Women’s Perceived Barriers to Accessing Post-Abortion Care Services in Selected Districts in KwaZulu Natal Province, South Africa: A Qualitative Study
By: M. Netshinombelo, M. S. Maputle and D. U. Ramathuba
References
- World Health Organization (WHO).
Unsafe abortion incidence and mortality: Global and regional levels in 2008 and trends during 1990–2008 . Sixth edition, Geneva.https://apps.who.int/iris/bitstream/handle/10665/75173/WHO_RHR_12.01_eng.pdf . Accessed May 31, 2021. - Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014; 2: e323–33. DOI: 10.1016/S2214-109X(14)70227-X
- Adinma, ED. Post abortion care services in Nigeria. From preconception to postpartum. Alan Guttmacher Institute (AGI). In brief: Facts on abortion in Africa: A liberal abortion law does not ensure the safety of abortions; 2012.
http://www.guttmacher.org/pubs/IB_AWW-Africa.pdf . Accessed June 10, 2020. - Corbett M, Turner R. Essential elements of post-abortion care: Expanding the model to reflect better public health practice; 2010.
https://apha.confex.com/apha/130am/techprogram/paper_48144.htm . Accessed February 20, 2021. - Izugbaraa C, Wekesah FM, Sebanya M, Echokac E, Amo-Adjeid J, Muga W. Availability, accessibility and utilization of post-abortion care in Sub-Saharan Africa: A systematic review. Health care for women International; 2019. DOI: 10.1080/07399332.2019.1703991
- Perera SM, Achakzai H, Giuffrida MM, Kulkarni MJ, Nagle DC, Wali MK, et al. Barriers to seeking post-abortion care in Paktika Province, Afghanistan: a qualitative study of clients and community members. BMC Women’s Health. 2021; 21: 390. DOI: 10.1186/s12905-021-01529-5
- Harris LH, Grossman D. Confronting the challenge of unsafe second-trimester abortion. Int J Gynaecol Obstet. 2011; 115(1): 77–9. DOI: 10.1016/j.ijgo.2011.05.018
- Fetters T, Samandari G, Djemo P, et al. Moving from legality to reality: how medical abortion methods were introduced with implementation science in Zambia. Reprod Health. 2017; 14: 26. DOI: 10.1186/s12978-017-0289-2
- Adde KS, Darteh EKM, Kumi-Kyereme A. Experiences of women seeking postabortion care services in a regional hospital in Ghana. PLoS ONE. 2021; 16(4):
e0248478 . DOI: 10.1371/journal.pone.0248478 - Finer L, Fine JB. Abortion law around the world: progress and pushback. Am J Public Health. 2013; 103(4): 585–9. DOI: 10.2105/AJPH.2012.301197
- Jonston HB, Ved R, Neena L, Agarwal K. Where do rural women obtain post abortion care? The case of Uttar Pradesh, India. International family planning perspectives. 2004; 29(4). DOI: 10.1363/ifpp.29.182.03
- Peters DH, Yazbeck AS, Sharma AA, Ramana GNV, Pritchett LH, Wagstaff A.
Better health systems for Indian’s poor. Findings, analysis and option . Washington, DC: World Bank; 2002.https://openknowledge.worldbank.org/handle/10986/14080 . Accessed October 20, 2020. DOI: 10.1596/0-8213-5029-3 - Mangena H.
Nurses’ religious and cultural beliefs and its influences on healthcare provision for women seeking termination of pregnancy: A case study of Grey’s hospital ; 2014. Dissertation submitted in partial fulfilment of Master of Theology in University of Kwa-Zulu natal.https://researchspace.ukzn.ac.za/handle/10413/12103 . - CTOPA. Choice on Termination of Pregnancy Act, 92 of 1996. President’s office No. 1891; 1996.
http://www.info.gov.za/gazette/acts . Accessed on 23 November 2020. - Gebreselassie H, Fetters T, Singh S, Abdella A, Gebrehiwot Y, Tesfaye S, et al. Caring for women with abortion complications in Ethiopia: National estimates and future implications. International perspective on sexual and reproductive health. Kinshasa health facilities. 2010; 36(1): 6–15. DOI: 10.1363/ipsrh.36.006.10
- Shellenberg KM.
