Abstract：
:This paper is about the economic consequences of the stigmatisation and illegality of abortion and its almost complete removal from public health services in Poland since the late 1980s. Once abortion left the public sphere, it entered the grey zone of private arrangements, in which a woman's private worries became someone else's private gain, and her sin turned into gold. The most important consequence was social inequality, as the right to health, life, information and safety became commodities on the free market. Women with money, who are more likely to have political influence, find this bearable, while working class women lack the political capital to protest. In the private sector, there are no government controls on price, quality of care or accountability, and almost no prosecutions. With an estimated 150,000 abortions per year, a rough estimate of US$ 95 million is being generated annually for doctors, unregistered and tax-free. Thus, the combined forces of right-wing ideology and neoliberal economic reforms have created reproductive and social injustice. To address this, stigmatisation of abortion must be countered. But a change in the political climate, a less restrictive interpretation of the law, or even a new law would not resolve the problem. Given reductions in public health care spending, abortion would remain excluded from state coverage unless neoliberal health care reforms could be reversed.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Chełstowska Adoi
10.1016/S0968-8080(11)37548-9subject
Has Abstractpub_date
2011-05-01 00:00:00pages
98-106issue
37eissn
0968-8080issn
1460-9576pii
S0968-8080(11)37548-9journal_volume
19pub_type
杂志文章abstract：:A rights-based approach in HIV service delivery for adults is increasingly taking root in sub-Saharan Africa in the context of greater availability of antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services, which we learned during a ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(13)41701-9
更新日期：2013-05-01 00:00:00
abstract：:Health sector reformers, particularly the economists among them, are prone to reject calls for more financial support for reproductive health as "special pleading" even when the argument is made that reproductive health is a basic human right. Reproductive health is not alone in this. Up to now, however, the idea that...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(02)00079-4
更新日期：2002-11-01 00:00:00
abstract：:The female condom has received surprisingly little serious attention since its introduction in 1984. Given the numbers of women with HIV globally, international support for women's reproductive and sexual health and rights and the empowerment of women, and, not least, due to the demand expressed by users, one would ha...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(10)35499-1
更新日期：2010-05-01 00:00:00
abstract：:Due to a long-term shortage of obstetricians, the Ministry of Health of Senegal and Dakar University Obstetric Department agreed in 1998 to train district teams consisting of an anaesthetist, general practitioner and surgical assistant in emergency obstetric surgery. An evaluation of the policy was carried out in thre...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(09)33437-0
更新日期：2009-05-01 00:00:00
abstract：:This study seeks to examine the reasons why young women aged 14-20 in Maputo, Mozambique were engaging in risky sexual behaviour, and to ascertain whether the spread of HIV is due to socioeconomic factors and/or patriarchal beliefs and mores, or both. It is based on in-depth interviews and questionnaires among 182 gir...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(01)90011-4
更新日期：2001-05-01 00:00:00
abstract：:In 1978 the abortion law was liberalised in Norway. It permits abortion on request up to 12 weeks of pregnancy, and after that with the agreement of a medical commission, taking the woman's own views into consideration. In 2003, 96% of abortions took place before 12 weeks of pregnancy. There is considerable support am...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(04)24016-2
更新日期：2004-11-01 00:00:00
abstract：:In Uganda, lack of resources and skilled staff to improve quality and delivery of maternity services, despite good policies and concerted efforts, have not yielded an increase in utilisation of these services by women or a reduction in the high ratio of maternal deaths. This paper reports a study conducted from Novemb...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(03)02176-1
更新日期：2003-05-01 00:00:00
abstract：:Western countries have reported an increased risk of maternal mortality among African immigrants. This study aimed to identify cases of maternal mortality among immigrants from the Horn of Africa living in Sweden using snowball sampling, and verify whether they had been classified as maternal deaths in the Cause of De...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(07)30322-4
更新日期：2007-11-01 00:00:00
abstract：:Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(09)33442-4
更新日期：2009-05-01 00:00:00
abstract：:Although unsafe abortion continues to be a leading cause of maternal mortality in many countries in Asia, the right to safe abortion remains highly stigmatized across the region. The Asia Safe Abortion Partnership, a regional network advocating for safe abortion, produced an animated short film entitled From Unwanted ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.06.013
更新日期：2015-05-01 00:00:00
abstract：:Sex workers remain a vulnerable population at risk for HIV acquisition and transmission. Research suggests that interventions at the individual level, such as condom distribution, are less effective in preventing HIV among sex workers than structural changes such as allowing safer work settings and reducing the harass...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.06.008
