Tag Archives: sterilization

Dozens of indigenous women forcibly sterilized in Canada, U.N. committee hears

People take part in a smudging ceremony organised by the First Nations Indigenous Warriors and the American Indian Movement on the Cote First Nation, near the town of Kamsack, Saskatchewan, Canada, August 6, 2017. Smudging is a common practice among some indigenous peoples in North America and is believed to cleanse a person or place of negative energy. REUTERS/Zachary Prong

By Chris Arsenault

TORONTO (Thomson Reuters Foundation) – Dozens of indigenous women were forcibly sterilized by Canadian health authorities, including as recently as in 2017, said the lawyer leading a class-action lawsuit against the government.

Alisa Lombard was speaking on Thursday after appearing in Geneva at the U.N. Committee against Torture during hearings into Canada’s human rights record.

More than 90 indigenous women in the western province of Saskatchewan contacted lawyers to join the lawsuit over forced sterilization, said Lombard of Maurice Law, the indigenous-run firm spearheading the case.

“This practice needs to stop,” she told the Thomson Reuters Foundation, adding that she knew of cases in 2009, 2011 and 2017.

“If it happened then and nothing was done to prevent it, I don’t see why it wouldn’t be happening now,” Lombard said.

A government spokeswoman said officials were still gathering information on the issue, and could not say with certainty that the practice had stopped.

The U.N. committee will publish its findings on December 7.

“This class action is there to stop it (forced sterilization), punish it and prosecute it,” Lombard said of the suit, which was filed last year.

Health experts and human rights campaigners said the forced sterilizations, which the United Nations considers a form of torture, are symptomatic of the discrimination and abuse that Canada’s indigenous women face.

The government does not deny coerced sterilizations took place. However, a spokeswoman for the minister of indigenous services told the Thomson Reuters Foundation she could not comment on allegations in the lawsuit as the matter was before the courts.

‘SERIOUS VIOLATION’

Earlier this week, minister of indigenous services Jane Philpott told lawmakers the “coerced sterilisation of some indigenous women by medical professionals is a serious violation of human rights”.

“We know that indigenous patients can face systemic barriers in accessing medical services, including discrimination and racism,” Philpott said.

It remained unclear how many indigenous women were forcibly sterilized in Saskatchewan or elsewhere in Canada, said Alex Neve, secretary-general of Amnesty International Canada, who also testified at the U.N. committee hearings.

“It is impossible not to conclude that this arises from a context of deeply entrenched racism and colonialism. This is tied up with stereotypes of indigenous women as being incapable mothers,” he said.

Indigenous people comprise about 5 percent of Canada’s 36.5 million people and are disproportionately affected by poverty. Nearly half live in western provinces such as Saskatchewan, according to government census data.

During his testimony, Neve called on the government to appoint an independent investigator – ideally an indigenous woman, he said – to conduct a review to determine the scale of the problem and recommend solutions.

“Under international law, it is very clear forced sterilization is torture,” Neve said.

DECADES-LONG PRACTICE

The lawsuit, which Lombard said could go to trial in 2019, names the Saskatchewan government, provincial hospitals, several doctors and national authorities. It is seeking C$7 million ($5.3 million) per plaintiff.

Forced or coerced sterilization – which is defined as sterilizing women without their proper, informed consent – began in Canada in the 1930s and continued until at least 2017, the suit states.

The lawsuit cites a woman with the initials M.R.L.P. as the lead plaintiff. It said the Saskatchewan resident was sterilized without proper, informed consent immediately after her second child was delivered by emergency cesarean section in September 2008.

Health professionals suggested she undergo a tubal ligation – a surgical procedure in which a woman’s fallopian tubes are blocked, tied or cut – when she was “particularly vulnerable”: in labor and about to undergo emergency surgery.

“Her written consent was sought by health professionals moments before emergency surgery was affirmed, contemporaneously with the administration of opioids, and while she was incapacitated by the pain associated with active labor,” the statement of claim said.

When she later sought to have the procedure reversed, health professionals told her she would be unlikely to fall pregnant. Her relationship with her then-partner ended due to her sterility, the suit said.

