Indonesia: trans women face discrimination in access to Covid-19 vaccines

Indonesia: trans women face discrimination in access to Covid-19 vaccines

LGBTI people in Indonesia, particularly trans women, face significant discrimination in access to Covid-19 vaccines as the country rolls out its vaccination programme in the face of a surge in the pandemic, the ICJ said today.

Indonesia is planning to start vaccinating the general population in July and an electronic identity card (e-KTP) is required to be vaccinated. However, most trans women do not have, or cannot obtain, an e-KTP and are thus unable to access the COVID-19 vaccines.

“As we mark the International Day against Homophobia, Transphobia and Biphobia on 17 May, Indonesian authorities must ensure that LGBTI communities, trans women in particular, are not excluded from access to vaccines,” said Ruth Panjaitan, ICJ Legal Adviser for Indonesia.

To get an ID card, trans women need to present a Family Card, a document issued to the head of the family. However, many, trans women or waria have been kicked out of or fled their family homes without formal documents as a result of domestic violence. Between 50-60% of transwomen senior citizens reportedly do not have e-KTP, which makes it difficult for them to access government’s healthcare service, including COVID-19 vaccination.

“Most waria in Indonesia don’t even have an ID card let alone an e-KTP. The current system compounds the discrimination against trans women with the heightened risk of illness due to Covid-19. Indonesian authorities must urgently reform the e-KTP system to facilitate the legal status of people based on their own self-identified gender identity,” Ruth Panjaitan said.

Trans women who want to process their e-KTP in accordance with their gender identity have to first obtain an affirmation of their gender from a court, as the e-KTP does not recognize transgender. There is currently no definite and clear regulation for the legal gender change under Indonesia’s law or Supreme Court regulations, so the determination will depend on individual judges in each court’s jurisdiction. LGBTI activists have noted that in practice many judges apply arbitrary religious-based criteria to reject the petition to change gender. In most cases, the court that takes on the application still requires a doctor’s medical certificate that the petitioner has conducted gender reassignment surgery or other hormonal treatment as well other onerous document requirements, such as a psychiatric evaluation and witness information.

“These intrusive, arbitrary, prolonged and burdensome procedures make it even more difficult for trans women in Indonesia to get legal recognition of their gender identity, and lack of recognition of gender identity before the law blocks their access to health care,” Ruth Panjaitan said.

The Indonesian authorities have recently started their effort to reach out to transgender people in order for them to be registered in accordance with Law No.24 year 2013 and Law No.23 year 2006 regarding Civil Administration, which mentions that all Indonesian citizens have to be registered and that they have to have both ID and Family Card, so that they can get a good public service. However, the current system still falls short under international law to protect transgender people.

“Excluding and marginalizing trans women in the middle of a pandemic aggravates the longstanding discrimination they have faced from the Indonesian government, and it is also counterproductive to an effort to vaccinate as many people as possible to stop the spread of the disease,” Ruth Panjaitan said.

Additional information

Transgender people in Indonesia have a right to nondiscriminatory access to vaccines and overall rights to health, which is protected under Article 12 of the International Covenant on Economic, Social, and Cultural Rights (ICESCR) to which Indonesia is party. The UN Committee on Economic, Social and Cultural Rights has affirmed that all healthcare goods, facilities, and services must be available, accessible, acceptable and of adequate quality, especially to the most vulnerable or marginalized sections of the population, in law and in fact, without discrimination of any of the prohibited grounds.

Under international human rights law and standards, a person’s declaration of their preferred gender identity for the purpose of obtaining gender recognition should not require validation by a medical expert, judge or any other third party. Requiring someone seeking legal recognition of their self-identified gender to undergo treatment is a breach of their right to protection against attacks on their dignity and physical and mental integrity, guaranteed under the ICESCR and the International Covenant on Civil and Political Rights, to which Indonesia is a party.

As affirmed by the Yogyakarta Principles, which address the human rights of LGBTI persons, gender identity is a private matter, concerning someone’s deeply felt individual conviction, which should not be subject to arbitrary third-party scrutiny. Legal gender recognition processes protecting the rights of transgender people must be conducted without medical requirements and it must be quick, transparent, and accessible, and effectively uphold the rights of transgender people, including their right to self-determination.

As of 10 May 2021, Indonesia has reported more than 5,000 new infections on average each day and 1,718,575 cumulative confirmed COVID-19 cases. The figure brought the country to the fourth position of countries with highest cases in Asia. The inoculation programme kicked off in mid-January for those deemed to be high priority, such as health workers, the police and military, and other public workers. The proportion of Indonesia’s total population that has received at least one dose of a vaccine as at 4 May 2021 was 4.64 per cent.

Contact

Ruth Panjaitan, Legal Adviser for Indonesia, e: ruthstephani.panjaitan(a)icj.org

Download

Press Release in Bahasa Indonesia.

