"We don't want problems": reasons for denial of legal abortion based on conscientious objection in Mexico and Bolivia
The misuse of conscientious objection (CO) is a significant barrier to legal abortion access in many countries, especially in Latin America. We examine the reasons for denial of legal abortion services in Mexico and Bolivia and identify ways to mitigate the misuse of CO. We conducted 34 in-depth int...
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| Veröffentlicht in: | Reproductive health 2021-02, Vol.18 (1), p.44-44, Article 44 |
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| creator | Küng, Stephanie Andrea Wilkins, Jasmine Danette de León, Fernanda Díaz Huaraz, Freddy Pearson, Erin |
| description | The misuse of conscientious objection (CO) is a significant barrier to legal abortion access in many countries, especially in Latin America. We examine the reasons for denial of legal abortion services in Mexico and Bolivia and identify ways to mitigate the misuse of CO.
We conducted 34 in-depth interviews and 12 focus group discussions in two states in Mexico and four departments in Bolivia. Results were coded and categorized using a thematic analysis approach.
Denial of abortion services based on CO is widespread in health facilities in Mexico and Bolivia and is primarily employed for reasons other than moral, religious, or ethical considerations. The main reasons for denial of services based on CO is lack of knowledge about abortion-related laws and fear of legal problems in abortion service provision. Conversely, the main reason to provide services is to comply with relevant laws. Denying services under the guise of CO negatively impacts pregnant people and health care teams, including fewer safe abortion options and increased workload and stigma, respectively. Most respondents cited training and education on abortion law as the foremost way to mitigate the negative impacts of the misuse of CO.
For many health personnel, knowing, understanding, and following the law is reason enough to provide abortion services. Individuals who object due to lack of knowledge about laws and fear of legal problems represent a key population that can be sensitized and equipped with the necessary information and resources to provide legal abortion services. |
| doi_str_mv | 10.1186/s12978-021-01101-2 |
| format | Article |
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We conducted 34 in-depth interviews and 12 focus group discussions in two states in Mexico and four departments in Bolivia. Results were coded and categorized using a thematic analysis approach.
Denial of abortion services based on CO is widespread in health facilities in Mexico and Bolivia and is primarily employed for reasons other than moral, religious, or ethical considerations. The main reasons for denial of services based on CO is lack of knowledge about abortion-related laws and fear of legal problems in abortion service provision. Conversely, the main reason to provide services is to comply with relevant laws. Denying services under the guise of CO negatively impacts pregnant people and health care teams, including fewer safe abortion options and increased workload and stigma, respectively. Most respondents cited training and education on abortion law as the foremost way to mitigate the negative impacts of the misuse of CO.
For many health personnel, knowing, understanding, and following the law is reason enough to provide abortion services. Individuals who object due to lack of knowledge about laws and fear of legal problems represent a key population that can be sensitized and equipped with the necessary information and resources to provide legal abortion services.</description><identifier>ISSN: 1742-4755</identifier><identifier>EISSN: 1742-4755</identifier><identifier>DOI: 10.1186/s12978-021-01101-2</identifier><identifier>PMID: 33596952</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Abandonment of care ; Abortion ; Abortion services ; Abortion, Induced ; Abortion, Legal ; Attitude of Health Personnel - ethnology ; Bolivia ; Conscientious objection ; Conscientious objectors ; Conscientious Refusal to Treat ; Criminal Law ; Ethics ; Female ; Focus Groups ; Health care access ; Health Services Accessibility ; Hospitals ; Human rights ; Humans ; Interviews as Topic ; Laws, regulations and rules ; Male ; Medical personnel ; Medical research ; Medicine, Experimental ; Mexico ; Nurses ; Physicians ; Pregnancy ; Psychological aspects ; Public Health ; Public sector ; Qualitative Research ; Refusal to treat (Medicine) ; Religion ; Reproductive health ; Social aspects ; Social workers ; Womens health</subject><ispartof>Reproductive health, 2021-02, Vol.18 (1), p.44-44, Article 44</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-9e2a9d0dd8c0b8de1b8fea7cb67efc9d68f5e80dfd0b2cd433b18120f4aabd1f3</citedby><cites>FETCH-LOGICAL-c453t-9e2a9d0dd8c0b8de1b8fea7cb67efc9d68f5e80dfd0b2cd433b18120f4aabd1f3</cites><orcidid>0000-0003-2226-6355</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890982/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890982/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33596952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Küng, Stephanie Andrea</creatorcontrib><creatorcontrib>Wilkins, Jasmine Danette</creatorcontrib><creatorcontrib>de León, Fernanda Díaz</creatorcontrib><creatorcontrib>Huaraz, Freddy</creatorcontrib><creatorcontrib>Pearson, Erin</creatorcontrib><title>"We don't want problems": reasons for denial of legal abortion based on conscientious objection in Mexico and Bolivia</title><title>Reproductive health</title><addtitle>Reprod Health</addtitle><description>The misuse of conscientious objection (CO) is a significant barrier to legal abortion access in many countries, especially in Latin America. We examine the reasons for denial of legal abortion services in Mexico and Bolivia and identify ways to mitigate the misuse of CO.
