Potdar Pritam, Barua Alka, Dalvie Suchitra, Pawar Anand
Field Coordinator, SAMYAK, Pune, India.
Consultant, Ahmedabad, India.
Reprod Health Matters. 2015 May;23(45):114-25. doi: 10.1016/j.rhm.2015.06.003. Epub 2015 Jul 26.
In India, safe abortion services are sought mainly in the private sector for reasons of privacy, confidentiality, and the absence of delays and coercion to use contraception. In recent years, the declining sex ratio has received much attention, and implementation of the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act (2003) has become stringent. However, rather than targeting sex determination, many inspection visits target abortion services. This has led to many private medical practitioners facing negative media publicity, defamation and criminal charges. As a result, they have started turning women away not only in the second trimester but also in the first. Samyak, a Pune-based, non-governmental organization, came across a number of cases of refusal of abortion services during its work and decided to explore the experiences of private medical practitioners with the regulatory mechanisms and what happened to the women. The study showed that as a fallout from the manner of implementation of the PCPNDT Act, safe abortion services were either difficult for women to access or outright denied to them. There is an urgent need to recognize this impact of the current regulatory environment, which is forcing women towards illegal and unsafe abortions.
在印度,出于隐私、保密以及不存在延误和强制使用避孕措施等原因,安全堕胎服务主要在私营部门提供。近年来,性别比例下降备受关注,《孕前和产前诊断技术(PCPNDT)法案》(2003年)的实施变得更加严格。然而,许多检查并非针对性别鉴定,而是针对堕胎服务。这导致许多私人执业医生面临负面媒体报道、诽谤和刑事指控。结果,他们不仅开始拒绝为妊娠中期的妇女提供堕胎服务,也拒绝为妊娠早期的妇女提供。总部位于浦那的非政府组织Samyak在工作中遇到了许多拒绝提供堕胎服务的案例,于是决定探究私人执业医生在监管机制下的经历以及这些妇女的遭遇。研究表明,作为《PCPNDT法案》实施方式的后果,安全堕胎服务要么让妇女难以获得,要么被直接拒绝。迫切需要认识到当前监管环境的这种影响,它正迫使妇女走向非法和不安全的堕胎。