Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina

Autores
Keogh, Sarah C.; Binstock, Georgina; Pérez Tort, Mailén; Singh, Susheela
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Argentina’s 2021 abortion law grants the right to abortion on-request up to 14 weeks’ gestation, as well as continuing to allow abortion after 14 weeks on specific grounds. The early years after law reform provide a unique opportunity to assess progress and identify barriers, to both inform program improvements and guide other countries undergoing reform. This study assesses the first two years of law implementation. We surveyed a purposive sample of 45 key informants about implementation successes and barriers. In addition, we surveyed 223 public health facilities (selected through stratified systematic random sampling) in three provinces: Buenos Aires, Chaco and La Rioja. We collected information on abortion services, resources, personnel, training, and obstacles to provision. We present weighted results on characteristics of abortion provision by facilities, representative of each province, complemented by key informant perspectives. Two years into law reform, abortions under 14 weeks were offered in a large number of facilities at all levels, while later abortions were offered mainly in hospitals. Facilities adhered to protocols, had adequate supplies, and kept comprehensive records. Over 90% of abortions were performed using misoprostol, with MVA accounting for most of the remainder. Major barriers to provision included insufficient personnel, exacerbated by high levels of conscientious objection (over 60% of hospitals had at least 2 objecting doctors), and inadequate training in methods other than misoprostol, particularly among health centers. Argentina has made impressive advances in the short time since law reform. Implementation could be improved by increasing personnel (through incentives, task-shifting, and enforcement of conscientious objection regulations), strengthening training on different abortion techniques, and expanding public information campaigns about abortion rights and services available. In the face of diminished support for abortion under the new government, measures to strengthen abortion services and reduce stigma are critical, if reproductive rights are to be upheld.
Fil: Keogh, Sarah C.. Guttmacher Institute; Estados Unidos
Fil: Binstock, Georgina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Población; Argentina
Fil: Pérez Tort, Mailén. Centro de Estudios de Población; Argentina
Fil: Singh, Susheela. Guttmacher Institute; Estados Unidos
Materia
SALUD SEXUAL Y REPRODUCTIVA
IVE ILE
IMPLEMENTACION
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/284151
Acceder
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network_name_str CONICET Digital (CONICET)
spelling Progress in providing legal abortion services after law reform: A quantitative study in three provinces of ArgentinaKeogh, Sarah C.Binstock, GeorginaPérez Tort, MailénSingh, SusheelaSALUD SEXUAL Y REPRODUCTIVAIVE ILEIMPLEMENTACIONhttps://purl.org/becyt/ford/5.4https://purl.org/becyt/ford/5Argentina’s 2021 abortion law grants the right to abortion on-request up to 14 weeks’ gestation, as well as continuing to allow abortion after 14 weeks on specific grounds. The early years after law reform provide a unique opportunity to assess progress and identify barriers, to both inform program improvements and guide other countries undergoing reform. This study assesses the first two years of law implementation. We surveyed a purposive sample of 45 key informants about implementation successes and barriers. In addition, we surveyed 223 public health facilities (selected through stratified systematic random sampling) in three provinces: Buenos Aires, Chaco and La Rioja. We collected information on abortion services, resources, personnel, training, and obstacles to provision. We present weighted results on characteristics of abortion provision by facilities, representative of each province, complemented by key informant perspectives. Two years into law reform, abortions under 14 weeks were offered in a large number of facilities at all levels, while later abortions were offered mainly in hospitals. Facilities adhered to protocols, had adequate supplies, and kept comprehensive records. Over 90% of abortions were performed using misoprostol, with MVA accounting for most of the remainder. Major barriers to provision included insufficient personnel, exacerbated by high levels of conscientious objection (over 60% of hospitals had at least 2 objecting doctors), and inadequate training in methods other than misoprostol, particularly among health centers. Argentina has made impressive advances in the short time since law reform. Implementation could be improved by increasing personnel (through incentives, task-shifting, and enforcement of conscientious objection regulations), strengthening training on different abortion techniques, and expanding public information campaigns about abortion rights and services available. In the face of diminished support for abortion under the new government, measures to strengthen abortion services and reduce stigma are critical, if reproductive rights are to be upheld.Fil: Keogh, Sarah C.. Guttmacher Institute; Estados UnidosFil: Binstock, Georgina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Población; ArgentinaFil: Pérez Tort, Mailén. Centro de Estudios de Población; ArgentinaFil: Singh, Susheela. Guttmacher Institute; Estados UnidosAlheli California State University2025-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/284151Keogh, Sarah C.; Binstock, Georgina; Pérez Tort, Mailén; Singh, Susheela; Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina; Alheli California State University; PLOS Global Public Health; 5; 2; 2-2025; 1-202767-3375CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://dx.plos.org/10.1371/journal.pgph.0003526info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pgph.0003526info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-08-25T14:30:25Zoai:ri.conicet.gov.ar:11336/284151instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-08-25 14:30:25.489CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
title Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
spellingShingle Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
Keogh, Sarah C.
