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

Dados Bibliográficos

ID15098310
AutoresSun Yu Cotter (Institute for Global Health Sciences, University of California, San Francisco, CA, USA;), May Sudhinaraset (0000-0002-6099-7485, Institute for Global Health Sciences, University of California, San Francisco, CA, USA;), Beth Phillips (0000-0001-7467-0494, Institute for Global Health Sciences, University of California, San Francisco, CA, USA;), Charlotte Avery Seefeld (0000-0002-2960-6108, Institute for Global Health Sciences, University of California, San Francisco, CA, USA;), Ziporah Mugwanga (Marie Stopes Kenya, Nairobi, Kenya), Ziporah Mugwang’a (Kenya Forest Service), Ginger Golub (0000-0002-0669-4758, Innovations for Poverty Action, Nairobi, Kenya), Edward Ikiugu (Marie Stopes Kenya, Nairobi, Kenya)
Ano2021
Volume23
Fascículo2
Páginas224-239
Data de publicação2021-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2019.1701083
PMID32105189
OpenAlexW3006847582
IdiomaEN
Citações recebidas10
Referências citadas22

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

Abortion · Autonomy · Environmental health · Family medicine · Family planning · Focus group · Health care · Political science · Population · Pregnancy · Psychological intervention · Qualitative research · Reproductive health · Sociology · Thematic analysis · Unsafe abortion · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Nursing · Reproductive Health and Contraception