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.
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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DOI：
10.1186/s12889-015-1502-2
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发表时间：
2015-02-12
影响因子：
4.5
通讯作者：
Klingberg-Allvin M
中科院分区：
文献类型：
--
作者：
Rehnström Loi U;Gemzell-Danielsson K;Faxelid E;Klingberg-Allvin M
不安全堕胎是一个严重的公共卫生问题，也是一个重大的人权问题。在低收入国家，限制性堕胎法很常见，有需要的妇女并不总是可以获得安全的堕胎护理。保健提供者在提供堕胎服务方面发挥着重要作用。然而，低收入国家卫生保健提供者短缺的问题十分严重，一些保健提供者不愿提供堕胎服务更是雪上加霜。这项研究的目的是确定、总结和综合现有的研究，这些研究涉及卫生保健提供者对撒哈拉以南非洲和东南亚地区人工流产的看法和态度。2014年11月对三个数据库进行了系统的文献搜索，并对参考文献清单进行了手工搜索。选择标准包括用英语编写的定量和定性研究报告，无论发表年份如何，探讨卫生保健提供者对撒哈拉以南非洲和东南亚地区人工流产的看法和态度。对符合纳入标准的所有文章的质量进行了评估。对这些研究进行了批判性的评价，并使用主题分析来综合数据。1977年至2014年期间发表的36项研究，包括来自15个不同国家的数据，符合纳入标准。确定了影响保健提供者对人工流产态度的九个关键主题：1)人权、2)性别、3)宗教、4)获得、5)准备不足、6)生活质量、7)矛盾心理、8)护理质量和9)耻辱和受害。撒哈拉以南非洲和东南亚的医疗保健提供者对人工流产持道德、社会和性别方面的保留意见。这些保留意见影响了对人工流产的态度，进而影响了保健提供者和希望堕胎的孕妇之间的关系。有必要在堕胎护理人员中澄清价值观。本文的在线版本(doi：10.1186/s12889-0151502-2)包含补充材料，授权用户可以使用。
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. The online version of this article (doi:10.1186/s12889-015-1502-2) contains supplementary material, which is available to authorized users.
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影响因子：
168.9
作者：
Kassebaum, N. J.;Bertozzi-Villa, A.;Coggeshall, M. S.
通讯作者：
Coggeshall, M. S.
影响因子：
2.7
作者：
Curtis, Carolyn
通讯作者：
Curtis, Carolyn
DOI：
10.1363/ipsrh.36.006.10
发表时间：
2010-03-01
影响因子：
4.4
作者：
Gebreselassie, Hailemichael;Fetters, Tamara;Kumbi, Solomon
通讯作者：
Kumbi, Solomon
DOI：
10.1016/j.ijgo.2006.04.018
发表时间：
2006-09-01
影响因子：
3.8
作者：
Gasman, N.;Blandon, M. M.;Crane, B. B.
通讯作者：
Crane, B. B.
影响因子：
4.5
作者：
Harries J;Stinson K;Orner P
通讯作者：
Orner P