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This paper examines the Network of Health Professionals for the Right to Choose in the process of implementation of pregnancy terminations in Mendoza, Argentina, between 2018 and 2020. We focus on the rise of the Network and their coordination with the provincial government and on the impact of their interventions in abortion access within the public health system. Methodologically, a qualitative approach is used through case studies, combining a variety of sources of information: in-depth interviews, documentary analysis, and systematization of health indicators. The results show that between 2018 and 2020 there was an articulation between feminist activisms, health professionals, and state officials and civil servants. This enabled sustaining the implementation circuit of pregnancy terminations through a dynamic of institutional clandestinity, where practices and knowledge of feminist accompaniments converged with the precarious institutional framework of the health system. Within this framework, the Network became a fundamental actor in the development of interventions, connections, and mechanisms to guarantee access to pregnancy terminations. [ABSTRACT FROM AUTHOR]

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Since pre-Hispanic times, madness has been in Mexico, attributed to divine forces; it was not convenient to treat it, only if it altered the social order. The advance of civilization has questioned the treatment of the insane, changing the paradigm in their care, resulting in the term mental health. The article develops the facts and evolution in this transformation in Mexico that has moved from the private and family sphere to respect for human rights and the incorporation of the insane/mentally ill into society through public actions by governments. [ABSTRACT FROM AUTHOR]

Copyright of Ius et Praxis (07172877) is the property of Universidad de Talca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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The current economic development model has caused the deterioration of natural systems and has become the main threat to public health by exceeding various planetary boundaries of the Earth system, which have severe implications for human health and other species, therefore, it is necessary to reformulate the scope and vision of public health and developing a new model. The interest of the planetary health approach is to understand the environmental changes, their effects on natural systems, and their impact on human health and well-being. For this reason, the National Institute of Public Health (INSP, in Spanish) of Mexico created a special program on planetary health, whose axes are transdisciplinary research, teaching, advocacy design, evaluation, and impact on public policies, and strengthening an institutional environmental responsibility program (EcoINSP). This positioning document seeks to explain the internal and external policy of the INSP as a leader on the subject that will contribute significantly to the development of planetary health both in the country and in the region to contribute to the right to human health and a healthy environment in the framework of equity and sustainability. [ABSTRACT FROM AUTHOR]

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The public health policy implemented by the current government synthesizes a radical transformation of Mexico's public health system. It was designed as a project of national magnitude with local nuances. For Mexico City in particular, it represents a continuous and permanent commitment to guaranteeing rights, freedoms and democracy, and at the same time, it represents challenges in various of its components such as financial and budgetary; organizational culture, as well as in specialized health fields such as medical care and collective care to mention a few. This article aims to point out the main aspects involved in the implementation of the new Health Model in the capital, taking into consideration four temporary moments, but of great impact: first, the incorporation of the Salud en tu Vida model in local law and its implementation, second, to confront the Covid-19 pandemic and with it, the reorganization of health services, third, to conclude the transfer of medical care services to a newly created organization called IMSS-BIENESTAR Health Services, and, fourth, strengthen the capacity and stewardship functions of the Ministry of Health of Mexico City. [ABSTRACT FROM AUTHOR]

Copyright of INSPILIP. Revista Ecuatoriana de Ciencia, Tecnología e Innovacion en Salud Pública is the property of Instituto Nacional de Investigacion en Salud Publica (INSPI) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The objective of this paper is to demonstrate the process of theory building based on Grounded Theory, from the analysis of empirical data on the right to health information (RHI) in the detection and medical care of breast and cervical cancer. These data derive from qualitative research, in which focus groups and in-depth interviews were conducted with women between 25 and 45 years of age in a city in northern Mexico, to find out how they exercised the DIS in medical care, what their experiences in management were and what their perceptions of care were like. In the analysis of the first data and at the beginning of the open coding, self-perception was identified as an emerging category, defined as the interviewees’ self-perception of their position vis-à-vis the physician and the health institution during the management of care. This category was analyzed in axial and selective coding, showing its explanatory potential for understanding the practices of women in exercising their right to health information. This empirical exercise shows that grounded theory implies a systematic and rigorous process of codification, comparison and integration of data and theory. This paper contributes to the understanding of theoretical and methodological decisions based on grounded theory in social research. [ABSTRACT FROM AUTHOR]

