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Reprod Health ; 18(1): 125, 2021 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-34118954


BACKGROUND: Sexual and reproductive health and rights are critical entitlements best supported through human rights-based approaches empowering rights-holders to claim their rights and duty bearers to fulfil their obligations. Implementing these requires information on the current needs and challenges faced by those seeking to claim their sexual and reproductive health and rights. We aimed to identify the underlying factors influencing the realisation of sexual and reproductive health and rights for adolescent girls and young women living Ugandan slums by: (1) exploring the role of relevant service providers and stakeholders; and (2) uncovering knowledge and gaps in protecting adolescent girls' and young women's sexual and reproductive health and rights. METHODS: Qualitative data were collected through focus groups and interviews focused on current knowledge, behaviours and attitudes towards sexual and reproductive health and rights among adolescent girls and young women, service providers and stakeholders. Data were analysed thematically using NVivo software. Ten in-depth interviews were conducted with key informants; two focus groups were held with adolescent girls and young women living in two slums in Uganda (21 participants in total); and three focus groups were held with community leaders, service providers, teachers and parents (30 participants in total). RESULTS: Adolescent girls and young women lacked information regarding their sexual health, services available, and redress mechanisms for rights violations. Formal sources of information were frequently inaccessible. Family members were sometimes the source of rights violations, and informal methods of redressing rights were often sought. Stigma and fear were common features both in healthcare and in the pursuit of formal justice, with duty-bearers habitually breaking confidentiality. Education and training were the predominant suggestions offered for change. CONCLUSIONS: Adolescent girls and young women continue to face obstacles in achieving their full sexual and reproductive health and rights. Targeted interventions for the realisation of adolescent girls' and young women's sexual and reproductive health and rights can address underlying causes and positively shift attitudes to promote health.

Áreas de Pobreza , Serviços de Saúde Reprodutiva , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Saúde Sexual , Adolescente , Feminino , Grupos Focais , Promoção da Saúde , Humanos , Entrevistas como Assunto , Defesa do Paciente , Pesquisa Qualitativa , Comportamento Sexual , Uganda
N Z Med J ; 134(1534): 91-98, 2021 04 30.
Artigo em Inglês | MEDLINE | ID: mdl-33927441


New Zealand achieved a major sexual reproductive health and rights milestone when abortion ceased to be a crime. Introduction of the Abortion Legislation Act 2020 has significantly changed the way abortion care can be provided in New Zealand, with the potential to improve access, reduce inequities and transform the abortion experience for those people who choose to end their pregnancy. The primary care sector stands to be a key player in the provision of first-trimester abortion care. However, with issues relating to funding, training and access to medications yet to be resolved, the health sector is not yet ready to provide best-practice abortion care within the new legislative framework.

Aborto Legal/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Acesso aos Serviços de Saúde/legislação & jurisprudência , Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência , Aborto Induzido/legislação & jurisprudência , Feminino , Humanos , Nova Zelândia , Gravidez , Atenção Primária à Saúde/legislação & jurisprudência , Direitos Sexuais e Reprodutivos/legislação & jurisprudência
Bioethics ; 35(5): 465-472, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33811355


Pro-life advocates commonly argue that fetuses have the moral status of persons, and an accompanying right to life, a view most pro-choice advocates deny. A difficulty for this pro-life position has been Judith Jarvis Thomson's violinist analogy, in which she argues that even if the fetus is a person, abortion is often permissible because a pregnant woman is not obliged to continue to offer her body as life support. Here, we outline the moral theories underlying public health ethics, and examine the COVID-19 pandemic as an example of public health considerations overriding individual rights. We argue that if fetuses are regarded as persons, then abortion is of such prevalence in society that it also constitutes a significant public health crisis. We show that on public health considerations, we are justified in overriding individual rights to bodily autonomy by prohibiting abortion. We conclude that in a society that values public health, abortion can only be tolerated if fetuses are not regarded as persons.

