Safe abortion information hotlines: An effective strategy for increasing women's access to safe abortions in Latin America

Safe abortion information hotlines: An effective strategy for increasing women's access to safe abortions in Latin America
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DOI:
10.1016/j.rhm.2015.06.004
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发表时间:
2015-05-01
影响因子:
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通讯作者:
Irene Drovetta, Raquel
Irene Drovetta, Raquel
中科院分区:
医学3区
文献类型:
--
作者:
Irene Drovetta, Raquel

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本文介绍了五个安全堕胎信息热线 (SAIH) 的实施情况,这是一项由女权主义团体在越来越多堕胎受到法律限制且不安全的国家中制定的战略。这些热线有一系列目标并采取不同的形式,但它们都通过电话向妇女提供有关如何使用米索前列醇终止妊娠的信息。本文基于 2012 年至 2014 年对五个拉丁美洲国家热线的结构、目标和经验进行的定性研究:阿根廷、智利、厄瓜多尔、秘鲁和委内瑞拉。该方法包括对 SAIH 活动的参与式观察,以及对提供这些服务的女权主义活动人士以及 14 名利用这些热线提供的信息自行堕胎的妇女进行深入访谈。调查结果还基于对从涉及的五个热线集体获得的材料的审查:文件和报告、社交媒体帖子以及公开示威和声明的详细信息。这些热线对他们所帮助的妇女获得安全堕胎产生了积极影响。提供这些服务需要知识和信息技能,但基础设施很少。它们有可能降低不安全堕胎对妇女健康和生命的风险,应作为公共卫生政策的一部分加以推广,不仅在拉丁美洲,而且在其他国家也是如此。此外,它们还促进妇女的自主权和决定是否继续或终止妊娠的权利。 (C) 2015 年生殖健康问题。由爱思唯尔 BV 出版。版权所有。
This paper describes the implementation of five Safe Abortion Information Hotlines (SAIH), a strategy developed by feminist collectives in a growing number of countries where abortion is legally restricted and unsafe. These hotlines have a range of goals and take different forms, but they all offer information by telephone to women about how to terminate a pregnancy using misoprostol. The paper is based on a qualitative study carried out in 2012-2014 of the structure, goals and experiences of hotlines in five Latin American countries: Argentina, Chile, Ecuador, Peru and Venezuela. The methodology included participatory observation of activities of the SAIH, and in-depth interviews with feminist activists who offer these services and with 14 women who used information provided by these hotlines to induce their own abortions. The findings are also based on a review of materials obtained from the five hotline collectives involved: documents and reports, social media posts, and details of public demonstrations and statements. These hotlines have had a positive impact on access to safe abortions for women whom they help. Providing these services requires knowledge and information skills, but little infrastructure. They have the potential to reduce the risk to women's health and lives of unsafe abortion, and should be promoted as part of public health policy, not only in Latin America but also other countries. Additionally, they promote women's autonomy and right to decide whether to continue or terminate a pregnancy. (C) 2015 Reproductive Health Matters. Published by Elsevier BV. All rights reserved.