Stories

Lisiane Messine is a CIFWA youth volunteer and formally the CIFWA Youth Representative for the East South East Asia and Oceania (ESEAOR) region of IPPF. She is also the Senior Probation Officer for the Cook Islands Government. Originally from the outer island of Aitutaki, she moved to New Zealand to complete her undergraduate studies. On return to Cook Islands, she became a CIFWA Youth Volunteer, and went on to become the first Cook Islands youth representative to gain a position on the ESEAOR Youth Executive Committee.  For International Volunteer Day, we are sharing part of Lisiane's story, in her own words. “I was born in Rarotonga (the main island of the Cook Islands) but raised in Aitutaki (a small outer island). I was raised by my auntie and uncle. I was given to them after they lost two of their children, one was an infant when it died, and one was a miscarriage due to my aunt’s job harvesting in the plantation the chemicals she was exposed to doing that. My biological mother was only 17 years old when she had me, so they decided that my auntie would raise me, and I am grateful and blessed she made that decision. I feel blessed to have two sets of parents. It’s quite normal in the Pacific for this practice to happen. We call them our ‘feeding family’.   Neither of my parents made it to university, they are both self-employed and sell vegetables for a living. My dad funded my university (Bachelor in Applied Social Worker) in New Zealand himself, all from selling vegetables. I’m just grateful. Living in NZ opened my eyes to talking openly about abuse in the family, sexual and reproductive health, relationships. My views changed.   I ran my first workshop for CIFWA at 15 years old. They had come to Aitutaki to run a Comprehensive Sexuality Education (CSE) workshop and I thought ‘Oh my gosh all these things I am not allowed to talk about with my parents’ so as soon as I moved to Rarotonga, I visited CIFWA to see how I could get involved. Now I am seeing the young ones I have seen growing up since they were in nappies having a different experience to me.   I have friends who experienced things that I didn’t know how to deal with, so I thought if I were to learn how to help, I can help my younger friends, family and children not deal with these things and be safer. I was always the ‘go-to’ person for my friends to talk about things so I wanted to learn how to approach it with them.   In 2018, after I became the Youth Rep for CIFWA, we travelled to Malaysia with the other youth reps from around the Pacific, some of whom had never travelled that far before. I took on the role of unofficial ‘mama’ for the group and taking care of the group. It was my first time travelling that far too, but my English was better, so I wanted to take on the responsibility to make sure they were okay. I miss all the other Youth Reps!   During this trip in 2018, we held an election, where nine of the youth reps were elected to the ESEAOR Youth Executive Committee, and I was elected. I felt privileged because I was new, just a girl from Cook Islands, and it made me feel good. I had doubts because I come from a small nation and doubted my experience in SRH and being a youth rep. But after talking to my fellow Pacific Island youth reps, I thought this is a perfect opportunity to put the Pacific on the map in IPPF. The top two positions were both awarded to Pacific Youth Representatives, and I was voted in as Deputy Chairman for the period of three years.   I admired the other youth reps from SE Asia so much, they were so vocal and outspoken. Over my three years in this position, we recommended that those of us that age over 25 should become mentors to the younger youth reps who come in. Our next trip was to the IPPF General Assembly in India, and I remember thinking ‘this is big, this is really big. There must be something that people recognise in me that I don’t even see in myself.’   That experience built my confidence and leadership skills so much’.  

It’s a scene like many others around the world: a loving family pour over childhood photos, giggling and reminiscing about the memories. This particular scene takes place amongst the swaying palm trees and soft breeze rolling over the island of Rarotonga in the Cook Islands, and the child they are cooing over – then named Nathanial – is now a beautiful transgender woman, Natalia.   Born in New Zealand to Cook Islanders parents, 36-year-old Natalia (Talia) Lajpold, says she has always known she was female. Talia grew up in Australia and began her transitioning process at the age of 15. In the last year of her schooling, Talia decided to wear the girl’s uniform to school but was met with disapproval from the school authorities.   “A lot of people think [being transgender] is a choice but if I had a choice, I would choose for things to be normal, the way I was born. Because it’s really hard. High school was hard,” Talia recalls.

The Cook Islands has removed a law that criminalizes homosexuality, in a huge victory for the local LGBTI+ community.  Our local Member Association, the Cook Islands Family Welfare Association (CIFWA), has been integral to the advocacy around this law reform, which has faced many hurdles since the movement kicked off in 2017. Staff and volunteers at CIFWA have worked in step with Pride Cook Islands and the Te Tiare Association (TTA), two of the biggest LGBTI+ advocacy organizations in the country, to end discrimination and promote human rights. Meet some of the inspiring people behind this historic movement.

