Arts and Cultural Sciences, Lund University, Lund, Sweden.
Anthropol Med. 2024 Mar-Jun;31(1-2):89-103. doi: 10.1080/13648470.2023.2274684. Epub 2024 Feb 27.
In 2016 Swedish law was amended to allow single women to access fertility treatment with donor sperm. In this paper, based on interviews, document analysis and autoethnographic insights, I examine the implementation of this law using human rights approaches, specifically the availability, accessibility, acceptability, and quality framework (AAAQ Framework). While the law extended the scope of reproductive rights, the health system was unprepared. Five years on, women seek care in the private sector or continue to travel abroad due in large part to waiting times which can be up to four years in some regions. The paper also provides a meeting point between anthropology and policy analysis. The law change provides a pathway for analyzing the Swedish health system and political context, particularly the relationships between the private and public sectors and between different regions, and the balance of responsibility between national and regional levels. While many of the challenges are unique to the Swedish context, they also offer lessons for countries which have or are considering expanding access to fertility treatment for single women and other patient groups, thus demonstrating the importance of ethnographic approaches in health policy analysis.
2016 年，瑞典法律修订，允许单身女性使用捐赠精子进行生育治疗。本文采用人权方法，特别是可及性、可及性、可接受性和质量框架（AAAQ 框架），基于访谈、文件分析和自传体见解，来审查该法律的实施情况。虽然该法律扩大了生殖权利的范围，但卫生系统却毫无准备。五年过去了，由于等待时间可能长达四年，部分地区的女性仍选择在私营部门寻求护理或继续出国旅行。本文还为人类学和政策分析提供了一个交汇点。法律的改变为分析瑞典卫生系统和政治背景提供了途径，特别是分析私营部门和公共部门之间、不同地区之间以及国家和地区各级之间责任的平衡。虽然许多挑战在瑞典特有，但它们也为那些已经或正在考虑扩大单身女性和其他患者群体生育治疗机会的国家提供了借鉴，因此展示了在卫生政策分析中采用民族志方法的重要性。
