Health care providers' attitudes towards termination of pregnancy: a qualitative study in South Africa.
Health care providers' attitudes towards termination of pregnancy: a qualitative study in South Africa.
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DOI：
10.1186/1471-2458-9-296
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发表时间：
2009-08-18
影响因子：
4.5
通讯作者：
Orner P
中科院分区：
文献类型：
--
作者：
Harries J;Stinson K;Orner P
尽管南非于1996年修改了堕胎立法，但妇女获得堕胎服务的障碍仍然存在，包括堕胎服务提供者反对堕胎以及缺乏训练有素和愿意堕胎的堕胎护理提供者。堕胎服务提供者的缺乏损害了安全、法律的堕胎的提供，并对妇女获得堕胎服务和保健服务规划产生严重影响。在南非，人们对目前从事堕胎服务工作的个人和专业态度知之甚少。探讨决定卫生保健提供者参与或脱离堕胎服务的因素，可能有助于改善未来服务的规划和提供。采用质的研究方法收集数据。2006年和2007年期间，对南非西开普省参与各种堕胎服务的保健提供者进行了34次深入访谈和一次焦点小组讨论。采用专题分析方法对数据进行了分析。许多保健设施普遍存在提供服务的复杂模式，为了满足保健提供者参与提供堕胎服务的不同方面的意愿，提供服务的水平参差不齐。与此相关的是，许多提供者表示需要专门的、独立的堕胎诊所，从而为客户和提供者创造一个更有利的环境。几乎所有提供者都对妇女在寻求堕胎时面临的众多困难及其总体护理质量表示关切。最令人关切的问题是堕胎前后的咨询，包括避孕咨询和提供的情况很差。这是在南非进行的第一次已知的定性研究，探讨提供者对堕胎的态度，并增加了解决安全堕胎服务障碍的信息。为了维持一批堕胎服务提供者，需要制定既能吸引潜在堕胎服务提供者又能留住现有堕胎服务提供者的方案，并考虑对堕胎护理提供者给予经济补偿。
Despite changes to the abortion legislation in South Africa in 1996, barriers to women accessing abortion services still exist including provider opposition to abortions and a shortage of trained and willing abortion care providers. The dearth of abortion providers undermines the availability of safe, legal abortion, and has serious implications for women's access to abortion services and health service planning. In South Africa, little is known about the personal and professional attitudes of individuals who are currently working in abortion service provision. Exploring the factors which determine health care providers' involvement or disengagement in abortion services may facilitate improvement in the planning and provision of future services. Qualitative research methods were used to collect data. Thirty four in-depth interviews and one focus group discussion were conducted during 2006 and 2007 with health care providers who were involved in a range of abortion provision in the Western Cape Province, South Africa. Data were analysed using a thematic analysis approach. Complex patterns of service delivery were prevalent throughout many of the health care facilities, and fragmented levels of service provision operated in order to accommodate health care providers' willingness to be involved in different aspects of abortion provision. Related to this was the need expressed by many providers for dedicated, stand-alone abortion clinics thereby creating a more supportive environment for both clients and providers. Almost all providers were concerned about the numerous difficulties women faced in seeking an abortion and their general quality of care. An overriding concern was poor pre and post abortion counselling including contraceptive counselling and provision. This is the first known qualitative study undertaken in South Africa exploring providers' attitudes towards abortion and adds to the body of information addressing the barriers to safe abortion services. In order to sustain a pool of abortion providers, programmes which both attract prospective abortion providers, and retain existing providers, needs to be developed and financial compensation for abortion care providers needs to be considered.
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DOI：
10.1111/j.1471-0528.2005.00697.x
发表时间：
2005-09-01
影响因子：
5.8
作者：
Jewkes, RK;Gumede, T;Rees, H
通讯作者：
Rees, H
影响因子：
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作者：
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影响因子：
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作者：
Billings, Deborah L.;Crane, Barbara B.;Fetters, Tamara
通讯作者：
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影响因子：
3.8
作者：
MARSHALL, SL;GOULD, D;ROBERTS, J
通讯作者：
ROBERTS, J
影响因子：
2.9
作者：
Silva, Martha;Billings, Deborah L.;Lara, Diana
通讯作者：
Lara, Diana