Recursos OC

Acceso a normas jurídicas, sentencias judiciales, investigaciones y material audiovisual sobre objeción de conciencia en salud y en aborto.

Revisión bibliográfica

  • La más clave y última bibliografía sobre OC y aborto
  • Donado por Rebecca Cook, Universidad de Toronto
  • Actualizada por REDAAS

¿Qué es la objeción de conciencia?

Doc REDAAS N° 15 – Objeción de conciencia en la ley sobre Interrupción Voluntaria del Embarazo
01/09/2021
Español
Agustina Ramón Michel, Sonia Ariza Navarrete y Dana Repka

Luego de 99 años, se modificó el régimen jurídico del aborto. En diciembre del 2020, el Congreso argentino aprobó la Ley 27.610 que reconoce el derecho al aborto hasta la semana 14 inclusive (interrupción voluntaria del embarazo -IVE) y en el momento en que sea necesario en casos de violación y de peligro para la vida o la salud de la gestante (interrupción legal del embarazo -ILE).1 Esta ley regula, además, la atención posaborto. Se trata de una norma de orden público aplicable en todo el país. De este modo, se institucionaliza un cambio de paradigma, abandonándose el que se centraba en la política criminal para adoptar uno basado en derechos y obligaciones, con una visión de salud pública.

Two concepts of conscience and their implications for conscience-based refusal in Healthcare
01/08/2017
Inglés
Rebecca J. Cook, Mónica Arango Olaya y Bernard M. Dickens

The Constitutional Court of Colombia has issued a decision of international significance clarifying legal duties of providers, hospitals, and healthcare systems when conscientious objection is made to conducting lawful abortion. The decision establishes objecting providers’ duties to refer patients to non-objecting providers, and that hospitals, clinics, and other institutions have no rights of conscientious objection. Their professional and legal duties are to ensure that patients receive timely services. Hospitals and other administrators cannot object, because they do not participate in the procedures they are obliged to arrange. Objecting providers, and hospitals, must maintain knowledge of non-objecting providers to whom their patients must be referred. Accordingly, medical schools must adequately train, and licensing authorities approve, non-objecting providers. Where they are unavailable, midwives and perhaps nurse practitioners may be trained, equipped, and approved for appropriate service delivery. The Court’s decision has widespread implications for how healthcare systems must accommodate conscientious objection and patients’ legal rights.

Video: Aborto no punible: desafíos en la aplicación del fallo de la Corte y debate sobre objeción de conciencia
19/05/2015
Español
Agustina Ramón Michel

Ramón Michel, Agustina. Video: Aborto no punible: desafíos en la aplicación del fallo de la Corte y debate sobre objeción de conciencia. Julio 2014.

Link para acceder a los videos:

https://youtu.be/TYINMVeu4O8

http://fueradelexpediente.com.ar/tag/objecion-de-conciencia/

video_youtube
TYINMVeu4O8
Objeción de conciencia y salud sexual y reproductiva
28/03/2015
Español
Marcelo Alegre

Marcelo Alegre «Objeción de conciencia y salud sexual y reproductiva». Hoja Informativa. Despenalización. org. 2009.

¿Cómo se aborda la objeción de conciencia?

Regulating Conscientious Objection to Legal Abortion in Argentina: Taking intoConsideration Its Uses and Consequences
01/12/2012
Inglés
Agustina Ramón Michel, Stephanie Kung, Alyse López-Salm, y Sonia Ariza Navarrete

Regulating Conscientious Objection to Legal Abortion in Argentina: Taking intoConsideration Its Uses and Consequences.

Conscientious objection to abortion provision: why context matters
01/10/2018
Inglés
Laura F. Harris, Ndola Prata y Wendy Chavkin

Conscientious objection to abortion provision: why context matters

Managing conscientious objection in health care institutions
01/09/2014
Inglés
Mark R. Wicclair

Managing conscientious objection in health care institutions.

HEC fórum, 26(3), 267-283.

La política del camuflaje: la objeción de conciencia como estrategia de la Iglesia Católica
01/04/2017
Español
Juan Marco Vaggione

La política del camuflaje: la objeción de conciencia como estrategia de la Iglesia Católica.

Instituto Hemisférico de Performance y Política.

