by Meg Young

Everyone can agree that rape is not a joke, right? Apparently not, based on the popularity of the blog Barstool Sports.

At first glance, the blog appears to be a collection of comedic sports commentaries interspersed with predictable photos of scantily clad women, or “smokeshows,” to use the vernacular. However, this archive of good, clean misogynistic fun has a darker side. Many of the postings make jokes about rape and sexual assault, such as this commentary about the acquittal of a man accused of raping a woman wearing tight jeans: “[E]ven though I never condone rape if you’re a size 6 and you’re wearing skinny jeans you kind of deserve to be raped right?”

Now, Barstool is hosting the “Barstool Blackout Tour,” a series of sponsored dance parties on or near college campuses across the country. Think that sounds a little dicey? Women shouldn’t worry, according to the blog: “Just to make friends with the feminists I’d like to reiterate that we don’t condone rape of any kind at our Blackout Parties in mid January. However if a chick passes out that’s a grey area though.”

Your humble blogger is not the only one shaking with indignation. When Barstool scheduled the Northeastern University Blackout Party at the House of Blues in Boston, a group of Northeastern students called Knock Out Barstool began to rally students in the Boston area to boycott and protest the event scheduled for this Thursday, Feb. 2.

In an letter published in Northeastern’s Huntington News, students and members of Knock Out Barstool wrote, “We demand Northeastern University and its administration stand for women and denounce Barstool Sports and the NU Blackout Party. These organizations do not represent the values of our community nor our institution.”

Much to their (and my) dismay, Northeastern University has not come out directly against the parties, other than to tweet it doesn’t officially endorse them.

Visit Knock Out Barstool’s website, and if you’re in the Boston area, stand in solidarity with Northeastern students protesting this event outside the House of Blues in Boston at 7:30 p.m. on Thursday.

Meg Young is a sophomore at Tufts University, where she studies anthropology and community health. She became interested in women’s reproductive health during her time as an intern at Our Bodies Ourselves in 2009.

We’re delighted to see a piece on our recent 40th anniversary global symposium in The Women’s Health Activist, the newsletter of one of our favorite organizations, the National Women’s Health Network. In The Spiral of Women’s Health Activism, NWHN Program & Policy Director Amy Allina talks a bit about our history and reports on panels and presenters from the day, remarking:

Early in the day, Jaclyn Friedman, the symposium’s mistress of ceremonies, explained her belief that women’s health activism moves in a spiral, not a circle, because while we are connected to our beginnings, we are also continually moving forward. The day’s discussions provided a perfect demonstration of that concept.

If you weren’t able to join us for those discussions, check out video from the event, including presentations from Byllye Avery, Loretta Ross, a welcome message from Governor Patrick Deval, panels with our global partners, and more.

If you haven’t checked out the NWHN site lately, go take a look – it has been redesigned to a spiffy new look, with news and blog posts, connections to social media, and lots of great information about the organization and the health issues they work on.

Starting today through Jan. 27, the Trust Women/Silver Ribbon Campaign and MoveOn are collaborating with more than 50 organizations, including Our Bodies Ourselves, in holding an online virtual march to let legislators know that reproductive health, reproductive justice and reproductive rights are at the top of our agenda, and should be at the top of theirs.

Why the massive collaborative push now? As eloquently explained by Ellen Shaffer of the Center for Policy Analysis:

In 2011, a record numbers of bills were introduced or passed by state legislatures and the U.S. House of representatives restricting women’s access to: basic health care services, family planning, and safe abortion care. It has been called a “War on Women,” Many women are shocked and dismayed by these attacks and want to send a strong message to policy-makers: Government should stay out of making decisions about what happens in my womb. I have self-determination, autonomy.

The Guttmacher Institute has more detailed coverage of the abortion restrictions enacted in 2011, noting that legislators across the country “introduced more than 1,100 reproductive health and rights-related provisions, a sharp increase from the 950 introduced in 2010. By year’s end, 135 of these provisions had been enacted in 36 states, an increase from the 89 enacted in 2010 and the 77 enacted in 2009.”

If you, too, have had enough, add your name and location to a map, along with one of six messages like, “I Trust Women and I Vote,” “Reproductive Rights are Human Rights,” and “Contraception is Prevention.” If you watch the map, new names pop up in real time as more people sign on.

The next steps of this national action, as explained by Our Silver Blog, involve sending messages from virtual marchers directly to members of Congress, governors and state legislators “to underscore that Americans trust women to make their own decisions about their bodies and their lives.”

Please join all of us concerned about women’s health and rights by signing on to the march, and sharing info about the event with your friends via Facebook and Twitter.

This article was originally published in On The Issues Magazine as part of its special issue on abortion history, politics and activism, featuring contributions from dozens of writers and artists.

by Ayesha Chatterjee and Judy Norsigian

As current staff members at Our Bodies Ourselves (OBOS), an organization that has advanced the health and human rights of women and girls over four decades, and longtime reproductive justice activists, we continue to hope that safe and affordable abortion care will, someday, become a reality for everyone. With increasing attacks and restrictions on abortion access worldwide, we have our work cut out.

Here, in the U.S., the debate around abortion has become especially polarized. Right-wing and anti-choice groups bombard young people with messages that stereotype and stigmatize those seeking abortion services — both individuals and entire communities.

Think: billboards have popped up around the country equating abortion to the genocide of African-American children, who are further described as an “endangered species.” These — and other — oversimplified messages mock a personal and often complex decision, not to mention the right to a constitutionally protected and medically safe procedure. They influence how people, especially young people, articulate and align themselves on abortion. They drive our activism — our tireless commitment to alliances across aisles and opinions, and to conversations that move beyond “pro-life” and “pro-choice” rhetoric to focus on the individual, her needs, rights and circumstances.

