Gender and Women's Studies Research Center, Kadir Has University, Cibali Mah. Kadir Has Cad., Fatih, İstanbul 34083, Turkey.
Boston University, Department of Sociology, Boston, MA 02215, USA.
Health Policy. 2022 Jul;126(7):715-721. doi: 10.1016/j.healthpol.2022.04.006. Epub 2022 Apr 20.
Reproductive health care, including contraception, is a fundamental aspect of any public health care system and it is important to reduce barriers to access to all forms of contraception, including emergency contraception. In recent years, the rhetoric of pronatalism in Turkey has come to dominate and raises questions about the availability of reproductive health care services, in particular contraception, from state run facilities. This study aimed to determine the availability of dedicated emergency contraception (EC) from government run Family Health Centers (FHCs) in Turkey. In 2019, a team of trained researchers called a random sample of 583 FHCs located in the largest cities in twelve regions across Turkey asking for dedicated EC. Dedicated EC is largely unavailable from government supported FHCs. Only 6.1% stated that they provided EC while 53.8% stated that it was not available and that they could provide no alternative. A further 28.3% declared that they could provide an alternative to dedicated EC that almost always consisted of oral contraceptives. We found statistically significant variations in response rate and availability among cities as well as the rate of referral to pharmacies. There is little access to EC from government sponsored health clinics designated to provide family planning services, which hinders access to an essential reproductive health care service that should be available to women everywhere.
生殖健康护理，包括避孕措施，是任何公共医疗保健系统的基本组成部分，重要的是要减少获取所有形式避孕措施的障碍，包括紧急避孕措施。近年来，土耳其的生育主义言论占据主导地位，这引发了人们对政府运营的医疗设施提供生殖健康护理服务，特别是避孕措施的质疑。本研究旨在确定土耳其政府运营的家庭健康中心（FHC）提供专用紧急避孕（EC）的情况。2019 年，一组经过培训的研究人员随机抽取了土耳其 12 个地区最大城市的 583 家 FHC，询问是否提供专用 EC。从政府支持的 FHC 获得专用 EC 的可能性很低。只有 6.1%的机构表示提供 EC，而 53.8%的机构表示没有提供 EC，也无法提供其他替代方案。另有 28.3%的机构表示可以提供 EC 的替代方案，这些替代方案几乎总是口服避孕药。我们发现，各城市之间的应答率和可用性以及向药店转介的比率存在统计学显著差异。从政府赞助的旨在提供计划生育服务的诊所获得 EC 的机会很少，这阻碍了获得应在任何地方向妇女提供的基本生殖健康护理服务的机会。
