Advancing Safe Abortion Access in Asia
Author(s): Scott Douglas Jacobsen
Publication (Outlet/Website): The Good Men Project
Publication Date (yyyy/mm/dd): 2025/05/16
Nandini Mazumder, Assistant Coordinator at the Asia Safe Abortion Partnership (ASAP), works to advance safe, legal, and accessible abortion services across Asia. Through initiatives like the Youth Advocacy Institute and the ASAP Academy, she focuses on building rights-based education, youth leadership, and intersectional advocacy. Mazumder highlights the critical role of medical abortion pills, such as mifepristone and misoprostol, in ensuring safe procedures even where abortion is restricted. She addresses global funding inequalities, the need for grassroots initiatives, and the importance of multilingual resources. Her work emphasizes collective, community-based action to strengthen reproductive rights and ensure equitable healthcare for marginalized groups.
Scott Douglas Jacobsen: Today, we are joined by Nandini Mazumder, Assistant Coordinator at the Asia Safe Abortion Partnership (ASAP). ASAP is a regional network committed to advancing safe, legal, and accessible abortion services across Asia. With over 16 years of experience in the development sector focusing on gender and reproductive rights, Mazumder is pivotal in coordinating advocacy efforts, capacity-building programs, and youth engagement initiatives. She is also a lead trainer at the ASAP Youth Advocacy Institute, where she empowers young advocates and professionals through rights-based education. Her work emphasizes the importance of inclusive healthcare, addressing systemic barriers, and ensuring that marginalized communities, including queer and transgender individuals, have equitable access to reproductive services. Mazumder actively critiques global anti-abortion movements, highlighting their impact on countries like India, and is dedicated to fostering healthcare systems that respect the dignity and autonomy of all individuals. Thank you for joining me today. To begin, what are some crucial points to understand about abortion access in the current context?
Nandini Mazumder: Even in countries where abortion is legally restricted, safe abortion is still possible because today, medical technologies â particularly medical abortion pills â are highly effective and widely available.
Medical abortion pills, specifically mifepristone and misoprostol, were developed in the 1980s. Mifepristone (also known as RU-486) was first approved in France in 1988 for use in abortion. Misoprostol was initially designed and marketed in the late 1970s by a U.S. company to treat gastric ulcers. In countries like Brazil, where abortion was highly restricted, women discovered that misoprostol could safely induce abortion. The increased access to misoprostol contributed to a notable decrease in maternal mortality due to unsafe abortions.
This historical experience demonstrates that legality does not necessarily determine Safety. Safety depends on access to the proper methods and information. Even where abortion is illegal, people will seek abortions â but without safe methods, the risks are higher. Therefore, we advocate for recognizing that abortion can be completely safe when done correctly, following World Health Organization (WHO) guidelines.
Today, no one should have to risk their life due to lack of access to safe abortion methods, even if abortion remains legally restricted in their country. However, restrictive laws make it harder to access medications like mifepristone and misoprostol or to find safe clinical services. In this sense, legality is a barrier to access, but Safety is achievable from a medical standpoint.
In my role at ASAP, I work with a small core team of about four to five people. We operate regionally across Asia and engage globally through our country networks. We have 8 Country Advocacy Networks in Bangladesh, Bhutan, India, Indonesia, Nepal, Pakistan, Sri Lanka and Vietnam, and partnerships in various other countries. As a network we focus on building movements for safe abortion rights and strengthening youth leadership across the region and globally.
We work with a lot of different communities, organizations, and movements. Our movements need to be intersectional and inclusive. Therefore, we strongly support the rights of allied movements such as the sex workersâ rights movement, the rights of women who use drugs, the rights of people with disabilities and particularly with the deaf and hard of hearing community, and, of course, the LGBTQI community â they are a vital ally for us. We work with a range of people, aiming to understand the issues they face while also exploring the intersections with safe abortion rights.
My role as Assistant Coordinator involves working very closely with our Coordinator, Dr. Suchitra Dalvie. She is a gynecologist by profession and has been working in the field of safe abortion rights for over twenty-five years. She co-founded ASAP (Asia Safe Abortion Partnership) in March 2008. I have been working with ASAP since November 2019.
