堕胎提供者作为人权捍卫者:南非的政策优先事项
Lucy Khofi1,2, Jessica Rucell3, Mbalenhle Matandela4
1School of Public Health, University of Witwatersrand, Johannesburg, South Africa.
Frontiers in reproductive health
|January 28, 2026
概括
尽管南非的堕胎合法,但系统性障碍,如资金不足和人员短缺,阻碍了护理,导致不安全的手术. 解决这些问题对于生殖正义和母亲健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康政策 生殖健康政策
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 南非关于终止妊娠的选择法案 (CTOP) 确保合法堕胎的机会.
- 系统性服务提供障碍限制了CTOP的有效性,导致孕产妇的死亡率.
研究的目的:
- 识别和分析南非安全堕胎护理的持续障碍.
- 为改善获得合法堕胎服务的政策建议提供信息.
主要方法:
- 进行了2023-2024年混合方法研究.
- 方法包括文献综述,在线调查,焦点小组和对7个省份33个堕胎提供者的深入访谈.
主要成果:
- 发现的关键障碍包括长期投资不足,人员短缺,不清楚的良心反对指南,设施耻辱和管理层支持不足.
- 突出了寻求服务的妇女受到的歧视,以及由此产生的向不安全的替代品的推动.
- 堕胎提供者表现出强烈的承诺,认为他们的工作对生殖正义至关重要.
结论:
- 将CTOP整合到核心卫生服务中至关重要.
- 建议包括扩大价值观澄清培训,加强提供者支持,执行基于权利的指导方针,以及社区参与,以确保安全堕胎.
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