On the island of Rarotonga, the main island of the Cook Islands in the South Pacific, a little white van makes its rounds on the palm-tree lined circular road. The van, run by the Cook Islands Family Welfare Association (CIFWA), stops off at condom distribution points along the way, refilling the condom stock.  Dean Tangata, a 26-year-old humanitarian focal point for CIFWA and a registered nurse, is behind the wheel.  "Our condom dispensers get emptied so quickly!” said Dean. “We refill them twice a week.”   On Rarotonga, the locals refer to a system called ‘coconut wireless’ - a local phrase meaning to communicate quickly by word-of-mouth. This means that discretion is key to encourage people to practise safe sex and use condoms.  According to the Cook Islands Ministry of Health 2014, sexually transmitted infections (STIs) are common in the Cook Islands. A study conducted in 2006 showed a 22% prevalence rate of chlamydia; 46% of these cases were in people between the ages of 15 and 29 years. After a robust intervention campaign, a repeat survey in 2012 showed a 50% decrease in prevalence. This is why CIFWA instigated a condom dispenser system, placing handmade dispensers (that an industrious staff member made from cutting holes in piping) inside bathrooms in restaurants around the island. “We’re the ‘sex people’ - the ‘sex workers’ who roll up in our condom car,” says Dean, smiling.

Menstrual regulation, the method of establishing non-pregnancy for a woman at risk of unintended pregnancy, has been a part of Bangladesh’s family planning program since 1979. It is allowed up to 10 –12 weeks after a woman’s last menstrual period. Nursing Supervisor Ms. Lovely Yasmin is one of several staff members providing family planning, menstrual regulation, and post-procedure care services at Upzila Health Complex in Belkuchi, Bangladesh. “Before this training we used to sometimes advise people on such services and provided menstrual regulation (MR) services but after the training I’ve have become and confident and efficient in providing MR services,” she says. “Earlier there could possibly have been mistake but now I can provide MR services efficiently and perfectly. I can now provide MR services in more organized manner.” But while Yasmin, who has worked in family planning for 16 years, says that the recent training has increased her confidence in properly doing MR procedures, the health complex still lacks basic supplies. “There were difficulties due to limited equipment,” she says. “We sometimes have to use personal equipment.” But, she says, the presence of Kit 8 has made life easier. “Prior to this kit, many clients did not complete the full course of medical as advices due to financial issues… during floods there are many hardships including financial difficulty,” she says. “However with this kit, most of the medicines are provided and clients are easily managing on their own.”

Menstrual regulation, the method of establishing non-pregnancy for a woman at risk of unintended pregnancy, has been a part of Bangladesh’s family planning program since 1979. It is allowed up to 10 –12 weeks after a woman’s last menstrual period. When Shana Khatun, a mother of three, became pregnant again she says she began to feel very weak and had issues with massive bleeding.Citing her age and the possibility of further medical complications, Khatun decided to undergo a menstrual regulation procedure. “But if the hospital and services weren’t there then I would have had to have continued with my pregnancy, even when (I do) not want another child” she says. Khatun says that the procedure went well, but that without the presence of medicine found in Kit 8 she would have lacked post-operation medicine. “After the menstrual regulations services I was prescribed a few medicines which I could not buy due to poor financial condition,” she says. “But the hospital gave me a number of medicines that I could take.” And while Khatun had talked with women about various family planning methods, she didn’t feel she could talk with anyone aside from her husband about getting the procedure. “I feared they would treat me poorly (the hospital),” she says. But Kahtun says she found the hospital trustworthy and helpful, even when she was suffering complications such as mass bleeding. “I will be very cautious that I should not get pregnant again however in event if I get pregnant again then I will come to this hospital only,” she says.

Menstrual regulation, the method of establishing non-pregnancy for a woman at risk of unintended pregnancy, has been a part of Bangladesh’s family planning program since 1979. It is allowed up to 10 –12 weeks after a woman’s last menstrual period. Auliya Khatun, a mother of three children, was 40 years old when she found out that she had unintentionally become pregnant again. Khatun says she had heard about family planning services and menstrual regulation services available at the Upzila Health Complex from other women in her small village. She discussed the option of undergoing menstrual regulation with her husband. “My spouse was supportive and he gave me the freedom to come to this decision myself,” Khatun says. “If this service was not available then I would have carried on with the pregnancy. It would have been embarrassing, though,” she explains. “It is embarrassing to have another child at this age.” Khatun, who sometimes assists her husband with work in a local handloom, also cited the financial burden another child would have on her family. “We are facing financial difficulty so it is not possible to have another child.” Khatun says she only experienced mild gastric discomfort after the procedure but felt assured about her recovery due to being able to check-in with doctors at the local health centre. The access to the services and doctors, she says, was a major factor in a smooth and easy recovery. “Since this service was in a government facility I could prevail [through] this and survive,” she says. “It is an important service.”