ArticleReproductive health2018
Access to abortion under the heath exception: a comparative analysis in three countries.
Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Motivations for using misoprostol for abortion outside the formal healthcare system in Colombia: a qualitative study of women seeking postabortion care in Bogotá and the Coffee Axis.Reproductive health · 2024Article
- Article
- Abortion beyond 13 weeks in Argentina: healthcare seeking experiences during self-managed abortion accompanied by the Socorristas en Red.Reproductive health · 2022Article
- The impact of 'grounds' on abortion-related outcomes: a synthesis of legal and health evidence.BMC public health · 2022Review
- Necessary but not sufficient: a scoping review of legal accountability for sexual and reproductive health in low-income and middle-income countries.BMJ global health · 2021Article
- Preventing first births among adolescents in Mexico City's public abortion programme.BMJ sexual & reproductive health · 2021Article
- The Influence of Abortion Law on the Frequency of Pregnancy Terminations-A Retrospective Comparative Study.International journal of environmental research and public health · 2021Article
- Factors influencing abortion decisions, delays, and experiences with abortion accompaniment in Mexico among women living outside Mexico City: results from a cross-sectional study.Sexual and reproductive health matters · 2021Article
- Early termination of pregnancy: differences in gestational age estimation using last menstrual period and ultrasound in Mexico.Reproductive health · 2020Article
- Con la ley y sin la ley/With and without the law: Utilization of abortion services and case fatality in Mexico, 2000-2016.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020Article
- Utilisation of second-trimester spontaneous and induced abortion services in public hospitals in Mexico, 2007-2015.BMJ sexual & reproductive health · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundDespite Britain, Colombia, and some Mexican states sharing a health exception within their abortion laws, access to abortion under the health exception varies widely. This study examines factors that result in heterogeneous application of similar health exception laws and consequences for access to legal abortion. Our research adds to previous literature by comparing implementation of similar abortion laws across countries to identify strategies for full implementation of the health exception.
methodsWe conducted a cross-country comparative descriptive study synthesizing data from document and literature review, official abortion statistics, and interviews with key informants. We gathered information on the use and interpretation of the health exception in the three countries from peer-reviewed literature, court documents, and grey literature. We next extracted public and private abortion statistics to understand the application of the law in each setting. We used a matrix to synthesize information and identify key factors in the use of the law. We conducted in-depth interviews with doctors and experts familiar with the health exception laws in each country and analyzed the qualitative data based on the previously identified factors.
resultsThe health exception is used broadly in Britain, somewhat in Colombia, and very rarely in Mexican states. We identified five factors as particularly salient to application of the health exception in each setting: 1) comprehensiveness of the law including explicit mention of mental health, 2) a strong public health sector that funds abortion, 3) knowledge of and attitudes toward the health exception law, including guidelines for physicians in providing abortion, 4) dissemination of information about the health exception law, and 5) a history of court cases that protect women and clarify the health exception law.
conclusionsThe health exception is a valuable tool for expanding access to legal abortion. Differences in the use of the health exception as an indication for legal abortion result in wide access for women in Britain to nearly no access in Mexican states. Our findings highlight the difference between theoretical and real access to legal abortion. The interpretation and application of the health exception law are pivotal to expanding real access to abortion.
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