[77] I am not convinced even should I have regard only to the evidence of the
witnesses called on behalf of the defence that the defence has discharged its
onus on a preponderance of probabilities that the third plaintiff has provided
informed consent in respect of the sterilisation procedure done on her.
[78] It must be stated that one has an appreciation of and sympathy for the
abnormal circumstances, as testified by the witnesses, under which physicians
and other health professionals must work at State Hospitals.
[79] Regarding the issue of group counselling when family planning is
discussed Dr Kimberg testified that individual counselling is required. In view
of the testimony of Dr Krönke and other health professionals individual
counselling due to the large number of patients is simply impractical. I agree
that even though individual counselling may be an ideal situation in which to
do proper and skilled counselling one should not close one’s eyes (figuratively
speaking) to the realities encountered at State Hospitals. I can see no reason
why group counselling cannot be adequate and sufficient, provided that skilled
counsellors are engaged and information is conveyed in languages which are
understood by the patients requiring such counselling.
[80] In respect of the first claim I am of the view that the defendant has failed
to discharge its onus to prove that all three the plaintiffs had given informed
consent in respect of their respective sterilisation procedures and that the
plaintiff’s should succeed in respect of this claim. 39
[81] In view of this finding I deem it unnecessary to deal with the alternative
claim.
[82] In respect of the second claim the plaintiffs allege that the sterilisation
procedures were performed on them because of their HIV status and that this
resulted in an unlawful practice of impermissible discrimination against them.
Since the plaintiffs claim that they were sterilised because they were HIV
positive I am of the view that the onus is on them to prove this to be the case
on a preponderance of probabilities.
[83] I am of the view that there is no credible and convincing evidence that the
sterilisation procedures had been performed on the plaintiffs due to the fact
that they are HIV positive. The second claim stands accordingly to be
dismissed.
[84] In the result the following orders are made:
1. The first claim in respect of each of the plaintiffs succeeds.
2. The second claim in respect of each plaintiff is dismissed.
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