Tuesday 17 January 2012

ISLAM AND WOMEN’S REPRODUCTIVE AND SEXUAL RIGHTS IN SENEGAL


ISLAM AND WOMEN’S REPRODUCTIVE AND SEXUAL RIGHTS IN SENEGAL

The objective of this presentation is to look at the situation of women’s reproductive and sexual health and rights in Senegal and the way it is impacted by Islam. I intend to develop this issue in a research I am going to carried out back to Senegal in the purpose of writing an article for the Islam and Human Rights Fellowship Project.

The context

Senegal is located in Sub Saharan Africa, more precisely in West Africa.
It was a former French colony that became independent in 1960. Senegal has been in contact with Islam since the 9th or 11th century. As a result of the spread of Islam, today, 94% Senegalese are Muslim, 5% are Christian and 1% still follow the traditional faith. But whether they are Muslim or Christian, the majority of Senegalese remain still faithful to many aspect of the traditional faith. Muslim Senegalese are Sunni and follow the Maliki School
Senegal, that  has been the first French colony in Africa (first contacts with Europe date from the 15th century)  has been and is still very much influenced by the French State model. This influence is noticeable in the structure of its political structure with  three main state powers : the Executive power held by the President of the Republic, the legislative power held by the National Assembly or Parliament and the Judiciary Power  that is independent for the executive and legislative powers.  Its is composed by the Constitutional Council, the State Council, the Supreme Court and ordinary courts and Tribunals.

The sources of laws that may affect women’s reproductive and sexual health and rights are local and international. At the international level, Senegal signed and ratified almost all international documents on human rights, in particular the African Charter of Human and People’s Rights, the International Covenant on Economic, Social and Cultural Rights, the Convention on Elimination of all forms of Discriminations against women and of the Convention on Child Rights. The international laws have precedence over national laws.
The plan of action of international conferences ( for example Rio, the ICPD, Beijing, Rio, and Vienna etc) are translated into national programmes or policies.

            The context of women’s reproductive and sexual health [1]

According the Health and Demographic (DHS) survey (1997) women constitute 52% of the population. Early marriage and early pregnancy are very common. According to the DHS the mean age to marriage is 17, 4 ans. But the legal age is lower than that. It’s 16. At 20, the majority of Senegalese women already had their first child, and 9% of all births in the country are attributed to adolescents mother aged 15-19. At 49, the average Senegalese women have 5.7 children.

The budget for the health sector represents 6.5% of the national budget. It should be noted that the budget of Ministries dealing with social actions (where women are located) are the less funded by the government, and expect funding from the international donors.  The country counts twelve hospitals located in the largest cities. There is only one medical doctor for every 13.55o persons and only 40% of the population accedes to basic health care. Someone living in the rural area has to walk around 8 miles to accede to a health facility.
Concerning maternal health care, it is estimated that only 47% of births are assisted by traditional birth attendants. In such a context the maternal mortality rate is high: 510 women die for every 100,000 life births.
In the 80’s the maternal mortality rate was around 480 per 100,000 life birth. Many Senegalese believe that the structural adjustment policies imposed by the IMF and World Bank which obliged the state to stop its policy of free access to health care are responsible for the increase of the maternal mortality rate.
Other causes are too early or too late or too frequent pregnancies, poverty, preexisting illness such as high blood pressure, anemia, abortion, unattended deliveries, women’s burden of domestic chores, neglect of women’s health by the families, unhealthy practice during the delivery and some traditional practices (FGM, nutritional taboos etc).

The national reproductive health programme:

Since the colonial period the government concern is too curb the maternal and child mortality rate in implementing programs dealing with maternal and child health. Most programs integrate services oriented to safe pregnancy, delivery, and child health care.
Another very important component of the programme is family planning. As a consequence of these biases, the other components of women’s and men’s reproductive and sexual health problems are neglected. These services concern the counseling, information and provision of contraceptives to adolescent, the services to menopaused women, the cancers of the reproductive system, the prevention and treatment of infertility, of abortion, or of sexually transmitted infections. The services for sexual health such as sexual abuse, MGF, counseling are almost inexistent.
Through the international documents signed at the ICPD and Beijing Senegal committed to adopt a life cycle approach to women’s reproductive health, to be sensitive to adolescence’s needs, and to integrate the human rights approach to its reproductive programme. This commitment is not respected.

