Creanga Andreea A, Roy Priyadarshini, Tsui Amy O
Population, Family and Reproductive Health Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205-2179, USA.
Contraception. 2008 Dec;78(6):500-6. doi: 10.1016/j.contraception.2008.07.010. Epub 2008 Sep 4.
Despite liberal laws, abortions are a major cause of maternal morbidity and mortality in India.
This study uses health provider data (N=2039) collected in Bihar and Jharkhand states, India, in 2004. Logistic regression models are fitted to identify correlates of providers' practice of abortion services and intention to offer medical abortions.
While a majority of respondents (63.2%) provide abortion services, only 2.9% currently provide medical abortions and 23.8% intend to provide medical abortions. Private rather than public clinic providers and female rather than male providers are more likely to offer abortion services and intend to provide medical abortions. Aspects related to medical abortion's market demand, its safety, efficacy and perceived ease of delivery weigh more than patients' rights and personal interests on providers' decision to provide medical abortions.
This study enlarges the knowledge base on abortion service providers and offers recommendations for improving access to safe abortion services in India.
尽管法律宽松，但堕胎仍是印度孕产妇发病和死亡的主要原因。
本研究使用了2004年在印度比哈尔邦和贾坎德邦收集的医疗服务提供者数据（N = 2039）。采用逻辑回归模型来确定医疗服务提供者进行堕胎服务的相关因素以及提供药物流产的意愿。
虽然大多数受访者（63.2%）提供堕胎服务，但目前只有2.9%的人提供药物流产，23.8%的人打算提供药物流产。私立诊所而非公立诊所的医疗服务提供者，以及女性而非男性的医疗服务提供者更有可能提供堕胎服务并打算提供药物流产。与药物流产的市场需求、安全性、有效性以及分娩的难易程度相关的因素，在医疗服务提供者决定提供药物流产时，比患者权利和个人利益更为重要。
本研究扩大了关于堕胎服务提供者的知识基础，并为改善印度安全堕胎服务的可及性提供了建议。
