Project “Skills development for strengthening self-esteem and decision-making capacity in situations of violence”

56.In 2014, an intervention methodology was designed to address the causes of rights violations in unequal power relations by strengthening the democratic values that promote forms of coexistence and strengthening the rejection of violence as a control mechanism, while promoting harmonious coexistence and dialogue.

57.In this context, in the district of San Juan de Lurigancho the project “Skills development for strengthening self-esteem and decision-making capacity in situations of violence” was implemented in May 2015, under an interinstitutional agreement with the Asociación Gabriela Mistral. The project was designed with the following three strategic lines of action.

(a)With reference to women, strengthening of women’s self-esteem and empowerment for taking decisions in situations of domestic violence.

(b)With reference to the community: (i) strengthening of local mechanisms through awareness-raising and a preventive approach to the problem using management and coordination tools; (ii) promoting competition among private companies of that jurisdiction to continue offering service on a permanent and sustainable basis; and (iii) providing specialized training for people working in justice, health and education in the areas of self-esteem and empowerment.

(c)With reference to raising awareness of the service: broadcasting of publicity spots and slots to raise awareness.

Project “Child-raising practices”

58.The purpose of the project “Child-raising practices promoting proper treatment of children between 3 and 5 years of age” is to promote a family and educational environment without violence within a culture of proper treatment that supports positive behaviour in children between 3 and 5 years old. In the educational scenario, the intended outcome was that the educational community would develop a recreational and experiential programme that would promote such practices.

59.The project sought to keep children emotionally stable as they exercised their right to feel well and free of violence, with clear rules on living together; this is in line with the country’s public policies. There was a gradual rise in parents’ participation in the capacity-building processes, which boosted their parenting skills, with emphasis on management of emotions, identification of physical and emotional needs; importance of play in the child’s development, in the establishment of linkages in the family, shared child-raising, rules and positive discipline.

60.In the current year a similar intervention is in progress in Carabayllo, jointly with SOS Children’s Villages Peru. At the present time the process of signing an interinstitutional cooperation agreement is under way.

Project “Entrepreneurship for empowerment and prevention of gender-based violence”

61.This project is different from other proposals for economic entrepreneurship, since it seeks the empowerment of women who are victims of violence. The project is in favour of an entrepreneurship that is concerned with women’s independence, self-esteem and empowerment, not just with profitability. Its objective is to reduce the situations of gender-based violence by increasing women’s economic and financial independence resulting as a result of their economic undertakings. The 24‑month pilot project is taking place in five districts of metropolitan Lima: Villa María del Triunfo, El Agustino, Pachacamac-Manchay and San Juan de Lurigancho.

62.The project has five components: business management, technical training, financial management, personal and social development and the institutional component. The project seeks to promote changes in attitudes in families, to improve communication and the taking of roles on an equitable basis.

63.To date 89 women have taken the modules of business management, production technology and personal and social development. The main activity of the project is presented as a way of being prepared for acts of violence, and the project thereby offers women entrepreneurs an employment option that will enable them to cover the basic needs of their families and support them over time.

Multinational Study of Determinants of Violence against Children

64.The Republic of Peru is participating in the Multinational Study of Determinants of Violence against Children, which is intended to reduce situations of violence against children and adolescents. Thus, the purpose of this study is to design preventive strategies based on a thorough analysis of the determinants of violence.

65.For that purpose, the Multinational Study will systematically pursue the application and evaluation of public interventions for violence prevention, based on an extensive collection of evidence focused on the problem of protecting children and adolescents. The interventions are age and gender sensitive, and they give comprehensive consideration to the needs of children, adolescents and the adults living with them, by way of three stages:

(a)Understanding the context. This stage seeks to identify the specific national trends and priorities in research into and intervention on the causes of violence against children and adolescents, through a secondary analysis of national data and a literature review, as well as analysis of the strategies that are working;

(b)Applied research. This stage will seek to carry out field studies based on hybrid methods matching the specific characteristics of the context of the country, probing further into the determinants and priorities identified in the first stage, with a view to proposing prevention strategies to be implemented;

(c)Implementation of interventions and evaluation. This stage will seek to apply and validate in a specific territory the violence prevention strategies identified, on the basis of the results of stages 1 and 2. To date, stage 1 has been completed, producing as its outcome the country report on the determinants of violence against children and adolescents.

