Global Health Anthropology Research Group, Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Centre for Intervention Science in Maternal and Child Health (CISMAC), University of Bergen, Bergen, Norway.
Int J Equity Health. 2020 Mar 17;19(1):39. doi: 10.1186/s12939-020-1157-1.
This editorial provides an overview of a thematic series that brings attention to the persistently deficient and unequal access to sexual and reproductive health services for young women in sub-Saharan Africa. It represents an effort to analyze the multifaceted relationship between laws, policies and access to services in Ethiopia, Zambia and Tanzania. Using a comparative perspective and qualitative research methodology, the papers presented in this issue explore legal, political and social factors and circumstances that condition access to sexual and reproductive health services within and across the three countries. Through these examples we show the often inconsistent and even paradoxical relationship between the formal law and practices on the ground. Particular emphasis is placed on safe abortion services as an intensely politicized issue in global sexual and reproductive health. In addition to the presentation of the individual papers, this editorial comments on the global politics of abortion which represents a critical context for the regional and local developments in sexual and reproductive health policy and care provision in general, and for the contentious issue of abortion in particular.
本社论概述了一个主题系列，该系列提请关注撒哈拉以南非洲年轻女性持续存在的性健康和生殖健康服务获取不足和不平等问题。这代表了分析埃塞俄比亚、赞比亚和坦桑尼亚之间法律、政策和服务获取之间多方面关系的努力。本专题中的论文使用比较视角和定性研究方法，探讨了在这三个国家内和国家间影响性健康和生殖健康服务获取的法律、政治和社会因素和情况。通过这些例子，我们展示了正式法律与实际情况之间经常不一致甚至矛盾的关系。特别强调安全堕胎服务，因为它是全球性健康和生殖健康中一个极具争议的问题。除了介绍各个论文外，本社论还对堕胎的全球政治进行了评论，这是一般的性健康和生殖健康政策和护理提供方面的区域和地方发展以及堕胎这一有争议问题的关键背景。
