足不出户 走遍全世界
A | 日报讯（记者王雅楠）8月14日，沧州经济开发区的冀德康健沧州医疗器械物流有限公司内，车辆有序出入，工人们忙着验收输液器、诊断试剂等医疗器械。
近日，在沧州市政务服务中心，沧州市行政审批局工作人员（右）正在接受办事人员咨询。
B | TIJUANA, Mexico -- It’s Sunday night and Crystal P. Lira is not answering her messages. Inside the headquarters of Colectiva Bloodys y Projects, an organization that has supported reproductive rights near the U.S.-Mexico border since 2016, her only concern is for the woman she has provided with a safe space to get an abortion.Lira, who lives in Tijuana, in northern Mexico, is one among dozens of Mexican “acompañantes" — volunteers who support women wanting to terminate a pregnancy. Located all over the country, most acompañantes offer virtual guidance through an abortion protocol in which no clinics or prescriptions are needed.Developed by activists after decades of facing abortion bans and restrictions in most of Mexico’s 32 states, the protocol encourages women to trust self-managed medication abortions following guidelines established by the World Health Organization.“Accompaniment means that we facilitate information, medications and everything a woman needs to get a safe abortion at home,” Lira said. “But we also provide emotional support and support to fight stigma, religious and cultural barriers.”Mexico’s Supreme Court recently ruled that national laws prohibiting abortions are unconstitutional and violate women’s rights. The ruling, which extended Latin American’s trend of widening abortion access, happened a year after the court’s U.S. counterpart went in the opposite direction.The Mexican decision did not have the same immediate impact as Roe v. Wade, the 1973 U.S. Supreme Court ruling guaranteeing women’s access to abortion on a nationwide basis.Although the Mexican ruling orders the removal of abortion from the federal penal code and requires federal health institutions to offer the procedure to anyone who requests it, further state-by-state legal work will be needed to remove all penalties.“The court did not give a direct instruction to any local congress, but it sends a very clear signal of what congresses have to do,” said Sofia Aguiar, a lawyer at the Information Group for Chosen Reproduction, known by its Spanish initials GIRE.For now, 20 Mexican states still criminalize abortion.In Baja California, where Tijuana is located, abortion was decriminalized in 2021. By then, Lira had already gained five years’ experience as an acompañante.“Ahead of starting an abortion network, I questioned myself: How did I get to this point? Why did I live what I lived, and what could have been different?” she said.In 2012, Lira faced an unwanted pregnancy. “I didn’t know what to do, where to look for help,” she said.On the recommendation of a friend, and due to her hometown’s proximity to the U.S. border, Lira made an appointment at a Planned Parenthood clinic in San Diego. She traveled back home with pills and a debt of $600 that she paid for her abortion.Three years later, deeply conflicted by the inequality in abortion access, she became an activist and received training to become an acompañante.“The easiest part was learning the abortion protocol,” she said. “The toughest was acquiring a political perspective, understanding how abortions are based on rights and freedom.”Many reject her views in Mexico, a predominantly Catholic country.Soon after the court’s ruling in early September, former actor and right-wing activist Eduardo Verástegui announced he will seek the presidency on an anti-abortion platform. “Say ‘yes’ to life and ‘no’ to abortion,” he has said, echoed by his followers. Without mentioning him by name, the Catholic archbishop of Mexico City, Carlos Aguiar Retes, recently advocated voting for Verástegui in the 2024 election, and some Catholic, evangelical and anti-abortion groups have publicly supported him as well.