Unsafe abortion and abortion care in Khartoum, Sudan

Kinaro, Joyce; Ali, Tag Elsir Mohamed; Schlangen, Rhonda; Mack, Jessica

doi:10.1016/s0968-8080(09)34476-6

Cited by 30 publications

(35 citation statements)

References 3 publications

(2 reference statements)

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“…nancies. This is not unlike other research, which suggests that unsafe abortions are used by women in Sudan as an alternative to contraception [10]. As married participants relied heavily on their husband for financial security, it could be suggested that they would not be able to secretly buy contraceptives without their husband's knowledge and therefore opted for an unsafe abortion.…”

Section: Coming To Terms With the Negative Experience Of An Unsafe Abmentioning

confidence: 77%

“…Due in part to the illegality of abortions, the actual scale of unsafe abortions is unknown in Sudan. However in a survey of 726 patients seeking abortion-related care in 5 hospitals in Sudan; the results revealed that unintended pregnancy rates were very high [10]. In their study, Kinaro et al, (2009) identified that women sought unsafe abortions because they had inadequate access to health services, or poor knowledge of their human rights [10].…”

Section: Introductionmentioning

confidence: 99%

“…However in a survey of 726 patients seeking abortion-related care in 5 hospitals in Sudan; the results revealed that unintended pregnancy rates were very high [10]. In their study, Kinaro et al, (2009) identified that women sought unsafe abortions because they had inadequate access to health services, or poor knowledge of their human rights [10]. However, gaps in the knowledge still exist regarding the social and cultural factors that motivate women to perform an unsafe abortion.…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Study Exploring Women’s Experiences of Unsafe Abortion in Sudan

Elamin¹,

Fazari²,

Elmusharaf³

2017

JSS

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Background: Unsafe abortions contribute significantly to maternal morbidity and mortality. They are found more frequently in developing countries such as Sudan where abortion laws are restrictive and women have poor access to contraceptives. Gaps in the knowledge exist regarding women's decision making process to perform an unsafe abortion in Sudan. Understanding these factors is vital for planning and implementing family planning services. The aim of the research was to explore the experience of women exposed to an unsafe abortion in Khartoum-Sudan, and to address the underlying factors that affected women's decision to seek an unsafe abortion. Design: A descriptive qualitative approach was adopted using in-depth semi-structured interviews with women who had undergone unsafe abortions. Interviews were translated from Arabic; and data were analysed using a thematic approach. Setting and Participants: Participants were recruited from 2 settings: New Omdurman Hospital and Academy Teaching Hospital in Sudan. A convenience sample of women was used in the study. Results: Three core themes emerged: 1) There was an unbalanced relationship dynamic between women and their partners, which affected their use of contraceptives. 2) Maintaining secrecy of the unintended pregnancy and the unsafe abortion was paramount to all women for fear of social stigma. 3) Women tried to internalize and understand their negative experiences of unsafe abortion through religious context. Conclusion: Unsafe abortions have a significant impact on the quality of women's lives in Sudan. Open dialogue between men and women regarding family planning strategies; community education about the hazardous consequences of unsafe abortion as well as facilitating access to contraceptives and stressing their proper use are necessary steps to decrease the number of unsafe abortions in Sudan. More research is needed to fill the gaps in knowledge regarding unsafe abortions and sexual health among Sudanese women.

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Section: Coming To Terms With the Negative Experience Of An Unsafe Abmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Qualitative Study Exploring Women’s Experiences of Unsafe Abortion in Sudan

Elamin¹,

Fazari²,

Elmusharaf³

2017

JSS

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“…The use of self-reporting questionnaires within several of the studies has the potential to create social desirability and response bias 19 23 24 33 35. Interviewer and response bias may also play a role within the qualitative aspects of several of the studies 23 25 29 30 33. The sensitive nature of the topic and sociocultural beliefs regarding abortion may have been limiting factors within these studies, however, none of the papers reviewed addressed this issue adequately.…”

Section: Discussionmentioning

confidence: 99%

Access to contraception and sexual and reproductive health information post-abortion: a systematic review of literature from low- and middle-income countries

Rogers

Dantas

2017

J Fam Plann Reprod Health Care

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Aim This systematic literature review documented, analysed and critiqued the accessibility of contraception and sexual and reproductive health (SRH) information for women living in low-and middle-income countries who have undergone medical or surgical abortion. Methodology This review systematically collated relevant and recent empirical evidence regarding women's access to contraception and SRH information post-abortion within low-and middle-income countries. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework Guidelines, Flow Diagram and Checklist were utilised to undertake the review. The Ovid (MEDLINE), ProQuest, Science Direct, Web of Science, PUBMED and CINAHL databases were searched and studies that met edibility criteria were assessed for validity and analysis. A narrative synthesis of characteristics and results of the included studies is presented. Findings After detailed assessment of available and relevant literature, nine studies were selected for inclusion in the review. Studies highlighted barriers to contraception and SRH information including supply limitation, lack of comprehensive education and counselling, lack of skilled post-abortion care (PAC) providers and abortion stigma. Conclusions The review found that with access to a wide range of contraceptive methods combined with comprehensive SRH information and education, contraception uptake in women post-abortion does increase. The review also highlights the inconsistencies in clinic-reported 'counselling' and what this term actually involves within a PAC setting.

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“…Poor socioeconomic status ,curettage done by unqualified persons, lack of specialist centres and doctors in rural areas, reluctance and hesitancy of both the parents family and abortionist, delayed referral due to unrecognized injury, these complications go unrecognized and lead to higher mortality and morbidity. 8,9 Late presentations have a more protracted stay and poorer outcome.…”

Section: Discussionmentioning

confidence: 99%