Bad Evenings and Worse Mornings!

Two days ago I was in Bangalore giving an interview. One of the many questions I was asked was about relocation , I was also asked if I liked my ‘hometown’ Chennai. I remember answering in the affirmative; sure Chennai has terribly hot climate and it could be a little boring at times, but on the whole its safe and has the sea and well I generally like it. After today I think I like Chennai much less.

This evening my mom and I went in search of the i-pill, of course had I been a little less ignorant I wouldn’t have tried despite the circumstances. So this is what we did; we called our regular medical store and were told the i-pill was unavailable, so we then enquired about Norlevo, Pill 72, Ovral G and several other varieties of the ‘morning-after’ pill and found they were unavailable too. About an hour later we had set out on a walk, enquired at six different medical stores and came to naught, so we unhappily drew the conclusion that the ‘morning after’ was simply unavailable.

This struck me as absurd, Chennai – touted as the ‘medical capital’ of India had no medicines of a particular variety?, that was not all nor the the scariest part. In attempt to fill the gap, qualified chemists kept trying to convince me that ‘Mifepristone‘ a MTP Pill available usually only on prescription was the same thing. The fact is, Mifepristone is used in conjunction with other abortive pills (an abortificant) to induce an abortion below five weeks of pregnancy and is positively dangerous if taken in the place of an emergency contraceptive pill, ‘Levonorgestrel’, on the other hand, is used as part of combination oral contraceptive pill and in high doses can be used to prevent pregnancy after unprotected intercourse. Unintended consequences in a situation of information asymmetry and really nasty plausible outcomes playing out.

Apparently sometime in 2006, Tamil Nadu’s state Directorate of Drug Control (DDC) decided to take all ‘pills’ of the ‘morning after’ variety of the shelves. The provocation? Apparently the Chennai-based ‘Responsible Parents Forum’ and ‘Satvika Samuga Sevakar Sangam’ felt that the drug induces abortion (and is not a contraceptive); therefore its sale without prescription is illegal, additionally the two protesting groups claimed that there was no public debate before it was included in the Schedule M of the Drugs and Cosmetics Act (DCA), 1940 which makes the drug available over the counter.

I’m not sure whether I should be shocked about how regressive people can be or stand in awe of the stupidity involved. To begin with ’emergency contraceptive pills’ are not the same thing as abortive pills, the text of any ‘morning after pill’ explains that they are ineffective once ‘implantation’ has taken place in the womb or in other words once fertilization has happened, which is why they are termed levonorgestrel-based ECs! Abortive pills on the other hand are designed to work after this fertilization has taken place, the methods then are very different.

Chemical analysis and indeed any minimum degree of bio-chemistry knowledge easily proves that any ‘morning after’ pill contains Levonorgestrel and not Mifepristone (which is what is being sold as replacement, GASP!) as suggested by the hair-brained protesters. What is interesting is that the TN DDC has the right to seize ‘drugs; of a particular kind only if they do not adhere to prescribed standards, or are mis-branded, adulterated or spurious, I really wonder which one of these conditions apply to the ‘mornign after’? As far as is known, in the case of emergency contraceptives such as the ‘morning after’ the dosage is 0.75 mg (recommended by the Drug Controller of India) and sold as a Schedule M drug under a ready licence!

Even more absurd is this quotation from one of the women by name of Ajeetha (sigh!) who was at the forefront of the protests, she says: “the text is objectionable and promotes ‘free sex’. Words such as ‘..when one becomes careless, or things get out of control‘, It takes away responsibility from the act of sexual intercourse. And the branding (Mis-take) is also not so subtle insinuation that pre-marital sex is alright…”.

One of the biggest things to learn about patriarchy is that women themselves are the biggest perpetrators of it! Its been a long time since I have seen or heard of a more vivid example than this. Its fascinating how regressive laws can become in a country that is supposed to be swaggering down the road to development.

Consider capital punishment for rape, in India capital punishment is given in the ‘rarest of rare instances’ for the ‘most heinous of crimes’ which are often such crimes that render their victims in some sense ‘irreparable’. For a moment lets forget the argument that most people who have studied ‘law and economics’ draw – which suggests that at the margin the cost of committing rape+murder for a rapist becomes zero if capital punishment is announced for rapists thereby creating an incentive to additionally rape and kill their victims in fear of evidence coming out for a harsher punishment and so…

But consider this, is this the message we want to give out in society about our women? Ought rape to be a crime that makes no women live a normal life again? Ought we to attach such stigma to a woman who has been ‘raped’ to make her feel that the most ‘heinous and irrepairable’ damage has been done to her? Is chastity all there is to woman? Don’t get me wrong I’m not saying rape is OK, I’m asking if we really want to make women believe that their chastity being lost is something that should make them feel guilty life-long? But I digress.

One thing that is obvious is this, the SS Co. (which sounds dangerously RSS like) and the ‘Responsible Parents Forum’ probably consists of the most irresponsible bunch of people ever known- people who oppose freedom of choice, liberty in action and the access to technology all together. A formidable coalition of fools who believe that Chennai streets are better overrun with teenage mothers and scared teenage fathers, with dustbins littered with unwanted infants and people with closeted minds who will silently engage in marital rape while the law turns a blind eye and proclaims all is fine.

Never mind that Chennai has one of the highest incidence of AIDS in the country, never mind that domestic violence is spiralling in Tamil Nadu and never mind that the un-natural separation between growing girls and boys in this academic ‘temple’ of the south causes more and more roadblocks to conjugal bliss. After all who will ever find out?, we will keep sweeping it under the carpet as long the vermilion stays bright and the sacred threads sparkle along our broad backs!

The tragedy is that its been nearly two years since emergency contraception has been available freely in Chennai, and I am yet to hear of a protest! Tragically Chennai is the same place where the global campaign for microbicides (a form of contraception) began and is still head-quartered. What happened to science and reason or is it only prejudice that matters now?

5 thoughts on “Bad Evenings and Worse Mornings!

  1. Some pharmacies attached to private hospitals in Chennai do stock the emergency pill – it goes under the name Ecee. Try the EV Kalyani Medical Centre next time.

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  2. @Gee, Sheesh, yeah that I heard about. It was quite ridiculous…. Tragic how regressive the world is becoming, but then what else would one expect with the religious fundamentalist far-right?! 😦

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