N.B. v. Slovakia

The applicant was sterilized at age 17 during the birth of her second child. She claimed that she was coerced into signing the authorizations for the sterilization, segregated in the hospital based on her Roma ethnicity, and that the decision to sterilize her was discriminatory. The District Court dismissed the applicant’s civil action against the hospital on the basis that the sterilization was required to save her life and, therefore, did not need consent. On appeal, the Regional Court, found that the sterilization was not required to save her life and valid consent had not been provided as she was a minor and parental consent was required. The Court ordered EUR 1,593 in damages for the applicant. A criminal action and complaint at the Constitutional Court were both dismissed. The applicant argued she had been subjected to inhumane and degrading treatment, her private and family life had been negatively impacted, and that she had been discriminated against on the basis of sex and ethnic origin as there were no anti-discrimination laws effective in Slovakia at the time of her sterilization. The State argued the compensation already awarded was appropriate, as she was 10 days away from the age of majority when she signed the consent documents, the medical staff had acted in good faith, and that she was not permanently infertile as she could pursue in-vitro fertilization or reverse the sterilization through surgery. The European Court of Human Rights held that there was a violation of the applicant’s rights under Article 3 of the Convention for the Protection of Human Rights and Fundamental Freedoms, and that the State’s failure to provide sufficient legal protections of the reproductive health of Roma women violated Article 8. The Court awarded the applicant damages.