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Prevalence of Unsafe Abortion

Aditi Aryal

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Every day in India, 13 women die of unsafe abortions. It accounts for 10 to 12 per cent of total maternal deaths in Pakistan, and 7 per cent in Nepal. Unsafe abortions have increased three folds in the last decade in South Asia and this has become a pressing problem. These abortions are done without medical supervision, and include activities like inserting surgical devices or inapt herbs and spices or poison through the vaginal canal, consumption of non-OTC abortion pills without medical consultation, and perforation of the uterus. These methods are hazardous to the health of women as such abortions are performed by medically unqualified personnel and sometimes induced by the pregnant women on themselves and more often than not causes disability or worse, death.

This deliberate termination of pregnancy, abortion, is perhaps why today it is one of the most widely debated topics worldwide. The convictions on whether or not abortion should be conferred on a woman is powerfully held by groups on either side of the debate. Proponents and opponents argue for and against a worldview that focuses on rights of the people to undergo an abortion and that it cannot be curbed by the government or other violators of rights, contrasting with sanctity of the life of the foetus and that nobody should hold the rights to end a life especially when some other people fail to conceive.

The important question that should be addressed is whether rights to a safe abortion should be bestowed on a woman by formal and informal mechanisms of control or should she have the sole autonomy of her bodily rights.

Actually, there are several complex reasons for why some are against abortion but the underlying generalisation is that women, by choosing abortion, are opting an easy way out. The battle between the pro-choice and the pro-life schools of thought exists on a much larger scale than ideological. The spillovers are reflected in inconsistencies in policy making, ease of availing rights or medicinal facilities, and attitudes, knowledge and practice among various groups on a much larger scale than possibly imagined. This goes on to be reflected in inflexible abortion laws in countries like Pakistan and Bangladesh, non-application of seemingly liberal laws in India, and difficulties to implement very liberal abortion laws in Nepal. However, that perception may be unfair because abortion is nota cinch and women who do consider it weigh all their costs and decide to go for one atrocious procedure that changes their bodies and lives forever.

Whatever may be the underlying reason for why an abortion is sought, to address the legal complexities is not even the most difficult challenge surrounding abortion, albeit the cumbersome nature of making and amending laws. What happens actually is that existence of rigid laws only curb abortions to an extent and in turn create situations where people still find their ways around getting illegal abortions- clandestine and precarious. Thus, the most difficult challenge that exists is of unsafe abortions that take place whatever the law may be on paper. For instance, in Bangladesh, despite abortion being illegal an estimated 1,194,000 induced abortions were performed in 2014 and most of these were unsafely carried out. Abortion under any circumstances has been legal in Nepal since 2002. Yet, about 58% of the total abortions that are induced even today are unsafe.

This convenience is hampered by hindrances that make unavailable even the legally permitted abortion to women. Religious ordinances and diktats render abortion an impermissible activity. Apart from this, situations arise where women are not able to avail an abortion because of unwanted pressure exerted on them by the family. Non-awareness of the laws and medical procedures, limited reach and accessibility, societal, financial, religious, and cultural hindrances are some obstructions that need to be overcome to get a safe abortion.

Unsafe abortions put at risk the health of a woman. Abortion without the involvement of a trained medical expert will definitely lead to a difficult and unsanitary situation. Meanwhile, trained medical experts are also rare in rural areas as is the information on how to obtain abortions legally. Weak financial conditions clubbed with the absence of reach and accessibility is the biggest hindrance to getting an abortion and reasons behind posing a problem despite lax laws.

Sex selection abortion is highly prevalent in India as parents continue to long for male children over female children. Because this is a criminalised activity, women continue to choose unsafe abortions with the help of their family members. This was actually a family planning method to ensure the one-child policy in China and people preferred male children over female. In fact, 336 million abortions have been performed in China between 1971 and 2013. Only recently in 2018 have new rules sprung up where women need to get a signed approval from a medical practitioner.

In India, abortion is not readily available to women except in cases where the pregnancy results out of a rape, where the foetus is unsafe for the woman to carry, where the baby would be born with severe disabilities or deformities, and in case of married women upon the failure of contraception. A burdensome consultation permission from a doctor is required before 12 weeks, and permission from two doctors are required after 12 before 18 weeks and additionally, the court needs to permit abortions and due to legislative delays so the woman is far outside the safe abortion bracket causing health risks to herself.Similarly, so many survivors of rape, even minors, have been denied abortion in India and instead have had to marry their rapists because the best interests of the child were taken into consideration and not of the mother. The onus of proof lies on the woman where she has to prove it to the court that she deserves to be granted an abortion because she needs it.

