Community perception of abortion, women who abort and abortifacients in Kisumu and Nairobi counties, Kenya


Autoři: Boniface Ayanbekongshie Ushie aff001;  Kenneth Juma aff001;  Grace Kimemia aff001;  Ramatou Ouedraogo aff001;  Martin Bangha aff001;  Michael Mutua aff001
Působiště autorů: African Population and Health Research Center, Nairobi, Kenya aff001
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226120

Souhrn

Background

Abortion draws varied emotions based on individual and societal beliefs. Often, women known to have sought or those seeking abortion services experience stigma and social exclusion within their communities. Understanding community perception of abortion is critical in informing the design and delivery of interventions that reduce the gaps in access to safe abortion for women.

Objective

We explored community perceptions and beliefs relating to abortion, clients of abortion services, and abortifacients in Kenya.

Methods

We conducted focus group discussions (FGDs) and in-depth interviews (IDIs) in Kisumu and Nairobi counties in Kenya among a mix of adult men and women, pharmacists, nurses, and community health volunteers.

Results

Community perspectives around abortion were heterogeneous, reflecting a myriad of opinions ranging from total anti-abortion to more pro-choice positions, and with rural-urban differences. Notably, negative views on abortion became more nuanced and tempered, especially among young women in urban areas, as details of factors that motivate women to seek abortion became apparent. Participants were mostly aware of the pathways through which women and girls access abortion services. Whereas abortion is commonplace, multiple structural and socioeconomic barriers, as well as stigma, are prevalent, thus impeding access to safe and quality services.

Conclusion

Community perceptions on abortion are heterogeneous, varying by gender, occupation, level of education, residence, and position in society. Stigma and the hostile abortion environment limit access to safe abortion services, with several negative consequences. There is urgent need to strengthen community-based approaches to mitigate predisposing and enabling factors for unsafe abortions.

Klíčová slova:

Culture – Drug information – Chemists – Kenya – Pharmacists – Termination of pregnancy – Women's health – Ovine abortion


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Článek vyšel v časopise

PLOS One


2019 Číslo 12