Assessment of Illegal Abortion Practices in Urban Haiti Open Access
Berry-Bibee, Erin Nicole (2014)
Published
Abstract
Background: In Haiti induced abortion is illegal except to save the life of the mother. Although abortion is believed to be widely practiced in Haiti, very little data exist on what those practices are and what the impact is on women, communities and health care systems.
Objectives: This study aims to describe methods used to induce illegal abortion, ways in which women gain knowledge about and access to those methods, and to learn about facilitators and barriers to abortion related care.
Methods: We conducted 8 focus groups with community women (n=62) and 13 interviews with women's health providers.
Results: Among focus groups, there was widespread knowledge of misoprostol and herbs for self-induced abortion. Women described use of multiple agents in combination with misoprostol. Women reported stigma as a significant barrier to care. Providers perceived existing post-abortion services to be adequate.
Conclusion: Awareness of methods to induce abortion is high among women in urban Haiti and self-induction of abortion appears to be widely practiced; yet knowledge of the safest self-induction options remains incomplete. Women's healthcare providers are aware of the need for post-abortion care services, yet there remain substantial barriers to care, including health care accessibility and stigma. Introduction of safe abortion education strategies, improved post-abortion care services and strengthened respectful care could greatly improve overall reproductive health care in the region.
Table of Contents
Table of Contents
Chapter I. Introduction................................................................................................... 1
Chapter II. Review of the Literature.................................................................................. 5
Chapter III. Methods...................................................................................................... 7
_____III. A. Participants................................................................................................. 8
_____III. B. Measures.................................................................................................... 9
_____III. C. Procedures................................................................................................. 10
Chapter IV. Results....................................................................................................... 12
Chapter V. Discussion.................................................................................................... 21
References.................................................................................................................. 25
Appendix 1: Focus Group Discussion Guide........................................................................ 28
Appendix 2: In-Depth Interview Guide.............................................................................. 33
Appendix 3: Provider Recruitment phone script.................................................................. 36
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