New data from the International Planned Parenthood Federation (IPPF) reveals how opponents of sexual and reproductive health and rights (SRHR) around the world are attempting to use the COVID-19 pandemic as cover to try to push back against progressive reforms.  The latest IPPF survey of its worldwide membership on COVID-19 reveals that opponents of SRHR are employing a range of tactics to try to undermine sexual and reproductive rights. This includes spreading misinformation (18 members), framing the pandemic as an opportunity to reinforce traditional values (15), increasing discrimination against vulnerable populations (10), pushing for regressive measures against SRHR (eight) and blocking progressive debates on SRHR laws and policies (seven). One member reported social media platforms being used to spread a message that “COVID-19 is the answer from God on abortion.” Another reported opposition attempting to prevent the passage of a bill covering violence against women through parliament, claiming the pandemic was a “Dictate from the West” and passage of the bill contrary to Sharia Law.  The spreading of false information includes: The distribution of fake leaflets with health ministry logos among vulnerable groups, stating they are not at risk from COVID-19. The use of social media messages to claim safe abortion services will infect women with COVID-19. The spread of anti-contraception messages mixed in with disinformation about COVID-19 Attempts to block or slow legislature and policies include limiting progress in the passage of a bill to abolish anti-abortion laws and attempts to exclude abortion from national guidelines on sexual and reproductive care during the pandemic. One member reported that political opponents of sexual and reproductive rights were using “all communication and legislative spaces to validate discourses that position women in domestic tasks” by claiming: “the pandemic has allowed us to reassess the important role that women play in their homes for families.” IPPF members are resisting this opposition and defending laws and policies that support SRHR. 61 members report working with governments to ensure continuation of sexual and reproductive health provision service provision and 31 say they have contributed to policies or changes in legislation in support or defence of SRHR and gender equality since January 2020. 59 members reported advocating to ensure the continuation of access to sexual and reproductive healthcare for under-served and vulnerable groups during the pandemic and 54 members said they were advocating for ways to combat sexual and gender-based violence, which threatens more women and girls in lockdown.  The pandemic continues to have a huge impact on the delivery of sexual and reproductive healthcare around the world. 52 members rated the reduction of their capacity to deliver services as “critical or severe” – meaning at least 50 percent of their operations had been reduced or impacted. Only two members, less than one per cent, in countries with small numbers of COVID-19 infections, reported no impact on them. Other headlines include: 19 members report having to dismiss or suspend staff. 32 members say they are facing stockouts of short-acting contraceptives such as the oral contraceptives, emergency contraception and condoms. 26 members report stockouts of long-acting contraception such as intrauterine devices and implants. 5,440 service delivery points across all IPPF members are closed, 11 per cent of the total number of all IPPF service delivery points. 238 static clinics, which provide a wide range of services, remain closed. 546 were reported closed in IPPF’s March survey of members. Only eight members are still able to delivery comprehensive sexuality education in schools, even with social distancing. 67 members are now delivering comprehensive sexuality education through digital and social platforms.  IPPF’s Director General Dr Alvaro Bermejo said: “This data shows how hard IPPF members are working to find ways to overcome the impact of COVID-19, but also how severe the impact remains.  Reopening hundreds of static clinics is a huge achievement, as is the change by members to deliver vitally needs comprehensive sexuality education through digital and social channels when many schools remain closed. However innovative IPPF members are, they cannot hope to offset the effect of this pandemic without additional support. This can only be addressed with the effective supply of commodities, to ensure stockouts are avoided and access to services for all IPPF clients is continued.  Support from governments is also critical, in particular in responding to the opposition who are trying to use the cover of COVID-19 to chip away at sexual and reproductive rights. Extremist views which seek to rob women and girls of their human rights and undermine their ability to access vital sexual and reproductive healthcare must be resisted.  Many governments do already take a positive stand in defence of women and girls and have gone further during this pandemic to support access to sexual and reproductive healthcare, such as access to telemedicine. IPPF calls on all governments to adopt such sensible and practical measures to make it easier for women and girls to get the care they need so badly in these difficult times, and to ignore the voices of coercive opponents who seek to impose their radical views on others.”

The MTP (Amendment) Bill, 2020 passed by the Lok Sabha (Lower House of Parliament) has indeed been a momentous victory for women and girls of India. The celebrations are incomplete without recognising the tireless efforts of Family Planning Association of India (FPAI) and all the Civil Society partners, activists and women who never stopped demanding women’s rights to safe and legal abortions.  IPPF applauds the Cabinet on this landmark decision which approved the bill allowing abortion up to 24 weeks. The Bill allows abortion up to 24 weeks of gestational age for vulnerable categories of women including rape survivors, victims of incest, pregnancies with foetal abnormalities and minors. Replacing the term’ married couple’ to woman and her partner highlights that the government is acknowledging the changing social fabric in the country. It also takes a positive step towards ensuring confidentiality of information for the woman, except to a person authorised in any law which is in force. The Bill can now be said to be truly woman-centric which recognizes and respects a woman’s autonomy, her choice and her rights. Dr Kalpana Apte (Secretary General, Family Planning Association of India) said: “It was a very long battle that we have fought along with other CSOs and women groups. Although, the amendments are not fully what we fought for, we are happy with many achievements. The gestation age is expanded, now unmarried women can access safe abortions and reduction in numbers of specialists required for second trimester are some of the important wins. The battle is indeed won, the fight is still on to ensure women's sexual and reproductive rights are supported and protected through enabling legislation!” IPPF Director-General Dr Alvaro Bermejo added: “This bill passing represents a huge shift for the rights of women in India to access safe abortion care- though there is more work to be done. This win would have not been possible without the hardwork and dedication of the Family Planning Association of India, civil society partners and activist. Let this win in India inspire other organizations and activists to continue their fight for safe and legal abortion.” While the increase in gestational limit is only for “vulnerable categories of women”, there is a need to improve accessibility to abortion service for all women who want/need it. In addition to addressing stigma, a key requirement is to increase access to safe abortion services in India – in each and every part of the country women get high quality, dignified and stigma free abortion services, only then we can claim universal health coverage for all. 

Since August 25, more than 604 000 arrivals of Rohingyas from Myanmar have been recorded in Bangladesh  Most of them are taking shelter in makeshift settlements in dire conditions and are entirely dependent on humanitarian aid for survival. The population movement has created a critical and complex humanitarian emergency, which is likely to become a protracted crisis. The resources on the ground where they are being settled are obviously stretched leading to an acute need for shelter, food, sanitation, healthcare and clean drinking water. As per WHO Public Health Situation Update, 2017, poverty-ridden and without access to resources, the vulnerable people are completely dependent on what the Bangladesh Government and the relief agencies can provide them; such as primary and secondary healthcare, trauma care and rehabilitation, reproductive, maternal, neonatal, child health and mental health services and psychosocial support. Among the arrivals, an estimated 67 percent are women and girls, of whom 13 percent are pregnant or breastfeeding, and these numbers may rise (Source: UNFPA 2017). Through a field response team, comprising of Doctors, Nurses, Paramedics and Youth Volunteers well versed in humanitarian response, IPPF provided SRH and emergency medical services to pregnant women, new mothers, new-borns, men and young adolescent girls. Support IPPF in this endeavour to provide critical services to Women and girls in Bangladesh