Turner Katherine L, Hyman Alyson G, Gabriel Mosotho C
Ipas, Chapel Hill, NC, USA.
Reprod Health Matters. 2008 May;16(31 Suppl):108-16. doi: 10.1016/S0968-8080(08)31389-5.
Access to safe second trimester abortion services is poor in many countries, sometimes despite liberal laws and policies. Addressing the myriad factors hindering access to safe abortion care requires a multi-pronged strategy. Workshops aimed at clarifying values are useful for addressing barriers to access stemming from misinformation, stigmatization of women and providers, and negative attitudes and obstructionist behaviours. They engage health care providers and administrators, policymakers, community members and others in a process of self-examination with the goal of transforming abortion-related attitudes and behaviours in a direction supportive of women seeking abortion. This is especially important for women seeking second trimester abortion, which tends to be even more stigmatized than first trimester abortion. This paper reports on some promising experiences and results from workshops in Viet Nam, Nepal and South Africa. Some recommendations that emerge are that values clarification should be included in abortion training, service delivery and advocacy programmes. Evaluations of such interventions are also needed.
在许多国家，即使有宽松的法律和政策，孕中期安全堕胎服务的可及性依然很差。解决阻碍获得安全堕胎护理的众多因素需要采取多管齐下的策略。旨在澄清价值观的研讨会有助于消除因错误信息、对妇女和提供者的污名化以及消极态度和阻碍行为而导致的获取障碍。这些研讨会促使医疗保健提供者和管理人员、政策制定者、社区成员及其他人员参与自我审视过程，目标是将与堕胎相关的态度和行为转变为支持寻求堕胎的妇女的方向。这对寻求孕中期堕胎的妇女尤为重要，因为孕中期堕胎往往比孕早期堕胎更容易受到污名化。本文报告了越南、尼泊尔和南非研讨会的一些有前景的经验和成果。由此得出的一些建议是，应将价值观澄清纳入堕胎培训、服务提供和宣传计划。还需要对此类干预措施进行评估。
