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 End the greatest health divide 

End the greatest health divide

17 Feb, 2009 07:57 AM
With the global financial crisis crippling his country's economy and two wars being fought, there is no doubt the new US President has an immense to-do list.

It is therefore noteworthy that one of the first actions he took in the White House, on just the third day of his presidency, was to abolish a rule that denied US taxpayer dollars to international family planning clinics that provide, suggest or mention abortion to women in developing countries.

Obama said simply that family planning aid had been used as a ''political wedge issue'', adding that he had ''no desire to continue this stale and fruitless debate''.

A similar set of policies prevails regarding the use of Australian aid in developing countries but, sadly, while committing themselves to review these policies, our politicians are yet to take decisive action on what is indeed a stale and fruitless debate created through wedge politics.

It is stale and fruitless because it is hopelessly bogged down in moral arguments.

This is fundamentally a development issue that is about preventing the unnecessary deaths of women in poor countries who are 300 times more likely to die in childbirth or from pregnancy-related complications than women in rich countries.

The Australian policies, known as the ''AusAID Family Planning Guidelines'', came about as part of a deal done by the former Howard government with Independent Tasmanian senator Brian Harradine to enable the then government to proceed with the sale of Telstra.

While the sale of Telstra went ahead, a policy was applied that denied women in developing countries the full range of services available to Australian women.

The result of the AusAID policy has not just been an increase in the risk of needless deaths because of unsafe procedures: the policies themselves have made it increasingly hard for aid and development agencies to carry out any sexual and reproductive health services.

UNICEF refers to the difference in pregnancy risk between women in the developing and developed worlds as the ''greatest health divide in the world''.

This shocking gap shows how vital it is for all women to have access to comprehensive family planning information and services.

A woman in Niger has a one-in-seven chance of dying in childbirth. That is in stark contrast to the risk for mothers in the US, where the risk is just 1:4800.

The AusAID family planning guidelines have impeded the delivery of vital health services by aid providers.

Since their introduction until 2007, the total funding for family planning declined by more than 80 per cent

Australia is a signatory to the internationally agreed Millennium Development Goals eight specific targets to halve global poverty by 2015.

Alarmingly, of the eight MDGs least progress has been made towards goal five, a commitment to ''reduce by three-quarters the maternal mortality ratio; and achieve, by 2015, universal access to reproductive health''.

Oxfam Australia, CARE Australia and Save the Children Australia are three of the largest Australian international aid and development agencies.

Our collective experience shows clearly that progress towards this reduction in maternal mortality requires a comprehensive approach to the provision of sexual and reproductive health services.

Every day the AusAID Family planning guidelines remain in place, the capacity of Australian agencies to provide comprehensive reproductive health services to women and communities as part of our development assistance programs is impaired.

Ultimately, we are concerned for the lives of women worldwide and believe that the guidelines act as a barrier to wider poverty alleviation efforts.

Andrew Hewett is executive director of Oxfam Australia.

Julia Newton-Howes is chief executive of CARE Australia.

Peter Falvey is chief executive of Save the Children Australia.

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Heh, a 'stale and fruitless debate' for Obama is simply one for which he has no persuasive moral arguments. Reproductive health equals a mother killing her child? “Hopelessly bogged down in moral arguments”? What on earth is a moral issue if not development itself and how to proceed with it? That is; in what way are rich countries 'developing' anything by imposing abortion on cultures often fundamentally opposed to it on moral grounds? Monogamous marriage is the most important civilising institution history has known. Yet this basic fact is lost on the authors - because they believe it is a 'moral argument'!? Where are the efforts to support marriage? What about support for the babies born? How has any people 'developed' in the past? Why not spend money on helping women give birth safely? Killing innocent children introduces a barbarism that is the antipathy of 'development' and until these authors learn some moral philosophy they will have to cop explicit lessons in it from ordinary punters like me. We are giving our aid dollars to organisations with this kind of leadership? Am I living in an Orwell novel? 'Save the Children’ by destroying them in the womb? Women killing their own offspring hurts women and killing our own children represents the absence of solutions. It is evidence not of civilisation but barbarism.
Posted by martin, 19/02/2009 8:18:04 PM
I am disappointed to see this debate focus on family planning (aka abortions) as the answer to the "Health Divide". My daughter's friend in Cambodia lost her sister in childbirth because the hospital that she went to did not have enough of her blood group and she bled to death. That is all too common in developing countries. The focus surely has to be on such needlessly preventable deaths by better health care, not on family planning. That death has plunged that family and my daughter's friend into poverty as she has had to give up her job to assist her mother with the granddaughter who survived. Let's not change our policy based upon emotive arguments but find out what the causes of death are and then addressing them. There is then no emotional damage from needing to have abortions.
Posted by Noel , 20/02/2009 9:01:37 AM

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