Rominski Sarah D, Lori Jody, Nakua Emmanuel, Dzomeku Veronica, Moyer Cheryl A
Global REACH, University of Michigan Medical School.
School of Nursing, University of Michigan.
Contraception. 2016 Mar;93(3):226-32. doi: 10.1016/j.contraception.2015.11.007. Epub 2015 Nov 10.
Even in countries where the abortion law is technically liberal, the full application of the law has been delayed due to resistance on the part of providers to offer services. Ghana has a liberal law, allowing abortions for a wide range of indications. The current study sought to investigate factors associated with midwifery students' reported likelihood to provide abortion services.
Final-year students at 15 public midwifery training colleges participated in a computer-based survey. Demographic and attitudinal variables were tested against the outcome variable, likely to provide comprehensive abortion care (CAC) services, and those variables found to have a significant association in bivariate analysis were entered into a multivariate model. Marginal effects were assessed after the final logistic regression was conducted.
A total of 853 out of 929 eligible students enrolled in the 15 public midwifery schools took the survey, for a response rate of 91.8%. In multivariate regression analysis, the factors significantly associated with reported likeliness to provide CAC services were having had an unplanned pregnancy, currently using contraception, feeling adequately prepared, agreeing it is a good thing women can get a legal abortion and having been exposed to multiple forms of education around surgical abortion.
Midwifery students at Ghana's public midwifery training colleges report that they are likely to provide CAC. Ensuring that midwives-in-training are well trained in abortion services, as well as encouraging empathy in these students, may increase the number of providers of safe abortion care in Ghana.
即使在堕胎法律在技术层面较为宽松的国家，由于医疗服务提供者拒绝提供相关服务，该法律的全面实施也被推迟。加纳有一部宽松的法律，允许在多种情况下进行堕胎。本研究旨在调查与助产专业学生报告的提供堕胎服务可能性相关的因素。
15所公立助产培训学院的最后一年学生参与了一项基于计算机的调查。将人口统计学和态度变量与结果变量（即可能提供全面堕胎护理（CAC）服务）进行测试，并将在双变量分析中发现有显著关联的变量纳入多变量模型。在进行最终逻辑回归后评估边际效应。
15所公立助产学校的929名符合条件的学生中，共有853名参加了调查，回复率为91.8%。在多变量回归分析中，与报告的提供CAC服务可能性显著相关的因素包括意外怀孕、目前使用避孕措施、感觉准备充分、认为女性能够合法堕胎是件好事以及接触过多种形式的手术堕胎教育。
加纳公立助产培训学院的助产专业学生报告称他们可能会提供CAC。确保实习助产士在堕胎服务方面得到良好培训，并鼓励这些学生具备同理心，可能会增加加纳安全堕胎护理服务提供者的数量。