We are a small core team but deeply committed, dedicated, and passionate team striving to make the safe abortion movement stronger, more intersectional, and geographically more widespread. All of us take turns training. Dr. Suchitra Dalvie is one of the lead trainers. We also have another lead trainer, Dr. Manisha Gupta, who joins us for different institutes and Academy activities from time to time. I am one of the trainers as well. My colleague Ayesha Bashir is also one of the lead trainers for the Academy and institutes. Additionally, my colleague Mahak manages the online Academy platform and supports the work to strengthen safe abortion rights advocacy and movement building.
Let me share a little more about ASAPâs work. We work extensively with young people, hosting many institutes across the region. We run programs called Youth Advocacy Institutes (YAI) and Youth Advocacy Refreshers (YAR).
In February 2024, we also hosted the only dedicated global safe abortion rights conference, called the Abortion Rights and Reproductive Justice Conference (ARJC). It was the fourth edition of ARJC. The conference was initially created through a partnership between academia and activism, and we continued in that spirit. We hosted it at Mahidol University, a significant public health university in Bangkok, Thailand, in partnership with Thailandâs Ministry of Public Health.
At ARJC 2024, we welcomed around 350 participants from 65 to 70 countries. We recognized that, as there has been an organized attack against safe abortion rights, sexual and reproductive health and rights (SRHR) more broadly, and civil society spaces in general, opportunities for solidarity-building, networking, learning, and sharing have been shrinking. ARJC thus served as a significant space for us.
Moreover, in 2024, we also launched the ASAP Academy, an initiative designed to create more spaces for safe abortion rights advocates to meet, learn from one another, and continue growing stronger as a movement â even amid todayâs challenging political climate and the ongoing attacks on our rights.
The ASAP Academy is an online course that is quite intensiveâalmost like a semester-long college or university-level program. Over three months, participants go through a series of modules. Each module takes about three to four hours to engage with, and participants must complete assignments and join live calls.
The goal is to help people understand the politics of safe abortion rights. It is rooted in feminist politics but also covers technical aspects, aiming to unpack why safe abortion rights remain such a contentious issue today.
We are currently running our third cohort. In 2024, we had two batches, and in 2025, the first batch just started. We have had participants from all over the world, including the U.S., the U.K., Canada, and more remote places like Samoa, Tonga, Fiji, and the Cook Islands. Many participants from Asian countries such as India, Sri Lanka, Pakistan, Bangladesh, and Nepal also join us. We are creating a global community of people who can learn and grow together.
The academyâs online nature allows us to reach a wider audience without needing heavy resource investment, which we do not have. We hope that the Academy will become self-sustaining and continue to thrive over time.
My work involves ensuring this happens smoothly and supporting my team in successfully organizing, coordinating, and delivering the Academy. I do a little bit of everything, working closely with our Coordinator.
Jacobsen: What part of that work gives you the most meaning? Also, if different, what part of that work do you find, even if difficult, is, in objective terms, the most impactful?
Mazumder: I think the Academy and Institute spaces â the learning and knowledge-sharing spaces â give me the most meaning.
Let me share a bit of my background. I studied sociology at Jawaharlal Nehru University (JNU) in New Delhi, and before that, I studied sociology in Calcutta, where I am currently based.
When I entered the workforce, I realized there were many things I did not know and I had to learn on the job. Although my interests were in gender and sexuality, we did not dive deeply into those subjects during my sociology studies. There was virtually no engagement with issues like sex work, and safe abortion rights were not covered at all.
I received one of the best sociology educations available in India, yet there were significant gaps in my knowledge. I learned a lot through my workâlearning while doing and filling in those gaps through experience and practice.
As I progressed to a more mid-level position, and even now, when I engage more with younger people, my peers, or even people older than me, I often realize that they know even lessâbecause not everyone has had the sociology training that I did. I realized that knowledge is a very big gap. It is missing from many of our civil society spaces.