Objeción de conciencia y aborto: una perspectiva global sobre la experiencia colombiana
01/12/2014
Español
O’Neill Institute y Women’s Link Worldwide

Objeción de conciencia y aborto: una perspectiva global sobre la experiencia colombiana. O’Neill Institute for National and Global Health Law.

Taking a feminist relational perspective on conscience
01/07/2011
Inglés
Carolyn McLeod

One understanding of conscience dominates bioethical discussion about conscience. On this view, to have a conscience is to be compelled to act in accordance with one’s own moral values for the sake of one’s “integrity,” where integrity is understood as inner or psychological unity. Conscience is deemed valuable because it promotes this quality. In this paper, I describe the dominant view, attempt to show that it is flawed, and sketch a positive alternative to it. In my opinion, conscience often fails to promote inner unity (regardless of the degree of inner unity we have in mind); acting with a conscience leaves many people broken rather than unified. A better view about the value of conscience is that having a conscience encourages morally responsible agency. My goal is to prove that this alternative explains better what it means to value conscience in health care and the extent to which we ought to value it.

Medical ethics and more: ideal theories, non-ideal theories and conscientious objection
01/10/2014
Inglés
Florencia Luna

Doing ‘good medical ethics’ requires acknowledgment that it is often practised in non-ideal circumstances! In this article I present the distinction between ideal theory (IT) and non-ideal theory (NIT). I show how IT may not be the best solution to tackle problems in non-ideal contexts. I sketch a NIT framework as a useful tool for bioethics and medical ethics and explain how NITs can contribute to policy design in non-ideal circumstances. Different NITs can coexist and be evaluated vis-à-vis the IT. Additionally, I address what an individual doctor ought to do in this non-ideal context with the view that knowledge of NITs can facilitate the decision-making process. NITs help conceptualise problems faced in the context of non-compliance and scarcity in a better and more realistic way. Deciding which policy is optimal in such contexts may influence physicians’ decisions regarding their patients. Thus, this analysis—usually identified only with policy making—may also be relevant to medical ethics. Finally, I recognise that this is merely a first step in an unexplored but fundamental theoretical area and that more work needs to be done.

Una vuelta de tuerca a la objeción de conciencia
01/05/2019
Español
Sonia Ariza Navarrete y Agustina Ramón Michel

Una propuesta regulatoria a partir de de las prácticas de aborto legal en Argentina

En este trabajo sobre OC a la ILE en Argentina, nos enfocamos en dos aspectos fundamentales e interdependientes: la reconceptualización de este fenómeno y una propuesta para regularla en el marco de una política pública de salud. Ambas empíricamente informadas; además de fuentes secundarias, obtuvimos opiniones y percepciones de una encuesta que realizamos a 269 integrantes del sistema de salud pública y 11 entrevistas semiestructuradas a gestorxs y jefxs de servicios también del sistema público de salud, sobre las formas que adquiere la OC, sus causas e impacto.

Este documento se terminó de escribir en agosto de 2018 en el marco del Proyecto Objeción de conciencia: formas, problemas y respuestas frente al aborto legal en Argentina (CEDES-IPAS).

Yes we can! Successful examples of disallowing ‘conscientious objection’ in reproductive health care
17/11/2017
Inglés
Christian Fiala, Kristina Gemzell Danielsson, Oskari Heikinheimo, Jens A. Guðmundsson y Joyce Arthur

Yes we can! Successful examples of disallowing ‘conscientious objection’ in reproductive health care (Fiala et al)

Physicians, Not Conscripts – Conscientious Objection in Health Care
17/11/2017
Inglés
Ronit Y. Stahl y Ezekiel J. Emanuel

Physicians, Not Conscripts — Conscientious Objection in Health Care (Stahl y Emanuel)

There is no defence for ‘Conscientious objection’ in reproductive health care
17/11/2017
Inglés
Christian Fiala y Joyce H. Arthurb

