Udenrigsudvalget 2022-23 (2. samling)
URU Alm.del Bilag 91
Offentligt
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Presentation for Danish parliament
Committee on Gender Equality
March 2023
Susheela Singh, PhD – Vice President for Global Science and Policy Integration
Gilda Sedgh, ScD – Principal Advisor, Research and Policy Integration
Jonathan Wittenberg – Executive Vice President
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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The overwhelming trend has been toward broadening the
grounds for legal abortion (2008 – 2018)
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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The majority of women in high income countries live
where abortion is allowed on broad grounds (2018)
High-income
countries
Upper-middle-
income countries
Lower-middle-
income countries
Low-income
countries
0%
3
12
1
19
65
2
20
4
8
66
9
27
11
1
44
8
20
10%
20%
30%
29
40%
50%
60%
35
70%
80%
7
90%
9
100%
% of women aged 15–44
Prohibited altogether
To save life of woman
To save life of woman/preserve physical health
To save life of woman/preserve physical/mental health
To save life of woman/preserve physical/mental health/on socioeconomic grounds
Without restriction as to reason
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Liberal abortion laws are the norm in Europe (2018)
World (1.64 billion WRA)
6
21
11
4
21
37
Northern America (70.4 m)
Europe (142.9m)
Oceania (8.2m)
Asia (1b)
Africa (264.2m)
LAC (150.3m)
0%
100
6
9
24
3
16
21
7
10%
20%
30%
84
12
7
2
33
66
40%
50%
60%
70%
2
33
60
38
28
16
80%
90%
11
8
6
3
100%
% of women aged 15–44
Prohibited altogether
To save life of woman
To save life of woman/preserve physical health
To save life of woman/preserve physical/mental health
To save life of woman/preserve physical/mental health/on socioeconomic grounds
Without restriction as to reason
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Abortion rates
No. per 1,000 women aged 15–
49 per year in 2015–2019
• All 195 countries contributed to the global and
regional estimates.
• Of these, 166 have some data on abortions or
unintended births.
• This map shows the 150 countries for which
we released estimates.
• Nothing is shown in the Middle East or North
Africa because this area had no reliable
abortion data with which to validate the
model.
• The borders shown here do not represent an
official position of the UN, WHO or
Guttmacher.
No. of abortions per 1,000 reproductive-age women per year
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Abortion rates are similar in countries with liberal and restrictive
abortion laws
100
# of abortions per 1,000 women aged 15-49 per year, average for 2015 – 2019
75
50
25
41
36
Life/Health
39
Prohibited
0
Broadly Legal
‘Broadly legal’ includes countries where abortion is available upon request, with varying gestational limits; this includes countries without
restriction as to reason and on broad socioeconomic grounds
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Abortions are more likely to be unsafe where abortion laws are
more restrictive
1%
12%
17%
42%
31%
25%
87%
Least restrictive
41%
Moderately restrictive
Safe
Less-safe
Least-safe
44%
Most restrictive
Ganatra B et al., Global, regional, and subregional classification of abortions by safety, 2010–14:
Lancet
2017
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Most high-income countries with data allow abortion through
at least the 12th week of pregnancy, as of 2017
Country
Portugal
Czech Republic
Denmark
Estonia
Finland
Iceland
Israel
Japan
New Zealand
Norway
Slovakia
Slovenia
Switzerland
Italy
Belgium
France
Germany
Spain
Sweden
Great Britain
Singapore
Netherlands
Canada
Gestational-age limit
Through 10th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 12th week
Through 90 days/three months
Through 14th week
Through 14th week
Through 14th week
Through 14th week
Through 18th week
Through 24th week
Through 24th week
No gestational-age limit previability
Law does not indicate gestational-age limit
Gestational-age exceptions
Exception up to 24 week limit for cases of fetal impairment
Exception up to 24 weeks for cases of fetal impairment or rape
No gestational limit specificed for cases of fetal impairment, risk to life or health including bodily or mental suffering, or young age
Exception up to 22 weeks for cases of fetal impairment, or intellectual or cognitive disability
No gestational limit specified for cases of fetal impairment; Exception up to 20 weeks for those less than 17 years of age, or risk to life or health