Engaging, mobilizing and building alliances on an issue like abortion can be an uphill climb. But as 2012 rolls in, we want to take a few minutes to remind you about why it is important and suggest a few ways you can go about this challenge.

Building Up Our Friends
Our allies are our greatest strength. We especially need to appeal to the hearts and minds of people “on the fence,” by connecting abortion rights to principles that they hold valuable — equality, privacy, dignity, security and more. We must show how these principles will be affected if we do not have the fundamental right to reproductive freedom.

We believe that we can even engage anti-choice people in conversations about how restrictions on access to abortion affect women and girls — especially those who are uninsured, under-insured, socially or ethnically marginalized and isolated.

Create safe spaces for respectful dialogue
We need to take a few minutes to contact the judges in our communities and ask them to defend the rights of women and girls. Monica Roa, the lawyer who argued a case before Colombia’s Supreme Court that liberalized that nation’s restrictive abortion law in May 2006, identifies judges as a key audience: “Judicial bias is a major conflict throughout the world.” She proposes a highly effective “court targeting” approach that includes getting better acquainted with specific judges and their position on issues.

And we must not forget our friends, our existing allies — an activist neighbor, a local abortion fund or a provider — on the forefront of the abortion rights movement and under threat because of it. Supporting them is critical and we can do so in a number of ways. We can donate money to local abortion funds which provide financial and logistical assistance to women that need abortions, or simply volunteer our time to their activities — a list of abortion funds is online.

We can also volunteer at clinics, in roles that range from administrative to serving as clinic escorts that guide staff, providers and clients in and out of clinics and shield them from harassment and pro-life demonstrators. If these options seem daunting, we can help tremendously by just talking — with family and friends at home, with our community via blogs and local newspapers, and with our political representatives on the phone.

Listening and Engaging Listeners
In our bid to build alliances across the table, those of us involved in the struggle to preserve abortion rights must develop new tools of moral suasion. How? For a start, we need to be good listeners, good storytellers and patient communicators, and to create safe spaces for respectful dialogue, either one-on-one or in groups.

Judy Norsigian:
I remember an eye-opening conversation many years ago with a priest — a family friend — who had regularly sermonized about the evils of abortion. He described how one year a woman came to him afterwards and described WHY she had had her own abortion and why what he had said in church was so wrong and hurtful to her and many other women. A thoughtful and compassionate person, he decided to cease such sermons, but his comment about this encounter was instructive: “Don’t get me wrong, I still think of abortion as killing life in some form…I have not changed my mind about that. But what I realize now is that an abortion can be the RIGHT and moral thing to do.”

In the years that followed, I found a number of people who resonated with this kind of thinking and who could find a way to support a woman’s right to choose, while, at the same time, holding on to the concept of abortion as an act that destroyed life in some form. They noted that society does, at times, sanction even the killing of human beings (during war, in self defense) and, thus, could envision abortion as a moral choice and one to be preserved for women needing to make that choice.

Ayesha Chatterjee:
Active in the grassroots abortion access movement in the Boston area, I am also expecting my first baby in the spring of 2012. While I see absolutely no dichotomy in my activist and parenting roles, I have been asked a few times whether becoming a mother has softened my position on abortion rights, made me more empathetic to pro-life reasoning. My response: Far from it!

My decision to have children is situated within my unique context and personal needs and capacity. If anything, the hands-on experience with the ongoing physical, emotional and financial commitment needed to nurture another human being has only deepened my understanding of an incredibly complex and personal issue, as well as my appreciation of why some decide to terminate their pregnancy and others, despite the many and different challenges, carry theirs to term.

When we are at a loss for words, drawing on other eloquent voices in the reproductive justice movement can help get the discussion started.

For starters, here are a couple such individuals:

Dr. Garson Romalis, a Canadian abortion doctor, whose speech on January 25, 2008 at the University of Toronto Law School Symposium is well worth reading. Dr. Romalis had been physically attacked — shot and stabbed, on two different occasions six years apart — and remained deeply committed to providing abortion services throughout his long career.

At the close of his speech, he wanted to describe “one last story that I think epitomizes the satisfaction I get from my privileged work.” He continued, “Some years ago I spoke to a class of University of British Columbia medical students. As I left the classroom, a student followed me out. She said: ‘Dr. Romalis, you won’t remember me, but you did an abortion on me in 1992. I am a second year medical student now, and if it weren’t for you I wouldn’t be here now.’”

Lynn Paltrow, executive director of National Advocates for Pregnant Women, offers many compelling insights in, for example, “Missed Opportunities in McCorvey v. Hill: The Limits of Pro-Choice Lawyering,” (pdf) in the New York University Review of Law & Social Change in 2011, or “Long-Term Policies, Long-Term Gains,” (pdf) in Conscience in Winter 2006-2007.

In the latter, Paltrow writes: “those who defend the right to choose abortion often frame their defense in terms of protecting Roe v.Wade and access to abortion services. But far more than Roe and abortion is at stake. The health, dignity and human rights of all pregnant women are threatened by anti-abortion and fetal rights laws. Such laws create the basis not only for outlawing abortion but also for forcing women to have unnecessary Caesarean sections, for banning vaginal births after Caesarean sections and for treating pregnant women with drug, alcohol and other health problems as child abusers before they have even given birth.”

It also helps to be prepared for contentious conversations with compelling arguments and facts.

