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Friday, January 30, 2015
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Nature of the Case

Three Namibian women sued the Government of the Republic of Namibia alleging that they were subjected to coerced sterilization immediately after giving birth via Caesarean section.  The women alleged constitutional violations, lack of informed consent, and discrimination based on their HIV-positive status. The High Court ruled in favor of the women in 2012, and ordered damages. The Namibian government appealed the ruling to the Supreme Court, which upheld the decision of the High Court on November 2, 2014. The court found that the women did not give informed consent for the sterilizations because they were going through labor pains and could not adequately weigh their options, but found that the women had not demonstrated that the decisions to sterilize them had any relation to their HIV-positive status. The women were supported by the Namibian Women’s Health Network (NWHN), the Legal Assistance Centre (LAC) and the Southern Africa Litigation Centre (SALC).

Enforcement of the Decision and Outcomes

The Court found the women were entitled to money damages, and remanded the case to the High Court to determine the amount of damages.

Significance of the Case

Forcible sterilization is an unfortunately common occurrence in African countries, including in Namibia.  While the court in this case did not find that the women in this case had presented enough evidence of HIV-discrimination, the court remained open to the possibility of a finding of discrimination on the basis of future evidence.  Human rights organizations see this case as a first step towards recognition and protection of the rights of HIV-positive women in Africa. Additionally, the court specifically rejected medical paternalism as harmful to patients and particularly to the women in this case.

Groups Involved in the Case

Namibian Women’s Health Network (NWHN) and Southern Africa Litigation Centre (SALC)