Aborto Induzido/ética , COVID-19 , Feto , Direitos Humanos , Pandemias/ética , Pessoalidade , Saúde Pública/ética , Direitos Civis , Dissidências e Disputas , Análise Ética , Teoria Ética , Feminino , Humanos , Obrigações Morais , Status Moral , Gravidez , Gestantes , Direitos Sexuais e Reprodutivos , Valor da Vida
Reprod Health ; 18(1): 59, 2021 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-33750408


The Canadian national identity is often understood as what it is not; American. Inundation with American history, news, and culture around race and racism imbues Canadians with a false impression of egalitarianism, resulting in a lack of critical national reflection. While this is true in instances, the cruel reality of inequity, injustice and racism is rampant within the Canadian sexual and reproductive health and rights realm. Indeed, the inequitable health outcomes for Black, Indigenous and people of color (BIPOC) are rooted in policy, research, health promotion and patient care. Built by colonial settlers, many of the systems currently in place have yet to embark on the necessary process of addressing the colonial, racist, and ableist structures perpetuating inequities in health outcomes. The mere fact that Canada sees itself as better than America in terms of race relations is an excuse to overlook its decades of racial and cultural discrimination against Indigenous and Black people. While this commentary may not be ground-breaking for BIPOC communities who have remained vocal about these issues at a grassroots level for decades, there exists a gap in the Canadian literature in exploring these difficult and often underlying dynamics of racism. In this commentary series, the authors aim to promote strategies addressing systemic racism and incorporating a reproductive justice framework in an attempt to reduce health inequities among Indigenous, Black and racialized communities in Canada.

Racismo , Saúde Reprodutiva/etnologia , Direitos Sexuais e Reprodutivos , Saúde Sexual/etnologia , Direitos da Mulher , Canadá , Humanos , Serviços de Saúde Reprodutiva , Direito à Saúde , Justiça Social , Estados Unidos
Reprod Health ; 18(1): 2, 2021 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-33388063


BACKGROUND: Understanding women's desire to have more children is critical for planning towards future reproductive health behaviour. We examined the association between socio-economic and demographic factors and fertility preferences among women of reproductive age in Ghana. METHODS: This  study used data from the 2014 Ghana Demographic and Health Survey. The sample consisted of 5389 women of reproductive age. We fitted Binary logistic regression models to assess the association between socio-economic status and fertility preferences, whiles controlling for demographic factors. The results were presented as crude odds ratios (cORs) and adjusted odds ratios (aORs) together with their corresponding 95% confidence intervals. RESULTS: Approximately 60% of women of reproductive age in Ghana desired for more children. Women with no formal education were more likely to desire for more children compared to those with higher level of education (aOR = 2.16, 95% CI 1.29-3.48). The odds of desire for more children was higher among women who lived in rural areas compared to those who lived in urban areas (aOR = 1.24, 95% CI 1.01-1.53). With region, women who lived in the Northern region were more likely to desire for more children compared to those who lived in the Ashanti region (aOR = 4.03, 95% CI 2.69-6.04). Similarly, women who belonged to other ethnic groups were more likely to desire for more children compared to Akans (aOR = 1.78, 95% CI 1.35-2.35). The desire for more children was higher among women with 0-3 births compared to those with four or more births (aOR = 7.15, 95% CI 5.97-8.58). In terms of religion, Muslim women were more likely to desire for more children compared to Christians (aOR = 1.87, 95% CI 1.49-2.34). CONCLUSION: This study concludes that women in high-socio economic status are less likely to desire more children. On the other hand, women in the Northern, Upper East and those belonging to the Islamic religious sect tend to desire more children. To aid in fertility control programmes designing and strengthening of existing ones, these factors ought to be critically considered.

