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Reclaiming Safe Abortion Access in Haiti
Don鈥檛 move. Those were the only words from the doctor who performed Samora Chalmers鈥 first abortion 15 years ago in Port-au-Prince, Haiti, during her 30-minute appointment.
Chalmers can鈥檛 tell you the details of the procedure she underwent. The doctor never told her. All she remembers is being alone with a stranger and feeling terrible pain, which anesthesia did little to numb. Three days later, she had lost so much blood that she had to see another doctor鈥攂ut couldn鈥檛 tell him why because of Haiti鈥檚 strict anti-abortion laws.
鈥淚t was really shocking. 鈥 After that, I was like, this is crazy,鈥 says Chalmers. 鈥淚 could die, and no one would know what happened to me 鈥 and the doctor would probably deny it.鈥
The challenges that American women have faced since the U.S. Supreme Court overturned Roe v. Wade in 2022 are all too familiar to women in Haiti, who live under the shadow of highly restrictive abortion laws almost as old as the republic itself.
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Haiti is a conservative society where Roman Catholicism shapes many of its social norms. Patriarchal norms, says Haitian feminist Pascale Solages, co-founder and general coordinator of feminist organization N猫g猫s Mawon, have informed its strict views on abortion. In Haiti, women can鈥檛 voluntary abortions. Doctors can鈥檛 perform them unless the woman鈥檚 life is in danger. People who seek, provide, or assist abortions face 鈥攕eekers and helpers can serve life in prison. Women who undergo abortion also risk ostracization from their communities. For women and girls who aren鈥檛 ready to have children, can鈥檛 afford to have them, or are pregnant by rape鈥擧aiti鈥檚 justice system treats pregnancies caused by rape and incest in the same way as pregnancies resulting from consensual relationships鈥攁bortion can mean life in prison.
Still, Haitian women find ways to access the procedure. Chalmers found a clinic that offered the illegal procedure, located across the street from one of the city鈥檚 most prominent hospitals. It cost her $50, which she paid in cash.
鈥淚t鈥檚 this thing that鈥檚 prohibited, [yet] the reality is that abortion is a part of Haitian women鈥檚 lives,鈥 says Solages. 鈥淲e all know a dozen places where someone can get an abortion, or where we can go to get an abortion cheaply, in extreme conditions.鈥
Patriarchy and Feminism in Haiti
In 1804, Haiti achieved what no other colony had done before it鈥攕elf-liberated independence from colonial rule. It became the world鈥檚 first Black-led republic and independent Caribbean state. Today, scholars look back on the Haitian revolution as the most successful slave rebellion in history, an insurrection that called for justice and freedom for those exploited under French rule.
In the 19th century, women like Marie-Jeanne Lamartini猫re鈥攁 soldier who fought during the Haitian Revolution鈥攁nd the vodou priestess C茅cile Fatiman, who presided over one of the revolution鈥檚 founding meetings, helped Haiti win independence. In 1934, women founded the country鈥檚 first feminist organization, La Ligue F茅minine d鈥橝ction Sociale. helped earn women the right to vote and advocated for better education and pay opportunities. But more than 200 years into Haiti鈥檚 history as a nation, even with feminism鈥檚 long history, scholars and activists say patriarchy stands in the way of reforming laws that govern Haitian women鈥檚 and girls鈥 bodies.
鈥淗aiti is a very patriarchal society,鈥 says C茅cile Accilien, a professor of Caribbean studies and president of a Haitian Studies Association based in Atlanta. 鈥淚t鈥檚 women who are the heads of households. 鈥 It鈥檚 women who keep Haiti鈥檚 informal economy going 鈥 and yet, at the same time, they are not respected, they are not protected.鈥
According to the last conducted in 2016, more than half of the abortions in Haiti since 2011 have happened outside of the formal health care system. Some women choose to abort their pregnancies using an abortion medicine called Misoprostol, an oral medication that induces miscarriage. The medication is readily available in Haiti under the label of Cytotec, which doubles as a treatment for ulcers. Others, like Chalmers, may seek out clinics that will perform abortions for a fee.
Both methods carry inherent risks. Neither is regulated. You can just as easily find Cytotec on the street as in Haiti鈥檚 pharmacies, many of which sell the medication past its expiration date or are ill-equipped to store it in proper conditions, says Solages. Many of the calls that N猫g猫s Mawon鈥攁 group that, among other mandates, works to improve the conditions in which women and girls live in Haiti鈥攔eceives are from women who鈥檝e already tried to abort their pregnancies and are battling infections or experiencing complications from taking medication.
鈥淭he regulation of medications in [Haiti] is a problem,鈥 says Solages. 鈥淏ut so is the fact 鈥 that there鈥檚 no reliable information out there that tells women how they can abort their pregnancies using this medication, how to do it, the dose they need to take, the risks involved, etc.鈥
For years, feminist organizations have been advocating for the decriminalization of abortion. Victory came close in 2020, when the late Haitian President Jovenel Mo茂se introduced an updated penal code legalizing abortion under certain conditions. It listed gender-based violence as a punishable offense and for up to 12 weeks in cases of rape, incest, or endangerment of the woman鈥檚 mental or physical health.
Prior to 2020, Haiti鈥檚 penal code had remained largely unchanged since it was first introduced nearly 200 years ago. The updated code faced significant backlash from some lawmakers within Haiti who cited that the proposed revisions, which, in addition to circumstantially legalizing abortion, lowered the age of consent to 15, . When Mo茂se was assassinated in 2020, those revisions stalled. Abortion in Haiti remains illegal to this day.