“Canada and the province were aware of these policies and practice and their disproportionate impacts on vulnerable Aboriginal women, historically and currently, and have done nothing to prevent them,” the statement of claim said.

Canada’s universal healthcare is largely funded by the national government and provided by provincial authorities.

The lawsuit said coerced sterilizations were an example of cruel and unusual punishment, which is illegal under the country’s Charter of Rights and Freedoms.

The provincial health ministry told the Thomson Reuters Foundation it had launched an independent review last year after indigenous women came forward saying they had been pressured into having tubal ligations after giving birth.

It changed its policies after that review, a ministry spokeswoman said.

“It (the government) now requires that a woman must have had a documented discussion with her healthcare provider before coming into hospital,” she said in emailed comments.

“Otherwise, a tubal ligation would not be provided during the patient’s post-partum experience … Our priority is to engage, understand and better serve the health needs of all indigenous residents of Saskatchewan.”

The provincial ministry said it was implementing cultural training for all maternal services staff and was working with indigenous leaders and elders to improve the consent process and healthcare in general.

The spokeswoman could not comment on specific claims made in court documents as litigation is ongoing.

Marcia Anderson, a professor of health sciences at Canada’s University of Manitoba, said it was difficult to hold healthcare providers to account as the country did not gather data on health-quality performance by race.

“There is very little (even no) ability to monitor the expression of racism in the healthcare system,” Anderson said by email.

“Racism is as present in healthcare as it is in our broader society, but it is acted out in different ways.”

(Reporting by Chris Arsenault; Editing by Robert Carmichael and Zoe Tabary. Please credit the Thomson Reuters Foundation, the charitable arm of Thomson Reuters, that covers humanitarian news, women’s and LGBT+ rights, human trafficking, property rights, and climate change. Visit http://news.trust.org to see more stories.)

Venezuelan women seek sterilizations as crisis sours child-rearing

Lisibeht Martinez (L), 30, who was sterilized one year ago, sits next to her children while they play in a bathtub in the backyard of their house

By Alexandra Ulmer

CARACAS (Reuters) – Venezuela’s food shortages, inflation and crumbling medical sector have become such a source of anguish that a growing number of young women are reluctantly opting for sterilizations rather than face the hardship of pregnancy and child-rearing.

Traditional contraceptives like condoms or birth control pills have virtually vanished from store shelves, pushing women toward the hard-to-reverse surgery.

“Having a child now means making him suffer,” said Milagros Martinez, waiting on a park bench on a recent morning ahead of her sterilization at a nearby Caracas municipal health center.

The 28-year-old butcher from the poor outskirts of Caracas decided on the operation after having an unplanned second child because she could not find birth control pills.

Her daily life revolves around finding food: she gets up in the middle of the night to stand in long lines outside supermarkets, sometimes with no choice but to bring along her baby son, who has been sunburnt during hours-long waits.

“I’m a little scared about being sterilized but I prefer that to having more children,” said Martinez, who with dozens of other women took a bus from the slums at 4 a.m. to attend a special “sterilization day” in this wealthy area of Caracas.

While no recent national statistics on sterilizations are available, doctors and health workers say demand for the procedure is growing.

For a Wider Image photo essay, see http://reut.rs/2atW2ZL

The local health program for women in Miranda state, which includes parts of Caracas, offers 40 spots during these “sterilization days” but as recently as last year did not usually fill them.

Now all the slots are scooped up and some 500 women are on the waiting list, according to program director Deliana Torres.

“Before, the conditions for this program were that the women be low-income and have at least four kids. Now we have women with one or two kids who want to be tied up,” she said.

Health workers at a national family planning organization and at three government hospitals in the states of Falcon, Tachira and Merida echoed her view that demand for sterilizations had grown in recent months.

The trend highlights how the oil-rich nation’s brutal recession is forcing people to make difficult choices.

Venezuela is a largely Roman Catholic country where Church doctrine rejects all forms of contraception and abortion is banned unless a woman’s life is at risk. The Archbishop of Merida, Baltazar Porras, told Reuters an increase in sterilizations would be a “barbarity.”

