Conscientious objection to abortion provision: Why context matters.
Conscientious objection to abortion - a clinician's refusal to perform abortions because of moral or religious beliefs - is a limited right, intended to protect clinicians' convictions while maintaining abortion access. This paper argues that conscientious objection policies and debates around the world generally do not take into account the social, political, and economic pressures that profoundly influence clinicians who must decide whether to claim objector status. Lack of clarity about abortion policies, high workload, low pay, and stigma towards abortion providers can discourage abortion provision. As the only legal way to refuse to provide abortions that are permitted by law, conscientious objection can become a safety valve for clinicians under pressure and may be claimed by clinicians who do not have moral or religious objections. Social factors including stigma also shape how stakeholders and policy-makers approach conscientious objection. To appropriately limit the scope of conscientious objection and make protection of conscience more meaningful, more information is needed about how conscientious objection is practised. Additionally, abortion trainings should include information about conscientious objection and its limits, reproductive rights, and creating an enabling environment for abortion provision. Policy-makers and all stakeholders should also focus on creating an enabling environment and reducing stigma.
a UC Berkeley - UCSF Joint Medical Program , UC Berkeley School of Public Health, University of California, Berkeley , Berkeley , CA , USA.
Laura Florence
0000-0002-0683-0617
LF
Harris
a UC Berkeley - UCSF Joint Medical Program , UC Berkeley School of Public Health, University of California, Berkeley , Berkeley , CA , USA.
Jodi
J
Halpern
b School of Public Health, University of California, Berkeley , Berkeley , CA , USA.
Ndola
N
Prata
c Department of Population and Family Health , Mailman School of Public Health, Columbia University , New York , NY , USA.|d Department of Obstetrics and Gynecology , College of Physicians and Surgeons, Columbia University , New York , NY , USA.
Wendy
W
Chavkin
e Ibis Reproductive Health , Oakland , CA , USA.
Caitlin
C
Gerdts
D000028:Abortion, Induced / Q000331:legislation & jurisprudence / Q000523:psychology*; D003242:Conscience; D005260:Female; D006282:Health Personnel / Q000331:legislation & jurisprudence / Q000523:psychology*; D006291:Health Policy; D006801:Humans; D011247:Pregnancy; D057545:Social Stigma
Abortion; conscience-based refusal; conscientious objection; enabling environment; stigma