Representatives of 38 countries of Latin America and the Caribbean meeting this week in the Uruguayan capital urged governments in the region to consider modifying their laws on abortion, which are among the most restrictive in the world.

The Montevideo Consensus on Population and Development calls on “States to consider amending their laws, regulations, strategies and public policies relating to the voluntary termination of pregnancy in order to protect the lives and health of women and adolescent girls, to improve their quality of life and to reduce the number of abortions”.

The document was adopted at the end of the first session of the Regional Conference on Population and Development in Latin America and the Caribbean, which ran Monday through Thursday.

Daptnhe Cuevas, of the Latin American and Caribbean Women’s Health Network, said their reaction to the outcome of the conference was “jubilation.”

Uruguay’s deputy minister of health, Leonel Briozzo, presided over the regional conference on population and development. Credit: Courtesy of the Public Health Ministry

We feminists came here with a series of clearly outlined proposals that were taken up integrally by the governments, which sent out a strong signal to the world that in Latin America, women’s rights are on the rise.”

Speaking with IPS just after the negotiations came to a close, the Mexican activist described the result as “a resounding success” and praised the governments for “rising to the demands.”

The Montevideo Consensus also urges the governments to “Ensure, in those cases where abortion is legal or decriminalised under the relevant national legislation, the availability of safe, good-quality abortion services for women with unwanted and unaccepted pregnancies”.

In Latin America, first-trimester abortion is only legal on demand in Cuba, Mexico City and, since 2012, Uruguay. In the rest of the countries, it is only allowed in exceptional cases – such as risk to the mother’s life or rape – or under no circumstances at all, such as in Chile, the Dominican Republic, El Salvador and Nicaragua.

This week’s meeting, organised by the Economic Commission for Latin America and the Caribbean (ECLAC) and the Uruguayan government with support from the U.N. Population Fund (UNFPA), also brought together 24 regional and international agencies and 260 non-governmental organisations.

The document contains over 120 measures concerning the eight priority areas to follow up the Programme of Action of the International Conference on Population and Development (ICPD) held in Cairo in 1994.

The recommendations will be the input of Latin America and the Caribbean to the meetings of the U.N. Commission on Population and Development and the General Assembly, to be held in New York in April and September 2014, respectively.

The participants in the meeting numbered over 800, which made it one of the largest intergovernmental conferences in recent years in the region, according to ECLAC.

Cuevas said central demands of the women’s movement were echoed. The final document reaffirmed, for example, the concept that “a secular state is an indispensable condition for the rights of women to be exercised.”

The Montevideo Consensus states that “a secular state is one of the elements fundamental to the full exercise of human rights, the deepening of democracy and the elimination of all forms of discrimination”.

At the close of the conference, Uruguay’s deputy minister of public health, Leonel Briozzo, said the agreement was a sign that “Cairo isn’t moving backwards, but forward.

“We significantly expanded on what Cairo set forth, and we did so from a diversity of viewpoints that were completely respected. As a region that carries the sobriquet of inequality, we are giving an example of democracy,” he said.

“We were able to reach an agreement where no one was trampled on and no one was ignored. This collectively-built construction reflecting agreement on more than 130 points was made by all of us together. It is ours, and it is for the world as a whole.”

The countries also agreed to apply a human rights approach with a gender and intercultural perspective when dealing with population and development matters.

They also committed to spend more on youth, especially in public education, and to implement comprehensive sexual and reproductive health programmes, with a priority on prevention of teen pregnancy.

In addition, they agreed to adopt measures to ensure better quality of life for the elderly.

Another stride forward underscored by Cuevas was the recognition of sexual rights and reproductive rights as separate concepts.

“We took another step forward by recognising them separately,” she said. “What was approved 20 years ago in Cairo referred to reproductive, but not sexual, rights.

“Information has advanced, we have clear concepts, and we know that sexual rights are not necessarily linked to reproduction,” she added. “They’re different issues dealing with different bearers of rights, and on this occasion we managed to get that reflected in the agreement.

