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.
Lanfranconi et al. (2026) studied this question.