Comportamento de Escolha , Comportamento Contraceptivo/etnologia , Fertilidade , Criança , Anticoncepção/estatística & dados numéricos , Demografia , Escolaridade , Serviços de Planejamento Familiar/estatística & dados numéricos , Feminino , Gana/epidemiologia , Inquéritos Epidemiológicos , Humanos , Gravidez , Direitos Sexuais e Reprodutivos , Fatores Socioeconômicos
Reprod Health ; 18(1): 12, 2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33468185


BACKGROUND: Media framing of abortion messages is an emerging field of research. However, little is known about how the news media frames abortion messages aimed at influencing adolescents' reproductive health choices. This study therefore seeks to investigate the framing of abortion in TV news items on three leading Kenyan TV outlets over a period of 3 years, understand Kenyan journalists' perceptions and experiences with abortion coverage, and to examine adolescents' perceptions and experiences with abortion coverage on Kenyan televised news media. METHODS: This qualitative study which will be conducted in two sites-Nairobi and Uasin Gishu counties-in Kenya will purposively sample abortion news items from three leading media outlets aired between January 2016 to December 2019, for content analysis. Additionally, 12 journalists (9 reporters, 3 news editors) will be purposively sampled for Key Informant Interviews (KIIs) on journalist framing of abortion messages. Finally, convenience sampling will be used to select approximately 48 university-going adolescents for four Focus Group Discussions (FGDs)-2 female, 2 male- aimed at examining adolescents' perceptions and experiences with abortion coverage in the broadcast news media. The KIIs and FGDs will be audio-recorded, transcribed and translated. These data will be analyzed thematically. DISCUSSION: This study moves beyond interrogating only media items to further exploring framing from the perspectives of media consumers and investigations in the process behind production of abortion messages. The study interrogates abortion messages aimed at younger demographics such as adolescents as well as the gendered differences of the effects of these abortion messages, an area barely explored. The study findings will be informative to those who wish to develop media that could be used to promote safe abortion as well as advocate for sexual reproductive health rights, especially among adolescents.

Aborto Induzido , Direitos Humanos , Meios de Comunicação de Massa , Direitos Sexuais e Reprodutivos , Adolescente , Feminino , Acesso aos Serviços de Saúde , Humanos , Jornalismo , Quênia , Masculino , Gravidez , Pesquisa Qualitativa , Saúde Reprodutiva , Televisão
BMC Pregnancy Childbirth ; 21(1): 89, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509100


BACKGROUND: As the birth policy has been adjusted from one-child-one-couple to universal two-child-one-couple in China, there is an increasing number of women undergoing a second pregnancy after a previous cesarean section (CS). Undertaking an elective repeat CS (ERCS) has been taken for granted and has thus become a major contributor to the increasing CS rate in China. Promoting trial of labor after CS (TOLAC) can reduce the CS rate without compromising delivery outcomes. This study aimed to investigate Chinese obstetricians' perspectives regarding TOLAC, and the factors associated with their decision-making regarding recommending TOLAC to pregnant women with a history of CS under the two-child policy. METHODS: A cross-sectional survey was carried out between May and July 2018. Binary logistic regression was used to determine the factors associated with the obstetricians' intention to recommend TOLAC to pregnant women with a history of CS. The independent variables included sociodemographic factors and perceptions regarding TOLAC (selection criteria for TOLAC, basis underlying the selection criteria for TOLAC, and perceived challenges regarding promoting TOLAC). RESULTS: A total of 426 obstetricians were surveyed, with a response rate of ≥83%. The results showed that 31.0% of the obstetricians had no intention to recommend TOLAC to pregnant women with a history of CS. Their decisions were associated with the perceived lack of confidence regarding undergoing TOLAC among pregnant women with a history of CS and their families (odds ratio [OR] = 2.31; 95% CI: 1.38-1.38); obstetricians' uncertainty about the safety of TOLAC for pregnant women with a history of CS (OR = 0.49; 95% CI: 0.27-0.96), and worries about medical lawsuits due to adverse delivery outcomes (OR = 0.14; 95% CI: 0.07-0.31). The main reported challenges regarding performing TOLAC were lack of clear guidelines for predicting or avoiding the risks associated with TOLAC (83.4%), obstetricians' uncertainty about the safety of TOLAC for women with a history of CS (81.2%), pregnant women's unwillingness to accept the risks associated with TOLAC (81.0%) or demand for ERCS (80.7%), and the perceived lack of confidence (77.5%) or understanding (69.7%) regarding undergoing TOLAC among pregnant women and their families. CONCLUSION: A proportion of Chinese obstetricians did not intend to recommend TOLAC to pregnant women with a history of CS. This phenomenon was closely associated with obstetricians' concerns about TOLAC safety and perceived attitudes of the pregnant women and their families regarding TOLAC. Effective measures are needed to help obstetricians predict and reduce the risks associated with TOLAC, clearly specify the indications for TOLAC, improve labor management, and popularize TOLAC in China. Additionally, public health education on TOLAC is necessary to improve the understanding of TOLAC among pregnant women with a history of CS and their families, and to improve their interactions with their obstetricians regarding shared decision making.

