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3.
Rev. argent. salud publica ; 39(9): 31-34, Julio 2019.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1007196

RESUMO

OBJETIVO: revisar el desarrollo de las políticas públicas y el marco legal en Argentina para garantizar el acceso a la interrupción legal del embarazo (ILE) sobre la base de los derechos sexuales y los derechos reproductivos. MÉTODOS: Se revisaron las leyes y jurisprudencia que establecen el marco legal para el acceso a la interrupción legal del embarazo, documentos técnicos oficiales y otros materiales bibliográficos que hacen referencia a dicho marco legal. RESULTADOS: Los resultados del análisis bibliográfico mostraron que Argentina cuenta con un marco legal, encabezado por el Código Penal de la Nación (CPN), que permite la ILE por las siguientes causales: peligro para la salud o la vida de la persona gestante o embarazo como producto de violación. El Fallo F., A. L. de la Corte Suprema de Justicia de la Nación estableció una lectura aclaratoria del CPN, propiciando las políticas públicas que garanticen el derecho a la ILE. CONCLUSIONES: Por un lado, a pesar del marco legal vigente en Argentina, todavía se presentan barreras para el acceso a la ILE; por el otro, es necesario reforzar las políticas públicas destinadas a garantizar dicho acceso, lo que implica seguir capacitando a los equipos de salud y continuar con la tarea de gestión de la Dirección de Salud Sexual y Reproductiva de la Secretaría de Gobierno de Salud de la Nación, junto con los ministerios provinciales.


Assuntos
Humanos , Feminino , Gravidez , Política Pública , Aborto Legal/legislação & jurisprudência , Direitos Sexuais e Reprodutivos/legislação & jurisprudência , Argentina , Saúde Pública , Direitos do Paciente/legislação & jurisprudência
4.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46635

RESUMO

A Coordenação Geral de Saúde dos Adolescentes e Jovens – CGSAJ/DAPES/SAS, com o apoio de coletivos jovens de todo o país e do Fundo de População das Nações Unidas - Unfpa, apresenta o DiverSUS - Educomunicação, Juventudes e Saúde.


Assuntos
Diversidade Cultural , Saúde do Adolescente , Pessoas Transgênero , Direitos Sexuais e Reprodutivos , Minorias Sexuais e de Gênero , População Indígena
5.
Rev. Univ. Ind. Santander, Salud ; 51(2): 135-146, abr.-jun. 2019. graf
Artigo em Espanhol | LILACS | ID: biblio-1003164

RESUMO

Resumen Introducción: La violencia obstétrica ha sido tipificada como una modalidad de violencia de género, que hace referencia a las conductas de acción u omisión; puede ser institucional, psicológica, simbólica o sexual. Objetivo: Caracterizar las diferentes modalidades de violencia obstétrica. Metodología: Estudio cualitativo con enfoque fenomenológico; conformado por 16 mujeres con experiencias obstétricas menores de dos años que asistieron a los hogares de Familia, Mujer e Infancia (FAMI) del Instituto Colombiano de bienestar familiar en la ciudad de Popayán (Colombia) durante el 2016. Se realizaron entrevistas estructuradas y a profundidad sobre sus experiencias en la atención institucional del parto, en términos de toma de decisiones e información sobre procedimientos, posición para el parto, presencia de acompañante, derecho a la intimidad, percepciones sobre maltrato físico y psicológico. Resultados: El 69% de las entrevistadas reportaron alguna forma de violencia obstétrica. La violencia institucional se registró en la mayoría de los relatos y estuvo asociada a políticas institucionales que no satisfacen las expectativas de las gestantes en el proceso de parto e inconformidad con la atención en salud recibida durante el trabajo de parto; la violencia psicológica, fue percibida como falta de información y de autonomía en la toma de decisiones en el proceso de atención, malos tratos e impedimento a las gestantes para expresar sus sentimientos y emociones. Conclusiones: La mayoría de mujeres desconocen sus derechos y/o naturalizan los actos de violencia obstétrica. Los profesionales de salud deben reconocer en su formación y en los campos de práctica, los distintos tipos de violencia obstétrica con el fin de diseñar mecanismos para su prevención y abolición. Se hace necesario explorar la ocurrencia de eventos asociados a violencia sexual en el marco de la atención obstétrica.