Abortion stigma in the United States: Qualitative and quantitative perspective from women seeking an abortion . (Doctoral Dissertation). Baltimore, Maryland: The Johns Hopkins University; 2010. - Alan Guttmacher Institute (AGI). An overview of abortion laws. State policies in brief; 2013.
http://www.guttmacher.org/state-policy/explore/overview-abortion . Accessed March 30 2020. - Baynes C, Kahwa J, Lusiola G, et al. What contraception do women use after experiencing complications from abortion? an analysis of cohort records of 18,688 postabortion care clients in Tanzania. BMC Women’s Health. 2019; 19: 22. DOI: 10.1186/s12905-018-0687-9
- Rolnick JA, Vorhies JS. Legal restrictions and complications of abortion: insights from data on complication rates in the United States. J Public Health Policy. 2012; 33(3): 348–62. DOI: 10.1057/jphp.2012.12
- Netshinombelo M, Maputle MS, Ramathuba DU.
Development of guidelines for post-abortion care management at selected hospitals of KwaZulu-Natal Province, South Africa . (Unpublished thesis). University of Venda; 2019.http://hdl.handle.net/11602/1411 . Accessed May 16, 2022. - Creswell JW, Creswell JD.
Research design: qualitative, quantitative, and mixed methods approaches . 5th ed. Thousand Oaks, California: SAGE Publications, Inc; 2018. - Polit DF, Beck CT.
Essentials of nursing research: Appraising evidence for nursing practice . 9th ed. Wolters Kluwer Health; 2018. - Bankole A, Kayembe P, Chae S, Owolabi O, Philbin J, Mabika C. The severity and management of complications among postabortion patients treated in Kinshasa health facilities. International Perspectives on Sexual and Reproductive Health. 2018; 44(1): 1–9. DOI: 10.1363/44e5618
- Ishoso DK, Tshefu AK, Coppieters Y. Analysis of induced abortion-related complications in women admitted to referral health facilities in Kinshasa, Democratic Republic of the Congo. Plos One. 2018; 13(8):
e0203186 . DOI: 10.1371/journal.pone.0203186 - Erko EK, Abera M, Admassu B. Safe abortion care, utilization of post abortion contraception and associated factors, Jimma Ethiopia. Journal of Women’s Health Care. 2016; 5(4): 321. DOI: 10.4172/2167-0420.1000321
- Bizuneh AD, Azeze GG. Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis. Syst Rev. 2021; 10: 172. DOI: 10.1186/s13643-021-01731-4
- Adesiyun AG, Ameh C. An analysis of surgically managed cases of pelvic abscess complicating unsafe abortion. Journal of Ayub Medical College Abbottabad. 2006; 18(2): 14–6. PMID: 1697.
- Grimes DA, Benson J, Singh S, Romero M, Ganatra B, Okonofua FE, et al. Unsafe abortion: the preventable pandemic. The Lancet. 2006; 6736(06): 69481–6. DOI: 10.1016/S0140-6736(06)69481-6
- Dickson KS, Adde KS, Ahinkorah BO. Socio–economic determinants of abortion among women in Mozambique and Ghana: evidence from demographic and health survey. Arch Public Health. 2018; 76: 37. DOI: 10.1186/s13690-018-0286-0
- Paul M, Gemzell-Danielsson K, Kiggundu C, Namugenyi R, Klingberg-Allvin M. Barriers and facilitators in the provision of post-abortion care at district level in central Uganda – a qualitative study focusing on task sharing between physicians and midwives. BMC Health Services Research. 2014; 14: 28.
http://www.biomedcentral.com/1472-6963/14/28 . DOI: 10.1186/1472-6963-14-28 - Vlassoff M, Altaf H, Maddow-Zimet I, Singh S, Bhuiyan HU.
