Advocacy to bring down alarming rates of unsafe abortion.
In Asia, unsafe abortion Unsafe abortion is a significant cause of maternal mortality and morbidity in the world, especially in developing countries (95% of unsafe abortions take place in developing countries). accounts for 12 per cent of all maternal deaths, higher than in any other region of the world with an estimated 38,000 women dying each year from medical complications alone. (1) Half of the world's unsafe abortions (10.5 million) took place in Asia in 2000. (2)
About 14 unsafe abortions occur for every 100 live births in Asia, excluding East Asia East Asia
A region of Asia coextensive with the Far East.
East Asian adj. & n. where safe abortion is widely accessible. (2) There has been a continuous struggle to maintain the status quo [Latin, The existing state of things at any given date.] Status quo ante bellum means the state of things before the war. The status quo to be preserved by a preliminary injunction is the last actual, peaceable, uncontested status which preceded the pending controversy. with regard to safe abortion where it is available and to reverse the situation where it is not available, in spite of the relative successes of implementing key recommendations of the ICPD ICPD International Conference on Population and Development
ICPD Institute for Counselling and Personal Development (Northern Ireland)
ICPD Institute for Conflict Management Peace and Development
ICPD International Conference on the Prevention of Dementia Programme of Action (POA). The present US government's policy on abortion has a disproportionately negative influence, making other governments and NGOs nervous about cutbacks in financial resources for their sexual and reproductive health Within the framework of WHO's definition of health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity, reproductive health, or sexual health/hygiene programmes. The US government directly and indirectly goes to extraordinary lengths to exert their double-standard point of view on others, as recently witnessed at the ESCAP ESCAP Economic and Social Commission for Asia and the Pacific
ESCAP European Society for Child and Adolescent Psychology conference in Bangkok and other UN organised conferences. Abortion is legal in the US, but its government will not fund abortion outside the US.
Countries in Southeast Asia have relatively low rates of unsafe abortion. Not learning from this experience is a missed opportunity for other countries in Asia. In many Southeast Asian countries, such as the Philippines, there are indications of growing religious influence that deters open support of safe abortion, if not exerting outright opposition.
It is clearly stated in the ICPD POA that abortion should not be promoted as a method for family planning family planning
Use of measures designed to regulate the number and spacing of children within a family, largely to curb population growth and ensure each family’s access to limited resources. . However, humane treatment and counselling must be given to women who have had recourse to abortion (POA, Para 8.25). Other critical key language from the ICPD POA and Beijing Platform for Action (PFA PFA Pacific Film Archive
PFA Professional Footballers Association
PFA Predictive Failure Analysis
PFA Protection From Abuse
PFA Parent-Faculty Association
PFA Popular Flying Association ) that can be used in an advocacy strategy include: "All governments are urged to strengthen their commitment to women's health Women's Health Definition
Women's health is the effect of gender on disease and health that encompasses a broad range of biological and psychosocial issues. , to deal with the health impact of unsafe abortions as a major public health concern and to reduce the recourse to abortion through expanded and improved family planning services. In all cases, women should have access to quality services for the management of complications arising from abortion" (PFA, para 106). Another key declaration advocates can use in lobbying to improve access to safe abortion is the Millennium Development Goals “MDG” redirects here. For other uses, see MDG (disambiguation).
The Millennium Development Goals are eight goals that 192 United Nations member states have agreed to try to achieve by the year 2015. that cite improved maternal health as one of the targets. This can be interpreted to include access to safe abortion.
To fulfil the needs of women and expand access, successful advocacy strategies should target all or some of the following issues:
* Broad participation--a concerted advocacy effort that includes working with community women, service providers, the legal profession, activist groups, sympathetic people in government, media, NGOs and private sector;
* Improving abortion laws without jeopardising existing availability, as in Bangladesh where menstrual regulation is relatively accessible;
* Work towards enactment of laws that protect both women and providers;
* Take on legal cases to encourage both service users and providers;
* Advocate for increased, adequate and better use of human and financial resources and logistics/supplies for safe abortion services;
* Campaign for improved policy and practice of government, private sector and NGOs for safe abortion;
* Engage in policy dialogue with key decision makers in government and donor institutions;
* Take into consideration new medical methods of abortion, such as Mifepristone Mifepristone Definition
Mifepristone is a pill that can be taken as an alternative to a surgical abortion.