Anti-abortion advocates often use dangerous and misleading approaches to restrict access to abortion and birth control, and having a counter argument ready goes a long way. This misinformation runs the gamut — from claiming that the emergency contraception or morning-after pill (Plan B) is the same as the “abortion pill” to asserting that feticide laws, now existing in about 38 states and on the federal level, protect pregnant women, when in reality they are frequently used against pregnant women, especially those who may have used drugs during a pregnancy.

So, staying abreast of facts to counter their fiction is critical and there are innumerable on-line and off-line resources. Here are two: Guttmacher Institute and Ipas.

Converting Our Energy
When we gain ground by changing hearts, minds or policies, we have to ensure it translates into action — securing real and affordable access to birth control and abortion for women and girls.

While we have a long way to go before reproductive justice is a reality for everyone, the looming possibility of an anti-choice administration (and all that this would entail) has serious implications for women and girls in the U.S. and, through policies that restrict the use of U.S. development aid overseas, women and girls around the world. Your voice is important.

Our goals are substantial and clear. We need to become involved — to educate one another and ourselves on the nuances of abortion rights and access; defend the fast dwindling numbers of abortion clinics and abortion providers nationwide; express our outrage when they are attacked and vilified; demand greater and equal access to all reproductive health services including affordable and safe birth control and abortion care; counter misleading and dishonest anti-abortion propaganda and hold the people behind these tactics accountable for their actions.

Doing this effectively will require creativity, tenacity and abiding respect of all women’s realities and circumstances. We’re up for the challenge — are you?

Breast Cancer Action is hosting free one-hour webinars on Tuesday, January 24th and Wednesday, January 25th to discuss the recent Institute of Medicine report on environmental risks for breast cancer, including how advocates can help move forward the report committee’s recommendations for better understanding and managing these risks.

BCA will discuss some of their concerns about the report, as well as focus policy changes required to reduce exposures to potentially cancer-causing agents.

The report, commissioned by Komen, explores the difficulties of studying how environmental factors affect breast cancer risk, recommends future research, and makes recommendations for steps women can take to reduce their breast cancer risk. Unfortunately, many of the clear actions provided in the report for reducing risk are well-covered things like “quit smoking,” while the strongest conclusion that could be drawn on many other exposures (like cosmetic and personal care products, plastics and other pollutants) was that more research was needed.

If you’re interested, you can register for register for 2pm-3pm (PST) on the 24th or 10am-11am (PST) on the 25th.

Every year in the United States alone, more than 12,000 women are diagnosed and more than 4,000 women die of cervical cancer, a preventable disease that disproportionately affects women of color.

January is Cervical Cancer Awareness Month, and the National Latina Institute for Reproductive Health (NLIRH) is launching “¡Acábalo Ya! Working Together to End Cervical Cancer.” The campaign is aimed at educating Latinas about this disease and how to protect their health; raising the profile of cervical cancer prevention as a national reproductive justice and women’s health priority; and advocating for greater access to the tools and care needed to prevent, detect, and eventually end cervical cancer.

The NLIRH is hosting a blog carnival this week on the topic: What will it take to end cervical cancer? Read more on Why Cervical Cancer is a LGBT Issue by Verónica Bayetti-Flores, NLIRH policy research specialist; Cervical Cancer Awareness Month: Trans Men and Genderqueer/Gender Nonconforming People by the National Center for Transgender Equality; Screen More Women for Cervical Cancer – Not the Same Women More Often! by Kate Ryan, program coordinator, National Women’s Health Network; and Thank YOU Affordable Care Act for Helping Cervixes Stay Healthy by Keely Monroe, program coordinator, National Women’s Health Network.

The following text on disparities in access to Pap tests and HPV vaccines has been adapted from the 2011 edition of “Our Bodies, Ourselves.”

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Most women who die of cervical cancer never had regular Pap tests, had false-negative results, or did not receive proper follow-up.

In the United States, socioeconomic and racial disparities are evident in statistics for cervical cancer. Vietnamese immigrants are five times more likely to be diagnosed with cervical cancer than white women. African-American and Native-American women are twice as likely to die of the disease as are white women. In one study, Hispanic women had about twice the cervical cancer incidence of non-Hispanic women in border counties near Mexico, and Hispanic women are 1.5 times more likely to die from cervical cancer as compared to non-Hispanic white women.

Disparities are due, at least in part, to women of color having less access to Pap screening and regular health care. It is quite possible that those women with the highest rates of cervical cancer will also have less access not only to Pap screening but also to the HPV vaccine. Until our health care system addresses such disparities in access, girls and women likely to benefit the most from this vaccine may well not be able to choose it.

To ensure more equal access to any adolescent vaccine, adequate infrastructure and resources must be made available. Some recommend implementation of school-based adolescent immunization programs similar to those formerly in place for delivery of hepatitis B vaccines. The United Kingdom and Australia have volunteer, nationally supported school-based campaigns that have resulted in high HPV vaccine coverage for about 70 percent of girls.

Currently, school-based health programs and routine preventive care visits for adolescents are limited in the United States, making it highly difficult to provide good access to HPV vaccines, especially the type of access needed to ensure all three required vaccine doses are administered. Available data suggest HPV vaccine coverage in the United States is low (less than 50 percent), and the proportion of girls receiving all three doses of the HPV vaccine is even lower (less than 25 percent).

Pap Tests Essential for Prevention and Treatment

HPV vaccines do not protect against all types of HPV associated with cervical cancer, and it is currently unclear how long they remain effective or whether booster shots will be needed to maintain protection throughout adulthood. Thus, regular Pap tests among sexually active women remain essential for cervical cancer prevention. Resources should not be diverted away from Pap screening programs to pay for the unusually expensive cervical cancer vaccine. Because Merck marketed Gardasil with a campaign that unnecessarily frightened girls, young women, and parents, many people now have a distorted view of this disease, the vaccine, and the continued importance of Pap screening.