Abortion delayed is abortion denied and state mechanisms should have no say on when or not to grant an abortion. Every person should have the right to avail healthcare as they will and abortion should be covered and talked about openly. Women should have full decisions over abortion and the choice to consult with a partner should be solely theirs because bodily rights cannot be conferred to the state by another person, even a sexual partner.

Aryal is a student of Social Science and writes about social and developmental issues pertaining to exclusion, inequalities, and gender disparities in the South Asian context.

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New Social Compact

Davos: The Other Side of the Mirror

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It has been a couple of months since I was hanging out in Davos learning about this year’s World Economic Forum.  Perhaps I have a unique view, because I am the founder of Peppr and Ohlala, described as “the one dating app where everyone’s intentions are very clear.”  and the person said to be responsible for the #escortgate controversy, in which paid escorts showed up at one of the world’s most exclusive investor conferences in Berlin in 2016. I am also the author of the statement that “We all have sexwork to do,” I follow up on all conversations related to escorting and sexwork, which I deliberately call “paid dating.”

I have been following up on the conversations ever since: about world leaders said to be not acting as role models (or acting as bad role models), about the hypocrisy over sustainability, philanthropic models or the proposals to adjust taxes for the wealthier among us to secure a basic standard of living for all, a conversation the ones directly affected seemed to be avoiding.

Davos, as we know, brings together so many of the world’s most powerful leaders –parleys occur, deals are made and opportunities appear that likely don’t ever arise elsewhere. And among these deal makers are people whose drive takes other avenues. 

As one woman was quoted as saying: “It’s the kind of place where if a woman turns away to exit a conversation and looks back just quickly enough, she’ll find her posterior aesthetic being carefully dissected by the man who just asked her for her business card — even if he is the CEO of a major bank. When we weren’t being asked how we got here, we were constantly being stared up and down by CEOs, hedge fund managers, finance ministers and embassy heads.”

However, I am still a bit confused about the opinionated statements that were going on this year after Davos. It’s the same debates and thoughts we had around #escortgate.I have been wondering how to productively progress the conversation around this morally, emotionally loaded topic, because clearly we are running around in circles.

What I have seen is a whole lot of personal, subjective judgments of people sometimes labeled as “escorts” and how they are not supposed to be around in places like Davos. I had hoped for a more deliberate thought-through conversation, a dialogue, but mostly what I read stigmatizes and judges people on their very personal choices and agreements: how they want (or have to — as most of us do) to make money, to afford a living.

“I don’t want to be mistaken for a prostitute”

You might wonder which conversations or statements I was so confused about. First, about the existence of escorts at the Forum, by a young woman named Baillie Aaron:

“And then I heard the whispers of what happens at night, at the parties, in the hotel lobbies and at the famous Piano Bar where it was an unspoken understanding that some men ‘took off their wedding rings.’ Almost all my male colleagues commented on the presence of female escorts at these venues, many of which were guest-list only, or required a hotel badge to access. A quick online search displayed a number of articles confirming that the existence of and easy access to escorts at Davos is nothing new, and what for some delegates, could be a strong motivator to attend.” Statement found here.

Demand creates supply. It’s as simple as that and from an economic standpoint, I do understand wo/men going there to seek business, in any sense. Also, on that particular one.

However, I wonder: What is so bad about the “existence of and easy access of escorts” in the first place? Why shouldn’t there be men or women who get paid to date at the World Economic Forum? If it’s true, maybe some men took off rings because they are in an open marriage? Why would you care about someone else’s choice? (Unless you are the wife of that person and you have a personal private agreement to stay physically faithful and not take the ring off.)

In Switzerland, at least, if there really were some men or women paid to have sex, it would be legal and regulated — not even a breach of law. For me, these workers should be as much part of the conversation as anyone else in Davos.

Actually, given the current political environment in the US around the topic of sexwork, they should definitely be part of the conversations, because this industry screams:“Please reinvent me and improve circumstances for those who are not protected. Make it safer for everyone involved.”

Some politicians already seem to be having a change of heart. Decriminalization is their way forward. Going along with all the standing proposals of Amnesty International.

What else has been subject of the realm on feeling “unsafe” or “discriminated” at Davos.

I look and check bodies all the time myself, with men and women. I can appreciate a beautiful person without having the urge to hook up. We do checkout people all the time — on Instagram and Facebook. But we are not allowed to look in real life? Everyone does it. Recently, I have found myself with other people in the office kitchen wondering how cute the new intern is. #Wetoo do it.

Third quote about warnings regarding sexual harassment

“At the Davos opening Women’s Reception, with some male allies in attendance, I asked a question: Why is it that in 2019, young female delegates are forewarned about sexual harassment — as if it’s our responsibility to protect ourselves — but the delegates themselves aren’t given training on how (or why) not to harass? There was no answer, other than a murmuring recognition that it was a known issue: many of the women who attended in past years had personal experience of sexual harassment.”

