The European Union (EU) is facing many obstacles in upholding its core values. Challenges such as the COVID pandemic, the Russian war against Ukraine, and the climate crisis have created unprece­dented uncertainty around our common future, and have increased existing inequalities, particularly for women and girls in all their diversity. The rise of autho­ritarian regimes and populist movements has led to growing opposition against EU values such as: the rule of law, democracy, human rights, and equality, inclu­ding a backlash against gender equality and women’s rights. Ahead of the pivotal moment that are the European elections, political parties must take a bold stand in the defence of EU values. The EU should actively tackle intersecting systems of oppression such as patriarchy, racism, neo-colonialism, and neo-liberalism. It should strive towards a world where everyone can enjoy the same rights, and lead free and safe private and family lives, free from sexism, coercion, and violence. We call on European political parties to put inclusive feminism at the heart of their electoral programmes, and to commit to further advancing gender equality and women’s rights, including sexual and reproductive health and rights (SRHR), in the EU and beyond. Read below our recommendations on how we can create together an inclusive feminist Europe that promotes gender equality, women’s human rights and SRHR in all fields; that puts an end to sexual and gender-based violence; and that counters the threats against its values.

The widespread and systemic mistreatment and violence against women experienced during childbirth and other reproductive health services has gained international visibility in recent years, following pioneering work in several Latin American countries to recognise and criminalise this form of gender-based violence.   International institutions have also spoken out on the issue. In 2014, gynaecological and obstetric violence was acknowledged by the World Health Organisation, and in 2019 the UN Special Rapporteur on Violence against Women described it as a “serious violation of women’s human rights occurring across all geographical and income-level settings”. In Europe, the parliaments of the Council of Europe and of the European Union have very recently adopted resolutions drawing attention to this phenomenon and calling for national and European measures to tackle it. But to date, no national government has put in place legislation specifically to criminalise gynaecological and obstetric violence. This means that currently, people living in EU Member States have few legal protections or means of redress.  With this in mind, IPPF EN produced this research and policy paper to provide an outline of the systemic and widespread nature of gynaecological and obstetric violence across many countries in Europe, and make recommendations to European and national decision-makers to tackle this form of gender-based violence. On this page you can download our full research and policy paper, as well as a short summary of the report.  Check out IPPF EN's Safe From Harm campaign, highlighting the EU action we support to combat gender-based violence.  ***     This work was funded by the European Union through the Citizens, Equality, Rights and Values Programme. Disclaimer: Views and opinions expressed are those of IPPF EN and do not necessarily reflect those of the European Union or the European Commission. Neither the European Union or the European Commission can be held responsible for them.   

Rigid gender norms or stereotypes limit people’s ability to pursue their professional careers and make choices about their lives. Gender norms not only limit people’s freedom and choices, but they end up condoning gender-based violence and perpetuating inequalities rooted in unbalanced power dynamics. As a result, people are coerced by collective expectations into taking up gender roles that stop them from pursuing the careers and relationships they want, or even being themselves. For example, young men are often expected to suppress their emotions so that they can conform to damaging understandings of strength and masculinity. This leaves men illequipped to express or navigate through their emotions, which can later on cause issues for their mental health. Equally, young women are often expected to be polite and accommodating to others - even in situations where they are made to feel uncomfortable. Conforming to this expectation can make it more difficult for women to assert themselves and can lead to their enduring discrimination or abuse without possessing the skills or confidence to address it. But relationship and sexuality education can play a crucial role in dismantling and challenging harmful gender norms, thus preventing gender-based violence and giving young people the skills needed to lead more equal and safe lives. Furthermore, training of adults and educators is key to raising their awareness around existing gender stereotypes that they may inadvertently perpetuate. Civil society organisations in Serbia, Estonia, Romania and Latvia came together under the Youth SpectActors project to do just that. The main purpose of the project was to educate and empower young people between 12-25 years of age to question gender norms, attitudes and stereotypes that contribute or could lead to gender-based-violence (GBV) through organising theatrical plays that deal with typical situations where gender identity and expression occur. Read about the results of our project on people's lives in the below factsheet.

This article was written in September 2017. Since then, thanks to the work of NGOs including our member HERA, Macedonia’s government has committed to providing long-term funding for all HIV programmes for marginalised people. Although HIV prevalence is low in Macedonia, with only 151 people registered as living with HIV, these small numbers mask a complex picture, and one that is rapidly changing. In 2016, there were 40 new HIV diagnoses, the majority of them among men who have sex with men.  Macedonia is not alone in facing a rise in HIV cases. In many parts of Central and Eastern Europe, the rate of new infections is growing. Between 2010 and 2015, the region saw a 50 per cent rise in new HIV infections annually. Another looming problem that threatens to send Macedonian HIV rates spiralling upwards is a funding crisis precipitated by donor cutbacks and political uncertainty. Between 2004 and 2016, Macedonian HIV programmes received almost $25 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Much of this money was channelled into HIV prevention, funding NGOs that target those deemed most vulnerable to infection – sex workers, people who inject drugs, men who have sex with men and prisoners. But in 2016 this funding was phased out and NGOs on the frontline are left hoping that the new government will deliver fully on a recent commitment to step in with similar levels of funding in 2018. In the chasm left by the country’s public healthcare system, Macedonia’s sexual health and rights NGOs work tirelessly to plug the gap, often on a shoestring and in an increasingly uncertain funding landscape. HERA, IPPF's member in Macedonia, is a leading NGO providing free HIV testing services, sexual health support and advocacy. It works closely with smaller organisations around the country to ensure support for young people, sex workers, people who inject drugs and men who have sex with men. These NGOs are many people’s first port of call for HIV tests and other vital health care.