Systematic failure and grey areas: abortion in Ireland

Savitia Halappanavar was a symbol of all that is positive about cultural diversity in Ireland. A young Indian Hindu, she had embraced Irish culture, partaking in St Patrick’s day festivities and playing an active role within her community. Her horrific, slow death and the subsequent dignity of her husband…

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A demonstration in Dublin following the death of Savita Halappanavar. AAP

Savitia Halappanavar was a symbol of all that is positive about cultural diversity in Ireland. A young Indian Hindu, she had embraced Irish culture, partaking in St Patrick’s day festivities and playing an active role within her community. Her horrific, slow death and the subsequent dignity of her husband, Praveen Halappanavar, in speaking out about it, reignited the emotive debate around abortion in Ireland, highlighting the failure of successive Irish governments to legislate for it.

On Monday the 12th of November, Ireland was elected to the United Nations Human Rights Council. The government, which had been on a charm offensive trying to mend its international reputation, was quick to big note itself. The Tánaiste (Deputy Leader) and Minister for Foreign Affairs, Eamonn Gilmore, stressed the position on the council was “hugely important” for Ireland and called it “a major endorsement” of the country’s international standing. By the end of the week, news of the death of Savitia Halappanavar had broken, and Ireland’s human rights record was being discussed all around the world. Across Ireland people took to the streets, making a whole new generation of women aware of what the Irish constitution says about them and their bodies.

It’s 20 years since the 1992 X case, when the Dublin High Court prevented a 14-year-old rape victim from travelling to England for an abortion. At the time, thousands took to the streets demanding she be allowed travel. With anger growing, the Supreme Court ruled that the girl had a right to an abortion in Ireland stating: “it is established as a matter of probability that there is a real and substantial risk to the life, as distinct from the health, of the mother, which can only be avoided by the termination of her pregnancy.”

Two referenda were held as a result of the X case, in 1992 and 2002, to try to set aside the threat of suicide as grounds for a legal abortion. The government was defeated in both. The 1992 referendum also guarantees women the right of information and to travel abroad for abortion. The expert group report on abortion was finally published this week. The report was commissioned as a result of a complaint to the European Court of Human Rights from 2005, by three women who alleged that restrictions on abortion in Ireland were in breach of their human rights. The case became known as A, B & C v Ireland. The 2010 judgement from this case accepted that Ireland has the sovereign right to decide on the availability of abortion but that if there is a right to access abortion, there must be a system for that right to be exercised.

Irish citizens and the courts both domestically and internationally have been clear what they want the legislature to do. What has occurred is the failure for over 20 years by successive Irish governments who have refused to legislate. The choice after A, B & C v Ireland was clear either put in place a process where the medical profession had clear guidelines about applying the X case or hold yet another constitutional referendum to either narrow or broaden the case.

The death of Savitia Halappanavar also illustrated the ambiguities and lack of clarity within the system. Whilst the Irish Medical Council have clear guidelines on abortion, medical experts are divided on the correct course of action. It is also worth noting that the majority of Irish hospitals are run under under a Catholic ethos which has had a brutal historical impact. Earlier this year women recounted their experiences on being forced to travel to England to end pregnancies despite being told the foetus could not live after birth. We were also reminded of the status of women within the constitution, where on one hand Article 40 protects the life of the unborn with due regard to the equal life of the mother, whilst Article 41 contains an antiquated clause of mothers' duties within the home. The reaction of the government – made up of a coalition between Fine Gael (a conservative centre-Right party), which promised not to legislate for the X Case, and the Labour Party (centre-Left), whose election manifesto committed itself to broadening access to abortion – has been slow. There have been tensions between both parties on what steps to take as both sides of the debate prepare to lobby.

This week I was reminded of a debate former president Mary Robinson partook in 1983. Very little has changed. Watching this story break from abroad has been depressing and inspiring in equal measures. Abortion is no longer an issue Ireland can export. The world is watching as Ireland takes over the EU presidency on the 1st of January 2013. The legislature needs to act. We owe it the the memory of Savitia Halappanavar and her family to legislate.

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8 Comments sorted by

  1. Michael Cook

    logged in via Facebook

    I cannot understand why the media, both in Ireland and overseas, has been so quick to conclude that that the lesson of this tragic death is the legalisation of abortion.

    For one thing, the facts of the matter are not at all clear, as the journalist who broke the story, Kitty Holland, has admitted at least twice, in public forums http://goo.gl/1h3Lu. It may turn out, she says, that Savita's death had nothing to do with abortion. She may not have even requested an abortion. Why don't we wait for the results of the 3 investigations?

    Second, Ireland has the lowest, or the second lowest, rate of maternal mortality in the world. It is not clear to me how legalising abortion will decrease deaths even further. Almost certainly, they will rise.

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    1. Éidín O'Shea

      Regional Community Development & Engagement, Irish Politics & Social Policy at University of Southern Queensland

      In reply to Michael Cook

      The investigations are important and are currently being undertaken on the tragic death of Savitia Halappanavar. However the focus of the piece is more on the wider policy failures over the last 20 years. Re maternal morality rates its important to refer to the facts-I refer you to a piece by Fintan O'Toole in yesterdays Irish times- http://www.irishtimes.com/newspaper/opinion/2012/1204/1224327437622.html

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    2. Dania Ng

      Retired factory worker

      In reply to Michael Cook

      Eidin O'Shea states, "However the focus of the piece is more on the wider policy failures over the last 20 years"
      What policy failures? All you can quote is the sad cases of the 14-year-old and the unfortunate death of Mrs Halappanavar which has not even been verified as attributable to religion or, indeed, malpractice. That's it! But why don't you mention the fact that Ireland has one of the lowest maternal mortality rates (not 'morality' rates as you call them)? When abortion-on-demand is allowed…

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  2. Carol Daly

    Director

    Thanks, Eidin, for this excellent explanation and for the links to the very useful Irish Times article.
    To Micheal Cook: the best proven way to avoid abortions is to make effective contraception readily and cheaply available and to have safe abortion available when needed. Both of these are against the teachings of the Catholic Church which (still) has immense political sway in Ireland. Therefore the inertia of the legislature and the medical profession in both these areas.
    Here in Australia, the power of the Churches is also seen in abortion not being decriminalised in some states yet and a woman and her partner being charged and convicted in Cairns last year for procuring an abortion by importing a drug.
    The disgraceful situation where men with power still will not give women control of their own bodies in 2012 makes me despair about what needs to happen before woman are considered as equal people. More deaths?

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  3. Michael Leonard Furtado

    Dr at University of Queensland

    Interesting 'human rights' take on the topic, Eidin. Undoubtedly, the Church has played a major part in the past in conservative Ireland to secure and align its own human rights position with that of the state, which accords equal rights to both mother and child. Given the realities of Irish history this is understandable and, for many, ethically defensible (though anachronistic when compared with the status quo in other equivalent polities where the decision to terminate basically depends on the…

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