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 The Legal Aspects of Codifying and Planning Sexual and Reproductive Rights and Health Access in Post-Conflict Situations

By Sawyer Bannister 

Sexual and Reproductive Health and Rights in International Law 

In order to legally protect human rights in post-conflict situations, especially those related to sexual and reproductive rights, it is essential to understand what they are. The Center for Reproductive Rights (CRR) compiled a “Human Rights Key to Sexual and Reproductive Rights” based on existing international treaties. [1] The CRR explains the Key as:

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“a list of human rights which are recognized in various international treaties. What we call sexual and reproductive rights are a constellation of rights which together protect an individual’s right to bodily autonomy, reproductive freedom, and gender equality. This list is all the rights that are found in international human rights treaties, which together make up sexual and reproductive rights, including the right to abortion” [2].

Conceptualizing sexual and reproductive rights as “a constellation of rights” reflects the constructivist approach to rights, in which “rights foundations” are established, recognizing “the impossibility to cover all kinds of experiences” and rights with an exhaustive list of rights or violations. [3] Experts assert that adopting a constructivist approach to sexual and reproductive rights may be instrumental in “avoid[ing] fragmentation and pigeon-holing” of these rights “away from ‘general’ human rights law, consequently, away from international criminal law.” [4] According to the International Conference on Population and Development (ICPD), a key feature of the constructivist approach to sexual and reproductive rights is establishing clear links to “already recognized human rights,” given that sexual and reproductive rights encompass “specific “human rights” that have been previously “recognized in national laws, international human rights documents,” and other pertinent “United Nations (UN) consensus documents.” [5]

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Building on the idea of constructing international legal foundations for sexual and reproductive rights, the Guttmacher-Lancent Commission on Sexual and Reproductive Health and Rights (SRHR) advocates for an internationally accepted “comprehensive definition of SRHR” which reflects an understanding “that each component of SRHR is linked to the others, and that” one aspect cannot be adequately fulfilled without the other. [6] The following image contains the Commission’s definition of SRHR and what they deem to be the “Essential Package of Sexual and Reproductive Health Interventions. [7] For consistency, this project uses the term SRHR, as defined by the Guttmacher-Lancent Commission, from this point on.

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Source: The World Health Organization [17]

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Source: The Guttmacher-Lacent Commission

Another critical aspect of defining SRHR in international law is acknowledging how laws and legal systems are informed by cultural contexts, primarily “patriarchal assumptions about women and their capacity for roles other than motherhood.” [8] To this end, the ICPD stresses the importance of constructing SRHR in a way that emphasizes the “gender dimensions of human rights” and recognizes that successfully realizing these rights requires dismantling authoritative, patriarchal assumptions. [9] 

 

Overall, the comprehensive, constructivist perspective on SRHR is widely recognized by various international organizations and states on a symbolic level, experts voice concern that “most global agreements” maintain a more “narrow view of SRHR.” [10] This discrepancy holds implications for codifying SRHR on a national level in post-conflict situations, given that international “human rights laws and standards” set the standard for the state’s domestic legislature. [11]

Introduction to Applying International Law in Post-Conflict Situations

Although research has established a clear consequential connection between conflict and “women’s access to reproductive health,” including “increases in unsafe abortion” and “systemic sexual violence” as well as “the prohibition of contraceptive and abortion services,” SRHR are largely ignored in post-conflict reconstruction, especially in law reconstruction. [12] Thompson and Pierson (2018) offer two main reasons why SRHR remain in the periphery of post-conflict reconstruction: first, post-conflict settings often experience “increased moral conservatism,” in which SRHR-related topics such as “abortion” are perceived as “too divisive or contentious for women to advocate for;” second, in post-conflict settings, “narrow conceptualizations of demilitarization” and governance structures “based on power-sharing” often lead to societies in which gender-related concerns are often silenced in favor of “ethno-national” concerns. [13] However, Thompson and Pierson (2018) also assert that the negligence of SRHR in post-conflict reconstruction, in both theory and practice, reflects a failure to fully recognize the connections between “peacebuilding, gender equality, development, and security.” [14] Studies indicate that neglecting SRHR in post-conflict reconstruction yields significant consequences for not only women’s well-being but overall human security. In fact, a 2011 study of “post-conflict law reform” found that the codification of SRHR serves as a “crude but effective” indicator of a post-conflict state’s future “gender-friendl[iness].” [15] Specifically, the study concluded that “reproductive rights capacity and access is one of the core benchmarks that we suggest requires consistent inclusion to measure the full and transformative effect of transition from conflict to peace for women.” [16]