 The legal context of women’s reproductive health:

Because laws pertaining to reproduction reflect the social believes, attitudes, norms about women’s status, a brief outline of the context within which sexuality and reproduction take place in Africa may be helpful. African women get a full social status when they are married and are mother. This explains women’s desire to have many children. It should be added that children are also important to male’s status and opportunities to accede to high social and religious functions.
Another important feature of African societies is the weakness of the social power given to women. As girls, they are expected to be submissive to their parents and elders, until married to their husbands. Most African women enjoy little individual control over their sexual and reproductive lives.
In 1972, the parliament passed the Family Laws that are a mix of modern  principles, cultural norms and elements of the Islamic family laws. Its regulates engagement, marriage, divorce and inheritance. Below are the articles important for reproduction and sexuality :
-         Engagement: sex before marriage is neither allowed nor forbidden. The laws states that the fiancés may visit each other provided that they conform themselves to the customs. They may exchange gifts. If for any reason the knot is not tied, and gift exchanged were valuable, they may be returned.
-          The legal age of marriage is fixed at 16. The consent of two concerned is a condition of validly of the marriage. Marriage must be celebrated by an officer the City Hall, or consecrated at the mosque.
-         Polygamy is the common law,
-         Husband is the head of the family, and provide for its members. He decides about the residence, where the wife is obliged to stay. But if the wife think that her safety is not assured she can be allowed by the judge not to reside with her husband
-         Any spouse can divorce the other. Repudiation is forbidden. Ten causes of divorce are admitted by law ( confirmed unfaithfulness of one of the spouses, condemnation of one spouse under dishonoring charges, a husband non maintaining the family, refusal by one spouse to respect elements of the contract of marriage, abandon of the family, violence, absence of one the spouses for 4 years without the remaining spouse not receiving news from the departed one, severe and untreatable illness hidden before the marriage took, definitive sterility, and mood incompatibility). In this last case the spouse who files for divorce is not obliged to explain he or she wants to divorce.

As of yet, the large majority of the population, women in particular do not know what the family law is really about. Thus the practices are very varied according to the customs and to whether the concerned intends to follow strictly the Islamic law.

Other law impacting reproductive health;
-         Access to contraception (information and services). It is free and it is considered as an individual right.
-         Sterilization is allowed
-         Abortion is not allowed unless the pregnancy constitutes a threat to the mother’s life or that the baby will be borne with severe mental illnesses.
-         Domestic violence, pedophilia, incest, female genital mutilations, trafficking in women, sexual harassment and rape are banned. The perpetrator may face up to 10 years in jail.
-         Marital rape is not recognized
 -Sexual orientation is not defined, but the Penal Code states that « sexual acts against nature between individual of the same sex » is sentenced 2 to 5 years.

Senegalese Islamists and Women’s reproductive and sexual rights


In this chapter I do not attempt to analyze what the  position of Islam about women’s reproductive and sexual rights. I want to present the vision on women in general and on reproductive and sexual rights the examples I give below come from a book by one of the most prominent intellectual Islamists whose name is Khadim Mbacke. The title of the book is “Women in Islam”.
The first tenet is the notions of women’s human reproductive and sexual rights are Western in origin and are in conflict with Islam. The second is women are not autonomous persons and cannot be equal partners to men.  Giving them “control over their sexuality, free decision, and bodily integrity” as stated in the ICPD or Beijing Plans of Action, and providing adolescent information and services on contraception lead to disruption of family, to depravation and to  ruin of moral and Islamic values.
Concerning women’s consent to marriage they affirm that a guardian is allowed to marry his daughter if she is not pubere. If she dislikes the man she is allowed to divorce him when she reaches majority (puberty).
 In their views, women’s sexuality should be aimed principally towards reproduction and pleasuring the husband. She is recognized only two roles, which are to be wife and to be a mother. According to them the right to divorce and repudiation should be a man’s right and they think that a man should have the right to punish his wife and children.
Sex should happen only between married persons (at least for women) and they agree with the punition of Zina. They promote women‘s modesty with a dress code with a very long dress, with long sleeves, head should be covered. In all occasions they should remove themselves from the company of other men
The opinion is not homogenous about family planning, but they believe that in this area it’s the husband who makes the decision. They are against abortion unless the mother’s life is endangered by the pregnancy.
 The Islamits are very active in promoting their vision in medias. They own radios and publishing houses. In addition, they have managed to be members of all national commissions in charge of drafting or implementing programs targeting women, in particular the one dealing with women’s health and sexuality another political feature has given them more opportunity to influence national policy. To comply with the Malthusian position of its main donors (World Bank and USAID) that link the slow pace of economic development to the growth of the population, the Senegalese government needs a religious legitimization for its family planning programs in order to have them accepted by a reluctant population, males in particular. Several Muslim intellectuals play the role of advisers in this area to the government and to the donors, and clearly do not advocate for the promotion of women’s rights.
In my opinion these views are not only an obstacle to the promotion of women’s reproductive and sexual rights, but they are a threat to their human rights in general because all rights are interdependency. Other factors might also empower Islamists. There are:
-         a deep economic and social cries, high rate of unemployment and poverty,
-         lower flows of investments from westerner countries and increase in Arab investment as well as offer of opportunities to young men to come to Arabic ( in particular Saudi Arabia) for studies,
-         Deep identity crises and a desire from many Senegalese to put the Muslim identity under the others.

