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South Africa’s progressive Choice on Termination of Pregnancy Act (No. 92 of 1996), which permits abortion at the request of a pregnant person in the first trimester, was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor. Accessing abortion services in rural areas under conditions of liberal abortion legislation is neither straightforward nor simple. As the South African example shows, the liberalisation of abortion legislation was the first step in granting pregnant persons access to abortion care. Despite this and some progress in implementation, many challenges persist resulting in a lack of services, especially in areas where distances and transport costs are a factor. Drawing on the findings of a study conducted in three rural districts of the Eastern Cape, the authors highlight the complexities involved in understanding problematic or unwanted pregnancies and abortion legislation within these communities; the reported barriers to, and facilitators of, access to abortion services among rural populations; and preferences for types of abortion services. A key finding is the conundrum of costs versus confidentiality: lack of confidentiality involves additional costs to access services outside the area; high costs mean that confidentiality may have to be foregone, which leads to stigma. The authors place the findings within a reparative reproductive justice framework and present a comprehensive set of recommendations. Abortion Services and Reproductive Justice in Rural South Africa is an insightful and informative resource – the first of its kind –for scholars in health and sociology, health anthropology, health psychology, health sociology and social work, reproductive health policy makers, national planners, health facility managers and providers, and activists.
This handbook highlights the growing tensions surrounding the current dominant ethical clearance model which is increasingly being questioned, particularly in critical research. It draws on stories from the field in critical research conducted in a range of contexts and countries and on an array of topics. The authors involved in this collection encountered dilemmas, contradictions and surprises that brought about a change in their understanding of ethics. Throughout the book they discuss how ethics is an ongoing and situated struggle that requires researchers, at times, to traverse traditional ethical imperatives. Four sections lead readers through the complexities of grounded ethical practice: encountering systems, including Ethics Committees and institutions; blurring boundaries within research; the politics of voice, anonymity and confidentiality; and power relations in researching 'down', 'up', and 'alongside'. This handbook is a resource for social science researchers using critical methodologies across a range of disciplines, as well as for students and teachers of ethics, in navigating the quandaries of 'doing good' while doing good research.
This handbook highlights the growing tensions surrounding the current dominant ethical clearance model which is increasingly being questioned, particularly in critical research. It draws on stories from the field in critical research conducted in a range of contexts and countries and on an array of topics. The authors involved in this collection encountered dilemmas, contradictions and surprises that brought about a change in their understanding of ethics. Throughout the book they discuss how ethics is an ongoing and situated struggle that requires researchers, at times, to traverse traditional ethical imperatives. Four sections lead readers through the complexities of grounded ethical practice: encountering systems, including Ethics Committees and institutions; blurring boundaries within research; the politics of voice, anonymity and confidentiality; and power relations in researching 'down', 'up', and 'alongside'. This handbook is a resource for social science researchers using critical methodologies across a range of disciplines, as well as for students and teachers of ethics, in navigating the quandaries of 'doing good' while doing good research.
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