Nyanzi Stella, Nyanzi Barbara, Bessie Kalina
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT.
Afr J Reprod Health. 2005 Apr;9(1):142-61.
Although constitutionally illegal, induced abortion is a vital reproductive health option in Uganda. This paper analyses men's narratives about meanings of, and experiences with, abortion. Men play significant roles in abortion as instigators, facilitators, collaborators, transporters, advisors, informers, supporters or punishment givers. Many participants were knowledgeable about abortion. Attitudes were ambivalent, with initial reactions of denial and relegation of abortion to women's private domains. Further exploration, however, revealed active support and involvement of men. Interpretations of abortion ranged from 'dependable saviour' to 'deceptive sin'. Though a private action, abortion is socially scripted and often collectively determined by wider social networks of kinsmen, the community, peers, law and religion. A disjuncture exists between dominant public health discourse and the reality of local men who interact with women and girls as wives, lovers, sex sellers, mothers, daughters and sisters. Interventions targeting men about abortion should include safe sex education, provide safe abortion services and create stronger social support mechanisms. Policy and law should incorporate local knowledge and practice.
尽管在宪法层面上是非法的,但人工流产在乌干达却是一种重要的生殖健康选择。本文分析了男性对于人工流产的意义及经历的叙述。男性在人工流产过程中扮演着重要角色,如煽动者、推动者、协助者、运送者、顾问、告密者、支持者或惩罚者。许多参与者对人工流产都有所了解。他们的态度较为矛盾,最初的反应是否认,并将人工流产归为女性的私人事务。然而,进一步探究发现男性也积极支持并参与其中。对人工流产的解读从“可靠的救星”到“欺骗性的罪恶”不等。尽管人工流产是一种私人行为,但它是由社会所构建的,并且通常由亲属、社区、同龄人、法律和宗教等更广泛的社会网络共同决定。主流公共卫生话语与当地男性作为妻子、恋人、性工作者、母亲、女儿和姐妹与女性互动的现实之间存在脱节。针对男性的人工流产干预措施应包括安全性教育、提供安全的人工流产服务以及建立更强大的社会支持机制。政策和法律应纳入当地的知识和实践。