In the Comoros, abortion is illegal unless medically necessary. An abortion typically must be approved by two doctors. People who receive or conduct abortions may be punished with fines or imprisonment. The country's abortion law, based on French abortion law, only allowed abortion in the case of risk to life before a 1982 amendment. Intimate partner violence is a factor associated with abortions. Some women who get pregnant from sexual assault and cannot access abortions commit infanticide.
Article 304 of the penal code of the Comoros bans abortion: [1]
Women who receive illegal abortions may be punished. The only legal grounds for abortion are "very serious medical reasons, noted in writing by at least two doctors". [1] The requirement for two doctors' approval may be waived if only one doctor is available. [2] The law does not set a gestational limit. [3]
The original abortion law of the Comoros was based on that of France, only permitting abortion on the ground of risk to life. The wording of the 1939 amendment to France's abortion law remains in the Comoros' law. [2] The penal code adopted in 1982 added the ground for "serious medical reasons". [4] The Comoros was one of the first ten countries to sign the Maputo Protocol, which includes a right to abortion. [5]
In 2015–2019, the rate of unintended pregnancies was 95 per 1,000 women of reproductive age. During this period, there were 6,100 abortions per year, a rate of 31 per 1,000 women. The abortion rate had remained constant since 1990–1994, while the rate of unintended pregnancies had decreased by 35%. [6]
According to a 2021 study, women in the Comoros who have experienced intimate partner violence are more likely to have abortions. [7] The lack of legal abortion and the high rates of sexual assault are factors that lead women to commit infanticide. Cases of infanticide are commonly reported in the country. [8]
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in Chad face legal challenges not experienced by non-LGBTQ residents. Both male and female forms of same-sex sexual activity are illegal in the country. Before the new penal code took effect in August 2017, homosexual activity between adults had never been criminalized. There is no legal protection against discrimination based on sexual orientation and gender identity.
Lesbian, gay, bisexual, and transgender (LGBT) people in the Ivory Coast face legal challenges not experienced by non-LGBTQ residents. Same-sex sexual activity is legal for both men and women in Ivory Coast, but same-sex couples and households headed by same-sex couples are not eligible for the same legal protections available to opposite-sex couples.
Abortion in Japan is allowed under a term limit of 22 weeks for endangerment to the health of the pregnant woman, economic hardship, or rape. Chapter XXIX of the Penal Code of Japan makes abortion de jure illegal in the country, but exceptions to the law are broad enough that it is widely accepted and practiced. Exceptions to the prohibition of abortion are regulated by the Maternal Health Protection Law that allows approved doctors to practice abortion on a woman if the pregnancy was the result of rape or if the continuation of the pregnancy endangers the maternal health because of physical or economic reasons. Anyone trying to practice abortion without the consent of the woman will be prosecuted, including the doctors. If a woman is married, consent from her spouse is also needed to approve abortions for socioeconomic reasons, although the rule doesn't apply if she is in a broken marriage, suffering abuse, or other domestic issues. Despite the partner's consent not being necessary for unmarried women and women who were impregnated by abusive partners or through rape, many doctors and medical institutions seek a signature from the man believed to have made the woman pregnant for fear of getting into legal trouble, rights advocates say.
Unintended pregnancies are pregnancies that are mistimed or unwanted at the time of conception, also known as unplanned pregnancies.
Foeticide, or feticide, is the act of killing a fetus, or causing a miscarriage. Definitions differ between legal and medical applications, whereas in law, feticide frequently refers to a criminal offense, in medicine the term generally refers to a part of an abortion procedure in which a provider intentionally induces fetal demise to avoid the chance of an unintended live birth, or as a standalone procedure in the case of selective reduction.
Forced abortion is a form of reproductive coercion that refers to the act of compelling a woman to undergo termination of a pregnancy against her will or without explicit consent. Forced abortion may also be defined as coerced abortion, and may occur due to a variety of outside forces such as societal pressure, or due to intervention by perpetrators such as an intimate partner, parental guardian, medical practitioners, or others who may cause abortion by force, threat or coercion. It may also occur by taking advantage of a situation where a pregnant individual is unable to give consent, or when valid consent is in question due to duress. This may also include the instances when the conduct was neither justified by medical or hospital treatment, which does not include instances in which the pregnant individual is at risk of life-threatening injury due to unsustainable pregnancy. Similar to other forms of reproductive coercion such as forced sterilization, forced abortion may include a physical invasion of female reproductive organs, therefore creating the possibly of causing long term threat or injury preventing viable future pregnancies. Forced abortion is considered a human rights violation by the United Nations due to its failure to comply with the human right to reproductive choice and control without coercion, discrimination, and violence.
In 2004, the incidence of rapes recorded by the police in Belgium was 28.4 per 100,000 people, according to data by UNODC; in 2008 it was 29.5 per 100,000 people. Belgium has been reported as being one of the countries with the highest rate of rape.