66.In addition the Ministry of Women and Vulnerable Populations, in the form of its Directorate-General for Children and Adolescents, working through the municipal defence service for children and adolescents, within the context of the Incentive Plan for Improving Municipal Management, in 2015 organized promotional activities on “Proper Treatment,” implemented by approximately 1,600 districts.

National Survey of Social Relations

67.Recognizing the importance of having relevant evidence and information to guide decision-making in the area of prevention of and care for the victims of violence against women, children and adolescents, the Republic of Peru carried out the National Survey of Social Relations in 2013 and 2015. The National Survey will provide information on: (a) prevalence of violence against women, children and adolescents between 9 and 17 years of age where such violence impacts the family environment; (b) prevalence of violence in the school environment affecting children and adolescents in the same age-range; (c) causative factors (personal, family and sociocultural) in both environments; and (d) responses of the institutions and persons involved. Furthermore, the survey will make it possible to gather information on social tolerance in men and women over the age of 18 years, at national level.

68.This survey was carried out through joint work between the Ministry of Women and Vulnerable Populations and the National Statistics and Data Processing Institute.

(b) Allocate sufficient financial resources for the implementation of the National Plan to Combat Violence against Women 2009-2015 and expedite the implementation of the Strategic Programme to Combat Domestic and Sexual Violence (Act No. 29465);

69.In 2014, a notional budget was drawn up, since these actions were not included in the Operating Plans, which made it difficult to perform an exact calculation and to carry out the follow-up work. Only two bodies, the Ministry of Women and Vulnerable Populations and the Ministry of the Interior, had budgetary targets specifically assigned for carrying out the National Plan to Combat Violence against Women — PNCVHM — (2009-2015).

Budget for the 2014 action plan

Ministry of the Interior	1 108 258.00
Ministry of Women and Vulnerable Populations	85 510 255.00
Grand t otal	86 618 513.00

Source: National Budget.

70.For the year 2015, consideration was given to the information that the sectors had secured for projecting figures in their budgets, for the purpose of budgetary follow-up.

Budget for the 2015 action plan

Sector	Amount (in soles)
Ministry of Women and Vulnerable Populations	85 354 381
Ministry of the Interior	494 249
Grand total	85 848 630

Source: Budgetary information for each sector.

71.The other sectors also invest resources in the performance of the National Plan, but are not in a position to give definite information on the amount invested, since the activities under the Plan are not broken down within their respective budgets.

72.Below, we provide information on the financial resources of the National Programme to Combat Domestic and Sexual Violence (2014-2016), which is the responsibility of the Ministry of Women and Vulnerable Populations.

Year	Opening institutional budget	Modified institutional budget	Implemented	% degree of implementation	% variation in relation to the modified budget
2014	78 269 558	78 407 254	76 318 781	97.3%
2015	87 573 348	85 186 304	83 055 603	97.5%	8.6%
2016	90 000 020	95 363 944	48 390 923	50.7%	11.9%

(*) Source: SIAF-SP, 18 August 2016.

(c) Adopt specific protocols to unify procedures for reporting cases of violence against women and centralize existing data collection systems to compile, disaggregate and periodically update data on such violence with a view to understanding the incidence and nature of the various forms of violence and to facilitate the measuring of progress;

73.Care protocols have been adopted to deal with the problem of femicide, human trafficking and sexual harassment in public places. Details follow:

(a)The Protocol of the Office of the Attorney-General on the Care of Victims of Human Trafficking was adopted by Resolution of the Attorney-General No. 257-2014-MP-FN of 23 January 2014;

(b)The Intersectoral Protocol on Victims of Human Trafficking, under the Ministry of Women and Vulnerable Populations was adopted by Ministerial Resolution No. 203-2014-MIMP;

(c)The Intersectoral Protocol on the Prevention and Prosecution of the Crime and the Protection, Care and Reintegration of Victims of Human Trafficking was adopted by Supreme Decree No. 005-2016-IN;

(d)The Interinstitutional Protocol on Action against Femicide, Attempted Femicide and High-risk Partner Violence was adopted by Supreme Decree No. 006-2015-MIMP;

(e)The Protocol on the Women’s Emergency Centres for the Care of Victims of Sexual Harassment in Public Places was adopted by Executive Office Resolution No. 032-2016-MIMP-PNCVFS-DE.

