Characteristics of private abortion services in Mexico City after legalization

Schiavon, Raffaela; Collado, Maria Elena; Troncoso, Erika; Sánchez, José Ezequiel Soto; Zorrilla, Gabriela Otero; Palermo, Tia

doi:10.1016/s0968-8080(10)36530-x

Cited by 23 publications

(22 citation statements)

References 7 publications

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“…residency, marital status, education, and age) were similar to those reported in the registry concerning the women who have used the Mexico City legal abortion program since 2007 [1]. Nevertheless, the results may not be generalizable to women seeking abortions in the private sector [22].…”

Section: Discussionmentioning

confidence: 46%

Women's experiences of and perspectives on abortion at public facilities in Mexico City three years following decriminalization

Olavarrieta

García²,

Arangure³

et al. 2012

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 46%

Women's experiences of and perspectives on abortion at public facilities in Mexico City three years following decriminalization

Olavarrieta

García²,

Arangure³

et al. 2012

Intl J Gynecology & Obste

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“…Research on patients’ experiences with private sector abortion care in Mexico City is also a priority. Limited information is available on the services provided in the private sector as data is not routinely collected on private sector abortions, 42 but a recent study with a sample of private abortion providers identified deficiencies in service quality. 42 Finally, we recommend studies to assess the cost-effectiveness of the abortion reform in Mexico City and studies to measure the impact this reform has had for women’s health and well-being.…”

Section: Discussionmentioning

confidence: 99%

Clients' Perceptions of the Quality of Care in Mexico City's Public-Sector Legal Abortion Program

Becker

Dı́az-Olavarrieta²,

Juárez³

et al. 2011

IPSRH

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Context In 2007 the Mexico City legislature made the groundbreaking decision to legalize first trimester abortion. Limited research has been conducted to understand clients’ perceptions of the abortion services available in public sector facilities. Methods We measured clients’ perceptions of quality of care at three public sector sites in Mexico City in 2009 (n=402). We assessed six domains of quality of care (client-staff interaction, information provision, technical competence, post-abortion contraceptive services, accessibility, and the facility environment), and conducted ordinal logistic regression analysis to identify which domains were important to women for their overall evaluation of care. We measured the association of overall service evaluation with socio-demographic factors and abortion-visit characteristics, in addition to specific quality of care domains. Results Clients reported a high quality of care for abortion services with an overall mean rating of 8.8 out of 10. Multivariable analysis showed that important domains for high evaluation included client perception of doctor as technically skilled (p<0.05), comfort with doctor (p<0.001), perception of confidentiality (p<.01), perception that receptionist was respectful (p<.05) and counseling on self-care at home following the abortion and post-abortion emotions (p<0.05 and p<0.01). Other relevant domains for high evaluation were convenient site hours (p<0.01), waiting time (p<0.001) and clean facility (p<0.05). Nulliparous women rated their care less favorably than parous women (p<0.05). Conclusions Our findings highlight important domains of service quality to women’s overall evaluations of abortion care in Mexico City. Strategies to improve clients’ service experiences should focus on improving counseling, service accessibility and waiting time.

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“…Procedure costs were also high. 22 It is unclear how generalizable these results are to private sector abortion providers in Mexico City broadly, but the results suggest that the quality of care in the private sector may be of concern.…”

Section: Developments In Mexico City Since Abortion Was Decriminalizedmentioning

confidence: 99%

Decriminalization of Abortion in Mexico City: The Effects on Women’s Reproductive Rights

Becker

Olavarrieta²

2013

Am J Public Health

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In April 2007, the Mexico City legislature passed landmark legislation decriminalizing elective abortion in the first 12 weeks of pregnancy. In Mexico City, safe abortion services are now available to women through the Mexico City Ministry of Health's free public sector legal abortion program and in the private sector, and over 89,000 legal abortions have been performed. By contrast, abortion has continued to be restricted across the Mexican states (each state makes their own abortion laws) and there has been an anti-choice backlash against the legislation in 16 states. Mexico City's abortion legislation is an important first step in improving reproductive rights, but unsafe abortions will only be eliminated if similar abortion legislation is adopted across the entire country.

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Characteristics of private abortion services in Mexico City after legalization

Cited by 23 publications

References 7 publications

Women's experiences of and perspectives on abortion at public facilities in Mexico City three years following decriminalization

Women's experiences of and perspectives on abortion at public facilities in Mexico City three years following decriminalization

Clients' Perceptions of the Quality of Care in Mexico City's Public-Sector Legal Abortion Program

Decriminalization of Abortion in Mexico City: The Effects on Women’s Reproductive Rights

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