Nepal: Seeking a rights-based approach to healthcare

Nepal: Seeking a rights-based approach to healthcare

An opinion piece by Mandira Sharma, ICJ Senior Legal Adviser, and Karuna Parajuli, ICJ National Legal Adviser, based in Nepal.

In mid-February this year, there were less than 100 new Covid-19 infection cases per day in Nepal. We now average around 9,000 cases per day. While the major political parties continue to flex their muscles for power, Covid-19 patients throughout the country scramble for hospital beds, healthcare workers and oxygen cylinders. Although the virus does not discriminate on the basis of class, the elite and the powerful have superior access to quality healthcare than the poor and the marginalised.

According to the Ministry of Health (MOH), there are only 1,171 intensive care unit beds and 483 ventilators in government hospitals throughout the country. These are not enough to prevent serious illnesses and deaths, considering the ever-increasing number of patients requiring hospitalisation. Covid-19 designated public hospitals are already overwhelmed by patients, and private hospitals seem to be taking undue advantage of the crisis. The price lists for hospitalisation publicised by some private hospitals recently indicate the degree of profiteering they indulge in even as they remain out of bounds for a significant number of patients.

The pandemic has impacted a host of human rights, the right to health being the most prominent one. Under both national and international laws, Nepal is obligated to respect, protect and fulfil the right to health through measures that are non-discriminatory including based on social and economic status. This legal obligation requires the government to take effective measures to ensure the prevention, treatment and control of Covid-19. This also includes the duty to regulate the conduct of the private healthcare sector, including hospitals, pharmaceutical companies and laboratories.

Considering the nature of this pandemic, extraordinary measures need to be put in place to gather resources held by both public and private healthcare actors. These obligations must be pursued not only through individual laws, policies and practices of the state but also through collective international cooperation.

The government must take immediate policy measures through coordinated interventions, also involving the private sector to ensure people’s right to health. It must also reassess the existing legal and policy framework, reinvigorate a coordinating body, and develop an integrated plan. Public health professionals and management experts with the necessary power and resources should be included in decision-making to respond to the pandemic. Although the government had formed a Covid-19 Crisis Management Center (CCMC) last year, the Cabinet later started to take most of the decisions on its own, forcing the CCMC to exist only on paper.

The Health Ministry and local authorities must work in tandem to make health services accessible to everyone by increasing hospital beds, oxygen supply, medicines and other necessary equipment. Government authorities, including the Health Ministry, should, following the Supreme Court’s orders, ensure free and widespread access to Covid-19 testing to prevent further infections.

Efforts to fix the public health system should include a longer-term plan and progressive allocation of resources to increase the number of healthcare facilities with the necessary infrastructure and improve the quality of services. A need for an integrated legal framework was already highlighted during the first wave of the pandemic. The Supreme Court in August 2020 ordered the government to adopt specific integrated legislation providing a framework for different government organs to function effectively to prevent and respond to the pandemic.

However, in defiance of the order, the government has instead opted to coordinate its Covid-19 response through the ineffectual and antiquated Infectious Disease Act of 1964, which takes no account of contemporary human rights laws or Nepal’s recently devolved federal structure. The Act, therefore, does not provide guidance as to how different levels of the government (federal, provincial, and local) are obligated to ensure the right to health and in particular the prevention, treatment and control of pandemics as required under the international law. It also fails to provide a framework to hold health service providers, both public and private, accountable for infringing on people’s right to health.

Although the Public Health Service Act (2018) has many gaps, it was enacted to ensure access to health services by making them ‘regular, effective, qualitative and easily available’. Section 4 of the Act requires every health institution, whether public or private, to provide emergency health services and to make necessary arrangements for the treatment of patients with infectious diseases. In interpreting Section 3(4) C of this Act, the Supreme Court has indicated that health services for infectious diseases such as Covid-19 fall under the category of basic health services and should therefore be provided for free. The use of a rights-based approach should be the point of departure, guiding all efforts the government takes in addressing the pandemic.

No one should die while failing to get access to health services, which in some situations may amount to a violation of the right to life triggering criminal responsibility on the part of the state officials involved. International law also requires international cooperation, with countries helping each other in implementing the obligations related to the right to health. Nepal should ask for increased international cooperation and action at the international level, like the TRIPS patent waiver and other resources.

In the longer run, the pandemic should be heeded as a wake-up call to revamp the public healthcare system in Nepal. Moreover, reforms are needed to shield healthcare facilities from political interference. As the increasing nexus between political actors and private companies hampers a quality healthcare system and proper checks and balances, an effective mechanism needs to be put in place not only to investigate any allegation of corruption in public health institutions but also to look at issues related to conflict of interest.