The article highlights the Judgment of the Grand Chamber of the European Court of Human Rights of April 9, 2024 in the case Verein KlimaSeniorinnen Schweiz and Others v. Switzerland. In the lawsuit, it was alleged that Switzerland's climate mitigation policies were insufficient, affecting fundamental rights to life and health. The judgment marks a milestone in addressing the impacts of climate change on human rights, establishing guidelines for future climate cases. The importance of effectively protecting citizens from the adverse effects of climate change is emphasized. [Extracted from the article]

Objective. To identify differences in the barriers to access health services between the population with and without vulnerable conditions based on the results of the Encuesta Nacional de Salud y Nutrición Continua 2023 (Ensanut Continua 2023). Material and methods. Four categories of vulnerability were defined between the population with health needs that did not seek care and users of health services who went to institutions that did not correspond to them. The reasons for not requesting care and for requesting care in an institution that did not correspond to them were grouped by type of access barrier. The differences between the barriers reported according to the vulnerability category were analyzed, as well as the expenditure to address health needs. Results. Regardless of their vulnerable situation, an important part of the population must overcome barriers to seek or obtain the care they require. The most frequent barriers were personal and organizational. The population with more vulnerable conditions reported more personal and economic barriers. Conclusions. To advance in the satisfaction of the right to health, it is necessary to strengthen the organizational capacity of health services to improve their availability, accessibility, acceptability and quality, and reduce the vulnerability conditions of the population. [ABSTRACT FROM AUTHOR]

Objective. Evaluate adherence of complementary feeding practices (CFP) to recommendations of the healthy and sustainable feeding guidelines of Mexico for infants and young children (GASS) and document main barriers to compliance with optimal CFP and formulate public policy recommendations to address them. Materials and methods. Using data from Ensanut Continua 2020-23 to evaluate compliance of CPF to GASS through an index that assessed five dimensions (age of introduction, optimal age of introduction, continued breastfeeding, consume of recommended foods and frequency of meals) (assigning 0 or 1 points for compliance). Main barriers were identified for optimal CFP and recommendations for public policy were made. Results. In Mexico, half of children from 6-23 months has a compliance to GASS recommendations 50.9/100 (CI95% 45.5,50.0) or less. Compliance index to recommendations decreases as age increases. There are, different structural, social, cultural and individual barriers that affects CFP. Conclusions. It is imperative to improve CFP to fulfill the "Right to Health" in children <24 months. This requires updating the standards (ac cording to current international guidelines and the healthy and sustainable Mexican dietary guidelines); strengthen primary health care services through the nationwide implementation of the newly designed thousand-days strategy, which includes an important component of CFP and begins with the training of healthcare personnel. [ABSTRACT FROM AUTHOR]

To complete two previous investigations about the writ of mandamus or injunction --excluding those writs to deliver medication or special medical treatments--, the jurisprudence of the last two years was reviewed from both the First Instance Courts of Montevideo and the Appeal Courts. It broke off with clearly discouraging results because Uruguayan courts have very restrictive criteria regarding de admissibility of this constitutional and international guarantee and a surprising situation was reached: just as most petitions for protection are rejected by the courts, the opposite happens when a petition for protection is filed for medical reasons. An attempt was made to find some causes for this difference in criteria. [ABSTRACT FROM AUTHOR]

The article "Health and Constitution" by Esther Seijas Villangos addresses the relationship between health and the 1978 Constitution, highlighting the importance of health as an essential right that public authorities must guarantee. The author analyzes the right to health from a doctrinal perspective, detailing the structure of the study in four chapters that address healthcare, the attributes of healthcare, the right to healthcare, and the challenges for healthcare in the Social State. It emphasizes the need to maintain the validity of the Constitution through possible updates to ensure the protection of the health of the population. [Extracted from the article]

