Health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data
Unsafe abortions are a serious public health problem and a major human rights issue. In low-income countries, where restrictive abortion laws are common, safe abortion care is not always available to women in need. Health care providers have an important role in the provision of abortion services. H...
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| Veröffentlicht in: | BMC PUBLIC HEALTH 2015-02, Vol.15 (1), p.139-139, Article 139 |
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| description | Unsafe abortions are a serious public health problem and a major human rights issue. In low-income countries, where restrictive abortion laws are common, safe abortion care is not always available to women in need. Health care providers have an important role in the provision of abortion services. However, the shortage of health care providers in low-income countries is critical and exacerbated by the unwillingness of some health care providers to provide abortion services. The aim of this study was to identify, summarise and synthesise available research addressing health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia.
A systematic literature search of three databases was conducted in November 2014, as well as a manual search of reference lists. The selection criteria included quantitative and qualitative research studies written in English, regardless of the year of publication, exploring health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia. The quality of all articles that met the inclusion criteria was assessed. The studies were critically appraised, and thematic analysis was used to synthesise the data.
Thirty-six studies, published during 1977 and 2014, including data from 15 different countries, met the inclusion criteria. Nine key themes were identified as influencing the health care providers' attitudes towards induced abortions: 1) human rights, 2) gender, 3) religion, 4) access, 5) unpreparedness, 6) quality of life, 7) ambivalence 8) quality of care and 9) stigma and victimisation.
Health care providers in sub-Saharan Africa and Southeast Asia have moral-, social- and gender-based reservations about induced abortion. These reservations influence attitudes towards induced abortions and subsequently affect the relationship between the health care provider and the pregnant woman who wishes to have an abortion. A values clarification exercise among abortion care providers is needed. |
| doi_str_mv | 10.1186/s12889-015-1502-2 |
| format | Article |
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A systematic literature search of three databases was conducted in November 2014, as well as a manual search of reference lists. The selection criteria included quantitative and qualitative research studies written in English, regardless of the year of publication, exploring health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia. The quality of all articles that met the inclusion criteria was assessed. The studies were critically appraised, and thematic analysis was used to synthesise the data.
Thirty-six studies, published during 1977 and 2014, including data from 15 different countries, met the inclusion criteria. Nine key themes were identified as influencing the health care providers' attitudes towards induced abortions: 1) human rights, 2) gender, 3) religion, 4) access, 5) unpreparedness, 6) quality of life, 7) ambivalence 8) quality of care and 9) stigma and victimisation.
Health care providers in sub-Saharan Africa and Southeast Asia have moral-, social- and gender-based reservations about induced abortion. These reservations influence attitudes towards induced abortions and subsequently affect the relationship between the health care provider and the pregnant woman who wishes to have an abortion. A values clarification exercise among abortion care providers is needed.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/s12889-015-1502-2</identifier><identifier>PMID: 25886459</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Abortion ; Abortion, Induced ; Africa South of the Sahara ; Asia, Southeastern ; Attitude of Health Personnel ; Attitudes ; Criteria ; Female ; Health and Welfare ; Health care ; Health Personnel - psychology ; Human rights ; Humans ; Hälsa och välfärd ; Income ; Literature reviews ; Maternal mortality ; Medical care ; Pregnancy ; Public health ; Qualitative analysis ; Qualitative Research ; Quality management ; Quality of Life ; Religion ; Women</subject><ispartof>BMC PUBLIC HEALTH, 2015-02, Vol.15 (1), p.139-139, Article 139</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>2015. This work is licensed under http://creativecommons.org/licenses/by/2.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Rehnström Loi et al.; licensee BioMed Central. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b699t-3e84f3cdef3065f92d7dbc706904dbf3183dc1b1f47324422189d42ce26550b23</citedby><cites>FETCH-LOGICAL-b699t-3e84f3cdef3065f92d7dbc706904dbf3183dc1b1f47324422189d42ce26550b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335425/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335425/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25886459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:du-17314$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:130801020$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Rehnström Loi, Ulrika</creatorcontrib><creatorcontrib>Gemzell-Danielsson, Kristina</creatorcontrib><creatorcontrib>Faxelid, Elisabeth</creatorcontrib><creatorcontrib>Klingberg-Allvin, Marie</creatorcontrib><title>Health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data</title><title>BMC PUBLIC HEALTH</title><addtitle>BMC Public Health</addtitle><description>Unsafe abortions are a serious public health problem and a major human rights issue. In low-income countries, where restrictive abortion laws are common, safe abortion care is not always available to women in need. Health care providers have an important role in the provision of abortion services. However, the shortage of health care providers in low-income countries is critical and exacerbated by the unwillingness of some health care providers to provide abortion services. The aim of this study was to identify, summarise and synthesise available research addressing health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia.
A systematic literature search of three databases was conducted in November 2014, as well as a manual search of reference lists. The selection criteria included quantitative and qualitative research studies written in English, regardless of the year of publication, exploring health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia. The quality of all articles that met the inclusion criteria was assessed. The studies were critically appraised, and thematic analysis was used to synthesise the data.
Thirty-six studies, published during 1977 and 2014, including data from 15 different countries, met the inclusion criteria. Nine key themes were identified as influencing the health care providers' attitudes towards induced abortions: 1) human rights, 2) gender, 3) religion, 4) access, 5) unpreparedness, 6) quality of life, 7) ambivalence 8) quality of care and 9) stigma and victimisation.