“We think it’s good to have a character like him,” said Rodrigo Iván Cortés, director of the National Family Front, an anti-abortion group. “He’s explicit about defending life and family.”Abortion activists were not surprised by the conservative response to the court’s ruling. “Historically, every progressive movement is followed by a setback from groups that organize against it,” said Aguiar from GIRE. “We saw it in the United States.”Aguiar and her colleagues plan to keep advocating for reproductive rights. “We will continue working on issues like obstetric violence, maternal death and forced contraception,” Aguiar said.At Colectiva Bloodys y Projects, Lira has plans of her own.With a colleague who recently moved to San Diego, they hope to replicate some of their abortion strategies in California. “We want to migrate our perspectives,” Lira said. “To lead informative brigades and communicate that we can provide pills for those who can’t access abortion medication there.”It’s no coincidence that Lira’s views are influenced by migration. The surge of migrants approaching the U.S. border, traveling from Colombia through the Darién jungle and moving up through Central America into Mexico, could approach 500,000 this year.Venezuelans, Salvadorans, Haitians and Mexicans — internally displaced by violence — are among those who migrate by trains, buses and on foot. Along the way, thousands are victims of robbery, human trafficking and sexual abuse.“We’ve been seeing women who suffer a lot of violence on their way to the United States,” Lira said.Some migrants who wish to terminate their pregnancies contact them directly and others are channeled through shelters or midwives. “We have realized the need to support these women. … They experience violence, especially sexual, and need abortions,” said Minerva, another member of Colectiva Bloodys y Projects. For security reasons, she spoke on condition she be identified only by her first name.Access to medication and a private space to get a self-managed abortion are particularly difficult for migrants, who can spend several months in shelters on the border.“We want to accompany them,” Lira said. “But abortion access is just the tip of the iceberg. We expect to share key information for their physical and mental health.”Joining forces with a local organization focused on reproductive health, Lira and activist Monica Rosas will offer an informative workshop on fertility and the reproductive cycle by mid-October at a church-affiliated shelter where up to 1,700 migrants are currently waiting to enter the U.S.“We will create a space for self-knowledge as a tribe,” Rosas said.The program includes body literacy — naming parts of the anatomy free of taboos — and dances to celebrate the female body.“We would love for these women who are passing through, waiting for an opportunity to cross, to carry this information with them,” Lira said. “Our bodies are powerful and, if we know them, that can help us reach our own identity.”___Associated Press religion coverage receives support through the AP’s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.。日报记者 王雅楠摄“多亏了市行政审批局推出的‘零跑’整改数字化服务，我们才没有因为勘验整改影响到医疗器械经营许可证申领。从申请到复勘审核全程网上办，一趟政务大厅都没跑，省时又省力。
C | ”冀德康健公司业务经理王英翠说，前不久，他们办理医疗器械经营许可证延续业务，仅用一天时间就完成线上复勘审核，免去了来回奔波，避免了因证件到期影响正常经营。今年3月以来，沧州市行政审批局推行“零跑”整改数字化服务，依托远程踏勘系统，针对62项审批事项涉及的勘验整改审核环节，打造了“现场告知—自主整改—线上提交—云端核验”闭环服务模式，改变传统线下复勘审核方式，让企业办事“零跑腿”。以往，企业办理涉及现场勘验的审批事项时，沧州市行政审批局工作人员要先到现场勘验、出具检查报告。需要整改的，等完成整改后，企业要整理纸质材料，再次到办事窗口递交，工作人员再上门复核。一旦整改不到位，企业就得继续改、折返送材料。“聚焦这一痛点，我们重塑了勘验整改审核流程。工作人员完成首次现场勘验后，如果发现企业场地、设备等方面不达标，会一次性告知企业整改标准和要求。”沧州市行政审批局综合勘验科科长王佳琳说，企业整改完成后，只需将整改报告及整改前后的实景对比照片，通过远程踏勘系统上传，工作人员可在“云端”完成审核，必要时还可以通过视频连线进行确认。整个过程严守审批标准，既不放松核查要求，还能大幅压缩办理时限。据了解，冀德康健公司主要为140家医疗器械客户提供集中存储、配送服务。公司的医疗器械经营许可证到期前，亟需办理经营许可证延续业务。在现场勘验环节，沧州市行政审批局核查人员发现，该公司存在仓库遮光窗帘一侧脱落、一二类医疗器械混放等不规范问题。核查人员出具了现场检查报告，并列明了需要整改的事项。“我们当天下午就全部整改到位，并通过远程踏勘系统上传整改报告及照片，第二天就完成了复勘审核。”王英翠说，以前，这类整改复勘流程至少需要一周时间，现在一天就能完成，效率大幅提升。王佳琳表示，“零跑”整改数字化服务，有效避免了企业办事时因反复整改和线下递交材料造成的延误，也解决了复勘审核环节拖慢整个审批过程的卡点问题。目前，全市已有22家企业享受到这项服务，勘验整改审核办理周期平均压缩60%，审批效率进一步提升。
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