Latin America is home to some of the few countries of the world with a complete ban on abortion and minimal policies on reproductive rights, but it also contains some of the most progressive reproductive rights movements in the world. With roots in indigenous groups, the issues of reproductive rights include abortion, sexual autonomy, reproductive healthcare, and access to contraceptive measures. Modern reproductive rights movements most notably include Marea Verde, which has led to much reproductive legislation reform. Cuba has acted as a trail-blazer towards more liberal reproductive laws for the rest of Latin America, while other countries like El Salvador and Honduras have tightened restrictions on reproductive rights.
In Benin, abortion is legal on broad socioeconomic grounds up to twelve weeks of pregnancy.
Abortion is a controversial topic in Nigeria. Abortion in Nigeria is governed by the two laws that differs greatly depending on geographical location. Northern Nigeria is governed by The Penal Code and Southern Nigeria is governed by The Criminal Code. The only legal way to have an abortion in Nigeria is if having the child is going to put the mother's life in danger. However, sex-selective abortion has long had acceptance in Nigeria.
Abortion in Guatemala is illegal, except when needed to save the woman's life. Abortion was illegal without exception prior to 1973. Congressional Decree 17-73 altered the penal code to allow abortion in cases in which the pregnant woman's life is endangered in September 1973. The procedure must be done by a physician and approved by a second doctor.
Abortion in Egypt is prohibited by Articles 260–264 of the Penal Code of 1937. However, under Article 61 of the Penal Code, exceptions may be granted in cases of necessity, which has typically been interpreted to permit an abortion necessary to save the life of the pregnant woman. In some cases, this exception has been extended to cases where the pregnancy poses dangers to the pregnant woman's health, and to cases of foetal impairment. A physician can only perform an abortion in such cases when two specialists approve, unless the woman's life is in imminent danger.
In Yemen, abortions are only “permitted to save the life of a pregnant woman”, making it one of the strictest abortion laws in the Middle East and the world. Abortion is not widely accepted in Yemeni society. However, because of the recent conflict in Yemen, rape, honor killings, and unsafe abortions have increased in Yemen. According to a study conducted by Canadian Studies in Population, the number of unsafe and illegal abortions are high in Yemen, which can lead to fatal health risks for women.
The laws pertaining to abortion in Malaysia are generally ambiguous and specific legislation varies greatly by state. Access to abortion in Malaysia has been hampered by religious, cultural and social stigmas against abortion, poor awareness of abortion legislation among health professionals and the high cost of abortion services in the private health sector. As a result, risky unsafe abortions are prevalent in Malaysia. Under Sections 312–316 of the Penal Code, it is de jure permitted to perform an abortion to save the life of the mother or in cases where their physical or mental health is at risk, for the first 120 days of gestation.
In Madagascar, abortion is illegal in all circumstances. The abortion law punishes receiving or assisting in an abortion with imprisonment or fines. It is one of the only countries with a total abortion ban. Abortion has been illegal since the French colonial era, influenced by attitudes favoring increased births. In 2017, the government rejected a proposal to legalize therapeutic abortion. A bill allowing abortion in the case of rape was proposed by Member of Parliament Masy Goulamaly in November 2021 but was withdrawn by the parliament.
In Senegal, abortion is illegal unless the life of the mother is in danger. A medical exception requires a medical certificate. Senegal is one of the only countries whose criminal code completely bans abortion. Receiving an abortion is punishable by fines and prison. Abortion was banned in the colonial era. In 1967, an exception was made in the case of threat to life. In 2005, the National Assembly declared that women have a right to post-abortion care. Activists wanted this law to legalize abortion in the cases of rape or incest, but failed. In 2013, a group of NGOs called the Task Force formed with the goal of aligning Senegal's abortion law with the Maputo Protocol, which it had signed in 2004. The National Assembly considered a bill in 2024 that would guarantee legal access to medical abortion. International organizations have called for abortion law reform. Domestically, religious families and organizations influence widespread opposition to abortion due to Islamic beliefs.
In Togo, abortion is only legal in the cases of pregnancy from rape or incest, risk to the mother's health or life, or risk of birth defects. The law requires abortion to be performed by a doctor.
In Guinea, abortion is illegal unless the pregnancy poses a threat to the life or health of the pregnant woman or fetus, if it resulted from rape, or if the pregnant woman is a minor. Illegal abortions are punishable by fines and prison. Legal abortions require approval from doctors in the case of therapeutic abortion or ethics committees in the case of abortion from rape. The conditions for legal abortion are debated. Women's rights activists and journalists have advocated for reform.
In Gabon, abortion is only legal in the cases of risk to the mother's life, risk of birth defects, pregnancy from rape or incest, or if the mother is a minor in distress, up to ten weeks of pregnancy. Illegal abortions are punishable by prison or fines. Gabon has one of the highest rates of abortion in Sub-Saharan Africa.
In Seychelles, abortion is legal in the cases of risk to life, risk to physical or mental health, birth defects, pregnancy from rape, or mental incapacity. Abortion must be approved by three doctors or by a judge. It is only permitted in the first twelve weeks of pregnancy, except in exceptional circumstances. There is only one legal abortion provider, Victoria Hospital. The rate of illegal abortion is believed to be high.