Abortion after the Zika virus epidemic in  Northeast Brazil

Diniz, Débora; Medeiros, Marcelo; Madeiro, Alberto Pereira

doi:10.11606/s1518-8787.2021055003053

Cited by 9 publications

(12 citation statements)

References 3 publications

(1 reference statement)

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“…Rapidamente, ficou evidente que não havia no país uma política específica de proteção à esta população. Uma pesquisa qualitativa foi então iniciada para coletar evidências que pudessem embasar estratégias de incidência (Diniz, 2017).…”

Section: Construindo Narrativas: Mulheres E Meninas No Centro Da Cris...unclassified

“…Para coletar tais evidências, foi realizado um estudo de caso no estado de Alagoas, um dos estados epicentro da epidemia e que possui o menor Índice de Desenvolvimento Humano (IDH) e que, na época concentrava a maior taxa de gravidez na adolescência do país. Em dezembro de 2016, orientando-nos por uma lista de municípios que notificaram casos ao Ministério da Saúde, ouvimos histórias de 54 mulheres (Diniz, 2017). Naquela época, havia 86 mulheres no estado de Alagoas cujos filhos tinham diagnóstico confirmado de zika.…”

Section: Construindo Narrativas: Mulheres E Meninas No Centro Da Cris...unclassified

“…Durante uma emergência de saúde pública, entretanto, não é suficiente mostrar que uma epidemia viola direitos -é necessário também exigir que esses direitos sejam garantidos. Com base nas evidências coletadas durante o estudo de caso, a Anis também apresentou um relatório com recomendações de políticas para diferentes esferas de governo nos níveis municipal, estadual e federal (Diniz, 2017). O relatório deu origem à primeira força-tarefa do estado de Alagoas para reavaliar os casos identificados pelo sistema de vigilância epidemiológicacrianças do interior e da cidade foram encaminhadas aos hospitais de referência para exames complementares.…”

Section: Construindo Narrativas: Mulheres E Meninas No Centro Da Cris...unclassified

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Lições de Justiça Reprodutiva para catalisar estratégias de incidência durante a crise do Zika no Brasil

Brito,

Rondon

2024

Physis

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Resumo Revisitaremos uma constelação de respostas para garantir justiça reprodutiva para mulheres e meninas durante a crise do Zika no Brasil. As ações relatadas foram conduzidas pela Anis – Instituto de Bioética, uma ONG feminista. Argumentamos que, durante as emergências sanitárias, é necessário o uso de lentes feministas interseccionais para construir respostas efetivas e sensíveis às questões de gênero, em favor de mulheres e meninas. Apresentamos três táticas de incidência utilizadas na luta por justiça reprodutiva durante a crise do Zika: 1) construir narrativas baseadas em histórias de vida que retratem os efeitos desproporcionais da crise em mulheres e meninas; 2) produzir dados baseados em evidências para catalisar estratégias de incidência para revisão legal e de políticas públicas; 3) promover oportunidades para o fortalecimento de alianças e movimentos, bem como o compartilhamento de poder por meio de atividades de mobilização comunitária. Reconhecemos a importância de responder às necessidades das populações em tempo real, e para isso torna-se fundamental que as evidências sobre os impactos das emergências em saúde pública sejam produzidas e compartilhadas de maneira ágil. Os esforços em incidência não são estratégias fragmentadas, pois garantir a justiça reprodutiva exige uma estrutura abrangente e transformadora, incluindo soluções que envolvam o cotidiano das pessoas comuns e suas experiências de vida.

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Section: Construindo Narrativas: Mulheres E Meninas No Centro Da Cris...unclassified

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Lições de Justiça Reprodutiva para catalisar estratégias de incidência durante a crise do Zika no Brasil

Brito,

Rondon

2024

Physis

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“…The Brazilian Supreme Court is considering a case that will decriminalise abortion up to 12 weeks of gestation. 57,75,105,106 Burkina Faso…”

Section: Countrymentioning

confidence: 99%

“One’s life becomes even more miserable when we hear all those hurtful words.” A mixed methods systematic review of disrespect and abuse in abortion care.

