Evolving capacity and decision-making in practice: adolescents' access to legal abortion services in Mexico City
| Autor: | Kelly Castagnaro, Jennifer Bain, Marcela Rueda, Carrie Tatum, Katherine Watson, Jessie Clyde |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Program evaluation
Health Knowledge Attitudes Practice Adolescent Attitude of Health Personnel media_common.quotation_subject Decision Making Population Abortion Evolving capacities Health Services Accessibility Patient Education as Topic Nursing Humans Medicine Confidentiality Child education Mexico media_common education.field_of_study business.industry Public sector Obstetrics and Gynecology Patient Simulation Reproductive Medicine Family planning Abortion Legal Female business Autonomy |
| Zdroj: | Reproductive Health Matters. 21:167-175 |
| ISSN: | 1460-9576 0968-8080 |
| DOI: | 10.1016/s0968-8080(13)41708-1 |
| Popis: | The rights of adolescents and young people in international law and agreements have evolved significantly from a focus on protection to a recognition of “evolving capacities” and decision-making ability. Unclear policies and regulations and variations in actual practice may leave providers with little clarity on how to support adolescent decision-making and instead create unintended barriers. This study in Mexico City in 2009 explored whether regulations and clinical attitudes and practice were supporting or hindering the access of adolescent girls aged 12–17 to information regarding abortion and to abortion services. We surveyed abortion clinic directors and staff, and adolescents arranging or just having had an abortion, and sent mystery clients to clinics to ask for information. While providers were generally positive about adolescents' ability to decide on abortion, they had different understandings about the need for adult accompaniment and who that adult should be, and mystery clients seeking information were more likely to receive complete information if accompanied by an adult. Clarification of consent and accompaniment requirements is needed, and providers need to be made aware of them; adolescents should have access to information and counselling without accompaniment; and improvements in privacy and confidentiality in public sector clinics are also needed. These all support complementary concepts of protection and autonomy in adolescent decision-making on abortion. |
| Databáze: | OpenAIRE |
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