This medication most often is used for ending early pregnancies. , to expand choices available to women;
* Ensure that the method, timing and message of advocacy is appropriate to the environment and circumstances--inappropriateness can result in much damage;
* Raise the awareness of younger women who do not appreciate the absence of laws and safe services. It must be ensured that the existing positive situation is not eroded (particular reference to Southeast Asia);
* Promote training of service providers to ensure good technical, planning and management skills;
* Undertake 'quiet' awareness raising among stakeholders on an on-going basis;
* Campaign for collaborative design, implementation and use of research and documentation for sharing and learning about safe abortion laws, policy, practices and services; and
* Once positive laws are enacted, advocate for supportive funding, policy, practices, services, training, logistics, supplies, research, etc, which are crucial processes for implementation.
Activists have already designed frameworks and manuals to assist NGOs in advocating to improve access to safe abortion in the region. A framework analysing the political, economic, administrative, social, cultural, national and international contexts can assist advocates to devise an effective strategy. Training required to undertake a successful abortion advocacy strategy should include: understanding of advocacy, problem identification, problem analysis, research, policy papers,, situation analysis, stakeholder analysis, negotiation and lobbying, audience targeting, communication materials, interventions and organisational capacity. White's framework consisting of mapping the policy arena, defining major issues and designing policies and implementation strategies can be a useful guide, as it looks at macro and sectoral policies, institutional analysis, human resource development and mobilisation of people. (3) The US-based Centre for Reproductive Rights has widely published a briefing paper as an advocate's guide to the work of UN treaty monitoring bodies in the area of sexual and reproductive rights.
Advocacy is almost the only means whereby laws, policy and practice can be changed. Sharing of experiences among concerned and committed people and organisations is surely the way forward.
(1.) United Nations Economic and Social Council United Nations Economic and Social Council: see Economic and Social Council. for Asia and the Pacific and United Nations Population Fund The United Nations Fund for Population Activities (UNFPA) began funding population programs in 1969. It was renamed the United Nations Population Fund in 1987, but kept its original abbreviation. . 2002. Reproductive Health. Including Family Planning Fifth Asian and Pacific Population Conference Bangkok: UNESCAP UNESCAP United Nations Economic and Social Commission for Asia and the Pacific (ka ESCAP) .
(2.) Ahman, Elisabeth; Iqbal Shah. 2002. Unsafe abortion: Worldwide Estimates for 2000, Reproductive Health Matters vol 10, no 19. London: RHM RHM Right Hand Man (band)
RHM Rank Hovis McDougall (UK company)
RHM Right-Handed Media
RHM Remains Handling Model
RHM Routine Health Maintenance
RHM Registered Housing Manager
RHM Red Hub Module .
(3.) White, G Louis. 1990. Implementing Policy Reforms in LDCs. A Strategy for Designing and Effecting Change. London: Lynn Rienna Publishers.
Center for Reproductive Rights. 2002. Bringing Rights to Bear: An Analysis of the Work of UN Treaty Monitoring Bodies on Reproductive and Sexual Rights. New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of : Center for Reproductive Rights and University of Toronto Research at the University of Toronto has been responsible for the world's first electronic heart pacemaker, artificial larynx, single-lung transplant, nerve transplant, artificial pancreas, chemical laser, G-suit, the first practical electron microscope, the first cloning of T-cells, International Programme on Reproductive and Sexual Health Law.
 By Sandra Kabir, Programme Advisor, International Council on Management of Population Programmes, No 534, Jalan Lima, Taman Ampang Utama, 68000 Ampang, Selangor, Malaysia. Tel: (603) 42566122. Fax (603) 42560029. Email: email@example.com