74.With regard to centralizing the existing data collection systems, we can report that the Ministry of Women and Vulnerable Populations, through the Unit for Information Collection and Knowledge Management of the National Programme to Combat Domestic and Sexual Violence, has implemented and is administering information systems based on administrative records, and has been gathering information on the subject of domestic and sexual violence since 2002. So far the following records have been implemented:

(a)Record of cases from the WECs, providing information on the demand for care or cases of domestic and sexual violence, with their specific characteristics;

(b)Record of care operations from the WECs, enabling understanding and monitoring of the professional actions of the WECs;

(c)Record of the actions to promote prevention, giving a picture of the actions to promote prevention of the National Programme to Combat Domestic and Sexual Violence;

(d)Record of court files, enabling understanding of the pathway taken by such files through the justice system;

(e)Record of femicide and attempted femicide, enabling identification and recording of the victims of femicide and attempted femicide in order to provide psychosocial support and legal assistance;

(f)Record of the specialized 100 telephone line, revealing the features of the inquiries made by telephone;

(g)Record of cases and care provided by the Institutional Care Centre, enabling understanding of the cases and the specialized interventions applied to them men tried, sentenced and referred to this service;

(h)Record of the Emergency Care Service, providing understanding of the emergency and high social risk cases;

(i)Record of Chat 100 and social networks, gathering statistics on the steps taken to prevent violent conduct, especially such conduct in couples relationships (in love and courtship);

(j)Record Rita, making it possible to record cases of domestic and sexual violence referred by the public benefit corporations;

(k)Record of victims of forced sterilizations, providing information on those cases of forced sterilizations that are receiving care in the WECs;

(l)Record of rural strategy, enabling knowledge of the cases referred to the system of care and protection against domestic and sexual violence in rural areas.

75.With regard to the communication of results, the UGIGC broadcasts the data generated by information systems, by way of monthly virtual bulletins and print publications such as El PNCVFS en cifras (The National Programme to Combat Domestic and Sexual Violence in Figures), in which regional and local information can be found on the problem of domestic and sexual violence. There are also web systems administered from this unit:

(a)The Research Network on Gender-based Violence (REDIN), has as its objective the dissemination of the results of research at national and regional level, by means of a database identifying and organizing the research undertakings, so as to create spaces for dialogue, reflection and work to deal with this problem;

(b)The Digital Repository of the National Programme to Combat Domestic and Sexual Violence is intended to gather, store, preserve and make available in digital format the knowledge gained by the Government on the problems of domestic violence, sexual violence and femicide;

(c)The Technical Assistance Platform (ASISTA), is a web-based platform directed towards the operators of the services provided by the National Programme to Combat Domestic and Sexual Violence. These operators record data on the sheets and templates prepared for information-gathering at national level, and the primary objective is to reinforce the technical and practical capacities in the recording of information on domestic and sexual violence;

(d)The online consultation system of geographical information (SIGVIOLENCIA), a system that contains georeferenced information on the WEC, Emergency Care Service, and Línea 100 services: geographical location, statistics and institutions with which they cooperate in providing care for the cases of domestic and/or sexual violence;

(e)The Integrated Record System on Domestic and Sexual Violence, is designed to make it possible to record and have real-time consultations on information relating to the care provided to persons suffering any act of domestic or sexual violence, as well as the actions to prevent violence and promote a culture of peace. It should be noted that up to the present time 32 WECs service have become operational at national level.

76.Also, the Observatory on Criminality of the Office of the Attorney-General has been drawing up statistical reports regarding the problems of femicide and attempted femicide, on an ongoing basis since 2009, in line with the requests for information submitted to the institution. In addition, it draws up quarterly, half-yearly or annual reports, which are available through the institution’s web portal. Furthermore, this Observatory has been issuing annual bulletins with statistical data on human trafficking from 2012 to the present.