Abstract Introduction: Obstetric violence has been typified as a form of gender violence, which refers to the behaviors of action or omission; It can be institutional, psychological, symbolic or sexual. Objective: To characterize the different modalities of obstetric violence. Methodology: Qualitative study with a phenomenological approach; conformed by 16 women with obstetric experiences under two years who attended the homes of Family, Women and Children (FAMI) of the Colombian Institute of Family Welfare in the city from Popayán (Colombia) during the 2016. Structured interviews were conducted and in depth about their experiences in the institutional care of childbirth, in terms of decision making and information about procedures, position for childbirth, presence of companion, right to privacy, perceptions about physical and psychological abuse. Results: 69% of the interviewed women reported some form of obstetric violence. Institutional violence was recorded in most of the reports and was associated with institutional policies that do not meet the expectations of pregnant women in the birth process and nonconformity with health care received during labor; Psychological violence was perceived as a lack of information and autonomy in decision-making in the process of care, mistreatment and impediment to pregnant women to express their feelings and emotions. Conclusions: The majority of women are unaware of their rights and / or naturalize acts of obstetric violence. Health professionals must recognize in their training and in the fields of practice, the different types of obstetric violence in order to design mechanisms for their prevention and abolition. It is necessary to explore the occurrence of events associated with sexual violence within the framework of obstetric care.


Assuntos
Humanos , Violência , Parto , Direitos Sexuais e Reprodutivos
6.
Pan Afr Med J ; 32: 59, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31223351

RESUMO

Introduction: historically, programs aimed at making communities abolish female genital mutilation or cutting (FGM/C) consisted mainly of awareness campaigns on sexual reproductive health and rights and the enforcement of newly implemented laws. These types of programs or interventions appear to be only partially effective and sometimes yield unintended results, such as actually strengthening commitment to FGM/C or transforming it into a secret practice. A newer approach to change that is intended to account for the cultural meanings ascribed to FGM/C are alternative rites of passage (ARP). Amref Health Africa started adopting this approach in 2007. Since then, by a trial-and-error process lessons have been learned, that will be reflected upon in this paper. Methods: desk research was conducted on organizational data regarding all Amref Health Africa's efforts to end FGM/C. Ninety-four in-depth formal interviews were held with members from Maasai and Samburu communities in Kenya targeted through maximum variation sampling. And participant observation of significative events as well as daily pastimes took place during school holiday season at the end of 2016. Furthermore extensive informal talks were held with project donors, activists, journalists, members of other non-governmental organizations, members of community services organizations, local government officials, high-ranking Dutch and US diplomats and senior members of the Anti-Female Genital Mutilation Board, which is part of the Kenyan Ministry of Public Service, Youth and Gender Affairs. On the basis of these data a framework on different positions on FGM/C was developed and published in early 2018. By reviewing the data again from a particular change management and public health perspective, by peer-debriefing within a multi-disciplinary research team and by explicating the lessons learned this paper adds to an overview that is of crucial importance to practitioners working to end FGM/C. Results: risk of exclusion, perceived loss of cultural identity, changing meanings ascribed to cultural practices, lack of precise knowledge about subjective (sexual) experience and negative stereotyping are reasons not to adhere to anti-FGM/C programs. Areas of concern are the role confusion with following-up on policing, perceived outsider interference and the intended prolonging of the transition phase into womanhood not being explicated and embedded with ARP. Aspects to enhance to lever change more effectively are education and school curriculum development, male involvement, new stylization of love relationships, monitoring and evaluation and inclusive aspects of religion. Conclusion: changing a culturally embedded practice such as FGM/C is inherently complex. Because the cultural meanings ascribed to this practice are also evolving, any intervention that is effective at present might become superfluous in the future. A holy grail approach to change simply does not exist. Change needs to be levered in a variety of ways while working on the alignment of all these efforts by regular and thorough quantitative and qualitative assessments of effects and side-effects and reflections on lessons learned.


