CIVICUS speaks with Morena Herrera, president of Citizens’ Group for the Decriminalisation of Abortion, about the struggle for abortion rights in El Salvador, which has some of the most restrictive abortion laws in the world.
Citizens’ Group is a Salvadoran civil society organisation that works to raise public awareness of sexual and reproductive health issues, advocates for the reform of abortion rights legislation and provides legal support to women accused of or convicted for having abortions or related crimes.
What’s the situation of women who need to have abortions in El Salvador?
Currently, El Salvador’s laws do not allow abortion under any circumstances, not even in the case of a pregnancy of a nine-year-old girl, a pregnancy entailing risk to the pregnant person’s life, or a case of foetal malformation incompatible with extra-uterine life. Even in ectopic pregnancies, which occur outside the uterus and cannot be carried to term, doctors are usually forced to wait until there is no foetal heartbeat before performing the termination, putting the pregnant woman at serious risk of haemorrhaging.
This is the reality faced by women seeking to terminate a pregnancy in El Salvador. They face legal restrictions, criminal charges, prosecution and the risk of imprisonment. All they have left is clandestine abortion, which is often unsafe. Women living in poverty face much greater risks. Those with financial resources can leave the country and seek assistance somewhere where abortion is legal, while those with no resources have no options.
This explains why suicide has become the leading indirect cause of maternal death among adolescents. In the absence of alternatives for terminating a pregnancy, some adolescents with imposed or unwanted pregnancies see suicide as the only way out.
How are Salvadoran feminist organisations, including Citizens’ Group, working for abortion to be decriminalised?
Feminist organisations in El Salvador – particularly Citizens’ Group and the Feminist Collective – have worked to open up a conversation about abortion from new perspectives. We approach it as an issue of public health, social justice and reproductive justice, as well as from the angle of democracy, since at the end of the day it is all about recognising women’s status as citizens.
Citizens’ Group works along three interrelated lines. The first is litigation and the legal defence of women criminalised for abortion or obstetric emergencies. We have denounced this as a violation of human rights and have managed to get 73 women who had been convicted out of prison.
Our second line of work is advocacy and campaigns for legal change. We have disseminated a narrative in defence of women’s rights and freedom, and we have submitted initiatives to reform the Penal Code, along with an appeal for unconstitutionality and petitions to follow up on a Supreme Court ruling that recognised the need to reform the legislation.
In this area we have made uneven progress. There has been progress in the field of public opinion, but this has not yet reflected on the legal framework, partly because politics in El Salvador are controlled by a single party, and partly because religious and conservative parts of society have an enormous influence over the state.
Our third area of work is litigation in international arenas such as the Inter-American and the United Nations human rights systems.
Who is for and against legal abortion in El Salvador?
In El Salvador, these two blocs are not homogeneous. The one that actively opposes abortion is not very numerous, but it includes people with a lot of economic power, media influence and the capacity to put pressure on institutions. They are small in number but have a lot of power. For instance, for a recent hearing at the Inter-American Court of Human Rights (IACtHR), they hired expensive law firms and went very well prepared. They also have an army of social media trolls who attack and threaten those of us who argue that change is necessary.
However, on the side of change there are numerous organisations, not only feminist and women’s rights organisations, but also human rights organisations that have gradually come to understand that the absolute criminalisation of abortion is a violation of human rights. These organisations have supported us at IACtHR hearings even though the decriminalisation of abortion is not the main focus of their work. They have done so from a social justice perspective in the face of a reality that is too unfair for women, and particularly for poor women.
This bloc, in sum, encompasses a broad spectrum of organisations and people committed to human rights but working mostly outside institutions and with far fewer financial resources and access to influential media.
What significance could an upcoming IACtHR ruling on the Beatriz case have?
The Beatriz case is an emblematic case in the struggle for the legalisation of abortion in El Salvador. It’s the case of a young woman who was prevented by the Salvadoran state from having an abortion, even though her pregnancy endangered her physical integrity and her life.
An IACtHR ruling on this case would have enormous significance. Already at the end of 2021, the IACtHR condemned the state of El Salvador in the Manuela case, the case of another young woman who was criminalised after suffering an obstetric emergency and died because she did not receive the required medical attention. This ruling established that the criminalisation of poor women facing obstetric emergencies is inseparable from the context of absolute criminalisation of abortion.
A ruling in the Beatriz case would highlight other consequences of the absolute prohibition of abortion and could lead to legal reform that prioritises women’s rights.
Civic space in El Salvador is rated ‘obstructed’ by the CIVICUS Monitor.
Get in touch with Citizens’ Group for the Decriminalisation of Abortion through its website or Facebook page, and follow @AbortoPORlaVIDA on Twitter.