Finally, an integrated law must be adopted to regulate and facilitate the work of public and private health sectors both, and provide a framework for appropriate monitoring mechanisms to ensure a free and accessible primary healthcare system without economic, social or any other form of discrimination.

First published in The Kathmandu Post here.

Nepal: experts affirm the need for reform of Transitional Justice legislation to ensure the right to an effective remedy to all victims and survivors, particularly women

Nepal: experts affirm the need for reform of Transitional Justice legislation to ensure the right to an effective remedy to all victims and survivors, particularly women

The ICJ launched a new briefing paper Nepal: Transitional Justice Mechanisms with Gender Perspective in a webinar held on 12 May 2021.

The discussion included the need to give practical effect to Nepal’s obligation under international law to ensure the right to an effective remedy to the victims, including women victims of sexual and gender-based violence during the country’s internal armed conflict (1996 – 2006). Participants focused in particular on the need to ensure that gender issues are incorporated in the transitional justice mechanism.

The Honourable Kalyan Shrestha, former Chief Justice of the Supreme Court of Nepal and ICJ Commissioner, stressed the importance of the role of the Supreme Court of Nepal in establishing landmark jurisprudence on transitional justice.

Justice Shrestha explained how despite the fact that the country had established a progressive Constitution and amended legislation to provide for equality, non-discrimination and access to justice, women victims and survivors of a decade long armed conflict continued to face real barriers to justice. These including short periods of statute of limitations preventing the filing rape and sexual violations cases and lack of support mechanisms for women, which compounded existing economic pressure and social obstacles.

Bandana Rana, Member of the UN Committee on the Elimination of Discrimination against Women (CEDAW), addressed the situation of sexual and gender – based violence against women in Nepal during the armed conflict. She said that Nepal was bound by clear international legal obligations, including under the CEDAW and other treaties. Yet the Nepali government has not taken effective measures to ensure access to justice and the right to an effective remedy to the victims of SGBV during the conflict.

Laxmi Pokharel, ICJ Legal Adviser, summarized the ICJ’s briefing paper on “Nepal: Transitional Justice Mechanisms with Gender Perspective”. The Paper’s major recommendations, to the Government of Nepal, are:

  • Amend the Truth and Reconciliation Act (TRC) in line with the Supreme Court’s order and Nepal’s international obligations;
  • Ensure participatory, consultative processes while amending the TRC Act;
  • Ensure the participation of women at all levels of recruitment, including in the formation of the recommendation committee, in the appointment of Commissioners of both the TRC and the Commission on Investigation of Disappeared Persons (COID) and at all levels of staffing with a view to ultimately achieving gender parity;
  • Provide gender-sensitive trainings to the Commissioners and staff of the Commissions in order to enhance their capacity to address gender issues in their operation;
  • Take all necessary steps to amend the Criminal Code to remove the statutory limitation for filing incidents of rape and other sexual violence, including in relation to acts committed during the armed conflict, in order to ensure justice for all victims;
  • Ensure that amnesties and mediation are not used to replace criminal responsibility for gross violations of human rights, including rape and other sexual violence.
  • Incorporate a gender-responsive approach in all aspects of the Commissions’ work, including in the interpretation and application of the mandate of the Commissions, prosecution of perpetrators and reparation to the victims and survivors;
  • Incorporate an approach in the Commissions’ work that does not restrict women’s experiences during the armed conflict only to bodily harm suffered, but also takes account of structural gender biases and its consequences during the period of a conflict;
  • Design and implement gender-friendly procedures for investigation, including statement taking, victim and witness protection and other activities of the Commissions;
  • Design and implement specific reparation policies to address the unique needs of women victims;
  • Ensure that the gendered aspects of the armed conflict, including its causes and consequences are incorporated in the final report of the Commissions;
  • Take effective measures to ensure the widest possible dissemination of the final report of the Commissions in order to ensure that the wider population is made aware of the truth, most especially in relation to women.

The webinar was jointly organized by ICJ in collaboration with the United Nation’s Office of the High Commissioner for Human Rights (OHCHR) and UN Women. This event was organized under the ‘Enhancing Access to Justice for Women in Asia and the Pacific’ project funded by the Swedish International Development Cooperation Agency (SIDA). Due to the COVID – 19 pandemic the webinar was conducted virtually and live broadcasted on Facebook. It was conducted in English language and simultaneous translation in Nepali language was also available.

