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SEXUAL HEALTH AND HUMAN RIGHTS A legal and ... - The ICHRP

SEXUAL HEALTH AND HUMAN RIGHTS A legal and ... - The ICHRP

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Indonesia’s Constitution recognises the right to health as a fundamental right. Article 28H<br />

states that, “Every person shall have the right to… to enjoy a good <strong>and</strong> healthy environment,<br />

<strong>and</strong> shall have the right to obtain medical care.”<br />

<strong>The</strong> Constitution of Thail<strong>and</strong> recognizes the ‘Rights to Public Health Services <strong>and</strong> Welfare’<br />

<strong>and</strong> provides that, “Every person shall enjoy equal rights to receive appropriate <strong>and</strong> st<strong>and</strong>ard<br />

public health service, <strong>and</strong> the indigent shall have the right to receive free medical treatment<br />

from a State infirmary. A person shall have the right to receive comprehensive <strong>and</strong> efficient<br />

public health services from the State. A person shall have the right to enjoy the prompt<br />

prevention <strong>and</strong> eradication of harmful contagious diseases from the State free of charge.” 648<br />

<strong>The</strong> only Constitution to specifically recognize reproductive rights is the Interim Constitution<br />

of Nepal which states that, “every woman shall have the right to reproductive health <strong>and</strong><br />

other reproductive matters.” 649<br />

While the Constitutional foundations for the right to health exist to varying degrees, they<br />

have not necessarily been used to promote access to health services in the context of sexual<br />

health.<br />

6.1 Abortion<br />

Several of the research countries continue to have highly restrictive <strong>legal</strong> provisions in<br />

relation to abortion.<br />

Sri Lanka’s Penal Code provides that any person who voluntarily induces the miscarriage of<br />

a foetus (including the woman concerned), unless it is done in good faith in order to save the<br />

woman’s life, is liable to imprisonment. 650 This penalty increases to up to twenty years if such<br />

miscarriage is committed without the consent of the woman. 651<br />

Indonesia’s Penal Code contains several provisions criminalizing abortion <strong>and</strong> the provision<br />

of abortion services. It punishes the woman (if there is deliberate intent; punishment 4 years)<br />

as well as any person who causes the abortion (without consent 15 years, with consent 5<br />

years). 652 Higher punishment if it results in the death of the woman. A physician, midwife or<br />

pharmacist who is an accomplice enhanced punishment <strong>and</strong> deprived of profession. Although<br />

the Penal Code provides no exceptions, Indonesia’s Law concerning Health No. 36/2009<br />

provides limited circumstances in which abortion can be carried out i.e. “medical emergency<br />

Internally Displaced Persons,” Human Rights Commission of Sri Lanka, March 2009 at page 22, available at<br />

http://www.idpsrilanka.lk/Doc/ResearchPub/Right_to_Health_of_Internally_Displaced_Persons.pdf<br />

648 Section 50(1), Constitution of Thail<strong>and</strong>, 2007. Section 80(2) of the Directive Principles of Fundamental State<br />

Policies direct the State to, “Section 80(2): (2) to promote, support <strong>and</strong> develop a health system with emphasis<br />

on health promotion for sustainable health conditions of the public, including the provision <strong>and</strong> promotion of<br />

people’s access to comprehensive <strong>and</strong> efficient st<strong>and</strong>ard public health services <strong>and</strong> encouraging private sector<br />

<strong>and</strong> the communities in participating in health promotion <strong>and</strong> providing public health service, <strong>and</strong> the person<br />

having duty to provide such service whose act meets the requirements of professional <strong>and</strong> ethical st<strong>and</strong>ards shall<br />

be protected as provided by law;<br />

649 Article 20, Interim Constitution of Nepal, 2007<br />

650 Section 303, Penal Code, 1883 (Sri Lanka)<br />

651 Section 304, ibid.<br />

652 Article 346 of the Penal Code of Indonesia provides that ”Any woman who deliberate intends, causes or lets<br />

another cause the drifting off to death of the fruit of her womb, shall be punished by a maximum imprisonment<br />

of four years.” See also Articles 347 <strong>and</strong> 348 for the punishment of person causing the abortion.<br />

135

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