RESUMO
In December of 2020, the Argentine Congress legalized abortion through 14 weeks, vastly increasing access to abortion care in the country. The law's passage followed years of advocacy for abortion rights in Argentina - including mass public and civil society mobilization, vocal support from an established pool of abortion providers who offered abortion services under specific legal exceptions prior to the new law, and the growth of community groups such as the Socorristas en Red who provide support for people to self-manage abortions. Aided by ample political will, the number of health facilities offering services increased substantially after the law was passed, and the public visibility around the law has helped assure people seeking abortion that it is their right. Proyecto mirar is an initiative focused on both gathering and using qualitative and quantitative data to inform stakeholders about the progress and obstacles of the law's implementation. In this review, we present an overall summary of the first two years of implementation of the abortion law in Argentina based on proyecto mirar data and contextualized through the historical processes that have contributed to the law's passage and application. While we see increases in abortion services and improved public perception around abortion rights, inequities in access and quality of care persist throughout the country. Specifically, providers in some regions are well trained, while others create obstacles to access, and in some regions health services provide high quality abortion care whereas others provide substandard care. To be sure, the implementation of public policies does not happen overnight; it requires government support and backing to tackle obstacles and solve implementation problems. Our findings suggest that when new abortion laws are passed, they must be supported by civil society and government leaders to ensure that associated policies are well crafted and monitored to ensure successful implementation.
RESUMO
Los trabajos reunidos en esta obra plantean un análisis exhaustivo de los litigios vinculados con los derechos de la salud, con el propósito de establecer hasta qué punto éstos son positivos y para quién. Para ello, desde una mirada comparada, se ciñen al examen de seis estudios de caso de países de la región, que complementan con un análisis transversal de la cuestión sobre sus diferentes aspectos.
Assuntos
Humanos , Direito à SaúdeRESUMO
Los trabajos reunidos en esta obra plantean un análisis exhaustivo de los litigios vinculados con los derechos de la salud, con el propósito de establecer hasta qué punto éstos son positivos y para quién. Para ello, desde una mirada comparada, se ciñen al examen de seis estudios de caso de países de la región, que complementan con un análisis transversal de la cuestión sobre sus diferentes aspectos.(AU)
Assuntos
Humanos , Direito à SaúdeRESUMO
La salud ha permanecido en la práctica, en gran medida, en el ámbito de los médicos y profesionales de la salud, quienes han examinado la salud y los problemas de salud prácticamente con un enfoque biomédico basado en la presencia o ausencia de enfermedad. Esta división separa la salud del contexto social ûrelaciones sociales y de poder- en el que las personas viven. Los autores sostienen, a partir de las graves desigualdades e inequidades existentes en el estado de salud dentro y entre los países en los inicios del siglo XXI, que lasalud no puede seguir siendo simplemente un concepto biomédico, sino que debe ampliarse para incorporar los conocimientos de otras disciplinas y, en particular, la de los derechos humanos. Nunca ha sido más importante para los futuros proveedores la necesidad de ser educados en un paradigma más amplio de la salud. No podemos decir que estamos formando buenos médicos -o buenos enfermeros y enfermeras, obstetrices o técnicos- hasta que se use un modelo de educación médica que considera no sólo los factores biológicos, sino también los factores que determinan la situación social y consideren a la salud como un derecho humano fundamental.
In practice, health has largely remained the domain of medical and health professionals who have examined health and ill-health in iomedical terms of the presence or absence of disease. Such dichotomization divorces health from the social contextùthe social and power relationsùin which a person lives. We argue that the gross inequalities and inequities in health status within and among countries at the beginning of the Twenty-first Century make it clear that health cannot remain simply a biomedical concept, but must be expanded to incorporate the insights of other disciplines, and in particular those of human rights. Never has it been more crucial for future providersto be educated in a broader paradigm of health. We cannot claim that we are training good doctorsùor good nurses, midwives or techniciansùuntil we are using a model of medical education that considers not just biological factors but also those factors that determinesocial status and regards health as a fundamental human right.
Assuntos
Humanos , Direitos Humanos , Educação Médica , Equidade em Saúde , Saúde Pública , América LatinaAssuntos
Serviços de Saúde do Indígena/provisão & distribuição , Serviços de Saúde Materna/provisão & distribuição , Mortalidade Materna , Serviços de Saúde Rural/provisão & distribuição , Feminino , Serviços de Saúde do Indígena/tendências , Humanos , Serviços de Saúde Materna/tendências , Peru , Gravidez , Serviços de Saúde Rural/tendênciasRESUMO
Health professionals view medical ethics as a discipline that provides the basis for more adequate patient care. In recent years the concepts of quality of care and human rights - with their attending discourses - have joined the concept of medical ethics among the paradigms to consider in care for humans both at the individual and health policy levels. The current study seeks to analyze such paradigms, based on a case study of sexual and reproductive health policies in Peru in the last 10 years.
Assuntos
Ética Médica , Política de Saúde , Direitos Humanos , Qualidade da Assistência à Saúde/ética , Medicina Reprodutiva/ética , Comportamento Sexual/ética , Atenção à Saúde , Pessoal de Saúde , Prioridades em Saúde , Direitos Humanos/educação , Humanos , Cooperação Internacional , Peru , Controle da População , Crescimento Demográfico , Política PúblicaRESUMO
La ética médica es considerada entre los profesionales de salud como la disciplina que proporciona las bases para brindar una atención adecuada a los pacientes. En los últimos años, los conceptos de calidad de atención y derechos humanos - así como sus diversos discursos acompañantes - se han sumado al concepto de ética médica entre los paradigmas a tener en cuenta en la atención de las personas, tanto a nivel individual, así como a nivel de políticas de salud. El presente trabajo busca analizar tales paradigmas, utilizando como estudio de caso las políticas de salud sexual y reproductiva que se dieron en Perú en los últimos 10 años.
Health professionals view medical ethics as a discipline that provides the basis for more adequate patient care. In recent years the concepts of quality of care and human rights - with their attending discourses - have joined the concept of medical ethics among the paradigms to consider in care for humans both at the individual and health policy levels. The current study seeks to analyze such paradigms, based on a case study of sexual and reproductive health policies in Peru in the last 10 years.