There is no question that HPV vaccines represent an important scientific advance in the field of vaccine research, but exaggerating their potential benefit in places such as North America will not serve us well. In countries where there is little or no access to Pap screening, current HPV vaccines might have much more potential for saving lives if their costs were reduced considerably and if adequate infrastructure to prove them responsibly were securely in place.

The District of Columbia and dozens of states — many of which have been lobbied by vaccine makers to expand vaccination requirements — have introduced legislation to require, fund, or educate the public about the HPV vaccine. However, since 30 percent of infections are now caused by virus types for which the HPV vaccines do not provide protection, universal access to Pap tests remains critically important. Unfortunately, many girls in underserved communities (where HPV infection rates are often high) have less access to both the Pap test and the HPV vaccine.

For example, as of September 2009, when the CDC released its first state-level statistics for Gardasil, only 15.8 percent of girls in the relatively poor state of Mississippi had received the vaccine, compared with 54.7 percent of girls in the relatively wealthy state of Rhode Island. Partly because of greater access to Pap testing, the cervical cancer mortality rate in Rhode Island was already 50 percent lower than in Mississippi — which means the girls in Rhode Island are at much lower risk of contracting HPV to start with.

To reduce disparities for Latinas and other under-served women, we will need to make systemic changes in our health care system to increase access to screening and vaccinations for those who need it most.

Last week we posted about the Trust Women/Silver Ribbon campaign banners placed around Market Street in San Francisco carrying messages like “Reproductive Rights are Human Rights” and “Her Decision, Her Health.”

Today, the Huffington Post reports that the banners have drawn attacks from the anti-choice Life Legal Defense Foundation, which has threatened to sue the city for allowing the banner poles to be used to promote a political message not related to a specific event.

In response, Department of Public Works Spokeswoman Gloria Chan:

…defended her agency’s decision to allow the Center for Policy Analysis to buy space on the poles, saying that the banners are running in conjunction with two events: the Walk for Trust Women scheduled to take place on Market Street on January 20th and the The Bay Area Coalition For Reproductive Rights’ West Coast Rally For Reproductive Justice slated for Justin Herman Plaza the following day. Chan noted that any event expected to draw over 500 people, which DPW officials expect both of these to do easily, qualifies as a “city-wide special event” and is permitted to have its ads posted.

For more on the banners, including links to pictures, see our previous post.

A reminder: an online Virtual March will be held with MoveOn during Trust Women Week, January 20-27, to express support for reproductive health, rights, and justice, and to send pro-choice messages to Washington. Look for more details on the Our Silver Ribbon blog.

Our Bodies Ourselves is one of 42 partners in the Trust Women/Silver Ribbon campaign, a project to increase the visibility of pro-choice messages.

Weeks after the Jan. 12, 2010 earthquake decimated Haiti’s health infrastructure, Karen Feltham, a certified nurse midwife and nursing instructor at Binghamton University, traveled to Fond Parisien, Haiti, to provide support for pregnant and laboring women at a local birth center.

Two years later, she is returning — leaving today to spend 10 days working alongside the two local Haitian midwives that staff the HCM Maternity Clinic, a birth center that serves more than 2,000 women a year. While the midwives provide the best care possible under difficult conditions, outcomes for mothers and babies could be improved with additional training and support.

Karen’s trip is sponsored by Circle of Health International, which works with local health care providers in crisis- and disaster-struck regions to ensure access to quality reproductive, maternal and newborn care. Like all COHI volunteers, Karen is donating her time, and COHI is fundraising to cover the transportation to Haiti (about $800 in airfare and local travel) and room and board on the compound where the birth center is located (about $300).

Here’s where you come in. For as little as $10, you can help send Karen to Haiti. Want to donate more? Please do so! Numerous gifts are available as perks for donors who can offer $20, $35, $50 or more.

Training drills like the one shown (left) help ensure safer births in unsafe times. Women in areas of crisis or disaster often struggle to secure basic reproductive health care. The Fond Parisien Birth Center (right) serves more than 2,000 women a year, providing critical care.

It’s all part of the Get Karen to Haiti campaign that Our Bodies Our Blog and other bloggers involved in improving maternal health are participating in for the next two weeks. Hillary Boucher and Jeanette McCulloch at BirthSwell have more information about the collaborative effort.

Your donation can make a huge difference. According to COHI:

Birth Centers like the one at Fond Parisian provide a model of care for other areas in Haiti and around the world, where maternal mortality is at the highest rate in the Western Hemisphere, with 630 deaths per 100,000 live births (compared to 11 deaths per 100,000 births in the US).

The midwives at the Fond Parisien birth center have received training in supporting women in low-risk births, providing care in common emergencies, and are developing protocols for when to transfer to other emergency medical facilities. But unlike their peers in the U.S. and in other industrialized societies, they do not have access to the latest research or journals, conferences where they can share skills, or even family support.

Karen took a moment as she was preparing for her trip to talk with Our Bodies Our Blog about her birth philosophy and why she’s returning to Haiti now (see below). Her goals are specific:

* Review existing protocols for managing emergencies and deciding when to transfer to the local hospital. Provide clinical support and skill-building where it could improve outcomes for Haitian women and their babies.

* Run emergency drills using improved protocol for complications most likely to be seen at the clinic, including shoulder dystocia and postpartum hemorrhage.

* Improve monitoring processes so that the clinic can evaluate their existing protocols and make improvements based on evidence, not just anecdotal understanding.

We hope you’ll consider supporting Karen’s efforts in Haiti and visit COHI’s Facebook page to follow along on Karen’s journey. You can learn more about COHI’s efforts in Haiti on its website.

