Story Circles and abortion stigma in Mexico: a mixed-methods evaluation of a new intervention for reducing individual level abortion stigma

Belfrage, Madeleine; Ramírez, Olivia Ortíz; Sorhaindo, Annik

doi:10.1080/13691058.2019.1577493

Cited by 19 publications

(8 citation statements)

References 27 publications

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“…Strong social support from women's communities seemed important to reduce feelings of isolation and stigmatisation, especially during the post-abortion period. In Mexico, an evaluation of a support intervention found that participants were able to shift their perspectives of their abortion experiences as empowering (rather than negative experiences) when they had supportive environment to share their stories (Belfrage, Ortiz Ramirez, and Sorhaindo 2019). Another way to support women as they heal, is by means of accessible post-abortion support interventions that are multi-level and which includes a combination of individual, group (i.e.women's existing social networks or peers), and health facility/community-level strategies such as mobile phone support via phone calls or text messages from nurses, and virtual support groups in communities.…”

Section: Programme Implicationsmentioning

confidence: 99%

Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya

Cotter

Sudhinaraset

Phillips

et al. 2020

Culture, Health & Sexuality

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Globally, access to good quality abortion services and post-abortion care is a critical determinant for women's survival after unsafe abortion. Unsafe abortions account for high levels of maternal death in Kenya. We explored women's experiences and perceptions of their abortion and post-abortion care experiences in Kenya through person-centred care. This qualitative study included focus group discussions and in-depth interviews with women aged 18-35 who received safe abortion services at private clinics. Through thematic analyses of women's testimonies, we identified gaps in the abortion care and person-centred domains which seemed to be important throughout the abortion process. When women received clear communication and personalised comprehensive information on abortion and post-abortion care from their healthcare providers, they reported more positive experiences overall and higher reproductive autonomy. Communication and supportive care were particularly valued during the post-abortion period, as was social support more generally. Further research is needed to design, implement and test the feasibility and acceptability of person-centred abortion care interventions in community and clinical settings with the goal of improving women's abortion experiences and overall reproductive health outcomes.

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Section: Programme Implicationsmentioning

confidence: 99%

Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya

Cotter

Sudhinaraset

Phillips

et al. 2020

Culture, Health & Sexuality

View full text Add to dashboard Cite

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“…A mixed-methods evaluation of story circles run by feminist activists in Mexico that provided space for women to come together after their abortion to share their stories, create connections with each other, and explore what their decision has meant for their lives found that the circles quantitatively decreased feelings of isolation and qualitatively helped reduce stigmatizing feelings. They found that the circles empowered individuals to reframe abortion as a positive and life-affirming decision from a negative and stigmatizing one ( Belfrage et al, 2019 ). People involved in abortion care and support in other countries can draw on this work as the legal landscape becomes more restrictive; this is particularly true in the United States, where people in nearly half of all states are expected to have to travel across state lines for abortion services following the gutting of constitutional protections for abortion access.…”

Section: Discussionmentioning

confidence: 99%

The influence of feminist abortion accompaniment on emotions related to abortion: A longitudinal observational study in Mexico

Wollum

Huerta²,

Uribe³

et al. 2022

SSM - Population Health

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“…The intervention also included information sessions to dispel myths and misinformation. The intervention significantly reduced women’s feelings of isolation helped reduce stigma 35…”

Section: Methodsmentioning

confidence: 99%

Interventions to reduce stigma related to contraception and abortion: a scoping review

Sorhaindo

Loi

2022

BMJ Open

Self Cite

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ObjectivesWe conducted a scoping review to identify the types, volume and characteristics of available evidence and analyse the gaps in the knowledge base for evaluated interventions to reduce contraception and abortion stigma.DesignWe conducted a search of five electronic databases to identify articles published between January 2000 and January 2022, and explored the websites of relevant organisations and grey literature databases for unpublished and non-commercial reports. Articles were assessed for eligibility, and data were extracted.Data sourcesWe searched MEDLINE, PubMed, Embase, Web of Science and PsycINFO.Eligibility criteriaArticles included were: (1) published between January 2000 and January 2022, (2) written in English, (3) reports of the evaluation of an intervention designed to reduce contraceptive and/or abortion stigma, (4) used any type of study design and (5) conducted in any country context.Data extraction and synthesisIncluded studies were charted according to study location, study aim, study design, type of contraceptive method(s), study population, type of stigma, and intervention approach.ResultsSome 18 articles were included in the final analysis (11 quantitative, 6 qualitative and 1 mixed methods). Fourteen of the studies focused exclusively on abortion stigma, and two studies focused on contraception stigma only; while two studies considered both. A majority of the studies aimed to address intrapersonal stigma. We found no interventions designed to address stigma at the structural level. In terms of intervention approaches, seven were categorised as education/training/skills building, five as counselling/peer support, three as contact and three as media.ConclusionThere is a dearth of evaluations of interventions to reduce contraception and abortion stigma. Investment in implementation science is necessary to develop the evidence base and inform the development of effective interventions, and use existing stigma scales to evaluate effectiveness. This scoping review can serve as a precursor to systematic reviews assessing the effectiveness of approaches.

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Story Circles and abortion stigma in Mexico: a mixed-methods evaluation of a new intervention for reducing individual level abortion stigma

Cited by 19 publications

References 27 publications

Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya

Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya

The influence of feminist abortion accompaniment on emotions related to abortion: A longitudinal observational study in Mexico

Interventions to reduce stigma related to contraception and abortion: a scoping review

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