We conducted 34 in-depth interviews and 12 focus group discussions in two states in Mexico and four departments in Bolivia. Results were coded and categorized using a thematic analysis approach.
Denial of abortion services based on CO is widespread in health facilities in Mexico and Bolivia and is primarily employed for reasons other than moral, religious, or ethical considerations. The main reasons for denial of services based on CO is lack of knowledge about abortion-related laws and fear of legal problems in abortion service provision. Conversely, the main reason to provide services is to comply with relevant laws. Denying services under the guise of CO negatively impacts pregnant people and health care teams, including fewer safe abortion options and increased workload and stigma, respectively. Most respondents cited training and education on abortion law as the foremost way to mitigate the negative impacts of the misuse of CO.
For many health personnel, knowing, understanding, and following the law is reason enough to provide abortion services. Individuals who object due to lack of knowledge about laws and fear of legal problems represent a key population that can be sensitized and equipped with the necessary information and resources to provide legal abortion services.</description><subject>Abandonment of care</subject><subject>Abortion</subject><subject>Abortion services</subject><subject>Abortion, Induced</subject><subject>Abortion, Legal</subject><subject>Attitude of Health Personnel - ethnology</subject><subject>Bolivia</subject><subject>Conscientious objection</subject><subject>Conscientious objectors</subject><subject>Conscientious Refusal to Treat</subject><subject>Criminal Law</subject><subject>Ethics</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health care access</subject><subject>Health Services Accessibility</subject><subject>Hospitals</subject><subject>Human rights</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Laws, regulations and rules</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Mexico</subject><subject>Nurses</subject><subject>Physicians</subject><subject>Pregnancy</subject><subject>Psychological aspects</subject><subject>Public Health</subject><subject>Public sector</subject><subject>Qualitative Research</subject><subject>Refusal to treat (Medicine)</subject><subject>Religion</subject><subject>Reproductive health</subject><subject>Social aspects</subject><subject>Social workers</subject><subject>Womens health</subject><issn>1742-4755</issn><issn>1742-4755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptkk1v1DAQhiNERUvhD3BAVjnAJcUfSWxzQCoVtEhFXEAcLX-Mi1eJvdhJgX-Pd7ctLUI-eDR-5vXM6G2aZwQfEyKG14VQyUWLKWkxIZi09EFzQHhH2473_cM78X7zuJQVxowIzB81-4z1cpA9PWiWo2-AXIovZ_RTxxmtczIjTOXoDcqgS4oF-ZSRgxj0iJJHI1zWQJuU55AiMrqAQzWwFbUBYs0uBSWzArsFQkSf4FewCeno0Ls0hqugnzR7Xo8Fnl7fh83XD--_nJ63F5_PPp6eXLS269ncSqBaOuycsNgIB8QID5pbM3DwVrpB-B4Edt5hQ63rGDNEEIp9p7VxxLPD5u1Od72YCZyt7WU9qnUOk86_VdJB3X-J4bu6TFeKC4mloFXg1bVATj8WKLOaQrEwjjpCnVPRThLMB8J4RV_8g67SkmMdb0tR1nc9_UvVLYIK0af6r92IqpOhZwOhnZCVOv4PVY-Dqa4ygg81f6-A7gpsTqVk8LczEqw2ZlE7s6hqFrU1i9r08vzudm5LbtzB_gA1I7uH</recordid><startdate>20210217</startdate><enddate>20210217</enddate><creator>Küng, Stephanie Andrea</creator><creator>Wilkins, Jasmine Danette</creator><creator>de León, Fernanda Díaz</creator><creator>Huaraz, Freddy</creator><creator>Pearson, Erin</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2226-6355</orcidid></search><sort><creationdate>20210217</creationdate><title>"We don't want problems": reasons for denial of legal abortion based on conscientious objection in Mexico and Bolivia</title><author>Küng, Stephanie Andrea ; Wilkins, Jasmine Danette ; de León, Fernanda Díaz ; Huaraz, Freddy ; Pearson, Erin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-9e2a9d0dd8c0b8de1b8fea7cb67efc9d68f5e80dfd0b2cd433b18120f4aabd1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abandonment of care</topic><topic>Abortion</topic><topic>Abortion services</topic><topic>Abortion, Induced</topic><topic>Abortion, Legal</topic><topic>Attitude of Health Personnel - ethnology</topic><topic>Bolivia</topic><topic>Conscientious objection</topic><topic>Conscientious objectors</topic><topic>Conscientious Refusal to Treat</topic><topic>Criminal Law</topic><topic>Ethics</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Health