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Our Bodies Our Blog: You first visited Haiti after the earthquake. How did that experience affect you and your commitment to expanding access to evidence-based care?

Karen Feltham: Arriving in Haiti, especially Port Au Prince, was overwhelming. I kept thinking of how long the earthquake lasted, counting in my head and imagining the earth shaking and the buildings falling — the world changing in 30 seconds. What was that like? Homes become rubble, the living-dead. It has changed everything for me, in a way. Anything can happen, in any instant. It might sound funny, but I run through worst-case scenarios in my head and with my family. Where will you go? Where will we meet?

Witnessing the work of countless NGOs and volunteers was inspiring, as well as a bit maddening. There was (and is) really good work happening in Haiti. There are excellent providers and logisticians providing great, life-changing (and life-providing) services. And that is inspiring.

At the same time, I think that there is a feeling of, “Anything is better than nothing.” I have seen that lead to a neglect of clinical standards.

OBOB: Why are you returning now?

KF: The organization that I volunteer with (Circle of Health International) is completing their work there and turning over the operation of the clinic to a local organization. This is a nice opportunity to re-connect with midwife colleagues who I had worked with previously. My goals for the trip are to run emergency obstetric care management drills, review core competencies, and always to reinforce and encourage the midwifery model of care.

Also, skilled birth attendants at delivery (and fewer pregnancies) definitely lower the maternal mortality rate. The international community is expecting quite a bit from newly trained midwives, and midwifery is a tough job. In the United States, a licensed midwife is more likely to begin independent practice with the benefit of collaboration and experienced colleagues. And so, I feel a commitment to providing something similar to this midwife team.

OBOB: How does your birth philosophy inform your volunteer efforts?

KF: I absolutely believe in the power of kindness and how it can be transformative, even revolutionary. Think of what women bear, here and elsewhere — assault, abuse, submission. I can’t change a country’s infrastructure, health care and education policies. But I can listen. I can provide the most gentle pelvic exam and the most respectful atmosphere.

If my touch is the first that a newborn feels, then I promise to make it a gentle one. If my voice is the first that she hears, then let it be welcoming. This is what I can bring, a reminder that excellent clinical skills are essential, but that kindness is life-changing. At least that’s what I think, and it’s the best that I can offer.

OBOB: You’ve identified three goals for your time in Haiti. Can you give readers a sense of how those goals will be achieved?

KF: I’m not sure how each day will unfold. One must be very flexible in these situations. But I’m certain that each day will be very full. My volunteer partners and I will run through management of the obstetric emergencies; postpartum hemorrhage and shoulder dystocia — the “what-ifs.” It’s so valuable to run through what everyone does in these situations, and then do it again.

Also, each day will include conferencing with the midwives, which involves reviewing clinical cases and addressing whatever concerns that they might have, along with symptoms, diagnoses, and procedures they have questions about.

OBOB: Have you incorporated into your teaching at Binghamton any experiences or lessons learned from working alongside midwives in Haiti and Nicaragua?

I guess that every experience influences every other, even in subtle ways.

I teach at the Decker School of Nursing at Binghamton University in both the graduate and undergraduate programs. I love working with nursing students! They are amazingly good people. One of the courses that I teach is in global nursing. So many students are interested in really making a difference but don’t know where to begin. I try to share a bit of my own experience and encourage each individual student to find their own way. I believe in the ripple effect of good work.

Also, one thing I try to do intentionally with students is to blur the line between “us” and “them.” Haiti and Nicaragua are very far away, and it’s easy to think that the people, clinicians and patients are so very different from us. I try to refer to clinical cases that I have seen elsewhere and good clinical work and speak to the shared experience between provider and patients that happens everywhere.

Health care is what happens between midwife (and doctor and nurse) and patient. It doesn’t happen at the upper levels of the bureaucracy. It’s the thing that takes place between two people. And that is true in Ithaca, N.Y., Fond Parisien, Haiti and Managua, Nicaragua.

Our Bodies Ourselves is one of 42 partners in the Trust Women/Silver Ribbon campaign, a project to increase the visibility of pro-choice messages.

This week, the campaign has placed banners along Market Street in San Francisco to “spark conversations and to help build momentum and solidarity among supporters of women’s rights, equality and autonomy and access to comprehensive health care, including reproductive health care services.”

The banners display messages like “Reproductive Rights are Human Rights,” “Her Decision, Her Health,” and “U.S. Out of My Uterus,” and include related banners from the Bay Area Coalition for Our Reproductive Rights, SisterSong/Trust Black Women, Catholics for Choice, NARAL-ProChoice California, and Planned Parenthood Shasta Pacific. More photos of the banners in place around San Francisco are online, and more coverage is provided at Our Silver Blog.

Look for more activity later this month – during Trust Women Week, January 20-27, a virtual march will be held with MoveOn to express support for reproductive health, rights, and justice, and to send pro-choice messages to Washington.

This article was recently published in OBOS’s winter newsletter. View the full newsletter.

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“I did training for more than 5,000 women across the country, and all their stories and all their experiences are in Our Bodies, Ourselves. Along with the stories and political activism, we started brokering power at the personal as well as at the political level. As of this moment, we have something to celebrate.”

Those words were spoken by Renu Rajbhandari, a prominent women’s rights activist in Nepal, during our 40th anniversary symposium, Our Bodies, Our Future: Advancing Health and Human Rights for Women and Girls, on Oct. 1. Co-hosted with Boston University, the event marked four decades of activism and celebrated our evolution from a small group around a kitchen table in the United States to a vibrant network of social change activists at the table in countries around the world.

