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Melinda Tankard Reist | Friday, 9 May 2008

Girls, unprotected

The insertion of long-acting contraceptives into the bodies of young girls does not protect them from sexual abuse. It sets them up for greater exploitation.

Flickr / k-girl

Reports continue to grow worldwide about population and family planning organisations demonstrating their preference for administering women long-acting, provider-controlled contraceptives in the form of injections and implants that cannot be removed by the woman herself.

These methods seem to be especially promoted for use amongst marginalised groups in developed countries and poor women in developing countries, causing women’s groups on the ground to raise questions about health impacts and lack of consent. Disenfranchised groups such as native peoples living on Indian reservations in the United States have been targeted.

Now, it seems, it is Australia’s turn. Aboriginal girls living in third world conditions in a supposedly rich country are the latest target. Queensland Health recently admitted implanting contraceptive rods in girls as young as 12 after the practice was discovered in two Indigenous communities - Aurukun on Cape York and Woorabinda, west of Rockhampton. It has since emerged that girls in the Northern Territory are also being given the hormones.

The practice raises profound questions about the health and safety of very vulnerable girls living on society’s margins. No one in authority can say exactly how many girls have been fitted with the implant, which has significant side effects including prolonged bleeding - the main reason women abandon its use. Indigenous women suffer rates of anaemia far higher than their white sisters. Who is monitoring the girls to check on their health status?

Long-lasting contraceptive methods have a controversial history. Depo Provera is the stand-out example, its manufacturer Pfizer, facing a class action lawsuit by users who developed osteoporosis. Norplant was used for a decade in the United States but was withdrawn after lawsuits involving 50,000 women who had suffered side-effects including headaches, irregular bleeding and depression. Its successor, Jadelle, is not yet marketed in the US. Implanon has yet to generate a lawsuit. It has not been clinically tested on girls under 18.

Queensland Health acting chief health officer Linda Selvey said the implants were necessary where a girl’s decision-making process was impaired and they couldn’t make informed decisions about their sexual behaviour. However, if they can’t make informed decisions about their sexual behaviour then they are at even greater risk of coerced sex. A quick contraceptive fix does nothing to stop men who see an opportunity for easy sex with pre-teen girls who don’t comprehend the meaning of consent. In fact, it may serve to encourage them.

In January, a 52-year-old Aboriginal health worker was sentenced to three years in prison for sexually abusing two girls aged 14 and 15 in the Northern Territory. He’d taken the youngest to the local clinic to have Implanon inserted before he started sexually using her. Despite the claims of Northern Territory chief health officer Steven Skov that contraception would only be given to a girl of 12 or 13 after an in-depth interview with the girl and her family, “as well as looking at the relationship she is involved in”, that didn’t happen in this case. I doubt this is a one off.

In January, it was also reported that Queensland welfare workers were unable to find a 13-year-old Indigenous multiple-rape victim who was deaf and suffered cerebral palsy. The girl, who had three sexually transmitted infections, had been given contraceptive injections from the age of 12. She was then raped with impunity.

Of course, no one thinks pregnancy in young girls is a good thing. But this approach sets girls up to be repeatedly raped and abused because not enough is done to address the cause. Health authorities are inadvertently clearing the way for girls' bodies to be invaded by men's abuse - and by sexually transmitted infections which Implanon does not prevent.

Queensland Child Safety Minister Margaret Keech said that accessing contraception was “not always an indication that a child is being harmed or at risk of harm”. But how many 12-year-old daughters of government officials are walking around with Implanon in their arms? Do they view their own pre-teen daughters as informed sexual agents?

This is not about freedom of sexual expression. It’s about branding girls for sex.

Some have argued that Indigenous girls mature earlier. It’s more likely that, living in dysfunctional communities riddled with pornography, alcohol and violence, they are primed for sex at ages considered unacceptable in the white community. And signs of puberty are hardly an indication that a girl is emotionally ready for sex.

