Mulumba Moses, Kiggundu Charles, Nassimbwa Jacqueline, Nakibuuka Noor Musisi
Center for Health, Human Rights and Development, Kampala, Uganda.
Department of Obstetrics and Gynecology, Mulago Regional Referral Hospital, Kampala, Uganda.
Int J Gynaecol Obstet. 2017 Aug;138(2):231-236. doi: 10.1002/ijgo.12190. Epub 2017 May 16.
Access to safe and legal abortion services is a far reach for women and girls in Uganda. Although unsafe abortion rates have fallen from 54 to 39 per 1000 women aged 15-45 years over a decade, absolute figures show a rise from 294 000 in 2003 to 314 000 women having unsafe abortions in 2013. Unfortunately, only 50% of the women who develop abortion complications are able to reach facilities for postabortion care. Despite the clinical evidence and the stories from undocumented cases, debate on access to safer and legal abortion is constricted, moralized, and stigmatized. The harm reduction model has shown evidence of benefit in reducing maternal mortality and morbidity due to unsafe abortion while addressing related stigma and discrimination and advancing women's reproductive health rights. This article presents a case for promoting the model in Uganda.
对于乌干达的妇女和女孩来说，获得安全合法的堕胎服务遥不可及。尽管在过去十年中，不安全堕胎率已从每1000名15 - 45岁妇女中的54例降至39例，但绝对数字显示，不安全堕胎的妇女数量从2003年的29.4万上升至2013年的31.4万。不幸的是，出现堕胎并发症的妇女中只有50%能够前往医疗机构接受堕胎后护理。尽管有临床证据以及无证案例中的情况，但关于获得更安全合法堕胎服务的辩论受到限制、被道德化且遭到污名化。减少伤害模式已证明，在降低不安全堕胎导致的孕产妇死亡率和发病率、消除相关污名和歧视以及推进妇女的生殖健康权利方面是有益的。本文提出了在乌干达推广该模式的理由。