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Some utilitarian readings present in bioethics emphasize the importance of satisfying people’s preferences as a significant criterion of justice. One of its recurring applications in the healthcare sector is through measuring the satisfaction of healthcare service users. However, little has been discussed in the healthcare and bioethics field regarding objections that this criterion has faced from the philosophy of law and political philosophy. One of these, known as the problem of adaptive responses, asserts that individuals, whether consciously or not, adjust their satisfaction based on what they can attain. Therefore, a cautious view of this criterion is recommended, especially when measuring the satisfaction of individuals facing deprivations. Greater caution should be exercised when it is applied to services that guarantee fundamental rights, such as the right to health. This article aims to discuss this issue and highlight its presence in the healthcare services of Peru. Specifically, after tentatively and briefly conceptualizing what an inappropriately adaptive response would be, this problem will be analyzed and evaluated based on certain components of the National Survey of User Satisfaction of Universal Health Assurance (Ensusalud) of 2014, 2015 and 2016, which are the only three surveys of this kind conducted in Peru to date and on a national scale. In more detail, the aim is to determine whether significant differences in satisfaction with their health insurance exist among users based on their income levels, considering the same degree of impact on their right to health. The processing and analysis of the database lead to the conclusion that these differences do indeed exist. Faced with a infringement on this right (for example, not receiving any medication at the pharmacy, taking more than ninety minutes to reach the facility, etc.), severe economically deprived users express higher levels of satisfaction with their insurance compared to users without economic deprivations. This provides indications to suspect that, in relation to the first group of users, there might indeed be a case of adaptive responses. [ABSTRACT FROM AUTHOR]

The quality and safety of the patient are essential characteristics in all healthcare professions. In Mexico, these attributes are reflected in a regulatory framework that governs healthcare. Therefore, knowledge of this framework by dentists and specialists is essential for their professional and ethical practice. The Mexican legal system is classified according to its hierarchy and its material, spatial, and validity scopes. This legislation begins with the Political Constitution of the United Mexican States, which establishes the right to health protection for the population. Next, the General Health Law (GHL) sets out the general guidelines for the profession. Following that are the regulations that impact the regulation of dentistry. Finally, there are the Official Mexican Standards (OMS) clinical practice guidelines (CPG), lex artis, jurisprudence, and individualized standards. However, this regulatory framework comprises a variety of norms and regulations that are interconnected. Therefore, this article provides an overview of how this regulatory framework addresses the quality and safety of dental patient care in Mexico. This regulatory framework is mandatory, but monitoring to ensure compliance in offices and clinics presents challenges, given that dentistry is a service mainly provided in the private sector. Developing and implementing effective monitoring and supervision mechanisms specifically designed for dental services in the private sector is essential. [ABSTRACT FROM AUTHOR]

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Copyright of Pacha: Journal of Contemporary Studies of the Global South / Revista de Estudios Contemporáneos del Sur Global is the property of PACHA REVISTA DE ESTUDIOS CONTEMPORANEOS DEL SUR GLOBAL and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Derecho del Estado is the property of Universidad Externado de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose of this research is to analyze the execution of the National Surgical Plan in Venezuela, taking the Human Rights Approach as a conceptual framework. In order to achieve this objective, documents emanating from the national government, experts on the subject, multilateral agencies of the United Nations and national and international non-governmental organizations were examined. The documentary review carried out shows that the National Surgical Plan, in force since 2017, has focused on quantitative criteria such as the number of patients operated on and not on substantive aspects that guarantee the health and dignity of vulnerable people who require this service and avoid risks unnecessary. The lack of information about the criteria that were used to schedule the surgeries and the resources used; as well as the absence of clear mechanisms for both monitoring and control and citizen participation in decisionmaking, transparency and accountability are indicative elements of a failure to comply with international preaching about the need for health policies and programs whose center is dignity. of the human person. [ABSTRACT FROM AUTHOR]

