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首页> 外文期刊>Health policy and planning >Medical society engagement in contentious policy reform: the Ethiopian Society for Obstetricians and Gynecologists (ESOG) and Ethiopia’s 2005 reform of its Penal Code on abortion
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Medical society engagement in contentious policy reform: the Ethiopian Society for Obstetricians and Gynecologists (ESOG) and Ethiopia’s 2005 reform of its Penal Code on abortion

机译：医学社会参与有争议的政策改革：埃塞俄比亚产科医生和妇科和妇科和埃塞俄比亚2005年堕胎刑法改革

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Unsafe abortion is one of the three leading causes of maternal mortality in low-income countries; however, few countries have reformed their laws to permit safer, legal abortion, and professional medical associations have not tended to spearhead this type of reform. Support from a professional association typically carries more weight than does that from an individual medical professional. However, theory predicts and the empirical record largely reveals that medical associations shy from engagement in conflictual policymaking such as on abortion, except when professional autonomy or income is at stake. Using interviews with 10 obstetrician–gynaecologists and 44 other leaders familiar with Ethiopia’s reproductive health policy context, as well as other primary and secondary sources, this research examines why, counter to theoretical expectations from the sociology of medical professions literature and experience elsewhere, the Ethiopian Society of Obstetricians & Gynecologists (ESOG) actively supported reform of national law on abortion. ESOG leadership participation was motivated by both individual and ESOG’s organizational commitments to reducing maternal mortality and also by professional training and work experience. Further, typical constraints on medical society involvement in policymaking were relaxed or removed, including those related to ESOG’s organizational structure and history, and to political environment. Findings do not contradict theory positing medical society avoidance of socially conflictual health policymaking, but rather identify how the expected restrictions were less present in Ethiopia, facilitating medical society participation. Results can inform efforts to encourage medical society participation in policy reform to improve women’s health elsewhere in sub-Saharan Africa.
机译：不安全的堕胎是低收入国家孕产妇死亡率的三个主要原因之一;然而，很少有国家改革了他们的法律，以允许更安全，法律流产，专业的医疗协会并没有倾向于将这种改革的矛头倾向。来自专业协会的支持通常具有比来自个人医学专业人员更多的重量。然而，理论预测和经验记录在很大程度上揭示了医学协会害羞从堕胎中的冲突政策制定的参与，除非专业自治或收入有股份。使用与埃塞俄比亚生育健康政策背景的10名产科医生和44名其他领导人的面试，以及其他主要和中学来源，这项研究审查了为什么，对埃塞俄比亚其他地方的医学专业文学和体验的体验的理论期望的抵制妇产科医生和妇科学家（eSog）积极支持国家堕胎法律改革。 ESOG领导力参与受个人和esog组织承诺减少孕产妇死亡率以及专业培训和工作经验。此外，放宽或移除了对医学社会参与政策制定的典型限制，包括与esog组织结构和历史相关的那些，以及政治环境。结果并不是矛盾的理论避免对社会冲突的卫生政策制定的理论，而是确定如何在埃塞俄比亚的预期限制如何较低，促进医学会参与。结果可以为努力鼓励医疗社会参与政策改革，以改善撒哈拉以南非洲其他地方的妇女健康。

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