|
|
| US 'Gag' Rule Hurts Most in the Third World Slums |
|
|
|
| Written by ARTHUR OKWEMBA | |
|
Pamela Onga'yo looks more worried as possibilities of conceiving her sixth baby appear real. Only a month ago, when she had a fifth child, everything seemed to go as planned. She knew after two or three months she would undergo tubal ligation - permanent sterilization of a woman - at no fee, from a clinic nearby in Nairobi's Mathare slums. Medical staff at that clinic had reassured her on the same. But a few weeks ago when she visited the same clinic to accomplish her mission, only huge padlocks and a notice pinned on the door met her. "We are sorry we cannot offer any services," read the terse notice. She is now distraught because she cannot afford such services in private institutions or even in some public hospitals. Unknown to her, a decision taken in a far lung country is having dire consequences on her well being. The clinic, which had promised to offer her the service, had been denied funding by the United States Aid for International Development (USAID) for carrying out safe abortion and post-abortion care services as one of its programme. This was against the Bush administration anti-abortion standpoint and the global 'gag' rule provisions instituted by his government. Onga'yo and other women may not be interested in the abortion debate, but this move can be felt far and wide. It also indicates how issues of abortion like the war in Iraq, can push governments and individuals to extremes. The 'gag' rule prohibits USAID to fund organisations offering safe abortion or post-abortion care services. Instead they want women to give birth and then give-up children for adoption. Since it was instituted, clinics, which depended on USAID funding or other international organisations funded by the same, are now falling apart - after being unable to struggle any further. Family Planning Association of Kenya (FPAK) is one of the casualties. It has reduced its staff by 30 per cent and closed over three of her clinics after the Gag rule was put in place. It was revealed that this has forced FPAK, one of the largest health service providers in Kenya, to scale down its activities by 40 per cent. She is also now offering fewer contraceptives. From doing 3,000 tubal ligations a year, the organisation can now manage to cater for only 1,000 women. This means 2,000 women who need the service every year cannot get it. |