Ibis Reproductive Health, Oakland, California, USA.
Las Libres, Guanajuato, México.
Cult Health Sex. 2024 May;26(5):588-604. doi: 10.1080/13691058.2023.2233589. Epub 2023 Jul 28.
Over the last decade, activists in Latin America have expanded access to safe abortion through processes of accompaniment. Abortion accompaniment is characterised by activism and community-based strategies to facilitate access to, and safe use of, medication abortion, mainly outside clinical contexts. Drawing on findings from a survey of 515 activists who were part of Accompaniment Collectives in Latin America, this study describes the organisation of these collectives, barriers and facilitators to their activism, and how accompaniers perceive the impact and future of abortion accompaniment. Accompaniment Collectives are organised and flexible and operate in diverse social and legal contexts. The main goals of accompaniment are the normalisation and social decriminalisation of abortion culturally (84%); the social construction of autonomy (79%); and the protection of people's freedom (73%), life (71%) and health (67%). Activists in legally restrictive settings identified limited access to abortion medication (73%) and restrictive laws (71%) as the main barriers to accompaniment, while health care personnel objecting to abortion provision on grounds of conscience was most common in legally permissive settings (64%). Collectives have developed strategies to overcome such barriers to and expanding access to abortion care. Activists expect accompaniment to continue regardless of the legal status of abortion.
在过去的十年中，拉丁美洲的活动家通过陪伴过程扩大了安全堕胎的机会。堕胎陪伴的特点是积极主动和以社区为基础的策略，以促进药物流产的获得和安全使用，主要是在临床环境之外。本研究基于对拉丁美洲 515 名参与陪伴集体的活动家的调查结果，描述了这些集体的组织、他们的活动的障碍和促进因素，以及陪伴者如何看待堕胎陪伴的影响和未来。陪伴集体是有组织和灵活的，在不同的社会和法律环境中运作。陪伴的主要目标是在文化上使堕胎正常化和社会非刑罪化（84%）；在社会上构建自主性（79%）；以及保护人们的自由（73%）、生命（71%）和健康（67%）。在法律限制严格的环境中的活动家认为，获得堕胎药物的机会有限（73%）和法律限制严格（71%）是陪伴的主要障碍，而在法律允许的环境中，医护人员出于良心反对提供堕胎服务是最常见的（64%）。集体已经制定了克服这些障碍和扩大堕胎护理机会的策略。活动家们预计无论堕胎的法律地位如何，陪伴都将继续。
