Pro-choice
Treatment Monitor: Abortion
HIV-positive pregnant women should be told about and referred to, if they request this, abortion services as part of a continuum of care. Currently, only surgical abortions are available; however, medical abortion clinical guidelines are being finalized by the DOH. This should expand options for safe early legal termination of pregnancy; the earlier a pregnancy is terminated, the safer it will be. Medical abortion is generally done in the first 56 days of pregnancy so would assist greatly in reducing costs and the demands on a health facility.
Against the Grain: U.S. Abortion Policy from a Global Perspective
In 1973, the United States was part of a global trend to reform restrictive abortion laws that resulted in the unnecessary deaths and injuries of millions of women. After the Supreme Court decision in Roe v. Wade secured the right to abortion, access to safe abortion care dramatically reduced maternal deaths and injuries. Despite this healthy trend, right-wing conservatives immediately began a crusade to undermine women's health and self-determination, promoting conservative ideology over public health interests and significantly limiting women's access to safe abortion services.
Backstreet abortions still rife
Five years after abortion was legalised in South Africa, there is little evidence to show that women have overcome the fear of going to public clinics and hospitals to have an abortion. Studies conducted in 1994 and 2000 show there has been no change in the number of women admitted to hospitals with incomplete abortions, researchers from the Reproductive Health Research Unit (RHRU) told Parliament yesterday. But there was a decrease in the number of unsafe abortions conducted by unqualified persons or in an inappropriate medical environment. Dr Heather Brown, of the RHRU, said it was too soon to see tangible results as abortion was legalised only in 1996.
At public hearings held in Parliament yesterday to check on progress in implementing the legislation, Brown said the rate of deaths and infection had decreased, particularly in younger women. She said the overwhelming majority of women who were still aborting outside designated facilities were doing so because they did not know their rights. Brown urged health authorities to improve information about termination of pregnancy by embarking on a public education campaign on abortion rights. Staff at public hospitals who harassed women seeking abortions was another issue that needed particular attention.
Many women who were interviewed by the researchers said they chose to seek help from general practitioners - who were not registered to perform abortions - because they felt they would receive better treatment than in public clinics and hospitals. The portfolio committee on health and the Reproductive Rights Alliance (RRA), an NGO representing organisations, and other structures that are active in the reproductive health field hosted the hearings in Parliament jointly. However, anti-abortion activists said they were outraged about not being invited to speak at the public hearings and wrote an open letter to the chairperson of the health committee, James Ngculu, to complain. But Ngculu said the hearings had been publicised by adverts in newspapers and that pro-life activists had not responded to these invitations. (Source: The Star, 8 May 2002)
Pro choice lobby joins court to defend abortion
The Reproductive Rights Alliance (RRA) has been admitted as an amicus curiae - or friend of the court - in a new challenge to the Choice on Termination of Pregnancy Act by the Christian Lawyers' Association (CLA). This means that when the case is heard in court on July 31, the RRA will be allowed to join the state and introduce arguments to support the state's contention that the CLA's case has no basis in law.
The CLA is challenging the right of adolescents under 18 years of age to terminate an unwanted pregnancy. It argues that because the law does not legally require an adolescent to seek the consent of their parents, this is a violation of children's rights. Although the Act encourages minors to seek the counsel of parents, family or friends, it does not compel an adolescent to do so. Having failed to challenge the entire Act, in a legal bid launched in May 1997, the CLA has decided to target provisions in the Act that it finds objectionable.
The RRA was a friend of the court in 1998 when the CLA unsuccessfully challenged the constitutional basis of the Choice on Termination of Pregnancy Act and was instrumental in advocating for its enactment in 1996. (Source: Health-e, 19 July 2001)