77.The National Statistics and Data Processing Institute has published each year since 2000 the National Demographic and Family Health Survey, which contains a section reporting on violence against women. It should be noted that as stated earlier, the National Survey of Social Relations is a document published jointly by the Ministry of Women and Vulnerable Populations and the National Statistics and Data Processing Institute.

(d) Punish sexual offences

78.Modifications to the Criminal Code have been made since 2014, improving the classification of offences. The offence of human trafficking was modified by way of Act No. 30251, published on 21 October 2014. Currently, the article reads as follows:

Article 153. Human trafficking

1.Any person who by means of violence, threats or other forms of coercion, deprivation of liberty, fraud, deception, abuse of power or of a situation of vulnerability, granting or receipt of payment or any benefit, captures, transports, moves, seizes, receives or restrains another person, on the territory of the Republic or in order to leave or enter the country, for purposes of exploitation shall receive a sentence of imprisonment of not less than eight nor more than fifteen years.

2.For the purposes of paragraph 1, the phrase “purposes of exploitation” as it relates to human trafficking shall include, among other acts, the sale of children or adolescents, prostitution and any form of sexual exploitation, slavery or practices analogous to slavery, any form of labour exploitation, begging, forced labour or services, servitude, the removal or trafficking of somatic organs or tissues or their human components, as well as any other similar form of exploitation.

3.The capture, transport, moving, confinement, receipt or restraint of children or adolescents for purposes of exploitation shall be considered human trafficking even if none of the actions listed in paragraph 1 is perpetrated.

4.A consent given by a victim of the age of majority to any form of exploitation shall be without juridical effect if the perpetrator has undertaken any of the actions listed in paragraph 1.

5.Any person who promotes, encourages, finances or facilitates the perpetration of the offence of human trafficking shall receive the same penalty as that applied to the perpetrator.

79.Item 7 of the offence of encouragement of prostitution was modified by the First Additional Amendment relating to Act Nº 30077, published on 20 August 2013, which entered into force on 1 July 2014:

Article 179. Encouragement of prostitution

Any person who promotes or encourages prostitution of another person shall receive a sentence of imprisonment of not less than four and not more than six years.

The sentence shall be not less than five and not more than twelve years if:

[…]

7.The perpetrator is acting as a member of a criminal organization.

80.Item 4 of the offence of procuring was modified by the First Additional Amendment relating to Act Nº 30077, published on 20 August 2013, which entered into force on 1 July 2014:

Article 181. Procuring

Any person who obliges, pressures, or forces a person for the purpose of providing him or her to another person with the aim of having carnal relations, shall receive a sentence of imprisonment of not less than three and not more than six years.

The sentence shall be not less than six and not more than twelve years if:

[…]

4.The perpetrator is acting as a member of a criminal organization.

81.The offence of sexual propositions was incorporated by way of article 5 of Act No. 30171, published on 10 March 2014:

Article 183-B. Sexual propositions to children or adolescents

Any person who enters into contact with a child of less than fourteen years of age to request or obtain from him or her pornographic material, or to carry out sexual activities with him or her, shall receive a sentence of imprisonment of not less than four nor more than eight years and disqualification in accordance with items 1, 2 and 4 of article 36.

If the victim is over fourteen but under eighteen years of age, and deception is resorted to, the sentence shall be not less than three and not more than six years and disqualification in accordance with items 1, 2 and 4 of article 36.

Paragraph 36: Health

Taking into account its statement on sexual and reproductive health and rights, adopted at its fifty-seventh session, in February 2014, the Committee notes that unsafe abortion is a leading cause of maternal morbidity and mortality. As such, the Committee recommends that the State party:

(a) Extend the grounds for legalization of abortion to cases of rape, incest and severe foetal impairment

82.The citizen legislative initiative relating to Bill No. 3839/2014 I.C. “Bill to decriminalize abortion in those cases of pregnancy as a consequence of rape, artificial insemination or egg transfer without consent,” submitted by the “Articulación Feminista,” comprising the organizations Movimiento Manuela Ramos, Estudios para la Defensa de los Derechos de la Mujer (DEMUS), Centro de la Mujer Peruana Flora Tristán, Centro de Promoción y Defensa de los Derechos Sexuales y Reproductivos (PROMSEX), Católicas por el derecho a decidir and CLADEM-Perú.

