{"id":12858,"date":"2013-06-14T19:21:00","date_gmt":"2013-06-15T02:21:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=12858"},"modified":"2023-02-05T11:31:53","modified_gmt":"2023-02-05T19:31:53","slug":"whose-self-determination-barriers-to-access-to-emergency-hormonal-contraception-in-italy","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=12858","title":{"rendered":"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Emanuela Ceva, Sofia Moratti<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"155\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsj.jpg\" alt=\"Kennedy Institute of Ethics Journal\" class=\"wp-image-12670\"\/><figcaption class=\"wp-element-caption\">Kennedy Institute of Ethics Journal<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br>In Italy, Emergency Hormonal Contraception (EHC) is a prescription drug, available only in pharmacies. Evidence suggests that a number of doctors and pharmacists refuse to provide EHC, on grounds of conscience, although the exact frequency of this phenomenon is unknown. This creates a barrier to access to EHC for women, thus risking undermining their right to reproductive self-determination. In this article, we aim to offer a clearer empirical and theoretical understanding of the situation and to assess the force of doctors&#8217; and pharmacists&#8217; claims against providing EHC. Unlike standard discussions of the issue, we argue that the category of conscientious objection is not the most appropriate one for making sense of these claims, because they are not grounded in a conflict between two contrasting moral duties. The seemingly forced choice between protecting doctors&#8217; and pharmacists&#8217; professional self-determination and women&#8217;s reproductive self-determination could be prevented by distributing EHC without medical prescription and in a number of outlets (including supermarkets), thus relieving doctors and pharmacists from the legal duty to provide it.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Ceva E, Morati S. <a href=\"https:\/\/muse.jhu.edu\/article\/510552\">Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy<\/a>. Kennedy Inst Ethics J. 2013 Jun;23(2):139-167. Available from: <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Emanuela Ceva, Sofia Moratti AbstractIn Italy, Emergency Hormonal Contraception (EHC) is a prescription drug, available only in pharmacies. Evidence suggests that a number of doctors and pharmacists refuse to provide EHC, on grounds of conscience, although the exact frequency of this phenomenon is unknown. This creates a barrier to access to EHC for women, thus &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=12858\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,2,64,825],"tags":[1826,1827],"post_folder":[],"class_list":["post-12858","post","type-post","status-publish","format-standard","hentry","category-ethics","category-journal-article","category-morning-after-pill","category-pharmacy","tag-emanuela-ceva","tag-sofia-moratti"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"Moral refusal to provide morning after pill is not grounded conflicting moral duties: should not be framed as conscientious objection.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/library.consciencelaws.org\/?p=12858\" \/>\r\n<meta property=\"og:locale\" content=\"en_GB\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy - Protection of Conscience Project Library\" \/>\r\n<meta property=\"og:description\" content=\"Moral refusal to provide morning after pill is not grounded conflicting moral duties: should not be framed as conscientious objection.\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/library.consciencelaws.org\/?p=12858\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project Library\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.youtube.com\/user\/consciencepro\" \/>\r\n<meta property=\"article:published_time\" content=\"2013-06-15T02:21:00+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2023-02-05T19:31:53+00:00\" \/>\r\n<meta property=\"og:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsjog.jpg\" \/>\r\n\t<meta property=\"og:image:width\" content=\"600\" \/>\r\n\t<meta property=\"og:image:height\" content=\"338\" \/>\r\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\r\n<meta name=\"author\" content=\"Project Administrator\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsjog.jpg\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Project Administrator\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858\"},\"author\":{\"name\":\"Project Administrator\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\"},\"headline\":\"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy\",\"datePublished\":\"2013-06-15T02:21:00+00:00\",\"dateModified\":\"2023-02-05T19:31:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858\"},\"wordCount\":215,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/kennedyintethicsj.jpg\",\"keywords\":[\"Emanuela Ceva\",\"Sofia Moratti\"],\"articleSection\":[\"Ethics\",\"Journal Articles\",\"Morning after pill\",\"Pharmacy\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858\",\"name\":\"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy - Protection of Conscience Project Library\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/kennedyintethicsj.jpg\",\"datePublished\":\"2013-06-15T02:21:00+00:00\",\"dateModified\":\"2023-02-05T19:31:53+00:00\",\"description\":\"Moral refusal to provide morning after pill is not grounded conflicting moral duties: should not be framed as conscientious objection.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#primaryimage\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/kennedyintethicsj.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/kennedyintethicsj.jpg\",\"width\":155,\"height\":230,\"caption\":\"Kennedy Institute of Ethics Journal\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=12858#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/library.consciencelaws.