Morocco ABORTION POLICY Grounds on which abortion is permitted: To save the life of the woman To preserve physical health To preserve mental health Rape or incest Foetal impairment Economic or social reasons Available on request Yes Yes Yes No No No No Additional requirements: The intervention must be “openly performed” within six weeks of pregnancy by a physician with the consent of the spouse. If the husband refuses or cannot give his consent, the physician is required to obtain the authorization of the chief medical officer of the province or prefecture, by presenting written notification to the effect that the intervention is the only means of safeguarding the health of the woman. If the woman’s life is in jeopardy, the only requirement is notification of the chief medical officer of the province or prefecture by the physician. REPRODUCTIVE HEALTH CONTEXT Government view on fertility level: Too high Government intervention concerning fertility level: To lower Government policy on contraceptive use: Direct support provided Percentage of currently married women using modern contraception (aged 15-49, 1995): 42 Total fertility rate (1995-2000): 3.1 Age-specific fertility rate (per 1,000 women aged 15-19, 1995-2000): 50 Government has expressed particular concern about: Morbidity and mortality resulting from induced abortion Complications of childbearing and childbirth No Yes Maternal mortality ratio (per 100,000 live births, 1990): National Northern Africa 610 340 Female life expectancy at birth (1995-2000): 68.5 Source: Population Policy Data Bank maintained by the Population Division of the Department for Economic and Social Affairs of the United Nations Secretariat. For additional sources, see list of references. 145 Morocco BACKGROUND Morocco’s abortion law was first liberalized in 1967. At that time, Article 453 of the Penal Code was amended by Royal Decree No. 181-66 (1 July 1967) to provide that the performance of an abortion shall not be punished when it is a necessary measure to safeguard the health of the mother and is openly performed by a physician or a surgeon with the consent of the spouse. If there is no husband or the husband refuses or is prevented from giving his consent, the physician or surgeon may not perform the abortion without the written opinion of the chief medical officer of the province or prefecture, certifying that the intervention is the only means of safeguarding the health of the woman. If the physician believes that the woman’s life is in jeopardy, the consent of the spouse or opinion of the chief medical officer is not required. The physician or surgeon must, however, give his opinion to the chief medical officer of the province or prefecture. In all other cases, abortion is illegal under the Penal Code, although some evidence exists that foetal impairment may be taken into account under medical indications. Any person performing an illegal abortion is subject to one to five years’ imprisonment and payment of a fine of 120-500 Moroccan dirhams (DH). The penalty of imprisonment is doubled in the case of persons who regularly perform abortions. Medical and health personnel who perform an illegal abortion are subject to the same penalties, as well as to temporary or permanent suspension from exercising their profession. A woman who induces her own abortion or consents to it being induced is subject to six months’ to two years’ imprisonment and payment of a fine of DH 120500. Family planning in Morocco has encountered strong religious and political opposition. Consequently, moves to strengthen family planning efforts have been quite cautious. In the case of abortion, the issue has been complicated by the views of religious scholars concerning the beginnings of life. Some believe that abortion should be allowed only in exceptional circumstances and that the abortion law of Morocco should not be liberalized. The Government of Morocco has supported family planning since independence in 1956 and has recognized the influence of demographic factors on national development. Royal Decree No. 181-66 of 1 July 1967, which modified the abortion law, also repealed the French law of 10 July 1939, which prohibited the advertisement and sale of contraceptives. Since then, contraceptives have been distributed free of charge in government family planning centres. Beginning with the development plan of 1968-1972, population issues, including family planning, have been accorded high priority in the planning process in Morocco. In 1971, the Association Marocaine de planification familiale, a private body, was established. Its role has evolved over the years, expanding its informational and educational activities to include clinical services. Family planning activities in Morocco have been fully integrated into the overall health-care facilities, which has resulted in some financial difficulties and has actually hampered access to contraception by subsuming it under medical services. For these reasons, in the early 1980s, the Government assigned to the Ministry of Public Health the responsibility for undertaking a policy of “de-medicalization” of family planning services in order to increase access to contraception. In addition, two innovative programmes were introduced, one involving mobile clinics providing maternal and child health and family planning services in remote rural areas and the other involving systematic home visits to encourage the use of contraception and to provide family planning and primary health-care services. Source: Population Policy Data Bank maintained by the Population Division of the Department for Economic and Social Affairs of the United Nations Secretariat. For additional sources, see list of references. 146 Morocco Illegal abortion appears to be quite widespread in Morocco, with many women resorting to abortion as a contraceptive method. In addition, it appears that the incidence of illegal abortion is underestimated, given the fact that many women obtaining an illegal abortion appear to be married women from the urban upper and middle classes who undergo an abortion in a private clinic. Surveys of public hospitals suggest that a significant number of admissions are of women from lower socio-economic groups suffering from complications due to septic abortion. Source: Population Policy Data Bank maintained by the Population Division of the Department for Economic and Social Affairs of the United Nations Secretariat. For additional sources, see list of references. 147