What way out?

 

Issues pertained to reproductive and sexual rights are not yet considered as a priority in the agenda of African women’s movement . The majority of women’s organizations are more concerned about women’s economic and political rights. Although more and more campaign against domestic violence and rape, few have a holistic and feminist vision on women’s reproductive and sexual rights.
In addition, the definition of the concept of sexual rights, the issue of sexual orientation, the definition of MGF as violence and the way it should be punishment, are still controversial within the African feminist movement.
A main consequence of these tensions is a lack of a strong mobilization on the issues of women’s reproductive and sexual health and rights in the continent, is one hand there is no pressure on government to demand the enforcement of their international commitments, and one the other hand give room to fundamentalists (both Muslim and Christian) to strengthen their position.

A strategy I am interested to explore and that is the aim of my research is collect the position of  Senegalese women, those who are not educated and often do not participate to this sort of debate.
Through qualitative research methods I am interested in finding out how they understand the concepts of individual rights, self determination, bodily integrity, and ownership of one’s body, interdependency of rights, or how they would define them in the light of their experience. I’d also like to know if they think these definitions should be operationalized in laws or in national programs, and what strategies they think would be the best to achieve this. Third, I’d like to find out about their knowledge and perceptions about the Islamic position (if any) and also their opinion about whether Islam empower them or deprive them from power in the area of reproduction and sexuality.






                                                                                                      

























SOME FACTS ABOUT SENEGAL

Location         West Africa

Population :
around 9 millions. 45% of the population less than 15 years old
Women form 52% the population
Around 60% of the population live in urban areas

Main ethnic groups :
Wolof ( 43%), Pular (Fulani), Serer, Jola, Mandeng, Soninke.

Administrative language : French

Revenue per capita : around 600 US $ per year


Social :
Marriage is almost universal. At 30, 97% of Senegalese women are married.

At 20, the majority of Senegalese women have a least one child

Labour
Women form 43% of the labour force

      Education:
Adult’s illiteracy rate: 75% for women and 55% for men.
Enrollment in primary school: 45% of girls against 68% of boys.
29% of girls in high school.

Household maintenance: 20% of households are maintained by women (de jure) the majority are maintained by women (de facto)
 
Heath

Life expectancy: 53 years for women and 51 years for men

Budget of the Ministry of Health: 6.50% of the national budget

Access to primary health care: 40% of the population

Child mortality: 68/1000

Maternal mortality: 510 /100,000 live births

Women’s median age to marriage: 17, 4 years

Prevalence of female genital mutilation: 20%.  (It’s the removal of the tip of the clitoris that is the rule)

HIV/Aids prevalence: 1.4

STD prevalence in the 12 months before the DHS: 0, 7 % of women and 0, 11 % of men

Main Components of the National Program on Reproductive Health

Family Planning

Prenatal Health

Delivery and post partum health

Promotion of breast feeding and good traditional practices related to weaning. Monitoring of child nutrition and immunization

Prevention and treatment of infertility

Prevention of abortions and post abortion services

Prevention and treatment of sexually transmitted infections including cancers

STD and HIV/AIDS Program

Counselling for responsible parenthood

Female Genital Mutilation

Counselling and treatment for sexual problems














[1] The Cairo ICPD defines Reproductive Health as follows: “Reproductive health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. Reproductive health implies that people are able to have satisfying  and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. Implicit in this last condition are the right of men and women to be informed and to have access to safe, effective, affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility which are not against the law, and the right  to access to appropriate health care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance oh having a healthy infant ( Para 94 p.58)

The Beijing Platform for Action in its paragraph 96 defines sexual rights as follows: “The human rights of women include their right to have control over and decide freely and responsibly on matters related to their sexuality, including sexual and reproductive health, free from coercion, discrimination and violence. Equal relationships between women and men in matters of sexual relation and reproduction, including full respect for the integrity of the person, require mutual respect, consent and shared responsibility for sexual behavior and its consequence.
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12.  The Third National Health and Nutrition Examination Survey 1988-94) Centers for Disease Control and Prevention Atlanta, GA U.S.A October 1996  

