Resources

COVID-19 is endangering the sexual and reproductive health and safety of women and girls and vulnerable people across Europe. They are left without access to essential medical services such as contraception and abortion care, HIV and STI testing and reproductive cancer screenings, and respectful maternal healthcare. The huge reduction in these services is putting lives, health and wellbeing at risk, particularly those of vulnerable groups whose only access may be through subsidised services provided by civil society. Gender-based violence has surged, with lockdown making it harder to provide support and shelter to women desperately in need of it. This report has been compiled by IPPF EN and EPF from surveys that were conducted with their respective stakeholders on the impact of COVID-19 on the sexual and reproductive health and rights of people, particularly women and girls, in Europe, and on Europe’s international cooperation on sexual and reproductive health and rights (SRHR).  The content of the report derives from what stakeholders in different countries reported as the situation in their country at the time of reporting – early April - and thus aims to provide an overall ‘snapshot in time’ of what was clearly already a significant effect of the pandemic on SRHR. However, the situation is highly dynamic and evolving daily, so be aware some of the situations reported may already have changed. We will be producing new information as data comes in, but in the meantime, we hope you find this a useful overview of the current context. 

The Survey looks at the relevant legislation on abortion care in 42 countries, but crucially it also explores how these laws are interpreted by providers and experienced by women and girls. It is designed to provide an overview of women’s and girls’ experience around accessing abortion care, to highlight current threats to their reproductive health and rights, to identify ‘best-fit’ practices and to stimulate further debate and research. The Survey is not a research paper, but rather a synthesis of the expertise and understanding of our Members and Partners working in the field and serving women every day. The report begins by situating abortion care as an essential component of women’s reproductive health, as defined within the broader framework of international human rights law, specifically the Right to the Highest Attainable Standard of Physical and Mental Health. It then examines to what extent current provision within national borders aligns with or deviates from state obligations to care for and value equally women and girls. It covers four key areas: the criminalisation of abortion; the various grounds available to women and girls to access abortion care and the time limits imposed thereon; the additional institutional and procedural hurdles to abortion care; and finally, the significant financial burden inflicted on women and girls when accessing care across the region. For each section, the ‘best’ and ‘worst’ country scenarios have been referenced to highlight how differently a particular barrier to care might be implemented and then experienced by women and girls across Europe and Central Asia.  

People with learning disabilities have a right to be protected from sexual violence and abuse, yet 90% of them will experience sexual abuse at some point in their life, most frequently from family members or others in their close circle. Safeguarding this right can only be achieved if people with learning disabilities are empowered to protect themselves. Increasing their autonomy in relation to their sexual lives, relationships, bodies and privacy is key. But how can people with learning disabilities be expected to say no to sexual violence and abuse, if even the smallest aspects of daily life are decided for them by others? In this context, it is crucial to strengthen their overall autonomy, active participation and integration in society, and the transition from institutions to community based-care. The 2-year ‘Keep me Safe’ project aimed to empower young people with learning disabilities to protect themselves against sexual abuse and violence across Europe. It was co-funded by the European Commission Daphne III Programme. On 11-12 December 2014, IPPF Member Associations, NGOs, parents of young people with learning disabilities, decision-makers and authorities from Bulgaria, Cyprus, Germany, Ireland, Latvia, The Netherlands, Macedonia, Romania, Spain, and UK, as well as staff from the IPPF EN regional office, gathered in Madrid for its final event. Here you can download the set of Policy recommendations they developed and endorsed at the meeting. 

Every day, everywhere women have abortions. In fact, one in three women will have an abortion in their lifetime. Your sister, mother, daughter, partner, friend. Yourself. However, many countries around the world continue to restrict access to safe and legal abortion. Globally, 66 countries either prohibit abortion entirely or permit it only to save a woman's life. Approximately one quarter of the world's population resides in these countries. Too many women still do not have autonomy over their reproductive lives, and are not able to choose to end an unwanted pregnancy under safe conditions with the support of a trained provider. That is why on September 28, the Global Day of Action for Access to Safe and Legal Abortion, IPPF will join with partners across the world to call for universal access for safe and legal abortion. In our region, from Skopje to Stockholm, Tirana to Dublin, our Member Associations are marking the day with activities ranging from press conferences, advocacy workshops, public debates organised by youth activists and short movie launches to providing information and education materials to schools; dedicated social media campaigns; clinic open day with free sexual and reproductive health services, and appearing in newspapers and TV documentaries to make the case for safe and legal abortion. Criminalising abortion does not reduce the number of abortions, all it does is push abortion underground and rates of unsafe abortion increase. In fact, the lowest abortion rates in the world are in regions with some of the most liberal legal frameworks for the provision of abortion services. A woman’s right to safe, legal abortion is under threat in Europe too. The abandoning this week of a regressive anti-abortion bill in Spain is a step in the right direction and an illustration of what can be achieved through the joint action of civil society organisations. But the fact remains it should never have been on the legislature’s books in the first place. It shows that rights can be rolled back at anytime, anywhere. The women who suffer as a consequence of restrictive laws are not just numbers. Each woman who seeks an abortion does so under a unique set of circumstances. IPPF has produced a series of short films to tell the stories of some of these women. Women like Juliette from France, who just like millions of other women around the world, decided to have an abortion following an unintended pregnancy. In this video Juliette describes the challenges she faced in trying to find accurate and unbiased information about abortion, and she shares her thoughts on the role of men in the abortion process. You can watch the other videos in the series here. Unwanted pregnancies will always be a fact of life and abortions will continue. So, join us on September 28 in calling for governments to make abortion safe and legal abortion everywhere. Read a guest blog on the "state shambles" of abortion in Ireland by IFPA, IPPF's Irish Member Association here.

This series of four Report Cards explores the challenges of HIV prevention for sex workers in Kazakhstan, Kyrgyzstan, Tajikistan and Russia. It was produced by IPPF European Network with the support of the Sex Workers' Rights Advocacy Network (SWAN) and the United Nations Population Fund (UNFPA). The Report Cards are available for download here in English and Russian.

A UN Study from 2006 suggests that 90% of people with intellectual impairments will experience sexual abuse at some point in their life, most frequently from family members or others in their close environment. Empowering young people who have a learning disability to protect themselves against sexual abuse and violence requires acknowledgement and respect of their sexuality from their carers alongside guidance on protection and appropriate behaviour. From 2013-2015, we ran a project to empower young people with learning disabilities to protect themselves against sexual abuse and violence, harnessing best practice, expertise and proven strategies from IPPF members in Europe with extensive experience in this area. The project was called 'Keep Me Safe'. This work was co-funded by the European Commission (DG Justice - Daphne III Programme).  This training manual has been developed for organisations who wish to educate and sensitize staff, teachers and carers about the sexual and reproductive health and rights of young people with mild to moderate learning disabilities.