Partner involvement in abortion trajectories and subsequent abortion safety in Nigeria and Côte d’Ivoire

Anjur‐Dietrich, Selena; Omoluabi, Elizabeth; OlaOlorun, Funmilola; Mosso, Rosine; Wood, Shannon N.; Bell, Suzanne O.

doi:10.1186/s12905-022-02115-z

Cited by 3 publications

(1 citation statement)

References 34 publications

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“…Second, the pilot study that these data were collected for had an eligibility requirement that pharmacy SMA clients must have purchased the abortion medications themselves (rather than a male partner). Because partner acquisition of medications is common,42 the SMA group in the present analysis may be different from others who self-manage in Bangladesh, possibly making findings less generalisable. Third, the facilities included in the pilot study were receiving an intervention24 that was intended to improve quality and may not be representative of all abortion facilities in Bangladesh.…”

Section: Discussionmentioning

confidence: 88%

Client-reported quality of facility-managed medication abortion compared with pharmacy-sourced self-managed abortion in Bangladesh

Jacobson,

Baum,

Pearson

et al. 2023

BMJ Sex Reprod Health

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ObjectiveWe used the newly developed Abortion Care Quality Tool (ACQTool) to compare client-reported quality of medication abortion care by source (facility-managed vs pharmacy-sourced self-managed abortion (SMA)) in Bangladesh.MethodsWe leveraged exit and 30-day follow-up surveys collected to develop and validate the ACQTool collected at nongovernmental organisation (NGO)-supported or -operated facilities in the public and private sector and pharmacies from three districts in Bangladesh. We used bivariate statistics to compare 18 client-reported quality indicators grouped in six domains and eight abortion outcomes, by source (facility vs pharmacy). We used multivariable logistic regression to identify factors associated with selected quality indicators and outcomes (abortion affordability, information provision, and knowing what to do for an adverse event), controlling for client sociodemographic characteristics.ResultsOf 550 abortion clients, 146 (26.5%) received a facility-managed medication abortion and 404 (73.5%) had a pharmacy-sourced SMA. Clients reported higher quality in facilities for five indicators, and higher in pharmacies for two indicators; the remaining 11 indicators were not different by source. Compared with facility-based clients, pharmacy clients had higher odds of reporting that the cost of abortion was affordable (adjusted odds ratio (aOR) 3.55; 95% CI 2.27 to 5.58) but lower odds of reporting high information provision (aOR 0.14; 95% CI 0.09 to 0.23). Seven of eight abortion outcomes showed no differences; pharmacy clients had lower odds of knowing what to do if an adverse event occurred (aOR 0.45; 95% CI 0.23 to 0.82).ConclusionsIn Bangladesh, there is no difference in client-reported quality of medication abortion care between health facilities and pharmacies for the majority of quality and outcome indicators. However, information provision and preparedness were higher quality at facilities, while pharmacies were more affordable.

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Section: Discussionmentioning

confidence: 88%

Client-reported quality of facility-managed medication abortion compared with pharmacy-sourced self-managed abortion in Bangladesh

Jacobson,

Baum,

Pearson

et al. 2023

BMJ Sex Reprod Health

View full text Add to dashboard Cite

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Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study

et al. 2022

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Background Abortion is a legally restricted, yet common reproductive life event among women in Burkina Faso; however, women’s abortion experiences vary greatly depending on their social and economic capital, partner involvement, and level of knowledge. We sought to classify women’s abortion care-seeking experiences across the life course and social conditions into typologies using qualitative data. Methods An initial quantitative survey among a nationally representative sample of women ages 15–49 years collected information on women’s induced abortion experiences. Women who reported an abortion in the last 10 years were asked if they would agree to participate in a subsequent in-depth interview (IDI) to learn more about their abortion experience. Twenty-five women, identified via purposive sampling, completed an IDI. Using a process of typology construction, we identified attributes of each woman’s condition at the time of her abortion and aspects of her abortion experience, created a matrix of attributes and cases, and identified emerging relationships. Three types were identified through this process. Results Twenty-three IDIs were analyzed, and women’s abortion experiences were grouped into three types: abortion to delay childbearing in adolescence; abortion to space childbirth among women in union; abortion to avoid childbearing among single mothers. Two cases were identified as outliers. Cases were grouped based on the context of their pregnancy, the reason for the abortion and involved decision-makers, and their patterns of care-seeking, including methods and sources used. Conclusion Structural inequities related to gender and wealth were prominent forces shaping women’s abortion experiences. Comprehensive sexuality education coupled with community-based interventions to promote gender-equitable relationships and address social stigma related to women’s sexuality could reduce reproductive coercion and unintended pregnancies.

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To tell or not to tell? Abortion disclosure and social support among women who received abortion care in Abuja and Lagos, Nigeria

Ushie,

Okunlola,

Roemer

et al. 2024

Preprint

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Objective In restricted and stigmatized contexts, women having trusted individuals to share their experiences and seek support can make a difference when seeking abortion care. This study examines how women in Lagos and Abuja, Nigeria, disclose their abortion care needs within their social support networks and the nature of the support they receive. related to their abortion. Methods The data reported in this study came from a component of a larger study to map abortion service points and assess abortion safety was conducted in Abuja and Lagos, Nigeria. The study was conducted among women who received induced abortion care in the past five years. The sample was 200 women who responded to questions about their abortion disclosure practices, reasons for disclosure, abortion experiences that necessitated them seeking support, the support received, and abortion methods used. We used descriptive statistics to present the distribution of respondents’ disclosure, reasons for disclosure, and the support received. We assessed the relationship between disclosure, support received, and abortion method using cross-tabulations. Results Most respondents (79.5%) disclosed their abortions to someone, predominantly to their spouse or partner (66.7%). Various forms of support were reported, including emotional support, practical assistance in accessing abortion services, and advice on methods and providers. For all support, most respondents (average = 65%) receive it before the actual abortion, helping with decision-making and sources of abortion care. We found disparities in the level of support received based on age groups, with adolescent girls and young women (15–24 years old) receiving the least high-level support. Conversely, non-disclosure was based on the belief that abortion is a personal and women’s right or choice and to avoid breach of privacy and stigma. Conclusions Women and girls disclose their abortions selectively and aim to leverage disclosure for information and support in abortion decision-making and care-seeking. Efforts to destigmatize abortion and support women's autonomy in reproductive decision-making are essential, including advocating policies that protect women's right to privacy and confidentiality regarding their reproductive choices, as well as initiatives to engage men in supportive roles and challenge harmful cultural norms.

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Partner involvement in abortion trajectories and subsequent abortion safety in Nigeria and Côte d’Ivoire

Cited by 3 publications

References 34 publications

Client-reported quality of facility-managed medication abortion compared with pharmacy-sourced self-managed abortion in Bangladesh

Client-reported quality of facility-managed medication abortion compared with pharmacy-sourced self-managed abortion in Bangladesh

Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study

To tell or not to tell? Abortion disclosure and social support among women who received abortion care in Abuja and Lagos, Nigeria

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