Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile

Frontiers in Public Health

Public Health

Lieta Vivaldi¹  Mirliana Ramirez-Pereira²  Lidia Casas³  Adela Montero⁴  Daniela González⁴  Paz Robledo⁵ 

[1] Department of Law Sciences, Faculty of Law, Alberto Hurtado University, Santiago, Chile;Department of Nursing, Faculty of Medicine, University of Chile, Santiago, Chile;Faculty of Law, Center for Human Rights, Diego Portales University, Santiago, Chile;Faculty of Medicine, Center for Reproductive Medicine and Integral Development of Adolescence, University of Chile, Santiago, Chile;Medium Care Unit, Pediatrics and Pediatric Surgery Service, Hospital La Florida, Dr. Eloisa Díaz., Santiago, Chile;

关键词: abortion;    barriers in healthcare;    conscientious objection;    stigma;    obstetric violence;    sexual and reproductive rights;    health policies;   

DOI  :  10.3389/fpubh.2023.1164049

 received in 2023-02-11, accepted in 2023-05-30,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionAfter decades of absolute criminalization, on September 14, 2017, Chile decriminalized voluntary termination of pregnancy (VTP) when there is a life risk to the pregnant woman, lethal incompatibility of the embryo or fetus of genetic or chromosomal nature, and pregnancy due to rape. The implementation of the law reveals multiple barriers hindering access to the services provided by the law.ObjectivesTo identify and analyze, using the Tanahashi Model, the main barriers to the implementation of law 21,030 in public health institutions. This article contributes to the follow-up of this public policy, making visible the obstacles that violate women's rights of women to have dignified access to abortion and that affect the quality of health care in Chile.Material and methodQualitative design, following the postpositivist paradigm. The sample consisted of relevant actors directly related to pregnancy termination. Snowball sampling and semi-structured interviews were used. Grounded theory was used through inductive coding, originating categories regrouped into meta-categories following Tanahashi's model. The rigor criteria of transferability, dependability, credibility, authenticity, and epistemological theoretical adequacy were used. The identity of the participants and the confidentiality of the information were protected.ResultsFrom January 2021 to October 2022, 62 interviews were conducted with 20 members of the psychosocial support team; 18 managers; 17 members of the biomedical health team; 4 participants from of civil society, and three women users. The main obstacles correspond to availability barriers, accessibility barriers, acceptability barriers, contact barriers, and effectiveness barriers.ConclusionsBarriers to access abortion under three grounds violate the exercise of women's sexual and reproductive rights. It is urgent to carry out actions of control and follow-up of this public policy to the corresponding entities.

【 授权许可】

Unknown   
Copyright © 2023 Montero, Ramirez-Pereira, Robledo, Casas, Vivaldi and González.