The International Women’s Health Coalition (IWHC) joins 96 other civil society organizations in calling on the US State Department to reinstate reporting on sexual and reproductive health and rights in the annual Human Rights Reports. The statement is listed below, and available for download, with complete footnotes, in PDF format.



October 2, 2018

Dear Secretary Pompeo,

As development of the 2018 Country Reports on Human Rights Practices begins, we are writing to raise our deep concern about significant changes in last year’s report, including the deletion of the reproductive rights subsection and limited reporting on prevalence and incidence of gender-based violence. The undersigned 97 civil society organizations call on the State Department to include robust reporting on the incidence and prevalence of gender-based violence and to reverse the decision to delete the reproductive rights subsection and ensure it is not repeated in the 2018 reports.

The State Department’s annual reports are an important human rights tool. The reports:

  • aid Congress in directing appropriations for foreign assistance and U.S. foreign policy,
  • are used by governments, academics, journalists, civil society organizations, and human rights defenders around the world, and
  • inform immigration judges, refugee and asylum officers, and protection or compliance officers at agencies like the Overseas Private Investment Corporation and the U.S. Export-Import Bank.

In addition, the process of preparing and drafting the annual reports provides a critical opportunity for foreign service officers to engage local civil society and human rights defenders about the issues and concerns facing them.

As the annual reports have historically shown, human rights are indivisible and universal. Striking certain threats or abuses against some marginalized communities or people, including women and girls, from the report sends a message to abusive governments that the United States turns a blind eye to such action and may embolden regression on women’s rights globally. When women’s rights are limited, so are broader pathways to empowerment—economic, social, political or otherwise.

Therefore, we are extremely concerned by the 2017 report, which removed all reporting on reproductive rights and scaled back reporting on gender-based violence from section six, signaling a dangerous backslide in the United States’ commitment to women’s rights abroad. Ambassador Michael G. Kozak explained the change to the reproductive rights subsection by stating that in virtually every country there is no obstacle to accessing contraception, except for limited availability in rural areas, and said that reports would refer readers to WHO reports with additional information.

The Philippines chapter is just one example out of nearly all the countries in the report where this explanation does not hold up when comparing the difference between the 2017 and 2016 reports (for full 2016 text of the Philippines chapter, refer to Appendix A). The 2016 country chapter included a page-long assessment of the many ways government actors created barriers to critical health services, including information about a national inquiry into reproductive health and rights amid reports of local government units denying women access to services, including access to contraceptives. By contrast, the 2017 country chapter states ”[t]here were no reports of coerced abortion, involuntary sterilization, or other coercive population control methods,” and refers readers to a WHO link for estimates on maternal mortality and contraceptive prevalence, though the cited publication does not address contraceptive prevalence and provides only modeled estimates of health data that does not account for a 2016 Supreme Court ruling impacting reproductive health access.

The 2017 report also reflected a marked decrease in reporting on gender-based violence, specifically domestic and sexual violence against women and girls. It is particularly concerning that the section detailing some of the worst abuses and violence against women and girls was nearly silent on incidence or prevalence of domestic and sexual violence and gendered killings of women. A side by side comparison of the 2016 and 2017 chapters on El Salvador (Appendix B) illustrates the dramatic change to this section and reflects the broader change consistent in chapters throughout the full report.

During your confirmation process, you stated your commitment “to defending the human rights and dignity of all persons, regardless of race, ethnicity, religion, sexual orientation or gender identity” and “…following this policy… to [also] ensur[e] that the United States complies with the Convention against Torture (CAT) in carrying out my duties as Secretary of State…” Reproductive rights are human rights and encompass rights recognized in binding international human rights documents and other consensus documents to which the U.S. is currently a party, including:

  • International Covenant on Civil and Political Rights (ICCPR): The UN Human Rights Committee, which monitors states’ compliance with the ICCPR, has instructed states that when they report to the Committee, they should provide information on measures to ensure that women do not have to undergo life-threatening, clandestine abortions.
  • CAT: The UN Committee against Torture has said that forcing women experiencing severe pain and suffering to continue pregnancies by criminalizing abortion with few exceptions is incompatible with the right to be free from torture and other cruel, inhuman, or degrading treatment or punishment.

