Lassi Zohra S, Wade Jeannette M, Ameyaw Edward Kwabena
Robinson Research Institute, University of Adelaide, SA, Australia.
School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, SA, Australia.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251356890. doi: 10.1177/17455057251356890. Epub 2025 Jul 9.
Global shifts in health policies have significantly affected access to reproductive healthcare services, with impacts varying greatly across different populations. Recent policy changes in various regions have included defunding reproductive health programs, promoting abstinence-only education, and restricting international non-government organizations from providing comprehensive reproductive healthcare services. These policies have led to clinic closures, reduced access to maternal and reproductive healthcare in low- and middle-income countries, and increased health inequities. While all low-income individuals may experience varying impacts, the consequences vary dramatically. In the case of undocumented immigrants, insurance options are already severely limited, while specialized care may be inaccessible for people with disabilities. These intersectional realities demonstrate how seemingly uniform policies produce radically different outcomes based on one's social position. Using the intersectional framework, this article examines how these impacts are magnified for women who experience multiple forms of marginalization and proposes actions for advocates, policymakers, and scholars to safeguard inclusive healthcare access for all women and birthing people.
全球卫生政策的转变对生殖健康护理服务的可及性产生了重大影响,不同人群所受影响差异极大。各地区近期的政策变化包括削减生殖健康项目资金、推行仅强调禁欲的教育,以及限制国际非政府组织提供全面的生殖健康护理服务。这些政策导致诊所关闭,低收入和中等收入国家的孕产妇及生殖健康护理可及性降低,健康不平等加剧。虽然所有低收入个体可能都会受到不同程度的影响,但其后果却大不相同。就无证移民而言,保险选择本就极为有限,而残疾人可能无法获得专科护理。这些交叉性现实表明,看似统一的政策如何根据一个人的社会地位产生截然不同的结果。本文运用交叉性框架,探讨了这些影响如何在经历多种形式边缘化的女性身上被放大,并为倡导者、政策制定者和学者提出行动建议,以保障所有女性和分娩者都能获得包容性的医疗服务。