Sedgh Gilda, Ball Haley
Issues Brief (Alan Guttmacher Inst). 2008 Sep(2):1-6.
Each year in Indonesia, millions of women become pregnant unintentionally, and many choose to end their pregnancies, despite the fact that abortion is generally illegal. Like their counterparts in many developing countries where abortion is stigmatized and highly restricted, Indonesian women often seek clandestine procedures performed by untrained providers, and resort to methods that include ingesting unsafe substances and undergoing harmful abortive massage. Though reliable evidence does not exist, researchers estimate that about two million induced abortions occur each year in the country and that deaths from unsafe abortion represent 14-16% of all maternal deaths in Southeast Asia. Preventing unsafe abortion is imperative if Indonesia is to achieve the fifth Millennium Development Goal of improving maternal health and reducing maternal mortality. Current Indonesian abortion law is based on a national health bill passed in 1992. Though the language on abortion was vague, it is generally accepted that the law allows abortion only if the woman provides confirmation from a doctor that her pregnancy is life-threatening, a letter of consent from her husband or a family member, a positive pregnancy test result and a statement guaranteeing that she will practice contraception afterwards. This report presents what is currently known about abortion in Indonesia. The findings are derived primarily from small-scale, urban, clinic-based studies of women's experiences with abortion. Some studies included women in rural areas and those who sought abortions outside of clinics, but none were nationally representative. Although these studies do not give a full picture of who is obtaining abortions in Indonesia or what their experiences are, the evidence suggests that abortion is a common occurrence in the country and that the conditions under which abortion takes place are often unsafe.
在印度尼西亚,每年都有数百万女性意外怀孕,尽管堕胎通常是非法的,但仍有许多人选择终止妊娠。与许多堕胎受到污名化且受到严格限制的发展中国家的女性一样,印度尼西亚女性常常寻求由未经培训的人员进行的秘密堕胎手术,并采用包括服用不安全物质和接受有害堕胎按摩在内的方法。尽管缺乏可靠证据,但研究人员估计,该国每年约有200万例人工流产,不安全堕胎导致的死亡占东南亚所有孕产妇死亡的14%至16%。如果印度尼西亚要实现改善孕产妇健康和降低孕产妇死亡率的千年发展目标的第五项,防止不安全堕胎势在必行。印度尼西亚现行的堕胎法基于1992年通过的一项国家卫生法案。尽管关于堕胎的表述模糊,但人们普遍认为,该法律仅在女性提供医生证明其怀孕危及生命、丈夫或家庭成员的同意书、阳性妊娠试验结果以及保证其事后会采取避孕措施的声明时才允许堕胎。本报告介绍了目前已知的印度尼西亚堕胎情况。这些发现主要来自对女性堕胎经历的小规模、城市、基于诊所的研究。一些研究纳入了农村地区的女性以及那些在诊所外寻求堕胎的女性,但没有一项研究具有全国代表性。尽管这些研究并未全面描绘出在印度尼西亚进行堕胎的是哪些人或她们的经历如何,但证据表明堕胎在该国很常见,而且堕胎发生的条件往往不安全。