Assuntos
Circuncisão Feminina/etnologia , Conhecimentos, Atitudes e Prática em Saúde , Saúde Reprodutiva/etnologia , Direitos Sexuais e Reprodutivos/legislação & jurisprudência , Comportamento Ritualístico , Circuncisão Feminina/legislação & jurisprudência , Características Culturais , Feminino , Educação em Saúde/métodos , Humanos , Quênia , Religião , Saúde Reprodutiva/legislação & jurisprudência
7.
J Int Bioethique Ethique Sci ; 30(1): 83-94, 2019 05 28.
Artigo em Espanhol | MEDLINE | ID: mdl-31210527

RESUMO

Chapter 3. Human Rights, Gender and Protection of Family and Private LifeThe analysis of the case law gives us the vision of an enlightened reality that is complex and full of nuances. In fact, the European Court of Human Rights has not hesitated to transform in the long term the social, legal and medical vision of transsexualism. However, although the Court remains sensitive to social developments, its approach to the relationship between gender and reproduction remains to a large extent dependent on the margin of appreciation it leaves to States.


Assuntos
Identidade de Gênero , Direitos Humanos , Legislação como Assunto , Direitos Sexuais e Reprodutivos , Europa (Continente) , Humanos , Transexualismo
11.
Int J Gynaecol Obstet ; 146(1): 132-138, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31044431

RESUMO

Failure to acknowledge the impact of sex and gender differences affects the quality of health care provision, and is an impediment to reducing health inequities. Systematic efforts were initiated in Maharashtra, India for reducing these disparities by developing gender-integrated curricula in undergraduate (UG) medical education between 2015 and 2018. A review of UG obstetrics and gynecology curricula indicated a lack of gender lens and focus on the reproductive rights of women. Based on these gaps, a gender-integrated curriculum was developed, implemented, and tested with medical students. Significant positive attitudes were seen among male and female students for themes such as access to safe abortion; understanding reproductive health concerns and their complex relationship with gender roles; violence against women as a health issue; and sexuality and health. These results strengthened the resolve to advocate for such a curriculum to be integrated across all medical colleges in the state.


Assuntos
Educação de Graduação em Medicina/normas , Ginecologia/educação , Obstetrícia/educação , Currículo , Feminino , Humanos , Índia , Masculino , Gravidez , Saúde Reprodutiva/educação , Direitos Sexuais e Reprodutivos/educação , Estudantes de Medicina/estatística & dados numéricos , Saúde da Mulher
14.
Med Clin North Am ; 103(4): 751-766, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31078205

RESUMO

Reproductive rights are essential to the recognition/treatment of women as full-fledged human beings/citizens. Barriers to reproductive rights pose a grave danger to women's well-being. This article explores the origins of these barriers, their nature, and their impact on mental health. The most controversial relationship is between induced abortion and mental health. Barriers, misinformation, and coercion affecting contraceptive, abortion, and pregnancy care are an ongoing danger to women's mental health and the well-being of their families. Mental health professionals are best qualified, and have an obligation, to know the facts, apply them, and provide accurate information to protect women's health.


Assuntos
Direitos Sexuais e Reprodutivos/estatística & dados numéricos , Saúde da Mulher/estatística & dados numéricos , Direitos da Mulher/estatística & dados numéricos , Aborto Induzido/psicologia , Feminino , Humanos , Saúde Mental , Defesa do Paciente/estatística & dados numéricos , Direitos Sexuais e Reprodutivos/psicologia
17.
Fertil Steril ; 111(4): 664-670, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30871766

RESUMO

This Ethics Committee report outlines the interests, obligations, and rights of all parties involved in gamete and embryo donation: both males and females who choose to provide gametes or embryos for use by others, recipients of donated gametes and embryos, individuals born as a result of gamete or embryo donation, and the programs that provide donated gametes and embryos to patients. This document replaces the document "Interests, obligations, and rights of the donor in gamete donation," last published in 2014.