What is actually sexual harassment?Can we come up with a definition?Does sexual harassment go both ways?Where does it start?Where to draw the line?

There is always two sides of the story and I feel like, in the realm of the “gender narrative debate” (certain traits assigned to genders because of a gender), we need to let both parties speak in order to find a common ground. What one attempt-to-hit-on-someone finds okay, another may feel totally offended.

Of course we could be confused anyway. Every third relationship evolves in a work-related context. So that means, including these events, it could be a dating market as well, right? Personally, 90 percent of my time, I am surrounded by people with whom I somehow work together. The chances that I meet someone that I want to partner up with is high. So naturally, events like this also create a space where I might get to know someone for a night, maybe more.

I understand, there are certain limits: If someone runs up to someone during the day time event in a straightforward business context and does a pussy or penis grab (Presidential style?), I understand negative sentiment. But if people (yes, men AND women) hit on each other in a Piano Bar to romantic music at 2 in the morning, after a couple of glasses of wine or even four gin and tonics, where people go to hang loose and left the laptop in their hotel room, you cannot possibly be surprised that this is happening.

Again, it goes both ways. We all forget our manners sometimes, when we are drunk (or high, or whatever). On a personal note: The most aggressive hit on me ever was by a drunken woman, not a man.

“I think about what I wear more because there are a lot of prostitutes in Davos, especially at the Piano Bar,” one woman said, referencing the popular late-night hot spot. “I don’t want to be mistaken for a prostitute.”

When we gender mainstream almost everything, even adjust anthems of countries, toilet signs, why don’t we just get rid of that particular word too? Or best: all of them: escort, prostitute, whore. Those devaluating terms are connected directly to women. We will not evolve in any of the conversations if we use preconceived terms. We need to let go of these terms.When we talk empowerment, we need to empower all women (or people in general). That certainly includes also those who get paid to date.

I would like to start proposing a couple of solutions and quick fixes.Here are some ideas that I would like to propose as to how to progress in this entire discussion:

Power of perception: Could you, instead looking down toward this type of entrepreneur, take it as a compliment?Flip the coin. Be bold and brave. So what? Maybe that person misread the signs? If he/she thinks you want to be paid to date: just say. ‘No, I don’t‘.  This way you are still respecting other people, especially women who do this — as a personal choice entering into an agreement — and you maintain your own integrity. Problem solved. That I find acting out of a position of power, instead of victimizing yourself.

Let’s stop gender blaming!People can have female and male traits. This makes the whole gender debate almost irrelevant. This is “how men are” or this is “how women are” is simply stereotyping our way to further separation. Even the Davos Vanity Fair – as my legendary professor Anis H. Bajrektarevic calls the WEF – advocates the gender neutrality.

This whole finger pointing and mansplaining doesn’t solve anything but create negative sentiment because we simply sometimes don’t know anymore as to how to behave in certain contexts. I feel like the whole dynamic is ruled by fear, as to what we are not supposed to do, instead of relearning how we can handle each other in certain contexts. Reframe it in a positive way. Look at it as a chance or opportunity.

And it goes both ways, this #metoo. We have to find a common ground towards a #wetoo. From he said, he did, she said, she did. We need to evolve to a “#wetoo are going to solve this together.”

3. Education is key.We need proper training of all sorts on how to handle each other. Why not invest in our (work) relationships?

Maybe we need to elaborate a guideline. We could design a new sort of “Knigge” or a Code of Conduct on how to behave in a work-related context. This could help navigate through some uncertainties, especially if cultures vary across borders and continents.

Or maybe even a defense class to train people for difficult situations. For example: I had a compulsory defense class in middle school. We were trained by really big guys to defend ourselves. The impact in my life? I always feel/felt safe, because though I might be physically inferior, I know some really important tricks. It gave me a lifelong confidence.Maybe that’s what we all have to learn at the end of the day: articulate our intentions properly and (be able to) show the limits.

Imagine a world, free from personal judgement, where “it” would be decriminalized. People active in this field could seek help if they needed it and would pay taxes. The proceeds of the taxes could be used to combat negative forces within this market.

That for me, is a desirable future. One I would like to help shape.What do you think?

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New Social Compact

A Calamitous Week

Dr. Arshad M. Khan

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Something is infinitely wrong in the picture, a juxtaposition of polar opposites:  New Zealand, a country of unfailingly courteous and kind people, and an extremist terrorist killing 40 Muslims at prayer.  Of course, modern guns made it possible, a hate-filled extremist of Australian origin set the stage, and a country not familiar with such violence — thus an easy target.  All together they broke the proverbial camel’s back.