There is a fascinating article by Arundhati Roy â the author and political activist â where she discusses how NGOization has become a problem. She describes how what were once traditional movements, protests, and uprisings have been turned into more palatable, depoliticized entities by transforming them into NGOs. Once something becomes a paid profession, you attract all sorts of people. The question becomes: do you hire them for their skills, or do you hire them for their ideological commitment? Ideally, it should be a combination of both in civil society spaces. However, we see that this balance is often missing.
I believe knowledge-building is a crucial area that civil society must address. Safe abortion rights are not something we can discuss in a vacuum. We have learned so much from the reproductive justice (RJ) framework, thanks to Black feminists, mainly in the United States. The RJ framework highlights how access to abortion is linked to broader issues like race, class, citizenship, incarceration, and immigration status.
Access to abortion is a human rights issue â it impacts everyone, whether you are a refugee, an immigrant, a citizen, incarcerated, or free. Why should the state or your personal circumstances determine your ability to access abortion and, consequently, control the rest of your life?
Safe abortion rights should be guaranteed and accessible to everyone â yet they remain heavily controlled and debated. I think that often when we advocate for expanding access, we forget the politics underlying it. Our language can only be as sharp as our political understanding.
Therefore, the Academy and Institute spaces are vital because they build knowledge that sharpens political awareness. They help people understand what we are fighting for and what forces we are fighting against. From that clarity, we can develop more strategic and practical advocacy language.
For me, the most challenging â and the most satisfying â work is the knowledge-building and capacity-building work we do through the Institutes and the ASAP Academy.
Jacobsen: What are the main challenges coming your way internationally regarding feedback and reports? We have touched on many of these points just by considering interpretations of statistics from various countries, but I think a more explicit statement would be essential.
Mazumder: Well, you know, having been at the Commission on the Status of Women (CSW), one of the most interesting things â and I want to begin with this â is the funding challenge. As you know, funding has historically been decided by the Global North. They have access to a larger share and a larger pool of resources, and then they decide how those resources are distributed to countries in the Global South or the political South.
They also decide the reporting formats because they control how funds are streamed down. They determine what we should report on and what is considered worthy of reporting. So, a big challenge is that imbalance.
While we increasingly have conversations about decolonialism and post-colonial reforms, the NGO sector remains a deeply colonial space â in many layers. I am talking about the dynamic between the Global North and South and inequalities within our own countries. Often, the most privileged sections of a country head major organizations and decide how the work happens, while the wisdom, knowledge, and good practices from less privileged or indigenous sections of society are not recognized or tapped into as much as they should be.
More can be done â by all of us â to address these imbalances. I am not just talking about the Western world needing to improve; the same applies within our countries as well.
The current frameworks are not designed to accommodate a diversity of people. They tend to be exclusionary. You need a certain level of technical skill even to apply for funding. Reporting requirements and bureaucratic hurdles come afterward. So, the way we structure funding and accountability needs a rethink.
In many countries we work with, formalizing groups and networks are impossible because of restrictive legal environments. Explaining this reality to funders or policymakers in the political North is very difficult.
Of course, there is corruption â there is no denying that. Corruption exists everywhere, from the highest levels of government to the grassroots. But does that mean we should eliminate all flexibility when working in restrictive environments? That would be unfair and harmful. Without flexibility, we will never be able to form safe abortion rights advocacy networks in countries where the law remains highly restrictive.
Take Sri Lanka, for example, where abortion is only legal under minimal circumstances, or Pakistan and Bangladesh, where increasing religious extremism makes advocating for abortion rights extremely difficult. In such environments, how can we operate? Can we find ways to work more flexibly?
Honestly, a lot of the work we try to do in civil society is constrained by donor regulations that do not allow the flexibility needed on the ground. Still, we try. Sometimes, we get lucky and find donors who understand the realities we face. But most of the time, it is very, very difficult.
Another significant issue is that donors are pulling backâand Asia, in particular, is falling out of favour. I do not know if you noticed this at the Commission on the Status of Women (CSW), but it was stark: representation from Asia was very, very low. Asia is one of the largest regions in the world, with many countries and almost half the worldâs population concentrated here.
It is alarming to see such low representation. When I joined, I was told that Southeast Asia was not a significant priority for many donors. We used to have some flexible funding to direct toward Southeast Asia, supporting work in countries like Vietnam and Indonesia.
