Budi Utomo, Sukma Rahayu, Elvira Liyanto, Nohan Arum Romadlona, Dewi Nuryana, Riznawaty Imma Aryanty, Melania Hidayat, Anggraini Sariastuti, Maria Gayatri and Robert Magnani
Indonesia subscribes to rights-based principles of family planning. However, a chasm between principles and practice has long been noted on a global basis, and progress has not…
Abstract
Purpose
Indonesia subscribes to rights-based principles of family planning. However, a chasm between principles and practice has long been noted on a global basis, and progress has not been well-documented. This paper aims to assess the extent to which the Indonesian national family planning program has evolved in a manner that is consistent with rights-based principles.
Design/methodology/approach
The primary source of data was five Indonesian Demographic Health Surveys undertaken from 1997 to 2017. The analyses were organized around three major categories of family planning-related human rights. Trend analysis and logistic regression were used in analyzing the data.
Findings
Indonesian women have considerable autonomy in family planning decision, reporting that family planning decisions were mainly made by themselves or jointly with their spouse. Although contraceptive method awareness and demand for family planning are high, Indonesia fares poorly with regard to informed choice in contraceptive method selection. Access to family planning services is comparatively high as judged by contraceptive prevalence, family planning demand satisfaction and unmet need for family planning. However, significant geographic and socioeconomic inequity were observed on many indicators, with eastern Indonesian provinces consistently lagging behind.
Research limitations/implications
This paper focuses on married couple, as Indonesia has a restrictive policy to limiting access and information of family planning for other groups, unmarried youth in particular.
Originality/value
This paper makes an important contribution to document how effectively the prohuman rights policy orientation toward family planning has been translated into services.
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Maria Sophia Aguirre and Cecilia A. Hadley
This paper aims to highlight the role of the United Nations in the formulation and implementation of the current understanding of “population assistance” and examine some of the…
Abstract
Purpose
This paper aims to highlight the role of the United Nations in the formulation and implementation of the current understanding of “population assistance” and examine some of the arguments for “population assistance” in the form of reproductive health care.
Design/methodology/approach
It presents the data for global population assistance and briefly compares these figures with data for other developmental sectors, recommending certain policy changes if real development is to be achieved.
Findings
During the last decade increasingly large amounts of money have been spent on limiting population growth of underdeveloped countries. Population control is seen as the corner‐stone of development and population activities. Thus, population control has become “population assistance,” and birth control has become “reproductive health services.” Population control is pursued at the expense of women's rights and to the detriment of real economic growth and social improvement.
Originality/value
For more than two decades, John Conway O'Brien has written on the importance of ethics for economic growth. In a recent article, he concluded that “although the illuminated may have been activated by the most altruistic of motives, their search for the good society was doomed from the start.” This paper attests the validity of his remarks.
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This chapter examines symphysiotomy in twentieth-century Ireland as one example of a systematized obstetric violence that has characterized Ireland’s modern history. Expanding…
Abstract
This chapter examines symphysiotomy in twentieth-century Ireland as one example of a systematized obstetric violence that has characterized Ireland’s modern history. Expanding scholarly interpretations of state- and Church-inflicted abuse of women in the twentieth century, this analysis establishes the medical profession as a central actor alongside the twentieth-century state-Church coalition that regulated women’s reproductive lives and engaged in systematic repression. This chapter recognizes that Ireland’s history of reproductive abuse and coercion did not just involve contraception or abortion but also labor and birth experiences. In addition, it offers a more complete and complex interpretation of obstetric violence by highlighting the experiences of married women with wanted pregnancies; almost all research to date focuses on the experiences of unmarried pregnant women or unwanted pregnancies. This examination of symphysiotomy and obstetric violence in Ireland illuminates the ways in which religious, national, and medical power has been mapped on women’s reproductive bodies, particularly in the decades after independence in 1922. It also makes essential links between Ireland’s past and present, demonstrating that a careful analysis of the history of obstetric violence and the religious underpinnings of it are essential in understanding Ireland today. With this research, we also place symphysiotomy within the context of the global reproductive justice movement, asking how a reproductive justice framework – one that links reproductive rights with social justice – can help us interpret obstetric violence and address the wounds of Ireland’s past.