Cesárea/estatística & dados numéricos , Tomada de Decisão Clínica , Obstetrícia/métodos , Padrões de Prática Médica/estatística & dados numéricos , Prova de Trabalho de Parto , Nascimento Vaginal Após Cesárea/estatística & dados numéricos , Adulto , Recesariana/estatística & dados numéricos , China , Estudos Transversais , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gravidez , Direitos Sexuais e Reprodutivos/legislação & jurisprudência , Inquéritos e Questionários
BMJ Glob Health ; 5(12)2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33334901


Research has shown that persons with disabilities require greater sexual and reproductive health (SRH) care and services than persons without disabilities. However, this need is often neglected in most of the low-and-middle-income countries including Bangladesh. There is also a dearth of research and data relevant to this issue. A nationwide mixed-methods research has been conducted to explore persons with disabilities' specific sexual and reproductive health and rights (SRHR) needs, health seeking behaviour related to SRH and barriers in accessing SRH services, along with the associated factors that influence their SRH outcomes. The purpose of this paper is to discuss the challenges encountered by the researchers while conducting this research and the strategies adopted to resolve those challenges. Some of the challenges experienced by the researchers include development of appropriate tools with questions on sensitive SRHR topics, obtaining informed consent, difficulty to maintain privacy while exploring sensitive SRHR issues and communication difficulties when interviewing individuals with intellectual and sensory impairments. The mitigation strategies include iterative revisions of all tools based on multiple pretests in different filed sites and expert feedback, strategic rapport building and maintaining appropriate contextual etiquette while conducting the interviews. The reflections discussed in this paper will assist future researchers in understanding potential field challenges they might encounter in similar low resource settings while conducting research on SRHR and similar sensitive issues among marginalised population groups, such as persons with disabilities.

Pessoas com Deficiência , Serviços de Saúde Reprodutiva , Saúde Reprodutiva , Bangladesh , Humanos , Direitos Sexuais e Reprodutivos
Rev. colomb. enferm ; 19(3)Dic 11, 2020.
Artigo em Espanhol | LILACS, BDENF - Enfermagem, Educa, COLNAL | ID: biblio-1147748


Introducción: frente al aborto inducido se han establecido diferentes posturas que muchas veces se basan en perspectivas morales, filosóficas y religiosas, cuando deberían estar centradas en lo que implica esta situación de salud en la vida de las mujeres Metodología: se desarrolló una investigación fenomenológica para establecer los diálogos desde la perspectiva de las propias protagonistas sobre el aborto inducido con una participación de siete mujeres, mayores de 18 años en Bogotá. Resultados: las experiencias de las mujeres son variadas, pero se identificaron algunos aspectos similares o comunes. Sin embargo, cada vivencia es particular y tiene como marco el contexto en el que cada una habitaba en el momento del aborto. Se identificaron las siguientes categorías de análisis: aborto como consecuencia de un embarazo no deseado, aborto como experiencia frente a una decisión autónoma, aborto, culpa y pecado, cambios asociados a la experiencia, maternidad, materialización del deseo y aborto no debe ser considerado como un delito. Conclusiones: la vivencia del aborto no puede ser generalizable, y para su entendimiento debe tenerse en cuenta aspectos que solo atañen a la mujer como experta en su vida y en su situación. El aporte de la presente investigación fue recuperar la vivencia de las mujeres sobre el aborto para contribuir al cuidado de la salud en la población femenina

