Abortion In Indonesia Research Articles

Selective Abortion After Preimplantation Sex Selection: An Ethical and Legal Issue in Indonesia

Background: The emerging of sex selection technology in Indonesia is sperm sorting, meanwhile sex selection with Preimplantation Genetic Diagnosis (PGD) methods is not widely used. The use of sperm sorting has bigger chance to fail than PGD, thus potentially cause ethical and legal problems that is selective abortion during pregnancy. The potency for selective abortion is enlarged by Indonesian law that permitting sex selection without distinction of medical and non-medical reasons. There is no special policy to regulate the selective abortion because of sex selection failure. Aims: This study aims to find out the legal concept of selective abortion after preimplantation sex selection that appropriate to be applied in Indonesia.Methods: This research is normative research that use analytics method with legal approach and conceptual approach. The research material consists of primary legal material (legislation about sex selection and abortion in Indonesia), secondary legal materials (legal journals, law books, and legal proceedings), and also non-legal materials (journals, books, and health proceedings about sex selection and abortion).Results: In Indonesia meanwhile in general, abortion is permitted for pregnancy with medical indication and rape victim. Through a statue approach in Indonesia, selective abortion after preimplantation sex selection can be implemented for strong medical reasons. While the failure for non-medical reasons can’t be aborted. This regulation contrary with ethics, morals and religion. Selective abortion should not be done because of preimplantation sex selection failure either medical or non-medical reasons. Conclusion: Selective abortion after preimplantation sex selection both medical and non medical reason contrary with moral, ethical, and religion. Indonesia needs to regulate further policy about selective abortion if there is a failure of preimplantation sex selection.

Need for Telemedical Abortion Services in Indonesia and Malaysia: Study on Women on Web

<p>The law restricting abortion in Indonesia and Malaysia doesn’t prevent any abortion, but instead, it forces women to take the health and life risk by using an unsaved abortion method. However, medical abortion in women’s residence by using mifepristone and misoprostol is very safe and effective, as mentioned in a research done by the WHO (2012). The research analyzes the figure of needs of Women on the Web service in 2015. Women on Web portal is visited by 355,004 visitors from Indonesia and 33,781 from Malaysia in 2015. As much as 1.989 women from Indonesia and 1.109 from Malaysia contacted the helpdesk of Women on Web. The figures show that there is a big need of information and access to safe medical abortion in Indonesia and Malaysia.</p>

Critical Discourse Analysis of Abortion Article on Law on Health and Government Regulation of Reproductive Health

<p>Abortion in Indonesia is a prohibited act, as regulated in Law no. 36 of 2009 on Health and Government Regulation no. 23 of 2014 on Reproductive Health. However, in that provision there are exceptions based on medical emergency indications and pregnancy due to rape. By using critical discourse analysis from Fairclough, this research attempts to dismantle social irregularities related to the prohibition of abortion on both rules. The results of the analysis show that exceptions to the ban on abortion are not really in favor of women. Therefore, fundamental changes related to the paradigm of rights and reproductive health and the paradigm of abortion are needed.</p>

Mobile health innovations for improved access to safe abortion in Indonesia

Objectives: In recent years mobile phones have rapidly evolved as tools for health promotion and disease prevention in low-resource settings. While mobile health (mHealth) projects have successfully demonstrated improvements in sexual and reproductive health outcomes to date no full-scale mHealth project exists for improving information access or outcomes for abortion. This study aims to facilitate the development of a prototype mHealth smartphone application to provide information about and increase access to safe abortion in Indonesia. Methods: Between October 2013 and January 2014 15 in-depth interviews were conducted in collaboration with a safe abortion hotline among Indonesian women aged 18 or older who had safely self-induced abortion using misoprostol. Interviews explored four areas of interest: information needs about safe abortion including questions or concerns about misoprostol; individual mobile phone access and use patterns; comfort and literacy with mobile technologies; and desirable features of a safe abortion mHealth smartphone application. IRB approval was granted by the UCSF committee on human research. Results: Preliminary results suggest that a smartphone application providing information about safe abortion would be desirable for women in Indonesia. Suggested features include instructions on protocol and administration of misoprostol for abortion photographs and warnings about counterfeit misoprostol reminders to take pills information about normal side effects information about when to seek care and geocoded maps for local health facilities. Conclusions: Given the proliferation of smartphone use in Indonesia and elsewhere there is great promise for mobile technology to empower women seeking abortion with accurate information about and improved access to safe medical abortion. Copyright © 2014 Elsevier Inc. All rights reserved.

Can policy analysis theories predict and inform policy change? Reflections on the battle for legal abortion in Indonesia

The relevance and importance of research for understanding policy processes and influencing policies has been much debated, but studies on the effectiveness of policy theories for predicting and informing opportunities for policy change (i.e. prospective policy analysis) are rare.The case study presented in this paper is drawn from a policy analysis of a contemporary process of policy debate on legalization of abortion in Indonesia, which was in flux at the time of the research and provided a unique opportunity for prospective analysis. Applying a combination of policy analysis theories, this case study provides an analysis of processes, power and relationships between actors involved in the amendment of the Health Law in Indonesia. It uses a series of practical stakeholder mapping tools to identify power relations between key actors and what strategic approaches should be employed to manage these to enhance the possibility of policy change.The findings show how the moves to legalize abortion have been supported or constrained according to the balance of political and religious powers operating in a macro-political context defined increasingly by a polarized Islamic-authoritarian—Western-liberal agenda. The issue of reproductive health constituted a battlefield where these two ideologies met and the debate on the current health law amendment became a contest, which still continues, for the larger future of Indonesia. The findings confirm the utility of policy analysis theories and stakeholder mapping tools for predicting the likelihood of policy change and informing the strategic approaches for achieving such change. They also highlight opportunities and dilemmas in prospective policy analysis and raise questions about whether research on policy processes and actors can or should be used to inform, or even influence, policies in ‘real-time’.