“The discussions were very different from discussions at past conferences. I think the tone changed substantially, and it changed because women were seen as people of flesh and blood,” she said.

The declaration also clearly states, she said, “the right to sexual orientations and gender identities. Gender identity can be varied, and the effort had never been made to mention that in a regional accord. That was included for the first time; we had no precedent in any previous consensus, and it is very important.”

Teresa Lanza, head of Católicas por el Derecho a Decidir/Bolivia – the Catholics for Choice partner in Bolivia – told IPS that “the next step is for this to be translated into political will and big enough budgets to ensure that everything that was achieved here truly works and becomes a reality for all women in Latin America and the Caribbean.”

The activists attributed a large part of the advances made to Uruguay’s leadership. Cuevas said that “In the United Nations system, we generally find that the base document doesn’t really tread too much on anyone’s toes, and if you start to compromise, you won’t necessarily win.

“Uruguay set a high starting point, and that made less strident, ideological positions possible in the negotiations and dialogue,” she said.

Point 88 of the declaration calls on countries to “Respect and guarantee the territorial rights of indigenous peoples, including those of peoples living in voluntary isolation and those in the initial phase of contact, with special attention to the challenges presented by extractive industries and other major global investments”.

Chile had initially voiced reservations regarding this point.

Quechua activist Tania Pariona of the Network of Organisations of Indigenous Youth of Peru told IPS that “the work here was collective.”

“The states were fairly open to civil society,” she said. “There has been a good reception, a good vision of what is wanted for the future of the region, and that’s a step forward.”

Mariela Castro speaking at the conference on population and development in Montevideo. Credit: David Puig/UNFPA

By Raúl Pierri
MONTEVIDEO, Aug 15 2013 (IPS)

Latin America and the Caribbean cannot hope to have truly advanced, progressive policies in sexual and reproductive health as long as women do not have the right to decide to interrupt their pregnancy, says Mariela Castro.

“To me it is shameful that many women in the region are still forced to decide between prison or death,” said Castro, director of Cuba’s National Centre for Sex Education (CENESEX) and a member of the high-level task force for the International Conference on Population and Development.

The sexologist, who is the daughter of Cuban President Raúl Castro, said there is a “witch hunt” against women in Latin America and the Caribbean by governments that describe themselves as democratic.

Castro sat down with IPS during lunch break at the first session of the Regional Conference on Population and Development in Latin America and the Caribbean, which is being held Aug. 12-15 in Montevideo, the capital of Uruguay.

As director of CENESEX, Castro has led campaigns in Cuba against the spread of HIV/AIDS and to advocate the rights of the lesbian, gay, bisexual, and transgender (LGBT) community.

Thanks to a draft law she sponsored, Cuba became the first country in the region to offer free sex reassignment surgery to transgender people.

Excerpts of the interview follow.

Q: What do you think are the biggest advances in Cuba in recent years, in sexual and reproductive health and sex education?

A: Very important work has been done, starting with the efforts of the Federation of Cuban Women in the 1960s. In 1965, abortion began to be provided free of cost by the national public health system, carried out by experts in the health system’s institutions, with the woman’s consent.

Abortions were available in Cuba before the (1959) revolution, but the procedure was very expensive and was practiced in private clinics. Unsafe clandestine abortions were a major cause of maternal mortality.

So the Cuban state decided to make it a service provided by the public health system. There is no law on abortion. It was established by a Public Health Ministry resolution.

The National Family Planning Programme was created in 1964 and the National Sex Education Programme began to be designed in 1972.

When the Communist Party of Cuba held its first congress in 1975, sex education was established as a state policy, with the primary responsibility put on the family and schools.

In 1988 and 1989, the National Centre for Sex Education was created under the Public Health Ministry.

Q: What is the situation today in Cuba in terms of respect for sexual diversity?

A: Cuba, like the rest of the countries in the world, reproduced the homophobic system that cultures and the sciences also helped impose.

