Since the enactment of the Choice on Termination of Pregnancy Act (CTOP Act) in 1996, there has been a significant disconnect between the official policy on safe abortion and its implementation. The situation has worsened with the onset of the COVID-19 pandemic and access to abortion services is now severely limited, write Boitumelo Masipa and Thembi Mahlathi.
The new national clinical guidelines for the implementation of the Choice on Termination of Pregnancy Act serve as an opportunity to strengthen services in providing much-needed clarity and guidance to health workers. Marion Stevens and Nozizwe Conco unpack these guidelines on International Safe Abortion Day.
Already very long waiting times for gender-affirming surgery in South Africa’s public sector have gotten even longer due to the COVID-19 pandemic. Tiyese Jeranji investigates the challenges transgender persons in the country face in accessing gender-affirming care.
The ongoing stockouts of contraceptives grossly violate individuals’ and couples’ reproductive rights but alternative measures have not been put in place. If the issues of access to contraceptives are not dealt with, the country will face a baby boom and a rise in HIV infections at the end of the current pandemic writes Thuthukile Mbatha and Annah Maluleke.
Among several significant barriers to accessing abortion services, experts cite a lack of management support at health facilities, costs, fear of breach of confidentiality and stigma. Many of these barriers are compounded in rural areas. Tiyese Jeranji reports.
If South Africa is forced to go into a COVID-19 lockdown again, HIV support groups and adherence clubs should remain functional to make sure that everyone is supported, has regular access to information and treatment, and that people are motivated to adhere to treatment, argue Annah Maluleke and Solanga Milambo.
Almost nine months since the Commission on Gender Equality (CGE) released a damning report with dozens of women living with HIV’s testimonies about forced sterilisations allegedly performed on them in public health facilities, the Department of Health has now moved to implement the Commission’s recommendations. Nomfundo Xolo reports.
The exit of Doctors without Borders’ (MSF) rape crisis support in the North West province during the COVID-19 pandemic arguably could not come at a worse time. Is the North West’s Department of Health ready to take over these services? Ufrieda Ho reports.
With abortion services now available through telemedicine and the increasing practice of self-managed abortion, Marion Stevens asks if abortion law still has any relevance given these practices.
Reproductive justice is not only about the freedom to choose. It is far-reaching in that it challenges systems of oppression and discrimination, writes Dr Tlaleng Mofokeng.
Stigma and discrimination makes accessing healthcare services hard for many young people living with HIV. Has it become even harder during the COVID-19 pandemic? Nomfundo Xolo spoke to young people and activists in KwaZulu-Natal.
Reproductive freedom can include both the right to avoid procreation through means like abortion and the right to choose procreation through surrogacy and Assistive Reproductive Technology. Spotlight sat down with a mother who has been a surrogate on two occasions to discuss choice, the legalities and medical side of this process.
