Journal
DEVELOPING WORLD BIOETHICS
Volume 23, Issue 2, Pages 147-153Publisher
WILEY
DOI: 10.1111/dewb.12368
Keywords
legal abortion; outpatient surgical abortion; second and third trimester abortion; South America; telemedicine
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This article describes the difficulties faced by a Brazilian abortion service during the COVID-19 pandemic and presents three bottom-up advocacy strategies to reduce inequalities that impact vulnerable populations.
In Brazil, abortion is only allowed in cases of rape, serious risk to a woman's life or fetal anecephaly. Legal abortion services cover less than 4% of the Brazilian territory and only 1,800 procedures are performed, in average, per year. During the COVID-19 pandemic, almost half of the already few Brazilian abortion clinics shut down and women had to travel even longer distances, reaching abortion services at later gestational ages. In this paper, we describe three bottom-up advocacy strategies that emerged from difficulties deepened during the COVID-19 pandemic at a single abortion service in Brazil, amidst anti-gender policies from the federal government. Telemedicine abortion, outpatient surgical abortion and the provision of abortion after 20 weeks' gestation are important strategies that may reduce inequalities that impact the most vulnerable populations, such as black and indigenous women, children, adolescents and women experiencing domestic violence.
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