Maternal and Child Health Makes Strides at G8

Jill Sheffield

Maternal health advocates made more progress than expected at the G8 Summit, gaining critical support from UN Secretary General Ban Ki-moon, host country Japan, and UK's First Lady Sarah Brown.

The
Group of Eight summit here is over and people are tallying wins and
losses. As usual, there’s good news and sort-of-bad news for us in
the maternal and newborn health community — but I’m an optimist and
my glass is always a bit more than half full.

The big issues here were climate
change, the global food crisis and the political situation in Zimbabwe,
but the NGO Health Group press conference this morning was very well
attended. We’re in the game, we made progress — more than most expected,
less than some had hoped. Now to take things forward — faster!

First the good news:

  • This was the first
    time the G-8 agenda addressed maternal, newborn, and child health (Millennium Development Goals
    4 and 5).
  • Host country Japan
    championed our issues and recognized the importance of taking action
    on maternal and newborn health as key to reducing poverty.
  • UN Secretary General
    Ban Ki-moon gave impressive early prominence to maternal health in his
    statement to the press at the opening. Considering the issues competing
    for attention, this was monumental.
  • The final G-8 communiqué
    (in paragraph 46c) spells it out: "Progress toward achieving MDGs
    4 and 5 is seriously off track…the continuum of prevention
    and care…should include a greater focus on maternal, newborn and child
    health. Reproductive health should be made widely accessible." That’s
    just what we want the world to hear.
  • An accompanying
    document, The Toyako Framework for Action on Global Health, outlines
    recommendations from the G-8 Health Experts Group to the G-8 leaders,
    and includes better, significant, and stronger language related to maternal,
    newborn and child health. The reference there follows the call for strengthening
    health systems.
  • Sarah Brown, wife
    of British Prime Minister Gordon Brown, confirmed her status as a major
    advocate for our issues. At the Ladies’ Lunch yesterday, she talked
    about maternal ill health and mortality and said she hoped others would
    join in. And last night, she stood out when the G-8 leaders wished upon
    a star, marking the Tanabata festival. (A legend says two stars normally
    separated by the Milky Way are allowed to meet only once a year, on July 7. The Japanese make wishes on that day, writing messages on strips
    of paper and tying them to bamboo branches.) Brown’s wish was to see
    the end of mishaps related to pregnancy and childbirth. Go, Sarah Brown!
  • The G-8 concluded
    with a commitment to accountability and to including global health as
    a standing agenda item in the G-8 summits.

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Now the not-so-good news:

  • Related language
    in the whole health section of the final G-8 Communiqué is weak and
    convoluted: "G-8 will take concrete steps to work toward improving
    the link between HIV/AIDS activities and sexual and reproductive health
    and voluntary family planning programs, including preventing mother-to-child
    transmission, and to achieve the MDGs by adopting a multi-sectoral approach
    and by fostering community involvement and participation." Really,
    couldn’t they have done better than "work toward improving"?
  • The financial commitment
    needed to achieve MDGs 4 and 5 ($10.2B additional annual spending for
    maternal, newborn, and child health) is missing.
  • We lost important
    language calling for universal access to reproductive health services,
    the very language that is unpopular with the U.S. government.
  • The expected commitment
    of US$60 billion over three years to fight HIV and AIDS was revised
    to be $60 billion over five years. This was a major frustration and
    disappointment to the HIV and AIDS people here, who surround me where
    I work.

As I said, now comes the adding-up.
We’ll be posting a scorecard that our NGO Health Group devised, a
tally of G-8 achievements and failures that got major attention at our
press conference this morning.

Overall, the conference was
a good start for us. The groundwork has been laid and the door is open — we
just need to pick up the speed of our walk through it.

Check out the following related resources:

The Final G-8 Communiqué
on Development and Africa

The
Toyako Framework for Action on Global Health

Analysis Politics

New Hampshire Sen. Kelly Ayotte’s Record on Women’s Health at Center of Heated Race

Ally Boguhn

Sen. Kelly Ayotte's defenders have made claims about her commitment to "strengthening women's health" through action on various measures; reproductive rights advocates point out, however, that most of these measures would have done more harm than good.

The tight race between incumbent Sen. Kelly Ayotte (R-NH) and challenger Gov. Maggie Hassan (D) could help determine which party takes control of the U.S. Senate after the November elections. In recent months, a key point of contention has emerged among Ayotte’s supporters and critics: the senator’s record on reproductive rights and women’s health.