Menstrual regulation and post abortion care in Bangladesh: Factors Associated with access to and quality of service . New York: Guttmacher Institute; 2012.http://www.guttmacher.org/pubs/Bangladesh-MR.pdf . - Frost A, Wilkinson M, Boyle P, Patel P, Sullivan R. An assessment of the barriers to accessing the Basic Package of Health Services (BPHS) in Afghanistan: was the BPHS a success? Global Health. 2016; 15: 12(1): 71. DOI: 10.1186/s12992-016-0212-6
- Higgins-Steele A, Burke J, Foshanji AI, Farewar F, Naziri M, Seddiqi S, et al. Barriers associated with care-seeking for institutional delivery among rural women in three provinces in Afghanistan. BMC Pregnancy Childbirth. 2018; 18: 246. DOI: 10.1186/s12884-018-1890-2
- Zaaijman JdT. Rural district hospitals: Ambulance services, staff attitudes, and other impediments to healthcare delivery. South African Medical Journal. 2015; 105(12): 1001. DOI: 10.7196/SAMJ.2015.v105i12.10174
- Harries J, Gerdts C, Momberg M, Foster DG. An exploratory study of what happens to women who are denied abortions in Cape Town, South Africa. Reproductive Health. 2015; 12(1): 21. DOI: 10.1186/s12978-015-0014-y
- Jones RK, Jerman J. Abortion Incidence and Service Availability In the United States, 2014. Perspectives on Sexual and Reproductive Health. 2017; 49(1): 17–27. DOI: 10.1363/psrh.12015
- Faúndes A, Duarte GA, Osis MJ. Conscientious objection or fear of social stigma and unawareness of ethical obligations. Int J Gynaecol Obstet. 2013; 123(Suppl 3): S57–9. PMID: 24332235. DOI: 10.1016/S0020-7292(13)60003-X
- Tagoe-Darko E. “Fear, shame and embarrassment:” the stigma factor in post abortion care at Komfo Anokye teaching hospital, Kumasi, Ghana. Asian Soc Sci. 2013; 9: 134–41. DOI: 10.5539/ass.v9n10p134
- Toro-Flores R, Bravo-Agüi P, Catalán-Gómez MV, González-Hernando M, Guijarro-Cenisergue MJ, Moreno-Vázquez M, et al. Opinions of nurses regarding conscientious objection. Nursing ethics. 2019; 26(4): 1027–1038. DOI: 10.1177/0969733017731915
- Quinn DM, Chaudoir SR. Living with a concealable stigmatized identity: the impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. J Pers Soc Psychol. 2009; 97(4): 634–51. DOI: 10.1037/a0015815
- Yegon EK, Kabanya PM, Echoka E, Osur J. Understanding abortion-related stigma and incidence of unsafe abortion: experiences from community members in Machakos and Trans Nzoia counties Kenya. Pan Afr Med J. 2016; 24: 258. DOI: 10.11604/pamj.2016.24.258.7567
- Demtsu B, Bugssa G, Alemu A. Assessment of quality and determinant factors of post abortion care in government hospital of Tigray, Ethiopia. FAM Med Sci Res; 2014. DOI: 10.4172/2327-4972.1000140
- Savelieva I, Pile J, Sacci I, Loganathan R.
Postabortion family planning operations research study in Perm, Russia . Washington, DC: Population Council. Frontiers in Reproductive Health; 2003.http://pdf.usaid.gov/pdf_docs/ . Accessed July 25, 2022. DOI: 10.31899/rh4.1202 - Huber DH, Curtis C, Irani L, Pappa S, Arrington L. Postabortion care: 20 years of strong evidence on emergency treatment, family planning, and other programming components. Glob Health Sci Pract. 2016; 4(3): 481–494. DOI: 10.9745/GHSP-D-16-00052
DOI: https://doi.org/10.5334/aogh.3888 | Journal eISSN: 2214-9996
Language: English
Submitted on: Jun 27, 2022
Accepted on: Aug 2, 2022
Published on: Aug 26, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
© 2022 M. Netshinombelo, M. S. Maputle, D. U. Ramathuba, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.