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IPPF EN is deeply worried by recent reports of denial of healthcare in Romania that speak to a shocking wider systemic problem. Last week, the case of Alexandra, a 25-year-old mother of three, who was denied emergency obstetric care in a hospital for seven hours, has ignited protests in Romania and heavy media coverage. The cause of death was an obstetric emergency which led to sepsis, acute cardio-respiratory insufficiency and acute pulmonary edema. Alexandra endured terrible pain for hours and asked for help from those whose duty was to save her, but her pleas went unanswered. The case is being investigated by the police. Alexandra's case is one of many pointing to a crumbling healthcare system that is harming all Romanian citizens. The country’s healthcare system is rated 34 out of 35 by the Euro Health Consumer Index. Things are especially dire for groups of people who are already made vulnerable by the system, such as women, Roma people and those living in poverty. Institutionalised stigma and discrimination run deep, with patients reporting being denied care or not being given quality care due to the colour of their skin or their ability to pay. The system is broken for everyone, but it is groups already facing challenging circumstances who bear the brunt. “From 2018 until 2021, there was an 183% increase in the maternal mortality rate. It’s unconceivable for an EU Member State to have such a high maternal and infant mortality rate. And it’s devastating that so many women have lost their lives, leaving their families behind. And while women’s health paints a grim picture, the problem is more widespread touching on all areas of health. Romania is among the countries that spends the least on healthcare as a share of GDP.” said Gabriel Brumariu from SECS, IPPF’s Romanian Member Association.

On 28 June, Malta’s Parliament adopted a new law, known as Bill 28, intended originally to increase protection for women by allowing abortion care in exceptional cases. However, the final version of the law specifies that abortion is only allowed when a woman is at risk of dying and denies life-saving care to a person experiencing an obstetric emergency unless she is in a licenced hospital and has the consent of a panel of three specialists. This is a devastating step backwards in the only European Union country to have a total ban on abortion in all circumstances. “The new law introduces dangerous and insurmountable obstacles to saving women’s lives, given that obstetric emergencies are very fast-moving situations in which you can die without rapid medical intervention – as we have seen in Poland, Ireland and Italy when access to abortion care was withheld until it was too late,” said IPPF EN’s Irene Donadio. The adoption of Bill 28 is all the more shocking given that the government’s objective when it announced the reform in 2022 was to ensure a bare minimum of access to abortion care in cases where a woman’s life or health was at severe risk*. Pro-choice doctors and activists in Malta had supported a bill that aimed to lessen just slightly the longstanding stranglehold of the law on pregnant women**. Instead, as a result of ultraconservative anti-choice opposition to women’s reproductive freedom and safety, the protections of the initial proposal were subsequently watered down to the point that on 23 June, prochoice doctors associations and groups for women rights withdrew their support for the bill. The Council of Europe’s Commissioner for Human Rights echoed their concerns on 26 June, calling for the Maltese parliament to pause and reflect to avoid steps backwards. But calls to change course were not heard. “This backtracking, and the subsequent adoption this week of a bill that not only fails to protect, but actively exacerbates the existing harm done to women by Malta’s medieval abortion legislation, is a humiliating miscalculation by the ruling party. The government has handed victory to Malta’s reproductive bullies on a plate,” continued Donadio. “The terrifying result of the government’s botched political move is that women can die under their watch. People will be deterred from visiting Malta, seeing that its leaders have doubled down on denying emergency medical care to anyone suffering an obstetric emergency. The only people to gain new protections are certain doctors who are afraid to shoulder responsibility for the lives of their patients. If the government wants to make the situation less desperate, it must decriminalise abortion so that at least women can take their health and lives into their own hands, with the support of brave pro-choice doctors and networks, and without the fear of prosecution,” she added.     --- *In 2022, facing scrutiny due to the high-profile emergency evacuation from Malta of Andrea Prudente, an American tourist undergoing a life-threatening miscarriage, the government proposed to amend the law to introduce a minimum of protection for women. **The original draft bill proposed to legalise abortion in cases where a woman’s health was at grave risk. --- For more information, contact: [email protected] [email protected] Additional background and latest information via Doctors for Choice and Voice for Choice.  

Today, the District Court in Warsaw found Justyna Wydrzyńska guilty for helping a woman in an abusive relationship to access abortion pills. She was sentenced to eight months of community service for 30 hours/month and will now have a criminal record. "We are deeply saddened by the decision and outraged by the entire process. Condemning a person for an act of empathy and compassion towards another human being is unconceivable. We are in awe of Justyna’s bravery in the face of 18 months of judicial persecution by an apparatus targeting anyone who dares challenge the state’s immoral attacks on healthcare and human rights", said Irene Donadio of the International Planned Parenthood Federation, European Network (IPPF EN).