Abortion Policy in Indonesia: Rights, Law and Religious Perspectives

Abortion became major issue in Indonesia. There are a lot of controversies behind the policy of abortion, but generally there are two poles of perspectives, pro-choice and pro-life. This paper tries to see abortion from different way and discuss macro-perspective of abortion from religious and legal perspectives as well as provides micro-analysis from individual perspectives to find the reasons why the women need to do abortion. With concerning to local and rights perspectives, this paper attempts to provide alternative or third perspective of abortion in Indonesia and provide alternative policy recommendation for this issue.

LEGALISASI ABORSI DI INDONESIA PERSPEKTIF PERBANDINGAN HUKUM PIDANA: ANTARA COMMON LAW SYSTEM DAN CIVIL LAW SYSTEM

The purpose of this article is to discuss ius constituendum on abortion in Indonesia from criminal law perspective between Common Law System and Civil Law System. Ius constituendum on abortion in Indonesia is not directed to legalization of abortion as carried out both in The Netherlands and USA but tends to be harmonized with therapeutic abortion concept both in medical and psychiatric fields. Such a harmonization would result in the enlargement of exception in carrying out abortion not only limited on ‘for saving mother’s life based on medical indication’ but also for other reasons such as ‘pregnancy because of rape and incest’, ‘mother experiencing huge mental disorder’ and ’the fetus experiencing huge physical destruction’.Key words : abortion, criminal law, common law system, civil law system

Policy Analysis of Abortion in Indonesia: The Dynamic of State Power, Human Need and Women's Right

Policy Analysis of Abortion in Indonesia: The Dynamic of State Power, Human Need and Women's Right

Induced Abortion in Indonesia

Induced abortion is one of the most difficult sociomedical problems facing the Indonesian government. While well-known in traditional society, the practice was discouraged by all Indonesian religious groups, and forbidden by the Dutch colonial authorities. Although abortion was technically illegal under the criminal code, a judicial interpretation in the early 1970s permitted medical professionals to offer the procedure so long as they were discreet and careful. The numbers of medical abortions carried out in Indonesia rose dramatically, and there was evidence of matching declines in the incidence of morbidity and mortality caused by dangerous illegal procedures. Medical and community groups campaigned for a more liberal abortion law to protect legal practitioners and stamp out illegal traditional practices. Their efforts appeared to bear fruit in the draft Health Law, but when the law was passed by the legislature in late 1992, the issue was again clouded by contradictions and inconsistencies.

The attitudes of health providers towards abortion in Indonesia

The attitudes of health providers towards abortion in Indonesia

Commentary on menstruai regulation as a health service: challenges in Indonesia

In the 1800s Indonesia enacted laws forbidding the performance of abortions. These laws are still in force. Furthermore the Criminal Law of Netherlands Indies of 1918 makes induced abortion a criminal act. In 1973 the teaching hospital of the University of Indonesia began a menstrual regulation project. Qualified physicians can perform menstrual regulation. Despite changes in legal attitudes peoples attitudes do not change as fast. Many do not want to receive this new health service. Information from the 1970s on the frequency of abortions in hospitals and maternity clinics/hospitals in metropolitan Jakarta is cited. One of the larger studies is of 18 hospitals (85.7% of all hospitals in metropolitan Jakarta) and 22 maternity clinics or maternity hospitals in metropolitan Jakarta during 1972-75. Abortions rose while births remained constant. Estimations indicate that perhaps 25-60% of such abortions are induced. Research at the Dr. Cipto Mangunkusumo Hospital Jakarta using randomized response found premeditated abortion among 32.7% of the women admitted for all abortion types. A study of 1187 pregnant women who come to the Center for Maternal and Child Welfare in Surabaya found that the number of unwanted pregnancies rose with the number of living children. Several factors contribute to the high numbers of illegal abortion in Indonesia. These include the fact that abortion is not acceptable to many for religious or cultural reasons. Also many girls marry at too young an age or become sexually active before marriage. Health providers discourage women who seek help for unwanted pregnancies. Society regards abortion as taboo. Professional health services within easy financial reach should be provided. It should have clear legal standing. The procedure should be performed at an early gestational age. (Within 14 days after a missed period or at most within the 1st trimester.) Women must have information about this.

Contraceptive practice after women have undergone "spontaneous" abortion in Indonesia and Sudan.

Studies of hospitalized "spontaneous" abortion patients in two Muslim countries (Indonesia and Sudan) revealed the need for contraception in this group of married women and indicated the potential role of maternity hospitals in providing them with contraceptive counseling. It could not be determined which of the abortions were induced outside the hospital and which were truly spontaneous. Of the 893 women treated at the Djakarta Hospital, 15.3% used contraceptives during the month of conception of the index abortion, compared to 10.0% of the 2 759 patients in Khartoum. After hospitalization for completion of the abortion, the rates of contraceptive use increased by more than one third in both cities. The highest rates of increase in contraceptive use after abortion were noted among poorly educated women, women with large families, and women with abortions diagnosed as septic. Among the nonseptic patients at all hospitals, those experiencing complications associated with the abortion reported a slightly higher rate of postabortion contraceptive use. In hospitals where contraceptive counseling was provided, there was a proportional increase in postabortion use of contraceptives by the study population.