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This chapter emphasizes the interconnectedness of legal frameworks, socio-cultural norms, and policy interventions in forging a more inclusive and just society for girls and…
Abstract
This chapter emphasizes the interconnectedness of legal frameworks, socio-cultural norms, and policy interventions in forging a more inclusive and just society for girls and women. Despite substantial strides, gender disparities still persist across the Western world, highlighting the need for targeted actions. The chapter explores the “glass ceiling” phenomenon, the wage gap, gender-based violence, emphasizing their persistence, and the imperative of transformative policies. Shifting focus to the East, the narrative navigates through distinct trajectories of women’s rights advocacy. Religious beliefs have historically reinforced gender inequality in some Eastern societies, shaping cultural norms and limiting women’s public participation. In the context of Islam, varying interpretations have led to differing perspectives on gender roles. The chapter showcases instances of progress, such as Saudi Arabian women gaining voting rights, while acknowledging enduring challenges like female genital mutilation and forced marriages. In the conclusion part, the chapter highlights the need for sustained efforts to dismantle barriers and elevate women’s voices, fostering a global landscape marked by gender equality and women’s empowerment.
This paper aims to advance the concept of “menstrual justice” by building on the comprehensive framework developed by Margaret E. Johnson (2019), which integrates legal rights…
Abstract
Purpose
This paper aims to advance the concept of “menstrual justice” by building on the comprehensive framework developed by Margaret E. Johnson (2019), which integrates legal rights, social justice and intersectional analysis. By applying Johnson’s insights and human rights frameworks to menstrual health management, the study advocates for state interventions to safeguard women labourers from exploitative practices that endanger their reproductive health and to uphold their menstrual rights.
Design/methodology/approach
A case study methodology is used to scrutinize menstrual injustices experienced by women labourers in precarious employment conditions. Specifically, it examines two cases, the mass hysterectomies in Beed, Maharashtra and the administration of unidentified pharmaceuticals to women in Tamil Nadu factories to mitigate menstrual pain and maximize productivity.
Findings
The findings reveal severe violations pertaining to menstrual justice, with practices deeply rooted in socioeconomic deprivation and systemic neglect. These issues subject female workers to various forms of gender-based violence that goes beyond physical abuse, raising critical concerns about menstrual justice and human rights violations.
Research limitations/implications
The study’s findings have limited generalizability due to the specific contexts of the case study. Furthermore, the absence of insights from managers/supervisors, and factory owners limits a comprehensive understanding of the policies and factors leading to neglect of menstrual management practices.
Practical implications
The findings of the study will prompt the medical industry to initiate research into medications that can effectively alleviate period pain while minimizing harmful side effects. Current treatments often come with significant drawbacks, highlighting the need for safer and more effective alternatives. Addressing this research gap is vital for achieving menstrual equity, as it ensures that individuals suffering from menstrual pain have access to relief that does not jeopardize their overall health. Advancing research in this area will not only enhance the quality of life for menstruators but also contribute to a more equitable and inclusive approach to menstrual health care.
Social implications
The findings support reframing menstrual friendly labour policies including comprehensive sexual and reproductive health information to everyone, regardless of gender, to reduce misinformation and stigma associated with menstruation at workplaces. Additionally, the study proposes the introduction of reusable menstrual products like menstrual cups to overcome period poverty. Thus, ensuring access to these resources is crucial for enabling informed decision-making, promoting gender equality, addressing health disparities and fostering the development of menstrual-friendly workplace policies.
