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Why don't humanitarian organizations provide safe abortion services?

Therese McGinn1, Sara E Casey1

  • 1Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Ave, New York, NY 10032 USA.

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Safe abortion services are rarely available in humanitarian settings, despite common misconceptions. Addressing these barriers is crucial for women's health and human rights in crisis situations.

Keywords:
Abortion-related maternal mortalityHumanitarian settingsSexual violenceUnsafe abortion

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Area of Science:

  • Public Health
  • Humanitarian Medicine
  • Reproductive Health

Background:

  • Safe abortion services remain largely unavailable in humanitarian settings despite increased availability of other sexual and reproductive health services.
  • Commonly cited reasons for this gap include perceived lack of need, complexity of provision, funding restrictions, and illegality, which are often based on false premises.

Purpose of the Study:

  • To challenge the commonly held beliefs that prevent the provision of safe abortion services in humanitarian settings.
  • To advocate for the integration of safe abortion services as a critical component of humanitarian response and reproductive healthcare.

Main Methods:

  • This study is based on the authors' observations and analysis of existing information regarding the provision of safe abortion in humanitarian contexts.
  • The authors critically evaluate the validity of common objections to providing safe abortion services.

Main Results:

  • The reasons cited for not providing safe abortion services are based on false premises.
  • Unsafe abortion is a significant contributor to maternal mortality, and its incidence likely rises in humanitarian crises.
  • Safe abortion can be provided by mid-level providers in health centers without complex equipment, and is legal in most countries under certain circumstances. Funding is available from various international donors.

Conclusions:

  • Humanitarian NGOs must uphold humanitarian standards and women's rights by providing safe abortion services.
  • Initiating the provision of safe abortion for survivors of sexual assault in conflict zones can be a starting point.
  • Expanding access to safe abortion is essential for improving women's health, upholding human rights, and saving lives in humanitarian settings.