In 2021, the “Promotion of Proper Human Sexual Rights and Ghanaian Family Values Bill” was introduced in the Ghanaian Parliament. The bill, if passed, would criminalize LGBTI people and behavior, as well as those who support their rights, and even those who report on lesbian, gay, bisexual, transgender, and intersex (LGBTI) issues. While there has been significant national and international media coverage of the bill, what is less understood is who is driving promotion of the bill, and the accompanying harmful public debate. This report seeks to fill that knowledge gap, identifying who is behind the external anti-LGBTI influence, detailing connections between Ghanaian leaders and conservative foreign groups, and showing how anti-LGBTI rhetoric, and social and other media traffic, are being shaped and driven by these interests. As of March 2023, the anti-LGBTI bill is still pending in Ghanaian parliament. With this report, we provide recommendations to continue exposing the origins of anti-LGBTI hatred in Ghana and guidance on supporting LGBTI rights and reclaiming the narrative from homophobic politicians and other personalities to demonstrate that reactionary narratives against LGBTI rights are not universal in Ghana.
The objective of this research was to explore the context of abortion stigma in Ghana and Zambia through qualitative research, and develop a quantitative instrument to measure stigmatizing attitudes and beliefs about abortion. Focus group discussions were conducted in both countries, and a Stigmatizing Attitudes, Beliefs, and Actions scale was created. It captures three important dimensions of abortion stigma: negative stereotypes about men and women who are associated with abortion, discrimination/exclusion of women who have abortions, and fear of contagion as a result of coming into contact with a woman who has had an abortion. It provides a validated tool for measuring stigmatizing attitudes and beliefs about abortion in Ghana and Zambia and has the potential to be applicable in other country settings.
Contraception is an essential element of high-quality abortion care. However, women seeking abortion often leave health facilities without receiving contraceptive counselling or methods, increasing their risk of unintended pregnancy. This paper describes contraceptive uptake in 319,385 women seeking abortion in 2,326 public-sector health facilities in eight African and Asian countries. Ministries of Health integrated contraceptive and abortion services, with technical assistance from Ipas. Overall, postabortion contraceptive uptake was 73 percent. The findings demonstrate high contraceptive uptake when it is delivered at the time of the abortion, a wide range of contraceptive commodities is available, and ongoing monitoring of services occurs.
The stigma that often surrounds abortion and anyone associated with it—women, providers, pharmacists and advocates—contributes to abortion’s social, medical and legal marginalization. At Ipas, we know that stigmatizing abortion is inherently harmful to women’s health — preventing them from getting the care they deserve.
Understanding what factors influence the receipt of postabortion contraception can help improve comprehensive abortion care services. The abortion visit is an ideal time to reach women at the highest risk of unintended pregnancy with the most effective contraceptive methods. The objectives of this study were to estimate the relationship between the type of abortion provider (consultant physician, house officer, or midwife) and two separate outcomes: (1) the likelihood of adopting postabortion contraception; (2) postabortion contraceptors’ likelihood of receiving a long-acting and permanent versus a short-acting contraceptive method.