{"title":"Understandings of self-managed abortion as health inequity, harm reduction and social change.","authors":"Joanna N Erdman, Kinga Jelinska, Susan Yanow","doi":"10.1080/09688080.2018.1511769","DOIUrl":null,"url":null,"abstract":"<p><p>This commentary explores how self-managed abortion (SMA) has transformed understandings of and discourses on safe abortion and associated health inequities through an intersection of harm reduction, human rights and collective activism. The article examines three primary understandings of the relationship between SMA and safe abortion: first SMA as health inequity, second SMA as harm reduction, and third SMA as social change, including health system innovation and reform. A more dynamic understanding of the relationship between SMA, safe abortion and health inequities can both improve the design of interventions in the field, and more radically reset reform goals for health systems and other state institutions towards the full realisation of sexual and reproductive health and human rights.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"26 54","pages":"13-19"},"PeriodicalIF":0.0000,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2018.1511769","citationCount":"50","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive Health Matters","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/09688080.2018.1511769","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/9/19 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 50
Abstract
This commentary explores how self-managed abortion (SMA) has transformed understandings of and discourses on safe abortion and associated health inequities through an intersection of harm reduction, human rights and collective activism. The article examines three primary understandings of the relationship between SMA and safe abortion: first SMA as health inequity, second SMA as harm reduction, and third SMA as social change, including health system innovation and reform. A more dynamic understanding of the relationship between SMA, safe abortion and health inequities can both improve the design of interventions in the field, and more radically reset reform goals for health systems and other state institutions towards the full realisation of sexual and reproductive health and human rights.
期刊介绍：
Sexual and Reproductive Health Matters ( SRHM) promotes sexual and reproductive health and rights (SRHR) globally through its journal and ''more than a journal'' activities. The Sexual and Reproductive Health Matters (SRHM) journal, formerly Reproductive Health Matters (RHM), is a peer-reviewed, international journal that explores emerging, neglected and marginalised topics and themes across the field of sexual and reproductive health and rights. It aims to publish original, relevant, and contemporary research, particularly from a feminist perspective, that can help inform the development of policies, laws and services to fulfil the rights and meet the sexual and reproductive health needs of people of all ages, gender identities and sexual orientations. SRHM publishes work that engages with fundamental dilemmas and debates in SRHR, highlighting multiple perspectives, acknowledging differences, and searching for new forms of consensus. SRHM strongly encourages research that explores experiences, values, information and issues from the point of view of those whose lives are affected. Key topics addressed in SRHM include (but are not limited to) abortion, family planning, contraception, female genital mutilation, HIV and other STIs, human papillomavirus (HPV), maternal health, SRHR in humanitarian settings, gender-based violence, young people, gender, sexuality and sexual rights.
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