Young Yves-Yvette, Pizzarossa Lucía B, Jastaniah Ibtehal, Cohen Margot, Warindi Sheilah, Ruggiero Samantha
Ibis Reproductive Health, 1111 Broadway, Oakland, CA, USA 94607.
University of Birmingham, Birmingham, UK.
Afr J Reprod Health. 2025 Jun 26;29(6):108-116. doi: 10.29063/ajrh2025/v29i6.10.
Safe abortion hotlines operating in highly restrictive abortion settings provide critical information about safe self-managed medication abortion. The Mobilizing Activists around Medical Abortion (MAMA) Network has pioneered this model in the African region and supports various safe abortion hotlines across the continent. The aim of this study was to document the experiences of callers using a safe abortion hotline in Kenya and to better understand the role that safe abortion hotlines can play in facilitating access to abortion information. In this paper, we present findings from interviews with 19 hotline callers seeking information about medication abortion from a hotline in Kenya, between February and May 2019. Emergent themes included support from hotline counselors, readiness to self-manage, abortion experiences, preference for medication abortion, and the role of hotlines in reducing abortion stigma. Our findings shed light on important components related to the quality of the care provided by the hotlines and their role in destigmatizing abortion care, while serving as an example of the crucial work of feminist activists in expanding pregnant people's health and autonomy in highly restrictive abortion settings.
在堕胎限制极为严格的环境中运营的安全堕胎热线提供了有关安全的自我管理药物流产的关键信息。围绕药物流产动员积极分子（MAMA）网络在非洲地区开创了这一模式，并支持非洲大陆各地的各种安全堕胎热线。本研究的目的是记录肯尼亚使用安全堕胎热线的来电者的经历，并更好地了解安全堕胎热线在促进获取堕胎信息方面可以发挥的作用。在本文中，我们展示了2019年2月至5月期间对19名从肯尼亚一条热线寻求药物流产信息的热线来电者进行访谈的结果。浮现出的主题包括热线咨询员的支持、自我管理的意愿、堕胎经历、对药物流产的偏好以及热线在减少堕胎污名方面的作用。我们的研究结果揭示了与热线提供的护理质量相关的重要组成部分及其在消除堕胎护理污名方面的作用，同时作为女权主义活动家在高度限制堕胎的环境中扩大孕妇健康和自主权的关键工作的一个例子。
