de Bruyn Maria
Ipas, Chapel Hill, NC, USA.
Reprod Health Matters. 2012 Dec;20(39 Suppl):70-9. doi: 10.1016/S0968-8080(12)39635-3.
The HIV/AIDS field is addressing how legal and policy restrictions affect access to health promotion and care, e.g., in relation to criminalization of HIV transmission, drug use and sex work. Work to address the reproductive rights of women living with HIV, particularly regarding unwanted pregnancy and abortion, has nevertheless lagged behind, despite its potential to contribute to broader advocacy for access to comprehensive reproductive health information and services for all women. It is in that context that this paper examines abortion in relation to the rights of women and girls living with HIV. The paper first presents findings from recent research on HIV-positive women's reasons for seeking abortions and experiences with abortion-related care. This is followed by a discussion of abortion in relation to human rights and how this has been both addressed and neglected in policy and guidance related to the reproductive health of women living with HIV. The concluding remarks offer recommendations for expanding efforts to provide comprehensive, human rights-based sexual and reproductive health care to women living with HIV by including abortion-related information and services.
艾滋病领域正在探讨法律和政策限制如何影响健康促进和护理的可及性，例如，在与将艾滋病毒传播、吸毒和性工作定罪相关的方面。然而，尽管解决感染艾滋病毒妇女的生殖权利问题，特别是关于意外怀孕和堕胎的问题，有可能推动为所有妇女争取获得全面生殖健康信息和服务的更广泛宣传，但这方面的工作仍滞后。正是在这种背景下，本文审视了与感染艾滋病毒的妇女和女孩权利相关的堕胎问题。本文首先介绍了近期关于艾滋病毒呈阳性妇女寻求堕胎的原因以及堕胎相关护理经历的研究结果。接下来讨论堕胎与人权的关系，以及在与感染艾滋病毒妇女的生殖健康相关的政策和指导中，这一关系是如何得到处理以及被忽视的。结论部分提出了一些建议，以扩大努力，通过纳入与堕胎相关的信息和服务，为感染艾滋病毒妇女提供全面的、基于人权的性健康和生殖健康护理。
