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Item type:Publication, Judicial lawfare: analysis of legal arguments against abortion rights in Peruvian courts(Fundacao Getulio Vargas, Escola de Direito de Sao Paulo, 2021-01-01)This article analyzes the puzzling case of Peru, a country highlighted as an example of the internationalization of sexual and reproductive health and rights norms through supranational litigation, but where these legal victories have not prompted an expansion of abortion rights. Through the analysis of three judicial cases, with a focus on the legal arguments and strategies, the article argues that two features of the abortion legal mobilization in Peru are key to understand the lack of more positive developments: 1) formalistic feature of Peruvian Courts, that offers little space toward recognizing additional grounds for abortion, as has been the case in other Latin American countries; 2) innovative capacity of anti-abortion legal mobilization, that have forced to create a tacit alliance between the movement toward the recognition of abortion rights and the State, to defend the (restricted) abortion rights in the country. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Quality of stroke guidelines in low- and middle-income countries: a systematic review(World Health Organization, 2021-09-01)Objective To identify gaps in national stroke guidelines that could be bridged to enhance the quality of stroke care services in low- and middle-income countries. Methods We systematically searched medical databases and websites of medical societies and contacted international organizations. Country-specific guidelines on care and control of stroke in any language published from 2010 to 2020 were eligible for inclusion. We reviewed each included guideline for coverage of four key components of stroke services (surveillance, prevention, acute care and rehabilitation). We also assessed compliance with the eight Institute of Medicine standards for clinical practice guidelines, the ease of implementation of guidelines and plans for dissemination to target audiences. Findings We reviewed 108 eligible guidelines from 47 countries, including four low-income, 24 middle-income and 19 high-income countries. Globally, fewer of the guidelines covered primary stroke prevention compared with other components of care, with none recommending surveillance. Guidelines on stroke in low- and middle-income countries fell short of the required standards for guideline development; breadth of target audience; coverage of the four components of stroke services; and adaptation to socioeconomic context. Fewer low- and middle-income country guidelines demonstrated transparency than those from high-income countries. Less than a quarter of guidelines encompassed detailed implementation plans and socioeconomic considerations. Conclusion Guidelines on stroke in low- and middle-income countries need to be developed in conjunction with a wider category of health-care providers and stakeholders, with a full spectrum of translatable, context-appropriate interventions. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, When winning in the courts is not enough: abortion and the limits of legal mobilization without grassroots involvement in Peru(Cambridge University Press, 2022-01-01)Peru is often cited as an example of the internationalization of sexual and reproductive health and rights (SRHR) norms through supra-national litigation. Yet the impact to petitioners and other similarly situated women in Peruvian society has fallen far short of expectations. This chapter analyzes the actors behind progressive litigation in Peru, as well as their strategies and those of anti-abortion advocates. It shows that the professionalization, specialization, and detachment from grassroots movements of Peruvian feminist NGOs limit their capacity to build a broader network of political support and thus leverage the opportunities presented by successful litigation. By contrast, anti-abortion organizations are closely connected to grassroots organizations and have developed links to political organizations that allow them to deploy different strategies to stall efforts at expanding the right to abortion.