Authoritative interpretations of international human rights law establish that denying women and girls access to reproductive health care is a form of discrimination and jeopardizes a range of human rights, including the rights to health, nondiscrimination and equality, privacy, information, and the right to decide on the number and spacing of children. International human rights bodies and experts have repeatedly stated that restrictive abortion laws contribute to preventable maternal deaths from unsafe abortions.

The government’s failure to report on these rights violations conveys a callous disregard for their impact on women and girls. Furthermore, it calls into question the administration’s commitment to established human rights norms that recognize government obligations to end such violations.

We strongly urge you to immediately reverse course and issue guidance to U.S. embassies around the world to ensure the 2018 report will include the full range of human rights violations and abuse experienced by women and girls.


Center for Reproductive Rights
Human Rights Watch 3D Program for Girls and Women
Advocates for Youth
AHA Foundation
American Jewish World Service
American Psychological Association
Amnesty International USA
Athlete Ally
Bangladesh Model Youth Parliament
Better World Campaign
Catholics for Choice
Center for Biological Diversity
Center for Health and Gender Equity (CHANGE)
Center for Women’s Global Leadership
Clearinghouse on Women’s Issues
Council for Global Equality
Equality Now
F’INE Pasifika Aotearoa
Foundation for Studies and Research Women
Free the Slaves
Friends of the Global Fight Against AIDS, Tuberculosis and Malaria
Futures Without Violence
Global Justice Center
Global Justice Institute
Global Rights for Women
Global Women’s Institute
Heartland Alliance International
Housing Works, Inc.
Human Rights Campaign
Human Rights Project at the Urban Justice Center
Ibis Reproductive Health
Institute for International Law and Human Rights
International Action Network for Gender Equity & Law (IANGEL)
International AIDS Society
International Center for Research on Women (ICRW)
International Federation of Business and Professional Women
International Rescue Committee
International Women’s Development Agency
International Women’s Health Coalition
International Youth Foundation
IntraHealth International
Jacobs Institute of Women’s Health
John Snow, Inc. (JSI)
Los Angeles LGBT Center
Metropolitan Community Churches
Milaan Foundation
Mpact Global Action for Gay Men’s Health and Rights
NARAL Pro-Choice America
National Abortion Federation
National Asian Pacific American Women’s Forum (NAPAWF)
National Center for Lesbian Rights
National Council of Jewish Women
National Institute for Reproductive Health (NIRH)
National Organization for Women
National Partnership for Women & Families
National Women’s Health Network
OutRight Action International
Oxfam America
Pathfinder International
People For the American Way
Planned Parenthood Federation of America
Population Connection Action Fund
Population Institute
Positive Women’s Network – USA
Refugees International
Robert F. Kennedy Human Rights
School Girls Unite
Sex Workers Project at the Urban Justice Center
Sunlight Foundation
Support Group and Resource Center on Sexuality Studies Indonesia
Synergía – Initiatives for Human Rights
Tahirih Justice Center
Too Young To Wed
U.S. National Committee for UN Women
United Nations Association of the United States of America
Universal Access Project
Urgent Action Fund for Women’s Human Rights
Vital Voices Global Partnership
Women Enabled International
Women for Afghan Women
Women Graduates USA
Women of Color Advancing Peace, Security and Conflict Transformation
Women’s Refugee Commission
Woodhull Freedom Foundation
World Education, Inc.
ZanaAfrica Foundation

CC: John Sullivan, Deputy Secretary of State Michael Kozak, Senior Bureau Official, Bureau of Democracy, Human Rights, and Labor Scott Busby, Deputy Assistant Secretary, Bureau of Democracy, Human Rights, and Labor

Photo: Karla Cote