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"name\":\"Protection of Conscience Project Library\",\"description\":\"Service, not Servitude\",\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/library.consciencelaws.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\",\"name\":\"Protecton of Conscience Project\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"width\":1123,\"height\":1376,\"caption\":\"Protecton of Conscience Project\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.youtube.com\\\/user\\\/consciencepro\",\"https:\\\/\\\/x.com\\\/consciencpro\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\",\"name\":\"Project Administrator\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"caption\":\"Project Administrator\"},\"sameAs\":[\"https:\\\/\\\/www.consciencelaws.org\"],\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?author=1\"}]}<\/script>\r\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy - Protection of Conscience Project Library","description":"Moral refusal to provide morning after pill is not grounded conflicting moral duties: should not be framed as conscientious objection.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/library.consciencelaws.org\/?p=12858","og_locale":"en_GB","og_type":"article","og_title":"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy - Protection of Conscience Project Library","og_description":"Moral refusal to provide morning after pill is not grounded conflicting moral duties: should not be framed as conscientious objection.","og_url":"https:\/\/library.consciencelaws.org\/?p=12858","og_site_name":"Protection of Conscience Project Library","article_publisher":"https:\/\/www.youtube.com\/user\/consciencepro","article_published_time":"2013-06-15T02:21:00+00:00","article_modified_time":"2023-02-05T19:31:53+00:00","og_image":[{"width":600,"height":338,"url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsjog.jpg","type":"image\/jpeg"}],"author":"Project Administrator","twitter_card":"summary_large_image","twitter_image":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsjog.jpg","twitter_creator":"@consciencpro","twitter_site":"@consciencpro","twitter_misc":{"Written by":"Project Administrator","Estimated reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/library.consciencelaws.org\/?p=12858#article","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/?p=12858"},"author":{"name":"Project Administrator","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098"},"headline":"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy","datePublished":"2013-06-15T02:21:00+00:00","dateModified":"2023-02-05T19:31:53+00:00","mainEntityOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=12858"},"wordCount":215,"commentCount":0,"publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=12858#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsj.jpg","keywords":["Emanuela Ceva","Sofia Moratti"],"articleSection":["Ethics","Journal Articles","Morning after pill","Pharmacy"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/library.consciencelaws.org\/?p=12858#respond"]}]},{"@type":"WebPage","@id":"https:\/\/library.consciencelaws.org\/?p=12858","url":"https:\/\/library.consciencelaws.org\/?p=12858","name":"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy - Protection of Conscience Project Library","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=12858#primaryimage"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=12858#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsj.jpg","datePublished":"2013-06-15T02:21:00+00:00","dateModified":"2023-02-05T19:31:53+00:00","description":"Moral refusal to provide morning after pill is not grounded conflicting moral duties: should not be framed as conscientious objection.","breadcrumb":{"@id":"https:\/\/library.consciencelaws.org\/?p=12858#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/library.consciencelaws.org\/?p=12858"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/?p=12858#primaryimage","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsj.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/kennedyintethicsj.jpg","width":155,"height":230,"caption":"Kennedy Institute of Ethics Journal"},{"@type":"BreadcrumbList","@id":"https:\/\/library.consciencelaws.org\/?p=12858#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/library.consciencelaws.org\/"},{"@type":"ListItem","position":2,"name":"Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy"}]},{"@type":"WebSite","@id":"https:\/\/library.consciencelaws.org\/#website","url":"https:\/\/library.consciencelaws.org\/","name":"Protection of Conscience Project Library","description":"Service, not Servitude","publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/library.consciencelaws.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/library.consciencelaws.org\/#organization","name":"Protecton of Conscience Project","url":"https:\/\/library.consciencelaws.org\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","width":1123,"height":1376,"caption":"Protecton of Conscience Project"},"image":{"@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.youtube.com\/user\/consciencepro","https:\/\/x.com\/consciencpro"]},{"@type":"Person","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098","name":"Project Administrator","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","caption":"Project Administrator"},"sameAs":["https:\/\/www.consciencelaws.org"],"url":"https:\/\/library.consciencelaws.org\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/12858","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12858"}],"version-history":[{"count":2,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/12858\/revisions"}],"predecessor-version":[{"id":15978,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/12858\/revisions\/15978"}],"wp:attachment":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12858"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12858"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12858"},{"taxonomy":"post_folder","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fpost_folder&post=12858"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}