People's Democracy(Weekly Organ of the Communist Party of India (Marxist) |
Vol. XXXIV
No.
48 November 28, 2010 |
Reconsider
Proposal to Allow Injectable Contraceptives
The
All
THE central
executive
committee of AIDWA expresses deep concern about the health ministry’s
reported
proposal to allow introduction of injectable contraceptives into the
public
health system. This is a retrograde and unfortunate decision which is
sought to
be adopted despite the consistent objections that have been raised by
the
organisations working closely with women’s rights and women’s health
issues,
over a long period of time. It is most unfortunate that the ministry
has not
discussed the matter with the organisations and individuals working on
this
issue, before arriving at a decision that is potentially harmful to
women,
especially those belonging to the vulnerable sections of society.
The sustained
opposition
to Depo-Provera and Net En from organisations working with women’s
health needs
arises from some serious considerations
a)
Long acting
hormonal contraceptives
cause changes in the menstrual system, and some of these may be
harmful, and
cause irreversible damage to the woman’s body, especially in scenarios
where
women are anaemic, are burdened down with work pressure, lack rest,
etc. They
remain in the body even after the contraceptive is stopped, and return
to
fertility is not assured.
b)
These drugs
have a wide
range of side effects, which require effective administration and
monitoring,
which is hardly available for the poor women in rural areas. Once
administered,
they cannot be removed even if ill effects are noted. The condition of
the
health delivery system in our country being what it is, especially in
the rural
areas, introduction of such drugs
through the public health system is an open invitation to disaster;
c)
Being
provider controlled,
there is tremendous potential for abuse, especially in the context of a
government-run population control programme.
d)
The danger of
HIV AIDS
infections also increases since these injectables would be used widely,
in
potentially unsafe conditions.
In such a
context, the government
must refrain from taking a step that can seriously jeopardise the
health and
well being of thousands of women. The government must focus instead on
the
unmet need for safe and effective contraception, which would include
choices
like barrier methods and non invasive procedures.
We demand
that the government
should immediately put a stop to any such proposals, and make sure that
the
health interests of the women of this country are safeguarded.