A woman in South Africa has told the BBC how she was sterilised without her consent after she gave birth at the age of 17, and only learned about it 11 years later when she tried to have another child.
Bongekile Msibi was among 48 women sterilised without consent at state hospitals, the Commission for Gender Equality found.
Despite being a statutory body, the commission said its inquiry was hampered by the "disappearance" of patients' files, and its investigators had received a "hostile reception" from hospital staff.
The commission said its investigators visited 15 hospitals after civil rights groups brought the cases, some dating back to 2011, to its attention.
South Africa's health department has not yet given a detailed response to the report, but said its minister, Zweli Mkhize, had requested a meeting with the commission to discuss it.
Ms Msibi recalled her ordeal to the BBC's Clare Spencer:
I woke up after giving birth, looked down and asked: "Why do I have a huge bandage on my stomach?"
I did not mind. I had just given birth to my baby daughter. She was a big baby and I had been anaesthetised and gone through a Caesarean section.
Getty Images
How women are sterilised in SA
- Hysterectomy:Removal of womb or part of it
- Tubal ligation:Fallopian tubes blocked or sealed
'It is very cruel'
I was devastated and confused. It did not make sense because I was already a mother. I worked out my uterus must have been removed and the only time it could have happened was after I had given birth. Bongekile Msibi It is very cruel what they did to me. I went to the press, then the health ministry and eventually ended up back at the hospital where I gave birth with the doctor who said he was there that day. He did not say sorry. He told me that he had sterilised me in order to save my life. I still do not know what he was trying to save me from. There are no records at the hospital. I am not the only one. An inquiry has found there are 47 others. Some were told it was because they had HIV, but I do not. I just don't know why they did it. The doctor told me that I had signed a consent form. I had not. I was a minor at the time so would not have been able to. He then said my mother, who was with me at the birth, had signed the consent form. She said she did not. The news changed my life. In the end I split up with my fiancé. I had to let him go because he really wanted children and I could not give him that. When I met the doctor I was asked what I want. I want a baby so badly. When I saw a pregnant colleague this week I could not stand it. My daughter wants a sibling and when we go past street kids she suggests I bring one up as my own. I still have ovaries and so I think the hospital should pay for a surrogate. South African law on sterilisation- Adultsentitled to it through safe methods
- Proceduremust be clearly explained, including risks and consequences
- Consentcan be withdrawn at anytime
- Formsgiving go-ahead must be understood and signed
- Separaterules must be followed for those "incapable" of consenting
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