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5. Introduction

Author

De Zordo, Silvia, primary, Mishtal, Joanna, additional, and Anton, Lorena, additional

Published
2022
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16. Restrictive points of entry into abortion care in Ireland: a qualitative study of expectations and experiences with the service

Author

Chakravarty, Dyuti, primary, Mishtal, Joanna, additional, Grimes, Lorraine, additional, Reeves, Karli, additional, Stifani, Bianca, additional, Duffy, Deirdre, additional, Murphy, Mark, additional, Favier, Mary, additional, Horgan, Patricia, additional, Chavkin, Wendy, additional, and Lavelanet, Antonella, additional

Published
2023
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18. Restrictive points of entry into abortion care in Ireland: a qualitative study of expectations and experiences with the service

Author

Chakravarty, Dyuti, Mishtal, Joanna, Grimes, Lorraine, Reeves, Karli, Stifani, Bianca, Duffy, Deirdre, Murphy, Mark, Favier, Mary, Horgan, Patricia, Chavkin, Wendy, and Lavelanet, Antonella

Abstract

This article focuses on access to early medical abortion care under Section 12 of the Health (Regulation of Termination of Pregnancy) Act 2018, in Ireland and identifies existing barriers resulting from gaps in current policy design. The article draws primarily on qualitative interviews with 24 service users, 20 primary healthcare providers in the community and 27 key informants, including from grassroots groups that work with women from different migrant communities, to examine service users' experiences accessing early medical abortions on request up to 12 weeks gestation. The interviews were part of a wider mixed-methods study from 2020-2021 examining the barriers and facilitators to the implementation of abortion policy in Ireland. Our findings highlight care seekers' experiences with the GP-led service provision, including delays, facing non-providers, the mandatory three-day waiting period, and oversubscribed women's health and family planning clinics. Our findings also highlight the compounding challenges for migrants and additional barriers posed by the geographical distribution of the service and the 12-week gestational limit. Finally, it focuses on the remaining challenges for racialised and other marginalised groups. In order to provide a "thick description" of women's lives and the complexity of their experiences with abortion services in Ireland, we also present two narrative vignettes of service users, and their experiences with delays and navigating the healthcare system as migrants. To this effect, this article applies a reproductive justice framework to the results to highlight the compounding effects of these barriers on people located along multiple axes of social inequality.

Published
2023

21. 'To be vigilant to leave no trace': secrecy, invisibility and abortion travel from the Republic of Ireland.

Author

Mishtal, Joanna, Zanini, Giulia, De Zordo, Silvia, Clougher, Derek, and Gerdts, Caitlin

Subjects
*ABORTION clinics, *PREGNANT women, *ABORTION, *INVISIBILITY, *IRISH people, *MEDICAL records
Abstract

Until 2018, abortion in the Republic of Ireland was banned in almost all circumstances under one of the most restrictive legal regimes in Europe. The main solution for Irish women and pregnant people seeking abortion services had been to pursue care abroad, typically in clinics in England. In this paper we focus on the hardships of waiting for abortion care experienced by Irish residents leading up to their travel for appointments in England in 2017 and 2018. Based on in-depth interviews with 53 Irish women collected at three British Pregnancy Advisory Services (BPAS) clinics in England we analyse women's experiences as they navigated an 'environment of secrecy' in Ireland. This included making specific secrecy efforts when navigating travel arrangements, conversations, movement, health records, and the travel itself. Despite the expansion of abortion access in Ireland in 2018, the need to travel abroad continues for many women. We argue that the continued need for secrecy when women have to travel abroad for care perpetuates this important phenomenon's invisibility. This argument also applies to other countries where abortion access is restricted, and women are forced to travel for care. We also caution against the presumption that all Irish residents are able to travel internationally for healthcare. [ABSTRACT FROM AUTHOR]

Published
2023
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36. French women’s experiences and opinions with in-country versus cross-border abortion travel: a mixed-methods paper

Author

Rahm, Laura, De Zordo, Silvia, Mishtal, Joanna, Zanini, Giulia, Garnsey, Camille, Clougher, Derek, and Gerdts, Caitlin

Abstract

ObjectivesThis is the first study contrasting the experience of women residing in France and travelling for abortion services inside and outside their country of residence. We compare travel reasons and costs as well as our study participants’ opinions of abortion legislation. The article documents legal and procedural barriers related to accessing local and timely abortions and provides policy recommendations to broaden care options.MethodsThe study is based on a mixed-methods research design. Quantitative data were descriptively analysed using Stata and drawn from 100 surveys with in-country abortion seekers collected from 3 Parisian hospitals, and 57 surveys with French residents seeking abortion care in the Netherlands (42), Spain (10) and the UK (5). Qualitative data were thematically analysed using ATLAS.ti and drawn from 36 interviews with French residents (23 in-country abortion seekers and 13 cross-border abortion travellers).FindingsGestational age (GA) limits were the key reason for cross-border travel, while lack of close-by, timely and good quality abortion care was the main driver for in-country abortion travel. Unlike in-country travellers, cross-border abortion seekers faced significant financial costs and burdens related to such travel. Partners, family members and service providers offered important support structures to both cross-border and in-country travellers.ConclusionsLegal time limits appeared to be the key driver for abortion-related travel of French residents. Having passed or being at risk of exceeding the GA limit caused women to travel outside their country or department of residence for abortion care.

Published
2023
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39. Repealing Ireland's Eighth Amendment: abortion rights and democracy today

Author

Drążkiewicz, Ela, primary, Strong, Thomas, additional, Scheper‐Hughes, Nancy, additional, Turpin, Hugh, additional, Saris, A Jamie, additional, Mishtal, Joanna, additional, Wulff, Helena, additional, French, Brigittine, additional, Garvey, Pauline, additional, Miller, Daniel, additional, Murphy, Fiona, additional, Maguire, Louise, additional, and Mhórdha, Máire Ní, additional

Published
2020
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