Planned Parenthood Votes released an ad in April claiming Ayotte is “bad for New Hampshire women,” signaling the continuation of the heated narrative in the lead-up to the election. Ayotte’s defenders have responded to the accusations with claims of her commitment to “strengthening women’s health” through action on various measures; reproductive rights advocates point out, however, that most of these measures would have done more harm than good.

“For months, Senator Kelly Ayotte has followed party bosses, refusing to fill the Supreme Court vacancy. And for years, Ayotte has waited for an opportunity to push for someone to end access to safe, legal abortion and overturn Roe v. Wade,” claims the Planned Parenthood Votes ad, before playing an August 2010 clip of Ayotte advocating for the Supreme Court to overturn Roe. “For New Hampshire women, the consequences of letting Kelly Ayotte play politics with the Constitution could last a lifetime.”

The $400,000 ad buy, slated to run on broadcast and cable in New Hampshire, has been Planned Parenthood Votes’ first on-air ad targeting a Senate race in the 2016 election cycle. The organization, a national independent expenditure political committee, is criticizing Ayotte for claiming to protect women but failing to protect reproductive rights, also drawing on her pledge to obstruct filling the vacant Supreme Court seat in the aftermath of Justice Antonin Scalia’s death.

“Kelly Ayotte may try to paint herself as pro-woman, but her record tells a very different story. Every chance she’s gotten she’s voted to ‘defund’ Planned Parenthood and cut women off from essential health care like birth control and breast and cervical cancer screenings,” said Deirdre Schifeling, executive director of Planned Parenthood Votes, in a statement on the organization’s new ad. “She has been advocating for years to ban women’s access to safe, legal abortion, and it’s clear she now sees her chance in the Supreme Court process. Kelly Ayotte is refusing to do her job, and abdicating her constitutional duty, in order to push an extreme agenda that no one in New Hampshire wants.”

Ayotte’s campaign manager, Jon Kohan, meanwhile, defended the senator’s record on women’s health and rights in a press release. He wrote, “Kelly’s long record of standing up for New Hampshire women and families is clear, and she cares deeply about ensuring all women have access to health services.” The release included a bulleted list providing examples of Ayotte’s work “strengthening women’s health care,” “supporting working women,” and “protecting domestic or sexual assault victims.”

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The claims may be familiar to those following the New Hampshire race. After Hassan announced her candidacy in October, for example, One Nation, an issue-advocacy organization that does not need to disclose where their funding comes from and is affiliated with Karl Rove’s American Crossroads super PAC, pushed a 17-day, $1.4 million ad campaign touting Ayotte’s record on women’s health.

Hassan, on the other hand, has the support of organizations such as EMILY’s List, whose stated mission is to help elect pro-choice women into office. After endorsing the governor in the Senate race, the group added Ayotte to its “On Notice” list for “voting for anti-woman legislation and standing in the way of policies that give working families a fair shot.”

But with both sides of the race simultaneously claiming opposing positions on whether Ayotte has been good for women and reproductive rights, what is the truth?

Ayotte has made no secret of her desire to defund Planned Parenthood, and she “has shown support for defunding the organization or opposition to continued funding in at least six votes,” according to PolitiFact, though some of those votes were procedural. Though she famously chided Sen. Ted Cruz (R-TX) for attempting to shut down the government over his crusade to strip the reproductive health provider of money in the wake of anti-choice front group Center for Medical Progress’ deceptively edited videos, it was because she didn’t view his methods as a winning strategy for accomplishing that goal—not because she didn’t believe in the cause.

In a letter to Cruz, Ayotte told the Republican presidential candidate that she too is “deeply disturbed by” CMP’s videos and doesn’t believe Planned Parenthood should have federal funding.”This callous disregard for the dignity of human life is heinous, and I do not believe taxpayer dollars should be used to fund a private organization that performs hundreds of thousands of abortions each year and harvests the body parts of unborn children,” wrote Ayotte. She went on to ask what Cruz’s “strategy to succeed in actually defunding Planned Parenthood” really was, given that their mutual efforts to redirect the organization’s funding to other clinics had failed.

Planned Parenthood does not use its federal funding to provide abortions; its fetal tissue donation program has been cleared of wrongdoing in multiple state and federal investigations. And despite claims from conservatives, including Ayotte, that other facilities could provide Planned Parenthood’s patients with health care should the organization lose funding, the Guttmacher Institute found that “credible evidence suggests this is unlikely. In some areas, Planned Parenthood is the sole safety-net provider of contraceptive care.”

