From legal exception to lived reality: Examining health exceptions in the context of abortion and reproductive justice
Abstract
The article published in this issue of the journal titled “Examining implementation of health exception laws in six countries”1 arrives at a critical juncture in global reproductive health discourse. Across much of the developing world, abortion law - often framed around narrow “health exceptions” - exist in statute but fail in practice. This disjuncture between legal permission and lived access is not merely a technical gap; it is a profound social justice failure with implications for women’s health, autonomy, and dignity.
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Emily C. Fortman, Catherine R. Stratis, Jean Berchmans-Uwimana, Lilian Sepúlveda, Wendy Chavkin, Dorothy Shaw, Koku Awoonor-Williams. Examining implementation of health exception laws in six countries. Afr J Reprod Health. 2026;30 (9): 26-45. doi:10.29063/ajrh2026/v30i9.3
Küng SA, Darney BG, Saavedra-Avendaño B, Lohr PA, Gil L. Access to abortion under the heath exception: a comparative analysis in three countries. Reproductive health. 2018 Jun 13;15(1):107.
Chavkin W, Stifani BM, Bridgman‐Packer D, Greenberg JM, Favier M. Implementing and expanding safe abortion care: an international comparative case study of six countries. International Journal of Gynecology & Obstetrics. 2018 Oct; 143:3-11.
Ngwena C. Taking Women's Rights Seriously: Using Human Rights to Require State Implementation of Domestic Abortion Laws in African Countries with Reference to Uganda (2016) 60 (1). Journal of African Law.;133.
Ishola F, Ukah UV, Alli BY, Nandi A. Impact of abortion law reforms on health services and health outcomes in low-and middle-income countries: a systematic review. Health Policy and Planning. 2021 Nov 1;36(9):1483-98.
Ngo NV, Pemunta NV, Basil N, Fokunang ET, Mbong SE, Ezra K, Che HN, Umbugadu ES. Reproductive health policy Saga: Restrictive abortion laws in low-and middle-income countries (LMICs), unnecessary cause of maternal mortality. Health Care for Women International. 2024 Jan 2;45(1):5-23.
Holcombe SJ, Kidanemariam Gebru S. Agenda setting and socially contentious policies: Ethiopia’s 2005 reform of its law on abortion. Reproductive Health. 2022 Jun 13;19(Suppl 1):218.
Glenton C, Sorhaindo AM, Ganatra B, Lewin S. Implementation considerations when expanding health worker roles to include safe abortion care: a five-country case study synthesis. BMC Public Health. 2017 Sep 21;17(1):730.
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