Situation Analysis of Quality of Abortion Care in the Main Maternity Hospital in Ha˛i Phòng, Viet Nam

Nguyen, My Huong; Gammeltoft, Tine; Rasch, Vibeke

doi:10.1016/s0968-8080(07)29283-3

Cited by 25 publications

(23 citation statements)

References 13 publications

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“…At the same time, the diversity of indicators reveals that abortion care quality is a broad and multifaceted issue, spanning sectors such as policy and health systems, while also addressing women's decision making and emotional supports. In many ways, the diversity of indicators represent progress, as scholars have noted that quality abortion care has historically been associated with the technical skill to perform abortion and the lack of abortion-related complications,35 and that less attention has been paid to the sociocultural aspects of the health care, such as good communication between providers and clients appropriate levels of privacy, and the receipt of high-quality information 15 35. This approach to abortion care quality is consistent with global efforts to define quality health services as constituting much more than what happens in an examination room 3…”

Section: Discussionmentioning

confidence: 99%

Identifying indicators for quality abortion care: a systematic literature review

Dennis

Blanchard

Bessenaar

2016

J Fam Plann Reprod Health Care

102

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A systematic review was conducted of 13 peerreviewed articles and eight reports focused on indicators of quality abortion care. A total of 75 indicators of quality abortion were identified; these indicators address a variety of issues including policy, health systems, trained-provider availability, women's decision making, and morbidity and mortality. There is little agreement about indicators for measuring quality abortion care; more work is needed to ensure efforts to assess quality are informed and coordinated. BACKGROUNDBoth in well-resourced and underresourced health systems, it remains challenging to provide quality health services. This results in variation in the standards of health care delivery and in the outcomes of health care within and between health care systems. As it is a key component of ensuring equitable health care and outcomes, there is growing interest in improving the quality of health care across the globe.

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Section: Discussionmentioning

confidence: 99%

Identifying indicators for quality abortion care: a systematic literature review

Dennis

Blanchard

Bessenaar

2016

J Fam Plann Reprod Health Care

102

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“…Women who were obtaining or had obtained PAC services as well as PAC providers (including medical staff, doctors, nurses and healthcare workers) 23 25 29 31 35…”

Section: Resultsmentioning

confidence: 99%

“…Three of the nine studies focused on post-abortion family planning services/contraception provision post-abortion21 24 29 and six studies focused on PAC as a whole,19 23 25 30 31 35 two of which incorporated generational aspects in their research 25 30…”

Section: Resultsmentioning

confidence: 99%

Access to contraception and sexual and reproductive health information post-abortion: a systematic review of literature from low- and middle-income countries

Rogers

Dantas

2017

J Fam Plann Reprod Health Care

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Aim This systematic literature review documented, analysed and critiqued the accessibility of contraception and sexual and reproductive health (SRH) information for women living in low-and middle-income countries who have undergone medical or surgical abortion. Methodology This review systematically collated relevant and recent empirical evidence regarding women's access to contraception and SRH information post-abortion within low-and middle-income countries. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework Guidelines, Flow Diagram and Checklist were utilised to undertake the review. The Ovid (MEDLINE), ProQuest, Science Direct, Web of Science, PUBMED and CINAHL databases were searched and studies that met edibility criteria were assessed for validity and analysis. A narrative synthesis of characteristics and results of the included studies is presented. Findings After detailed assessment of available and relevant literature, nine studies were selected for inclusion in the review. Studies highlighted barriers to contraception and SRH information including supply limitation, lack of comprehensive education and counselling, lack of skilled post-abortion care (PAC) providers and abortion stigma. Conclusions The review found that with access to a wide range of contraceptive methods combined with comprehensive SRH information and education, contraception uptake in women post-abortion does increase. The review also highlights the inconsistencies in clinic-reported 'counselling' and what this term actually involves within a PAC setting.

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“…24 Previous situation analyses of abortion generally relate to the provision of safe abortion and quality of care rather than the intersection with IPV. 25,26,27 Thus, it remains moot whether IPV is accepted as rightful business for the abortion sector, and what training and support healthcare professionals need. In particular, in the UK, there is no policy for screening for IPV.…”

Section: Introductionmentioning

confidence: 99%

Should violence services be integrated within abortion care? A UK situation analysis

Kekana

Hall

Motta

et al. 2016

Reproductive Health Matters

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The prevalence of violence against women worldwide raises the question of the desirability and feasibility of integrating interpersonal violence (IPV) services within abortion care. By examining present services and context in an Inner London borough in the UK, this situation analysis explored the hypothesis that an established, integrated, health-based service (comprising raised awareness, staff training in routine IPV enquiry and referral to a community-based in-reach IPV service) would be transferable into abortion services. Four sources of qualitative data investigated views on integrating services: key stakeholder in-depth interviews including with providers of abortion and IPV services and commissioners and IPV survivors with past abortion service use (3 user, 15 provider); qualitative analysis of the open-ended part of a survey of current abortion service users with and without experience of IPV; feedback from an interactive workshop and data from field observations. While there was consensus among all informants that women experiencing IPV and seeking abortion have unidentified, unaddressed needs, how any intervention might be organised to address these needs was contested; thus questions remain about whether, when and how to raise the topic of IPV and what to offer. Two major anxieties surfaced: a practical concern in terms of interrupting a streamlined abortion service that suits the majority of staff and patients, and a conceptual concern about risk of stigmatising abortion seekers as 'victims in crisis'. Thus, our findings indicate: when integrating IPV interventions into abortion services, local context, the integrity of separate pathways, and women's safety and agency must be considered, especially when abortion rights are under attack. Novel approaches are required and should be researched.

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Situation Analysis of Quality of Abortion Care in the Main Maternity Hospital in Ha˛i Phòng, Viet Nam

Cited by 25 publications

References 13 publications

Identifying indicators for quality abortion care: a systematic literature review

Identifying indicators for quality abortion care: a systematic literature review

Access to contraception and sexual and reproductive health information post-abortion: a systematic review of literature from low- and middle-income countries

Should violence services be integrated within abortion care? A UK situation analysis

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