The medical sciences imposed the view that homosexuality was an illness and that these people should undergo therapy aimed at turning them into heterosexuals.

It wasn’t until May 17, 1990 that the World Health Organisation (WHO) ‘depathologised’ homosexuality. My country was homophobic like the rest, but what is said about Cuba in that sense is exaggerated.

The idea of a project based on the principles of social justice and equality and solidarity among human beings created the foundations for us to continue the struggle against discrimination, within the revolutionary process itself.

In January 2012, when the Communist Party conference was held, the objective of fighting all forms of discrimination, including on the grounds of sexual orientation and gender identity, was included for the first time.

Q: What can Cuba contribute to the rest of Latin America and the Caribbean?

A: Last year, Cenesex organised a meeting of experts on sex education from Latin America and the Caribbean with the aim of sharing experiences and forging alliances to help push these issues forward in the region, and we approved a declaration.

We also want to exchange materials and information. We keep a close eye on new legislation in the region, so that we can also incorporate elements that can be useful for us.

Q: Very important steps towards equal marriage have been taken in Latin America. What’s the situation in Cuba?

A: As a Latin American, I feel very proud that Argentina, Uruguay and the Federal District of Mexico City have legalised the right (to same-sex marriage). I think it’s fascinating. What I am constantly advocating is for this to also happen in other countries, including Cuba.

The thing is that in Cuba, marriage is not considered very important, since most couples just live together, and they enjoy the same rights as married couples.

So the LGBT movement doesn’t put an emphasis on this; they are more interested in defending their economic rights. But if we’re going to talk about rights, we have to talk about the same opportunities, including marriage.

Q: What role should the media play in sex education?

A: I advocate an ongoing strategy of education, accompanied by constant communication. We are training journalists, communicators and artists all the time.

One example that showed that the media are not prepared to deal with an issue was what happened in 1988, when the first free sex change surgery was performed in Cuba.

The doctors who did the operation presented their experience at a congress. A journalist who was there published it in his newspaper, which triggered a debate. Many people sent letters to the government saying it was appalling.

The Health Ministry, which didn’t have the tools to defend itself, decided to suspend the operations, and we had to wait 20 years.

Today we’re the only country that has a strategy for integral care for transsexuals, with free specialised sex services to carry out the transformations that they need in their bodies to bring them into line with their gender identity.

There is also an overall strategy to modify policies, awareness and laws, so that transsexuals are respected.

Q: What are the expectations for this conference in Montevideo?

A: It’s very important for our region to at least reach agreement on a declaration where (the countries) commit themselves to respect, protect, and comply with sexual and reproductive rights.

We want this conference to take a stance in favour of access to quality information, education and services, so that all young people have universal access to sex education provided within and outside of school.

We cannot accept crumbs when it comes to rights. We cannot expect advanced or progressive policies in health if we don’t mange to establish agreements on issues like these.

Q: And with regard to abortion?

A: My hair stands on end when I see that in our continent only Cuba, Guyana and now Uruguay have laws that respect women’s rights to decide about their bodies in situations involving reproductive health, such as the voluntary interruption of pregnancy.

To me it seems like a witch hunt. I think it is shameful that many women in the region are still forced to decide between prison or death, or that countries that define themselves as democratic talk about democracy without having advanced on issues like these.

Excerpt:

By Diana Cariboni
MONTEVIDEO, Aug 14 2013 (IPS)

Latin America and the Caribbean should play a central role in the construction of “sexual citizenship” – a concept that covers a series of population-related issues, rights and guarantees that this region helped build since the United Nations first emerged, says Brazilian expert Carmen Barroso.

Latin America has long been in the vanguard in the promotion of women’s rights, and still is today, Barroso, Western Hemisphere regional director for the International Planned Parenthood Federation, tells IPS in this interview.