A widespread assumption has taken hold in the field of medicine that we must allow health care professionals the right to refuse treatment under the guise of ‘conscientious objection’ (CO), in particular for women seeking abortions. At the same time, it is widely recognized that the refusal to treat creates harm and barriers for patients receiving reproductive health care. In response, many recommendations have been put forward as solutions to limit those harms. Further, some researchers make a distinction between true CO and ‘obstructionist CO’, based on the motivations or actions of various objectors. This paper argues that ‘CO’ in reproductive health care should not be considered a right, but an unethical refusal to treat. Supporters of CO have no real defence of their stance, other than the mistaken assumption that CO in reproductive health care is the same as CO in the military, when the two have nothing in common (for example, objecting doctors are rarely disciplined, while the patient pays the price). Refusals to treat are based on non-verifiable personal beliefs, usually religious beliefs, but introducing religion into medicine undermines best practices that depend on scientific evidence and medical ethics. CO therefore represents an abandonment of professional obligations to patients. Countries should strive to reduce the number of objectors in reproductive health care as much as possible until CO can feasibly be prohibited. Several Scandinavian countries already have a successful ban on CO.

The Fetus Is My Patient, Too: Attitudes Toward Abortion and Referral Among Physician Conscientious Objectors in Bogotá
17/08/2016
Inglés
Lauren R. Fink, Kaitlyn K. Stanhope, Roger W. Rochat and Oscar A. Bernal

Lauren R. Fink, Kaitlyn K. Stanhope, Roger W. Rochat and Oscar A. Bernal. “The Fetus Is My Patient, Too”: Attitudes Toward Abortion and Referral Among PhysicianConscientious Objectors in Bogotá, Colombia. International Perspectives on Sexual and Reproductive Health IternationalPerspectives on Sexual and Reproductive Health, Guttamacher Institute (2016)

»Dishonourable disobedience» – Why refusal to treat in reproductive healthcare is not conscientious objection
19/06/2015
Inglés
Christian Fialaa and John H. Arthur

Christian Fialaa and John H. Arthur. ‘‘Dishonourable disobedience’’ — Whyrefusal to treat in reproductive healthcareis not conscientious objection. Woman – Psychosomatic Gynaecology and Obstetrics (2014).

Reconocer las motivaciones de conciencia en la prestación del aborto
19/06/2015
Español
Lisa H. Harris

Lisa H. Harris. Reconocer las motivaciones de conciencia en la prestación del aborto. N Engl J Med 2012; 367:981-983 Septiembre 13, de 2012 (traducido al castellano por integrantes del Ministerio de Salud de la provincia de Santa Fe y el CEDES).

Conscientious objection to abortion in the developing world: The correspondence argument
04/12/2020
Inglés
Himani Bhakuni y Lucas Miotto

In this paper we extend Heidi Hurd’s “correspondence thesis” to the termination of pregnancy debate and argue that the same reasons that determine the permissibility of abortion also determine the justifiability of acts involving conscientious objection against its performance. Essentially, when abortion is morally justified, acts that prevent or obstruct it are morally unjustified. Therefore, despite conscientious objection being legally permitted in some global south countries, we argue that such permission to conscientiously object would be morally wrong in cases of morally justifiable termination of pregnancy. After presenting and defending our “correspondence argument” we suggest that conscientious objection should be denied as a matter of public health policy in developing counties, even in cases where adequate referral services are possible. Towards the end, we extend our argument to midwives, nurses, and prospective students in the field. Given their essential position in resource-poor contexts; they too have no claim to conscientious objection.

¿Es defendible la objeción de conciencia institucional en el caso de aborto?
20/02/2021
Español
Gabriel Muñoz Cordal

Conscientious Objection arises as a response to a regulation that is judged as immoral. Faced with a law that is considered unfair, the citizen can respond accepting it against his will, exercising conscientious objection on a personal level or, collectively reaching civil disobedience or revolutionary violence. This is an old discussion known since ancient Greece. The current enactment of laws that allow actions previously judged as crime, and that contravene medical tradition, reactivated the discussion about such objection. Some people, such as Savolescu, who denies the legitimacy of conscientious objection invoked by doctors, arguing that it is inefficient, leads to inequality and is inconsistent. He proposes that the values of these professionals can be tolerated privately but should not be determinant in the public sphere. These arguments are critically examined, mentioning pertinent answers from theoretical and practical points of view. We highlight that ethics should not differ in public and private spheres and the principles should be the same, but exercised in different fields. It is concluded that conscientious objection is acquiring legitimacy and that it is necessary to reflect on the underlying reasons that lead to invoke it. It should be considered a civilized resource against determinations of power that are considered to be an attempt against personal values and moral integrity.

