Prevalence of conscientious objection to legal abortion among clinicians in northern Ghana

2017 ◽  
Vol 140 (1) ◽  
pp. 31-36 ◽  
Author(s):  
John K. Awoonor-Williams ◽  
Peter Baffoe ◽  
Philip K. Ayivor ◽  
Chris Fofie ◽  
Sheila Desai ◽  
...  
Author(s):  
Daniel Rodger ◽  
Bruce P. Blackshaw

AbstractThe debate regarding the role of conscientious objection in healthcare has been protracted, with increasing demands for curbs on conscientious objection. There is a growing body of evidence that indicates that in some cases, high rates of conscientious objection can affect access to legal medical services such as abortion—a major concern of critics of conscientious objection. Moreover, few solutions have been put forward that aim to satisfy both this concern and that of defenders of conscientious objection—being expected to participate in the provision of services that compromise their moral integrity. Here we attempt to bring some resolution to the debate by proposing a pragmatic, long-term solution offering what we believe to be an acceptable compromise—a quota system for medical trainees in specialties where a conscientious objection can be exercised, and is known to cause conflict. We envisage two main objectives of the quota system we propose. First, as a means to introduce conscientious objection into countries where this is not presently permitted. Second, to minimise or eliminate the effects of high rates of conscientious objection in countries such as Italy, where access to legal abortion provision can be negatively affected.


2019 ◽  
Vol 4 (7) ◽  
pp. 23-36
Author(s):  
Eveline Oliveira Girão Castro ◽  
Cláudio Couto Lóssio Neto ◽  
Antonio Marlos Duarte de Melo ◽  
Jucier Gonçalves Júnior ◽  
Athena De Albuquerque Farias

Abstract: Despite a series of advances in the establishment of specialized services for women in all regions of the country, many still face great difficulties in accessing abortion services.  Even in relation to anencephaly, there are still challenges for the proper structuring of legal abortion services, as it is difficult to identify health professionals available for abortion care permitted by law.  This article discusses the issues involved in these cases.  It was concluded that, due to the moral and religious stigma, there is a refusal of doctors related to the practice of abortion, despite the existence of Brazilian technical norms that regulate this practice.  However, the right to conscientious objection is not necessarily recognized in the absence of another medical professional to assist women when there is a risk of death.  Keywords: Anencephaly, Abortion, Women's Rights.


2013 ◽  
Vol 123 ◽  
pp. S60-S62 ◽  
Author(s):  
Brooke R. Johnson ◽  
Eszter Kismödi ◽  
Monica V. Dragoman ◽  
Marleen Temmerman

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Stephanie Andrea Küng ◽  
Jasmine Danette Wilkins ◽  
Fernanda Díaz de León ◽  
Freddy Huaraz ◽  
Erin Pearson

Abstract Background The misuse of conscientious objection (CO) is a significant barrier to legal abortion access in many countries, especially in Latin America. We examine the reasons for denial of legal abortion services in Mexico and Bolivia and identify ways to mitigate the misuse of CO. Methods We conducted 34 in-depth interviews and 12 focus group discussions in two states in Mexico and four departments in Bolivia. Results were coded and categorized using a thematic analysis approach. Results Denial of abortion services based on CO is widespread in health facilities in Mexico and Bolivia and is primarily employed for reasons other than moral, religious, or ethical considerations. The main reasons for denial of services based on CO is lack of knowledge about abortion-related laws and fear of legal problems in abortion service provision. Conversely, the main reason to provide services is to comply with relevant laws. Denying services under the guise of CO negatively impacts pregnant people and health care teams, including fewer safe abortion options and increased workload and stigma, respectively. Most respondents cited training and education on abortion law as the foremost way to mitigate the negative impacts of the misuse of CO. Conclusions For many health personnel, knowing, understanding, and following the law is reason enough to provide abortion services. Individuals who object due to lack of knowledge about laws and fear of legal problems represent a key population that can be sensitized and equipped with the necessary information and resources to provide legal abortion services.


IUSTA ◽  
2012 ◽  
Vol 2 (37) ◽  
Author(s):  
JUAN FRANCISCO MENDOZA PERDOMO

<p>ResumenEl artículo realiza un análisis de la sentencia de constitucionalidad que despenalizó parcialmente el delitode aborto en Colombia y precisa conceptualmente las clases de aborto lícito y las razones que produjeronsu autorización constitucional. Bajo este marco se identifica la intervención de la actividad médica en cadaforma de aborto y sus consecuencias jurídicas. Posteriormente se revisa el concepto de objeción de concienciaen la teoría del derecho y en el derecho penal, para con ello precisar los alcances jurídico-penalesde la objeción del médico en la práctica del aborto, proponiéndose la fundamentación y estructura queesta disculpante debe seguir en la resolución de casos.</p><p>Palabras clave: aborto lícito, norma de permiso, rol del médico, objeción de conciencia</p><p>AbstractThe article analyzes the judgment of constitutionality which partially decriminalized the abortion in Colombiaand conceptually precise kinds of legal abortion and the reasons that caused its constitutional approval.Under this structure it identifies the intervention of medical activity in every form of abortion and its legalconsequences. Then we review the concept of conscientious objection in the theory of law and criminallaw, to thereby determine the criminal legal scope of objection in medical abortion practice, proposingthe foundation and configuration that this exemption must follow in resolving cases.</p><p>Keywords: Lawful abortion, license, doctor’s role, conscientious objection.</p><p>Resumo:O artigo analisa o julgamento de constitucionalidade que parcialmente descriminalizou o aborto naColômbia e tipos conceitualmente precisas de aborto legal e os motivos que provocaram a sua aprovaçãoconstitucional. Sob essa estrutura identifica a intervenção da atividade médica em toda forma de abortoe suas consequências legais. Então nós rever o conceito de objecção de consciência na teoria da lei e dodireito penal, para, assim, determinar o alcance da objeção legal criminosa na prática o aborto médico,propondo a fundação e configuração deve seguir esta isenção na resolução de casos.</p><p>Palavras-chave: Lícito o aborto, licenciar, papel médica, a objeção de consciência.</p><p> </p>


Author(s):  
Roger William Moraes Mendes ◽  
Antonio Marcos Coldibelli Francisco ◽  
Carla Benedita da Silva Tostes ◽  
Júlia dos Reis ◽  
Augusto Castelli Von Atzingen

Abstract Objective The aim of this study was to verify the existence of conscientious objection to comprehensive health care for the victim of sexual violence, as well as to understand the service structure of institutions authorized in the health care system for victims of sexual violence in the state of Minas Gerais. Methods This is a quantitative, cross-sectional, descriptive, and analytical field study aiming to collect data from institutions authorized to assist victims of sexual violence in the state. The instrument was handed in to the coordinators of these services. Results It was found that 11% have no physician in service and that 31% had no training for this type of care. It was revealed that 85% of these institutions have already encountered patients wishing to have a legal abortion, but 83% of them have not had their request granted. There was a 60% presence of conscientious objection by the entire medical team, the main reason being religious (57%). Conclusion The assistance system is not prepared for comprehensive care for victims of sexual violence, especially in terms of legal abortions, with conscientious objection being the main obstacle. A functional referral and counter-referral system is needed to alleviate such a serious and evident problem. It is hoped that the research results will promote dialogues in the state that favor appropriate actions on legal abortion, and respect the medical professional, in case of conscientious objection.


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