My own experience of New Zealand — visiting universities and delivering the occasional lecture as academics do — was uniformly pleasant.  It was as if a piece of 1950s England had been sliced off and transported to the Pacific, down to the egg, sausage, bacon and tomato breakfast.  The numerous small kindnesses of the people one met left a warm glow.

I was therefore, quite unprepared for Australia, the only country where I have been taken aside into a room to be grilled by an immigration official for what seemed an eternity.  People are people:  The hotel receptionist was welcoming and helpful.

At the Sydney Opera House, Joan Sutherland was appearing in The Daughter of the Regiment to a sold-out first night.  As luck would have it, a ticket return was my ticket in .  Quenching a thirst during intermission, the withering looks of fashionably-dressed matrons is now an aide-memoire.  Otherwise, I might have forgotten, as I have, for example, the performance at Schloss Schonbrunn outside Vienna.

Universities are different of course, and students and professors tend not to harbor such prejudices or exhibit them within the ivory towers.  The conference was much like others.  Australians in person seem friendly, unselfconscious and lacking the class prejudice common in England.  I must add that I have counted quite a few as friends and academic colleagues over the years.

President Recep Tayyip Erdogan’s outburst at New Zealand following the shooting was a trifle premature.  Of Turkish origin, 40-year old Gorkmen Tanis opened fire inside a tram in Utrecht, Netherlands killing 3 and wounding 3 others.  Hate and more hate in a world of conflicting values and customs, coming into sharper focus as people travel outside their own countries (and comfort space) in quest of greater economic reward.  Necessity or greed, opportunism or adventure, each individual has his own motivation for leaving home. 

The situation is not improved by jingoist politicians exploiting it during elections or otherwise (Modi in India or Trump in the US) trying to boost standing with their base support.

Calamities other than from the barrel of a gun but perhaps not unaided by human hand gave us an historic deluge mid-March, flooding almost the whole state of Nebraska.  Rich countries have the resources to limit deaths in these catastrophes but not the devastation and the ruined lives of those who have to start all over again.  In Mozambique, however, President Felipe Nyusi fears the death toll will be far higher than the present 200 estimate in the aftermath of cyclone Idai which hit the port city of Beira.  We are told it is possibly the worst storm ever to hit the southern hemisphere; its path of destruction enveloped Zimbabwe, Malawi and of course Mozambique.  In addition to the deaths in the latter, another 150 at least have perished in the other two countries, and thousands injured.  The inundation and loss of crops are expected to impact the lives of more than 2.6 million people.  

Calamities engineered by man or by nature aided by man are the story this week.  Can we change? 

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New Social Compact

How men can play an active role in promoting gender equality and women’s empowerment

MD Staff

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International Gender Champions and Heads of the Vienna-based United Nations organizations have discussed how men can play an active role in promoting gender equality.

The event, held to mark International Women’s Day 2019, kicked off with a presentation by Matt Wallaert, a behavioural scientist and entrepreneur working at the intersection of technology and human relations. He talked about the importance of being aware of the micro-behaviours that hamper or promote gender equality in organizations.

Wallaert said that achieving gender equality benefits men and women but that to achieve it “we need men to change.”

Yury Fedotov, Director-General of UN in Vienna and Executive Director of the UN Office on Drugs and Crime, said, “We need to heed the call of this year’s International Women’s Day to ‘think equal, build smart, innovate for change’ and do more to fast-track gender equality through innovation around gender-responsive systems and services.”

LI Yong, the Director General of the UN Industrial Development Organization (UNIDO), said the call to innovate for change is a key part of his organization’s work to achieve inclusive and sustainable industrial development.

Li said, “As UNIDO evolves to meet the challenges of the future, we will continue to support women innovators, entrepreneurs and industry leaders to find ways where technology and innovation can remove barriers and advance gender equality.”

Ambassadors Brendon Charles Hammer, Permanent Representative of Australia, and Ambassador Alicia Guadalupe Buenrostro Massieu, Permanent Representative of Mexico, both related incidents of struggling with and prevailing over gender inequality during their careers.

Lassina Zerbo, Executive Secretary of Comprehensive Nuclear-Test-Ban Treaty Organization, said, “In the 21st century, we must have the courage to understand gender equality as a path to social justice. It all comes down to respect and making space for each individual to exercise his or her talents. This approach benefits humanity, peace and development.” 

UNIDO’s Li highlighted the need to build an equal partnership between women and men for the benefit of all, adding that, in this context, “men have an important but often less acknowledged role and responsibility.”

“We have to break the glass ceilings and the glass doors to arrive at gender equality,” Li concluded.

The event, which was moderated by Ambassador Andrej Benedejčič, Permanent Representative of Slovenia, was a joint initiative of the Gender Focal Points of the CTBTO, IAEA, UNIDO, UNODC/UNOV and the Focal Points for Women from UNODC/UNOV.

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