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肯尼亚私营医疗机构提供以人为本的堕胎服务,以改善女性的就诊体验。

Person-centred care for abortion services in private facilities to improve women's experiences in Kenya.

机构信息

Institute for Global Health Sciences, University of California, San Francisco, CA, USA.

Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, CA, USA.

出版信息

Cult Health Sex. 2021 Feb;23(2):224-239. doi: 10.1080/13691058.2019.1701083. Epub 2020 Feb 27.


DOI:10.1080/13691058.2019.1701083
PMID:32105189
Abstract

Globally, access to good quality abortion services and post-abortion care is a critical determinant for women's survival after unsafe abortion. Unsafe abortions account for high levels of maternal death in Kenya. We explored women's experiences and perceptions of their abortion and post-abortion care experiences in Kenya through person-centred care. This qualitative study included focus group discussions and in-depth interviews with women aged 18-35 who received safe abortion services at private clinics. Through thematic analyses of women's testimonies, we identified gaps in the abortion care and person-centred domains which seemed to be important throughout the abortion process. When women received clear communication and personalised comprehensive information on abortion and post-abortion care from their healthcare providers, they reported more positive experiences overall and higher reproductive autonomy. Communication and supportive care were particularly valued during the post-abortion period, as was social support more generally. Further research is needed to design, implement and test the feasibility and acceptability of person-centred abortion care interventions in community and clinical settings with the goal of improving women's abortion experiences and overall reproductive health outcomes.

摘要

在全球范围内,获得高质量的堕胎服务和堕胎后护理是妇女在不安全堕胎后生存的关键决定因素。不安全堕胎导致肯尼亚产妇死亡率居高不下。我们通过以患者为中心的护理方式,探讨了肯尼亚妇女对其堕胎和堕胎后护理体验的看法。这项定性研究包括对 18-35 岁在私人诊所接受安全堕胎服务的妇女进行焦点小组讨论和深入访谈。通过对妇女证词的主题分析,我们确定了堕胎护理和以患者为中心的领域中的差距,这些差距似乎在整个堕胎过程中都很重要。当妇女从医疗保健提供者那里获得关于堕胎和堕胎后护理的清晰沟通和个性化的全面信息时,她们总体上报告了更积极的体验和更高的生殖自主权。在堕胎后期间,沟通和支持性护理特别受到重视,而社会支持则更为普遍。需要进一步研究,以设计、实施和测试以患者为中心的堕胎护理干预措施在社区和临床环境中的可行性和可接受性,目标是改善妇女的堕胎体验和整体生殖健康结果。

相似文献

[1]
Person-centred care for abortion services in private facilities to improve women's experiences in Kenya.

Cult Health Sex. 2021-2

[2]
A qualitative study of safe abortion and post-abortion family planning service experiences of women attending private facilities in Kenya.

Reprod Health. 2018-4-24

[3]
Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya.

BMC Womens Health. 2020-9-19

[4]
"They talked to me rudely". Women perspectives on quality of post-abortion care in public health facilities in Kenya.

Reprod Health. 2023-2-27

[5]
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BMC Womens Health. 2024-7-23

[6]
Women's experiences with unplanned pregnancy and abortion in Kenya: A qualitative study.

PLoS One. 2018-1-25

[7]
Is there a difference in women's experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services.

PLoS One. 2019-11-25

[8]
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[9]
Understanding abortion-related stigma and incidence of unsafe abortion: experiences from community members in Machakos and Trans Nzoia counties Kenya.

Pan Afr Med J. 2016-7-20

[10]
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BMC Womens Health. 2024-3-19

引用本文的文献

[1]
Research capacity-building of midwives expanding access to safe abortion in the Democratic Republic of Congo: transnational research collaborations with civil society organizations.

Glob Health Action. 2025-12

[2]
Evaluation of comprehensive abortion care service in University of Gondar Comprehensive Specialized Hospital in Northwest Ethiopia: mixed case study design.

BMC Health Serv Res. 2025-3-27

[3]
Women's experiences and outcomes of abortion care in sub-Saharan countries: A mixed methods systematic review protocol.

PLoS One. 2025-1-31

[4]
[Dimensions of person-centeredness in abortion services-selected results of the CarePreg study].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025-1

[5]
Person-centered abortion care in public health facilities across four regions of Ethiopia: a cross-sectional quantitative study of client experiences.

Front Reprod Health. 2024-9-4

[6]
Assessment of relevance and actual implementation of person-centeredness in healthcare and social support services for women with unintended pregnancy in Germany (CarePreg): results of expert workshops.

BMC Pregnancy Childbirth. 2024-4-6

[7]
The Effect of Stigma on Family Planning and HIV Pre-exposure Prophylaxis Decisions of Young Women Accessing Post-Abortion Care in Kenya.

AIDS Behav. 2024-6

[8]
Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi County, Kenya.

Sex Reprod Health Matters. 2023-12

[9]
Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries.

BMJ Open. 2023-9-19

[10]
"They talked to me rudely". Women perspectives on quality of post-abortion care in public health facilities in Kenya.

Reprod Health. 2023-2-27

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