Contact

Laxmi Pokharel, ICJ Legal Adviser – Nepal, email: laxmi.pokharel(a)icj.org

Download

Briefing paper on “Nepal: Transitional Justice Mechanisms with Gender Perspective” (full report in PDF)

Turkey: ICJ intervenes in a case concerning anti-terror laws and effective remedies

Turkey: ICJ intervenes in a case concerning anti-terror laws and effective remedies

The International Commission of Jurists (ICJ), the Turkey Litigation Support Project (TLSP) and Human Rights Watch (HRW) have intervened before the European Court of Human Rights in a case concerning the arrest and pre-trial detention of Turkish opposition politician Selahattin Demirtaş, on a series of charges relating to the exercise of his freedom of political expression. The applicant alleges that his pre-trial detention was arbitrary and unlawful.

In the intervention, the organisations underline that restrictions on freedom of expression, widespread detention and criminal prosecution under expansive anti-terrorism laws, and the impact on democratic debate and rights protection are now well documented in Turkey. This is particularly striking, and the repercussions serious, when opposition politicians are targeted for their expressions of opinion and engagement in democratic debate.

The interveners address:

  • the nature and application of anti-terror criminal laws in Turkey and the implications for protection of the right to liberty (Article 5(1) of the European Convention on Human Rights (ECHR)) and freedom of expression (Article 10 ECHR) and for the limitation on use of restrictions on rights (Article 18 ECHR); and
  • the effectiveness of the individual application procedure to the Turkish Constitutional Court as a remedy in detention cases, in particular in cases concerning the exercise of freedom of expression, in light of delays, the erosion of the independence and impartiality of the judiciary, and non-compliance of lower courts with the Constitutional Court’s decisions that protect Convention rights.

Full text of the intervention can be downloaded here.

Colombia: escalating human rights to deescalating violence

Colombia: escalating human rights to deescalating violence

An opinion editorial by ICJ’s Commissioner, Rodrigo Uprimny. He presents seven measures to overcome the serious crisis Colombia is facing. He argues that authorities must make efforts to de-escalate violence and, in turn, escalate the protection of human rights.

The current crisis is severe. In a few days, more than 30 people have died, several of them from police bullets. There are also numerous disappeared persons. And there have been acts of extreme criminal vandalism, such as the attempt to incinerate several police officers inside a police station.

Apart from the severity, the crisis is complex. It is a result of a combination of old and new tensions, which have been accumulated and exploded due to a tax-reform bill proposal. But despite the complexity and severity, which make the crisis challenging to resolve, or perhaps precisely because of that, it is necessary to take measures to prevent the situation from getting worse.

The Government and political and social leaders must make efforts to deescalate violence. This requires escalating human rights, putting them at the centre of crisis management. So I propose seven measures oriented in that direction.

First, the president and, in general, all high-level government official must unequivocally condemn abuses by law enforcement officials. They must state that these acts will not be tolerated and will be investigated and punished. Unfortunately, those statements have not occurred.

Second, the organizers of the protests and those of us who share the protests must condemn not only the police abuses but also the acts of violence in the protests.

Third, the Office of the Ombudsperson and the Office of the Inspector General must remember that they are independent from the Government. They must take their independent role seriously. They must fulfil their constitutional function of defending human rights and denouncing abuses committed by authorities.

Unfortunately, despite the commitment of their officials, the interventions of these organizations have been weak due to the closeness of the Ombudsman and the Inspector General to the Government.

Fourth, authorities must identify and punish those who commit vandalism in the protests, especially against other people. At the same time, they must guarantee the right to peaceful protest, without stigmatizing the protest, and avoiding any excess in the use of force.

Thus, fifth, the Government and law enforcement officials must strictly comply with the ruling of the Supreme Court handed down in September 2020. In the ruling, the Supreme Court protected the right to peaceful protest and ordered authorities to refrain from stigmatizing the social protest and to adopt protocols to avoid excesses in the use of force.

Nevertheless, the ruling has not been applied in the ongoing protests. That is why several human rights organizations, including Dejusticia, filed a formal petition (incidente de desacato) against the Government.

Sixth, the Office of the General Prosecutor must investigate all violence committed during these protests, including those committed by the police, because if the crime is clearly contrary to the constitutional function of the law enforcement agencies, the case must go to the ordinary jurisdiction, in accordance with constitutional jurisprudence and with article 3 of Law 1407.

Seventh, the support of international human rights organizations should be sought. Consequentially, instead of obstructing the verification work of the Office in Colombia of the United Nations High Commissioner for Human Rights, as the Deputy Foreign Minister tried to do, the Government should facilitate the presence of other international bodies, such as the Inter-American Commission on Human Rights.

These measures and others of a similar nature, which put human rights at the centre of the crisis management, would help de-escalate the ongoing violence. At the same time, these measures would facilitate the necessary conversations to reach genuine national agreements on the ways to confront the underlying problems and tensions that fuelled the protests.

Notes:

Commissioner Uprimny is also Researcher at Dejusticia and member of the UN Committee on Economic, Social and Cultural Rights.

This op-ed was first published in Spanish in El Espectador on May 9, 2021

 

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