Volume 46
Supplement pages 25 - 34
Focus on Abortion: Article

Chilean Medical and Midwifery Faculty’s Views on Conscientious Objection for Abortion Services

CONTEXT

In 2017, Chile reformed its abortion law to allow the procedure under limited circumstances. Exploring the views of Chilean medical and midwifery faculty regarding abortion and the use of conscientious objection (CO) at the time of reform can inform how these topics are being taught to the country’s future health care providers.

METHODS

Between March and September 2017, 30 medical and midwifery school faculty from universities in Santiago, Chile were interviewed; 20 of the faculty taught at secular universities and 10 taught at religiously affiliated universities. Faculty perspectives on CO and abortion, the scope of CO, and teaching about CO and abortion were analyzed using a grounded theory approach.

RESULTS

Most faculty at secular and religiously affiliated universities supported the rights of clinicians to refuse to provide abortion care. Secular-university faculty generally thought that CO should be limited to specific providers and rejected the idea of institutional CO, whereas religious-university faculty strongly supported the use of CO by a broad range of providers and at the institutional level. Only secular-university faculty endorsed the idea that CO should be regulated so that it does not hinder access to abortion care.

CONCLUSIONS

The broader support for CO in abortion among religious-university faculty raises concerns about whether students are being taught their ethical responsibility to put the needs of their patients above their own. Future research should monitor whether Chile’s CO regulations and practices are guaranteeing people’s access to abortion care.

Authors' Affiliations

Lidia Casas is director at Centro de Derechos Humanos, Facultad de Derecho, and Sara Correa is instructor and secretary of studies at Instituto de Investigación en Ciencias Sociales—both at Universidad Diego Portales, Santiago, Chile. C. Finley Baba is project manager, and Lori Freedman and M. Antonia Biggs are both associate professor—all at Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, Oakland, CA, USA. Alejandra Ramm is associate professor at Escuela de Sociología, Universidad de Valparaíso, Valparaíso, Chile.

Disclaimer
The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.

International Perspectives on Sexual and Reproductive Health