No gestational age limit specified for cases of fetal impairment, rape, intellectual or cognitive disability, or risk to mental or physical health
No explicit reference to exceptions in the law
Exception up to 21 weeks forr risk to physical health, rape, or economic or social reasons
No limit specificied if affecting mental or physical health; exception up to 20 weeks for fetal impairment, incest, intellectual or cognitive disability
Exception up to 22 weeks for cases of fetal impairment, or risk of life or health
Exception up to six months for cases of foetal impairment, rape or incest
No explicit reference in law to exceptions
No gestational limit specified if risk to health or causing state of deep distress
No gestational agel imit specified for cases of fetal impairment or risk to phsyical or psychological health
No gestational limit specified for cases of fetal impairment
No gestational age limit specificed for cases of fetal impairment
No gestational age limit specified if risk to mental and physical health
Exception up to 22 weeks limit for cases of fetal impairment (or no gestational limit depending on the circumstance)
No explicit reference in law to exceptions
No gestational limit specificied for cases of fetal impairment, risk to life or permanent injury to physical or mental health
Exception after 24 weeks if risk to physical or mental health
n/a
n/a
©2022 Guttmacher Institute
Source: Center for Reproductive Rights for gestational age-limit; Global Abortion Policies Database and country's legal documents for exceptions
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Most abortions in high income countries occur by the
12
th
week of pregnancy
Percent distribution of abortions by duration of pregnancy , c2017
Germany^
Estonia
Denmark
Norway
Slovakia
Switzerland
Czech Republic
Iceland
Scotland
Italy
Slovenia
Japan‡
Spain†
Sweden
Finland^
Singapore
United States
England & Wales
New Zealand
Israel
Canada
Netherlands
0
10
20
30
97
96
96
96
96
96
95
94
95
95
95
94
94
94
92
91
90
90
89
87
83
82
40
50
60
70
80
3
4
4
4
4
5
5
6
5
5
5
6
6
6
8
9
10
10
11
13
17
18
90
100
< 12 weeks
13+
©2022 Guttmacher Institute
Note: There was variation in how countries reported gestational age as follows: ^= <11; †= <14, ‡= <11
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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Factors associated with delays in obtaining an abortion
US (2017):
•
being Black
•
having less than a high school degree
•
relying on financial assistance to pay for the procedure
•
living 25 or more miles from the facility
•
late recognition of pregnancy
Netherlands (2008):
•
young age
•
inability to recognize pregnancy
•
ambivalence towards the pregnancy
•
having to travel to the Netherlands for abortion
•
being an immigrant
England Wales (2008):
•
not realizing they were pregnant
•
uncertainty about what to do if they were pregnant
•
changes in personal circumstances
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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The WHO recommends removing gestational limits for
legal abortion
WHO recommendation:
The guidelines recommend removing medically unnecessary policy barriers to safe abortion,
such as criminalization, mandatory waiting times, requirements for prior approvals, and
limits
on when during pregnancy an abortion can take place.
WHO rationale:
• Gestational age limits are associated with increased rates of maternal mortality and poor
health outcomes
• Women with cognitive impairments, younger women, women living further from clinics,
women with lower educational attainment, and women facing financial hardship were
disproportionately impacted by gestational age limits
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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GUTTMACHER
INSTITUTE
Abortion Bans and Gestational Limits
DC
Near-total or six-week ban or no clinics
15-week ban
18 or 20-week ban
22-week ban
24-week or third trimester ban
Viability ban
No gestational limit
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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GUTTMACHER
INSTITUTE
Abortion Bans: Pending in State Legislatures 2023
X
X
X
X
X
Near-total ban
Six-week ban
14-week ban
15-week ban
Expected in 2023
Legislation moving
©2022 Guttmacher Institute
 URU, Alm.del - 2022-23 (2. samling) - Bilag 91: Program og opfølgende baggrundsmateriale fra LIUs, URUs og SRSRs rejse for at deltage i FN's Kvindekommissions 67. samling i New York den 5-10/3-2023
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GUTTMACHER
INSTITUTE
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