Introdução: sobre o aborto provocado têm-se estabelecido diferentes posturas, muitas vezes baseadas em perspectivas morais, filosóficas e religiosas, quando deveriam estar focadas no que implica essa situação de saúde na vida das mulheres. Metodologia: desenvolveu-se uma pesquisa fenomenológica para estabelecer os diálogos na perspectiva das próprias protagonistas sobre o aborto provocado com a participação de sete mulheres, maiores de 18 anos, em Bogotá. Resultados: as experiências das mulheres são variadas, mas alguns aspectos semelhantes ou comuns foram identificados. Porém, cada experiência é particular e se enquadra no contexto em que cada uma permanecia no momento do aborto. Foram identificadas as seguintes categorias de análise: aborto como consequência de uma gravidez indesejada, aborto como experiência diante de uma decisão autônoma, aborto, culpa e pecado, mudanças associadas à experiência, maternidade, materialização do desejo e aborto não deve ser considerado como um crime. Conclusões: a experiência do aborto não pode ser generalizável e, para sua compreensão, devem ser considerados aspectos que dizem respeito apenas à mulher como especialista em sua vida e em sua situação. A contribuição desta pesquisa foi resgatar as vivências de mulheres sobre o aborto para contribuir com a atenção à saúde da população feminina.

Introduction: Regarding induced abortion, different positions have been adopted, often based on moral, philosophical, and religious perspectives, when they should be focused on what this health situation implies for women's lives. Method: A phenomenological research was conducted to establish dialogues from the own protagonists' perspective of induced abortion, where seven women over 18 years of age in Bogotá participated. Results: Women's experiences are varied, but some similar or common aspects were identified. However, each experience is specific and is framed within the context where each woman lived at the time of the abortion. The following categories of analysis were identified: Abortion as a consequence of unwanted pregnancy, abortion as an experience versus an autonomous decision, abortion, guilt and sin, changes associated with the experience, maternity, desire materialization, and abortion should not be considered a crime. Conclusions: Abortion experience cannot be generalized, and for its understanding, aspects that only concern women as the experts on their lives and situations must be taken into account. This research contribution was to restore women's abortion experiences to advance female population health care

Gravidez não Desejada , Mulheres , Aborto Induzido , Direitos Sexuais e Reprodutivos , Aborto , Respeito
Sex., salud soc. (Rio J.) ; (36): 51-73, dez. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1156957


Resumen Este artículo buscará echar luz acerca del embarazo adolescente como problema. A través de un recorrido histórico por fuentes bibliográficas, periodísticas y de un corpus de le- yes, se intentará dar cuenta de la naturalización propia del enfoque habitual en esta temática. Un punto central en la pregunta que nos orientará, concierne a la inclusión de la voz de lxs involucradxs, con el fin de pensar estrategias para acompañarlxs en ese momento (entendién- dose como una necesidad imperiosa para lxs mismxs).

Abstract This article examines the issue of adolescent pregnancy as a problem. Through a historical journey across journalistic sources and a legal corpus, the authors show the current naturalization when this topic is addressed. A guiding issue is the inclusion of the voices of those involved, to think about strategies that keep them company (which is understood as an important demand from the adolescents).