83.Within the Congress of the Republic this bill was routed to the Commission on Justice and Human Rights, which recommended that it not be approved. Following a vote of the members of Congress on the Commission the bill was shelved in May 2015. Subsequently the matter was referred to the Commission on the Constitution and Regulations; with a favourable finding by the President of the Commission on the Constitution the bill was put to a vote of the members of Congress on the Commission, who decided by a majority to shelve it in November 2015.

84.It should be mentioned that it is a sexual health policy for the Ministry of Health to provide, free of charge, oral emergency contraceptives at all health centres in the country, on the basis of the protection measure pronounced by the First Constitutional Court of Lima, on 20 June 2016, which represents an advance in the protection of the sexual and reproductive rights of Peruvian women, especially those in situations of vulnerability.

(b) Ensure the availability of abortion services and provide women with access to high-quality post-abortion care, especially in cases of complications resulting from unsafe abortions;

85.Therapeutic abortion has been decriminalized in Peru; article 119 of the Criminal Code states that: “There shall be no punishment for an abortion performed by a doctor with the consent of the pregnant woman or her legal representative, as appropriate, if it is the only way to save the life of the expectant mother or to avoid grave and permanent harm to her health.”

86.The Ministry of Health, within the framework of the provisions of the Criminal Code, approved by Ministerial Resolution No. 486-2014/MINSA the “National Technical Guide for standardized procedures in the comprehensive care of expectant mothers in the voluntary therapeutic termination of a pregnancy of less than 22 weeks, with informed consent within the framework of the provisions of article 119 of the Criminal Code” (henceforth, the National Technical Guide) that has the purpose of ensuring comprehensive care of expectant mothers in cases of voluntary termination for therapeutic reasons of a pregnancy of fewer than twenty-two weeks, with informed consent, if it is the only way to save the life of the pregnant woman or to avoid grave and permanent harm to her health, within the context of human rights, with an approach based on quality, gender and interculturality, establishing the procedures for such care.

87.The Ministry of Health is working on implementation of the National Technical Guide starting at secondary-level health care in health establishments. According to the statistical reports of the Office of Data Processing, to date 91 therapeutic abortions have been reported, under the code 004.9. It should be pointed out that the causes for therapeutic abortions includes ectopic pregnancy, whether tubal, ovarian or cervical, which according to statistical records total 3,399 in 2015 and 1,226 up to June 2016; another reason for a therapeutic abortion is haemorrhage following molar pregnancy entailing high risk to the woman, of which 566 cases were reported in 2015 and 232 by June 2016. These data were reported by the General Office for Information Technologies.

88.Finally, with respect to health care services for women with complications resulting from unsafe abortions or from a type of abortion which is still punishable under the domestic legal system, article 3 of Act No. 26842 — the General Health Act — states as a general rule that: “Any person shall have the right to receive, in any health establishment, emergency medical and surgical care when this is needed and while a grave risk persists to life or health”. However, article 30 states that “Any doctor who provides medical care to a person injured by a sharp instrument used as a weapon, injured by a bullet, in a traffic accident or by any other type of violence constituting an offence that is automatically subject to a penalty, or when there are indications of a criminal abortion, shall be obliged to bring that fact to the attention of the competent authority.”

(c) Remove punitive measures for women who undergo abortion, including by taking the measures necessary to harmonize the General Health Act and the Code of Criminal Procedure with the constitutional right to privacy;

89.In the case of a therapeutic abortion the attending doctor shall determine the risk to the life or health of the women, and in consequence the fact that case is not subject to legal penalty. The attending doctor may consult with another doctor or a medical board. Any imposition or additional demands shall be considered a violation of the woman’s rights to have an abortion in the cases permitted by the law.

