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全球堕胎政策数据库:对与堕胎相关的监管和政策环境的描述性分析。

Global Abortion Policies Database: A descriptive analysis of the regulatory and policy environment related to abortion.

机构信息

Department of Reproductive Health and Research and UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland.

出版信息

Best Pract Res Clin Obstet Gynaecol. 2020 Jan;62:25-35. doi: 10.1016/j.bpobgyn.2019.06.002. Epub 2019 Jun 26.

Abstract

The World Health Organization (WHO) Safe abortion: technical and policy guidance for health systems states that regulatory, policy, and programmatic barriers that hinder access to and timely provision of safe abortion care should be removed. Although some regulatory requirements facilitate access, where they act as barriers, they can deter women from seeking safe abortion care. We use data available in the Global Abortion Policies Database as of February 2019 to review policies related to regulatory requirements identified as access barriers in the Safe abortion guidance. We include only countries where such policies apply, i.e., where abortion is lawful on the woman's request, with no requirement for justification and/or for one or more legal grounds. The results demonstrate the variation that exists in regulatory requirements, but little remains known about how they are implemented in practice and the implications on how women access and how providers offer safe abortion services.

摘要

世界卫生组织(世卫组织)《安全堕胎:卫生系统技术和政策指南》指出,应消除妨碍获得及时安全堕胎护理的监管、政策和方案方面的障碍。虽然有些监管要求有助于获得服务,但如果这些要求成为障碍,就可能使妇女不愿意寻求安全堕胎护理。我们利用截至 2019 年 2 月全球堕胎政策数据库中提供的数据,审查《安全堕胎指南》中确定为获取服务障碍的监管要求方面的政策。我们仅列入这些政策适用的国家,即允许妇女在请求下合法堕胎,不要求说明理由和/或有一个或多个法律理由。结果表明,监管要求存在差异,但对于这些要求在实践中如何实施以及对妇女获取服务的途径和提供者提供安全堕胎服务的方式有何影响,人们知之甚少。

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