¿Cómo se regula la objeción de conciencia?

Mapa Global de Objeción de Conciencia en aborto (Junio 2023)
15/06/2023
Español
Agustina Ramón Michel y Dana Repka
Mapa Global de Objeción de Conciencia en aborto (Agosto 2022)
04/08/2022
Español
Agustina Ramón Michel y Dana Repka

Ya está disponible la hoja informativa “Mapa global de normas de objeción de conciencia”, un trabajo en el que Agustina Ramón Michel y Dana Repka analizan las tendencias a nivel global en materia de Objeción de Conciencia (OC) en aborto.

El Mapa de Normas sobre Objeción de Conciencia en Aborto es un proyecto que cuenta con el apoyo de Ipas Latinoamérica y Caribe. Se trata de un mapa interactivo, online e inédito que releva, analiza y compara cómo los países regulan la OC en la atención del aborto.

¿Sabías que solo 5 países en todo el mundo prohíben la Objeción de Conciencia de manera explícita? Este y otros datos sobre OC en atención del aborto los encontrás en este trabajo.

Doc REDAAS N°17 – Global discussion on conscientious objection to abortion
01/05/2022
Inglés
Agustina Ramón Michel y Dana Repka

The first English version of the Global Map of Norms regarding Conscientious Objection was released on April 7. This is an online map that systematizes legal sources on Conscientious Objection (CO) to abortion from more than 180 countries and other administrative agencies worldwide, a research carried out by Agustina Ramón Michel and Dana Repka (CEDES). Social science scholars, health providers, lawyers and activists from Argentina, the United States, Italy, Mexico, South Africa, and FIGO experts on CO came together to discuss the topic. Space for main ideas, data, and discussions.

Doc REDAAS N°16 – Intercambio global sobre objeción de conciencia en aborto
01/05/2022
Español
Agustina Ramón Michel y Dana Repka

El 7 de abril se lanzó la primera versión en inglés del Global Map of Norms regarding Conscientious Objection, mapa online que sistematiza las fuentes legales en materia de Objeción de Conciencia (OC) en aborto de más de 180 países y otras dependencias administrativas del mundo, investigación llevada adelante por Agustina Ramón Michel y Dana Repka (CEDES). Se reunió a académicas de ciencias sociales, proveedores de salud, abogadas y activistas de Argentina, Estados Unidos, Italia, México y Sudáfrica, y de FIGO expertas en OC para conversar sobre el tema.

Conscientious objection: a barrier to care
19/10/2021
Inglés
FIGO

The right to sexual and reproductive health (SRH) is an essential part of the right to life, the right to health, the right to education and the right to equality and non-discrimination. Access to SRH services is a critical component of enabling women and girls to achieve the highest standards of health and wellbeing.

Tensions between ethics and the law: examination of a legal case by two midwives invoking a conscientious objection to abortion in Scotland
01/09/2015
Inglés
Valerie Fleming, Lucy Frith, y Beate Ramsayer

Tensions between ethics and the law: examination of a legal case by two midwives invoking a conscientious objection to abortion in Scotland.

Proposal to inform European institutions regarding the regulation of conscientious objection to abortion
01/07/2016
Inglés
Roberto Lertxundi, Oliver Ibarrondo, Gabriele S. Merki-Feld, Modesto ReyNovoa, Sam Rowlands y Javier Mar

Proposal to inform European institutions regarding the regulation of conscientious objection to abortion.

The European Journal of Contraception & Reproductive Health Care, 21(3), 198-200.

Conscientious objection to sexual and reproductive health services: international human rights standards and European law and practice
01/12/2012
Inglés
Christina Zampas y Ximena Andión-Ibañez

Conscientious objection to sexual and reproductive health services: international human rights standards and European law and practice.

European Journal of Health Law, 19(3), 231-256.