90.The National Technical Guide for standardized procedures in the comprehensive care of expectant mothers in the voluntary therapeutic termination of a pregnancy of less than 22 weeks indicates that on the basis of what has been agreed by the medical societies of Peru, the following clinical conditions of the expectant mother shall be considered justifiable grounds for considering termination of the pregnancy for therapeutic reasons:

(a)Ectopic pregnancy, whether tubal, ovarian or cervical;

(b)Haemorrhage following molar pregnancy entailing high risk to the woman;

(c)Hyperemesis gravidarum resistant to treatment with serious hepatic and/or renal deterioration;

(d)Malignant neoplasia requiring surgery, radiotherapy and/or chemotherapy;

(e)Congestive heart failure, functional class III-IV owing to congenital or acquired cardiopathy (valvular or non-valvular) with arterial hypertension and ischemic cardiopathy resistant to treatment;

(f)Severe chronic arterial hypertension and evidence of damage to a target organ;

(g)Severe neurological lesion becoming worse with the pregnancy;

(h)Systemic erythematosus lupus with severe renal damage resistant to treatment;

(i)Advanced diabetes mellitus with damage to a target organ;

(j)Severe respiratory failure demonstrated by the presence of a partial oxygen pressure PaO2 < 50 mm Hg and oxygen saturation in the blood PaCO2 < 85%. and with severe pathology;

(k)Any other maternal pathology posing a risk to the life of the pregnant woman or causing grave and permanent harm to her health, duly validated by the medical board.

91.Furthermore, the National Technical Guide provides that the guidance and/or counselling in sexual and reproductive health must be given within an ethical framework requiring the main emphasis to be placed on the needs of the woman and observance of the following rights:

(a)Right to complete, truthful, impartial and useful information;

(b)Respect for dignity, privacy and confidentiality;

(c)Freedom of conscience and expression;

(d)Respect for wishes and freedom of choice;

(e)Right to equality and to non-discrimination.

92.Guidance and/or counselling of the patient must be performed at any time from when it has been decided to undertake the operation up to after its conclusion, and must be given by trained professional staff.

(g) Disseminate information on the technical guidelines on therapeutic abortion among all health staff and ensure a broad interpretation of the right to physical, mental and social health in their implementation.

93.The actions taken by the Ministry of Health to disseminate information on therapeutic abortion include the following:

2015

January

•Drawing up of the 2015 plan for implementation of the National Technical Guide, currently undergoing review and approval.

•Reproduction of the National Technical Guide in digital form, ready for distribution.

February

•The National Technical Guide was sent to all regional coordinators of the National Sanitary Strategy on Sexual and Reproductive Health, formatted and ready for reproduction or printing in each region. It is also available on the Ministry of Health website, among the documents of the National Sanitary Strategy on Sexual and Reproductive Health.

•Coordination was set up with the General Office for Statistics and Data Processing to create a code in the statistical system relating to therapeutic abortion, in order to obtain statistics at national level on applications submitted and cases attended to, since recording had not been uniform in all hospitals; it is now hoped, with this code, to be able to consolidate the reports.

•On 18 February, in coordination with the Committee on Sexual and Reproductive Rights of the Peruvian Society for Obstetrics and Gynaecology and PROMSEX, a workshop was held for medical professionals, for the purpose of discussing the scope of the National Technical Guide relating to the provision of therapeutic abortion services from a medical, legal and social point of view. The workshop took place in the Miramar Salon of the Hotel José Antonio, Miraflores, Lima, and was attended by doctors and lawyers from various hospitals in Lima and the regions of the country.

March

•A teleconference was held with hospital doctors and regional coordinators of sexual and reproductive health on the National Technical Guide in order to standardize the performance of therapeutic abortion.

April

•On 1 April there was a presentation of the Guide and its scope of application to the regional health directors and regional coordinators of sexual and reproductive health, in the national workshop on the strategy, held in Lunahuaná, at which those attending requested training for their providers on the application of the directive in question and a wider dissemination of its scope.

•On 13 April, in coordination with PROMSEX and the Committee on Sexual and Reproductive Rights of the Peruvian Society for Obstetrics and Gynaecology a workshop was held, directed towards medical professionals for the purpose of discussing the bioethical aspects in the application of the National Technical Guide relating to provision of therapeutic abortion services. This workshop was held in Lima, in the Hotel Sol de Oro.

•Coordination is being set up in order to disseminate the code on therapeutic abortion to the providers, to ensure that they make use of it when they perform that operation.