But places like the Philippines and Indonesia have very restricted environments â particularly around abortion rights. Now, some of our funders have told us they are pulling out of Asia entirely and pulling out of sexual and reproductive health and rights (SRHR) altogether. So, we are facing a double setback: Asia and SRHR are losing donor support.
When we asked if there was any backup plan or anyone else we could contact through them, they could not help. It is concerning because the work becomes purely transactional: you do your job, fulfill your contract, and then leave. What happens to the movement afterward is no longer your concern.
But that is not how I see it. I love my work â not just because it pays my bills, but because it is something I feel deeply connected to. The sector can only remain meaningful if the people within it genuinely believe in its importance.
If we treat civil society spaces like any other professional sector â purely transactional â then I do not think we will be able to withstand the political backlash we are now facing. These are critical issues that we need to reexamine.
Another interesting thing is how people perceive our work based on our location. Because we are based in India, many people assume we only work on issues related to India or only with Indian groups. Some think our expertise is limited to this country or, at best, to the region.
But with the ASAP Academy, we are creating a truly global space. I often have to explain to people that we work globally â and that we provide leadership at the international level as well.
I find it interesting because I do not think someone based in the political North would have to do nearly as much explaining. In the global discourse, the default assumption about who a âglobal expertâ is tends to favour people based in the North.
And who is seen as the âlocal expertâ? Someone based here, in the Global South. That default assumption still exists. So when will that perspective shift? I find that very interesting and frustrating.
But yes, overall, we need to improve how civil society spaces function today. When it comes to medical education, there is a significant issue in delivering accurate information so that people can make informed decisions about their reproductive lives. A lot of the world does not have access to this.
There is a lot of hype right now, but there are also some reasonable conversations around artificial intelligence (AI) and its potential role in education. For example, there are discussions about whether AI could be used to deliver accurate, expert-informed education more quickly and accessibly, particularly to better inform people about issues like reproductive rights.
Jacobsen: Is it possible to use AI, with expert knowledge encoded into it, to make education about these issues more rapidly accessible?
Mazumder: We often discuss this within our group. This is more my perspective, not necessarily an official ASAP position.
I think we need to engage with AI cautiously. I have seen colleagues use AI tools, and I have also seen how the language AI generates can sometimes be factually incorrect or politically insensitive. To leave education entirely to machines without human intervention would, in my view, be catastrophicâespecially for marginalized communities.
We must also recognize that the context in Asia is very different. In many Asian countries, most families share a single phone. Smartphones are not as common as we assume. Only certain sections of society or certain parts of the world see smartphones as the default.
There is only one device in many households, and the men in the family often control it. There is a real gender gap in access to digital media and resources. You and I may not face that directly, but most people in many Asian countries do.
Without addressing these fundamental inequalities â without ensuring equitable access to technology first â rushing into AI-based education will not solve the problem. It could exacerbate it. Those who already have privilege and access will benefit more, while marginalized groups will be left even further behind.
So, how do we address the gap? We address it by tackling the root causes of inequity and inequality â that is fundamental.
Secondly, as I said earlier, AI interventions alone will not help. In fact, they might make things even more problematic. Maybe a combinationâusing AI to aid human intervention rather than replace itâcould be effective.
Having a teacher, a mentor, or someone you can interact withâsomeone whose face you can see or whose voice you can hearâhas a more profound impact on the learning process. Learning is not just about what you read. It is about your full range of experiences and interactions while engaging with the material.
It would be unfortunate if we took that away. Instead of saying, âLet us fund public universities, public schools, and public colleges,â if the solution becomes, âLet us just give everybody AI,â that would be very problematic.
Jacobsen: What about setting minimum bars? Even if someone does not have full access to formal education or opportunities, they have access to minimal online educational resources â what, in your view, is the most basic piece of information or knowledge that people should have to make informed decisions about reproductive health?
Mazumder: Correct. Funding more grassroots initiatives and supporting local action is key. For example, at Asia Safe Abortion Partnership, we support eight country-level advocacy networks working very locally in Bangladesh, Bhutan, India, Indonesia, Pakistan, Nepal, Vietnam, and Sri Lanka.
