The Native American Women's Health Education Resource Center (NAWHERC) is a nonprofit organization that provides health resources to Native American women and also advocates for women's health, reproductive choices, economic issues and land and water rights. NAWHERC is first organization dedicated to women's health to open up on an Indian Reservation in the United States. [1] Its agenda is "consistently broad" because NAWHERC does not separate women's issues from community issues. [2]
The organization was founded by Native Americans who lived on the Yankton Sioux reservation. [3] Charon Asetoyer is the executive director and one of the original founders of NAWHERC. [4] The organization is located in Lake Andes. [5] NAWHERC has been a Ms. Foundation for Women grantee. [6] NAWHERC also collaborates with the Indigenous Women's Network, [7] and is part of the SisterSong Women of Color Reproductive Justice Collective. [8]
Charon Asetoyer and her husband, Clarence Rockboy, set up the Native American Community Board (NACB) in 1985 on the Yankton Sioux reservation. [9] Others involved with the initial founding were Everdale Jackie Rouse and Lorenzo Dion. [10] The NACB was first located in the basement of Asetoyer's house. [11] Asetoyer attended a conference in Washington, D.C., sponsored by the National Women's Health Network, where Luz Alvarez urged her to seek donations to help create a larger center. [12] In 1988 NACB created NAWHERC. [9] A building was purchased on the reservation to house the center. [13] The center for NAWHERC opened in February 1988. [1] The NACB acts as the governing board of NAWHERC. [14]
The NAWHERC first tackled the issue of fetal alcohol syndrome (FAS) because of the high rate of FAS in the community. [15] In 1990, NAWHERC organized "Empowerment Through Dialogue", a gathering of 30 Native women representing 10 Nations in Pierre, South Dakota. [16] From the three day gathering, an "Agenda for Native Women's Reproductive Rights" was created. [17] This part of NAWHERC became known as the Reproductive Rights Coalition and by 1994 included 150 women from 26 different tribes. [18]
In 1991, NAWHERC opened a women's domestic violence shelter. [19]
The "Agenda for Native Women's Reproductive Rights", which includes calls for culturally and age-appropriate sex education, affordable health care, reproductive rights and other issues for Native women, is still used in discussions today. [17]
NAWHERC runs a domestic violence shelter and has programs for AIDS prevention. [6] They also provide programs about domestic violence, Dakota language and culture, and health and environmental awareness. [9] NAWHERC also runs a hotline. [20] NAWHERC collects information about Native women's health, often using a traditional Native American approach, the roundtable process. [7] The roundtable becomes a safe-space where women are able to discuss issues they face. [7] NAWHERC "has been prolific in producing research". [8]
NAWHERC has been active in reporting abuses in reproductive care and medication in the Native American community. [3] In 2015, they reported that Indian Health Services (IHS) were not providing the emergency contraceptive, Plan B One-Step, which is non-compliant with the FDA guidelines of 2013. [21] A year later, NAWHERC continued to advocate for to access Plan B One-Step at IHS facilities. [22] Finally in 2015, the IHS created an updated policy for providing emergency contraceptive which the ACLU called a "long overdue and important step toward ensuring that Native American women have equal access to emergency contraceptive care." [23]
NAWHERC advocates for Native women's rights across the country, however, its main focus is on the health of Native women living in the Aberdeen area which includes women living in North Dakota, South Dakota, Iowa and Nebraska. [13]
The group published the Indigenous Women's Health Book, Within the Sacred Circle: Reproductive Rights, Environmental Health, Traditional Herbs and Remedies in 2004. Windspeaker called the book "well-organized and comprehensive", with issues about women's health written by Native women and including chapters about women who are two-spirited. [24] In 2016, they released a guide called What To Do When You're Raped, a guide for Native girls which is free and provides advice and access to resources. [25] The title of the book was specifically chosen by Asetoyer to read as "When You're Raped", rather than "If You're Raped" because of the epidemic of sexual assaults on reservations today. [26]
Other educational materials, such as pamphlets, created by NAWHERC have relevant, up-to-date information and practical advice for women's health. [27]
Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.
Women's health differs from that of men's health in many unique ways. Women's health is an example of population health, where health is defined by the World Health Organisation as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". Often treated as simply women's reproductive health, many groups argue for a broader definition pertaining to the overall health of women, better expressed as "The health of women". These differences are further exacerbated in developing countries where women, whose health includes both their risks and experiences, are further disadvantaged.
Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows:
Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence.
The Indian Health Service (IHS) is an operating division (OPDIV) within the U.S. Department of Health and Human Services (HHS). IHS is responsible for providing direct medical and public health services to members of federally recognized Native American Tribes and Alaska Native people. IHS is the principal federal health care provider and health advocate for Indian people.
The Rosebud Indian Reservation is an Indian reservation in South Dakota, United States. It is the home of the federally recognized Rosebud Sioux Tribe, who are Sicangu, a band of Lakota people. The Lakota name Sicangu Oyate translates as the "Burnt Thigh Nation", also known by the French term, the Brulé Sioux.
Hormonal contraception refers to birth control methods that act on the endocrine system. Almost all methods are composed of steroid hormones, although in India one selective estrogen receptor modulator is marketed as a contraceptive. The original hormonal method—the combined oral contraceptive pill—was first marketed as a contraceptive in 1960. In the ensuing decades, many other delivery methods have been developed, although the oral and injectable methods are by far the most popular. Hormonal contraception is highly effective: when taken on the prescribed schedule, users of steroid hormone methods experience pregnancy rates of less than 1% per year. Perfect-use pregnancy rates for most hormonal contraceptives are usually around the 0.3% rate or less. Currently available methods can only be used by women; the development of a male hormonal contraceptive is an active research area.