Munnangi,

Shreedhar,

Lippus

et al. 2023

Preprint

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Background Disrespect and abuse during facility-based abortion and postabortion care (PAC) manifests in various forms, including disrespect, abuse (physical, verbal, and sexual), stigma, discrimination, failure to meet standards of care, neglect, breaches in privacy and confidentiality, misinformation or a lack of information, mistreatment or undignified care, and protests. The objective of this mixed methods systematic review was to describe the various forms of disrespect and abuse that women face during abortion or PAC. Methods We conducted a comprehensive literature search in Embase, Medline, and PubMed using Medical Subject Headings (MeSH) and text-based terms targeting disrespect and abuse in facility-based abortion care. The initial search was conducted in 2019, followed by an updated search in 2023. Thirty-eight articles conducted in 20 countries met inclusion criteria and were included in this review. Results The most frequently observed form of disrespect and abuse, identified in 31 studies, was the failure to meet care standards in providing quality abortion care or PAC, particularly in terms of offering adequate and accurate information to women before, during and after the procedures. Additionally, stigma was reported in 20 studies, disrespect in 19 studies, discrimination in 10 studies, and both verbal and physical abuse, as well as humiliation and condescension, each in 8 studies. The presence of abortion protestors was also noted in 8 studies. Conclusions Our results indicate the need for multi-level strategies to transform healthcare providers' perceptions and attitudes towards women seeking abortion care, and other actions at the individual, institutional, and policy levels to provide quality, respectful abortion care. We found that providers sometimes highlighted caste or other markers of vulnerability as part of disrespectful care. The systematic measurement of disrespect and abuse in abortion care and PAC could help understand the distribution of experiences across different groups.

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“…A clash about what parts of the feminist agenda contribute, in fact, to an effort to diminish gender inequality does not invalidate feminism for these women who are befriended by researchers and professionals and are able to show the specificity of their demands 10 Especially in the beginning of the epidemic, the unknown consequences of the Zika virus were unlikely to pose the question of abortion for many women. Even more so because of the restrictive nature of Brazil's legislation (30,31), which contributed to such practice being dealt with as illegal abortion is banned in Brazil unless a woman has been raped, her life is in danger, or the fetus has anencephaly, a fatal brain disorder. In any case, when you are together with dozens of women who gave birth to their children with the Zika syndrome, it is felt to be an offensive attack on both the mother and the child to say "You should have aborted".…”

Section: An Opening Seminarmentioning

confidence: 99%

Women, Administered Insecurity, and Multiple Alignments to Assuage Gender Inequalities in the Brazilian Zika Epidemic

Scott

2021

Front. Glob. Womens Health

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This article deals with the Brazilian Zika epidemic that started in 2015 and became an important event for understanding Gender and Power in health treatment contexts. It discusses a combination of reinforcement of gender normed care and therapeutic itineraries overburdening mothers and the construction of political awareness and practice associated with demands for state services. Working with a concept of administered insecurity elaborated to understand people displaced during the implementation of planned government development policies, it argues that the planned nature of health systems, despite their explicit emphasis on the objective of treating the health of the population, also generate administered insecurity as planned administrators of scarcity. It uses data from a 4-year research project entitled “Doing Ethnography on Care” in Recife, Brazil, to show the multiplicity of contexts that are brought out through the practice of mothers in providing care for their Zika-syndrome stricken children, and how they reflect varying power relations that constantly re-dimension maternity along lines of gender relations in different institutional domains of treatment and research. The severe gender inequality in caring for infants was partially assuaged by multiple alignments made by the mothers and infants promoting dialogue and practice in varied contexts, including interaction with the research team. Family and Community Relations, Mediation, Favors, Accusations, Judicialization, Collective Action, formation of Associations, and learning to produce videos are seen as constructors of complex meaning and practice of mothering in a way in which gender goes beyond the limits of an overburdening practice of care. Gender provides a significant difference for mothers whose knowledge and familiarity of domains of health and health-related provision of services and knowledge, forged in their search for treatment for their child, create and legitimate spaces for the exercise of informed citizenship and a sharp awareness and resistance to practices by the state and other agents who administer insecurity. The final remarks synthesize some of the more important reconfigurations of gender relations and power in the context of the Zika epidemic and alerts to the challenge of the transitory nature of an epidemic and the gradual, and not so gradual, exhaustion of institutional interest for the dilemma of the mothers and also shows the role of anthropological research in promoting gender equality in epidemic contexts.

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Abortion after the Zika virus epidemic in Northeast Brazil

Cited by 9 publications

References 3 publications

Lições de Justiça Reprodutiva para catalisar estratégias de incidência durante a crise do Zika no Brasil

Lições de Justiça Reprodutiva para catalisar estratégias de incidência durante a crise do Zika no Brasil

“One’s life becomes even more miserable when we hear all those hurtful words.” A mixed methods systematic review of disrespect and abuse in abortion care.

Women, Administered Insecurity, and Multiple Alignments to Assuage Gender Inequalities in the Brazilian Zika Epidemic

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