The Complexity and Dynamics of Post-Conflict Legal Systems

Legal Pluralism and the Relationship Between State and Non-State Justice Systems 

As the previous section outlines, under international human rights laws and existing conventions, states have a legal obligation to provide reproductive rights and access to reproductive health services to their citizens. Recall the CRR’s “Human Rights Key to Sexual and Reproductive Rights” that was compiled using international human rights laws and treaties. According to Vasquez and Oja (2023), “although an individual’s reproductive autonomy and reproductive and sexual health are protected by” the international human rights framework, and “specifically” those pertaining to “sexual and reproductive rights,” violations of rights related to “sexual and reproductive health and autonomy” are largely neglected in “post-conflict” situations. [18] Examples of common violations include a lack of “access to contraception and abortions, obstetric care,” or “sexual education,” as well as “forced contraception, forced termination of pregnancy,” or “forced sterilizations.” [19] Vasquez and Oja (2023) note that these violations often go unrecognized even when post-conflict “transitional justice mechanisms” are “activated,” such as “tribunals.” [20]   

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In order to fully assess the process of codifying reproductive health access in post-conflict situations, it is critical to understand the legal systems operating in these environments.

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In post-conflict situations, the legal systems are often very complex and dynamic, especially when “more than one legal system operates within a state’s territorial boundaries.” [21] Situations in which “two or more legal systems coexist in the same social field” are referred to as legal pluralism. In situations of legal pluralism, state and non-state legal systems typically operate without “standardized relations” and often reflect “the state’s historical and political context.” [22] Although it may seem trite to explicate, Campbell and Swenson (2016) critically note that as the number of “legal systems operat[ing] within a state’s territorial boundaries” increases, so does the complexity of the overall legal environment; furthermore, they note that “the degree of complexity increases” even more “when non-state systems” maintain “substantial independence from the state.” [23]

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Given that one key aspect of legal pluralism is that non-state justice systems operate with high degrees of independence and authority from state systems; Campbell and Swenson (2016) argue that this factor can lead to substantial “implications for human rights” in post-conflict settings. [24] Therefore, any attempts to codify SRHR, let alone gender equity, in post-conflict settings require a comprehensive understanding of the “nature and relationship between state and non-state justice” systems. [25]

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Due to the destabilizing effects of conflict, in most “post-conflict settings,” the capacity of state justice sector “can be severely limited,” to the extent that the public views “state law” as unfair and questions the legitimacy of “the state system.” [26] In these situations, research indicates that non-state justice systems experience higher levels of “popular legitimacy,” and therefore “effective authority.” [27] Consequently, “a majority of disputes” are delegated to “non-state justice systems,” like the “Pashtunwali in Afghanistan,” which often function with “substantial autonomy and authority.” [28] As of 2016, these “non-state justice systems” settled approximately 80% to 90% “of disputed in developing countries.” [29] However, non-state justice systems, such as those emanating from “tribal dispute resolution mechanisms,” frequently receive criticism for upholding “discriminatory gender laws and norms.” [30] Although legal pluralism poses many challenges to the codification of SRHR in post-conflict settings, such as the prominent discriminatory nature of many non-state justice systems, Campbell and Swenson (2016)  note that efforts to eliminate legal pluralism through the abolition on non-state systems may in themselves constitute “a violation of human rights,” under international law; they explain that under international law “all communities” have the right “to culture and in the case of indigenous populations,” “to determine their own” legal and judiciary systems, including legal pluralism. [31] Therefore, post-conflict settings in which non-state systems are the dominant justice system reveals “fundamental tensions between promoting universal gender equality” and “maintain[ing] cultural diversity.” [32]

