I posted the original article/request for information that I had read on a
third world women list-serve, and it generated a lot of information flow,
I'll include some at the end.  There are some great websites that give lots
of information on this distressing topic.  The most surprising thing to me
was finding out that articles began appearing in protest of the usage of
the drug as far back as 1993, and now mainstream press seems to have picked
up on it.  Well, actually, I guess this wasn't REALLY surprising... I am
more curious as to what spurned the interest/coverage now.

To answer Stefanie's questions, or at least attempt to -- I think that this
speaks to the larger issues surrounding women's access and information
about "family planning" and reproductive choices/decisions in many areas of
the world.  There are many other people/factors influencing a woman's
decision making about her body and the control she has of it.  

I worked in West Africa on a maternal and child health project and had the
opportunity to spend time in rural health clinics.  I certainly understand
that these experiences differ all over the world, but some I am sure are
universal.  There the issues are ones of logistics, often -- how to get to
the clinic (bad road access, no transportation, no support in terms of
leaving your work or farm for the journey, or even knowledge of the
existence of these clinics/options) and once there, how to communicate
about these issues: most women in the vilages I lived in didn't speak
French, and most staff at "dispensaires" didn't speak all the local
languages.  So once these barriers are overcome (if they are at all) --
then it moves to what information these staff have, and where it comes
from.  Some comes from the government, who dispenses the options (birth
control pill, Norplant, etc.) to the clinics, but there are so many
problems: availablity, expiration dates, etc. etc.  Then the challenge of
explaining the options, choices, etc.  And this is for women that manage to
make it to the clinics at all.  In some marches -- open markets -- women
would sell birth control pills -- not the series, or even a 30 day supply,
but one or two pills at a time, for pennies apiece.  There is so little
information about how to use these, that women are taking them like
aspirin, one or two at a time.  I have also read countless reports about
how expired/questionable pills and medications are funneled to the third
world from the US and other industrialized countries.  And none of this
even begins to approach the issues of religion and cultural practices which
further limit a woman's choice about planning a family.  No decisions are
made in a  vacuum, they are inextricably linked to the other parts of
women's lives.  

I don't know specifics about Quinacrine use, I am learning more -- but I am
not at all surprised and can easily see how this can happen without a
women's knowledge or consent.  I am sure some of you have read the articles
about the AIDS trials that have been conducted in Africa where women were
not fully debriefed on what it meant to take part in them -- some women
would get medication, others wouldn't.  Many women were confused and
thought they would be cured.  It feels hopeless when I read all these
articles, but I think as many women as possible should know that this happens.

The information on Quinacrine from the third world women list-serve:

The Population Research Institute has a good article at:
http://www.pop.org/reports/ftc797.html

Women at risk : Quinacrine sterilisation, a practice that defies
accepted international norms, continues in India: NALINI VISVANATHAN AND
MOHAN RAO (http://www.the-hindu.com/fline/fl1419/14190940.htm)

Women are guinea pigs on contraceptive trails (Sunday Times, a Times of
India news report) 
http://www.africa2000.com/GNDX/quinban.html

http://www.obgyn.net/ENGLISH/PUBS/ARTICLES/kini_art.htm: Please write
and let the editor of this publication know that this article has become
outdated, and needs some revisions and supplementary information.


http://www.hsph.harvard.edu/Organizations/healthnet/contra/topic05.html#2

Dear Renske - Bol!, our mailing list on reproductive health and rights
in South Asia, carried this posting a while back.  Hope you find it
useful - Sushma 
______________ 
Quinacrine Sterilization:

Quinacrine, a chemical with possible carcinogenic and other side
effects, has been creating controversy in India as activists protest its
 use as a sterilization method for women by private medical
practitioners and the NGO sector. Quinacrine is seen to be appropriate
for areas where trained medical personnel and facilities are not widely
available due to its quick and easy implementation. Quinacrine trails
have taken place in 19 Third World countries - currently, it is in use
in all countries in South Asia.

The chemical is promoted by doctors like Elton Kessel and Stephen
Mumford, both of which run NGOs based in North Carolina, US, and who
have been known to equate the security of the First World with the
population control of the Third World. They are also known to have ties
to anti-immigration groups which have been criticized for their racist
agenda.

The lack of follow-up of the women involved in these trails make it
difficult to get accurate statistics on the women's health after the
sterilization. Ministries of health and ethical committees all over the
world, including the Chilean ministry of Health and the Indian Council
for Medical Research (ICMR), have come under fire for their involvement
in these trials. The ICMR seemed to have turned a blind eye to the many
medical practitioners who publicly claim to have sterilized thousands of
 women with this method. The Supreme Court of India has been approached
by a public interest litigation brought by the All India Women's
Democratic Forum and the faculty of Social Medicine in Jwaharlal Nehru
University, New Delhi.