The Women's Health and Human Life Protection Act was a state law passed by the South Dakota State Legislature in early 2006. It emerged as an effort to overturn Roe v. Wade via enacting a ban on abortion in the state of South Dakota. The law was repealed by voter referendum on November 7, 2006.
Reproductive justice is a critical feminist framework that was invented as a response to United States reproductive politics. The three core values of reproductive justice are the right to have a child, the right to not have a child, and the right to parent a child or children in safe and healthy environments. The framework moves women's reproductive rights past a legal and political debate to incorporate the economic, social, and health factors that impact women's reproductive choices and decision-making ability.
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unintended pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. Planning, making available, and using human birth control is called family planning. Some cultures limit or discourage access to birth control because they consider it to be morally, religiously, or politically undesirable.
Black Women's Health Imperative, previously the National Black Women's Health Project, was formed in 1983 in Atlanta, Georgia out of a need to address the health and reproductive rights of African American women. NBWHP was principally founded by Byllye Avery. Avery was involved in reproductive healthcare work in Gainesville, Florida in the 1970s and was particularly influenced by the impact that policy had on women of color and poor women. Additionally Avery was also concerned with healthcare choices and wanted "to provide an environment where women could feel comfortable and take control of their own health".
Women of All Red Nations (WARN) was a Native American women's organization that fought for Native American civil and reproductive rights. It was established in 1974 by Lorelei DeCora Means, Madonna Thunderhawk, Phyllis Young, Janet McCloud, Marie Sanchez and others. WARN included more than 300 women from 30 different tribal communities. Many of its members had previously been active in the American Indian Movement and were participants in the 1973 Wounded Knee incident. The inaugural conference took place in Rapid City, South Dakota.
Birth control in the United States is available in many forms. Some of the forms available at drugstores and some retail stores are male condoms, female condoms, sponges, spermicides, and over-the-counter emergency contraception. Forms available at pharmacies with a doctor's prescription or at doctor's offices are oral contraceptive pills, patches, vaginal rings, diaphragms, shots/injections, cervical caps, implantable rods, and intrauterine devices (IUDs). Sterilization procedures, including tubal ligations and vasectomies, are also performed.
Reproductive coercion is a collection of behaviors that interfere with decision-making related to reproductive health. These behaviors are meant to maintain power and control related to reproductive health by a current, former, or hopeful intimate or romantic partner, but they can also be perpetrated by parents or in-laws. Coercive behaviors infringe on individuals' reproductive rights and reduce their reproductive autonomy.
Native American reservation inequality underlies a range of societal issues that affect the lives of Native American populations residing on reservations in the United States. About one third of the Native American population, about 700,000 people, lives on an Indian Reservation in the United States. Reservation poverty and other discriminatory factors have led to persisting social inequality on Native American reservations. Disparities between many aspects of life at the national level and at the reservation level, such as quality of education, quality of healthcare, substance use disorders, teenage pregnancy, violence, and suicide rates are significant in demonstrating the inequality of opportunities and situations between reservations and the rest of the country.
Contemporary Native American issues in the United States are topics arising in the late 20th century and early 21st century which affect Native Americans in the United States. Many issues stem from the subjugation of Native Americans in society, including societal discrimination, racism, cultural appropriation through sports mascots, and depictions in art. Native Americans have also been subject to substantial historical and intergenerational trauma that have resulted in significant public health issues like alcohol use disorder and risk of suicide.
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 the 1960s and 1970s, the Indian Health Service (IHS) and collaborating physicians sustained a practice of performing sterilizations on Native American women, in many cases without the free and informed consent of their patients. In some cases, women were misled into believing that the sterilization procedure was reversible. In other cases, sterilization was performed without the adequate understanding and consent of the patient, including cases in which the procedure was performed on minors as young as 11 years old. A compounding factor was the tendency of doctors to recommend sterilization to poor and minority women in cases where they would not have done so to a wealthier white patient. Other cases of abuse have been documented as well, including when health providers did not tell women they were going to be sterilized, or other forms of coercion including threatening to take away their welfare or healthcare.
Abortion in Uganda is illegal unless performed by a licensed medical doctor in a situation where the woman's life is deemed to be at risk.
Charon Virginia Asetoyer is a Comanche activist and women's health advocate. Asetoyer is one of the founders of the Native American Community Board (NACB) and the Native American Women's Health Education Resource Center (NAWHERC). President Clinton appointed her to the National Advisory Council for Health and Human Services (HHS). She has been awarded the Woman of Vision award by the Ms. Foundation and the United Nations Distinguished Services Award.
The women's health movementin the United States refers to the aspect of the American feminist movement that works to improve all aspects of women's health and healthcare. It began during the second wave of feminism as a sub-movement of the women's liberation movement. WHM activism involves increasing women's knowledge and control of their own bodies on a variety of subjects, such as fertility control and home remedies, as well as challenging traditional doctor-patient relationships, the medicalization of childbirth, misogyny in the health care system, and ensuring drug safety.
Media related to Native American Women's Health Education Resource Center at Wikimedia Commons