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ABORTION

Free contraceptive pill halves Norway’s abortion rate

A pilot project with free contraceptive pills for Norwegian women younger than 25 has seen abortion rates halved, yet the Health Minister does not want to roll out the system nationwide.

Free contraceptive pill halves Norway's abortion rate
Norwegian Health Minister Jonas Gahr Støre. File photo: Cornelius Poppe/Scanpix

Between 2008 and 2009, Norwegian health authorities gave out the contraceptive pill for free to women in Tromso and Hamar, while performing surveys with the test persons and young women in the two areas where the pill was not given out. The survey revealed that the number of abortions was half that in the free-pill areas compared to Bodø and Porsgrunn, where women who were not given free contraception but also answered questions about their sexual health.

Despite the study result, the health minister has chosen not to roll out the free-pill drive nationally. Jonas Gahr Støre has said such a roll-out would be too costly. The Health Ministry did not offer an estimate on the cost of abortions performed in Norway, when contacted by The Local, but said that money spent on contraception could be used more effectively on other health measures. 

"To introduce free birth control for women up to 25 years could result in a reduction in the number of abortions," Health Ministry top aide Kjell Erik Øie told The Local via email. "But it will also involve using about 100 million kroner ($17 million) on an initiative aimed at healthy young women – money that can be used alternatively on other measures with positive health effects."

The ministry added that the pilot project was part of an action plan to prevent unwanted pregnancies and abortions, and that 180 million would be spent next year to help public health and school clinics continue that work. 

"This year we have spent over 30 million on information and knowledge rather than on free birth control. It also seems that it works," Øie said.

The issue has divided opinion among Norway's public health specialists. On Friday, the head of the child and family unit in Asker municipality, Nina Nordgaard, told NRK she did not understand the minister's stance. 

"This is a weird policy," said Nordgard, who is also a nurse and underlined that unwanted pregnancies and abortions took an emotional as well as physical toll on many young patients. "Many girls have a reaction to it later in life. That must also be taken into account." 

The Verdens Gang newspaper reported on Friday that the country's Directorate of Health (Helsedirektoratet) had recommended that the Health Ministry consider free contraception for women in their twenties, as the study showed it to be the most effective way to keep abortion rates low.
 
The directorate report also stated that the women themselves said that the pill being offered for free was an important factor in their decision to actively use contraception.

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HEALTH

What you need to know about Spain’s plan to change its abortion laws

In Spain women can get an abortion for free in all public hospitals up until 14 weeks, no questions asked. But the reality is that many doctors refuse to perform them. The Spanish government is revising its laws to make sure it is enforced across the country.

What you need to know about Spain’s plan to change its abortion laws
Anti-abortion supporters take part in a march in Madrid in 2014. In Spain women have the right to abortions up to the 14th week of their pregnancy, but many doctors across the country refuse to perform the procedure. Photo by DANI POZO / AFP

Under the current legislation introduced by the previous Socialist government in 2010, women in Spain have the right to abortions up to the 14th week of their pregnancy, which is standard in much of Europe.

They also have the legal right to abort up to the 22nd week of pregnancy in cases where the mother’s health is at risk or the foetus has serious deformities.

‘Conscientious objectors’

However, in practice this law translates into a very different reality.  

Many doctors across Spain refuse to practice abortions, calling themselves “conscientious objectors”.

So many doctors deny the procedure across the country, that in five out of the 17 autonomous regions in Spain, no public hospitals offer abortions, according to data from the Health Ministry

This causes stark regional inequalities, forcing thousands of women to either travel to another part of the country, or pay for one in a private clinic, despite the 2010 law stating that “all women should benefit from equal access to abortion regardless of where they reside”.

According to the data, the provinces of Teruel, Ávila, Palencia, Segovia, Zamora, Cuenca, Toledo and Cáceres have not performed a single abortion in the past 30 years.

And, another even more revealing statistic: in 2019, 85 per cent of abortions took place in private clinics.

The map below shows the provinces that never perform abortions in red, the ones where it has varied over the years in orange, and the ones where they have always been available in green.

READ ALSO: Why does Spain top Europe’s Covid vaccination league table?

Law reform

The minister of equality, Irene Montero, has proposed a reform of the current law that would limit doctors being able to refuse the procedure.

“Conscientious objection cannot be an obstacle for women to exercise their right to terminate a pregnancy,” Montero said in a tweet. “We must reform the law to regulate it and make sure abortion is guaranteed in the public health system.”

Montero said the draft law would be ready in December after a consultation process.

However, others have said doctors should not be forced to perform abortions.

The president of Madrid’s regional government, Isabel Díaz Ayuso, said she would not force “any doctor in Madrid’s public health system to practice an abortion against their will” because doctors study medicine “to save lives and not to do the opposite”.

Conservatism

The situation shows abortion remains a dividing issue in Spain, where a large part of the conservative population is still opposed to a law that was introduced over a decade ago.

The former conservative Prime Minister Mariano Rajoy had promised to tighten Spain’s abortion law before he came into power in 2011.

However he was forced to drop the plans in 2014 due to disagreement within his Popular Party (PP). This angered many Catholic and other pro-life groups.

The reform would have ended women’s rights to freely terminate their pregnancies up until the 14th weeks. 

In 2015 Rajoy’s government passed another reform requiring girls aged 16 and 17 to get their parents’ consent if they wished to terminate a pregnancy. But the measure failed to pacify pro-life campaigners.

Montero also announced plans to repeal the 2015 reform as part of the draft law.

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