In a major judicial turn of events, the Kenyan Court of Appeal has overturned a previous High Court judgment that had affirmed the right to abortion as a fundamental constitutional provision.
The ruling, delivered on Friday, marks a significant shift in a long-running legal battle that has divided the East African nation. The decision effectively reinstates the stringent restrictions on abortion, setting the stage for what many legal experts believe will be a final showdown at the Kenyan Supreme Court.
The case has its roots in a 2022 incident involving a teenager who sought emergency medical attention following pregnancy complications. At the time, a doctor determined she had suffered a miscarriage and provided post-abortion care. Both the teenager and the medical practitioner were eventually acquitted by the High Court.
In that 2022 landmark ruling, the High Court had declared that access to abortion was a fundamental right under the Kenyan Constitution, further asserting that the arrest and prosecution of patients and healthcare providers in such cases were unconstitutional.
However, the Court of Appeal on Friday disagreed with that interpretation. The appellate judges maintained that the constitution guarantees the right to life for a child, reinforcing the position that abortion remains prohibited except in extreme cases, such as when the mother’s life is in imminent danger.
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“In effect, abortion is not a fundamental right guaranteed under the Constitution. On the contrary, the constitution expressly prohibits it but provides exceptions in limited circumstances where it may be permissible,” the court ruled.
Under Kenya’s Penal Code, procuring or attempting to procure an abortion carries a heavy penalty of up to 14 years in prison. While the constitution allows for the procedure if a trained healthcare worker deems it an emergency necessity to save the mother’s life or health, Friday’s ruling narrows the legal window that the 2022 judgment had opened.
Reacting to the judgment, the Center for Reproductive Rights, a global human rights group, described the verdict as a “setback” for women’s reproductive health. The organization has already indicated its intention to escalate the matter to the Supreme Court to “correct this anomaly.”
On the other side of the divide, the Kenya Christian Professionals’ Forum, which, alongside the Attorney General, filed the appeal, hailed the decision. Charles Kanjama, a lawyer and former chairperson of the forum, stated that the appellate court had “restored constitutional balance” which he claimed had been distorted by the lower court’s findings.
He noted that the ruling means anyone charged under sections 158, 159, or 160 of the Penal Code must now provide concrete evidence that they were not engaging in “abortion on demand.”
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The legal controversy comes amid grim health statistics. A 2025 report published by Kenya’s Ministry of Health, the African Population and Health Research Center, and the Guttmacher Institute estimated that nearly 792,000 induced abortions occurred in the country between April 2023 and May 2024, highlighting abortion as a leading cause of maternal mortality in the region.
The Nigerian Context
The legal battle in Kenya mirrors the situation in Nigeria, where abortion remains strictly regulated. Under the Nigerian Criminal Code (applicable in the South) and the Penal Code (applicable in the North), the procedure is generally illegal.
In Nigeria, the only clear legal exception is when the procedure is performed to save the life of the pregnant woman. Attempting to procure an abortion outside of this narrow window can result in up to 14 years of imprisonment for the practitioner and up to 7 years for the woman involved.
Despite these restrictions, health experts frequently raise alarms over the high rate of unsafe abortions in Nigeria, which contribute significantly to the country’s maternal mortality rate. While some states have moved to domesticate the Violence Against Persons (Prohibition) Act (VAPP) to provide better protection for survivors of sexual violence, the core prohibition of abortion remains a subject of intense national and religious debate.