13      Aach RD,Stevens CE,Hollinger FB,et al.Hepatitis C virus infection in post transfusion  
hepatitis-an analysis with first and second generation assays N Engl J Med 1991;325:1325-9.
14      Gaeta GB, Stornaiuolo G, Precone DF, Lobello S, Chiaramonte M, Stroffolini T, Colucci G,  
Rizzetto M. Epidemiological and clinical burden of chronic hepatitis B virus / hepatitis C virus infection. A multicenter Italian study. J Hepatol. 2003 Dec;39(6):1036-41.                                                                                                                                                
15  Quran  5:32
16  Abu Daud, Adab Bab al-Muwakhat
17   Abu Daud, Adab Fial-Ma'unah lil Muslim.
18.  Yazdanpanah Y, Boelle PY, Carrat F, Guiguet M, Abiteboul D, Valleron AJ
      Risk of hepatitis C virus transmission to surgeons and nurses from infected patients: model-    

      based estimates in France. J Hepatol 1999 May;30(5):765-9

19  Tibbi Nabawi 18 FF
20.  Ibn Maja al-Tibb, Bab al Nahy 'an al-dawa' al-Kabith.
21.  Sahih Bukhari 007.072.830-Dress….
22. Sahih Bukhari 007-072-832 Dress - - - -
23.  Sahih Bukhari 007.072.829 Dress----
24.  Sahih Bukhari 007.071.636- Medicine---
25.  Quran 5:90
26.  Sahih Bukhari  001-004-243 Ablutions (Wudu') - - - -
27  Sahih Bukhari 005.059.631: Military Expeditions led by the Prophet (pbuh) (Al-Maghaazi) –

28. Othman BM, Monem FS Prevalance of hepatitis C virus antibodies among intravenous drug   
      abusers and prostitutes in Damascus, Syria Saudi Med J 2003 Jul:24 Suppl 2:S136-S137
29. Helen Ward, Sophie Day, Jonathan Weber. Risky business: health and safefty in the sex    
       industry over 9 years period  Sex Transm Infect 1999,75:340-343
30. Huo TI, Wu JC, Chang AL et al Changing seropositivity of hepatitis B, C and D virus
      infections in high risk populations J Med Virol. , 2004; 72:41-45 (Medline PMID: 14635009)
31.  Sahih Bukhari 003.034.440- Sales and Trade---
32. Quran 23: 1-7
33. Bukhari 008.074.260 Asking permission----
34. Yee LJ, Rhodes SD.  Understanding correlates of hepatitis B virus vaccination in men
      who  have sex with men: what have we learned. Sex Transm Infect 2002;78:374-377
35.  Remis RS, Dufour A, Alary M, et al. Association of hepatitis B virus infection with other
       sexually transmitted infections in homosexual men. Omega Study Group.  Am J Public
       Health 2000;90:1570-4
36.  Quran 7:80
37.  Quran 26:165
38.    Quran 2:222

 Note: All translation of Ayah are taken from Quran translation by Abdullah Yousaf Ali

The author is a retired professor of Medicine, sitting president Pakistan Society of Gastroenterology and GI Endoscopy, President Pakistan Liver Foundation, Convener Gastroenterology, Pakistan Medical Research Council Pakistan, Examiner Fellowship examination College of Physician and Surgeons Pakistan and PhD Molecular Biology Punjab University  Pakistan.

Fax: 092-91-5200980
Postal Address:  Principal Peshawar Medical College
egal sA � s f pT � is therefore one that is equally espoused by Islamic traditions…
THE FORM OF AN ISLAMIC FEMINISM: If the goals of Western feminism are
not viable for Muslim women, what form should a feminist movement take to ensure success?
            Above all, the movement must recognize that, whereas in the West, the mainstream of the women's movement has viewed religion as one of the chief enemies of its progress and well-being, Muslim women view the teachings of Islam as their best friend and supporter.  The
prescriptions that are found in the Qur’an and in the example of the Prophet Muhammad, (Peace and blessings of God upon him), are regarded as the ideal to which contemporary women wish to return.  As far as Muslim women are concerned, the source of any difficulties experienced today is not Islam and its traditions, but certain alien ideological intrusions on our societies, ignorance, and distortion of the true Islam, or exploitation by individuals within the society.  It is a lack of an appreciation for this fact that caused such misunderstanding and mutual distress when women's movement representatives from the West visited Iran both before and after the Islamic Revolution.
Second, any feminism which is to succeed in an Islamic environment must be one which does not work chauvinistically for women's interest alone.  Islamic traditions would dictate that women's progress be achieved in tandem with the wider struggle to benefit all members of
the society.  The good of the group or totality is always more crucial than the good of any one sector of the society.  In fact, the society is seen as an organic whole in which the welfare of each member or organ is necessary for the health and well being of every other part.
Disadvantageous  circumstances of women therefore should always be countered in conjunction with attempt to alleviate those factors which adversely affect men and other segments of the society.
            Third, Islam is an ideology which influences much more than the ritual life of a people.  It is equally affective of their social, political, economic, psychological, and aesthetic life.  "Din," which is usually regarded as an equivalent for the English term "religion," is a concept which includes, in addition to those ideas and practices customarily associated in our minds with religion, a wide spectrum of practices and ideas which affect almost every aspect of the daily life
of the Muslim individual.  Islam and Islamic traditions therefore are seen today by many Muslims as the main source of cohesiveness for nurturing an identity and stability to confront intruding alien influences and the cooperation needed to solve their numerous contemporary problems.  To fail to note this fact, or to fail to be fully appreciative of its importance for the average Muslim – whether male or female - would be to commit any movement advocating
improvement of women's position in Islamic lands to certain failure. It is only through establishing that identity and stability that self-respect can be achieved and a more healthy climate for both Muslim men and Muslim women will emerge…”