Resumo Este artigo examina o "problema da gravidez na adolescência". Por meio de um per- curso histórico por fontes bibliográficas, jornalísticas e um corpus de leis, tentaremos mostrar a naturalização da abordagem tradicional sobre o tema da gravidez ocorrida na adolescência. A questão que nos orienta levará em consideração a inclusão da voz dos envolvidos/as no que se refere a pensar estratégias para acompanhá-los/as (entendendo isso como uma necessidade imperiosa para os/as mesmos/as).

Humanos , Masculino , Feminino , Gravidez , Adolescente , Gravidez na Adolescência/etnologia , Instituições Acadêmicas , Poder Familiar , Sexualidade , Estigma Social , Identidade de Gênero , Paternidade , Argentina , Política , Política Pública , Direitos Sexuais e Reprodutivos
Rev. Hosp. Ital. B. Aires (2004) ; 40(4): 227-232, dic. 2020. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1145596


La enfermedad producida por el nuevo coronavirus SARS-CoV-2 se identificó por primera vez en diciembre de 2019 en la ciudad de Wuhan, en la República Popular China, y en pocos meses se convirtió en una pandemia. Desde el comienzo ha sido un desafío mundial, que amenazó la salud pública y obligó a tomar medidas estrictas de aislamiento social. Como consecuencia de la emergencia sanitaria se ha producido una reducción importante de la actividad asistencial, que puso en riesgo el acceso y la continuidad de los métodos anticonceptivos, exponiendo a mujeres a embarazos no intencionales. Los derechos sexuales y reproductivos resultan esenciales y deben garantizarse siempre. (AU)

The disease caused by the new coronavirus SARS-CoV-2 was identified for the first time in December 2019 in the city of Wuhan, in the People's Republic of China, and within a few months it became a pandemic. From the beginning, it has been a global challenge, threatening public health, having to take strict measures of social isolation. As a consequence of the health emergency, there has been a significant reduction in healthcare activity, putting access and continuity of contraceptive methods at risk, exposing women to unintended pregnancies. Sexual and reproductive rights are essential and must always be guaranteed. (AU)

Humanos , Feminino , Pneumonia Viral/complicações , Infecções por Coronavirus/complicações , Contracepção Hormonal/métodos , Pneumonia Viral/patologia , Gravidez não Desejada , Infecções por Coronavirus/patologia , Anticoncepcionais/administração & dosagem , Anticoncepcionais/classificação , Anticoncepcionais/provisão & distribuição , Direitos Sexuais e Reprodutivos , Coagulação Intravascular Disseminada/etiologia , Tromboembolia Venosa/etiologia , Pandemias , Betacoronavirus , Acesso aos Serviços de Saúde
BMC Public Health ; 20(1): 1771, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33228642


BACKGROUND: Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America's history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil. METHODS: Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18-49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection. RESULTS: Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman's inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. CONCLUSION: Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.

Saúde Materna/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Brasil , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Gravidez , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Saúde Sexual , Venezuela/etnologia
Wiad Lek ; 73(9 cz. 2): 2056-2061, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33148859


OBJECTIVE: The aim: The article is aimed at elucidating the prospects for the formation of universal ethical and legal standards in the work of medical workers in order to ensure the reproductive choice of a person according to the analysis of international documents, court practice of the ECHR, and the national legislation of individual European countries. PATIENTS AND METHODS: Materials and methods: Research materials include scientific developments of both domestic and Western theorists and human rights defenders in the field of medical law in the aspect of reproductive choice. The recommendations of the Center for Reproductive Rights in the USA, the World Health Organization, the United Nations, and the ECHR practices were of great importance. This article used the methods of searching, analyzing, organizing, and summarizing information. CONCLUSION: Conclusions: It is necessary to ensure the provision and guarantee of reproductive choice for everyone at the level of the Constitution. Given the public debate about the contradictions of individual manifestations of reproductive autonomy, it is proposed at the first stage of legal regulation to develop national principles and ethical standards for medical workers in this area.