Early sexual activity is often a sign of sexual abuse. The first person who interfered with one of these girls set her up further abuse because of the interruption of normal healthy sexual development. Yet Queensland Health has admitted that it doesn’t report all cases of sexual abuse. Where is the duty of care to these children? A synthetic progesterone rod in shoved in their arms and that’s it? One wonders what the Child Safety Department is actually for.

Getting girls fixed up so they don’t get pregnant can actually make them more vulnerable to sexual abuse.

Justice Stephen Southwood in the Northern Territory case, commented that the abuse of young girls was prevalent in remote communities and needed to be stopped. "Young girls … are entitled to be safe and to live with their mental integrity and dignity unharmed," he said. Temporarily sterilising girls without addressing exploitation is hardly dignified.

Why are girls left so unprotected? Why aren’t they removed? Are we so inured to unrelenting reports of the sexual abuse of young Indigenous girls that we have stopped caring? Sexual victimisation has to be stopped. There needs to be an inquiry, now.

Melinda Tankard Reist is a Canberra-based writer and researcher and the author of two books: Giving Sorrow Words: Women's Stories of Grief after Abortion, and Defiant Birth: Women Who Resist Medical Eugenics (Spinifex Press). She is also a director of Women’s Forum Australia. An earlier version of this article appeared in On Line Opinion.

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Amfortas said... Australia | Thu, 29 May 2008 at 11:42 am

“Why aren’t they removed?”, asks the Melinda, as though she were naive. Maybe she is.

One cannot ‘remove’ a black child who has been abused or is living in squalor and filth and poverty with inadequate parents because that would be racist. Shades of ‘Stolen Generation’.

Only white children can be ‘removed’ and we have a Family Court for that. They are experts at it. And secret. (hey, Melinda, try writing about the Family Court and mention any child - or its parents for that matter as the child can be identified as easily with the parents names). You won’t write again! You can’t do journalism from jail.)

The ‘Intervention’ of the last Australian Federal Government met with huge outcry from the ‘Race Industry’ and is being quickly undone by the new RuddGov. The new crowd of Mistresses and masters sighed with relief when they found that the ‘Intervention’ had only got as far as diagnosing a few diseases, and has quickly moved to pass the treatment program planning into the hands of a Committee who will no doubt commission a study, for review by another committee and seek their recommendations for debate and amendment, and......

Also, fortunately for RuddGov the ‘Intervention Workers’ hadn’t managed to collect any stats on the ‘abuse’ numbers/rate either so speculation and mendacity is up for grabs. (tenders will be issued soon for Stats creation services. The lowest price for the highest expected number will get the nod)

Refer all further comment to the Ministry of Truth.


Dr Susan Reibel Moore said... Australia | Thu, 22 May 2008 at 8:23 pm

Bless you, Melinda, for your enormously important work.


Daryl John Epstein said... Australia | Fri, 16 May 2008 at 8:14 pm

It is great to see a majority of strong comments in support of this article. I think that is the great work of a site like this; it allows for a forum whereby one can realize that there are many other good people out there who are willing to put their hands up and take a forward stance. Thankyou one and all. It’s heartening to see.


Christine said... Australia | Thu, 15 May 2008 at 9:16 am

There is a saying, ‘a chain is only as strong as its weakest link’. That makes each and everyone of us (Australians, human race...) responsible in a sense. The worst thing is when ‘good’ people have the knowledge and do nothing. People should not be shocked to learn of these things happening in such deprived communities (deprived by their very situation), when contraception, abortion, pornography, homosexuality, living together without being married, the inundation of the sexualization of our whole society just goes on and on, and seems to be widely accepted as unavoidable or OK. People make choices (everyone has this gift of volition)and every choice an individual makes should have accountability and responsibility attached to it right from the start - that’s what morality involves. Everyone can do something, even if its small.  Basic human rights are everyone’s responsibility, to see that everyone around them is doing OK. Well there are a lot of people who simply aren’t! I am ashamed, angry and am doing what I can about some of these sorts of things in my own community. Thanks Melinda for continuing to speak out.