Originality/value
This study, by using a case study-based approach, has thoroughly examined the issues and challenges faced by female labourers in fields and factories. It uniquely identifies the inadequacies in menstrual management provisions for female workers in India and advocates for a human rights-based approach to ensure that menstruators can manage their menstrual health safely. Unlike most existing studies, which primarily focus on product usage and the stigma or myths surrounding menstruation, this study advances menstrual justice by calling for labour policy reforms and medical research to lessen menstrual pain without compromising menstruators’ health. These reforms aim to provide working women with adequate rest and necessary provisions during menstruation. Addressing these gaps is essential and has been largely overlooked in global health policies.
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This chapter discusses various aspects of family planning initiatives on a global scale, with a specific focus on their influence in Asian contexts, including Bangladesh. This…
Abstract
This chapter discusses various aspects of family planning initiatives on a global scale, with a specific focus on their influence in Asian contexts, including Bangladesh. This chapter examines the diverse range of family planning programs and policies implemented worldwide, in Asia and Bangladesh considering cultural factors that significantly shape family planning decisions. By highlighting the unique approaches and challenges faced in different regions, it provides valuable insights into the evolving landscape of family planning efforts and their impact on population dynamics.
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Sterilisation in India (and globally) has a contentious and deeply politicised history. Despite this troubling legacy, India continues to rely on female sterilisation as the main…
Abstract
Sterilisation in India (and globally) has a contentious and deeply politicised history. Despite this troubling legacy, India continues to rely on female sterilisation as the main form of contraception and family planning. Abortion, which has been legal under broad grounds since 1971, intersects with sterilisation at different points over women's reproductive lifecourse. Drawing on three case studies exploring women's abortion trajectories in Karnataka, India (2017), this chapter examines sterilisation as a reproductive technology (RT) in women's abortion narratives. These include experiences of failed sterilisation necessitating abortion, as well as narratives around pre- and post-abortion counselling with sterilisation conditionalities. Women report healthcare workers shaming or scolding them for not being sterilised after their last pregnancy – demonstrating the prominence of sterilisation as an enforced social norm using ‘health’ frames. Using reproductive justice (RJ) as a lens, I analyse how sterilisation interacts with abortion and the narratives of shame and stigma that surround the two technologies and make visible the ways in which it results in the denial and restriction of women's reproductive freedoms.
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Marilyn Porter and Kristi Poerwandari
Purpose – To explore certain aspects of women's experience of their reproductive lives, in different cultural contexts, especially their views on sexuality and sexual practices…
Abstract
Purpose – To explore certain aspects of women's experience of their reproductive lives, in different cultural contexts, especially their views on sexuality and sexual practices. It is based on transnational comparative research, and compares the experiences and meanings about motherhood and mother/daughter relationships, especially referring to sexuality and reproductive health. The two contexts we have chosen for this chapter are drawn from our data on Indonesian and Canadian women. While these women come from culturally diverse situations, we find continuities between their experiences as well as contrasts in the contexts in which they live their reproductive lives.
Methodology – Our study was based on collecting participant driven narratives focused on their experience of their reproductive lives. We interviewed women from three generations in the same families to secure a longitudinal perspective and to examine the relationships between generations in the same family. Our overall purpose was to examine the role of local culture in the social reproduction of women's lives in the family.
Findings – The findings we discuss in this chapter focus on the continuities and contrasts we found in women's experience as lived in very different cultural, religious, and political contexts. Indonesian and Canadian women are struggling to live healthy and meaningful lives in a world that is changing ideologically, culturally, politically, and economically. We identify some key problems faced by women, especially as they negotiate the difficult terrain of sexuality, and suggest some points of entry in solving them.
Originality/value – The originality of the article lies in the close examination of in-depth, qualitative data on family relationships, especially in contrasting cultural situations. We also think that our approach, which focuses on generations of women in the same families, provides us with a unique perspective on how relationships and especially women's experience of their reproductive and sexual lives are closely related to the way in which culture is mediated in families.