Incorporating SRHR into the Women, Peace, and Security Agenda

The United Nations Security Council Context and Politicalization 

The United Nations officially recognized “the link between gender equality and international peace and security” for the first time in October 2000, with UNSCR 1325 on Women, Peace, and Security. [33] UNSCR 1325 acknowledges “the exorbitant impact of war and violent conflict on women and girls, highlights the critical role women should play in peace processes, and emphasizes the need to protect women and girls from sexual violence within the context of violent conflict.” [34] It is critical to note that while UNSCR 1325 and the larger WPS agenda are widely regarded as “a significant milestone in the fight for international gender equality and the promotion of peace,” WPS falls short of dismantling the “dominating structures and concepts enabling war and conflict, including militarism, hegemonic masculinity, and imperialism.” [35] Despite the fundamental issues of UNSCR 1325, the resolution has arguably become the principal “international mechanism” for “furthering women’s rights in conflict and post-conflict environments.” [36] However, given the patriarchal and militaristic logic underpinning UNSCR 1325, it is not surprising that SRHR receives minimal attention in the resolution itself, the larger WPS agenda, and in “successive UNSCRs.” [37]

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As previously explained, studies indicate that SRHRs serve as a key indicator in “measur[ing] the full and transformative effect of” post-conflict reconstruction for gender equality, especially that of women. [38] Yet, UNSCR 1325 and successive resolutions fail to explicitly recognize the significance of SRHR in post-conflict settings. For instance, while WPS-related resolutions highlight “sexual violence and rape” as “conflict and security issues,” they fall short of acknowledging that survivors of such crimes “might require abortion” or other “reproductive care” services. [39] In many instances, the absence of SRHR in WPS-related resolutions is deliberate. For example, Allen and Shepherd (2019) explain that UNSCR 2467 “represents a compromise” amongst UNSC members on the language used to address SRHR. [40] While initial drafts of the resolution contained references to SRHR, such as “recognizing the importance of providing timely assistance to survivors of sexual violence,” the “Trump administration” employed the “threat of veto” to effectively pressure other UNSC members into removing SRHR provisions from the resolution. [41] This example speaks to a more significant issue within the UNSC: in order to avoid the potential veto-induced stalemates resulting from political negotiations, UNSC members habitually compromise on “watered-down, reduced version[s]” of resolutions. [42] In the poignant case of UNSCR 2467, UNSC members strategically concluded that removing SRHR “for women” in conflict zones was “justifiable,” indicating that appeasing other members to overcome bureaucratic obstacles is more important than promoting SRHR. [43]

 

The prevalence of contentious SRHR negotiations within the UNSC can be understood as a byproduct of the differing “domestic politics” and attitudes of “the permanent members of the” UNSC, known as the P5 [44]. Thompson and Pierson (2018) point out that while health-focused UN entities, such as the World Health Organization (WHO), recognize “abortion” as “a fundamental component of women’s health services and maintain a “strong commitment to safe abortion practice in global policy,” the domestic policies and laws of each of the P5 can vary drastically. [45] More generally even, “the terms ‘reproductive rights” or ‘reproductive health’” typically refer to “very different things in” the “different contexts” of each state. [46] Thompson and Pierson (2018) give the following example: “If a country with liberal abortion laws, such as Finland, refers to reproductive health or rights in its NAP, it could be assumed to include abortion. However, if the Republic of Ireland (which has some of the most restrictive abortion laws in the world) does the same, it could be assumed to exclude abortion.” [47] Another interesting dynamic is the different ways in which UNSC members approach SRHR in domestic vs. foreign policies; therefore, when conceptualizing how SRHR could be incorporated into the WPS agenda and potentially prioritized within the UNSC, it could be beneficial to examine how each of the P5 approach SRHR. As an example, this project will briefly provide an overview of the United States’ (US) domestic vs. foreign SRHR-related policies.