From “Muslim Women’s Rights in the Global Village: Challenges and Opportunities,”
Azizah Yahia al-Hibri, Fellow, National Humanities Center, University of Richmond Law Professor. This article was reprinted by permission of the Journal of Law and Religion and is posted online on the Karamah Muslim Women for Human Rights web site at http://www.karamah.org

“…Introduction
In this age of information technology that shrank our world into a global village, it is fair to ask how this recent development has impacted Muslim women’s rights across the world.  Having just traveled through nine Muslim countries, ranging from Pakistan and Bangladesh to the Gulf States, Egypt, Syria, and Lebanon, I would answer that it is leading, slowly but surely, to reassessment and change.  Attempts to accelerate the pace of this change, however, without full understanding of its complex topology, and the deep-rooted commitment by most Muslim women to spiritual and cultural authenticity, could halt or even reverse this process at great cost to women particularly and Muslim societies as a whole.  Hence the challenges and opportunities.
Pious Muslim women are generally bewildered by the laws and judicial systems of their societies, which are supposed to be Islamic.  It is well understood that the hallmark of Islam is justice.  Yet Muslim societies have been dispensing injustices to women in the name of Islam.  Some women seeking divorce in Islamic courts have been trapped within the system for years.       On the other hand, divorce and remarriage have been rendered much easier for men. Also, various Shari’ah (Islamic law) protections for women in case of an unhappy marriage, divorce, or custody have been ignored even by the women’s own families.  While Western feminists have been focusing on such issues as the veil and the perceived gender discrimination in the laws of inheritance, Muslim women I spoke to did not regard these issues as important.  They were more interested in re-examining family law and in the proper application of all Islamic laws, including the laws of inheritance as they stand.  In short, Muslim women want a more just understanding of and adherence to Islamic principles.  They appear to believe that existing laws and practices are not conducive to a happy home life or a just society.  Surprisingly, Muslim women have the support of many Muslim male jurists who share their concerns.
Several factors have forced Muslims to reassess the status quo.  The colonization experience, wars, Western education and Western modes of communication have been primary among these factors.  Colonization exposed the soft underbelly of the indigenous systems of governance, while at the same time challenging and marginalizing the Muslim individual’s religious beliefs and cultural values.  Wars dislodged established social structures, especially those relating to the family.  Finally, through the twin lenses of Western education and modes of communication such as satellite television and the Internet, Muslim men and women are experiencing instantaneously, though vicariously, the post-colonial Western worldview and Western ways of life.  Generally, they like a good part of what they see, such as democratic governance, freedom of speech, independent women, and comfortable technologically advanced societies.  There are other things, however, they decidedly do not like, such as sexual permissiveness, the accelerating divorce rate, growing violence in society, especially among the youth, and the treatment of the elderly.
Consequently, many Muslims, male and female, are struggling today with the following questions: How do they introduce progress into their societies, while at the same time protecting their deep-seated spiritual beliefs and cultural identities, two valuable foundations that colonialism tried unsuccessfully to destroy?  How can they benefit from the Western experience, including its recognition of the legitimate rights of women, without inadvertently destroying their highly valued familial ties?  In this context, the experience of those North American Muslims who have successfully integrated their religious beliefs and ethnic heritage with the American and Canadian ways of life becomes very valuable.  It is a living proof of the fact that Islam is not a mere “Oriental” religion, but a world religion which is capable of meeting the needs of Muslims in all historical eras and all geographical locations…”

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