Carmen Barroso doesn’t expect setbacks at the Montevideo conference. Credit: Courtesy of IPPF

Barroso, who was a key player in the negotiations for the 1994 International Conference on Population and Development in Cairo, says all innovations and creative solutions in this area come from civil society, where youth movements particularly stand out today.

For that reason she does not believe there will be any backsliding at the first session of the Regional Conference on Population and Development in Latin America and the Caribbean, running Aug. 12-15 in Montevideo, the Uruguayan capital.

In this week’s meeting, the region is assessing its progress and failures and hammering out a common position to take to the U.N. General Assembly.

Q: Do you expect setbacks in this first regional conference?

A: No, I don’t. The region has made great strides since the 1990s. Governments are aware that this is a development issue. There is no one here who wants to move backwards.

Furthermore, there are at least 12 government delegations here that have incorporated civil society – which sends a message that governments want to feel they represent different voices in their countries.

Civil society is essential; it gave rise to the rights agenda. Governments don’t have time to create things in that terrain. When they act in a creative manner, it is due to the influence of civil society.

I also think there will be a global impact. This region has always been in the vanguard. It was an extremely central actor in promoting women’s rights in the process of the United Nations charter and in the creation (in 1946) of the Commission on the Status of Women. That was a long time ago."There is still this terribly daft idea that sex education encourages 'sin'." -- Carmen Barroso

Now, the region is changing; there are many middle-income countries and Brazil is part of the BRICS group (along with Russia, India, China and South Africa). That means the world looks at us differently.

Q: What issues could stand in the way of a consensus?

A: The danger I see is that references to abortion could stay the same as they are in the Cairo Programme of Action: that it’s a public health problem; that when it is permitted it must be safe; and that it is necessary to act in line with national laws.

This will be a major focus of debate. The reality in the region has changed. Uruguay decriminalised abortion, the Mexican capital did so as well, and so did Guyana and Puerto Rico. Colombia adopted more flexible rules, and Brazil expanded the circumstances in which abortion is legal. In Cuba abortion has been legal since the 1960s.

It’s important for this to be reflected in the regional position, but that won’t be easy.

Another aspect is the demand for comprehensive sex education, particularly for young people. There is still this terribly daft idea that sex education encourages “sin”, or earlier sexual initiation.

The research shows that this isn’t true, and that the start of sexual activity is even sometimes delayed, because girls and young women are empowered and feel they can say no if they aren’t really sure.

There is also talk of explicitly including the right to gender identity and respect for sexual diversity.

But sexual and reproductive rights are broader. Women also have the right to not be harassed in the street or in their workplace. Many of these aspects have been forgotten.

To sum up, we are creating what we could call “sexual citizenship” – and comprehensive sex education is essential for that.

Q: How have the civil society groups that have formed part of this process in the last two decades evolved?

A: The most important thing is to look at young people. We have numerous delegations of very active young people here who also express and organise themselves as such. When I got involved in these issues I was young, of course, but I didn’t define myself as such. What defined me was being a feminist and a woman. This is new.

Q: Now that we’re talking about young people: one problem where there have been setbacks rather than progress is teenage pregnancy.

A: It’s true. A study by ECLAC (Economic Commission for Latin America and the Caribbean) shows that, in half of the countries where statistics are available, the figures have remained the same, and in the other half, they have gone up.

There are some new developments, however: many adolescent girls who have a first child don’t have a second child (in adolescence), which is what used to happen.

Q: What explains this?

A: That they only have access to birth control methods and information once they enter the health system because of the pregnancy and birth.

Q: It would seem that adolescents today enjoy greater sexual freedom than 20 years ago, but don’t have the tools to handle it…

A: Not all of them. There are class-based differences. In the wealthiest quintile of the population, there are no teen pregnancies, which are concentrated in the poorest quintile.

Q: What’s the solution?

A: Governments should start out by living up to their promises. In 2008, the region’s education and health ministers pledged to ensure comprehensive sex education mechanisms in schools. What we have seen so far are a few timid steps in a handful of countries.

Excerpt: