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20 or less GPs offer abortion services per county in the South East

20 or less GPs offer abortion services per county in the South East

Four years on since the Irish public voted to repeal the 8th Amendment, campaigners are calling for the Government to take urgent action to remove 'unnecessary barriers' to abortion care.

According to the Abortion Rights Campaign (ARC) group, people are still being forced to travel abroad for abortion care.

Speaking about the issue, Darina Murray, ARC co-convener, said that while thousands of people have been able to access services within the State since 2019, the legislation is full of medically unnecessary barriers.

One of the issues highlighted by the ARC is a lack of local provision.

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“There are gaps in abortion provision, which disproportionally affect people living in rural Ireland, disabled people, working-class people, migrants, and people living in direct provision,” Ms Murray explained.

“Our research shows that people need to travel for four to six hours for abortion care, particularly those living in rural areas.

“This is significantly longer than they usually travel for healthcare appointments.”

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On the fourth anniversary of Repeal the 8th, the National Women’s Council (NWC) called on the Government to address the lack of nationwide abortion services which is severely impacting women and pregnant people’s access to care.

 An analysis of HSE data by NWC found that currently:

  • Only 1 in 10 GPs is offering abortion care and not all of them are able to take referrals through My Options, the HSE’s unplanned pregnancy support service for the general public.
  • 50% of counties have less than 10 GPs offering abortion services and only four out of 26 counties have a well-developed community network of providers.
  • There is a rural divide when it comes to abortion access, with provision strong in Cork, Galway and Dublin but a much less developed service offer elsewhere, with Mayo, Wexford, Westmeath, Longford and Carlow appearing particularly underserved.
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Waterford and Tipperary have between 10 and 20 GPs offering services in the whole county, while Carlow, Kilkenny and Wexford have between zero and 10.

Campaigners have also been pushing for a change to the waiting period.

At present, there is a mandatory three-day waiting period between the first and second appointments.

“It is 2022, yet we still do not trust pregnant people to know what is best for them,” Ms Murray said.

“The three-day wait is nothing more than paternalistic nonsense, which the World Health Organisation states can jeopardise women’s ability to access safe, legal abortion services and demean women as competent decision-makers.”

The lack of safe access zone has also been a significant issue for people accessing services.

According to the ARC, nine out of the 19 maternity hospitals and maternity units still do not provide full abortion services, and only one in 10 GPs are abortion providers.

“This is a damning consequence of refusal of care, the chilling effect caused by the criminalisation of doctors who perform abortions outside the limited terms of the legislation, and the lack of safe access zones to prevent the harassment of people accessing medical services and healthcare providers,” Ms Murray said.

“When we said we wanted free, safe, legal, local and accessible abortions, the local part was not an added extra.

“Local access is vital to ensure that people can have the abortions they need when they need them.”

“Our restrictive legislation means that many people are still forced to leave the country for abortions.

“Since 2019 Abortion Support Network has funded 179 clients from Ireland, who were failed by our abortion law.

“This is not what people voted for in 2018.”

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