リプロな日記

中絶問題研究者~中絶ケア・カウンセラーの塚原久美のブログです

中絶後進国日本こそ活用すべき! WHOの新しい『安全な中絶』臨床ハンドブック

このところ,WHOは中絶医療の改善に力が入っているようです。またしても新しい臨床ハンドブック(2014年版)が出ました。次を参照してください。

Clinical practice handbook for Safe Abortion

この冊子の「指導原則」がいいので,引用しておきます。後で時間があったら訳しておきますね。

Guiding principles
Providers should be aware of local laws and reporting requirements. Within the framework of national laws, all norms, standards, and clinical practice related to abortion should promote and protect:

  • women’s and adolescents’ health and their human rights;
  • informed and voluntary decision-making;
  • autonomy in decision-making;
  • non-discrimination;
  • confidentiality and privacy.

Some practical examples of how providers can apply these principles include:

  • treating all women equally regardless of age, ethnicity, socioeconomic or marital status, etc., in a prompt and timely fashion;
  • ensuring that abortion care is delivered in a manner that respects all women as decision-makers;
  • providing complete, accurate and easy to understand information;
  • respecting the dignity of the woman, guaranteeing her privacy and confidentiality;
  • being sensitive to the needs and perspectives of the woman;
  • protecting medical information against unauthorized disclosures;
  • being aware of situations in which a woman may be coerced into having an abortion against her will (e.g. based on her health status, such as living with HIV);
  • when dealing with adolescents, encouraging parents’ engagement through support, information and education. Do not insist on parents’ authorization, unless it is a legal requirement.