•Work is also in progress with the General Office for Statistics and Data Processing, to strengthen the skills of the data entry personnel to ensure that they use the code for therapeutic abortion.

November

•On 12 November the “Workshop on Therapeutic Abortion and Indirect Maternal Mortality 2015” was held, with attendance by the hospital directors of Lima and Callao, head doctors of the gynaecology and obstetrics departments, and by obstetricians. Total attendance was 44 health professionals from various health establishments and also included representatives of the Institute for Management of Health Services and representatives of universities.

•On 20 November the second workshop on the application of the Guide on therapeutic abortion 2015 was held in the Maternal and Perinatal Institute, formerly the Urna maternity hospital, with attendance by gynaecologist-obstetricians, obstetricians and legal advisors, for a total of 42 professionals from various health establishments.

December

•On 4 December the third workshop on the application of the Guide on therapeutic abortion, 2015 RM 286/2014 MINSA, was held in the auditorium of the Ministry of Health, with attendance by 33 health professionals from the Ministry and professionals from the Air Force of Peru, including gynaecologist-obstetrician heads of department, assisting gynaecologist-obstetricians, obstetricians and legal advisors from the various health establishments and also representatives of the Office of the Attorney-General.

•On 17 December the “Workshop on Guidance and Counselling on Sexual and Reproductive Health Emphasizing the Application of the Guide on Therapeutic Abortion, 2015” RM 286/2014 MINSA was held, directed towards obstetricians who are providing guidance and counselling on sexual and reproductive health. This was attended by 33 obstetricians belonging to various hospitals under the Ministry of Health, the Social Health Insurance Programme (EsSalud) and the armed forces.

2016

January

•The National Technical Guide was added to the Ministry of Health website, among the documents of the Directorate for Sexual and Reproductive Health.

•The workshop “Maternal Mortality and Humanized Management of Abortion” was held, attended by 56 people including 22 directors of hospitals and maternal and perinatal centres, gynaecologist-obstetricians, societies and representatives of EsSalud.

February

•A start was made on the meetings for the endorsement of the Guide for Guidance and Counselling in Therapeutic Abortion. The meetings were attended by representatives of hospitals, health centres, The National College of Obstetrics and the Director of Sexual and Reproductive Health.

•On 11 February a Technical Meeting on Therapeutic Abortion was held, attended by 61 health professionals, including gynaecologist-obstetricians, general practitioners, obstetricians and lawyers from the three Lima assisting networks: Rebagliati, Almenara and Negreiros.

•Also on 11 February the first Workshop on the Application of the Guide on Therapeutic Abortion 2016 RM 486/2014 MINSA was held in the facilities of EsSalud, directed towards gynaecologist-obstetricians, obstetricians and legal advisers from the various Lima and Callao assisting networks, with a total attendance of 45 professionals.

April

•On 19 April workshops were held on “Guidance and Counselling on Sexual and Reproductive Health with an Emphasis on the Application of the Technical Guide on Therapeutic Abortion” with the network of Rebagliati and its assisting centres, total participation 52 professionals including gynaecologist-obstetricians and obstetricians.

•On 20 April workshops were held on “Guidance and Counselling on Sexual and Reproductive Health with an Emphasis on the Application of the Technical Guide on Therapeutic Abortion” with the network of Aimenara and its assisting centres, total participation 50 professionals including gynaecologist-obstetricians and obstetricians.

May

•On 11 May in the region of Huánuco the National Technical Guide was distributed, delivered to each coordinator of networks and hospitals in the region.

•On 31 May workshops were held on “Guidance and Counselling on Sexual and Reproductive Health with an Emphasis on the Application of the Technical Guide on Therapeutic Abortion” with the network of the Negreiros hospital and its assisting centres, total participation 25 professionals including gynaecologist-obstetricians and obstetricians.

Professionals	Trained
Gynaecologist-obstetricians, general practitioners and obstetricians	188
Hospital directors and network coordinators	29

July

•On 22 July 2016 a meeting was held for distribution of the National Technical Guide to obstetricians at the following hospitals: Hospital Dos de Mayo, Hospital San Bartolomé, Hospital Sergio Bernales, Hospital Loayza, National Maternal and Perinatal Institute and Institute for Management of Health Services.