SALUD SEXUAL Y REPRODUCTIVA
IVE ILE
IMPLEMENTACION
title_short Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
title_full Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
title_fullStr Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
title_full_unstemmed Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
title_sort Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina
dc.creator.none.fl_str_mv Keogh, Sarah C.
Binstock, Georgina
Pérez Tort, Mailén
Singh, Susheela
author Keogh, Sarah C.
author_facet Keogh, Sarah C.
Binstock, Georgina
Pérez Tort, Mailén
Singh, Susheela
author_role author
author2 Binstock, Georgina
Pérez Tort, Mailén
Singh, Susheela
author2_role author
author
author
dc.subject.none.fl_str_mv SALUD SEXUAL Y REPRODUCTIVA
IVE ILE
IMPLEMENTACION
topic SALUD SEXUAL Y REPRODUCTIVA
IVE ILE
IMPLEMENTACION
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.4
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Argentina’s 2021 abortion law grants the right to abortion on-request up to 14 weeks’ gestation, as well as continuing to allow abortion after 14 weeks on specific grounds. The early years after law reform provide a unique opportunity to assess progress and identify barriers, to both inform program improvements and guide other countries undergoing reform. This study assesses the first two years of law implementation. We surveyed a purposive sample of 45 key informants about implementation successes and barriers. In addition, we surveyed 223 public health facilities (selected through stratified systematic random sampling) in three provinces: Buenos Aires, Chaco and La Rioja. We collected information on abortion services, resources, personnel, training, and obstacles to provision. We present weighted results on characteristics of abortion provision by facilities, representative of each province, complemented by key informant perspectives. Two years into law reform, abortions under 14 weeks were offered in a large number of facilities at all levels, while later abortions were offered mainly in hospitals. Facilities adhered to protocols, had adequate supplies, and kept comprehensive records. Over 90% of abortions were performed using misoprostol, with MVA accounting for most of the remainder. Major barriers to provision included insufficient personnel, exacerbated by high levels of conscientious objection (over 60% of hospitals had at least 2 objecting doctors), and inadequate training in methods other than misoprostol, particularly among health centers. Argentina has made impressive advances in the short time since law reform. Implementation could be improved by increasing personnel (through incentives, task-shifting, and enforcement of conscientious objection regulations), strengthening training on different abortion techniques, and expanding public information campaigns about abortion rights and services available. In the face of diminished support for abortion under the new government, measures to strengthen abortion services and reduce stigma are critical, if reproductive rights are to be upheld.
Fil: Keogh, Sarah C.. Guttmacher Institute; Estados Unidos
Fil: Binstock, Georgina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Población; Argentina
Fil: Pérez Tort, Mailén. Centro de Estudios de Población; Argentina
Fil: Singh, Susheela. Guttmacher Institute; Estados Unidos
description Argentina’s 2021 abortion law grants the right to abortion on-request up to 14 weeks’ gestation, as well as continuing to allow abortion after 14 weeks on specific grounds. The early years after law reform provide a unique opportunity to assess progress and identify barriers, to both inform program improvements and guide other countries undergoing reform. This study assesses the first two years of law implementation. We surveyed a purposive sample of 45 key informants about implementation successes and barriers. In addition, we surveyed 223 public health facilities (selected through stratified systematic random sampling) in three provinces: Buenos Aires, Chaco and La Rioja. We collected information on abortion services, resources, personnel, training, and obstacles to provision. We present weighted results on characteristics of abortion provision by facilities, representative of each province, complemented by key informant perspectives. Two years into law reform, abortions under 14 weeks were offered in a large number of facilities at all levels, while later abortions were offered mainly in hospitals. Facilities adhered to protocols, had adequate supplies, and kept comprehensive records. Over 90% of abortions were performed using misoprostol, with MVA accounting for most of the remainder. Major barriers to provision included insufficient personnel, exacerbated by high levels of conscientious objection (over 60% of hospitals had at least 2 objecting doctors), and inadequate training in methods other than misoprostol, particularly among health centers. Argentina has made impressive advances in the short time since law reform. Implementation could be improved by increasing personnel (through incentives, task-shifting, and enforcement of conscientious objection regulations), strengthening training on different abortion techniques, and expanding public information campaigns about abortion rights and services available. In the face of diminished support for abortion under the new government, measures to strengthen abortion services and reduce stigma are critical, if reproductive rights are to be upheld.
publishDate 2025
dc.date.none.fl_str_mv 2025-02
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/284151
Keogh, Sarah C.; Binstock, Georgina; Pérez Tort, Mailén; Singh, Susheela; Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina; Alheli California State University; PLOS Global Public Health; 5; 2; 2-2025; 1-20
2767-3375
CONICET Digital
CONICET
url http://hdl.handle.net/11336/284151
identifier_str_mv Keogh, Sarah C.; Binstock, Georgina; Pérez Tort, Mailén; Singh, Susheela; Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina; Alheli California State University; PLOS Global Public Health; 5; 2; 2-2025; 1-20
2767-3375
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://dx.plos.org/10.1371/journal.pgph.0003526
info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pgph.0003526
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Alheli California State University
publisher.none.fl_str_mv Alheli California State University
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.265058

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