Held in conjunction with the release of the ninth edition of “Our Bodies, Ourselves,” the symposium was also an opportunity to meet 12 of our global partners, including Renu, and listen to their extraordinary journeys of claiming and transforming this landmark book for the women and girls of their countries. Renu referred to the effort as a “transcreation.”

Many women talked about the cultural, political and social challenges to their activism and the relationships and networks they have built in order to effect change. (View videos from symposium, including the global panels.)

The book’s impact and legacy was described by many speakers, including local luminaries. In a video welcome, Massachusetts Gov. Deval Patrick recalled how he was 15 years old when “Our Bodies, Ourselves” was first published; it was considered “racy,” yet filled with information that made him “a better person, and certainly a better partner.”

Robert Meenan, dean of Boston University School of Public Health, offered a formal welcome, followed by an all-star cast of women’s health advocates, including Byllye Avery, founder of the Avery Institute for Social Change and the Black Women’s Health Imperative, and Adrienne Germain, president emerita of the International Women’s Health Coalition. Marie Turley, executive director of the Boston Women’s Commission, brought greetings from Mayor Tom Menino, who had declared Oct. 1 Our Bodies Ourselves Day in the city of Boston.

These terrific presenters, and our energetic emcee, Jaclyn Friedman, executive director of Women, Action and the Media and a contributor to the new edition, spoke about the personal impact “Our Bodies, Ourselves” has had on their lives and the important role played by organizations like OBOS in realizing health equality and human rights, while at the same time reminding the audience of the sizeable challenges ahead.

They symposium paid tribute to the 14 OBOS founders who changed the world of women’s health 40 years ago. Sam Morgan Lilienfeld and Judah Rome, sons of deceased founders Pamela Morgan and Esther Rome, shared memories of their mothers – not only as feminist moms, but as powerful and positive role models.

“My mom viewed birth as an experience that has the power to change and define the life of a woman,” Sam said, “and her spirit of embracing and celebrating these major life events, which we sometimes may welcome and sometimes greet with trepidation, is something I’ve always admired.”

In his remarks about Esther completing the manuscript of “Sacrificing Ourselves for Love” just before her death in 1995, Judah said: “Watching my mom through the final months of her life was very painful for me, but it taught me how to live.” He told the audience he had hoped that her legacy would live on, adding, “I can tell from the energy in the room that it does.”

Our courageous global partners have used “Our Bodies, Ourselves” to develop and bring culturally unique health and sexuality information to their own communities. In addition to the challenges they encounter, they also discussed their success negotiating with power brokers – from men and matriarchs in the family, to religious leaders and heads of institutions.

Their stories of transformation, in Tanzania, Turkey, Japan, Israel, Serbia, India, Nepal, Senegal and Latin America, were reminiscent of the journey taken by OBOS founders 40 years ago. The parallel between the two groups of women was palpable and confirmed that not only has the book gone global, but it continues to inspire movement building by and for women and girls in every region of the world.

Loretta Ross, national coordinator of SisterSong Women of Color Reproductive Justice Collective, closed the day, firing up the audience by reminding everyone of the very real threats to women’s reproductive and sexual rights in the United States and around the world. Even so, she said the global partners’ activism and their use of the human rights framework made her “excited and optimistic” about the future.

As the day started with reminiscences of the 1960s and 70s, it ended with a freshly-stoked fire in the belly. OBOS is at the forefront of changing the lives of women and girls and will continue this work in the U.S. and around the world — into the next 40 years and beyond.

June Tsang is the program associate for the Our Bodies Ourselves Global Initiative

Did you miss the 40th Anniversary global women’s health symposium at Boston University back in October? If so — or if you just want to relive the day (yes, it was that awesome) — we’ve edited and posted videos from the symposium on YouTube. Take a look and feel free to post and share these presentations.

The list of speakers includes:

• Byllye Avery, founder of the Avery Institute for Social Change and the National Black Women’s Health Project, on the impact of “Our Bodies, Ourselves.”
• Adrienne Germain, president emerita of the International Women’s Health Coalition, on the challenges and opportunities for our health and human rights.
• Sam Morgan Lilienfeld and Judah Rome, sons of OBOS founders Pamela Morgan and Esther Rome, on growing up with feminist mothers.
• Sally Whelan, program director for the OBOS Global Initiative, discusses the efforts involved working with groups around the world that are adapting “Our Bodies, Ourselves” for their own communities.
• Ayesha Chatterjee, program manager for the OBOS Global Initiative, introduces the organization’s global partners.
• Loretta Ross, founder and national coordinator of SisterSong Women of Color Reproductive Justice Collective, delivers a rousing closing keynote filled with personal stories and political wisdom. Don’t miss this.

Plus there are welcomes by Massachusetts Gov. Patrick Deval, Robert Meenan, dean of the Boston University School of Public Health, and Judy Norsigian and Zobeida Bonilla, OBOS executive director and OBOS Latina health initiative coordinator. And it’s emceed by the one and only Jaclyn Friedman.

And, of course, there are the stories from OBOS’s global partners — women from Tanzania, Israel, Turkey, Senegal, Nepal, Japan, Puerto Rico, India, Bulgaria, Serbia and Armenia who shared their extraordinary journeys transforming “Our Bodies, Ourselves” into different texts and languages, sparking movements and change in their own countries. Along with U.S. participants — including myself and SPARK’s Dana Edell, they address the successes and challenges of the global women’s health movement in three panel discussions on YouTube.

Learn more about the symposium, which also celebrated the launch of the brand new edition of “Our Bodies, Ourselves.” Even those of us who expected great things came away more emotionally overwhelmed (in a good way) than we could have imagined. Hearing how groups literally created words for women’s bodies that didn’t exist, or how they dealt with harassment, threats and other obstacles to sharing accurate information about women’s reproductive health and sexuality, are stories that stay with you. We hope these videos can be used to educate and inspire.

