Improving Abortion Access in Canada

Kaposy, Chris

doi:10.1007/s10728-008-0101-0

Cited by 36 publications

(24 citation statements)

References 19 publications

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“…We define induced abortion, and will use the term “abortion”, with the Canadian Institute for Health Information definition: “Induced abortion is defined as the medical termination of pregnancy” [1]. Availability of abortion service in rural areas is a growing problem in Canada [4]–[8]. Abortion is increasingly available only at purpose-specific clinics (“abortion clinics”).…”

Section: Introductionmentioning

confidence: 99%

“…Abortion is increasingly available only at purpose-specific clinics (“abortion clinics”). In Canada abortion clinics are located exclusively in the largest urban centers [4]–[8]. Statistics Canada reports a steady downward trend from 91% of abortions performed in hospitals in 1988 (when the provision of abortions at non-hospital clinics became legally available in Canada) to 43% in 2010 [1], [9], [10].…”

Section: Introductionmentioning

confidence: 99%

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Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

et al. 2013

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BackgroundRural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC).MethodsWe used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews.ResultsSurveys were returned by 39/46 (85%) of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67) of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52) abortions annually, including 35 (SD 30) medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence.ConclusionsMedical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4%) for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

et al. 2013

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“…Cela évoque qu'il n'existe aucune régulation sur l'interruption de grossesse et les hôpitaux n'ont aucune contrainte spécifique quant aux services qu'ils doivent offrir. Par ailleurs, dans les faits, les avortements sont généralement pratiqués dans les vingt premières semaines de gestation et très peu se produisent après la vingt-quatrième semaine (Kaposki, 2010). Au-delà de ces délais, les femmes qui désirent interrompre leur grossesse doivent se rendre aux États-Unis.…”

Section: Le Contexte Actuel Et L'accèsunclassified

“…Autrement dit, le droit à l'avortement tombe sous la compétence du fédéral, alors que son financement et son accessibilité demeurent o 1, printemps 2013 78 majoritairement du ressort des provinces (Kaposki, 2010). Récemment, certaines organisations pro-choix ont révélé que les politiques et les pratiques de chaque province rendent l'avortement difficilement accessible pour plusieurs Canadiennes, notamment pour des raisons financières et géographiques (Kaposki, 2009).…”

Section: Le Contexte Actuel Et L'accèsunclassified

Analyse féministe du syndrome postavortement : la déconstruction d’un mythe véhiculé par le mouvement pro-vie

Côté

2013

ref

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Plusieurs groupes pro-vie soutiennent l’idée que les femmes interrompant une grossesse sont à risque de développer le syndrome postavortement. Or, même si ce syndrome n’a jamais été reconnu officiellement dans le domaine médical, il semble constituer une arme efficace utilisée par le mouvement pro-vie pour décourager les femmes de recourir à un avortement. S’inspirant d’une perspective féministe, cet article examine cinq difficultés pouvant avoir une incidence sur le bien-être des femmes qui interrompent une grossesse : les impacts d’une grossesse non désirée; l’oppression religieuse et patriarcale; les facteurs socio-économiques; les violences envers les femmes; et l’influence négative du mouvement pro-vie. Des pistes d’interventions pertinentes au champ du service social sont proposées.

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“…Abortion services in BC are nearly exclusively located in urban areas in the extreme southwest. BC, having the area of Germany and France together although only a population of approximately four million, presents significant access barriers to abortion service for those in rural and remote areas [3]. Barriers to accessing care disproportionally affect those with lower incomes or in rural and remote areas [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Access to Complex Abortion Care Service and Planning Improved through a Toll-Free Telephone Resource Line

Norman

Hestrin

Dueck

2014

Obstetrics and Gynecology International

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Background. Providing equitable access to the full range of reproductive health services over wide geographic areas presents significant challenges to any health system. We present a review of a service provision model which has provided improved access to abortion care; support for complex issues experienced by women seeking nonjudgmental family planning health services; and a mechanism to collect information on access barriers. The toll-free pregnancy options service (POS) of British Columbia Women's Hospital and Health Centre sought to improve access to services and overcome barriers experienced by women seeking abortion. Methods. We describe the development and implementation of a province-wide toll-free telephone counseling and access facilitation service, including establishment of a provincial network of local abortion service providers in the Canadian province of British Columbia from 1998 to 2010. Results. Over 2000 women annually access service via the POS line, networks of care providers are established and linked to central support, and central program planners receive timely information on new service gaps and access barriers. Conclusion. This novel service has been successful in addressing inequities and access barriers identified as priorities before service establishment. The service provided unanticipated benefits to health care planning and monitoring of provincial health care related service delivery and gaps. This model for low cost health service delivery may realize similar benefits when applied to other health care systems where access and referral barriers exist.

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Improving Abortion Access in Canada

Cited by 36 publications

References 19 publications

Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

Analyse féministe du syndrome postavortement : la déconstruction d’un mythe véhiculé par le mouvement pro-vie

Access to Complex Abortion Care Service and Planning Improved through a Toll-Free Telephone Resource Line

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