Obrigações Morais , Direitos Sexuais e Reprodutivos , Europa (Continente) , Humanos , Princípios Morais
J Law Med ; 27(4): 812-828, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32880400


The coronavirus disease-19 (COVID-19) pandemic has exposed an underlying pandemic of neglect affecting women's reproductive rights, particularly in the provision of abortion services and maternity care. The systemic neglect in the Australian context has resulted in a rise in demand for the services provided by privately practising midwives (PPMs) that is not matched by systemic support for, nor recognition of, women choosing to birth at home. As a result, PPMs are unable to meet the rise in demand, which in itself reflects decades of limited State support for the choice to birth at home and opposition by incumbent stakeholders in the provision of maternity care to healthy women with low-risk pregnancies. We discuss the historical backdrop to these currently erupting issues, along with the real reasons for the opposition to PPMs in Australia. Finally, we offer solutions to this ongoing issue.

Infecções por Coronavirus , Coronavirus , Parto Domiciliar , Serviços de Saúde Materna , Tocologia , Pandemias , Pneumonia Viral , Austrália , Betacoronavirus , Feminino , Humanos , Gravidez , Direitos Sexuais e Reprodutivos , Direitos da Mulher
Int J Equity Health ; 19(1): 130, 2020 07 31.
Artigo em Inglês | MEDLINE | ID: mdl-32736634


While economic inequalities have been a key focus of attention through the COVID 19 pandemic, gendered relations of power at every level have undermined health rights of women, girls and gender diverse individuals. Sexual and reproductive health rights (SRHR) have always been sites of power contestations within families, societies, cultures, and politics; these struggles are exacerbated by economic, racial, religious, caste, citizenship status, and other social inequities, especially in times of crisis such as these. Policy responses to the COVID pandemic such as lockdown, quarantine, contact tracing and similar measures are premised on the existence of a social contract between the government and the people and among people, with the health sector playing a key role in preventive and curative care.We propose the use of an intersectional lens to explore the impact of the COVID-19 pandemic on the social contract, drawing on our field experiences from different continents particularly as related to SRHR. Along with documenting the ways in which the pandemic hinders access to services, we note that it is essential to interrogate state-society relations in the context of vulnerable and marginalized groups, in order to understand implications for SRHR. Intersectional analysis takes on greater importance now than in non-pandemic times as the state exercises more police or other powers and deploys myriad ways of 'othering'.We conclude that an intersectional analysis should not limit itself to the cumulative disadvantages and injustices posed by the pandemic for specific social groups, but also examine the historical inequalities, structural drivers, and damaged social contract that underlie state-society relationships. At the same time, the pandemic has questioned the status quo and in doing so it has provided opportunities for disruption; for re-imagining a social contract that reaches across sectors, and builds community resilience and solidarities while upholding human rights and gender justice. This must find place in future organizing and advocacy around SRHR.

Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Política , Direitos Sexuais e Reprodutivos , Infecções por Coronavirus/epidemiologia , Feminino , Saúde Global , Acesso aos Serviços de Saúde , Humanos , Pneumonia Viral/epidemiologia , Saúde Reprodutiva , Serviços de Saúde Reprodutiva , Saúde Sexual
Sex., salud soc. (Rio J.) ; (35): 35-57, maio-ago. 2020. graf
Artigo em Espanhol | LILACS | ID: biblio-1139635


Resumen Este artículo presenta un estudio sobre el primer símbolo transnacional del movimiento por el derecho al aborto en el Cono Sur: la "mano que vota" a favor del aborto legal. El emblema surge en Uruguay a comienzos de la década del 2000. Alrededor de 2010, el símbolo viró al color verde y fue adoptado por la Campaña Nacional por el Derecho al Aborto Legal, Seguro y Gratuito en Argentina. A partir de 2015, la mano que vota también acompañó el proceso que llevó a la legalización del aborto en tres causales en Chile. El análisis focaliza sobre rol de los símbolos y de los afectos en el activismo por el derecho al aborto. La mano que vota fue central para la construcción de identidad colectiva y sintonía política del movimiento. También este emblema logró imantar esperanzas asociadas con la democracia y un profundo sentido de la obstinación política. Los resultados se basan en el trabajo con diversos archivos y en conversaciones con informantes clave de Argentina, Chile y Uruguay.

