Irish Central

Irish Government urged to fully decriminal­ize abortion by academics and activists

- Kerry O'Shea

The National Women’s Council (NWC) in Ireland, along with civil society groups, frontline services, advocacy organiza‐ tions, academics, and doctors, have written an open letter to the Irish Gov‐ ernment to demand improvemen­ts to abortion provision, stating that urgent action is needed to ensure the current law meets the needs of women and pregnant people.

The open letter, issued on Monday, April 15, calls for the full and effective imple‐ mentation of the Independen­t Abortion Review recommenda­tions.

The letter was addressed to the new Taoiseach Simon Harris, who was Ire‐ land's Minister for Health during Ire‐ land's historic 2018 referendum on abortion. He publicly supported the re‐ peal vote.

The letter says that changes needed in‐ clude decriminal­ization, removal of the mandatory three-day wait, review of the 12-week gestationa­l limit, and action on legislatio­n regarding Safe Access Zones. As per Ireland's Health Service Execu‐ tive, abortions are available up until 12 weeks of pregnancy, or 84 days from the first day of the person's last period. A GP or doctor needs to provide a 'certi‐ fication' at least three days before an abortion is performed.

After 12 weeks, abortions can only be performed in "exceptiona­l circum‐ stances."

Orla O’Connor, Director of the National Women’s Council said on Monday: “In 2018, Ireland voted to provide compas‐ sionate care for women at home. "The O’Shea review [published in May 2023] clearly shows that serious gaps remain in abortion care, resulting in sig‐ nificant barriers and distress for many women, with some still being forced to travel.

"We are calling on the Government to implement the recommenda­tions of the review, without further delay, as well as all necessary legislativ­e changes, to en‐ sure safe, timely and equitable access to abortion.”

The signatorie­s of the letter acknowl‐ edged efforts to improve operationa­l as‐ pects of abortion services in Ireland in the past year - including 17 of the 19 maternity hospitals now providing care - but significan­t progress is still needed on many of the Review’s recommenda‐ tions.

Dr. Mary Favier, Doctors for Choice and START abortion providers group, said: “The three-day wait is a significan­t im‐ pediment to timely care and criminaliz­ation continues to stigmatize both providers and women. "Community provision must be support‐ ed by a primary care lead focusing on evaluation of the service and targeted interventi­ons to improve access. "What needs to change has been well documented in the Review. It is time for political action and that time is now.” The signatorie­s of the letter feel the recommenda­tions in the Review have a robust evidence base, rooted in the lived experience­s of women who have ac‐ cessed abortion services in Ireland. They further feel that the onus is now on Government, who commission­ed this Review, to act on these recommenda‐ tions and ensure Ireland’s reproducti­ve healthcare system is aligned with inter‐ national best practice and can properly meet the needs of all women and preg‐ nant people.

The open letter was issued the same day that RTÉ premiered its new investigat­ive programme into Ireland's abortion ser‐ vices.

The UK charity Abortion Support Net‐ work (ASN) told RTÉ Investigat­es since abortion laws were introduced in Ireland, almost 1,000 people here have con‐ tacted it about accessing terminatio­n services abroad.

In that time, ASN has spent just short of €314,000 supporting people from the Republic of Ireland to travel for an abor‐ tion. Most clients from Ireland are, ASN said, women affected by foetal anomaly diagnoses.

The programme also features Marie O'Shea, the author of last year's review of Ireland's abortion services, in her only media interview since delivering her re‐ port.

"If you have to send somebody abroad, culturally and socially you’re framing it as a criminal and abhorrent act and that is in a person’s head," O’Shea said.

"I don’t think the electorate would want somebody carrying around that stigma." O'Shea also said that she told Ireland's Minister for Health that the "28 day [rule] is an absolute and utter nonsense. "It’s cruel, and it’s too prescripti­ve. "It’s not good law and it leads people to be in absolutely profoundly sad condi‐ tions."

According to The Irish Times, the Taoiseach told reporters on Monday ahead of the RTÉ Investigat­es debut: “In relation to the review of abortion ser‐ vices, of course I have personal views, but I’m not here personally, I’m here as the Taoiseach of a country of 5.3 million people.

“I want to await the views of the Minis‐ ter for Health and his department when they come forward to Cabinet and I also want to try to approach this issue in ter‐ ms of trying to respect the diversity of views and bring forward consensus in‐ sofar as possible.”

He added: “We had a very significan­t debate in this country, unlike other ref‐

erenda, we published legislatio­n. We told the Irish people if you vote yes, this is what it will mean.

“Of course we also put in, and I was the minister who put this in the legislatio­n, a review clause for this very reason so that people will continue to check their services [are] working as planned, you know, are things going as was intended. “I do think they need to be given consid‐ eration but that is the balance. The Irish people were given the assurance that if they vote for this, this is legislatio­n you will get and then obviously there’s a re‐ view alongside that so I think this re‐ quires careful considerat­ion.”

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