The Context of Informal Abortions in Rural Ghana
The Context of Informal Abortions in Rural Ghana
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DOI：
10.1089/jwh.2008.1123
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发表时间：
2009-12-01
影响因子：
3.5
通讯作者：
Kirkwood, Betty
中科院分区：
文献类型：
--
作者：
Hill, Zelee Elizabeth;Tawiah-Agyemang, Charlotte;Kirkwood, Betty
目的：这项定性研究探讨了加纳农村地区的不安全堕胎的背景下，确定在实施堕胎相关的生殖健康strategies.Methods时应考虑的领域：数据来自11个叙述计划或企图堕胎和7个叙述堕胎相关的死亡。这些个人数据的补充数据从10个焦点小组discussions.Results：社区描述堕胎是危险的，如果他们成为公共知识，可耻的。尽管如此，人们认为在某些情况下，堕胎对某些妇女来说是必要的，但保密是最重要的。妇女根据预期的反应仔细选择她们的知己，这样做是为了获得关于廉价和有效方法的建议或经济援助。并发症通常在家中处理。当并发症被送到保健设施时，堕胎往往不被披露。妇女报告说，她们尝试过连续堕胎的方法，从较便宜的温和方法开始，如果这些尝试失败，就诉诸更严厉、更昂贵的方法。能否获得药品和资金也决定了所使用的方法。经济困难，中断的教育，未婚是最常见的原因为aborts.Conclusions：不安全堕胎是一个重要的公共卫生问题，在加纳。目前减少堕胎相关死亡的战略包括增加提供安全堕胎服务。为了使该战略取得成功，服务应该是可获得的、负担得起的和保密的，并且需要与社区和卫生工作者进行对话，以打破公众对堕胎的沉默。
Aims: This qualitative study explores the context of unsafe abortion in rural Ghana with the aim of identifying areas that should be considered when operationalizing abortion-related reproductive health strategies.Methods: Data come from eleven narratives about planned or attempted abortions and seven narratives of abortion-related deaths. These individual data are supplemented by data from ten focus group discussions.Results: Communities describe abortions as dangerous and, if they become public knowledge, shameful. Despite this, abortions were understood as necessary for some women in some situations, but secrecy was paramount. Women carefully chose their confidants based on the anticipated reaction and did so for advice about cheap and effective methods or for financial assistance. Complications were usually managed at home. When complications were taken to the health facility, the abortion was often not disclosed. Women reported trying sequential abortion methods, starting with cheaper milder methods and, if these attempts failed, resorting to harsher more expensive methods. Access to pharmaceuticals and finances also determined the method used. Financial hardship, interruption of education, and being unmarried were the most frequently cited reasons for abortions.Conclusions: Unsafe abortion is an important public health issue in Ghana. Current strategies to reduce abortion-related deaths include increasing the provision of safe abortion services. For the strategy to be successful, services should be accessible, affordable, and confidential, and discourse with communities and health workers to break the public silence about abortion is needed.