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寨卡、堕胎与卫生紧急事件:当代争议综述。

Zika, abortion and health emergencies: a review of contemporary debates.

机构信息

Department of Health Policy, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK.

Instituto de Medicina Social-Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier 524, Maracanã, Bloco D, 7° andar, UERJ, Rio de Janeiro, RJ, 20550-013, Brazil.

出版信息

Global Health. 2019 Jul 24;15(1):49. doi: 10.1186/s12992-019-0489-3.

DOI:10.1186/s12992-019-0489-3
PMID:31340836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6657045/
Abstract

BACKGROUND

The Zika outbreak provides pertinent case study for considering the impact of health emergencies on abortion decision-making and/or for positioning abortion in global health security debates.

MAIN BODY

This paper provides a baseline of contemporary debates taking place in the intersection of two key health policy areas, and seeks to understand how health emergency preparedness frameworks and the broader global health security infrastructure is prepared to respond to future crises which implicate sexual and reproductive rights. Our paper suggests there are three key themes that emerge from the literature; 1) the lack of consideration of sexual and reproductive health (SRH) services in outbreak response 2) structural inequalities permeate the landscape of health emergencies, epitomised by Zika, and 3) the need for rights based approaches to health.

CONCLUSION

Global health security planning and response should specifically include programmatic activity for SRH provision during health emergencies.

摘要

背景

寨卡疫情为我们提供了一个恰当的案例,可借此研究卫生紧急情况对堕胎决策的影响,或在全球卫生安全辩论中为堕胎定位。

主要内容

本文提供了在两个关键卫生政策领域交叉点上正在进行的当代辩论的基础,并试图了解卫生应急准备框架和更广泛的全球卫生安全基础设施如何准备应对未来涉及性权利和生殖权利的危机。我们的论文认为,文献中有三个关键主题:1)在疫情应对中缺乏对性健康和生殖健康(SRH)服务的考虑;2)结构不平等充斥着卫生紧急情况的背景,寨卡疫情就是一个缩影;3)需要采取基于权利的卫生方法。

结论

全球卫生安全规划和应对应特别包括在卫生紧急情况下提供 SRH 服务的规划活动。

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本文引用的文献

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Abortion and race in Brazil, National Abortion Surveys 2016 to 2021.巴西的堕胎与种族:2016 至 2021 年全国堕胎调查。
Cien Saude Colet. 2023 Nov;28(11):3085-3092. doi: 10.1590/1413-812320232811.14062023. Epub 2023 Sep 9.
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Women's Reproductive Intentions and Behaviors during the Zika Epidemic in Brazil.巴西寨卡疫情期间女性的生殖意图与行为
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Maternal and perinatal outcomes in pregnant women with suspected Ebola virus disease in Sierra Leone, 2014.2014 年塞拉利昂疑似埃博拉病毒病孕妇的母婴和围产期结局。
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