Negación de servicios por razones de conciencia: documento de posición
01/09/2012
Español
Ana Cristina González Vélez

Negación de servicios por razones de conciencia: documento de posición

Regulation of Conscientious Objection to Abortion
17/11/2017
Inglés
Wendy Chavkin, laurel Swerdlow y Jocelyn Fifield

Regulation of Conscientious Objection to Abortion
An International Comparative Multiple-Case Study

Since abortion laws were liberalized in Western Europe, conscientious objection (CO) to abortion has become increasingly contentious. We investigated the efficacy and acceptability of laws and policies that permit CO and ensure access to legal abortion services. This is a comparative multiple-case study, which triangulates multiple data sources, including interviews with key stakeholders from all sides of the debate in England, Italy, Norway, and Portugal. While the laws in all four countries have similarities, we found that implementation varied. In this sample, the ingredients that appear necessary for a functional health system that guarantees access to abortion while still permitting CO include clarity about who can object and to which components of care; ready access by mandating referral or establishing direct entry; and assurance of a functioning abortion service through direct provision or by contracting services. Social attitudes toward both objection and abortion, and the prevalence of CO, additionally influence the degree to which CO policies are effectively implemented in these cases. England, Norway, and Portugal illustrate that it is possible to accommodate individuals who object to providing abortion, while still assuring that women have access to legal health care services.

La objeción de conciencia institucional frente al derecho a la interrupción voluntaria del embarazo
15/02/2015
Español
Ana Bejarano Ricaurte y Mariana Castrellón Pérez.

Ana Bejarano Ricaurte y Mariana Castrellón Pérez. Grupo de derecho de interés público. Colección TEXTOS ÚTILES SERIE Documentos de Trabajo Documento de Trabajo 4. Bogotá Agosto de 2013.

El documento retoma los argumentos de la Corte Constitucional de Colombia sobre la inadmisibilidad de la objeción de conciencia institucional.

The highly complex issue of conscientious objection to abortion: can therecent European Court of Human Rights ruling Grimmark v. Sweden redefinethe notions of care before freedom of conscience?
06/04/2021
Inglés
Simona Zaami, Raffaella Rinaldi, y Gianluca Montanari Vergallo

Purpose: The article aims to elaborate on two recent European Court of Human Rights (ECtHR) decisions which have rejected, on grounds of non-admissibility, the appeals by two Swedish mid- wives who refused to carry out abortion-related services, basing their refusal on conscientious objection, and to expound upon the legal and ethical underpinnings and core standards applied to the framing process of such a ECtHR decision.
Materials and Methods: By drawing upon relevant recommendations from international institu- tions, the authors have aimed to assess how the ECtHR rationale could affect the balance between CO and patient rights; searches have been conducted up until December 2020.
Results: In both decisions the European Court has asserted that the right to exercise conscientious objection must give way to the protection of the right to health of women seeking to have an abortion.
Conclusions: ECtHR judges concluded that the failure to provide for a right to conscientious objection does not constitute, in fact, a violation of the more general right to freedom of thought, conscience and religion, if provided for by a state law to protect the right to health. The legal eth- ical and social ramifications of such a decision are of enormous magnitude.

Conscientious objection and duty to refer
18/10/2021
Inglés
Bernard M. Dickens

Medical associations and leading courts reinforce the duty of physicians who con- scientiously object to participating in treatment indicated for their patients to refer them to non-objecting practitioners. Ethical and legal duties require continuity of care when physicians withdraw from patients’ treatment on grounds of conscience. The duty to refer might affect gynecologists when their patients request for example, contraceptive means, sterilization, abortion, medically assisted reproductive proce- dures, or gender reassignment. Legislation and leading law courts, notably the UK Supreme Court and Constitutional Court of Colombia, and professional associations such as the College of Physicians and Surgeons of Ontario, have clarified the duty to refer. Physicians are expected to cater their individual conscience to their professional ethical and legal duties, favoring their patients’ choices over their personal objections. Physicians can object to “hands-on” conduct of procedures they find objectionable, but cannot deny referral on grounds of complicity in what other care providers do.