care access</topic><topic>Health Services Accessibility</topic><topic>Hospitals</topic><topic>Human rights</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Laws, regulations and rules</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Mexico</topic><topic>Nurses</topic><topic>Physicians</topic><topic>Pregnancy</topic><topic>Psychological aspects</topic><topic>Public Health</topic><topic>Public sector</topic><topic>Qualitative Research</topic><topic>Refusal to treat (Medicine)</topic><topic>Religion</topic><topic>Reproductive health</topic><topic>Social aspects</topic><topic>Social workers</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Küng, Stephanie Andrea</creatorcontrib><creatorcontrib>Wilkins, Jasmine Danette</creatorcontrib><creatorcontrib>de León, Fernanda Díaz</creatorcontrib><creatorcontrib>Huaraz, Freddy</creatorcontrib><creatorcontrib>Pearson, Erin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Reproductive health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Küng, Stephanie Andrea</au><au>Wilkins, Jasmine Danette</au><au>de León, Fernanda Díaz</au><au>Huaraz, Freddy</au><au>Pearson, Erin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>"We don't want problems": reasons for denial of legal abortion based on conscientious objection in Mexico and Bolivia</atitle><jtitle>Reproductive health</jtitle><addtitle>Reprod Health</addtitle><date>2021-02-17</date><risdate>2021</risdate><volume>18</volume><issue>1</issue><spage>44</spage><epage>44</epage><pages>44-44</pages><artnum>44</artnum><issn>1742-4755</issn><eissn>1742-4755</eissn><abstract>The misuse of conscientious objection (CO) is a significant barrier to legal abortion access in many countries, especially in Latin America. We examine the reasons for denial of legal abortion services in Mexico and Bolivia and identify ways to mitigate the misuse of CO.
We conducted 34 in-depth interviews and 12 focus group discussions in two states in Mexico and four departments in Bolivia. Results were coded and categorized using a thematic analysis approach.
Denial of abortion services based on CO is widespread in health facilities in Mexico and Bolivia and is primarily employed for reasons other than moral, religious, or ethical considerations. The main reasons for denial of services based on CO is lack of knowledge about abortion-related laws and fear of legal problems in abortion service provision. Conversely, the main reason to provide services is to comply with relevant laws. Denying services under the guise of CO negatively impacts pregnant people and health care teams, including fewer safe abortion options and increased workload and stigma, respectively. Most respondents cited training and education on abortion law as the foremost way to mitigate the negative impacts of the misuse of CO.
For many health personnel, knowing, understanding, and following the law is reason enough to provide abortion services. Individuals who object due to lack of knowledge about laws and fear of legal problems represent a key population that can be sensitized and equipped with the necessary information and resources to provide legal abortion services.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>33596952</pmid><doi>10.1186/s12978-021-01101-2</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-2226-6355</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Springer Nature OA/Free Journals; SpringerLink Journals - AutoHoldings; PubMed Central Open Access |
| subjects | Abandonment of care Abortion Abortion services Abortion, Induced Abortion, Legal Attitude of Health Personnel - ethnology Bolivia Conscientious objection Conscientious objectors Conscientious Refusal to Treat Criminal Law Ethics Female Focus Groups Health care access Health Services Accessibility Hospitals Human rights Humans Interviews as Topic Laws, regulations and rules Male Medical personnel Medical research Medicine, Experimental Mexico Nurses Physicians Pregnancy Psychological aspects Public Health Public sector Qualitative Research Refusal to treat (Medicine) Religion Reproductive health Social aspects Social workers Womens health |
| title | "We don't want problems": reasons for denial of legal abortion based on conscientious objection in Mexico and Bolivia |
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