在智利,与自愿终止妊娠有关的服务的主要障碍有三个原因
Adela Montero1, Mirliana Ramirez-Pereira2, Paz Robledo3
1Faculty of Medicine, Center for Reproductive Medicine and Integral Development of Adolescence, University of Chile, Santiago, Chile.
Frontiers in public health
|July 17, 2023
概括
智利在2017年将自愿终止怀孕 (VTP) 合法化,但障碍阻碍了获得. 这项研究确定了公共卫生机构的障碍,揭示了侵犯妇女生殖权的行为,并影响了医疗保健质量.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 卫生政策实施 卫生政策实施
背景情况:
- 智利在2017年在特定情况下 (生命危险,致命的胎儿异常,强奸) 取消了自愿终止怀孕 (VTP) 的罪名.
- 尽管有法律变化,但仍有多重障碍阻碍妇女获得VTP服务.
- 了解这些障碍对于维护妇女的性和生殖权利至关重要.
研究的目的:
- 在智利的公共卫生机构中使用塔纳哈希模型识别和分析实施第21030号法律的障碍.
- 突出影响堕胎体面获得和医疗保健质量的障碍.
- 为促进这一重大公共政策的后续行动做出贡献.
主要方法:
- 采用后积极主义范式的定性研究.
- 采用雪球采样和半结构化采访,对62名参与者 (卫生专业人员,管理人员,民间社会,用户) 进行采访.
- 以感应编码为基础的理论,使用塔纳哈希模型进行分类.
主要成果:
- 确定的主要障碍包括可用性,可访问性,可接受性,联系和有效性问题.
- 在公共卫生机构的各种利益相关者中观察到这些障碍.
- 调查结果强调了VTP服务提供中的系统性挑战.
结论:
- 在三个法律基础上对堕胎的障碍违反了妇女的性和生殖权利.
- 相关实体需要采取紧急的控制和后续行动,以解决这些公共政策差距.
- 确保有尊严和公平地获得VTP服务,需要进行系统性改进.
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