By James Addy
President J. E. Mills, has urged African governments to join the crusade to break the culture of silence on unsafe abortions on the continent.
He made this appeal in an address read for him at a three-day international conference on unsafe abortion in Africa held in Accra this week.
In a speech read on his behalf by Mr Robert-Joseph Mettle-Nunoo, the Deputy Minister of Health, President Mills said, “I happily join the crusade in keeping the promise. It is time to break the culture of silence on unsafe abortions in Africa women have a choice. They need to know their rights.”
“Keeping our promise: Addressing unsafe abortion in Africa” and sponsored by Women’s Health International Non-governmental Organisation (NGO) Ipas in collaboration with Ghana’s Ministry of Health, the United Nations Economic Commission for Africa, the African Women’s Development and Communication Network the International Planned Parenthood Federation Africa and Marie Slopes International.
It was attended by about 250 participants including health care providers’ advocates, parliamentarians, women groups who shared best practices and also lessons learned in the course of their activities.
Dr Thokozile Ruzvidzo, Director, African Centre for Gender and Social Development, United Nations Economic Commission for Africa, in a keynote address said the Millennium Development Goals cannot be achieved without a specific focus on eliminating unsafe abortion from the continent. She said “maternal mortality and morbidity not only affects women, it affects their families, our communities and our countries.”
Dr Ruzvidzo said nonetheless the causes of maternal complications and deaths, including unsafe abortion, are preventable only if gender concerns are put at the front of the line.
She said combating discrimination against women and girls is therefore critical to eliminate preventable maternal morbidity and mortality.
Dr Ruzvidzo said unsafe abortion is frequently the only recourse young, poor, uneducated and rural women have to avoid unwanted pregnancies.
“They take place in situations characterized by inadequate provider skills, the use of hazardous techniques and in unsanitary facilities, and endanger the lives of thousands of African women”, she said.
Dr Ruzvidzo said 67,000 women die annually globally as a result of complications of unsafe abortion.
Additionally between two million and seven million women each year survive unsafe abortions but sustain long-term damage or disease.
Dr Ruzvidzo said more than half of the deaths from unsafe abortion an estimated 35,000 occur in Africa, adding that the WHO estimates that in Africa, one in seven maternal deaths result from unsafe abortion.
Dr Ruzvidzo observed:” that so many women resort to unsafe abortion reveals how women on our continent do not enjoy the basic freedoms and rights to which all human beings are entitled, thus limiting their full potential for development.”
Dr Ruzvidzo said each year an estimated 14 million women in Africa experience unintended pregnancy which reflects the persistent, unacceptably high unmet need for contraception.
“As many as a quarter of all African women who want to practice family planning lack information or effective contraceptive methods they need to do so,” she said.
Dr Ruzvidzo said although there had been progress in addressing that gap in recent years and decades, more in some countries than others, the unmet need for contraception remains a gross in justice for women in the region.
Dr Elizabeth Maguire, the president of Ipas said an integrated approach to contraception and safe abortion is critical to solving the global public health crisis caused by unwanted pregnancies.
She called on African governments to strengthen and expand efforts in both public and private sectors to end unwanted pregnancy to enable women to exercise fully their sexual and reproduction
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