Inequalities and restrictions to sexual and reproductive health and rights are endangering women, write Mercedes Colomar and Veronica Fiol In 1994, the International Conference on Population and Development established a groundbreaking framework recognising reproductive rights as human rights.1 This framework prioritised people and human rights in development—rather than population control. Thirty years on, stark inequalities in sexual and reproductive health and rights persist across national, regional, and global levels. Poor access and restrictions on abortion are contributing to maternal mortality in Latin America and the Caribbean. In many contexts, women have limited autonomy and decision making power over their health, exacerbating poor health outcomes. Unsafe abortion is a serious public health problem and poses a particular risk to women’s health—especially in countries where abortion is clandestine and often dangerous. The impact of unsafe abortion is particularly severe in young, impoverished, and less educated women. Studies on clandestine abortions in places where abortion is highly restricted show that women with higher incomes have a greater chance of accessing safer abortion methods than those with lower incomes.2 Legislative restrictions, inadequate …

中文翻译：

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缺乏人工流产护理对拉丁美洲妇女的健康构成威胁


梅赛德斯·科洛马尔 （Mercedes Colomar） 和维罗妮卡·菲奥尔 （Veronica Fiol） 写道，对性和生殖健康及权利的不平等和限制正在危及妇女。1994 年，国际人口与发展会议建立了一个开创性的框架，承认生殖权利是人权。该框架优先考虑发展中的人和人权，而不是人口控制。30 年过去了，性健康和生殖健康及权利方面的严重不平等在国家、区域和全球层面仍然存在。堕胎机会不足和对堕胎的限制是导致拉丁美洲和加勒比地区孕产妇死亡的原因。在许多情况下，女性对自身健康的自主权和决策权有限，加剧了不良的健康状况。不安全流产是一个严重的公共卫生问题，对妇女健康构成特别的风险，尤其是在流产是秘密且往往危险的国家。不安全流产的影响在年轻、贫困和受教育程度较低的妇女中尤其严重。对堕胎受到严格限制的地方的秘密堕胎研究表明，与低收入妇女相比，高收入妇女更有可能获得更安全的堕胎方法。