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Analysing the intersection between health emergencies and abortion during Zika in Brazil, El Salvador and Colombia

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Listed:
  • Wenham, Clare
  • Abagaro, Camila
  • Arévalo, Amaral
  • Coast, Ernestina
  • Corrêa, Sonia
  • Cuéllar, Katherine
  • Leone, Tiziana
  • Valongueiro, Sandra

Abstract

The Zika outbreak of 2015-7 is a lens to analyse the positioning of abortion within in global health security. The sequelae of the virus almost exclusively affected newborn children, manifested through Congenital Zika Syndrome (CZS), and a focus on women at risk of, planning or being pregnant. At the global level, debate considered whether Zika would provide impetus for regulatory change for reproductive rights in Latin America, a region with some of the most restrictive abortion regulation in the world. However, regulatory change for abortion did not occur. We analyse why the Zika health emergency did not lead to any changes in abortion regulation through multi-method analysis of the intersection between Zika, health emergencies and abortion in Brazil, Colombia and El Salvador. These case study countries were purposefully selected; each had Zika infected women (albeit with differing incidence) yet represent diverse regulatory environments for abortion. Our comparative research is multi-method: framework analysis of key informant interviews (n = 49); content analysis of women's enquiries to a medical abortion telemedicine provider; and, policy analysis of (inter)national-level Zika response and abortion policies. We consider this within literature on global health security, and the prioritisation of a particular approach to epidemic control. Within this securitized landscape, despite increased public debate about abortion regulatory change, no meaningful change occurred, due to a dominant epidemiological approach to the Zika health emergency in all three countries and prominent conservative forces in government and within anti-abortion rights movements. Simultaneously, we demonstrate that regulation did not deter all women from seeking such service clandestinely.

Suggested Citation

  • Wenham, Clare & Abagaro, Camila & Arévalo, Amaral & Coast, Ernestina & Corrêa, Sonia & Cuéllar, Katherine & Leone, Tiziana & Valongueiro, Sandra, 2021. "Analysing the intersection between health emergencies and abortion during Zika in Brazil, El Salvador and Colombia," Social Science & Medicine, Elsevier, vol. 270(C).
    • Handle: RePEc:eee:socmed:v:270:y:2021:i:c:s0277953621000034
    DOI: 10.1016/j.socscimed.2021.113671
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    1. Kelly, Ann H. & Lezaun, Javier & Löwy, Ilana & Matta, Gustavo Corrêa & de Oliveira Nogueira, Carolina & Rabello, Elaine Teixeira, 2020. "Uncertainty in times of medical emergency: Knowledge gaps and structural ignorance during the Brazilian Zika crisis," Social Science & Medicine, Elsevier, vol. 246(C).
    2. De Barros Miranda-Filho, D. & Martelli, C.M.T. & De Alencar Ximenes, R.A. & Araújo, T.V.B. & Rocha, M.A.W. & Ramos, R.C.F. & Dhalia, R. & De Oliveira Franca, R.F. & De Azevedo Marques Junior, E.T. & R, 2016. "Initial description of the presumed congenital Zika syndrome," American Journal of Public Health, American Public Health Association, vol. 106(4), pages 598-600.
    3. Sophie Harman, 2016. "Ebola, gender and conspicuously invisible women in global health governance," Third World Quarterly, Taylor & Francis Journals, vol. 37(3), pages 524-541, March.
    4. Nations, Marilyn K. & Misago, Chizuru & Fonseca, Walter & Correia, Luciano L. & Campbell, Oona M. R., 1997. "Women's hidden transcripts about abortion in Brazil," Social Science & Medicine, Elsevier, vol. 44(12), pages 1833-1845, June.
    5. Palmer, Jennifer J. & Storeng, Katerini T., 2016. "Building the nation's body: The contested role of abortion and family planning in post-war South Sudan," Social Science & Medicine, Elsevier, vol. 168(C), pages 84-92.
    6. Rasanathan, J.J.K. & MacCarthy, S. & Diniz, D. & Torreele, E. & Gruskin, S., 2017. "Engaging human rights in the response to the evolving zika virus epidemic," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 525-531.
    7. Letícia J. Marteleto & Abigail Weitzman & Raquel Zanatta Coutinho & Sandra Valongueiro Alves, 2017. "Women's Reproductive Intentions and Behaviors during the Zika Epidemic in Brazil," Population and Development Review, The Population Council, Inc., vol. 43(2), pages 199-227, June.
    8. Valente, P.K., 2017. "Zika & reproductive rights in Brazil: Challenge to the right to health," American Journal of Public Health, American Public Health Association, vol. 107(9), pages 1376-1380.
    9. Ribeiro, Barbara & Hartley, Sarah & Nerlich, Brigitte & Jaspal, Rusi, 2018. "Media coverage of the Zika crisis in Brazil: The construction of a ‘war’ frame that masked social and gender inequalities," Social Science & Medicine, Elsevier, vol. 200(C), pages 137-144.
    10. Chun Yang & James Price Dillard & Ruobing Li, 2018. "Understanding Fear of Zika: Personal, Interpersonal, and Media Influences," Risk Analysis, John Wiley & Sons, vol. 38(12), pages 2535-2545, December.
    11. repec:aph:ajpbhl:10.2105/ajph.2017.303924_9 is not listed on IDEAS
    12. Letícia J. Marteleto & Gilvan Guedes & Raquel Z. Coutinho & Abigail Weitzman, 2020. "Live Births and Fertility Amid the Zika Epidemic in Brazil," Demography, Springer;Population Association of America (PAA), vol. 57(3), pages 843-872, June.
    13. repec:aph:ajpbhl:10.2105/ajph.2017.303658_1 is not listed on IDEAS
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    1. Smith, Julia & Davies, Sara E. & Grépin, Karen A. & Harman, Sophie & Herten-Crabb, Asha & Murage, Alice & Morgan, Rosemary & Wenham, Clare, 2022. "Reconceptualizing successful pandemic preparedness and response: A feminist perspective," Social Science & Medicine, Elsevier, vol. 315(C).

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