In South Asia, more and more of the funding for the health sector are
being re-allocated  to non-governmental organizations (NGOs), which are
seen to be more efficient than government institutions. The sources of
development funding in South Asia are diverse - these include donors
from the North who are active advocates in the population control lobby.

The heterogeneous nature of NGOs and their activities, and the present
lack of monitoring of these activities make unethical medical trails and
 population control possible on a scale that can no longer be ignored.
The move of the NGO sector to provide basic health services make it
imperative to develop guidelines with which  their activities can be
monitored and made accountable to their  'target populations'.

Quinacrine Sterilisation Trials: A scientific scandal?
Mohan Rao, Economic and Political Weekly, March 28, 1998

Quinacrine Sterilization: Illegal and unethical 

Renske van Staveren
International Forum on Food & Agriculture (IFA)
c/o Institute for Agriculture and Trade Policy (IATP)
2105 First Avenue South
Minneapolis, MN, USA  55404-2505
ph: 612-870-3423       fax: 612-870-4846
[EMAIL PROTECTED]  
http://www.iffah.org
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>From [EMAIL PROTECTED] Mon Jul 13 15:09:53 1998
 [EMAIL PROTECTED]; Tue, 14 Jul 1998 09:10:38 +1200 (NZS)
 14 Jul 1998 09:10:09 +1200
Date: Tue, 14 Jul 1998 09:09:35 +1200
From: "STEFANIE S. RIXECKER" <[EMAIL PROTECTED]>
Subject: (Fwd) Fwd: speakers, consultant, conference suggestions reques
To: [EMAIL PROTECTED]

Dear All:

This message was forwarded to me because it didn't get through the 
ether on its original uploading attempt.  It looks very interesting!

All the best,

Stefanie Rixecker
ECOFEM Coordinator

------- Forwarded Message Follows -------


Date: Thu, 02 Jul 1998 15:58:13 -0500
From: "Mark Denham" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: speakers, consultant, conference suggestions requested

Dear EcoFem folks,

The University of Toledo has received funding from the US
Department of Education to improve the internationalization
of our undergraduate Women's Studies and Environmental
Studies programs as well as create courses and provide
faculty development at the intersection of International,
Women's and Environmental issues. We were pleased that the
Dept of Ed liked (and funded) our rather unorthodox
proposal.

The term of the grant just begun and we are beginning to
organize a number of activities for the 1998 - 99 academic
year.

I am asking your help in identifying some persons who could
help us in our work:

First, we are looking for a "consultant" and workshop leader
who can (1) provide a full-day faculty development workshop,
primarily for faculty in the international, women's and
environmental studies programs that will help them integrate
material from the other two programs in their courses (for
example, to help someone who normally teaches a "basic"
environmental studies course with including material that
relates to international and women's issues; or a women's
studies faculty member to include more international and
environmental material, etc.) and (2) provide consultation
for faculty members who are developing courses in
"International Women's Issues", "Women and the Environment"
and "Experiential Seminar in "International Environmental
and Women's Issues"

This person would need to be someone who was familiar with
all three issue areas as well as university-level curriculum
issues. We have money for both travel expenses and
honorarium.

Second, we are sponsoring a series during the year where we
will host three different persons to campus for a day. This
person will give a public "lecture/presentation" as well as
be involved in a few other kind of campus activities. We
would like one or more of these speakers to have some degree
of "name recognition" in the community. We have travel funds
and honoraria for these persons also.

Could you suggest some appropriate persons that we could
consider approaching for these activities? (You should even
feel free to nominate yourself.)

Feel free to respond to me directly, although if the
information you have might be more generally of interest to
EcoFem subscribers, you could post it to the list. I
hesitate to promise to post a compilation of the suggestions
that I receive since I think I would need their approval
before listing their name publically in such a list. 

Third, I find the announcement of conferences and meetings
very helpful (thanks Stefanie for keeping us informed!!). Do
any of you have specific suggestions of events that would be
especially appropriate for university educators? Especially
any that deal with curriculum?

My sincere thanks to all of you for tolerating this long
post, and for any suggestions you can give us.

Mark



_._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

Mark E. Denham
The University of Toledo
Department of Political Science
Toledo, OH  43606-3390
U.S.A.
voice: 419.530.4062
fax: 419.530.4199
[EMAIL PROTECTED]



************************************
Dr. Stefanie S. Rixecker
Division of Environmental Management & Design
Lincoln University, Canterbury
PO Box 56
Aotearoa New Zealand
E-mail: [EMAIL PROTECTED]
Fax: 64-03-325-3841
************************************

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