The attitudes of health providers towards abortion in Indonesia

Djohan, Eniarti; Indrawasih, Ratna; Adenan, Musiana; Yudomustopo, Harjanti; Tan, Mély G.

doi:10.1016/0968-8080(93)90005-e

Cited by 24 publications

(18 citation statements)

References 1 publication

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“… South Africa 2005 Nov. 2001 – March 2002 A B C D E F G -1st H To explore attitudes of health care providers towards medical abortion 20 public health nurses and doctors In-depth interviews COOPER, D., et al [ 25 ] 7. Indonesia 1993 Oct. 1990 – April 1991 A To contribute to the search for ways to make pregnancy and childbirth safer 28 Physicians, 16 Midwives,16 TBA 16 PLKB Total: 76 In-depth interviews DJOHAN, E., et al [ 26 ] 8. Nigeria 2003 No Information A To examine the knowledge, attitude and practice of private medical practitioners on abortion 48 private practitioners Structured questionnaire ETUK, S.J.…”

Section: Resultsmentioning

confidence: 99%

Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data

et al. 2015

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BackgroundUnsafe abortions are a serious public health problem and a major human rights issue. In low-income countries, where restrictive abortion laws are common, safe abortion care is not always available to women in need. Health care providers have an important role in the provision of abortion services. However, the shortage of health care providers in low-income countries is critical and exacerbated by the unwillingness of some health care providers to provide abortion services. The aim of this study was to identify, summarise and synthesise available research addressing health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia.MethodsA systematic literature search of three databases was conducted in November 2014, as well as a manual search of reference lists. The selection criteria included quantitative and qualitative research studies written in English, regardless of the year of publication, exploring health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia. The quality of all articles that met the inclusion criteria was assessed. The studies were critically appraised, and thematic analysis was used to synthesise the data.ResultsThirty-six studies, published during 1977 and 2014, including data from 15 different countries, met the inclusion criteria. Nine key themes were identified as influencing the health care providers’ attitudes towards induced abortions: 1) human rights, 2) gender, 3) religion, 4) access, 5) unpreparedness, 6) quality of life, 7) ambivalence 8) quality of care and 9) stigma and victimisation.ConclusionsHealth care providers in sub-Saharan Africa and Southeast Asia have moral-, social- and gender-based reservations about induced abortion. These reservations influence attitudes towards induced abortions and subsequently affect the relationship between the health care provider and the pregnant woman who wishes to have an abortion. A values clarification exercise among abortion care providers is needed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1502-2) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data

et al. 2015

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“…A range of positive steps has been taken to reduce deaths and morbidity from abortion in a growing number of countries in the past 20 years. Since 1980, abortion laws have been liberalised in some form in Albania, Algeria, Barbados, Belgium, Botswana, Bulgaria, Burkina Faso, Cambodia, Canada, the former Czechoslovakia, Ghana, Greece, Guyana, Hungary, Indonesia, Malaysia, Mongolia, Pakistan, Romania, South Africa, Spain, Taiwan and Turkey [36][37][38][39][40][41][42][43]. In other countries there have been attempts to liberalise highly restrictive abortion laws and major national debates on abortion [37,[44][45][46][47][48].…”

Section: The Transition From Unsafe To Safe Abortionsmentioning

confidence: 99%

“…In Zambia, gynaecologists were found to be a major obstacle to the setting up of safe abortion services [92]. The ambivalence of doctors was also found to have hampered the implementation of a revised abortion law in Indonesia [41]. In Bangladesh and India, untrained providers, who are often more easily accessible in rural areas, have never actively been stopped from practising [7,64].…”

Section: Requirements For Safe Abortionsmentioning

confidence: 99%

Making Abortions Safe: A Matter of Good Public Health Policy and Practice

Berer¹

2002

Reproductive Health Matters

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Globally, abortion mortality constitutes at least 13% of maternal mortality. Unsafe abortion procedures, untrained abortion providers, restrictive abortion laws and high mortality and morbidity from abortion tend to occur together. Preventing abortion mortality and morbidity in countries where they remain high is a matter of good public health policy, based on good medical practice, and an important part of initiatives to make pregnancy safer. This paper examines the changes in policy and health service provision required to make abortions safe. It is based on a wide-ranging review of published and unpublished sources. In order to be effective, public health measures must take into account the reasons why women have abortions, the kind of abortion services required and at what stages of pregnancy, the types of abortion service providers needed, and training, cost and counselling issues. The transition from unsafe to safe abortions demands: changes at national policy level; abortion training for service providers; the provision of services at the appropriate primary level health service delivery points; and ensuring that women access these services instead of those of untrained providers. Public awareness that abortion services are available is a crucial element of this transition, particularly among adolescent and single women, who tend to have less access to reproductive health services generally. Ó 2000 Bulletin of World Health Organization. Published by Elsevier Science on behalf of Reproductive Health Matters.

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“…Menstrual regulation with vacuum aspiration is now the main method of abortion in Indonesia, especially in urban areas, with fewer reported complications when compared with traditional/popular methods. 5 TBAs tend to have close relationships with and obligations to young women's families. Hence, to ensure confidentiality, unmarried women most often present to medical professionals.…”

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confidence: 99%

Single women's experiences of premarital pregnancy and induced abortion in Lombok, Eastern Indonesia

Bennett

2001

Reproductive Health Matters

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The attitudes of health providers towards abortion in Indonesia

Cited by 24 publications

References 1 publication

Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data

Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data

Making Abortions Safe: A Matter of Good Public Health Policy and Practice

Single women's experiences of premarital pregnancy and induced abortion in Lombok, Eastern Indonesia

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