在四个南非国家进行全面堕胎护理的比较形势分析
Catriona Ida Macleod1, Megan Reuvers1, John Hunter Reynolds2
1Critical Studies in Sexualities and Reproduction, Rhodes University, Makhanda, South Africa.
Global public health
|June 5, 2023
概括
博茨瓦纳,埃斯瓦蒂尼,莱索托和纳米比亚严重缺乏全面的堕胎护理 (CAC),原因是基于性别的暴力,未满足的避孕需求和不充分的政策. 改善获得合法堕胎服务和生殖健康的政治意愿至关重要.
科学领域:
- 生殖健康 生殖健康
- 卫生政策 卫生政策
- 健康的社会决定因素
背景情况:
- 综合性堕胎护理 (CAC) 是性生殖健康 (SRH) 的关键组成部分.
- 撒哈拉以南非洲国家在提供公平获得CAC方面面临重大挑战.
- 修复性健康正义框架为分析健康差异提供了一种新的方法.
研究的目的:
- 在博茨瓦纳,埃斯瓦蒂尼,莱索托和纳米比亚进行全面堕胎护理 (CAC) 的比较情况分析.
- 识别法律和安全堕胎服务的障碍和促进者.
- 运用修复性健康正义镜头来理解和解决SRH中的不平等问题.
主要方法:
- 在四个国家进行了系统的文献搜索.
- 进行了国家咨询,以收集定性数据.
- 为了分析,采用了一种包含四个维度的补偿性健康正义方法.
主要成果:
- 确定了普遍的基于性别的暴力 (GBV) 和高未满足的避孕需求 (15-17%).
- 缺乏国家CAC指导方针,数据管理不善,人员短缺阻碍了服务提供.
- 围绕堕胎和怀孕的耻辱,再加上政策上的差距,限制了机会,特别是对于强奸幸存者来说.
结论:
- 在所研究的国家,与CAC有关的健康正义的各个维度存在显著的差距.
- 政策承诺往往侧重于堕胎后的护理,而不是获得合法堕胎.
- 迫切需要政治意愿和立法改革,以确保全面的堕胎护理是可获得的,并受到法律保护.
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