Health care providers in sub-Saharan Africa and Southeast Asia have moral-, social- and gender-based reservations about induced abortion. These reservations influence attitudes towards induced abortions and subsequently affect the relationship between the health care provider and the pregnant woman who wishes to have an abortion. A values clarification exercise among abortion care providers is needed.</description><subject>Abortion</subject><subject>Abortion, Induced</subject><subject>Africa South of the Sahara</subject><subject>Asia, Southeastern</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Criteria</subject><subject>Female</subject><subject>Health and Welfare</subject><subject>Health care</subject><subject>Health Personnel - psychology</subject><subject>Human rights</subject><subject>Humans</subject><subject>Hälsa och välfärd</subject><subject>Income</subject><subject>Literature reviews</subject><subject>Maternal mortality</subject><subject>Medical care</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Qualitative analysis</subject><subject>Qualitative Research</subject><subject>Quality management</subject><subject>Quality of Life</subject><subject>Religion</subject><subject>Women</subject><issn>1471-2458</issn><issn>1471-2458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>D8T</sourceid><recordid>eNp1k89u1DAQxiMEoqXwAFyQJQ4goRTbsfOnB6RVCxSpEocCV8uxJ7suib21na36bLwcTrMtXdQqhzgzv-8bjzPOstcEHxJSlx8DoXXd5JjwnHBMc_ok2yesIjllvH56b72XvQjhAmNS1Zw-z_Yor-uS8WY_-3MKso8rpKQHtPZuYzT48A6twStYR-NsQK5D0mokYzRx1BBQdFfS64CM1aOClGmdn1FjURjb_FyupJcWLTpvlLxRn7sxrkCGiBbByCMkUbgOEQYZjUK9ieBlHNMePGwMXE01L0eZ4im_gRuH9G3jbUDLKF9mzzrZB3i1fR9kP798_nF8mp99__rteHGWt2XTxLyAmnWF0tAVuORdQ3WlW1XhssFMt11B6kIr0pKOVQVljFJSN5pRBbTkHLe0OMjy2TdcwXpsxdqbQfpr4aQR29DvtALBCSO8TPyHR_kT82shnF8KPQpSFYQl-tNMJ3QArcBGL_sd0W7GmpVYuo1gRcEZ5cngZDZojXvEYDej3CDm0RFpdMQ0OmLq8v12H95djhCiGExQ0PfSghuDIGXFyoY0DU7o2__QCzd6m_6BoLSpSY0T949ayh6EsZ1L1dVkKhacpaOiZTGVPXyASo-GwShnoTMpviMgs0B5F4KH7q5TgsV0LR7s7c39M75T3N6D4i9nSQ0Q</recordid><startdate>20150212</startdate><enddate>20150212</enddate><creator>Rehnström Loi, Ulrika</creator><creator>Gemzell-Danielsson, Kristina</creator><creator>Faxelid, Elisabeth</creator><creator>Klingberg-Allvin, Marie</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20150212</creationdate><title>Health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data</title><author>Rehnström Loi, Ulrika ; Gemzell-Danielsson, Kristina ; Faxelid, Elisabeth ; Klingberg-Allvin, Marie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b699t-3e84f3cdef3065f92d7dbc706904dbf3183dc1b1f47324422189d42ce26550b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abortion</topic><topic>Abortion, Induced</topic><topic>Africa South of the Sahara</topic><topic>Asia, Southeastern</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Criteria</topic><topic>Female</topic><topic>Health and Welfare</topic><topic>Health care</topic><topic>Health Personnel - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>BMC PUBLIC HEALTH</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rehnström Loi, Ulrika</au><au>Gemzell-Danielsson, Kristina</au><au>Faxelid, Elisabeth</au><au>Klingberg-Allvin, Marie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data</atitle><jtitle>BMC PUBLIC HEALTH</jtitle><addtitle>BMC Public Health</addtitle><date>2015-02-12</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>139</spage><epage>139</epage><pages>139-139</pages><artnum>139</artnum><issn>1471-2458</issn><eissn>1471-2458</eissn><abstract>Unsafe abortions are a serious public health problem and a major human rights issue. In low-income countries, where restrictive abortion laws are common, safe abortion care is not always available to women in need. Health care providers have an important role in the provision of abortion services. However, the shortage of health care providers in low-income countries is critical and exacerbated by the unwillingness of some health care providers to provide abortion services. The aim of this study was to identify, summarise and synthesise available research addressing health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia.
A systematic literature search of three databases was conducted in November 2014, as well as a manual search of reference lists. The selection criteria included quantitative and qualitative research studies written in English, regardless of the year of publication, exploring health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia. The quality of all articles that met the inclusion criteria was assessed. The studies were critically appraised, and thematic analysis was used to synthesise the data.
Thirty-six studies, published during 1977 and 2014, including data from 15 different countries, met the inclusion criteria. Nine key themes were identified as influencing the health care providers' attitudes towards induced abortions: 1) human rights, 2) gender, 3) religion, 4) access, 5) unpreparedness, 6) quality of life, 7) ambivalence 8) quality of care and 9) stigma and victimisation.
Health care providers in sub-Saharan Africa and Southeast Asia have moral-, social- and gender-based reservations about induced abortion. These reservations influence attitudes towards induced abortions and subsequently affect the relationship between the health care provider and the pregnant woman who wishes to have an abortion. A values clarification exercise among abortion care providers is needed.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25886459</pmid><doi>10.1186/s12889-015-1502-2</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abortion Abortion, Induced Africa South of the Sahara Asia, Southeastern Attitude of Health Personnel Attitudes Criteria Female Health and Welfare Health care Health Personnel - psychology Human rights Humans Hälsa och välfärd Income Literature reviews Maternal mortality Medical care Pregnancy Public health Qualitative analysis Qualitative Research Quality management Quality of Life Religion Women |
| title | Health care providers' perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data |
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