On conscientious objection to abortion: Questioning mandatory referral as compromise in the international human rights framework
07/09/2022
Inglés
Zoe L. Tonge

This article explores the approach of international human rights bodies to conscientious objection to abortion, by requiring states to implement mandatory referral mechanisms where conscientious objection is permitted. This, however, represents an inadequate compromise position as many objecting healthcare professionals also object to referral and circumvent those requirements. Furthermore, referral cannot address the broader issues with the overuse and misuse of conscientious objection provisions which obstructs access to abortion services. After considering the harms caused by conscientious objection and suggestions for alternative regulatory responses, this article proposes that the international human rights framework should aim to strike a contextual balance between freedom of conscience and ensuring access to abortion. This new approach should place clearer obligations on states to properly regulate conscientious objection, including obligations to address socio-cultural stereotypes around motherhood and the foetus, which result in widespread conscientious objection.

¿Qué pasa con la objeción en la práctica?

No queremos problemas»: motivos de la negación de servicios de interrupción legal del embarazo por objeción de conciencia en México y Bolivia
01/03/2021
Español
Andrea Küng, Jasmine Danette Wilkins, Fernanda Díaz de León, Freddy Huaraz y Erin Pearson

Antecedentes: El mal uso de la objeción de conciencia (OC) es una barrera importante para el acceso a los servicios de interrupción legal del embarazo en muchos países, especialmente en países en América Latina. Examinamos los motivos de la negación de servicios de aborto legal en México y Bolivia e identificamos maneras de mitigar el uso indebido de la OC.

Métodos: Realizamos 34 entrevistas a profundidad y 12 discusiones en grupo focal en dos estados de México y cuatro departamentos de Bolivia. Los resultados fueron codificados y categorizados utilizando un enfoque de análisis temático.

Resultados: La negación de servicios de aborto por OC está muy extendida en los establecimientos de salud en México y Bolivia y se emplea principalmente por razones distintas a las consideraciones morales, religiosas o éticas. Las principales razones para la negación de servicios por OC son la falta de conocimiento sobre las leyes relacionadas con el aborto y el temor a tener problemas jurídicos en la prestación de servicios de aborto. En cambio, la razón principal para proporcionar servicios es cumplir con las leyes pertinentes. Negar servicios por OC impacta negativamente a las personas embarazadas y a los equipos de atención médica, reduce las opciones

Conscientious objection of health care providers: lessons from the experience of the United States
01/10/2013
Inglés
Soledad Bertelsen

Conscientious objection of health care providers: lessons from the experience of the United States

Conscientious objection to abortion, the law and its implementation in Victoria, Australia: perspectives of abortion service providers
01/08/2019
Inglés
Louise Anne Keogh, Lynn Gillam, Marie Bismark, Kathleen McNamee, Amy Webster, Christine Bayly y Danielle Newton

Conscientious objection to abortion, the law and its implementation in Victoria, Australia: perspectives of abortion service providers.

Objeción de conciencia, trabas y aborto en caso de violación: un estudio entre médicos de Brasil
01/11/2014
Español
Debora Diniz, Alberto Madeiro y Cristião Rosas

Objeción de conciencia, trabas y aborto en caso de violación: un estudio entre médicos de Brasil.

Reproductive Health Matters, 22(43), 141-148.

Usos imprevistos y respuestas a la objeción de conciencia en el aborto legal
01/08/2019
Español
Agustina Ramón Michel y Sonia Ariza Navarrete

La objeción de conciencia (OC) es una figura jurídica excepcional. Es que, como principio general, el sistema jurídico demanda y aspira a la obediencia de las normas por todas las personas obligadas. La OC es este curioso caso donde el Estado permite a una persona exceptuarse de una obligación jurídica, debido a sus convicciones morales, siempre y cuando cumpla con los requisitos, procedimientos fijados y no dañe derechos de terceros. Surgió como una forma de proteger minorías religiosas o culturales, usualmente ignoradas por las previsiones de las leyes.
Es así que existe hoy una disonancia descomunal entre lo previsto por los textos y la práctica: la versión de la OC como acto reflexivo, sincero y humilde de una persona que hace parte de una minoría ha cedido frente a otros usos mucho más problemáticos y mucho menos éticos.

