Original
Context, Mechanism, and Outcome: Explaining Gendered Administrative Burdens on Abortion Access in Italy
Abstract
ABSTRACT Abortion access in Italy provides a case to examine how gendered administrative burdens emerge through the interplay of legal provisions, informal frontline practices, and contextual influences. Drawing on the Context–Mechanism–Outcome framework from realist evaluation, the analysis shows how legal access to abortion is constrained by procedural requirements, widespread conscientious objection among healthcare providers, and the institutional presence of anti‐abortion actors. Using qualitative data from Obiezione Respinta— a user‐generated platform mapping abortion access barriers across Italy—we demonstrate how everyday bureaucratic processes (re)produce gender inequalities. Three contributions follow. First, the analysis extends the gendered administrative burden literature by highlighting how informal policy design and contextual factors contribute to gender inequality. Second, it introduces the C‐M‐O framework to administrative burden research as a structured yet parsimonious approach to studying how burdens emerge. Third, it centers on women's experiences to offer a qualitative account of how burdens are perceived and navigated.
中文
情境、机制与结果：解释意大利堕胎服务获取中的性别化行政负担
摘要
意大利的堕胎服务获取为考察性别化行政负担如何通过法律规定、非正式一线实践与情境影响之间的相互作用而产生提供了一个案例。借鉴现实主义评估中的“情境—机制—结果”框架，分析表明，合法的堕胎获取如何受到程序性要求、医疗服务提供者中普遍存在的良心拒斥以及反堕胎行动者的制度性存在的制约。利用来自Obiezione Respinta——一个由用户生成、绘制意大利各地堕胎获取障碍的平台——的定性数据，我们展示日常官僚程序如何（再）生产性别不平等。由此形成三点贡献。第一，该分析通过强调非正式政策设计与情境因素如何促成性别不平等，拓展了性别化行政负担文献。第二，它将C-M-O框架引入行政负担研究，作为一种结构化而简约的方法，用以研究负担如何产生。第三，它聚焦女性经验，提供关于负担如何被感知与应对的定性说明。
关键词
性别化行政负担、堕胎服务获取、意大利、情境—机制—结果框架、良心拒斥、一线实践、性别不平等、定性研究