The United States: Domestic vs. Foreign SRHR Policies 

Domestic: 

  • Dobbs v. Jackson Women’s Health Organization: On June 24, 2022, the US Supreme Court ruled to overturn the 1973 Roe v. Wade decision and, consequently, nearly fifty years of legal precedent in which the Court recognized a constitutional right to abortion. The Roe ruling “held that the Constitution guarantees the right to choose to have an abortion, though it permitted regulations after the first trimester of pregnancy.” [48] However, since then, many states have “implemented various laws regulating abortions,” resulting in the “closure of more than 160 clinics” and leaving some “states with only a single abortion provider.” [49] In even more extreme cases, states like Texas have passed laws permitting “private citizens to sue anyone they suspect of providing or facilitating an abortion.” [50] Following the 2022 Dobbs v. Jackson decision, thirteen states with “so-called trigger laws” were able to “either ban abortion or within thirty days,” many of these laws did not include exemptions for “pregnancies caused by rape or incest.” [51] Notably, the Supreme Court’s decision to overturn Roe came at a time when “the global trend in abortion law has been toward liberalization.” [52] According to the Council on Foreign Relations, since 2000, most countries have “expanded the legal grounds” for “access[ing] abortion services;” however, recent policies enacted in the US to “tighten restrictions” may indicate a concerning departure from the liberalization trend. [53]

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Source: The Council of Foreign Relations

Foreign Policies: 

  • The Helms Amendment: In 1973, The Helms Amendment was “signed into law as “an amendment to the Foreign Assistance Act of 1961,” “prohibit[ing] the use of [US] foreign assistance to pay for the performance of abortion as a method of family planning.” [54] However, in practice, “every presidential administration since 1973” has “interpreted and enforced” the Amendment “as an outright ban on funding safe abortion – and providing abortion information,” even in situations of rape, incest, or life-threatening pregnancies, including “in countries where abortion is legally permitted” and in countries experiencing “humanitarian crises.” [55] Because the US is typically “the largest funder of health efforts in low- and middle-income countries,” which is where most of the majority of conflicts occur, the US’s SRHR-related foreign policies, such as the Helms Amendment, “significantly affect access to legal” and safe “abortion” in many countries. [56]

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Source: The Kaiser Family Foundation

  • The Mexico City (“Global Gag”) Rule: In addition to the Helms Amendment, The US’s SRHR-related foreign policy is primarily guided by the 1984 Global Gag Rule. According to Planned Parenthood, “the Global Gag Rule prevents foreign organizations receiving US global health assistance from providing information, referrals, or services for legal abortion or advocating for access to abortion services in their country – even with their own money.” [57] Consequently, the Gag Rule effectively imposes an ultimatum on aid-dependent entities: continue “provid[ing] abortion services or… US funding.” [58] One key aspect of the Global Gag Rule is that each presidential administration can choose to enforce or rescind the policy. Since the rule was first implemented in 1984, it has been enforced by every Republican president and rescinded by every Democratic president; this inconsistency not only severely impacts global access to SRHR, especially in lower-income countries and places of instability, but it also sends confusing signals to the international community regarding the US’s stance on SRHR.

  1. ABA Section of Civil Rights and Social Justice. 2021. “Access to Abortion Internationally: Laws and Cases.” [Video]. Retrieved from https://www.youtube.com/watch?v=AB9OAUB2c4k.

  2. Ibid.

  3. Ibid; Vasquez, Noemi Perez and Liiri Oja. 2023. “A Change of Narrative: Protecting Sexual and Reproductive Rights in Post-Conflict Criminal Justice.” Columbia Journal of Gender and Law 43(1): 31-66. https://journals.library.columbia/edu/index.php/cjgl/article/view/10717/5285.

