Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile
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...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1164049/full |
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| author | Adela Montero Mirliana Ramirez-Pereira Paz Robledo Lidia Casas Lieta Vivaldi Daniela González |
| author_facet | Adela Montero Mirliana Ramirez-Pereira Paz Robledo Lidia Casas Lieta Vivaldi Daniela González |
| author_sort | Adela Montero |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T02:35:15Z |
| format | Article |
| id | doaj.art-5d4990f67bdf4716b483453df4368b91 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T02:35:15Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-5d4990f67bdf4716b483453df4368b912023-06-29T06:06:14ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-06-011110.3389/fpubh.2023.11640491164049Main barriers to services linked to voluntary pregnancy termination on three grounds in ChileAdela Montero0Mirliana Ramirez-Pereira1Paz Robledo2Lidia Casas3Lieta Vivaldi4Daniela González5Faculty of Medicine, Center for Reproductive Medicine and Integral Development of Adolescence, University of Chile, Santiago, ChileDepartment of Nursing, Faculty of Medicine, University of Chile, Santiago, ChileMedium Care Unit, Pediatrics and Pediatric Surgery Service, Hospital La Florida, Dr. Eloisa Díaz., Santiago, ChileFaculty of Law, Center for Human Rights, Diego Portales University, Santiago, ChileDepartment of Law Sciences, Faculty of Law, Alberto Hurtado University, Santiago, ChileFaculty of Medicine, Center for Reproductive Medicine and Integral Development of Adolescence, University of Chile, Santiago, ChileIntroductionAfter 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.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1164049/fullabortionbarriers in healthcareconscientious objectionstigmaobstetric violencesexual and reproductive rights |
| spellingShingle | Adela Montero Mirliana Ramirez-Pereira Paz Robledo Lidia Casas Lieta Vivaldi Daniela González Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile Frontiers in Public Health abortion barriers in healthcare conscientious objection stigma obstetric violence sexual and reproductive rights |
| title | Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile |
| title_full | Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile |
| title_fullStr | Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile |
| title_full_unstemmed | Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile |
| title_short | Main barriers to services linked to voluntary pregnancy termination on three grounds in Chile |
| title_sort | main barriers to services linked to voluntary pregnancy termination on three grounds in chile |
| topic | abortion barriers in healthcare conscientious objection stigma obstetric violence sexual and reproductive rights |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1164049/full |
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