In Colombia, the social security system in health ensures the provision of medical services through specialized institutions, where dedicated professionals are responsible for attending to users and patients. These institutions are crucial to guarantee the right to health but face the challenge of providing care under quality standards in a demanding work environment. The purpose of this study is to analyze the factors that impact the job performance of healthcare personnel in a first-level Health Providing Institution (IPS) in the municipality of Candelaria, Valle del Cauca. To address this objective, a methodology employing a mixed approach with a cross-sectional descriptive design was proposed, utilizing a survey as the main technique, administered to a sample of 25 IPS collaborators. The survey results reveal significant trends regarding the job performance of the collaborators. Regarding the sense of belonging, the majority of respondents feel motivated to take care of their health while working, and a considerable percentage perceives an organizational culture that promotes a healthy balance between work and personal life. However, critical areas were identified in the dimensions of work behavior, functioning/performance, and work leadership. In work behavior, a significant disagreement is observed, especially in aspects related to deadline management, job pressure, time management, and learning. These critical areas require attention and improvement within the organization, as addressing these issues could significantly contribute to the creation of a more positive, efficient, and effectively led work environment. [ABSTRACT FROM AUTHOR]

Consecutively to the right to social security under Convention n° 102, to benefits in the event of accidents at work and occupational diseases under Convention 121, to the right to occupational safety and health provided for in article 7. b of the international Covenant on Economic, Social and Cultural Rights (ICESCR) and the right to health enshrined in article 12 al. 1, which logically follows from the right to social security recognized in article 9 of the same Covenant, the International Labour Organization (ILO) has agreed to look into the specificity of workers, including in the public service, to provide States with the means and techniques for preventive protection of benefits linked to occupational risks, specifically of a right to safety and health workers have become fundamental. However, this preventive protection cannot be thought of effectively if it does not lead to curative protection in the event of a risk occurring. It is therefore a mainly preventive and secondarily curative protection of the public official that we want to rethink in this article. A protection which requires the State to take positive measures to satisfy them to the maximum of the available resources, and as far as is reasonable and feasible. This article is intended as a contribution to strengthening the effective implementation of the national policy and system of protection of benefits related to occupational risks of civil servants. It is a question of questioning the deployment. Under the logic of action and through epistemological and empirical analyses, the protective responsibility of the State has been put on the spot. But we also considered raising awareness and informing the public official himself about this prerogative which is his and which he sometimes ignores. Thus, it was deemed appropriate to question the effectiveness of this fundamental right, and the means of bringing it to effectiveness, in its dual preventive and curative dimension, as far as is reasonable and practically achievable. To do this, the organization of ideas combines with analytical methods and research and data collection techniques. It was then realized that State of Cameroon organizes this protection both in decree n° 78-484 of November 9, 1978, relating to State agents subject to the labor code and its protection mechanisms, and in the genera of the state civil service; all this on the basis of reception of the provisions of the Pact of 1966 to which it acceded on June 27, 1984, of conventions n° 102 and n° 121 yet not ratified and of convention n° 155 of the ILO which it will have ratified only very recently. Only, this consecrated protection in itself seems even less effective and therefore not very effective, since it suggests some bottlenecks in its implementation. A normative reorganization and a revitalization of the control and protection mechanisms now appears to be and effective strategy in this protective commitment of the State. In this way, he will emerge from his normative and institutional fetishism, which resolves itself into a legalistic consecration, to effectively give the effect to the norms that he himself will have prescribed. [ABSTRACT FROM AUTHOR]

The Supreme Court Judgment of November 2, 2023 resolves the appeals filed by the Government of Catalonia, the Barcelona City Council, and the Metropolitan Area of Barcelona against a previous judgment that upheld the contentious-administrative appeal filed by several transport associations against an ordinance of the Barcelona City Council that restricted the circulation of certain vehicles in the city. The Supreme Court considers that there is no basis for the appeal and confirms the previous judgment. Additionally, the possibility of prioritizing the rights to mobility and economic freedom over the rights to health and the environment in the judicial control of regulatory power in environmental matters is discussed. The legal norms that will be subject to interpretation in this case are also mentioned. [Extracted from the article]

Objective. To investigate the main challenges in the context of the SARS-CoV-2 health emergency according to the scientific evidence available to date in this area in Chile. Materials and methods. Scoping review based on three searches in Web of Science, PubMed and Google Scholar of publications in English and Spanish published between 2020 and 2023. Results. Three key areas were identified: the challenges of access and effective use of the health system, the challenges beyond the health system, including those related to social determinants of health, self-care and information, and finally, the challenges of integrating intercultural, gender and international cooperation approaches. Conclusions. There are opportunities to better address the health of international migrants in Chile in the wake of the Covid-19 pandemic, anticipating future health crises and to reduce gaps and inequities that impact population health. [ABSTRACT FROM AUTHOR]