鈥淭here鈥檚 no justice, no government. 鈥 It鈥檚 a big challenge, to be a woman in Haiti,鈥 says Chalmers. 鈥淚鈥檓 proud to be a woman and I鈥檓 proud to be a Haitian, because we have a strong history, a strong culture 鈥 but it鈥檚 still not enough.鈥
Safe abortion access can break generational cycles of poverty, allowing women to become agents of their own lives and provide better lives for generations to come, says Accilien. Women who have access to abortion are more likely to become economically independent. She adds, 鈥淚f you don鈥檛 have economic independence, you can鈥檛 have real independence.鈥
Challenging Patriarchal Norms Through Sisterhood
Since 2015, Solages鈥 organization, N猫g猫s Mawon, has helped empower women in Haiti to fight back against violence and oppression through education and advocacy. Last year, N猫g猫s Mawon announced a partnership with the , or SAAF, a global funding body that helps organizations in low- and middle-income countries advocate for safe abortion care.
One of the ways it does this is through its , Marrainage, or Sisterhood, through which the organization pairs women, many of whom are survivors of gender-based violence, with other survivors to help them reclaim their histories and turn them into tools of resistance against patriarchal systems.
The program is multidimensional, and helps women escape circles of violence. Depending on their circumstances, women who seek out N猫g猫s Mawon are assigned une marraine, or a sister, to accompany them to appointments with medical, legal, or psychology experts within N猫g猫s Mawon鈥檚 network of specialists. They can help them move out of dangerous areas controlled by gangs, for example. They function as 鈥渟ponsors,鈥 if you will.
Marraines are available 24 hours a day, seven days a week. If a woman needs help processing a rape, her marraine can accompany her to a therapy appointment. If a woman is experiencing medical complications from trying to abort her own pregnancy, she can ask her marraine to accompany her to a clinic for aftercare.
Since last May, N猫g猫s Mawon has supported more than 300 survivors of gender-based violence through the Marrainage program. Core to its mission is offering services that aren鈥檛 only safe, says Solages, but affordable. With the support of partner organizations, like M茅decins Sans Fronti猫res or Bureau des Droits Humaines en Ha茂ti, it can subsidize the cost of services or offer them for free.
Abortion Access Through Art and Advocacy
Outside of its Marrainage program, N猫g猫s Mawon cites art as one of the primary media through which it advocates for women. Last year, in collaboration with local artists, the organization debuted a theatrical play called Danta, which tells the story of a woman mourning the death of her daughter, Danta, who dies after an unsafe abortion. The play, written by N猫g猫s Mawon member Joanne Joseph, took three years to write and produce. It opened at the organization鈥檚 annual Festival F茅ministe.
鈥淚t鈥檚 a play that鈥檚 really intense, that brings a lot of emotion and a lot of pain for women,鈥 says Solages. 鈥淟ast year, about 100 people saw it. This year, we hope to reach thousands more.鈥
Danta is currently on a two-year tour across the country, where it will reach universities, rural areas, feminist groups, and vulnerable communities. Every performance of Danta engages spectators in conversations about abortion, the right to choose, and other topics covered in the play. Solages says she hopes the tour will save lives by educating people about sexuality, safe abortion, and gender-based violence. To make the play鈥檚 content more impactful, N猫g猫s Mawon has enlisted the help of a midwife to help transform it from a piece of performance art into a powerful educational experience.
鈥淏efore, it was just a play,鈥 says Solages. 鈥淣ow, it鈥檚 still a play, but it鈥檚 also a tool for sensitizing and educating. 鈥 It鈥檚 a way to give good information about safe abortion, about accessible abortion, and to tell the communities, 鈥榃e鈥檙e here. If you need us, we鈥檙e here.鈥欌
Years after her first abortion in Port-au-Prince, Chalmers had a second abortion, this time with a medical professional at a private clinic whom her doctor had referred her to. It was $150, three times the cost of her first abortion. The doctor ran tests, had a nurse help Chalmers remain comfortable throughout the procedure, and kept her afterward for observation. This time, she felt safe. Today, Chalmers has a 4-year-old daughter, whom she had when she felt ready to bring a child into the world.
鈥淩aising a child is not just giving it love,鈥 she says. 鈥淵ou have to heal yourself first, from all your traumas, from all those expectations. 鈥 I wasn鈥檛 ready at all [back then], I think psychologically, I wasn鈥檛 ready, and financially also.鈥
Changing local perceptions of abortion and educating people about abortion access is half of the work. The other half is legalizing abortion. While N猫g猫s Mawon hopes plays like Danta and tools like the Marrainage program will give women the information they need to exercise their agency, changes to the penal code鈥攆or which the organization also continues to advocate鈥攁re essential.
鈥淚t鈥檚 a fact that in countries where abortion is legal, there鈥檚 a radically lower death rate when it comes to abortions,鈥 says Solages. 鈥淚t鈥檚 a question of women鈥檚 lives, of their liberty, of their well-being. In Haiti, we鈥檙e not even there yet. We鈥檙e just trying to save as many women as possible.鈥
Yes!鈥檚 interviews with N猫g猫s Mawon were conducted in French and translated by the writer.
Jade Pr茅vost-Manuel
is a Canadian multimedia journalist, writer and copy editor currently based out of Trinidad and Tobago. A former CBC News associate producer, she worked in investigative journalism and daily news at both the local and national levels. In 2021, she broke a story about the discovery of a new species of ocean sunfish in Canadian waters and interviewed Olympic champion Maggie MacNeil on the heels of her Tokyo 2020 win.
Her stories have appeared in publications like enRoute, Canadian Geographic, ON Nature, Outpost, and CBC Sports. She鈥檚 a former recipient of the Canadian Broadcasting Corporation鈥檚 Joan Donaldson News Scholarship and a registered member of Editors Canada.
She is also a proud alumnus of both McGill University and Western University. When she鈥檚 not telling stories on land, you can find her exploring life below the ocean鈥檚 surface.
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