PubMed İndeksli Yayınlar Koleksiyonu

Permanent URI for this collectionhttps://gcris.khas.edu.tr/handle/20.500.12469/4466

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Citation Count: 3
Abortion services at hospitals in Istanbul
(Taylor & Francis Ltd, 2017) O'Neil, Mary Lou
Objective: Despite the existence of a liberal law on abortion in Turkey there is growing evidence that actually securing an abortion in Istanbul may prove difficult. This study aimed to determine whether or not state hospitals and private hospitals that accept state health insurance in Istanbul are providing abortion services and for what indications. Method: Between October and December 2015 a mystery patient telephone survey of 154 hospitals 43 public and 111 private in Istanbul was conducted. Results: 14% of the state hospitals in Istanbul perform abortions without restriction as to reason provided in the current law while 60% provide the service if there is a medical necessity. A quarter of state hospitals in Istanbul do not provide abortion services at all. 48.6% of private hospitals that accept the state health insurance also provide for abortion without restriction while 10% do not provide abortion services under any circumstances. Key conclusions: State and private hospitals in Istanbul are not providing abortion services to the full extent allowed under the law. The low numbers of state hospitals offering abortions without restriction indicates a de facto privatization of the service. This same trend is also visible in many private hospitals partnering with the state that do not provide abortion care. While many women may choose a private provider the lack of provision of abortion care at state hospitals and those private hospitals working with the state leaves women little option but to purchase these services from private providers at some times subtantial costs.
Citation Count: 19
The availability of abortion at state hospitals in Turkey: A national study
(Elsevier, 2017) O'Neil, Mary Lou
Introduction: Abortion in Turkey has been legal since 1983 and remains so today. Despite this in 2012 the Prime Minister declared that in his opinion abortion was murder. Since then there has been growing evidence that abortion access particularly in state hospitals is being restricted although no new legislation has been offered. Objectives: The study aimed to determine the number of state hospitals in Turkey that provide abortions. Study design: The study employed a telephone survey in 2015-2016 where 431 state hospitals were contacted and asked a set of questions by a mystery patient. If possible information was obtained directly from the obstetrics/gynecology department. I removed specialist hospitals from the data set and the remaining data were analyzed for frequency and cross-tabulations were performed. Results: Only 7.8% of state hospitals provide abortion services without regard to reason which is provided for by the current law while 78% provide abortions when there is a medical necessity. Of the 58 teaching and research hospitals in Turkey 9 (15.5%) provide abortion care without restriction to reason 38 (65.5%) will do the procedure if there is a medical necessity and 11 (11.4%) of these hospitals refuse to provide abortion services under any circumstances. There are two regions encompassing 1.5 million women of childbearing age where no state hospital provides for abortion without restriction as to reason. Conclusion: The vast majority of state hospitals only provide abortions in the narrow context of a medical necessity and thus are not implementing the law to its full extent. It is clear that although no new legislation restricting abortion has been enacted state hospitals are reducing the provision of abortion services without restriction as to reason. Implications: This is the only nationwide study to focus on abortion provision at state hospitals. (C) 2017 Elsevier Inc. All rights reserved.
Citation Count: 15
"It was as if society didn't want a woman to get an abortion": a qualitative study in Istanbul Turkey
(Elsevier Science Inc, 2017) MacFarlane, Katrina A.; O'Neil, Mary Lou; Tekdemir, Deniz; Foster, Angel M.
Introduction: In 1983 abortion without restriction as to reason was legalized in Turkey. However at an international conference in 2012 the Prime Minister condemned abortion and announced his intent to draft restrictive abortion legislation. As a result of public outcry and protests the law was not enacted but media reports suggest that barriers to abortion access have since worsened. Objectives: We aimed to conduct a qualitative study exploring women's recent abortion experiences in Istanbul Turkey. Study design: In 2015 we conducted 14 semi-structured in-depth interviews with women aged 18 or older who had obtained abortion care in Istanbul on/after January 1 2009. We employed a multimodal recruitment strategy and analyzed these interviews for content and themes using deductive and inductive techniques. Results: Women reported on a total of 19 abortions. Although abortion care is available in private facilities only one public hospital provides abortion services without restriction as to reason. Women who had multiple abortions in different facility types described quality of care more positively in the private sector. Unmarried women considered their marital status when making the decision to seek an abortion and reported challenges obtaining comprehensive sexual and reproductive health services. All participants were familiar with the Turkish government's antiabortion discourse and believed that this was reflective of an overarching desire to restrict women's rights. Conclusion: Public abortion services in Istanbul are currently limited and private abortion services are accessible but relatively expensive to obtain. Recent antiabortion political rhetoric appears to have negatively impacted access and service quality. Implications: This is the first qualitative study exploring women's experiences obtaining abortion services in Turkey since the proposed abortion restriction in 2012. Further research exploring the experiences of unmarried women and abortion accessibility in other regions of the country is warranted. (C) 2017 Elsevier Inc. All rights reserved.
Citation Count: 17
Politics Policies Pronatalism and Practice: Availability and Accessibility of Abortion and Reproductive Health Services in Turkey
(Taylor & Francis Ltd, 2016) MacFarlane, Katrina A.; O'Neil, Mary Lou; Tekdemir, Deniz; Cetin, Elvin; Bilgen, Baris; Foster, Angel M.
Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012 the government proposed to restrict abortion
Citation Count: 7
Women's Shelters in Turkey: A Qualitative Study on Shortcomings of Policy Making and Implementation
(Sage Publications Inc, 2013) Diner, Çağla; Toktaş, Şule
Despite a long history of women's movements and policy-making efforts to ameliorate women's status in Turkey, the number and quality of women's shelters are far from sufficient. This article aims to reveal the shortcomings of shelter policy through the lens of those "at work" on this important social issue using a qualitative research design. Forty semistructured in-depth interviews were conducted with municipal administrative officials, state social workers, and employees of civil society organizations that run shelters. The research findings reveal that there is a lack of effective authority that has the willpower to combat violence against women, and that it is difficult to keep shelters secure in a patriarchal society away from the male gaze. Furthermore, results indicate that there has been an erosion of social services provided by the state.

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