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Jurist HRW report condemns obstetric violence in Sierra Leone

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Dadparvar

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Nov 11, 2016
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Human Rights Watch (HRW) on Monday released a report documenting widespread obstetric violence faced by women giving birth in public healthcare facilities in Sierra Leone.

In its 80-page report, “No Money, No Care: Obstetric Violence in Sierra Leone,” HRW interviewed over 50 postpartum women who suffered health complications because of delayed and denied care due to their inability to pay hospital staff adequately.

Despite the government’s 2010 free health-care initiative, aimed at improving maternal and child mortality rates, the report found that all 50 women still had to pay for some part of their care in public facilities. In 15 documented cases, women in obstetric emergencies were abandoned or had their treatment delayed because they lacked money. Most interviewees reported that how quickly or kindly they were treated often depended on whether they could deliver informal payments.

HRW called on the government of Sierra Leone to publicly acknowledge obstetric violence as a serious rights violation; to improve regulation and oversight of public maternal and newborn healthcare providers; to increase paid staffing and ensure essential medical commodities; and to move towards reducing reliance on out-of-pocket and informal payments.

Obstetric violence is a form of gender-based discrimination that takes place in health facilities providing reproductive and maternal health care. It ranges on a spectrum of abuses against women, including non-consensual interventions (such as sterilization or unnecessary surgery), verbal and psychological abuse, withholding of pain relief, neglect or abandonment in the delivery ward, and the denial of bodily autonomy and dignity.

In recent years, Sierra Leone has made strides in improving women’s rights. The government decriminalized abortion in 2022 and criminalized child marriage in 2024. However, the nation continues to have the highest maternal mortality rate in the world.

The post HRW report condemns obstetric violence in Sierra Leone appeared first on JURIST - News.

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