HIV, unwanted pregnancy and abortion – where is the human rights approach?

Bruyn, Maria de

doi:10.1016/s0968-8080(12)39635-3

Cited by 16 publications

(16 citation statements)

References 19 publications

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“…Higher rates of unintended pregnancy in an environment in which abortion is illegal and highly stigmatized may result in increased morbidity and mortality as a result of unsafe abortion. Adolescents and unmarried young adults may be at particular risk for the negative consequences of unsafe abortion because of the greater likelihood of their delaying recognition of pregnancy and disclosing pregnancy status, and their seeking services when the pregnancy is of later gestational age (de Bruyn and Packer 2004). …”

Section: Setting and Backgroundmentioning

confidence: 99%

Perceptions and Practices of Illegal Abortion among Urban Young Adults in the Philippines: A Qualitative Study

Gipson¹,

Hirz²,

Avila

2011

Studies in Family Planning

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This study draws on in-depth interviews and focus group discussions with young adults in a metropolitan area of the Philippines to examine perceptions and practices of illegal abortion. Study participants indicated that unintended pregnancies are common and may be resolved through eventual acceptance or through self-induced injury or ingestion of substances to terminate the pregnancy. Despite the illegality of abortion and the restricted status of misoprostol, substantial knowledge and use of the drug exists. Discussions mirrored broader controversies associated with abortion in this setting. Abortion was generally thought to invoke gaba (bad karma), yet some noted its acceptability under certain circumstances. This study elucidates the complexities of pregnancy decisionmaking in this restrictive environment and the need for comprehensive and confidential reproductive health services for Filipino young adults.

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Section: Setting and Backgroundmentioning

confidence: 99%

Perceptions and Practices of Illegal Abortion among Urban Young Adults in the Philippines: A Qualitative Study

Gipson¹,

Hirz²,

Avila

2011

Studies in Family Planning

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“…Heterosexual activity is the main mode of HIV transmission among women (UNAIDS, 2013). Despite the increasing feminization of the AIDS epidemic, work to address the reproductive health issues of women living with HIV, particularly regarding unwanted pregnancy and safe abortion care; is lagging behind (de Bruyn, 2012). Also within prevention of mother to child transmission of HIV (PMTCT) programs worldwide the focus remains on providing antiretroviral medicines (ARVs) to the mother-baby pair (Hairston, Bobrow, & Pitter, 2012), although prevention of unwanted pregnancies among HIV infected women has been suggested as an essential strategy (Mahy et al, 2010) (Govender & Coovadia, 2014;Mazzeo, Flanagan, Bobrow, Pitter, & Marlink, 2012;Wilcher, Petruney, & Cates, 2013).…”

Section: Introductionmentioning

confidence: 99%

High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?

Darak

Hutter

Kulkarni³

et al. 2015

AIDS Care

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This study examines the prevalence, reasons and predictors of unwanted pregnancies and induced abortions among ever married HIV infected women attending a care facility in Maharashtra, Western India and discusses its programmatic and policy implications.Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women had 158 pregnancies with known outcomes after HIV diagnosis.Among these 80 (51%) were unwanted and 79 (50%) were voluntarily terminated. Fear of transmitting HIV to the child was a frequently mentioned reason for unwanted pregnancy

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“…20,21 The legal status of abortion in many countries and pervasive stigma have also resulted in less information on the relationship between HIV and abortion, including the safety of abortion in the context of HIV and access to post-abortion care. [22][23][24][25] Information available suggests that Figure 2. Overview of fertility-related research areas for women of reproductive age.…”

Section: Resultsmentioning

confidence: 99%

“…[83][84][85] Legal barriers and criminalization of abortion and sex work in many settings discourage safe abortions and preventive measures, magnifying risk and decreasing access and/or engagement in appropriate care. 25 Efforts to expand access to and uptake of post-abortion care and integrated family planning programmes for sex workers are needed, including evidence of whether uptake of post-abortion care and contraception increases if services are specially offered for women engaged in sex work. 86 Preliminary findings have recently emerged characterizing the engagement of female sex workers in antenatal care in India and Côte d'Ivoire.…”

Section: Resultsmentioning

confidence: 99%

Fertility-related research needs among women at the margins

Schwartz¹,

Baral

2015

Reproductive Health Matters

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Fertility-related research encompasses fertility intentions, preconception care, research amongst pregnant women, and post-partum outcomes of mothers and children. However, some women remain underrepresented within this domain of study. Women frequently missing within fertility-related research include those who are already the most vulnerable to health disparities, including female sex workers, lesbian, gay, bisexual, and transgender women, women living with HIV, and women who use drugs. Yet characterization of the needs of these women is important, given their unique fertility-related concerns, including risks and barriers to care emanating from social stigmas and discrimination. This synthesis provides an overview of fertility-related evidence, highlighting where there are clear research gaps among marginalized women and the potential implications of these data shortfalls. Overall, research among marginalized women to date has addressed pregnancy prevention and in some cases fertility intentions, but the majority of studies have focused on postconception pregnancy safety and the well-being of the child. However, among female sex workers specifically, data on pregnancy safety and the well-being of the child are largely unavailable. Within each marginalized group, preconception care and effectiveness of conception methods are consistently understudied. Ultimately, the absence of epidemiologic, clinical and programmatic evidence limits the availability and quality of reproductive health services for all women and prevents social action to address these gaps.

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HIV, unwanted pregnancy and abortion – where is the human rights approach?

Cited by 16 publications

References 19 publications

Perceptions and Practices of Illegal Abortion among Urban Young Adults in the Philippines: A Qualitative Study

Perceptions and Practices of Illegal Abortion among Urban Young Adults in the Philippines: A Qualitative Study

High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?

Fertility-related research needs among women at the margins

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