加纳北部临床医生对合法堕胎持异议的流行率。

Prevalence of conscientious objection to legal abortion among clinicians in northern Ghana.

机构信息

Global Doctors for Choice Ghana, Accra, Ghana.

City University of New York, School of Public Health, New York, NY, USA.

出版信息

Int J Gynaecol Obstet. 2018 Jan;140(1):31-36. doi: 10.1002/ijgo.12328. Epub 2017 Oct 13.

DOI:10.1002/ijgo.12328

PMID:28940197

Abstract

OBJECTIVE

To assess the prevalence of conscientious objection (CO), motivations, knowledge of Ghana's abortion law, attitudes, and behaviors toward abortion provision among medical providers in northern Ghana, and measures to regulate CO.

METHODS

Between June and November 2015, the present cross-sectional survey-based descriptive study measured prevalence, knowledge, and attitudes about CO among 213 eligible health practitioners who were trained in abortion provision and working in hospital facilities in northern Ghana. Results were stratified by facility ownership and provider type.

RESULTS

Approximately half (94/213, 44.1%) of trained providers reported that they were currently providing abortions. The overall prevalence of self-identified and hypothetical objection was 37.9% and 33.8%, respectively. Among 87 physicians, 37 (42.5%) and 39 (44.8%) were categorized as self-identified and hypothetical objectors, respectively. Among 126 midwives, nurses, and physician assistants, 43 (34.7%) and 33 (26.2%) were coded as self-identified and hypothetical objectors, respectively. A high proportion of providers reported familiarity with Ghana's abortion law and supported regulation of CO.

CONCLUSION

CO based on moral and religious grounds is prevalent in northern Ghana. Providers indicated an acceptance of policies and guidelines that would regulate its application to reduce the burden that CO poses for women seeking abortion services.

摘要

目的

评估加纳北部医疗服务提供者中基于良心拒诊（CO）的流行率、动机、对加纳堕胎法的了解、对堕胎提供的态度和行为，以及监管 CO 的措施。

方法

在 2015 年 6 月至 11 月期间，本横断面调查研究通过对加纳北部医院设施中接受过堕胎培训并工作的 213 名合格卫生从业者进行了测量，了解 CO 的流行率、知识和态度。结果按医疗机构所有权和提供者类型进行分层。

结果

大约一半（94/213，44.1%）的培训提供者报告说他们目前正在提供堕胎服务。自我认同和假设反对的总流行率分别为 37.9%和 33.8%。在 87 名医生中，分别有 37 名（42.5%）和 39 名（44.8%）被归类为自我认同和假设反对者。在 126 名助产士、护士和医师助理中，分别有 43 名（34.7%）和 33 名（26.2%）被编码为自我认同和假设反对者。大多数提供者表示熟悉加纳的堕胎法，并支持监管 CO。