Buenos Aires, 28 September 2023.
International Safe Abortion Day
Montecarlo is a small city in the province of Misiones, Argentina, with just under 20,000 inhabitants. Those who walk through its neighborhoods can find cobblestone streets, but most of the roads are made of dirt. Anyone who wants to travel from here to Posadas, the provincial capital, has to drive for about three hours.
María (not her real name) says that in Montecarlo, all the neighbors know each other. She has four children: the oldest is 13 years old, and the youngest is just over a year old. As she speaks, she breastfeeds her baby, and explains that for some time now, she has been in charge of all the household and childcare responsibilities: her husband lost his registered job in February and had to move to a nearby town where he does cleaning work in fields.
In July, María noticed a delay in her period despite using contraceptives. The situation at home was not easy, and supporting four children on an informal income made it difficult for her family to get through each month. She says that having another child was not an option. As soon as she suspected she might be pregnant, she went to her regular gynecologist, who had helped deliver her children.
“When I found out, I panicked because my baby was only a year old at the time. I had complications in other births, and after the last one, the doctor told me it would be impossible for me to have another baby, that it would be too risky.” During the consultation, María asked about her options for accessing an abortion, but the doctor told her he didn’t perform such procedures and asked her to leave.
After this initial negative response, María got an appointment at the local public hospital. There, she also asked for help, but they couldn’t provide her with information about her alternatives. So, she sought a third option: she traveled to Eldorado, a neighboring city to Montecarlo, where the public hospital has a family planning section.
There, they sat her down with other patients and explained to all of them how the abortion procedure worked. When some of them asked if the hospital would provide the medication, they were told there wasn’t enough, and they would be given a prescription to buy the misoprostol pills privately.
“At that moment, I didn’t have 100,000 pesos (about US$73 at the time). My husband had lost his registered job, so I went to the public hospital to get it for free,” she explains, adding that she tried to inquire about misoprostol with professionals at the public hospital in her area, but they also didn’t have free medication.
“When I asked, they replied: no, we don’t have any. I started crying, going back home, I was overwhelmed with despair because my husband had gone far away to work, and I was left alone. It felt like every door was closed to me.”
CNN contacted the Ministry of Health of the province of Misiones, where they confirmed: “This year we have had a significant shortage from the National Sexual Health Program, regarding the basket of sexual health products, including misoprostol. The province is working to restore the situation, and in the specific case of the inquiry, treatments are being sent to hospitals to ensure access.”
Since the start of his administration, the government of Argentina’s President Javier Milei halted the purchase of essential supplies for abortion access and has not delivered a single box of misoprostol, mifepristone, or manual vacuum aspiration cannulas, essential elements to guarantee abortion access for pregnant individuals, according to an information request filed by Amnesty International.
Abortions were legalized in Argentina in 2021 in all cases up to 14 weeks of pregnancy. According to the legislation, a person who wants an abortion has the right to do so safely and free of charge. However, exercising this right is becoming increasingly difficult in the country this past year, as confirmed by organizations dedicated to monitoring reproductive rights in Argentina, such as Amnesty International, the Latin American team of Justice and Gender, and the Safe Abortion Access Network, among others.
According to the report presented in May by the National Directorate of Sexual and Reproductive Health of Argentina’s Ministry of Health, the distribution of medications and equipment for manual vacuum aspiration had not been carried out until that month due to lack of stock, and the guarantee of these supplies for the remaining months would depend on the progress of the public tender, which at the time of the official response, was underway.
Amnesty International made a new information request to follow up on this issue in September. To date, the government has not responded to this new request. CNN reiterated the inquiry and has also not received a response.
Searching for a workaround
As a last resort, María searched for alternatives online. This is how she came across Amnesty International. Through a form on their website, she shared the obstacles she faced in accessing an abortion in her province, and within a week, professionals from the NGO contacted her and guided her on how to obtain the medications for free to assert her right to a legal, safe, and free abortion.
The law states that individuals who wish to access this procedure must have their right guaranteed within no more than ten days. It took nearly a month for María to get an abortion.
According to Amnesty, complaints about barriers to accessing voluntary termination of pregnancy through the complaint form available on their website increased by 80% in the year up to August 2024 compared to the previous year.
Lucila Galkin, director of gender and diversity at Amnesty International Argentina, warns in an interview with CNN: “The official information is that there would be no supplies until October, but we know the situation is even worse. It’s much more critical because the purchase of these supplies hasn’t even been initiated, so it’s likely there won’t be any throughout the year”.
The contrast with data from previous years is striking, Galkin explains. “While in 2023, nearly 150,000 treatments with the misoprostol and mifepristone combination were guaranteed or distributed nationwide, this year the provinces have not received stock, and we have been confirming this with public information requests to various provinces,” she detailed.
Similarly, information from health professionals in REDAAS, the Safe Abortion Access Network, aligns with this. One of the directors, Silvina Ramos, explained to CNN that the lack of distribution of these medications is compounded by shortages of condoms, oral contraceptives, implants, and the complete basket of sexual and reproductive health supplies.
Galkin from Amnesty reported the same. “There is a lot of concern about the impact this will have on family planning,” she emphasized. CNN contacted the National Ministry of Health regarding both shortages and the second public information request but did not receive a response.
A temporary solution
According to Amnesty International and REDAAS, provincial governments are seeking alternatives to fill the gap left by the national government in reproductive health. “Some provinces have immediately made direct purchases because, otherwise, women’s and pregnant individuals’ rights end up being violated,” explains Galkin. Ramos adds: “Provinces are purchasing in quantities that probably won’t meet the entire demand, but there is a willingness from some provinces to take on the purchase of supplies.”
The problem with leaving it to each province, both Ramos and Galkin explain, is that it deepens inequalities across different regions of the country, as not all regions have the same resources. Galkin concludes: “It has been demonstrated, in two years of implementation, how legal abortion has contributed to reducing, for example, the maternal mortality rate from unsafe abortion by 53% from 2020 to 2022. Legal voluntary termination of pregnancy is a health service that must be included in the mandatory medical program and must be available to the population because it is a public health issue.”
SOURCE: CNN World/Americas, by Betiana Fernández Martino, CNN en Español, 29 October 2024. PHOTO: by Mariana Nedelcu/Reuters/File