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《全球堕胎法律与政策:寻求非刑事化》

Abortion Law and Policy Around the World: In Search of Decriminalization.

作者信息

Berer Marge

机构信息

International coordinator of the International Campaign for Women's Right to Safe Abortion, London, UK, and was the editor of Reproductive Health Matters, which she founded, from 1993 to 2015.

出版信息

Health Hum Rights. 2017 Jun;19(1):13-27.

PMID:28630538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5473035/
Abstract

The aim of this paper is to provide a panoramic view of laws and policies on abortion around the world, giving a range of country-based examples. It shows that the plethora of convoluted laws and restrictions surrounding abortion do not make any legal or public health sense. What makes abortion safe is simple and irrefutable-when it is available on the woman's request and is universally affordable and accessible. From this perspective, few existing laws are fit for purpose. However, the road to law reform is long and difficult. In order to achieve the right to safe abortion, advocates will need to study the political, health system, legal, juridical, and socio-cultural realities surrounding existing law and policy in their countries, and decide what kind of law they want (if any). The biggest challenge is to determine what is possible to achieve, build a critical mass of support, and work together with legal experts, parliamentarians, health professionals, and women themselves to change the law-so that everyone with an unwanted pregnancy who seeks an abortion can have it, as early as possible and as late as necessary.

摘要

本文旨在全面审视世界各地有关堕胎的法律和政策,并列举一系列基于不同国家的实例。结果表明,围绕堕胎的大量复杂法律和限制并无任何法律或公共卫生意义。保障堕胎安全的要素简单且无可辩驳,即应女性要求即可进行堕胎,且费用普遍可承受、易于获得。从这一角度来看,现有的法律很少符合实际需求。然而,法律改革之路漫长且艰难。为实现安全堕胎权,倡导者需要研究本国现有法律和政策所涉及的政治、卫生系统、法律、司法以及社会文化现实情况,并决定他们希望制定什么样的法律(如果需要的话)。最大的挑战在于确定能够实现的目标,凝聚大量支持力量,并与法律专家、议员、卫生专业人员以及女性自身共同努力修改法律,以便让每一位意外怀孕且寻求堕胎的女性都能尽早、在必要时如愿以偿。

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本文引用的文献

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The Estimated Incidence of Induced Abortion in Ethiopia, 2014: Changes in the Provision of Services Since 2008.2014年埃塞俄比亚人工流产估计发生率:自2008年以来服务提供情况的变化
Int Perspect Sex Reprod Health. 2016 Sep 1;42(3):111-120. doi: 10.1363/42e1816.
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Time to repeal outdated abortion laws in New South Wales and Queensland.
Med J Aust. 2016 Oct 17;205(8):353-354. doi: 10.5694/mja16.00807.
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The availability of abortion at state hospitals in Turkey: A national study.土耳其国立医院的堕胎服务可及性:一项全国性研究。
Contraception. 2017 Feb;95(2):148-153. doi: 10.1016/j.contraception.2016.09.009. Epub 2016 Sep 12.
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Constitutional developments in Latin American abortion law.拉丁美洲堕胎法的宪法发展
Int J Gynaecol Obstet. 2016 Nov;135(2):228-231. doi: 10.1016/j.ijgo.2016.08.002. Epub 2016 Aug 20.
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Implementation of the risk and harm reduction strategy against unsafe abortion in Uruguay: From a university hospital to the entire country.乌拉圭针对不安全堕胎的风险降低与危害减少战略的实施:从一家大学医院到整个国家。
Int J Gynaecol Obstet. 2016 Aug;134 Suppl 1:S7-S11. doi: 10.1016/j.ijgo.2016.06.007.
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Time to act-comprehensive abortion care in east Africa.行动时刻——东非的全面堕胎护理
Lancet Glob Health. 2016 Sep;4(9):e601-2. doi: 10.1016/S2214-109X(16)30136-X.
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Incidence of Induced Abortion and Post-Abortion Care in Tanzania.坦桑尼亚的人工流产发生率及流产后护理情况
PLoS One. 2015 Sep 11;10(9):e0133933. doi: 10.1371/journal.pone.0133933. eCollection 2015.
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Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.1990-2013 年期间全球、区域和国家各级孕产妇死亡率及其原因:2013 年全球疾病负担研究的系统分析。
Lancet. 2014 Sep 13;384(9947):980-1004. doi: 10.1016/S0140-6736(14)60696-6. Epub 2014 May 2.
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Health providers' perception towards safe abortion service at selected health facilities in Addis Ababa.亚的斯亚贝巴部分医疗机构的医疗服务提供者对安全堕胎服务的看法。
Afr J Reprod Health. 2011 Mar;15(1):31-6.
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Second trimester abortion laws globally: actuality, trends and recommendations.全球中期妊娠堕胎法:现状、趋势与建议
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