“Our analysis shows unequivocally that Planned Parenthood plays a major role in delivering publicly supported contraceptive services and supplies to women who are in need of such care nationwide,” the Guttmacher Institute concluded.

Ayotte has also supported numerous other anti-choice restrictions and legislation, including a 2015 20-week abortion ban based on the medically unfounded claim that fetuses feel pain at this point in pregnancy.

According to NPR, Ayotte has “been a hero to anti-abortion activists since 2005, when as New Hampshire attorney general she defended a parental notification law all the way to the U.S. Supreme Court.” The law required doctors to notify parents of minors seeking an abortion at least 48 hours prior to the procedure, and contained no exceptions for the health of the patient. The Court ultimately ruled against Ayotte, affirming that states may not enact abortion laws that don’t protect women’s health and safety.

National Right to Life found that the New Hampshire senator voted “with” the anti-choice organization in all 14 of the scored votes from 2012 to 2015 it examined.

In 2012, Ayotte co-sponsored the failed “Blunt Amendment,” which would have allowed exemptions from the Affordable Care Act’s birth control benefit for any employers or insurers that had moral objections to providing contraceptive coverage to their employees. And in a 2014 commentary for the Wall Street Journal, Ayotte and Sen. Deb Fischer (R-NE) defended the Supreme Court’s ruling in Burwell v. Hobby Lobby, which grants some employers the right to deny contraceptive coverage to their staff based on the owner’s religious beliefs, falsely claiming that the ruling did “not take away women’s access to birth control.”

Ayotte’s campaign is quick to point to legislation sponsored by the senator that would have allowed over-the-counter contraception as proof that she cares about women’s health. Reproductive health advocates, however, called Ayotte’s Allowing Greater Access to Safe and Effective Contraception Act a “sham” when it was introduced in 2015. Though the American Congress of Obstetricians and Gynecologists (ACOG) generally supports over-the-counter birth control, the organization’s president Dr. Mark S. DeFrancesco, said in a statement that Ayotte’s measure “would actually make more women have to pay for their birth control, and for some women, the cost would be prohibitive.”

Paid leave is yet another issue in which Ayotte has put forth legislation in the name of helping women. Ayotte introduced the Family Friendly and Workplace Flexibility Act of 2015 in March of that year, claiming it would “allow greater flexibility for workers who are looking to better balance their work-life demands.” Analysis by ThinkProgress, however, found that the measure “could weaken already weak rules that require workers to be paid extra for working extra hours, thus ensuring that workweeks don’t grow out of control and employees are compensated fairly.”

Earlier in 2015, Ayotte signed on as a co-sponsor of the Working Families Flexibility Act. According to a statement from the National Partnership for Women and Families (NPWF) condemning the legislation, the act claimed to “give hourly workers more flexibility and time with their loved ones by allowing them to choose paid time off, rather than time-and-a-half wages, as compensation for working more than 40 hours in one week.” However, the bill did “not promote family friendly or flexible workplaces,” explained the nonprofit organization in a fact sheet. “Instead, it would erode hourly workers’ ability to make ends meet, plan for family time, and have predictability, stability, and true flexibility at work.”

Ayotte’s record on equal pay has been similarly debunked by advocates. One of the policies highlighted by Ayotte’s campaign in the wake of Planned Parenthood Votes’ ad was the senator’s introduction of the Gender Advancement In Pay (GAP) Act in September 2015, which she reintroduced ahead of Equal Pay Day this April. The measure was meant to make clear that “employers must pay men and women equal wages for equal work, without reducing the opportunity for employers to reward merit,” according to a press release from Ayotte’s office upon the initial release of the bill.

Critics argued that Ayotte’s bill was nothing other than an election-year stunt. New Hampshire state Sen. Donna Soucy (D-Manchester) told NH1 News that Ayotte’s move was an attempt to look “for some cover … in an effort to be more in line with” New Hampshire voters, after Ayotte voted against other fair pay measures. However, Soucy said, the legislation didn’t really address the issue of pay equity. “Sen. Ayotte’s bill attempts to create paycheck fairness but doesn’t in fact do so because employers could preclude their employees from discussing what they make with their fellow employees,” claimed Soucy.