Here’s Byllye Avery on women’s health and self-knowledge before the publication of “Our Bodies, Ourselves.” It sets the stage for everything that happened (and will happen) as a result.

Imagine if sex education covered not only important information about how to protect your health and prevent unwanted pregnancy, but also how to have really good sex — including how to know what you want and how to value your needs and desires along with your partner’s.

As The New York Times Magazine reported this past weekend, a truly comprehensive sex-ed class does exist — one that gives as much weight to female orgasm as to navigating complex emotional and physical terrain. Sexuality and Society is a highly regarded senior elective at Friends’ Central School, a co-ed, Quaker, college preparatory day school in Philadelphia.

Now what if there were a book — a workbook of sorts — that could be used in a class like this, and made available to teens and young adults everywhere who don’t have a progressive forum for discussing sexuality?

Luckily for everyone, that book exists.

“What You Really Really Want” is the latest title on sex and sexuality by Jaclyn Friedman, co-editor of the 2008 hit anthology “Yes Means Yes: Visions of Female Sexual Power and A World Without Rape,” and a contributor to the 2011 edition of “Our Bodies, Ourselves.” In her new book, Friedman takes on the role of your smartest, most honest, least judgmental, down-to-earth friend, serving as a helpful guide through 11 chapters on defining, understanding and owning your sexuality.

The book’s subtitle — “The Smart Girl’s Shame-Free Guide to Sex and Safety” — explains the roadmap within. To make the most of this excursion, Friedman encourages readers to do two things: Write every day, with a pen or keyboard, and love your body — and not just in general; you should spend at least 30 minutes a week doing something that “makes you feel nothing but good.”

One of the book’s elements that readers will find particularly useful are the “dive-in” exercises that encourage thinking through how to apply what you’ve read to your own circumstances. At various times, Friedman pauses and encourages you to ask questions, assess your comfort zone, and identify the tools you need to overcome barriers to expressing your sexuality. These check-ins come across as authentic, which is difficult to pull-off on the printed page. That success is largely due to Friedman’s engaging writing style and genuine concern for women’s health and safety; she is the founder and executive director of Women, Action & the Media, which works for gender justice in media, and has been an outspoken advocate for challenging the ways society shames women.

The first chapter, aptly titled “You Can’t Get What You Want Till You Know What You Want,” opens with a discussion of influences on sexuality, from family and religion to our peers and partners. Friedman also provides a concise summary of confusing media messages that limit women to a “teeny window of ‘correct’ sexuality” combined with artificial ideals, followed by a dive-in exercise on media representations of women:

Dive In: Think back to some adolescent media crushes—that song or album you listened to over and over, the magazine subscription you thought would change your life, the book you picked up again and again, the movie you imagined yourself starring in, the video game you played and played and played, the TV show you just couldn’t miss. What drew you to these particular experiences? What, if anything, did they say to you about sexuality? What lessons did you learn from them that you’ve since rejected, and what did you learn that you still adhere to today? If you could go back and tell your adolescent self something about your media choices, what would it be? Get out your journal, and write about it for five minutes.

“What You Really Really Want” gradually shifts from looking at external influences that can prevent women from developing their own sexual identity to exploring different identities and assumptions about sexuality. Following sections on gender and sexual orientation, readers encounter this exercise:

Dive In: Make a list of all the words you can think of that you’ve used yourself or heard someone else use to describe someone’s sexual orientation. Don’t hold back—list the slang and slur words right alongside the more formal terms. Next, cross out every word that you think no one should ever use about anyone. Then cross out every word that you personally would never use to describe someone else. Then, of the remaining words, cross out every one that you wouldn’t want anyone else to use when describing you. Lastly, cross out any word that’s left that you would never use to describe yourself.

Write all of the words that are left in a new list. How do they make you feel? Do they describe your sexual orientation? Are there facets of your orientation that words don’t exist for? If you feel like it, invent a word that helps fill in those gaps.

It may seem like a lot of self-analysis, but that’s exactly what’s needed. As The New York Times Magazine article points out, teens have a difficult time articulating their own desires, in part due to the abundance of manufactured sexual imagery that creates false and harmful standards for what we (or our partners) should look like naked and how we should act.

Friedman wisely concentrates on the individual reader before expanding the discussion to include sexual partners. And even then, Friedman doesn’t offer advice on how to find a compatible sexual partner; rather, she helps the reader to define what compatability even means:

We all get dealt a different hand when it comes to what we’re capable of, and we all need partners who contribute different things. Is it important that your sexual partners are funny? Smart? Good dancers? Sweet with children? Great at communication? This is where you can get specific about bedroom skills, too: How talented does your partner need to be in the sack, and what qualifies as sexual talent to you?

Once you figure out what qualities you want in a partner, it’s time to add another layer of choosiness: How important is each quality to you? Because, let’s get real, nobody’s perfect, and you’re unlikely to find someone who simultaneously checks all of your boxes. Maybe you’d love to have a partner who is really athletic, but you wouldn’t rule out someone who was less active. On the other hand, it may be a total deal breaker if your partner doesn’t like to read. Get clear on what’s cake vs. what’s icing, and you’ll be steering yourself toward what you really really want before you know it.

Making a list for ourselves is one thing, but healthy sexual relationships require honesty with our partners about pleasure and safety.

“Talking freely about sex and safety with your partners not only makes sex more fun and relaxed—because you’re worrying less and getting more of what you really really want—but also makes it easier to tell the great partners from the ones you want to avoid before you get too hurt,” writes Friedman. “And that information means your intuition will get better and better, which means you’ll get even better at knowing your own desires and boundaries and finding people who can simultaneously respect and satisfy you. In short: It’s the best possible kind of positive-feedback loop.”

