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