Forward Thinking

Ethiopians and Birth Control — Culture or Chemicals?

By Nathan Jeffay

What is bringing down the birth rates of Israel’s Ethiopian immigrants — culture or chemicals?

A new study by the nonpartisan Knesset Research and Information Center found that while Ethiopian Jews traditionally have large families, by 2010 those who arrived in the preceding decade were actually having fewer kids than other Israelis. They were having 1.78, which is 38 percent below the average for Israeli-born women, 2.88.

This study follows a television report last year that alleged that Ethiopian immigrant women were coerced into taking contraceptive shots in transit camps in Ethiopia when waiting to move to Israel, and that they continued to receive the shots in Israel. The Health Ministry wrote to HMOs inferring that there are some Ethiopian women who receive the shots in Israel without fully understanding what they contain — and urged gynecologists “not to renew prescriptions for Depo-Provera for women of Ethiopian origin if for any reason there is concern that they might not understand the ramifications of the treatment.”

Gal Gabbay, the documentary-maker who made produced the television report on the contraceptive shots, says that following the new Knesset report she feels vindicated. “The numbers speak for themselves,” she told Forward Thinking, saying that she is “sure” that the contraceptive shots are behind the drop in birth rates.

But the authors of the study found themselves unable to substantiate the claims of her report, and left the matter of the contraceptive shots as something of an open question. Of course, there are many who say that a reduction in birth rates is expected among an immigrant population encountering completely new, Western cultural norms — especially when it’s one of the poorest segments of society.

This reading of the figures isn’t only coming from outside the Ethiopian community. Shai Sium, a 34-year-old resident of the Southern Israel town of Kiryat Malachi and an Ethiopian-born activist for Ethiopian rights, says that young parents like him “don’t want to have a lot of children in Israel and can’t afford a lot of children.”

He holds himself up as an example. “I have two kids and I decided to have three kids because I want to raise them well.”

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Did Israel Want Ethiopians on Birth Control?

By Nathan Jeffay

getty images

More questions are raised than answered with an Israeli government official’s letter on the birth control scandal in the country’s Ethiopian community.

Health Ministry Director General Ron Gamzu has instructed HMOs to stop injecting women of Ethiopian-born women with the long-acting contraceptive Depo-Provera. The background is that last month an Israeli television report alleged that Ethiopian immigrant women were coerced into taking contraceptive shots in transit camps in Ethiopia when waiting to move to Israel, and continue to receive the shots in Israel.

Gamzu has not confirmed in so many words that women have been coerced to take the contraceptive, but has indicated that there are Ethiopian women who don’t understand exactly what they’re taking and why. His letter instructs gynecologists “not to renew prescriptions for Depo-Provera for women of Ethiopian origin if for any reason there is concern that they might not understand the ramifications of the treatment.” (To be clear, Gamzu did not indicate that the government is responsible for the situation, but just that it must stop.)

This is a step forward from the previous situation that saw everyone, in Israel and the Diaspora, denying knowledge of a problem, but it’s far from the comprehensive investigation needed in to such a serious matter.

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