Besides offering examples of what, how and when to communicate, Friedman also provides an exercise that returns to the personal history and influences that can block us from advocating for our own needs:

Dive In: Pay attention this week to the times when you’re not speaking up. Do you want seconds at dinner but are afraid to say so? Do you actually want to wear that outfit, or are you doing it because you think someone else will like it on you? Did your friend or partner hurt your feelings, but you aren’t letting them know? Make a note each time it happens. Then, when you’ve got some time, pick one example and write about what it felt like. And then write about what it might have felt like if you had gone the other way and spoken on your own behalf.

Students at Friends’ Central School are fortunate to have a terrific teacher and a supportive educational environment that encourages exploration of these issues. Maybe, just maybe, other schools will start to follow suit. For the rest of us — and for those forward-minded sexuality classes — “What You Really Really Want” can make a lifetime of difference.

Excerpts of “What You Really Really Want: The Smart Girl’s Shame-Free Guide to Sex and Safety” are printed by arrangement with Seal Press, a member of the Perseus Books Group. Photo credit: Mandy Lussier. This post is a stop in Jaclyn’s blog tour. Check out yesterday’s stop at WIMN’s Voices. If you’re in the Chicago area, join me on Nov. 30 as Jaclyn reads from her book at Women & Children First (7:30 p.m.).

NBC Nightly News, which broadcast a great report this week on the 40th anniversary of “Our Bodies, Ourselves,” has posted an exclusive web-only interview with Judy Norsigian, OBOS co-founder and executive director, that is well worth viewing and sharing. (Also see the equally impressive interview with Dr. Susan Love.)

Norsigian talks about how the earlier “Our Bodies, Ourselves” editions demystified health and medical care, helping women to feel entitled about their right to ask questions — and get answers — from a paternalistic medical system. The book “changed the basic discourse” around women’s bodies and health, while also offering explicit information about access to birth control and abortion.

One of the ongoing health challenges, she notes, is the rate of sexually transmitted infections; women around the globe still struggle to have sex that doesn’t put their health at risk.

The video includes footage of a recent book signing for the brand new 2011 edition of “Our Bodies, Ourselves” held at Porter Square Books in Cambridge, Mass., and references the work of women’s groups in other countries that have adapted “Our Bodies, Ourselves” for their own communities.

In under 3 minutes, this interview provides one of the best historical and forward-looking assessments of the impact of “Our Bodies, Ourselves” around the world.

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Susan Love, the well-known breast cancer researcher and women’s health advocate, was a 23-year-old medical student when the first edition of “Our Bodies, Ourselves” was published, but the book’s impact was instant and permanent.

“It completely revolutionized how I and really the whole world looked at women’s health,” she said during an exclusive web-only interview with NBC Nightly News, which earlier this week broadcast a report on the 40th anniversary of “Our Bodies, Ourselves” and the new 2011 edition. (Also see the web-only interview with OBOS co-founder Judy Norsigian.)

Women were treated as “small men who have babies,” says Love, noting there was no effort made to understand how women’s bodies or brains might be different than men’s. “Men were the model, and women were sort of this extra thing.”

“Our Bodies, Ourselves” put forth the radical notion that women are worthy of study. Love recalls seeing the map of the cervix in the first edition of and thinking, “It was amazing, it was a miraculous thing! Who knew what was in there?”

Fast forward 40 years, and Love is still considering the differences between women and men in her medical research. While most of the medical community studying breast cancer is focused on cancer cells, Love focuses on the breast itself.

“Believe it or not, all these years after ‘Our Bodies, Ourselves,’ we know all the molecular biology of breast cancer. But we still don’t know how many holes are in the nipple that milk comes out of,” said Love. “We still don’t know the anatomy of the breast. We still don’t know what the breast is doing when it’s not making milk. So we still need ‘Our Bodies, Ourselves’ in our lives.”

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We’re working on pulling together images and stories from this past weekend’s incredible 40th anniversary symposium. Our global partners from Turkey to Tanzania go to great lengths to ensure women in their countries have access to resources and information that enable them to make decisions about their health and the health of their families. Stories from these women affected everyone who watched and listened (see E.J. Graff’s great post over at The American Prospect).

Meanwhile, over on Capitol Hill, the House Committee on Foreign Affairs voted Wednesday to approve a bill (H.R. 2059) that would prohibit the U.S. government from providing funding to the United Nations Population Fund.

The International Women’s Health Coalition, in an alert sent out Wednesday morning on the assault on funding for services that help the world’s poorest women, noted that the bill’s sponsor, Rep. Renee Ellmers (R-NC), “may not understand how essential and cost effective UNFPA’s work to promote the health and rights of women and girls really is.”

Here’s what UNFPA does for the world’s poorest citizens (feel free to call Rep. Ellmer’s office, 202-225-4531, to share this information):

• Access to contraception and family planning services
• Midwifery and emergency obstetric care
• Prevent HIV and other sexually transmitted infections
• Prevent and treat obstetric fistula
• Work to end female genital mutilation and other harmful traditional practices such as child marriage
• Essential reproductive health services in post-conflict and disaster situations

We’ve heard the stories first-hand of how funding and access to services can save lives, yet right-wing politicians continue to malign the UNFPA out of ignorance and bias.

Reality check: The UNFPA “supports countries in using population data for policies and programmes to reduce poverty and to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV, and every girl and woman is treated with dignity and respect.”

Read more about the international development agency’s programs, along with this FAQ, and please spread the word.