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      Tensiones entre lo (i)legal y lo (i)legítimo en las prácticas de profesionales de la salud frente a mujeres en situación de aborto Translated title: Tensions between the (il)legal and the (il)legitimate in professional health practices regarding women who seek abortion

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          Abstract

          RESUMEN La implementación de una estrategia sanitaria de atención pre y post aborto adoptada a partir del año 2004 en Uruguay, en un escenario legal restrictivo previo a su despenalización en 2012, abrió una ventana de oportunidad para vincular a las mujeres en situación de embarazo no deseado y aborto con los servicios de salud con el objetivo de disminuir su práctica insegura. En este contexto, este artículo busca indagar cuáles son y cómo operan las tensiones generadas por el cambio de un enfoque materno-infantil hacia otro centrado en la salud y los derechos sexuales y reproductivos. A través de entrevistas semiestructuradas y grupos focales, se analizan las prácticas de los/as profesionales y sus esquemas de percepción y apreciaciones, en la atención a mujeres en situación de embarazo no deseado y aborto en los servicios del Sistema Nacional Integrado de Salud (SNIS) en Montevideo. Los resultados obtenidos brindan insumos para analizar algunas de las barreras y dificultades que se pueden observar actualmente en la implementación de la nueva ley.

          Translated abstract

          ABSTRACT The implementation of a pre- and post-abortion health care strategy, adopted in 2004 in Uruguay within a restrictive legal context prior to the decriminalization of abortion in 2012, opened a window of opportunity to link women facing unwanted pregnancies and abortion to health services in order to prevent unsafe abortion practices. This article looks into the tensions generated by the change of focus from maternal-child health to health and sexual and reproductive rights, and how those tensions operate. Using semi-structured interviews and focus groups, the practices and perception and assessment frameworks of professionals in their care of women facing unwanted pregnancy and abortion in the National Integrated Health System in Montevideo are analyzed. The results offer insights into some of the barriers and difficulties that can currently be observed in the implementation of the new law.

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                Author and article information

                Contributors
                Role: ND
                Journal
                scol
                Salud Colectiva
                Salud Colectiva
                Universidad Nacional de Lanús
                1851-8265
                March 2016
                : 12
                : 1
                : 23-39
                Affiliations
                [1 ] Universidad de la República Uruguay
                Article
                S1851-82652016000100023
                10.18294/sc.2016.857
                60141630-d8de-4826-8b09-3a58c555c912

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                SciELO Public Health

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1851-8265&lng=en
                Categories
                Health Policy & Services

                Public health
                Salud Pública,Derechos Reproductivos,Servicios de Salud,Aborto Inducido,Aborto Ilegal,Uruguay.,Public Health,Reproductive Rights,Health Services,Induced Abortion,Illegal Abortion,Uruguay

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