This evidence brief from the AMoCo study presents selected results of a knowledge, attitudes, practices, and behaviors (KAPB) survey given to health professionals providing abortion-related care. Providers are critical to providing timely and high-quality comprehensive abortion care (CAC) that can decrease abortion-related complications. This survey aims not only to assess the KAPB of CAC providers in hospital settings but to identify provider-related barriers to adequate CAC and points for improvement in the provision and accessibility of CAC services.
This evidence brief summarizes key findings from the qualitative component of the AMoCo study, which aims to describe the access to care and treatment of women and girls hospitalized in Castors Maternity Hospital in Bangui for potentially life-threatening and near-miss abortion complications such as severe haemorrhage, severe sepsis, and uterine and intra-abdominal perforation.
This eight-page brief outlines selected findings from a research project on the burden of abortion-related complications and their contributing factors in the Maternity of Castors in Bangui, Central African Republic. The study found a greater severity of abortion-related complications in this facility compared to African hospitals in stable settings and reinforces the need to recognize abortion as a serious health issue among fragile or crisis-affected populations.
The objective of this research was to explore the context of abortion stigma in Ghana and Zambia through qualitative research, and develop a quantitative instrument to measure stigmatizing attitudes and beliefs about abortion. Focus group discussions were conducted in both countries, and a Stigmatizing Attitudes, Beliefs, and Actions scale was created. It captures three important dimensions of abortion stigma: negative stereotypes about men and women who are associated with abortion, discrimination/exclusion of women who have abortions, and fear of contagion as a result of coming into contact with a woman who has had an abortion. It provides a validated tool for measuring stigmatizing attitudes and beliefs about abortion in Ghana and Zambia and has the potential to be applicable in other country settings.
Research has not kept abreast of women’s self-use of medical abortion, leaving many gaps in the scientific literature regarding the ideal conditions for safe and effective use. In December 2016, a group of 20 global abortion researchers convened following the Africa Regional Conference on Abortion to discuss current and future research on medical abortion self-use. This article lays out their list of identified research gaps and methodologic considerations in addressing them—challenges that are intended to inform both ongoing and future research.
This study explored women’s experiences accessing services and estimate costs incurred for first-trimester abortion at four public hospitals in KwaZulu-Natal Province, South Africa. Despite the availability of government assistance for children through South Africa’s “child grant,” the affordability of raising a child was a major concern for women. Although theoretically available free of charge in the public sector, women experienced challenges accessing abortion services and incurred costs which may have been burdensome given average local earnings. These potential barriers could be addressed by reducing the number of required visits and improving availability of pregnancy tests and supplies in public facilities.
Given the overall safety profile and increasing availability of medical pregnancy termination drugs, we asked: would the mifepristone–misoprostol regimen for medical termination at ≤10 weeks of gestation meet US Food and Drug Administration regulatory criteria for over-the-counter (OTC) approval, and if not, what are the present research gaps?
The Youth Focused Social Network Initiative was a program to increase young women’s knowledge of and skills in accessing comprehensive abortion care in Rupandehi, Nepal from 2012-2014. The program trained peer educators to provide information and support related to comprehensive abortion care and encouraged adults to support youth in their communities. This study evaluated the effectiveness of the program and found that it had produced positive results in youth knowledge of and attitudes about comprehensive abortion care. Program expansion should be considered in light of continued need in Nepal.
This study sought to identify socio-demographic factors associated with presenting for abortion services past the gestational age limit (12 weeks), and thus not receiving services, in Mexico City’s public sector first-trimester abortion program. We found that women living in Mexico City and with higher levels of education had lower odds of presenting past the gestational age limit. Adolescents at every level of education have significantly higher probabilities of not receiving an abortion due to presenting past the gestational age limit compared with adults.