更新日期：2015-05-01 00:00:00
abstract：:This paper explores sexual and reproductive health and rights (SRHR) among young people, identifying intersecting factors that create inequities in access to services, health-seeking behaviour, and ultimately health outcomes. Based on qualitative interviews with young people in the Maldives, it demonstrates how these ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2018.1542910
更新日期：2018-11-01 00:00:00
abstract：:Unmet need for contraception represents a major failure in the provision of reproductive health services and reflects the extent of access to services for spacing and limiting births, which are also affected by personal, partner, community and health system factors. In the context of the Millennium Development Goals, ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(07)29284-5
更新日期：2007-05-01 00:00:00
abstract：:This paper reports on a community-based study in 1999 of the beliefs and practices of people in Faranah District, Guinea regarding female genital excision (FGE). Semi-structured individual interviews and focus group discussions were carried out with women of reproductive age, older women, married men, community and re...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(01)90100-4
更新日期：2001-11-01 00:00:00
abstract：:Although Chile is a traditionally conservative country, considerable legal advances in sexual and reproductive rights over the past decade have brought discourses on sexuality into mainstream political, social and media agendas. In light of these changes it is important to explore how adolescents conceptualize sexuali...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.11.003
更新日期：2015-11-01 00:00:00
abstract：:How rurality relates to women's abortion decision-making in the United States remains largely unexplored in existing literature. The present study relies on qualitative methods to analyze rural women's experiences related to pregnancy decision-making and pathways to abortion services in Central Appalachia. This analys...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2018.1513270
更新日期：2018-12-01 00:00:00
abstract：:Although the female condom has been introduced into over 90 countries since 1997, it has only been accepted in sexual and reproductive health programmes as a mainstream method in a few. This paper describes introductory strategies developed by Ministries of Health and non-governmental organisations in Brazil, Ghana, Z...
journal_title：Reproductive health matters
pub_type： 杂志文章,评审
doi：10.1016/s0968-8080(03)02178-5
更新日期：2003-05-01 00:00:00
abstract：:Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(06)27221-5
更新日期：2006-05-01 00:00:00
abstract：:Since Spain's transition to democracy, abortion has been a public policy issue both inside and outside parliament. This paper describes the history of abortion law reform in Spain from 1979 to 2004 and analyses the discourse on abortion of members of the Spanish parliament by sex and political allegiance. The analysis...
journal_title：Reproductive health matters
pub_type： 历史文章,杂志文章
doi：10.1016/S0968-8080(07)29295-X
更新日期：2007-05-01 00:00:00
abstract：:A trained health service workforce is critical to ensuring good quality service delivery to people with HIV. There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews ...
journal_title：Reproductive health matters
pub_type： 杂志文章,评审
doi：10.1016/S0968-8080(07)29030-5
更新日期：2007-05-01 00:00:00
abstract：:Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabo...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2017.1402670
更新日期：2017-11-01 00:00:00
abstract：:South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(00)90187-3
更新日期：2000-11-01 00:00:00
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journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(06)28252-1
更新日期：2006-11-01 00:00:00
abstract：:Outdated second trimester abortion methods are still being used in some countries, and very few studies have compared them to currently recommended methods. To this end, we studied the efficacy and safety of vaginal misoprostol used alone for abortions in 189 women at 13-20 weeks gestation, in 2004-2006. We also retro...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(08)31392-5
更新日期：2008-05-01 00:00:00
abstract：:Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using nation...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(11)38587-4
更新日期：2011-11-01 00:00:00
abstract：:Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.04.003
更新日期：2016-05-01 00:00:00
abstract：:Unsafe abortion in Sudan results in significant morbidity and mortality. This study of treatment for complications of unsafe abortion in five hospitals in Khartoum, Sudan, included a review of hospital records and a survey of 726 patients seeking abortion-related care from 27 October 2007 to 31 January 2008, an interv...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(09)34476-6
更新日期：2009-11-01 00:00:00
abstract：:This article offers some insights into the experiences of HIV positive women with the female condom, drawing on my own personal experience and responses of 18 members of the International Community of Women Living with HIV/AIDS to an e-mail survey conducted in 2005. Major barriers reported to female condom use were co...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(06)28267-3
更新日期：2006-11-01 00:00:00
abstract：:Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(13)42738-6
更新日期：2013-11-01 00:00:00
abstract：:South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivat...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(08)32403-3
更新日期：2008-11-01 00:00:00
