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安全堕胎信息热线:拉丁美洲增加妇女获得安全堕胎服务机会的有效策略。

Safe abortion information hotlines: An effective strategy for increasing women's access to safe abortions in Latin America.

作者信息

Drovetta Raquel Irene

机构信息

Researcher, National Council on Scientific and Technical Research (CONICET); and Professor Universidad Nacional de Villa María and Universidad Siglo 21, Argentina.

出版信息

Reprod Health Matters. 2015 May;23(45):47-57. doi: 10.1016/j.rhm.2015.06.004. Epub 2015 Jul 27.

Abstract

This paper describes the implementation of five Safe Abortion Information Hotlines (SAIH), a strategy developed by feminist collectives in a growing number of countries where abortion is legally restricted and unsafe. These hotlines have a range of goals and take different forms, but they all offer information by telephone to women about how to terminate a pregnancy using misoprostol. The paper is based on a qualitative study carried out in 2012-2014 of the structure, goals and experiences of hotlines in five Latin American countries: Argentina, Chile, Ecuador, Peru and Venezuela. The methodology included participatory observation of activities of the SAIH, and in-depth interviews with feminist activists who offer these services and with 14 women who used information provided by these hotlines to induce their own abortions. The findings are also based on a review of materials obtained from the five hotline collectives involved: documents and reports, social media posts, and details of public demonstrations and statements. These hotlines have had a positive impact on access to safe abortions for women whom they help. Providing these services requires knowledge and information skills, but little infrastructure. They have the potential to reduce the risk to women's health and lives of unsafe abortion, and should be promoted as part of public health policy, not only in Latin America but also other countries. Additionally, they promote women's autonomy and right to decide whether to continue or terminate a pregnancy.

摘要

本文介绍了五条安全堕胎信息热线(SAIH)的实施情况,这是女权主义团体在越来越多堕胎受到法律限制且不安全的国家所制定的一项策略。这些热线有一系列目标且形式各异,但它们都通过电话向女性提供有关如何使用米索前列醇终止妊娠的信息。本文基于2012年至2014年对五个拉丁美洲国家(阿根廷、智利、厄瓜多尔、秘鲁和委内瑞拉)热线的结构、目标和经验进行的定性研究。该方法包括对安全堕胎信息热线活动的参与式观察,以及对提供这些服务的女权主义活动家以及14名使用这些热线提供的信息自行堕胎的女性进行深入访谈。研究结果还基于对从五个相关热线团体获取的材料的审查:文件和报告、社交媒体帖子以及公众示威和声明的细节。这些热线对其所帮助的女性获得安全堕胎产生了积极影响。提供这些服务需要知识和信息技能,但所需基础设施很少。它们有可能降低不安全堕胎对女性健康和生命造成的风险,不仅在拉丁美洲,而且在其他国家,都应作为公共卫生政策的一部分加以推广。此外,它们促进了女性的自主权以及决定是否继续妊娠或终止妊娠的权利。

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