Objective: This study aims to explore and understand the perceptions of a group of citizens on health technologies and services that should be financed with public resources. Methodology: A qualitative case study was used. Information was collected through semi-structured interviews with 46 participants in five population groups (people with no recent contact with health services, patients, health workers, administrators and decision makers). Subsequently, a thematic analysis was carried out. Results: Two approaches to financing health technologies and services with public resources were identified. One approach conditions it on 1) the characteristics of those who need care, 2) the disease they suffer, 3) the technology or service required, and 4) the expectation of efficient performance of the health system, determining coverage according to the economic conditions and social vulnerability of the person, the urgency of care or evidence of effectiveness. The other approach considers full coverage of technologies and services for all Colombians, based on principles of human dignity, right to health and honest use of resources. Conclusions: The approaches identified respond to social tensions related to the structure of the health system and its organization in the provision of services. The three most important tensions are those related to the economic capacity of the citizen, the perspective that defines the health-illness concept, and the meanings of effectiveness and scientific evidence. [ABSTRACT FROM AUTHOR]

This essay investigates and interprets the economic, social, and political theories and facts that framed the creation of Law 100 of health in 1993 in Colombia, which are contrasted with the elements contained in its normative and institutional design, to help answer the question of whether this was a neoliberal recipe as suggested by some authors. For this purpose, a hermeneutic exercise supported by critical theory is used, which aims at going back over the facts and questioning in depth the way they have been presented and interpreted. In its development, concepts and realities such as neoliberalism, human rights, health markets and the operational structure of Law 100 of 1993 are addressed. In the end, it is discussed that cataloging health as a scenario in which patients and hospitals freely buy and sell services, ignores the economic theory that considers it an imperfect market, and the evolution of health as a human right, in which, if its laws were left to act without anyone's interference, imbalances would occur that would affect users and those who finance its services. What Colombia did with this Law was to advance in the construction of a universal public social security system regulated and financed by the State in which fewer and fewer patients would have to depend on their own resources and on the laws of the economy to enjoy this benefit, increasingly managed as a fundamental right and less as a commodity. [ABSTRACT FROM AUTHOR]

The article analyzes the effects of the Statutory Health Law on health protection actions in Colombia between 2008 and 2019. Despite the enactment of the law in 2015 to regulate the right to health, the number of protection actions increased by 41% after its sanction. It is evident that the measures taken have not corrected the growing trend of health protection actions in the country, suggesting a persistence in the use of protection actions as a mechanism to guarantee access to healthcare. The administrative and financial crisis of the EPS in Colombia has created barriers to access for affiliates, affecting the quality of care. The debt of the EPS with clinics and hospitals has significantly increased in recent decades. The lack of specialized human talent and problems in institutional and regulatory design also contribute to the persistence of health protection actions in the country. [Extracted from the article]

Objective: Recognize doctors' secondary victimization meanings and practices while attending sexual violence victims at emergency services. Methodology: Based on a social-critical postmodern paradigm, I conducted qualitative research with an ethnographic approach, a collective case design between February 2020 to December 2021. Medical doctors with sexual violence care experience at emergency services and healthcare managers participated at two hospitals in Medellin, Colombia. Two institutional itineraries, two ethnographic interviews to healthcare managers and ten doctors, and a reflexive gathering were realized. Results: Most doctors recognized secondary victimization as an action on their beliefs and practices. On the contrary, doctors occasionally recognized secondary victimization as a neglect. These situations took place frequently when the victim was a teenager, African Colombian, low income, sex workers, among others what could the related with the expression of sociocultural and political elements like patriarchy, reinforced by medical hegemonic model that confers a privileged position to the medical campus and habitus and a subordinated position to women and girls. Conclusion: Secondary victimization is a current problem that occurs everyday life while attending sexual violence victims and the mechanisms of their occurrence are not completely acknowledge by doctors. Identifying them could be the first step to generate our praxis transformation towards comprehensive care. [ABSTRACT FROM AUTHOR]

