Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno
Background: There are legal regulations about sexual and reproductive rights of adolescents. However, this legal framework (LF) may have contradictory elements: there are laws assuring confidentiality and access to contraception at any age but there are other laws that consider any sexual contact wi...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2016
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oai:scielo:S0034-988720160005000042016-08-31Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chilenoLeal,IngridLuttges,CarolinaTroncoso,PaulinaLeyton,CarolinaMolina,TemistoclesEguiguren,Pamela Legislation Legislation, medical Pregnancy in Adolescence Reproductive Rights Background: There are legal regulations about sexual and reproductive rights of adolescents. However, this legal framework (LF) may have contradictory elements: there are laws assuring confidentiality and access to contraception at any age but there are other laws that consider any sexual contact with an adolescent younger than 14 a sexual assault, whose report to the legal authorities in mandatory. Aim: To explore the knowledge and clinical practice of primary health care (PHC) providers regarding prevention of teenage pregnancy. Material and Methods: Qualitative study collecting data using semi-structured interviews made to midwives and directors of PHC centers. Analysis of the data was based on Grounded Theory. Results: There is a differentiated clinical care for pregnancy prevention among adolescents if they are over 14 years old. This is due to the LF, specifically to the sexual crimes law (19,927) and the law about regulation of the fertility (20,418). The differences affect health care, access and counseling about contraception and confidentiality. Healthcare of teenagers under the age of 14 is perceived as problematic for providers, due to the possible legal implications. Conclusions: The LF causes insecurity on health care providers and derives in a differentiated clinical approach according to the patient´s age. This is a barrier to provide timely and confidential access to counseling and contraception.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.5 20162016-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000500004es10.4067/S0034-98872016000500004 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Legislation Legislation, medical Pregnancy in Adolescence Reproductive Rights |
| spellingShingle |
Legislation Legislation, medical Pregnancy in Adolescence Reproductive Rights Leal,Ingrid Luttges,Carolina Troncoso,Paulina Leyton,Carolina Molina,Temistocles Eguiguren,Pamela Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| description |
Background: There are legal regulations about sexual and reproductive rights of adolescents. However, this legal framework (LF) may have contradictory elements: there are laws assuring confidentiality and access to contraception at any age but there are other laws that consider any sexual contact with an adolescent younger than 14 a sexual assault, whose report to the legal authorities in mandatory. Aim: To explore the knowledge and clinical practice of primary health care (PHC) providers regarding prevention of teenage pregnancy. Material and Methods: Qualitative study collecting data using semi-structured interviews made to midwives and directors of PHC centers. Analysis of the data was based on Grounded Theory. Results: There is a differentiated clinical care for pregnancy prevention among adolescents if they are over 14 years old. This is due to the LF, specifically to the sexual crimes law (19,927) and the law about regulation of the fertility (20,418). The differences affect health care, access and counseling about contraception and confidentiality. Healthcare of teenagers under the age of 14 is perceived as problematic for providers, due to the possible legal implications. Conclusions: The LF causes insecurity on health care providers and derives in a differentiated clinical approach according to the patient´s age. This is a barrier to provide timely and confidential access to counseling and contraception. |
| author |
Leal,Ingrid Luttges,Carolina Troncoso,Paulina Leyton,Carolina Molina,Temistocles Eguiguren,Pamela |
| author_facet |
Leal,Ingrid Luttges,Carolina Troncoso,Paulina Leyton,Carolina Molina,Temistocles Eguiguren,Pamela |
| author_sort |
Leal,Ingrid |
| title |
Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| title_short |
Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| title_full |
Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| title_fullStr |
Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| title_full_unstemmed |
Conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| title_sort |
conocimientos y práctica clínica de los proveedores de salud para la prevención del embarazo adolescente según marco legal chileno |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2016 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000500004 |
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