her. The officer has since been arrested.

The South African authorities have taken some steps to enhance women’s access to protection from SGBV during this lockdown, including by ensuring that women have access to courts for urgent civil matters, such as protection orders, as well as ensuring that there is an SMS line through which they can seek help.

Social services and shelters have also been made available. However, the authorities can and should go further in ensuring that these services are widely publicized, and that women have effective access them during the lockdown.

“Under international human rights law, States are legally obliged to take measures to prevent, address and eliminate SGBV,” ICJ Legal Associate Khanyo Farisè said.

“The South African authorities should do more, in particular, by raising awareness about GBV and providing comprehensive multi-sectoral responses to victims.”

Under international human rights law binding on South Africa, such as the Convention on the Elimination of All Forms of Discrimination against Women, States are obligated to take all appropriate measures to eliminate violence against women of any kind occurring within the family, at the work place or in any other area of social life.

In a previous statement, the ICJ also called on States to ensure that measures to tackle Covid-19 are gender responsive.

The ICJ calls on South African authorities to:

  • Widely publicize health and legal services, safe houses and social services and police services available to victims of SGBV, including the hotline 0800-428-428 or *120*786#
  • Effectively respond to reported cases of SGBV and provide protection to victims through a multi-sectoral approach involving all relevant stakeholders.
  • Investigate the causes of SGBV, including the surge of this scourge in the South African context during the COVID19 pandemic, and identify further measures to protect women against SGBV that are specifically required during pandemics.
  • Implement “pop-up” counseling centres in mobile clinics or in pharmacies to support women who experience SGBV.
  • Include the work of domestic violence professionals as an essential service and provide emergency resources for anti-domestic abuse organizations to help them respond to increased demand for services.

Contact

Khanyo  Farisè, ICJ Legal Associate, e: nokukhanya.Farise(a)icj.org

Shaazia Ebrahim, ICJ Media Officer, e: shaazia.ebrahim(a)icj.org

Translate »