Abortion knowledge and experiences among young women and men in Accra, Ghana

Gates Open Research

article

Sarah T. Reiger¹  Phyllis Dako-Gyeke²  Thoai D. Ngo³  Gillian Eva⁴  Leonard Gobah⁵  Kelly Blanchard¹  Sruthi Chandrasekaran¹  Kate Grindlay¹ 

[1] Ibis Reproductive Health;Social and Behavioural Sciences, School of Public Health, College of Health Sciences, University of Ghana;Poverty, Gender and Youth Program;Marie Stopes International US;Marie Stopes Ghana

关键词: Medication abortion;    abortion access;    sexual and reproductive health;    family planning;    urban youth;    Accra;    Ghana;   

DOI  :  10.12688/gatesopenres.12961.2

学科分类：电子与电气工程

来源: American Journal Of Pharmtech Research

【 摘 要 】

Background: Despite the presence of legal abortion services in Ghana, unsafe abortion remains common, particularly among young women. Little is understood about what young people know about safe and legal abortion, and if and how they are utilizing it. Methods: To characterize abortion use and address gaps in safe access, from September-December 2013, we conducted a cross-sectional survey with 100 men and 250 women aged 18-24 in Accra, Ghana. Participants were asked about abortion experiences, including prior services, providers, methods, satisfaction, perceived support, and knowledge of laws. Descriptive statistics, Fisher’s exact tests, and chi-square tests were performed. Results: Among surveyed youth, most (87% of women, 64% of men) thought abortion was illegal or did not know the law. In total, 30% of women and 14% of men ever had an abortion and partner who had an abortion, respectively. Among women’s most recent abortions, medication abortion (61%), surgical methods (26%), and unsafe methods categorized “least safe” (14%) were the initial or only methods used. Most women who accessed medication abortion initially or as their only method saw a pharmacist (40%) or no one (33%). Nearly one-quarter of women (n=16, 24%) who initially took tablets used more than one method. Conclusions: Despite experiences with abortion, most young people in this study were unaware of its legality and unsafe abortions occurred. More needs to be done to ensure young people understand the law and have access to safe methods, and that pharmacists are trained to provide appropriate doses and formulations of medication abortion.

【 授权许可】

CC BY