¿De qué está hecha la objeción?
01/03/2019
Español
Sonia Serna Botero, Roosbelinda Cárdenas y Nina Zamberlin

Este artículo examina el fenómeno de la objeción de conciencia (OC) a los servicios de aborto legal en Argentina, Uruguay y Colombia. Basado en relatos obtenidos a través de entrevistas, el análisis toma distancia de aquellos enfocados en diferenciar entre OC y barreras al servicio, o en identificar si las razones de objeción son verdaderas o válidas. Partiendo del hecho de que en muy pocos casos las/los objetoras/es están al tanto de las definiciones legales de la OC, se busca entender los significados que las/los entrevistadas/os le atribuyeron, y desde los cuales organizan su práctica médica, y justifican su negación a prestar servicios de aborto. En los tres países las/los entrevistadas/os se oponían principalmente a que fueran las mujeres quienes tomaran la decisión de qué embarazos interrumpir, y cómo y cuándo hacerlo. Los discursos contingentes a través de los cuales las/os médicas/os construyen las racionalidades de su OC están hechos, sobre todo, de un incuestionado apego al control de los cuerpos con capacidad de gestar; y de entendidos médico-sociales de las mujeres como inexorablemente madres, máquinas de reproducción o soportes vitales de fetos.

Conscientious objection and its impact on abortion service provision in South Africa: a qualitative study
17/11/2017
Inglés
Jane Harries, Diane Cooper, Anna Strebel y Christopher J Colvin

Despite abortion being legally available in South Africa after a change in legislation in 1996, barriers to accessing safe abortion services continue to exist. These barriers include provider opposition to abortion often on the grounds of religious or moral beliefs including the unregulated practice of conscientious objection. Few studies have explored how providers in South Africa make sense of, or understand, conscientious objection in terms of refusing to provide abortion care services and the consequent impact on abortion access.

Objeción de Conciencia: Una barrera para acceder a los servicios de aborto en América Latina
04/10/2017
Español
Ipas

Objeción de Conciencia: Una barrera para acceder a los servicios de aborto en América Latina, IPAS.

Conscientious Objection or Conscious Oppression?: The Uphill Battle to Access Abortion Services in Uruguay
16/09/2015
Inglés
Lucia Berro Pizzarossa

Lucia Berro Pizzarossa, “Conscientious Objection or Conscious Oppression?: The Uphill Battle to Access Abortion Services in Uruguay” (OxHRH, 11 September 2015) http://ohrh.law.ox.ac.uk/conscientious-objection-or-conscious-oppression-the-uphill-battle-to-access-abortion-services-in-uruguay (Visitado 15 de septiembre de 2015).

A narrative literature review of the impact of conscientious objection by health professionals on women’s access to abortion worldwide 2013–2021
07/02/2022
English
Jasmine Meredith Davis, Casey Michelle Haining y Louise Anne Keogh

Conscientious objection to provide abortion has been enshrined in laws and policies globally. Insufficient attention has been paid to the direct and indirect ways in which conscientious objection compromises women’s access to a lawful abortion. Using a systematic search strategy, this narrative literature review synthesises the literature exploring conscientious objection’s impact on women’s access to abortion in a range of countries. This narrative literature review builds on an extensive literature review published by Chavkin et al. (2013. Conscientious objection and refusal to provide reproductive healthcare: A white paper examining prevalence, health consequences, and policy responses. International Journal of Gynecology & Obstetrics, 123, S41–S56. https:// doi.org/10.1016/S0020-7292(13)60002-8). Searches were undertaken on the Medline (Ovid), Global Health, CINAHL, Scopus and Science Direct databases. Thirty six papers were included for thematic analysis. Conscientious objection to abortion was found to impact women’s access to abortion at three main levels: the practitioner level, the healthcare system level and the sociocultural environment level. Conscientious objection was found to impact access directly through attempts by health professionals to restrict access, and indirectly by exacerbating pre-existing barriers to access. Further research is required to better quantify the extent to which this impacts women and whether interventions are effective in reducing the barriers that conscientious objection creates and exacerbates.

Chilean Medical and Midwifery Faculty’s Views on Conscientious Objection for Abortion Services
14/10/2020
Inglés
Lidia Casas, Lori Freedman, Alejandra Ramm, Sara Correa, C. Finley Baba, y M. Antonia Biggs

CONTEXT: In 2017, Chile reformed its abortion law to allow the procedure under limited circumstances. Exploring the views of Chilean medical and midwifery faculty regarding abortion and the use of conscientious objection (CO) at the time of reform can inform how these topics are being taught to the country’s future health care providers.

