4.3 Review

Step by Step in Argentina: Putting Abortion Rights into Practice

期刊

INTERNATIONAL JOURNAL OF WOMENS HEALTH
卷 15, 期 -, 页码 1003-1015

出版社

DOVE MEDICAL PRESS LTD
DOI: 10.2147/IJWH.S412975

关键词

abortion; Argentina; reproductive health; policy implementation

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In December 2020, Argentina legalized abortion through 14 weeks, resulting in increased access to abortion care. This achievement was the culmination of years of advocacy and mobilization efforts, including support from established abortion providers and community groups. However, inequities in access and quality of care still persist throughout the country. Successful implementation of abortion laws requires government support and monitoring of associated policies, as highlighted by the findings of proyecto mirar.
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.

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