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Friday, December 16, 2022
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Nature of the Case

The High Court of Kenya ruled that women living with Human Immuno-deficiency Virus (HIV) have equal reproductive health rights under the Kenyan Constitution and laws, and that performing a sterilization procedure on a patient with HIV without her informed consent is discrimination based on sex, gender, and HIV-status, violating Article 27 of the Constitution. The Court also held that health care providers have a duty to obtain informed consent for medical procedures, except in cases of emergency, and that consent cannot be transferred from one health facility to another. In so ruling, the Court found that two medical providers violated the constitutional rights of the Petitioner in this case, a young woman with a HIV-positive diagnosis, when they failed to inform and obtain consent before she underwent a bilateral tubal ligation that left her permanently unable to bear children.

Enforcement of the Decision and Outcomes

The matter is now under appeal that has been lodged by Marua Nursing home. This will delay the implementation of the decision given that the appeal has to be heard and determined.

Significance of the Case

This was a landmark judgment in the first case of its kind in Kenya, issued after eight (8) years of litigation by Kenya Legal and Ethical Issues Network on HIV & AIDS (KELIN). The Petitioner stated, “This win in not just for me but for each woman living with HIV who has been subjected to forced sterilization. I’m happy that the violations against us have been acknowledged and hope my story will be a tool for the protection of the right to health for other women living with HIV.” Forced and coerced sterilization and other forms of obstetric violence against women living with HIV have been reported in nearly 40 countries. Advocacy organizations celebrated this decision as an important step in protecting the sexual and reproductive rights of women living with HIV, eliminating the stigma and discrimination that they face, and in combatting HIV-AIDS. “This case is an important moment for reproductive justice and the feminist movement. Coercive sterilization of women living with HIV is a violation of women’s most fundamental human rights and undermines effective HIV responses,” said UNAIDS Country Director for Kenya, Medhin Tsehaiu. “It is only through a human rights approach that we will end AIDS as a public health threat.”

For their contributions, special thanks to ESCR-Net member: the Program on Human Rights and the Global Economy (PHRGE) at Northeastern University.

Groups Involved in the Case

Kenya Legal and Ethical Issues Network on HIV & AIDS (KELIN) – 2nd Petitioner

African Gender and Media Initiative Trust (GEM) – 3rd Petitioner

International Community of Women Living with HIV – Interested Party

Joint United Nations Programme on HIV/Aids (UNAIDS) – 1st Amicus Curiae

Professor Alicia Ely Yamin – 2nd Amicus Curiae

National Gender and Equality Commission (NGEC) – 3rd Amicus Curiae