METHODS: Between March and September 2017, 30 medical and midwifery school faculty from universities in Santiago, Chile were interviewed; 20 of the faculty taught at secular universities and 10 taught at religiously affiliated universities. Faculty perspectives on CO and abortion, the scope of CO, and teaching about CO and abortion were analyzed using a grounded theory approach.

RESULTS: Most faculty at secular and religiously affiliated universities supported the rights of clinicians to refuse to provide abortion care. Secular-university faculty generally thought that CO should be limited to specific providers and rejected the idea of institutional CO, whereas religious-university faculty strongly supported the use of CO by a broad range of providers and at the institutional level. Only secular-university faculty endorsed the idea that CO should be regulated so that it does not hinder access to abortion care.

CONCLUSIONS: The broader support for CO in abortion among religious-university faculty raises concerns about whether students are being taught their ethical responsibility to put the needs of their patients above their own.
Future research should monitor whether Chile’s CO regulations and practices are guaranteeing people’s access to abortion care.

International Perspectives on Sexual and Reproductive Health, 2020, 46(Suppl. 1):25–34; doi: https://doi.org/10.1363/46e0620

The impact of gynecologists’ conscientious objection on abortion access
08/03/2020
Inglés
Tommaso Autorino, Francesco Mattioli, Letizia Mencarini

Although abortion in Italy is free of charge and legal in a broad set of circumstances, 71% of
gynecologists are registered as conscientious objectors, i.e. they are exempted from performing
abortions for reasons of religious or moral beliefs. To assess whether this practice limits abortion
access, we analyze aggregate regional data on abortion and a dataset of over one million clinical
records of single interventions performed between 2002 and 2016. Results, from both cross-
regional panel data and microdata analysis, suggest that conscientious objection hampers abortion
access at the local level, being a significant driver of a woman’s decision of having an
abortion out of the region of residence and leading to longer waiting times to have one. Conscientious
objection appears to have a stronger impact on women living in lower-income regions
or experiencing other forms of economic disadvantage.

Abortion in South Africa: The Consequences of Conscientious Objection
19/04/2021
Inglés
Greta Bertolè

This article sheds light on the increasing rate of conscientious objection in the
healthcare sector. As many international actors suggest, safe abortion guarantees a
more comprehensive protection of women’s sexual and reproductive rights. In this
context, the refusal demonstrated by the health care workers prevents the benefits
correlated with the legalization of abortion from being realized, especially in the
developing countries. More specifically, this article investigates the role of conscientious
objection among the health personnel in South Africa. As supported by the literature,
the abortion reform in South Africa has been highly progressive. However, this
legislation has now been facing a number of legal challenges.

¿De qué está hecha la objeción? Relatos de objetores de conciencia a servicios de aborto legal en Argentina, Uruguay y Colombia
30/12/2019
Español
Sonia Serna Botero, Roobselina Cárdenas y Nina Zamberlin

Este artículo examina el fenómeno de la objeción de conciencia (OC) a los servicios de aborto legal en Argentina, Uruguay y Colombia. Basado en relatos obtenidos a través de entrevistas, el análisis toma distancia de aquellos enfocados en diferenciar entre OC y barre- ras al servicio, o en identificar si las razones de objeción son verdaderas o válidas. Partiendo del hecho de que en muy pocos casos las/los objetoras/es están al tanto de las definiciones legales de la OC, se busca entender los significados que las/los entrevistadas/os le atribuyeron, y desde los cuales organizan su práctica médica, y justifican su negación a prestar servicios de aborto. En los tres países las/los entrevistadas/os se oponían principalmente a que fueran las mujeres quienes tomaran la decisión de qué embarazos interrumpir, y cómo y cuándo hacerlo. Los discursos contingentes a través de los cuales las/os médicas/os construyen las racionalida- des de su OC están hechos, sobre todo, de un incuestionado apego al control de los cuerpos con capacidad de gestar; y de entendidos médico-sociales de las mujeres como inexorablemen- te madres, máquinas de reproducción o soportes vitales de fetos.

Proponé un recurso OC

Compartí la investigación, norma jurídica, sentencia o material audiovisual que conozcas sobre objeción de conciencia en nuestro repositorio.