Assuntos
Destinação do Embrião/ética , Células Germinativas , Obrigações Morais , Direitos Sexuais e Reprodutivos/ética , Doadores de Tecidos/ética , Conflito de Interesses , Comissão de Ética , Prova Pericial , Feminino , Fertilização In Vitro/ética , Humanos , Masculino , Doação de Oócitos/ética , Gravidez , Sêmen
18.
Glob Health Action ; 12(1): 1585709, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30907275

RESUMO

BACKGROUND: The Syrian conflict has resulted in major humanitarian crises. The risk is particularly high amongst female children who face additional gendered risks, such as harassment and sexual violence, including a rise in prevalence of child marriage. Despite the importance of this topic, current literature remains relatively scarce. OBJECTIVES: This study aims to explore the social and healthcare repercussions of Syrian refugee child marriages in Jordan and Lebanon. METHODS: A systematic review of the literature was carried out to gather evidence, from a total of eight articles. Data analysis was conducted using the Critical Appraisal Skills Programme check tool to systematically assess the trustworthiness, relevance and results of the included papers. RESULTS: The findings of this research identify tradition, honour, economics, fear, and protection-related factors as drivers of child marriage of refugees in Jordan and Lebanon. These motives overlap with findings regarding access to reproductive health and reproductive rights. The lack of autonomy of the child to give informed consent is augmented in the context of protracted violence and displacement. CONCLUSION: There is a need for a holistic approach to provide safe spaces, education, and protection to young girls and their families to reduce their acceptance of child marriage.


Assuntos
Casamento/etnologia , Refugiados/estatística & dados numéricos , Altruísmo , Criança , Feminino , Humanos , Jordânia/etnologia , Líbano/etnologia , Direitos Sexuais e Reprodutivos , Síria/epidemiologia
19.
Cien Saude Colet ; 24(3): 917-928, 2019 Mar.
Artigo em Português | MEDLINE | ID: mdl-30892513

RESUMO

The Federal Medical Council (FMC) published FMC Resolution No. 1,358/1992 with the aim of adopting ethical standards for the use of Assisted Reproduction Techniques (ART). This resolution was updated in 2010 (CFM No. 1957/2010), in 2013 (CFM No. 2,013/13) and the last update was in 2015 (CFM No. 2.121/2015). The scope of this article is to conduct a critical analysis of the evolution of the ethical norms proposed by FMC for the use of ART in Brazil. A documentary analysis of the text of the four published Resolutions was carried out, in which the ethical standards for the use of ART were described. It was observed that the resolution evolved in relation to the rights of homosexuals, adopted more permissive measures regarding cryopreservation, donation of gametes and embryos and uteruses on loan and lastly authorized some procedures in ART such as postmortem reproduction, donation and shared gestation. From 2013 onwards the resolution gained a liberal character being updated in terms of clinical practice. For the next updates it would be interesting to include procedures in ART not previously addressed such as nuclear and cytoplasmic transfer. The update frequency (every two years) should be kept to the ethical standards enabling the ART to continue evolving together with the advancement of science.


Assuntos
Bioética , Direitos Sexuais e Reprodutivos/ética , Técnicas de Reprodução Assistida/ética , Brasil , Criopreservação/ética , Direitos Humanos/legislação & jurisprudência , Humanos , Direitos Sexuais e Reprodutivos/legislação & jurisprudência , Técnicas de Reprodução Assistida/legislação & jurisprudência , Minorias Sexuais e de Gênero/legislação & jurisprudência , Doadores de Tecidos/ética
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