Why are women still aborting outside designated facilities in metropolitan South Africa?
Why are women still aborting outside designated facilities in metropolitan South Africa?
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DOI：
10.1111/j.1471-0528.2005.00697.x
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发表时间：
2005-09-01
影响因子：
5.8
通讯作者：
Rees, H
中科院分区：
文献类型：
--
作者：
Jewkes, RK;Gumede, T;Rees, H
目的探讨为什么南非妇女仍然在指定的服务，那里有大量的法律的service provision.Design描述性study.Set三家医院在豪登省在南非样本46名妇女参加医院不完全流产谁有流产诱导指定facility.Methods开放式和封闭式questionnaire问卷调查完成。通过回答一组封闭式问题确定诱导状态。开放式的问题，探讨了感应的情况下。主要焦点的访谈方法的感应，障碍法律的服务use.Results近三分之二的妇女（n= 38）有自我诱导或咨询了传统的治疗师。其中少数妇女（n= 11）表示，她们这样做是因为她们在使用法律的服务方面遇到障碍。对其他人来说，这是对健康问题（意外怀孕）的“自然”反应。几名妇女（n= 10）由医生、护士或药剂师给予米索前列醇。54%的妇女没有利用过法律的服务，因为她们不了解法律，15%的妇女知道她们的法律的权利，但不知道有法律的设施。其他人确实知道在哪里可以获得法律的服务，但担心粗鲁的工作人员（17%）或违反保密规定（6.5%）。其他人（6.5%）已无法得到法律的堕胎足够早在怀孕期间遵守law.Conclusions缺乏信息的堕胎权利，根据该法和指定设施的质量差是最重要的障碍，获得和政策制定者和卫生服务管理应加以解决。在这种情况下，妇女是否愿意自行堕胎和去看传统医生，可能会影响到新立法降低堕胎发病率的总体能力。
Objective To explore why South African women still abort outside designated services where there is substantial legal service provision.Design Descriptive study.Setting Three hospitals in Gauteng Province in South Africa.Sample Forty-six women attending hospital with incomplete abortion who had abortions induced outside of designated facilities.Methods An interviewer-administered questionnaire with open and closed questions was completed. Induction status was determined from answers to a set of closed questions. Open-ended questions explored the circumstances of induction.Main focus of interviews Methods of induction used, barriers to legal service use.Results Nearly two-thirds of women (n= 38) had self-induced or had consulted a traditional healer. A minority of these women (n= 11) indicated that they did this because they experienced barriers to legal service use. For others it was presented as a 'natural' response to a health problem (unwanted pregnancy). Several women (n= 10) were given misoprostol by a doctor, nurse, or pharmacist. Fifty-four percent of the women had not used legal services because they did not know about the law, while 15% knew of their legal rights, but did not know of a legal facility. Others did know where to access legal services but feared rude staff (17%) or breaches of confidentiality (6.5%). Others (6.5%) had been unable to get a legal abortion early enough in pregnancy to comply with the law.Conclusions Lack of information on abortion rights under the Act and perceived poor quality of designated facilities were the most important barriers to access and should be addressed by policymakers and health service management. The willingness of women to self-medicate and visit traditional healers in these circumstances may influence the overall ability of the new legislation to reduce abortion morbidity.