  4. Ibid: 61.

  5. Ibid.

  6. The Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights. 2018. “Accelerate Progress: Sexual and Reproductive Health and Rights for All – Executive Summary.” The Guttmacher Institute. https://www.guttmacher.org/guttmacher-lancet-commission/accelerate-progress-executive-summary.

  7. Ibid.

  8. Vasquez and Oja 2023: 59

  9. Ibid.

  10. The Guttmacher-Lancet Commission.

  11. Ibid.

  12. Thompson, Jennifer and Claire Pierson. 2018. “Can Abortion Rights be Integrated into the Women, Peace, and Security Agenda?” International Feminist Journal of Politics 20(3): 350-365.

  13. Ibid: 353.

  14. Ibid.

  15. Ibid.

  16. Ibid.

  17. The World Health Organization. 2015. “Sexual Health, Human Rights and the Law.” The World Health Organization. Geneva, Switzerland.

  18. Vasquez and Oja 2023: 32.

  19. Ibid.

  20. Ibid.

  21. Campbell, Meghan and Geoffrey Swenson. 2016. “Legal Pluralism and Women’s Rights after Conflict: The Role of CEDAW.” Columbia Human Rights Law Review 48(1): 112-146.

  22. Ibid: 113.

  23. Ibid.

  24. Ibid.

  25. Ibid: 114.

  26. Ibid.

  27. Ibid.

  28. Ibid.

  29. Ibid.

  30. Ibid.

  31. Ibid: 113.

  32. Ibid.

  33. Bannister, Sawyer. 2023. “UNSCR 1325 did not Help Women, Peace, or Security in Afghanistan: The Role of Militarism and Hegemonic Masculinity in International Security.” CMC Senior Theses. 3119. https://scholarship.claremont.edu/cmc_theses/3119.

  34. Bannister 2023: 5.

  35. Ibid.

  36. Thompson and Pierson 2018: 350.

  37. Ibid.

  38. Ibid: 353.

  39. Ibid.

  40. Allen, Louise and Laura J. Shepherd. 2019. “In Pursuing a New Resolution on Sexual Violence Security Council Significantly Undermines Women’s Reproductive Rights.” London School of Economics. https://blogs.lse.ac.uk/wps/2019/04/25/in-pursuing-a-new-resolution-on-sexual-violence-security-council-significantly-undermines-womens-reproductive-rights/.

  41. Ibid.

  42. Ibid.

  43. Ibid.

  44. Thompson and Pierson 2018: 354.

  45. Ibid.

  46. Ibid.

  47. Ibid.

  48. Women and Foreign Policy Program Staff. 2022. “Abortion Law: Global Comparison.” The Council on Foreign Relations. https://www.cfr.org/article/abortion-law-global-comparisons.

  49. Ibid.

  50. Ibid.

  51. Ibid.

  52. Ibid.

  53. Ibid.

  54. Moss, Kellie and Jennifer Kates. 2022. “The Helms Amendment and Abortion Laws in Countries Receiving U.S. Global Health Assistance.” The Kaiser Family Foundation. https://www.kff.org/global-health-policy/issue-brief/the-helms-amendment-and-abortion-laws-in-countries-receiving-u-s-global-health-assistance/.

  55. Gaddy, Ellen. 2022. “Opinion | It’s Time to End My Grandfather’s Harmful Legacy – The Helms Amendment.” Politico. https://www.politico.com/news/magazine/2022/07/28/biden-repeal-helms-amendment-on-abortion-00048533.

  56. Moss and Kates 2022.

  57. Planned Parenthood. “What is the Global Gag Rule?” Planned Parenthood Action Fund. Accessed on May 2, 2023, https://www.plannedparenthoodaction.org/communities/planned-parenthood-global/end-global-gagrule#:~:text=The%20global%20gag%20rule%20%28also%20known%20as%20the,their%20country%20—%20even%20with%20their%20own%20money.

  58. Thompson and Pierson 2018: 355.

reorienting security.

©2023 by The Keck Center for International and Strategic Studies

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