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My Rights, and My Right to Know
Lack of Access to Therapeutic Abortion in Peru
I.
Summary and Key Recommendations
II.
Methodology
III.
Background
Maternal
mortality and morbidity in Peru
Abortion
prevalence and conditions warranting therapeutic abortion
International
assistance
IV.
Illustrative Cases of Lack of Access and Its Consequences
Case
of M.L.
Case
of K.L.
Case
of L.C.
V.
Obstacles to Therapeutic Abortion
Vague
and restrictive laws and definitions
Absence
of protocols on therapeutic abortion
National-level
protocols
Hospital-level
protocols
Regional-level
protocols
Ad
hoc approval and referral procedures / lack of accountability
Fear
of prosecution or malpractice lawsuits
Cost
of abortion procedures and lack of social insurance coverage
Low
levels of awareness about exceptions to the criminalization of abortion
VI.
International Law Standards and Response of International Human Rights Officials
and Experts
Right
to life
Right
to health
Right
to non-discrimination
Right
to privacy; the right to decide on the number and spacing of children
Right
to information
Freedom
from cruel, inhuman, or degrading treatment
Purported
conflict of rights
VIII.
Recommendations
To
the Ministry of Health
To
regional health ministries and departments
To
the Ministry of Justice
To
the National Human Rights Ombudsman Office (DefensorÃa del Pueblo)
To
the Peruvian Congress
To
the Medical College of Peru
To
the US Agency for International Development
To
Other Bilateral Donors
To
the International Federation of Gynecology and Obstetrics
To
the Inter-American Commission on Human Rights
To
the United Nations Population Fund and other organizations within the UN
System, and the Pan American Health Organization
To
the UN Human Rights Council
IX.
Acknowledgements
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