Reports

Obstetric Violence in Sierra Leone

The 75-page report, “No Money, No Care: Obstetric Violence in Sierra Leone,” documents cases of verbal abuse, medical neglect, and abandonment of women and girls facing serious obstetric complications, practices that experts interviewed say are common. Many women interviewed said they were shamed and mistreated by healthcare providers for expressing pain, needing help, or for not having enough money to pay fees. Others described humiliating experiences in which healthcare providers treated them brusquely or withheld important health information. Some cases documented constitute obstetric violence, a largely unaddressed form of gender-based violence prevalent across the world.

Pregnant women sit in the waiting area at the pre-natal clinic of the Princess Christian Maternity Hospital
A woman looks out of the window of a damaged building

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  • September 23, 2010

    Deinstitutionalization of Persons with Intellectual or Mental Disabilities in Croatia

    This 74-page report documents the plight of the more than 9,000 persons with intellectual or mental disabilities living in institutions in Croatia and the lack of community-based programs for housing and support.

  • September 9, 2010

    Government Failure to Provide Palliative Care for Children in Kenya

    This 78-page report found that most Kenyan children with diseases such as cancer or HIV/AIDS are unable to get palliative care or pain medicines. Kenya’s few palliative care services provide counseling and support to families of chronically ill patients, as well as pain treatment, but lack programs for children.

  • August 26, 2010

    Discrimination and Violence against Women with Disabilities in Northern Uganda

    This 73-page report describes frequent abuse and discrimination by strangers, neighbors, and even family members against women and girls with disabilities in the north. Women interviewed for the report said they were not able to get basic provisions such as food, clothing, and shelter in camps for displaced persons or in their own communities.
  • August 10, 2010

    Lack of Accountability for Reproductive Rights in Argentina

    This 52-page report documents the many obstacles women and girls face in getting the reproductive health care services to which they are entitled, such as contraception, voluntary sterilization procedures, and abortion after rape.

  • July 25, 2010

    Mental Disability, Unfair Hearings, and Indefinite Detention in the US Immigration System

    This 98-page report says that immigrants with mental disabilities are often unjustifiably detained for years on end, sometimes with no legal limits. The report documents case after case in which people with mental disabilities were prevented from making claims against deportation – including claims of US citizenship – because they were unable to represent themselves.
  • July 15, 2010

    Barriers to Fistula Prevention and Treatment in Kenya

    This 82-page report describes the devastating condition facing women with fistula in Kenya and the wide gap between government's policies to address reproductive health and the reality of women's daily lives.

  • July 7, 2010

    Illinois’s Failure to Test Rape Kits

    This 42-page report collected comprehensive testing data from 127 of 264 jurisdictions in Illinois and found that only 1,474 of 7,494 sets of physical evidence, known as "rape kits," booked into evidence since 1995 could be confirmed as tested. That suggests 80 percent of rape kits may never have been examined in the state.
  • May 27, 2010

    Addressing Reproductive Health Care Gaps

    In interviews around the world, hundreds of women and girls have described to Human Rights Watch the pursuit of reproductive health care as an obstacle course. Logistical, cultural, and financial barriers to services and information, discrimination, and abusive health providers block the way.
  • April 27, 2010

    HIV, TB, and Abuse in Zambian Prisons

    This 135-page report documents the failure of the Zambian prison authority to provide basic nutrition, sanitation, and housing for prisoners, and of the criminal justice system to ensure speedy trials and appeals, and to make the fullest use of non-custodial alternatives.
  • April 14, 2010

    Segregation of HIV-Positive Prisoners in Alabama and South Carolina

    This 45-page report says that prisoners in the HIV units are forced to wear armbands or other indicators of their HIV status, are forced to eat and even worship separately, and are denied equal participation in prison jobs, programs, and re-entry opportunities that facilitate their transition back into society.
  • January 25, 2010

    The Illegal Arrest, Arbitrary Detention and Torture of People Who Use Drugs in Cambodia

    In this 93-page report Human Rights Watch documents detainees being beaten, raped, forced to donate blood, and subjected to painful physical punishments such as "rolling like a barrel" and being chained while standing in the sun.

  • January 7, 2010

    Incarceration, Ill-Treatment and Forced Labor as Drug Rehabilitation in China

    This 37-page report based on research in Yunnan and Guangxi provinces, documents how China's June 2008 Anti-Drug Law compounds the health risks of suspected illicit drug users by allowing government officials and security forces to incarcerate them for up to six years. The incarceration is without trial or judicial oversight.

  • December 7, 2009

    Violence, Discrimination and Barriers to Health for Migrants in South Africa

    This 89-page report describes how harassment, lack of documentation, and the credible fear of deportation prevent many newcomers from seeking medical treatment even though South African law and policy state that asylum seekers, refugees, and migrants have a right to care.
  • October 28, 2009

    India’s Obligation to Ensure Palliative Care

    This 102-page report found that many major cancer hospitals in India do not provide patients with morphine, despite the fact that more than 70 percent of their patients are incurable and likely to require pain treatment and palliative care. Health centers offering services to people living with HIV similarly do not have morphine or doctors trained to prescribe it.

  • October 7, 2009

    Accountability in Maternal Health Care in India

    This 150-page report documents repeated failures both in providing health care to pregnant women in Uttar Pradesh state in northern India and in taking steps to identify and address gaps in care.