Resumo Este artigo apresenta um estudo sobre o primeiro símbolo transnacional do movimento pelo direito ao aborto no Cone Sul: a "mão que vota" a favor do aborto legal. O emblema surgiu no Uruguai no início dos anos 2000. Por volta de 2010, o símbolo ficou verde e foi adotado pela Campanha Nacional pelo Direito ao Aborto Legal, Seguro e Gratuito na Argentina. A partir de 2015, a mão que vota também acompanhou o processo que levou à legalização do aborto em três casos no Chile. A análise enfoca o papel dos símbolos e emoções no ativismo pelo direito ao aborto. A mão que vota foi fundamental para a construção da identidade coletiva e sintonia política do movimento. Este emblema também conseguiu magnetizar esperanças associadas à democracia e um profundo senso de obstinação política. Os resultados são baseados em investigação em vários arquivos e conversas com informantes-chave da Argentina, Chile e Uruguai.

Abstract This article presents a study on the first transnational symbol of the movement for abortion rights in Latin America's Southern Cone: the "voting hand" for legal abortion. The emblem emerged in Uruguay at the beginning of the 2000s. Around 2010, the symbol turned green and was adopted by the National Campaign for the Right to Legal, Safe and Free Abortion in Argentina. As of 2015, the voting hand also accompanied the process that led to the legalization of abortion on three cases in Chile. The analysis focuses on the role of symbols and affects in the activism for abortion rights. The voting hand was central for the construction of a collective identity and political sintony in the movement. This emblem also magnetized hopes associated with democracy and a deep sense of political willfulness. Results are based in documentary research in various archives and in conversations with key informants from Argentina, Chile and Uruguay.

Humanos , Feminino , Gravidez , Identificação Social , Direitos da Mulher , Aborto Legal/legislação & jurisprudência , Feminismo , Direitos Sexuais e Reprodutivos , Ativismo Político , Política , Mudança Social , América do Sul , Aborto Induzido/legislação & jurisprudência , Democracia , Política de Saúde , Direitos Humanos
Buenos Aires; s.n; ago. 2020. 75 p. graf, tab.
Não convencional em Espanhol | LILACS, InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1119087


Actualización de los avances ocurridos durante el año 2019, relacionados con las acciones de la Coordinación Salud Sexual, Sida e ITS, del Ministerio de Salud del Gobierno de la Ciudad de Buenos Aires, destinada principalmente al equipo de salud involucrado en la política de salud sexual y reproductiva de la Ciudad. Continúa el modelo de análisis del informe 2016-2018, basado en las dimensiones: Determinantes (elementos que dan cuenta del contexto en el que se desarrolla la respuesta ), Población (indicadores que permiten caracterizar la población objetivo de la política pública), Acciones Programáticas (desarrollo institucional del Programa), y Utilización de los servicios (encuentro entre el sistema de salud y las personas usuarias). Incluye un documento anexo que presenta, a modo de Resumen Ejecutivo, una tabla que permite observar el comportamiento de algunos indicadores seleccionados para los años 2016-2019.

Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Comportamento Sexual/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/prevenção & controle , Doenças Sexualmente Transmissíveis/epidemiologia , Coeficiente de Natalidade , Dispositivos Anticoncepcionais/provisão & distribuição , Serviços de Saúde Reprodutiva/provisão & distribuição , Serviços de Saúde Reprodutiva/estatística & dados numéricos , Direitos Sexuais e Reprodutivos , Saúde Sexual e Reprodutiva , Serviços Públicos de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/estatística & dados numéricos