MSI United States
Her Future
Published in
3 min readMay 31, 2019

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Anti-abortion laws don’t work and endanger women

We know what happens when abortion is legally banned or even restricted — women resort to unsafe methods to exercise control over their bodies and end an unplanned pregnancy. That’s what happened to Christina Kposowa from Sierra Leone. We are sharing her story as a reminder that making abortion illegal will not stop them from happening.

Christina Kposowa vividly remembers the day she almost died. She was 23 years old and was heavily bleeding after an unsafe abortion to end her unplanned pregnancy.

Christina poses with her daughters.

A few years prior, she had given birth to two children and she was struggling to care for her family. She couldn’t make ends meet in her hometown in Sierra Leone. When she realized she was pregnant, Christina knew she could not give birth again.

“This was the time when pregnant women were not allowed into universities and colleges,” she explained. “With so much ambition to pursue my career, I was not ready to give up on my studies for anything. I realized that abortion was the only way out for my situation.”

Christina now works as a hairdresser.

Unfortunately, abortion is heavily restricted in Sierra Leone. With nowhere to turn, Christina nearly lost her life.

Every day millions of women around the world need abortions. But barriers — from restrictive laws to clinic harassment — keep them from receiving safe abortion care. Half of all abortions are unsafe, with 25 million women undergoing unsafe abortions each year. Seven million women face complications, which often result in a lifetime of poor health, disability or infertility. 22,800 women die every year because of these complications.

At MSI, we work with many women who have suffered unsafe abortions. We want lawmakers to know what women like Christina experience when they can’t access safe care.

With no other options, Christina decided to visit one of her neighborhood’s ‘pepe doctors,’ men with no medical training who offer abortions for a low price.

“The man who carried out the abortion was well known among young girls for his work on abortions,” she said. “When I arrived at his house, I was taken into a room where he performed the procedure using metal instruments I can’t describe.”

When she returned home, she realized something was wrong.

“Because I did not tell anyone and did not want anyone to know, all night I suffered with the pain in silence,” Christina said. “It reached a point when I could no longer bear the pain. That was when I thought I was going to die.”

When she could no longer bear the pain, she drove herself to the nearest MSI Sierra Leone clinic. There, doctors discovered that Christina had a perforated uterus that — if left untreated — would have killed her.

After receiving post-abortion care, she began regularly using contraception from MSI to control if and when to have children.

Our goal at MSI is to end all unsafe abortion in the next five years. Political efforts to cut off women’s access to safe abortions — like the one in Tennessee and states across the US — set us back. But we will not stop until every woman can control her life and future.

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MSI United States
Her Future

We are part of a global organization working in 37 countries, unified by our unwavering commitment to help every woman have children by choice, not chance.