Similar arguments were made when Ayotte co-sponsored another equal pay measure, the Workplace Advancement Act, with Sens. Deb Fischer (R-NE), Susan Collins (R-ME), Joni Ernst (R-IA), Thad Cochran (R-MS), and Shelley Moore Capito (R-WV) in April 2015. Though the legislation would ban employers from retaliating against their staff, it failed to garner support from Democrats. According to the National Women’s Law Center, the bill would have done “more harm than good” as it “entirely [ignored] the many loopholes and inadequacies in current equal pay laws and simply [stated] that pay discrimination ‘violates existing law.'”

Their arguments are bolstered by Ayotte’s repeated votes against the federal Paycheck Fairness Act, though as Politifact again pointed out, some of these votes were procedural and not against the bill itself. Ayotte did cast one vote in favor of ending debate on the measure and advancing it; the fact-checking site noted, though, that Ayotte’s office reportedly did so in the ultimately denied hopes of changing the bill.

Had it passed, the legislation would have updated the Equal Pay Act of 1963 to include protections such as prohibiting retaliation against employees who share their salary and strengthening penalties for those who violate the law. Ayotte claims she voted against the measure because it “could reduce the ability of employers to award merit pay for good performance and limit the opportunity for women to have flexible work schedules,” according to a press release on the matter.

Speaking at a town hall event in 2013, Ayotte had previously justified her vote against equal pay legislation by asserting that it “created a lot of additional burdens that would … make it more difficult for job creators to create jobs.” The New Hampshire senator went on to add that there were already laws in place that could help address the issue.

There are, however, some examples of Ayotte supporting and introducing legislation that would help women. In June 2015, Ayotte co-sponsored the Pregnant Workers Fairness Act to protect pregnant people from workplace discrimination. Though the legislation never came to a vote, it would have helped “end … discrimination and promote healthy pregnancies and the economic security of pregnant women and their families,” according to the NPWF. That same year, the New Hampshire senator co-sponsored the Protect Access to Lifesaving Screenings (PALS) Act, bipartisan legislation that would have safeguarded access to free annual mammograms for women ages 40 to 74. Ayotte co-sponsored the bipartisan Campus Accountability and Safety Act in 2014 and 2015, which, according to Democratic New York Sen. Kirsten Gillibrand’s website, would “protect students and boost accountability and transparency at colleges and universities” when it comes to sexual assault. Ayotte also co-sponsored the Combating Military Sexual Assault Act of 2013 to address the issue in the military.

Overall, Ayotte has signed onto or supported numerous pieces of legislation that at face value seem to promote reproductive health and women’s rights. Further examination shows, however, that—with a few exceptions—they largely failed to hold up to scrutiny. While Ayotte’s campaign alleges that many of her measures would have helped women and families, analysis suggests that her conservative solutions to addressing these issues often would have made the problems worse. This, coupled with the senator’s fierce anti-choice advocacy, will no doubt keep this portion of Ayotte’s record under tight observation as November’s election approaches.

News Race

#SheWoke Fuels First Congressional Caucus on Black Women and Girls Event

Christine Grimaldi

Reps. Bonnie Watson Coleman (D-NJ), Robin Kelly (D-IL), and Yvette D. Clarke (D-NY) formed the caucus in March at the behest of #SheWoke, a collective started by seven advocates and thought leaders across the country.

The formal launch of the Congressional Caucus on Black Women and Girls (CBWG) examined barriers and pathways to success during a wide-ranging discussion Thursday.

Reps. Bonnie Watson Coleman (D-NJ), Robin Kelly (D-IL), and Yvette D. Clarke (D-NY) formed the caucus in March at the behest of #SheWoke, a collective started by seven advocates and thought leaders across the country. CBWG is the first of its kind to represent Black women and girls among the 430 registered congressional caucuses and member organizations, which includes the Congressional Black Caucus and the Congressional Caucus on Black Men and Boys, the lawmakers said at the time.

Portions of the inaugural event can be viewed via two videos on Watson Coleman’s Facebook page. The caucus also partnered with Rep. Bobby Scott (D-VA) for a second event on Black girls in the school-to-prison pipeline. Ebony magazine Senior Editor Jamilah Lemieux moderated the #RethinkDiscipline discussion.

“As we move forward in this launch, I can tell you that I’m looking forward to consistent, persistent work with an insistent attitude,” Watson Coleman said Thursday morning. “I believe that there’s been a vacuum of understanding our value, our challenges, our experiences, and our accomplishments.”

