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

 

 

Colombia: las políticas para hacer frente al COVID-19 deben incluir medidas relacionadas con el conflicto, especialmente para defensores de derechos humanos

Colombia: las políticas para hacer frente al COVID-19 deben incluir medidas relacionadas con el conflicto, especialmente para defensores de derechos humanos

Por décadas, un número importante de colombianos han sido víctimas de crímenes atroces relacionados con el conflicto armado. En particular, los defensores de derechos humanos han sido blancos de violaciones de derechos humanos y abusos serios, como asesinatos, amenazas de muerte y hostigamientos.

Solo este año, la Oficina de la Alta Comisionada de las Naciones Unidas para los Derechos Humanos (ACNUDH) ha recibido información sobre 56 posibles casos de asesinatos de defensores de derechos humanos. Desafortunadamente, el brote del COVID-19 no ha detenido la violencia contra defensores de derechos humanos.

Al respecto, desde el primer caso confirmado de COVID-19 en el país, el 6 de marzo de 2020, la Organización de Estados Americanos (OEA) y Amnistía Internacional han reportado el asesinato de seis defensores de derechos humanos. Los perpetradores de estos crímenes todavía no han sido identificados.

En igual sentido, las violaciones de derechos humanos y abusos contra comunidades locales tampoco se han detenido. A decir verdad, lo contrario parece ser lo cierto. Así, por ejemplo, se ha denunciado que grupos armados ilegales, incluyendo grupos paramilitares y nuevos grupos formados por disidentes de la guerrilla de las FARC-EP, están aprovechado la pandemia para cometer acciones ilegales con mayor libertad, principalmente en áreas rurales del país. Entre las acciones cometidas por estos grupos, se destaca el desplazamiento forzado de 250 personas y el confinamiento de 770 familias por los combates entre un grupo paramilitar y un grupo guerrillero. Ambas acciones tuvieron lugar en la región pacífica del país, en la cual el conflicto se ha intensificado luego del Acuerdo Final de Paz. Adicionalmente, se conoce de al menos tres desmovilizados de las FARC-EP que han sido asesinados en marzo de 2020.

A pesar de la gravedad de la situación anteriormente descrita, la respuesta del gobierno colombiano a la crisis provocada por el COVID-19 se ha centrado en la creación e implementación de medidas no relacionadas con el conflicto. Al respecto, el gobierno ha decretado regulaciones de gran importancia para mitigar los efectos sociales y económicos creados por el virus. Entre otras regulaciones, el presidente decretó un estado de emergencia y una cuarentena nacional obligatoria por 19 días desde el 25 de marzo de 2020. De igual forma, el gobierno estableció una serie de ayudas sociales y económicas en favor de quienes se verán más afectados por la cuarentena.

Ninguna de estas medidas fue diseñada considerando la situación particular de los defensores de derechos humanos. Como consecuencia, su protección no es un elemento central de las políticas colombianas para hacer frente a la pandemia. Si se considera que la implementación del Acuerdo Final de Paz y los derechos de las víctimas no son prioridades del actual gobierno, el enfoque adoptado no es completamente inesperado. En todo caso, para ser justos, se debe reconocer que los programas estatales para la implementación del Acuerdo han continuado operando durante la pandemia.

Ahora bien, podría argumentarse que la pandemia tiene el potencial de afectar predominantemente derechos humanos que no están relacionados con el conflicto armado. Por lo tanto, desde este punto de vista, la priorización de medidas no relacionadas con el conflicto armado está justificada y es requerida. Si bien esta posición se basa en una premisa valida, que es que la pandemia causada por el COVID-19 crea varios desafíos que van más allá de los problemas de derechos humanos relacionados con el conflicto, ignora un elemento central de la realidad colombiana: la existencia de un conflicto en curso.

Actualmente, el conflicto afecta directamente una parte considerable de la población colombiana, incluyendo la mayoría de los defensores de derechos humanos. Sobre este tema, fue reportado que, el año pasado, las acciones cometidas por grupos ilegales en el marco del conflicto afectaron a al menos 10 de los 32 departamentos de Colombia. En ese sentido, ignorar la importancia del conflicto puede llevar a que algunas medidas para hacer frente a la pandemia resulten ineficaces. Lo anterior, ya que, en las zonas afectadas por el conflicto, la protección de los derechos humanos requiere abordar los desafíos específicos que la pandemia ha creado en esos territorios. Por ejemplo, la presencia de grupos ilegales puede conllevar a que no se realicen pruebas para el COVID-19 a los miembros de las comunidades locales o que no puedan acceder a servicios de salud. Igualmente, debido a la cuarentena, los grupos ilegales pueden identificar más fácilmente la localización de defensores de derechos humanos y tomar represalias contra ellos.

En relación con los defensores de derechos humanos, también debe mencionarse los problemas relacionados con el acceso a medidas de seguridad adecuadas. Sobre este tema, Amnistía Internacional ha denunciado que los esquemas y medidas de seguridad de algunos defensores de derechos humanos han sido reducidos por la pandemia. De igual forma, una organización no gubernamental local expresó preocupación por la decisión de la Unidad Nacional de Protección de suspender indefinidamente las sesiones de la Comisión en donde se definen las medidas de protección.

En consideración con lo anterior, y más allá de las consideraciones políticas y de las prioridades generales del gobierno, es imperativo que el gobierno adopte una perspectiva integral para enfrentar la pandemia. Esto implica abordar el impacto diferencial que la pandemia puede tener en las personas que lideran los procesos de transformación social y legal, en las zonas afectadas por el conflicto. En particular, deben implementarse o adaptarse medidas eficaces de protección para defensores de derechos humanos durante la crisis del COVID-19. Asimismo, deben garantizarse y cumplirse los derechos de acceso a un recurso efectivo y a la reparación, de conformidad con los estándares internacionales.

Adicionalmente, el gobierno nacional debe hacer mayores esfuerzos para obtener un cese de hostilidades humanitario por parte de todos los grupos ilegales durante la crisis del COVID-19. Un cese de hostilidades humanitario contribuiría a (i) proteger a la población civil contra actos violentos, (ii) implementar las medidas relacionadas con la pandemia en las zonas de conflicto y (iii) evitar la proliferación del virus en comunidades vulnerables. Esta es una medida crucial que ya ha sido solicitada por organizaciones civiles nacionales, el jefe de la misión de verificación de Naciones Unidas en Colombia, la OEA y algunos parlamentarios. Hasta la fecha, solo un grupo armado ilegal ha aceptado un cese de hostilidades: el Ejercito de Liberación Nacional (ELN), la guerrilla activa más grande en Colombia, la cual decretó un cese al fuego unilateral durante abril.

En conclusión, reconocer la importancia del conflicto es esencial para hacer frente a las implicaciones en los derechos humanos creadas por las crisis del COVID-19. Esto es necesario para contar con políticas integrales que enfrenten la pandemia, así como para asegurar que los problemas y necesidades en las zonas afectadas por el conflicto no sean desconocidas y agravadas durante la crisis del COVID-19. Sobre este punto, como recientemente fue afirmado por el Secretario General de Naciones Unidas, debe tenerse presente que las personas más vulnerables durante un conflicto son también quienes tienen mayor riesgo de sufrir pérdidas devastadoras como consecuencia de esta pandemia.

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

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