We provide them with small grants, training opportunities, and invitations to attend our Institutes so they can engage deeply with safe abortion rights politics. They then return that knowledge to their home countries and use it for local advocacy and initiatives.
It has worked well. For instance, we work with a cohort of medical students in India. These students are future service providers â or at the very least, they will play a key role in gatekeeping access to safe abortions.
Now, the medical curriculum in India is still incredibly outdated â resembling what was taught in Britain in the 1800s. It is very patriarchal and problematic. Even today, the forensic medicine chapters still mention concepts like âvirginity,â which have no scientific basis.
We try to educate these students on accurate, rights-based information. They, in turn, have gone on to create their own educational toolkitâthe Abortion Toolkitâto train their peers.
We train a core group within the medical studentsâ network called ISAY â India Safe Abortion Youth Advocates. These ISAY members then go on to train others. So far, they have trained around 500 of their classmates using what they have learned from ASAP, supplemented by the curriculum they created.
It is inspiring work and ties back directly to your earlier question about ensuring at least a minimum level of accurate, accessible information for people.
What are the challenges we face? Advocacy, as we understand it, is not always about changing the law. In fact, we have increasingly seen that changing the law often changes very little on the ground.
We need to reimagine advocacy. It should be focused on changing peopleâs minds, creating greater awareness, and building long-term shifts in understanding. And that is a relentless job â it will never be fully completed.
How do we do this? We must work with collectives and communities and fund grassroots initiatives. That is the only way.
To ensure people have even the basic minimum information needed to make better choices about their sexual and reproductive health and rights, we need to work at the community level â with local people by forming collectives, reaching out, and offering training.
This must happen not only online but also in person. The power of in-person meetings and training cannot be replaced. Even in the digital era, in-person engagement will remain crucial.
Perhaps that will be a form of resistance. The digital era increasingly promotes the idea that we are each isolated individuals, accessing information independently through our phones. But there is no guarantee that the information we find is accurate.
That is why human interactionâthe opportunity to verify information, discuss, and connectâis essential. We need more funding to support this traditional kind of work, which has sustained social movements for decades and will continue to be necessary for as long as we exist as a species.
At ASAP, we conduct Institutes, run the Academy, and create other initiatives. However, I also do a lot of volunteer work with local NGOs. Wherever they call meâif anyone invites meâI am happy to deliver sessions on these issues.
These sessions make a real difference. Relying solely on online information has significant issues: How do you fact-check it? Second, much of the information is only available in English, making it inaccessible to most of the worldâs population.
Offering digital platforms will not solve these problems. We still need very traditional, community-based, human-to-human interactions.
Jacobsen: Just one last thing â did you mention one more initiative ASAP about creating multilingual resources?
Mazumder: Yes, exactly. At ASAP, we are trying to create more resources in multiple languages. For example, we adapted the WHO protocol on medical abortion into a Medical Abortion Fact Sheet. It is available on our website, and we have translated it into several languages, including Mongolian, Mandarin, Arabic, and several others. I can share the link with you.
We are also ensuring that knowledge is accessible and inclusive of communities and in that light we worked with the deaf and hard of hearing communities across Asia and developed SRHR primer videos in sign languages. These videos are pioneering resources that address the critical gap where many basic SRHR terms do not have adequate or equivalent signs. Therefore, we developed these primer videos in sign language to explain basic SRHR terms such as, patriarchy, menstrual health, safe abortions in a simple and fun way, and you can find the videos here â https://asap-asia.org/sign-language/
Jacobsen: Well, Nandini, it was lovely meeting you.
Mazumder: This will be plenty for now.
Jacobsen: Thank you again. I appreciate your time and expertise. It was wonderful to meet you.
Mazumder: Nice to meet you, too, Scott. Thank you so much.
Jacobsen: Take care!
Mazumder: Take care! Bye.
â
Sign Language Videos â https://asap-asia.org/sign-language/
MA Factsheets â https://asap-asia.org/information-booklets/
ASAP Academy â https://asap-asia-academy.org/
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