Susan said... Australia | Tue, 13 May 2008 at 9:23 pm

It makes one wonder if the future cases in law will be called “the Depo provera kids”. This is another bad mark to go down in Australian history following on from the Stolen Generation.
How sad!
What about basic human rights for woman and children? We are not a 3rd world country! So why do we behave like one!


james said... Australia | Tue, 13 May 2008 at 9:21 am

TERRIBLE Article


BoombeeShark said... Australia | Tue, 13 May 2008 at 12:22 am

Very, very sad.

Unfortunately, it is equally sad that we (Australians) as a nation are unable to help these people properly because of political correctness and over-blown stories coming from the “Stolen Generation”.

The “Stolen Generation” would have most Australian believe the “White Man” systematically, and intentionally, destroyed the indigenous population and culture. The resulting howls of “Never Again” means the “White Government” can never again remove an indigenous person from their environment irrespective of the appalling conditions and immense damage to individuals. (This is probably over-stated, but I’m sure you get the point)

Furthermore, politically correct views pertaining to the family, i.e. all families are equal and there can be no preference for any particular structure, only add to the paralysis. Who is going to ban alcohol in these problematic areas and start education programs on good family values so these vulnerable women are protected in a natural way, i.e. by their fathers, and learn to treat themselves (and others) with respect within a loving family environment that consist of a married father and mother committed to each other in a permanent relationship.

If we have no vision of the best environment for these young women (which is growing up in loving family consisting of a father and mother committed to each other in long term marriage) we are doomed to strategies of risk minimisation, and saving face that will be a big waste of tax payers money and produce no long lasting benefits to the individuals in need.


Daryl John Epstein said... Australia | Sun, 11 May 2008 at 11:57 pm

This article is about standing up for the dignity of the most vunerable, on the margins of society. All people of good will must stand up and take heed! Now is the time to stop this disgusting abuse of young girls that interferes with the natural development of their sexuality in such a vulgar way. All decent Australians, and particularly those in the media, must speak out in solidarity to stop this horrible abuse of Our Aboriginal girls. In this informative article, Melinda Tankard Reist has set the ball rolling.


Ignacio Segarra said... Malaysia | Sun, 11 May 2008 at 3:46 am

Extraordinary informative article.

This event, as it comes around, is not as much a health related, social stability or protection for minors problem but the manifestation of a deeper ideological race. It aims to remove dignity from individuals to facilitate the public acceptance of a class ‘female’ to be men’s pleasure. In this context, the younger the prettier.

A consequence from sex tourism is to have to deal with pregnancy and methods to avoid it at a large scale. The insertion of contraceptives aims to prevent the social backlash of non-voluntary abortions in underage teens. These young women have been previously conditioned through poverty to deprive them from their freedom (and dignity) and further selected for sex activities that will go silent, without external signs, since pregnancy would not be expected: their slavery complete.

Ultimately, the lack of willingness to address the root of the problem is philosophical: to deprive man from happiness. A combined effort to sink individuals in moral misery (e.g. sex slaves) and to induce social despair (e.g. ignorance).

It is the becoming of the animal man. And it is an open pursuit which none can be naive to ignore.


Nike Ramos said... Philippines | Sun, 11 May 2008 at 2:58 am

Another one amongst other evils of contraception and its consequences.  It is the same in my country. Local Government units --like Quezon City-- thinks that making contraceptive devices and pills accessible to the poor is one of their rights.  However, if anything goes wrong with their health due to the contraceptive device or pills will the local government provide help? I don’t think so. Councilor Juico did not elaborate.


Ronk said... Australia | Sat, 10 May 2008 at 3:21 am

Thanks for breaking the deafening silence on this issue.

In addition, “an in-depth interview with the girl and her family” is useless if the “family” consists of a mother who is herself an abuse victim, and the mother’s current de-facto who is or intends to be the perpetrator of the abuse.


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