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CBWG Co-Chairs:
Rep. Bonnie Watson Coleman (D-NJ)
Rep. Robin Kelly (D-IL)
Rep. Yvette D. Clarke (D-NY)

CBWG Members:
Rep. Steve Cohen (D-TN)
Rep. John Conyers (D-MI)
Rep. Danny Davis (D-IL)
Rep. Barbara Lee (D-CA)
Rep. Joyce Beatty (D-OH)
Rep. Brenda Lawrence (D-MI)
Rep. G.K. Butterfield (D-NC)
Rep. Alcee L. Hastings (D-FL)
Rep. Gwen Moore (D-WI)
Rep. Donald Payne Jr. (D-NJ)
Rep. Patrick Murphy (D-FL)
Rep. Marcia Fudge (D-OH)
Rep. Mark Takano (D-CA)
Rep. Elijah E. Cummings (D-MD)
Rep. Lacy Clay (D-MO)
Rep. Stacey Plaskett (D-VI)
Rep. Frank Pallone (D-NJ)
Rep. Alma Adams (D-NC)
Rep. John Lewis (D-GA)

#SheWoke’s Ifeoma Ike and Nakisha Lewis told Rewire that the collective, and the caucus, grew out of conversations about Sandra Bland, the 28-year-old woman who died in police custody under controversial circumstances last year. The New York-based roommates realized that they had a lot in common with Bland—including the same vulnerabilities. No amount of educational achievements, professional successes, or other accolades could protect them from joining the long list of Black women who preceded Bland in death.

“She really could have been us,” Lewis said in an interview.

Ike and Lewis organized with other members of historically Black Greek letter organizations to form #SheWoke and translate their conversations into action. The group then reached out to Kelly’s congressional office to bring the movement to Washington. #SheWoke began working collaboratively with the lawmakers and their staffers about how to bring in research on school discipline and other pressing issues, as well as how to better connect impacted communities with elected officials, Ike said in a separate interview.

As a former Capitol Hill staffer who worked on the Congressional Caucus on Black Men and Boys, Ike recognized the importance of a national platform to elevate the discussion and bring change to the local level. Going forward, #SheWoke would want the CBWG to coordinate hearings that allow Black girls to tell their stories and speak their truths before Congress.

“What we’re trying to challenge people with is to try to look at everyday people as the experts on their own lives,” Ike said. #SheWoke is planning to do the same through talkback sessions with young girls, professional women, and seniors across the country.

Firsthand accounts matter because Black women’s and girls’ lived experiences vary. A Black woman in Texas or Louisiana would likely have a far more difficult time trying to access Planned Parenthood services than her counterpart in New York or New Jersey, Ike said. Genderqueer, gender-nonconforming individuals, and “all the people who have been left out on the margins” also need to be a part of the conversation, Ike said.

Melissa Harris-Perry, the Maya Angelou presidential chair at Wake Forest University and editor-at-large at Elle.com, echoed the need for intersectionality in her remarks at the caucus’ first event.

“Despite important commonalities, all African American women do not share the same ideas, beliefs, and burdens,” Harris-Perry said. “Age, region, queer identity, and skin color shape Black women’s lived experiences. Black trans women are uniquely vulnerable to public and state violence. Black women living with disabilities face barriers we frequently overlook. Black girls in foster care or struggling with episodic homelessness will have very different challenges than those with more stability.”

Such variations, however, “do not invalidate the importance of thinking about [B]lack women and girls as a group,” she said.

Harris-Perry said the late Angelou would commend the congressional co-chairs for developing the CBWG and ask the larger legislative body, “What took so long?” Harris-Perry ran through the list of overdue conversations: the disproportionate vulnerability to violence, unequal opportunity, criminal injustice, and health disparities that Black women and girls face in their day-to-day lives.

In addition to Harris-Perry, the event included speakers representing nonprofits, advocates, academia, and in the case of Geneva Reed-Veal, the mother of Sandra Bland, experts in the realities, and consequences, of the criminal justice system. Sharon Cooper, Bland’s sister, is a #SheWoke member.

Ike said she was “amazed at the interactions in between the formalities” of the event. Conversations focused on veterans’ rights, homelessness, school discipline, disability issues, mental health issues, and more, she said. A discussion on how women of color continue to bear the brunt of the gender pay gap underscored the lack of parity for Black women and girls—and the need for a forum to discuss policy prescriptions.

“The theme that I kept feeling was equity,” Ike said.