ROANOKE TIMES

                         Roanoke Times
                 Copyright (c) 1995, Landmark Communications, Inc.

DATE: WEDNESDAY, September 7, 1994                   TAG: 9409070127
SECTION: NATIONAL/INTERNATIONAL                    PAGE: A-2   EDITION: METRO 
SOURCE: Associated Press
DATELINE: CAIRO, EGYPT                                 LENGTH: Medium


AFRICAN WOMEN: ADDRESS REAL PROBLEMS

ABORTION is not a primary concern for African delegates to the U.N. population conference - but surviving childbirth is.

Lilian Wambue thought she was coming to Cairo's population conference to talk about the plight of African women.

Instead, the Cameroon gynecologist says angrily, the meeting is being monopolized by debate over the morality of abortion and other secondary issues.

``I have women dying in my arms almost every day,'' Wambue said. ``They're not dying from abortions. They're dying from childbirth. I can't even save them from childbirth.''

Similar complaints are frequently heard among thousands of grass-roots activists from nongovernmental organizations attending the U.N. Conference on Population and Development.

So far, abortion and two other highly emotional issues - birth control and sex education for adolescents - are dominating debate.

The Vatican, anti-abortion Christian groups and some Muslims have catapulted their opposition into world headlines. For Wambue, all the fanfare is clouding real issues: social and economic conditions that keep masses of African women living in the Dark Ages.

Lydia Joachim came to Cairo from Tanzania. She also worries that women's basic needs are being overlooked because of the heated debate. ``At times we can't deliver babies, because there's no water in the clinics,'' she said.

Giving women some control over their destiny is a main conference theme. The proposed conference report talks about women's health, welfare, education and gender equality, but this ``empowerment'' talk is beyond Wambue's life in Cameroon.

``Empowerment? This is a modern term. You can't imagine the women I see,'' she said.

Complications from pregnancy and childbirth are among leading causes of death for women of reproductive age in many poor countries. It's estimated that about 500,000 women, 99 percent of whom are from developing countries, die of pregnancy-related causes every year.

Uneducated women have more children. The more children a woman bears, the better chance she has of dying in childbirth.

In developed countries, a woman's chance of dying during pregnancy or childbirth is 1 in 10,000. In developing countries, the average is 1 in 20.

Joachim, whose group is called Community Development and Women's Affairs, knows firsthand the suffering of rural African women.

``Sometimes, there are birth-control devices on the shelves when we don't have the medicine we need - medicine as simple as a headache remedy.''



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