Abortion politics in Cambodia social history, local forms and transnational issues

Abortion politics in Cambodia social history, local forms and transnational issues
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柬埔寨社会历史、地方形式和跨国问题中的堕胎政治

DOI:
10.1080/17441692.2017.1354228
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发表时间:
2018
影响因子:
3.3
通讯作者:
Pascale Hancart Petitet
Pascale Hancart Petitet
中科院分区:
医学3区
文献类型:
--
作者:
Pascale Hancart Petitet

文献摘要

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柬埔寨目前的堕胎率和比率可能是东南亚最高的。1997年,柬埔寨议会通过了第一部关于堕胎的法律。这项法律的通过有助于降低产妇的高死亡率,因为据信大量产妇死亡与不安全堕胎并发症有关。十年后,卫生部尚未制定安全堕胎的医疗规程,妇女往往继续自行终止妊娠或寻求不安全的服务。然而,2009年,柬埔寨当局批准进口和分发一种人工流产药丸。此外,在转诊医院一级实施了人工真空流产和药物流产培训方案。这种情况是如何产生的呢?我们对这个国家与安全堕胎有关的跨国生殖健康政策的地方机构了解多少?本文旨在分析全球干预措施、国家政策、地方道德和个人战略之间的历史和交叉点如何塑造堕胎政策、做法和技术。最后,我们的研究结果提出了一些公共卫生规划的问题。
ABSTRACT Cambodia’s current abortion rate and ratio could be among the highest in Southeast Asia. In 1997, the Cambodian parliament passed the first law regulating abortions. This law was adopted to contribute to reduce the high maternal mortality ratio, as a significant number of maternal deaths were believed to be related to complications of unsafe abortion. A decade later, the Ministry of Health had not yet established medical protocols for safe abortion access and women often continued to induce their own terminations or seek unsafe services. However, in 2009, the Cambodian authorities approved the importation and distribution of one manufactured abortion pill. In addition, manual vacuum abortions and medical abortion training programmes were implemented at the referral hospital level. How has this situation come about? What do we know about the local agencies of the transnational reproductive health policies related to safe abortion access in this country? This paper aims to analyse how history and intersections between global interventions, state policies, local moralities and individual strategies shape abortion policies, practices and technologies. Finally, our findings raise some issues for public health programming.