Díaz-Olavarrieta Claudia, Cravioto Vanessa M, Villalobos Aremis, Deeb-Sossa Natalia, García Laura, García Sandra G
Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, México.
Rev Panam Salud Publica. 2012 Dec;32(6):399-404.
Identify the perceptions and opinions of people who provide abortion services in Mexico City, three years after implementation of elective abortion legal reforms.
Nineteen in-depth interviews of health workers assigned to the legal abortion programs at a clinic and a hospital in Mexico's Federal District were carried out between February and June of 2010. Information on sociodemographic data, professional training, and experience in providing services was collected.
Some interviewees thought the provision of free services was beneficial because it allowed lower-income women to access this type of care, whereas others interviewed disapproved of the lack of fees, since other gynecological and obstetric health services have to be paid for. Conscientious objection prevailed among newly hired health workers, which can be attributed to their lack of knowledge about the legal abortion program's legal and technical guidelines. Some workers were ambivalent because they did not accept a postabortion contraception method used by some women, perceiving it to be a factor in significant repeated demand for legal abortion services.
Health workers evince divided and ambivalent opinions with regard to abortion rights. Analyzing their experiences and opinions will facilitate the creation of a baseline on the subject, and future studies will be able to document changes in and any lessening of approval for this law in Mexico.
在选择性堕胎法律改革实施三年后，了解墨西哥城提供堕胎服务人员的看法和意见。
2010年2月至6月间，对墨西哥联邦区一家诊所和一家医院中负责合法堕胎项目的19名卫生工作者进行了深入访谈。收集了有关社会人口数据、专业培训和服务提供经验的信息。
一些受访者认为提供免费服务是有益的，因为这使低收入女性能够获得此类护理，而其他受访人员则不赞成不收费，因为其他妇产科保健服务是需要付费的。新雇用的卫生工作者中依良心拒服兵役的情况很普遍，这可归因于他们对合法堕胎项目的法律和技术指南缺乏了解。一些工作人员态度矛盾，因为他们不接受一些女性使用的堕胎后避孕方法，认为这是导致对合法堕胎服务大量反复需求的一个因素。
卫生工作者对堕胎权利表现出分歧和矛盾的意见。分析他们的经历和意见将有助于建立该主题的基线，未来的研究将能够记录墨西哥对该法律的认可变化及认可程度的降低情况。
