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Concealed coexistence: Reproductive choice and coercion in Timor-Leste.

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Reproductive health choice can mask coercion. This study reveals how choice and coercion coexist and conceal each other, leading to medical harm, but recognizing this can enhance reproductive freedom.

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Area of Science:

  • Reproductive Health
  • Medical Ethics
  • Sociology of Health

Background:

  • Choice is central to reproductive rights, but the discourse of choice can obscure coercion.
  • Existing research on reproductive coercion is fragmented and lacks theoretical depth.
  • Understanding the interplay between choice and coercion is crucial for reproductive justice.

Purpose of the Study:

  • To explore the complex relationship between choice and coercion in reproductive health.
  • To analyze how choice and coercion coexist and conceal each other.
  • To investigate the implications of this coexistence for iatrogenesis and reproductive freedom.

Main Methods:

  • Ethnographic research with health professionals during family planning training in Timor-Leste.
  • Qualitative analysis of discourse and practices related to reproductive health choices and coercion.
  • Examination of how coercive structures and practices are masked by a discourse of choice.

Main Results:

  • A discourse of choice can obscure underlying coercive structures and practices in reproductive health.
  • Coercive approaches can paradoxically reveal previously hidden choices.
  • The coexistence of choice and coercion, characterized by concealment, leads to iatrogenesis (medical harm).

Conclusions:

  • Recognizing the coexistence and mutual concealment of choice and coercion is essential.
  • Addressing this dynamic can help limit iatrogenesis and its effects.
  • This understanding can pave the way for greater reproductive freedom and autonomy.