scholarly journals Self-induction of abortion among women accessing second-trimester abortion services in the public sector, Western Cape Province, South Africa: An exploratory study

2014 ◽  
Vol 104 (4) ◽  
pp. 302 ◽  
Author(s):  
Deborah Constant ◽  
Daniel Grossman ◽  
Naomi Lince ◽  
Jane Harries
Contraception ◽  
2015 ◽  
Vol 92 (4) ◽  
pp. 339-344 ◽  
Author(s):  
Naomi Lince-Deroche ◽  
Deborah Constant ◽  
Jane Harries ◽  
Kelly Blanchard ◽  
Edina Sinanovic ◽  
...  

Contraception ◽  
2019 ◽  
Vol 100 (3) ◽  
pp. 209-213
Author(s):  
Deborah Constant ◽  
Judy Kluge ◽  
Jane Harries ◽  
Daniel Grossman

2011 ◽  
Vol 44 (2) ◽  
pp. 197-208 ◽  
Author(s):  
J. HARRIES ◽  
N. LINCE ◽  
D. CONSTANT ◽  
A. HARGEY ◽  
D. GROSSMAN

SummaryAround 25% of abortions in South Africa are performed in the second trimester. This study aimed to better understand what doctors, nurses and hospital managers involved in second trimester abortion care thought about these services and how they could be improved. Nineteen in-depth interviews with abortion-related service providers and managers in the Western Cape Province, South Africa, were undertaken. Data were analysed using a thematic analysis approach. Participants expressed resistance to the dilation and evacuation (D&E) procedure, as this required more active provider involvement. Medical abortion was preferred as it required less provider involvement in the abortion process. A shortage of providers willing to perform D&E resulted in most public sector services being outsourced to private sector doctors. Respondents noted an increased demand for services and a concomitant lack of infrastructure, physical space and personnel to respond to these demands, sometimes resulting in fragmented or poor quality care. At medical induction sites, most thought introducing the combined mifepristone–misoprostol regimen would improve service capacity, although they were concerned about cost. Improving contraceptive services was also seen as a much-needed intervention to improve care and prevent abortion. Ongoing training, including values clarification, as well as emotional support and team-building for providers are needed to ensure sustainable, high-quality second trimester abortion services.


2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Grossman ◽  
Deborah Constant ◽  
Naomi Lince ◽  
Marijke Alblas ◽  
Kelly Blanchard ◽  
...  

2008 ◽  
Vol 16 (sup31) ◽  
pp. 135-144 ◽  
Author(s):  
Alyson G Hyman ◽  
Traci L Baird ◽  
Indira Basnett

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