Access to safe abortion: building choices for women living with HIV and AIDS

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dc.contributor.authorOrner, Phyllis J
dc.contributor.authorde Bruyn, Maria
dc.contributor.authorBarbosa, Regina M
dc.contributor.authorBoonstra, Heather
dc.contributor.authorGatsi-Mallet, Jennifer
dc.contributor.authorCooper, Diane D
dc.date.accessioned2015-02-04T14:24:31Z
dc.date.available2015-02-04T14:24:31Z
dc.date.issued2011-11-14
dc.date.updated2015-01-15T17:54:00Z
dc.description.abstractIn many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. Of the estimated 21.6 million unsafe abortions occurring worldwide in 2008 (around one in 10 pregnancies), approximately 21.2 million occurred in developing countries, often due to restrictive abortion laws and leading to an estimated 47,000 maternal deaths and untold numbers of women who will suffer long-term health consequences. Despite this context, little research has focused on decisions about and experiences of women living with HIV with regard to terminating a pregnancy, although this should form part of comprehensive promotion of sexual and reproductive health rights. In this paper, we explore the existing evidence related to global and country-specific barriers to safe abortion for all women, with an emphasis on research gaps around the right of women living with HIV to choose safe abortion services as an option for dealing with unwanted pregnancies. The main focus is on the situation for women living with HIV in Brazil, Namibia and South Africa as examples of three countries with different conditions regarding women's access to safe legal abortions: a very restrictive setting, a setting with several indications for legal abortion but non-implementation of the law, and a rather liberal setting. Similarities and differences are discussed, and we further outline global and country-specific barriers to safe abortion for all women, ending with recommendations for policy makers and researchers.en_ZA
dc.identifier.apacitationOrner, P. J., de Bruyn, M., Barbosa, R. M., Boonstra, H., Gatsi-Mallet, J., & Cooper, D. D. (2011). Access to safe abortion: building choices for women living with HIV and AIDS. <i>Journal of the International AIDS Society</i>, http://hdl.handle.net/11427/12364en_ZA
dc.identifier.chicagocitationOrner, Phyllis J, Maria de Bruyn, Regina M Barbosa, Heather Boonstra, Jennifer Gatsi-Mallet, and Diane D Cooper "Access to safe abortion: building choices for women living with HIV and AIDS." <i>Journal of the International AIDS Society</i> (2011) http://hdl.handle.net/11427/12364en_ZA
dc.identifier.citationOrner, P. J., de Bruyn, M., Barbosa, R. M., Boonstra, H., Gatsi-Mallet, J., and Cooper, D. D. (2011). Access to safe abortion: building choices for women living with HIV and AIDS. Journal of the International AIDS Society, 14(1), 54.en_ZA
dc.identifier.issn1758-2652en_ZA
dc.identifier.ris TY - Journal Article AU - Orner, Phyllis J AU - de Bruyn, Maria AU - Barbosa, Regina M AU - Boonstra, Heather AU - Gatsi-Mallet, Jennifer AU - Cooper, Diane D AB - In many areas of the world where HIV prevalence is high, rates of unintended pregnancy and unsafe abortion have also been shown to be high. Of all pregnancies worldwide in 2008, 41% were reported as unintended or unplanned, and approximately 50% of these ended in abortion. Of the estimated 21.6 million unsafe abortions occurring worldwide in 2008 (around one in 10 pregnancies), approximately 21.2 million occurred in developing countries, often due to restrictive abortion laws and leading to an estimated 47,000 maternal deaths and untold numbers of women who will suffer long-term health consequences. Despite this context, little research has focused on decisions about and experiences of women living with HIV with regard to terminating a pregnancy, although this should form part of comprehensive promotion of sexual and reproductive health rights. In this paper, we explore the existing evidence related to global and country-specific barriers to safe abortion for all women, with an emphasis on research gaps around the right of women living with HIV to choose safe abortion services as an option for dealing with unwanted pregnancies. The main focus is on the situation for women living with HIV in Brazil, Namibia and South Africa as examples of three countries with different conditions regarding women's access to safe legal abortions: a very restrictive setting, a setting with several indications for legal abortion but non-implementation of the law, and a rather liberal setting. Similarities and differences are discussed, and we further outline global and country-specific barriers to safe abortion for all women, ending with recommendations for policy makers and researchers. DA - 2011-11-14 DB - OpenUCT DO - 10.1186/1758-2652-14-54 DP - University of Cape Town J1 - Journal of the International AIDS Society LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 SM - 1758-2652 T1 - Access to safe abortion: building choices for women living with HIV and AIDS TI - Access to safe abortion: building choices for women living with HIV and AIDS UR - http://hdl.handle.net/11427/12364 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/12364
dc.identifier.urihttp://dx.doi.org/10.1186/1758-2652-14-54
dc.identifier.vancouvercitationOrner PJ, de Bruyn M, Barbosa RM, Boonstra H, Gatsi-Mallet J, Cooper DD. Access to safe abortion: building choices for women living with HIV and AIDS. Journal of the International AIDS Society. 2011; http://hdl.handle.net/11427/12364.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherInternational AIDS Societyen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderOrner et al; licensee BioMed Central Ltd.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceJournal of the International AIDS Societyen_ZA
dc.source.urihttp://www.jiasociety.org/index.php/jias
dc.titleAccess to safe abortion: building choices for women living with HIV and AIDSen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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