The availability of abortion at state hospitals in Turkey: A national study

dc.contributor.authorO'Neil, Mary Lou
dc.date.accessioned2019-06-27T08:01:24Z
dc.date.available2019-06-27T08:01:24Z
dc.date.issued2017
dc.departmentFakülteler, İktisadi, İdari ve Sosyal Bilimler Fakültesi, Siyaset Bilimi ve Kamu Yönetimi Bölümüen_US
dc.description.abstractIntroduction: 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.en_US]
dc.identifier.citation19
dc.identifier.doi10.1016/j.contraception.2016.09.009en_US
dc.identifier.endpage153
dc.identifier.issn0010-7824en_US
dc.identifier.issn1879-0518en_US
dc.identifier.issn0010-7824
dc.identifier.issn1879-0518
dc.identifier.issue2
dc.identifier.pmid27634450en_US
dc.identifier.scopus2-s2.0-85009179199en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage148en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/368
dc.identifier.urihttps://doi.org/10.1016/j.contraception.2016.09.009
dc.identifier.volume95en_US
dc.identifier.wosWOS:000392895300005en_US
dc.identifier.wosqualityQ2
dc.institutionauthorO'Neil, Mary Louen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.journalContraceptionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAbortionen_US
dc.subjectTurkeyen_US
dc.subjectState hospitalsen_US
dc.subjectAccessen_US
dc.titleThe availability of abortion at state hospitals in Turkey: A national studyen_US
dc.typeArticleen_US
dspace.entity.typePublication

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