FINISHED FILE SRI - SEXUAL RIGHTS INITIATIVE - ACTION CANADA FOR SEXUAL HEALTH AND RIGHTS SEPTEMBER 13, 2018 1300 CET Services provided by: Caption First, Inc. P.O. Box 3066 Monument, CO 80132 800-825-5234 www.captionfirst.com *** This text, document, or file is based on live transcription. Communication Access Realtime Translation (CART), captioning, and/or live transcription are provided in order to facilitate communication accessibility and may not be a totally verbatim record of the proceedings. This text, document, or file is not to be distributed or used in any way that may violate copyright law. *** >> VARYANNE SIKA: Hello, everyone. Hello. Shall we please take our seats. Thank you. So first of all, welcome, and thank you for joining us in this side event, for making the time to join us at this hour. We would like to just give you a few pointers before we start. The event is going to be livestreamed on Facebook. It's going to be captioned -- there's going to be live captions, and we're going to have translation services in Spanish and in French and Spanish to English and French to English, and we're going to have CAP services provided also. The event is organized by the Sexual Rights Initiative, SRI, which is a coalition of partners working in various regions, particularly with Global South. SRI works on issues related to gender, sexuality, and reproduction (Inaudible) Global South to these issues. We thank co-sponsors for working on this event with us and hope that we can work on more of all these kinds of events going forward. I forgot to introduce myself. My name is Varyanne Sika. I come from Nairobi, Kenya. I work with The Coalition of African Lesbians based in Johannesburg in South Africa, and The Coalition of African Lesbians is one of the members of the (Inaudible). So before we continue, I'd like to give an opportunity to the speakers to introduce themselves. We'll start from the right. >> RAKSHYA PAUDYAL: Good afternoon, everyone. This is Rakshya Paudyal, and I'm representing Beyond Beijing Committee, an organization based in Nepal. >> VICTORIA PEDRIDO: (Speaking non-English language) -- work at the regional level in Argentina. >> KRYSTYNA KACPURA: My name is Krystyna Kacpura. I represent the Federation for Women and Family Planning based in (Inaudible). >> MAEVE TAYLOR: Hello. My name is Maeve Taylor, and I'm the director of advocacy and communications with the Irish Family Planning Association, which is the Irish member of the International Planned Parenthood Federation. >> VARYANNE SIKA: Thank you. So just a very quick brief framing for this event. We organized this event in order to commemorate the outcoming international (Inaudible) September 28th, which is around the corner, and the purpose of the event is also to reflect on laws and policies related to abortions in different regions and to share with each other some lessons that we can learn from each other as well. We have the SRI, Sexual Rights Initiative, has a joint statement on abortion that we welcome you to support. Please sign or please see Danielle, who's the person on the right in the green if you wish to support this statement. So I just would like us to get very quickly into the presentations, and we will start also in the same order that we introduced ourselves. Rakshya will begin and then Victoria and Krystyna and me. >> RAKSHYA PAUDYAL: Thank you, Varyanne. I'd like to present my findings on progress and ensuring rights to safe abortion, and I'll be presenting from the Asian region. (Inaudible) it offers a response to unintended pregnancy and globally (Inaudible) pregnancies occur each year, and 56% of them end in abortion, and among 1,000 women, age 15-44, each year 62 pregnancies are unintended, and abortion offers due to ineffective use or nonuse of contraceptives, for nonintended pregnancies (Inaudible) due to changes in life circumstances are affecting women's help, and this is very important and it needs to be considered. Talking about the unsafe abortion (Inaudible), 42% of all safe abortions in Asia are among women aged 30-44 years, and it is slightly low, but it is still important and significant for (Inaudible) ignored, and for a developing reason as a whole, unsafe abortion is peak in the women age 20-29 years, and in Asia, the average abortion rate is 56 per 1,000 women. Talking about the South and Central Asian region, it is estimated that 57 abortions per 1,000 women is 15-44 years takes place. And abortion -- unsafe abortion is estimated to account for 30% of all maternal dates worldwide and a higher abortion rate in Asia which is 19%. (Inaudible) which is much more common and also the modality, and all the complications includes hemorrhages (Inaudible) cervix, and abdominal organs. Well, about abortion in South Asia, it is very clear that Nepal, Cambodia, is very (Inaudible) legalized