Abstract：
To provide insights into the challenges faced by women seeking abortion services in Melilla, Spain. It seeks to describe the journey these women undertake and to identify and analyze the barriers they encounter in accessing abortion care.
A qualitative research approach was employed, involving a series of eight semi-structured interviews during 2022. Three interviews were conducted with national experts in the field of abortion, while five interviews were conducted with healthcare professionals from the Melilla Health Area who are directly involved in providing abortion services and supporting women throughout the process. The study was guided by a theoretical framework that focuses on barriers to abortion access and sexual and reproductive rights. The collected data was analyzed using content analysis and categorized based on key dimensions of the study.
The study identified several significant barriers to abortion care access in Melilla. These include conscientious objection among healthcare providers, the geographical remoteness of Melilla, the legal challenges faced by Moroccan women due to their irregular status, and the requirement of parental consent for minors aged 16 and 17. Consequently, women seeking abortion services are forced to travel to mainland Spain, continue with undesired pregnancies, or resort to unsafe clandestine abortions in Morocco, thereby endangering their lives in the worst cases.
The barriers to abortion access identified in this study represent a violation of women\'s reproductive rights in Melilla. Urgent action is required to review the current process, ensuring that access is improved and the right to safe abortion is guaranteed for all women residing in Melilla.
A qualitative research approach was employed, involving a series of eight semi-structured interviews during 2022. Three interviews were conducted with national experts in the field of abortion, while five interviews were conducted with healthcare professionals from the Melilla Health Area who are directly involved in providing abortion services and supporting women throughout the process. The study was guided by a theoretical framework that focuses on barriers to abortion access and sexual and reproductive rights. The collected data was analyzed using content analysis and categorized based on key dimensions of the study.
The study identified several significant barriers to abortion care access in Melilla. These include conscientious objection among healthcare providers, the geographical remoteness of Melilla, the legal challenges faced by Moroccan women due to their irregular status, and the requirement of parental consent for minors aged 16 and 17. Consequently, women seeking abortion services are forced to travel to mainland Spain, continue with undesired pregnancies, or resort to unsafe clandestine abortions in Morocco, thereby endangering their lives in the worst cases.
The barriers to abortion access identified in this study represent a violation of women\'s reproductive rights in Melilla. Urgent action is required to review the current process, ensuring that access is improved and the right to safe abortion is guaranteed for all women residing in Melilla.
摘要：
目标：为了解梅利利亚寻求堕胎服务的妇女所面临的挑战，西班牙。它试图描述这些妇女的旅程，并确定和分析她们在获得堕胎护理方面遇到的障碍。
方法：采用定性研究方法，在2022年期间，涉及一系列八次半结构化采访。与堕胎领域的国家专家进行了三次访谈，与梅利利亚保健区的医疗保健专业人员进行了五次访谈，他们直接参与提供堕胎服务并在整个过程中为妇女提供支持。这项研究以一个理论框架为指导，该框架侧重于堕胎及性权利和生殖权利的障碍。使用内容分析对收集的数据进行分析，并根据研究的关键维度进行分类。
结果：该研究确定了梅利利亚获得堕胎护理的几个重要障碍。这些包括医疗保健提供者的出于良心拒服兵役，梅利利亚的地理偏远，摩洛哥妇女因其身份不正常而面临的法律挑战，以及对16岁和17岁未成年人的父母同意的要求。因此,寻求堕胎服务的妇女被迫前往西班牙大陆，继续意外怀孕，或者在摩洛哥采取不安全的秘密堕胎，从而在最坏的情况下危及他们的生命。
结论：本研究中发现的堕胎障碍是对梅利利亚妇女生殖权利的侵犯。需要采取紧急行动审查当前进程，确保所有居住在梅利利亚的妇女获得更多的机会，并保证安全堕胎的权利。
方法：采用定性研究方法，在2022年期间，涉及一系列八次半结构化采访。与堕胎领域的国家专家进行了三次访谈，与梅利利亚保健区的医疗保健专业人员进行了五次访谈，他们直接参与提供堕胎服务并在整个过程中为妇女提供支持。这项研究以一个理论框架为指导，该框架侧重于堕胎及性权利和生殖权利的障碍。使用内容分析对收集的数据进行分析，并根据研究的关键维度进行分类。
结果：该研究确定了梅利利亚获得堕胎护理的几个重要障碍。这些包括医疗保健提供者的出于良心拒服兵役，梅利利亚的地理偏远，摩洛哥妇女因其身份不正常而面临的法律挑战，以及对16岁和17岁未成年人的父母同意的要求。因此,寻求堕胎服务的妇女被迫前往西班牙大陆，继续意外怀孕，或者在摩洛哥采取不安全的秘密堕胎，从而在最坏的情况下危及他们的生命。
结论：本研究中发现的堕胎障碍是对梅利利亚妇女生殖权利的侵犯。需要采取紧急行动审查当前进程，确保所有居住在梅利利亚的妇女获得更多的机会，并保证安全堕胎的权利。