But Venezuela’s crisis has triggered almost daily riots for food and slammed a shrinking middle class as well as the poor who were once a bastion of support for late leftist leader Hugo Chavez’s self-styled “beautiful revolution.”

Pregnant women are particularly affected as they struggle to find adequate food and supplements, give birth in crowded and under-equipped hospitals, and have to spend hours in lines for scarce diapers, baby food and medicines.

The government ministries for health, women and information did not respond to requests for comment.

‘I WANTED FIVE KIDS’

Sterilizations are usually straightforward procedures that involve closing or blocking a woman’s fallopian tubes, known as tubal ligation.

“I heard about these free sterilization days on the radio. Immediately I showered, dressed, and went out (to find out about them),” said Rosmary Teran, 32, who had her second child two months ago and also came to the health center from a poor neighborhood before dawn.

Some health workers fear the economic meltdown is putting pressure on women to make a choice they may come to regret if the crisis eases.

“Sometimes we hear: ‘My husband told me to get sterilized because another child now wouldn’t be practical’,” said social worker Ania Rodriguez at family planning group PLAFAM in central Caracas.

Rodriguez says she meets with up to five women a day seeking sterilizations, up from one or two per week about a year ago. When women seem unsure or pressured into sterilizations, Rodriguez tries to steer them toward contraceptives like intra-uterine devices, which are somewhat more available and affordable than birth control pills or condoms.

When they have them, pharmacies sell a pack of three condoms for around 600 bolivars, only 60 U.S. cents at the black market rate but a big expense for those who earn the minimum wage of some 33,000 bolivars per month. On the Caracas re-sale market, those same condoms fetch around 2,000 bolivars.

Venezuela’s elite can afford those prices but the ailing middle class and poor are increasingly stuck.

“I couldn’t find the (contraceptive) injections, the pill, nothing. It’s very expensive on the black market, and now you can’t even find stuff there anymore,” said Yecsenis Ginez, 31, who has one son and decided to get sterilized.

“I thought I would have up to five kids, I had loads of names in mind. But it would be crazy to fall pregnant now.”

Still, some women have had to wait for months to be sterilized because there are limited spots at state-led hospitals and private clinics can charge about 12 times the monthly minimum wage. And some health centers are unable to provide sterilizations at all due to a lack of equipment or specialists.

DISARRAY

Amid what now feels like a distant oil boom, Chavez built thousands of Cuban-staffed health centers in poor neighborhoods and also launched popular maternity-health programs during his 1999-2013 rule.

But with Venezuela’s state-led economic model decaying and oil prices depressed, hospitals have deteriorated sharply under his successor Nicolas Maduro.

Medicine shortages hover around 85 percent, according to a leading pharmaceutical association. Equipment ranging from surgical gloves to incubators is scarce, and many underpaid doctors have left the public sector or emigrated.

The government still says it has one of the world’s best health systems and accuses detractors of waging a smear campaign. It has stopped releasing timely health data, though.

The World Health Organization says Venezuela’s neo-natal mortality rate was 8.9 per 1,000 live births last year, above the Americas region’s average of 7.7. It says Venezuela’s maternal mortality rate was 95 per 100,000 live births in 2015, one of the worst rates in Latin America and up from 90 in 2000.

The nation of 30 million people has one of Latin America’s highest rates of teenage pregnancies and large numbers of single-parent households, U.N. data shows.

As they waited to be called into the operating room for their sterilizations, women in blue scrubs and hairnets wistfully recalled happier times in once-booming Venezuela.

“Before, when you got pregnant, everyone was happy,” said mother-of-two Yessy Ascanio, 38, as she sat on a bed in a side room. “Now when a woman says ‘I’m pregnant’, everyone scolds you. It makes me sad for young women.”

As some of her peers nervously looked out at patients being wheeled out after their sterilization, Ascanio advised: “If you get scared, just remember those food lines.”

(Additional reporting by Mircely Guanipa in Punto Fijo, Anggy Polanco in San Cristobal, and Sarah Dagher and Daniel Kai in Caracas; Editing by Andrew Cawthorne, Stuart Grudgings and Kieran Murray)