ABSTRACT
Abortion is significantly restricted by law in most Pacific Island countries, impacting the rights, health and autonomy of people who experience pregnancy. We undertook qualitative research between February and August 2022 on Rarotonga, Cook Islands, where abortion is illegal under most circumstances. We conducted interviews with women who had accessed or tried to access abortion services; people who had supported women to access abortion services; health workers; and advocates to understand their experiences regarding abortion. We conducted focus groups to explore broader social perceptions and experiences of sexual and reproductive health and rights, including abortion. Participants described their abortion decisions and methods, and their negotiation of the personal context of their sexual behaviours, pregnancies, and abortions relative to their socio-cultural context and values. As defined by the World Health Organization, safe abortion relates to the methods and equipment used and the skills of the abortion provider. We argue for an expansion of this definition to consider inclusion of reference to individuals' 'abortion safety nets' as the sum of their access to financial, political, health care and socio-cultural resources. These safety nets are shaped by discourses related to abortion and socio-cultural support and values, impacting physical, emotional, psychological, social and spiritual health.
ABSTRACT
Abortion is significantly restricted by law in most Pacific Island countries, and this has profound implications for the lives and health of women from this region. There are limited data on how abortion is framed in the Pacific Islands: that is, interpreted, discussed, and made meaningful as an issue in public forums. How abortion is framed can have implications for how it is treated in public and political debate and policy, abortion stigmatisation, and inform advocacy strategies. We undertook a thematic analysis of 246 articles, opinion pieces, and letters to the editor that covered the topic of abortion in mainstream print media. We found three dominant framings. Abortion was often positioned in opposition to gender ideology and national identity, with gender and national identity constructed by many commentators according to socially conservative, Christian doctrine. Abortion was also constructed as the killing of the "unborn," with the fetus positioned as the key social subject. Alternatively, abortion was framed as often unsafe and a response to teenage pregnancy, with various solutions suggested in this context. Few commentators constructed women who experienced unwanted pregnancies and abortions as making decisions about their pregnancies in response to complex gendered and socio-economic conditions. Dominant framings of abortion as opposed to gender ideals, nationalism, and the killing of the "unborn" complicate simplified appeals to "choice" in advocacy efforts. Focusing on health and broader injustice experienced by women offer alternative framings.
Subject(s)
Abortion, Induced , Pregnancy in Adolescence , Pregnancy , Adolescent , Female , Humans , Pacific Islands , Attitude , Pregnancy, UnwantedABSTRACT
The Oceania region is home to some of the world's most restrictive abortion laws, and there is evidence of Pacific Island women's reproductive oppression across several aspects of their reproductive lives, including in relation to contraceptive decision-making, birthing, and fertility. In this paper we analyse documents from court cases in the Pacific Islands regarding the illegal procurement of abortion. We undertook inductive thematic analysis of documents from eighteen illegal abortion court cases from Pacific Island countries. Using the lens of reproductive justice, we discuss the methods of abortion, the reported context of these abortions, and the ways in which these women and abortion were constructed in judges' summing up, judgements, or sentencing. Our analysis of these cases reveals layers of sexual and reproductive oppression experienced by these women that are related to colonialism, women's socioeconomic disadvantage, gendered violence, limited reproductive control, and the punitive consequences related to not performing gender appropriately.
Subject(s)
Abortion, Criminal , Abortion, Induced , Pregnancy , Female , Humans , Pacific Islands , ReproductionABSTRACT
OBJECTIVE: To investigate the prevalence, extent, and severity of oral-health-related quality of life among dental patients in far north Queensland, Australia. METHODS: A questionnaire was designed consisting of two parts: socio-demographic questions and the short form of Oral Health Impact Profile (OHIP-14) in part 1 and 2 respectively. The survey was conducted from July to August 2014 among patients attending the James Cook University Dental Clinic. RESULTS: Five hundred and nineteen questionnaires were distributed and collected. Of these, 40 were excluded from the analysis due to being incomplete. Therefore, a total of 479 questionnaires were available for the analysis. Half the respondents (50.9%) reported one or more of the 14 impacts as "fairly often" or "very often." The individual OHIP items with the highest prevalence recorded were physical pain and psychological discomfort. Females (52.2%) experienced a slightly higher prevalence compared to males (49.3%) but this difference was not statistically significant (Chi-square test: P > 0.05). Participants who identified as Indigenous Australian or Torres Strait Islanders and those in the 36-50 age group recorded the highest prevalence (Kruskal-Wallis test: P < 0.05). Indigenous Australians and Torres Strait Islanders also reported the highest mean extent score (4.39) and mean severity score (23.19). CONCLUSION: This study revealed comparatively higher prevalence, extent, and severity scores reflecting a significantly poor oral-health-related quality of life among dental patients living in far north Queensland, Australia.