MacFarlane Katrina A, O'Neil Mary Lou, Tekdemir Deniz, Çetin Elvin, Bilgen Barış, Foster Angel M
Former graduate student, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Director, Gender and Women's Studies Research Center, Kadir Has University, Istanbul, Turkey.
Reprod Health Matters. 2016 Nov;24(48):62-70. doi: 10.1016/j.rhm.2016.11.002.
Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants. We transcribed all interviews and completed content and thematic analyses of the data. Key informants had good knowledge about the political discourse and the current abortion law. In contrast, women were familiar with the political discourse but had mixed information about the current status of abortion and were unsure about the legality of their own abortions. There was consensus that access to services has become more limited in the last five years due to the political climate, thus advocacy to prioritize reproductive health services, and abortion care in particular, in the public health system are needed.
自20世纪80年代以来，土耳其一直维持着宽松的避孕和堕胎政策。2012年，政府提议限制堕胎；随后起草了一项限制堕胎的法案，但从未通过成为法律。自提议限制堕胎以来，土耳其各地的妇女报告称在获取堕胎服务方面遇到困难。我们旨在更好地了解伊斯坦布尔目前堕胎和生殖健康服务的可及性，并探讨自2012年以来服务的获取情况是否发生了变化。2015年，我们完成了对14名女性的深入访谈以及对11名关键信息提供者的半结构化访谈。我们转录了所有访谈内容，并对数据进行了内容和主题分析。关键信息提供者对政治话语和现行堕胎法有很好的了解。相比之下，女性熟悉政治话语，但对堕胎的现状信息不一，并且不确定自己堕胎的合法性。大家一致认为，由于政治气候的原因，在过去五年中服务的获取变得更加有限，因此需要倡导在公共卫生系统中优先提供生殖健康服务，特别是堕胎护理服务。
