Maffi Irene
STSlab, Institute of Social Sciences, Faculty of Social and Political Sciences, University of Lausanne, Lausanne, Switzerland.
Reprod Biomed Soc Online. 2021 Nov 15;14:111-120. doi: 10.1016/j.rbms.2021.11.001. eCollection 2022 Mar.
In Tunisia, medication abortion has been available in government reproductive and sexual health clinics since the early 2000s. Since its introduction, it has rapidly replaced the surgical method, and between 75% and 80% of abortions in the public sector were performed using the pharmacological protocol in 2016. In this article, I intend to discuss the various forms of ignorance about medication abortion that exist in Tunisia among several categories of actors in relation to the legal, medical and religious domains. I explore how the existing 'varieties of ignorance' are related to the specific political, social and economic positions of the involved actors, the dominant gender regime, specific institutional policies and economic interests. I also investigate how some forms of ignorance are wilfully produced by institutions and individuals, whereas others are the result of positionality or organizational features. I first describe when and how medication abortion was introduced in Tunisia and the forms of resistance it elicited; later, I examine the production of ignorance about this technology after the revolution of 2011. I mainly consider practices and discourses of health professionals, but also those of women seeking abortion care in the public sector, and those of the activists of a Tunisian non-governmental organization operating in the domain of women's health and rights.
在突尼斯，自21世纪初以来，政府的生殖与性健康诊所就提供药物流产服务。自引入该服务后，它迅速取代了手术方法，2016年公共部门75%至80%的堕胎手术采用了药物流程。在本文中，我打算探讨在突尼斯，几类行为主体在法律、医学和宗教领域中存在的关于药物流产的各种无知形式。我将探究现有的“无知种类”如何与相关行为主体的特定政治、社会和经济地位、占主导地位的性别制度、具体的机构政策及经济利益相关联。我还将研究一些无知形式是如何由机构和个人蓄意制造的，而其他一些则是由位置性或组织特征导致的。我首先描述药物流产在突尼斯何时以及如何被引入，以及它引发的抵制形式；之后，我将审视2011年革命后对这项技术的无知是如何产生的。我主要考虑卫生专业人员的做法和言论，也会考虑在公共部门寻求堕胎护理的女性的做法和言论，以及在妇女健康与权利领域开展活动的突尼斯一个非政府组织的活动人士的做法和言论。