abortion (Inaudible) preserve women's health for economic, social reasons, et cetera; however, in these regions, as well, despite the progressive stigma and other various (Inaudible) Mike creates (Inaudible). Abortion is legal only to save women's life; however, they've been using measured regulation as an entry point to ensure women have access to safe abortion, while in Philippines, the post-abortion care is used as an entry point. Coming down to the safe abortion in the case of Nepal, it is legal -- it is conditionally legal in Nepal, and it was legal in 2002, but before that, women used to be jailed for having abortion, and with the consent of women, safe abortion can be done for pregnancy up to 12 weeks, up to 18 weeks for rape and incest, and (Inaudible) if the mother's health is at risk or the fetal health is (Inaudible). It's very important to mention that Nepal says that every women (Inaudible) re-ensuring reproductive health rights of women in Nepal. Talking about legally policy framework, abortion is conditionally legalized. We have safe abortion policy, we have safe abortion program guidelines, which was formed in 2011, and the Reproductive Rights Bill is in the process of passing, and safe abortion is one of the key components in under the reproductive health rights. It's important to mention that the bill is mentioned as Reproductive Health Rights Bill, which I think is a very progressive step, and the service provision, more than 3,000 health professionals are trained, more than 1100 (Inaudible) 51 districts and second-trimester services are provided in 29 hospitals in Nepal, and most importantly, safe abortion is provided free of cost in all public health institutions of Nepal. Coming to the abortion incidents and unintended pregnancy in Nepal, 19% of pregnancies are unplanned and 50% of pregnancies are unintended, but the recent research, which was conducted by one of the research organizations (Inaudible), mentions that every year (Inaudible) abortion takes place out of reach, 58% are done under the (Inaudible) conditions, and 7% of maternal (Inaudible) is due to maternal abortion; however, (Inaudible) maternal mortality, which was 580 maternal deaths per 100,000 live births in 1995 to 109 maternal deaths per 100,000 live births in 2030. And talked about awareness, still the latest data shows that only 41% of women know that abortion is legal, and 48% of women know the place for obtaining safe abortion. When it comes to abortion, (Inaudible) for young women is even more important, and only 42% of young women think abortion is legal, and 3.5% of women below 20 years have had an abortion, but young women, especially fail to talk about abortion because stigma of being ostracized and (Inaudible), which is a major barrier for young women to access safe abortion in Nepal. (Inaudible) access service in an illegal secret setting due to the stigma of abortion and (Inaudible) and young women prefer to go to pharmacy and get the medicines over the counter so that people don't really recognize them for having an abortion. So there are different practices which are unsafe abortion practices, and it is one of the major factors is lack of information about the legalization, but because still -- like it was 38% in 2011, Demographic Health Survey, and it has increased to just 45% in 2016, so the lack of information is a major barrier -- major factor. And also the lack of availability of services, especially in the rural areas of Nepal, and the fear of being (Inaudible) while obtaining safe abortion service by health services, so women often go to health procedures which is far from their village, or they often go across the border to seek abortion services, and there is a belief in community that abortion is still a not correct choice, and -- despite women having unwanted pregnancy, and it is, as always, a taboo and stigmatized to (Inaudible) patriarchal mind-set and (Inaudible). So coming to the key recommendations, it is very important to make safe, legal abortion accessible as part of comprehensive sexual -- sexual and productive health services to all women, comprehensive sexual education over rights to our body, and rights of access to services is mandatory to adults and young people, which is very important for them to know about the changes and know about ways to access safe services. And safe abortion is entirely a women's right issue, and so specific laws and policies needs to be formulated or amended to ensure the rights of women (Inaudible). It's to ensure every women who choose abortion for unintended pregnancy is able to access safe and nonstigmatized level of care, and once again, expansion of services to the corners of villages is crucial so that every woman who wants the service is able to access it and, thus, being prevented from other unsafe practices and its consequences.