This research focused its study on the critical, doctrinal, legal and comparative analysis of the main affectations and conditions caused by Sars-Cov-2, given the weaknesses faced by the states in relation to the constitutional guarantees to the Human Right to Health. The qualitative methodology through the documentary review and the application of the analytical-synthetic, historical-comparative methods, allowed a study of each part of the process, in order to obtain a general result of them, from the understanding of the historical and comparative facts of the subject that explicitly establish a general approach on the responsibility of the State in the face of the Right to Public Health. The public health system in Ecuador should be considered a priority and its financing should come mostly from the budget allocated by the State to the public health portfolio, so that objective health care programs can be implemented, that focus on the attention of emergencies such as Covid-19, and that do not take by surprise the fragility of the public health system. This budget should be allocated especially to the hiring of specialized personnel, medical equipment for the operation of hospitals and medicines, which guarantee priority attention in terms of the health system to citizens. [ABSTRACT FROM AUTHOR]

The article analyzes the sentence of the La Oroya vs. Peru Case, in which the Inter-American Court of Human Rights condemns the Peruvian State for violating human rights, including the right to a healthy environment and the right to health. The importance of corporate due diligence is highlighted according to the Guiding Principles on Business and Human Rights, as well as the "inter-Americanization" of the Escazú Agreement. The article also mentions the importance of considering the context, intersectionality, and intersectoriality when designing a system of corporate due diligence, as well as the generational perspective and future generations affected by human rights violations. The importance of the Escazú Agreement is emphasized, which seeks to protect environmental defenders and has three central axes: access to information, public participation, and access to environmental justice. The IACHR recognizes the importance of this agreement in cases of human rights and environmental violations. The article also analyzes the interconnection between the Guiding Principles on Business and Human Rights and the Escazú Agreement, highlighting the importance of removing obstacles to access to justice and considering the specific needs of victims. The need for the organs of the IACHR to provide guidance on corporate due diligence and other issues related to the interrelation between the environment and businesses is raised. [Extracted from the article]

This article aims to promote reflection on the human right to health of cancer patients and the violation of this right by the current management system. It presents as a problem the following question: to what extent cancer patients have access to palliative care, so that their human dignity can be guaranteed, taking into account the model of free and egalitarian state provision of health for citizens, constitutionally guaranteed? Following this ideal, the research method used was hypothetical-deductive, through the technique of bibliographic and documental research. Based on the data collected, there is evidence of a lack of supply in the Brazilian public health system in relation to palliative care, especially from a biopolitical perspective. Therefore, it is concluded that the neoliberal government model tends not to invest public budget in the demands of patients who do not have the value of human capital that repays the State, causing cancer patients to have their human dignity violated. [ABSTRACT FROM AUTHOR]

Over the years, technology has gained prominence, and the pandemic that began in early 2020, accelerated the adoption of technological measures, including in the workplace. One significant transition was shift to digital medical care, known as telemedicine. However, this raises the following questions: Do digital platforms used for telemedicine promote the democratization of access to health care? Do these tools have advantages or disadvantages? This study employs the hypothetical-deductive method, based on a legislative and bibliographical review, to explore themes such as the right to health and access to telemedicine, referencing cfm Resolution nº. 2,314/2022. The advantages and disadvantages of this new type of service are also discussed. The study concludes that telemedicine does democratize access to health care, while considering Brazil’s unique diversity, territorial dimensions, complex cultural plurality, and significant social inequality. [ABSTRACT FROM AUTHOR]

The right to health access for lgbtttiqa+ individuals is conditioned by a series of factors that not only involve the legal sphere but are also associated with cultural and social factors. This means that each case must be complexified and not reduced in any way, as doing so would be counterproductive to the lives of lgbtttiqa+ individuals. This approach responds to a social bioethical perspective that does not limit its understanding of facts to personal decisions alone but considers various structures to formulate a broader analysis. From this perspective, reflections are made on what relational autonomy and justice would entail. The use of an ethnographic methodology and a critical gender perspective offers an opportunity to write in the first person. [ABSTRACT FROM AUTHOR]

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Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)