Dying to Count: Post-Abortion Care and Global Reproductive Health Politics in Senegal Rutgers
Dying to Count: Post-Abortion Care and Global Reproductive Health Politics in Senegal Rutgers
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渴望计数：塞内加尔的堕胎后护理和全球生殖健康政治 罗格斯大学
DOI：
10.1111/1467-9566.13453
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发表时间：
2022
影响因子：
2.9
通讯作者：
Nandagiri R
中科院分区：
文献类型：
--
作者：
Nandagiri R
死亡计数：塞内加尔的堕胎后护理和全球生殖健康政策是对堕胎后护理（PAC）作为生殖治理形式的一种令人印象深刻和详细的人种学探索。Siri Suh以塞内加尔的PAC项目为重点，提供了一个关于堕胎治理的奇妙的“全球人种学”（第27页），考察了支撑堕胎治理的地方和全球机制、相互作用和过程。堕胎后护理是对流产或人工流产并发症的紧急治疗，其次是避孕咨询和服务提供。Suh展示了PAC如何成为解决不安全堕胎死亡和孕产妇死亡问题的非政治性和技术性减少伤害方法的一部分，特别是在堕胎仍然受到法律或社会限制的情况下。塞内加尔的堕胎法在很大程度上仍然是限制性的，PAC提供了一种替代和合法的“改进”医疗干预（第41页）。根据包括国际人口与发展会议（人发会议）在内的主要生殖健康协定的规定，并有资格获得美国国际开发署的财政支持，该委员会扩大了美国对全球生殖健康供资和援助的影响力。与堕胎不同，PAC不受“全球禁言规则”的约束，1因此代表了“对不承认安全堕胎为生殖权利的全球健康和发展框架的政治妥协”（第7页）。Suh认为，这种政治妥协使妇女在试图确保其生存的同时，面临身体和结构性伤害和暴力（第12页）。
Dying to Count: Post-abortion Care and Global Reproductive Health Politics in Senegal is an impressive and detailed ethnographic exploration of postabortion care (PAC) as a form of reproductive governance. Focussing on Senegal’s PAC programme, Siri Suh offers a marvellous ‘global ethnography’(pg. 27) of abortion governance, examining the local and global mechanisms, interactions and processes underpinning it.Postabortion care is the emergency treatment of complications from miscarriages or induced abortions, followed by contraception counselling and service provision. Suh demonstrates how PAC is part of an apolitical and technical harm reduction approach to tackle unsafe abortion deaths and maternal mortality, particularly in contexts where abortion remains legally or socially restricted. Senegal’s abortion laws remain largely restrictive, and PAC offers an alternate and legitimised ‘improved’medical intervention (pg. 41). Codified within key reproductive health agreements including the International Conference on Population and Development (ICPD) and eligible for financial support from USAID, PAC extends American influence over global reproductive health funding and aid. Unlike abortion, PAC is exempt from the" Global Gag Rule”, 1 thus representing a ‘political compromise on global health and development frameworks that do not recognise safe abortion as a reproductive right’(pg. 7). This political compromise, as Suh argues, exposes women to bodily and structural harms and violence whilst attempting to ensure their survival (pg. 12).