Understanding the Abortion Experiences of Young People to Inform Quality Care in Argentina, Bangladesh, Ethiopia, and Nigeria. Issue 6 (September 2022)

• Record Type: Journal Article
• Authors: Jacobson, Laura E.; Ramirez, Ana Maria; Bercu, Chiara; Katz, Anna; Gerdts, Caitlin; Baum, Sarah E.
• Is Part Of: Youth & society. Volume 54:Issue 6(2022)
• Page Start: 957
• Page End: 981
• Publication Date: 2022-09
• Subjects: health -- abortion -- quality of care; Youth -- Periodicals; 305.235
• DOI: 10.1177/0044118X211011015
• Languages: English
• ISSNs: 0044-118X

Abstract

Young people face social and structural barriers when accessing abortions. High-quality, sexual and reproductive healthcare is needed; however, literature on youth-informed abortion services is limited. This study assesses accounts of youth who obtained an abortion in Argentina, Bangladesh, Ethiopia, and Nigeria and provides recommendations to improve person-centered aspects of abortion quality. We analyzed 48 semi-structured interviews with clients recruited from clinics, safe abortion hotlines, and patent and proprietary medicine vendors. We coded transcripts and conducted a thematic analysis. The mean age was 21 years (range 16–24), and the majority had a first trimester, medication abortion. Prominent themes included access to information; privacy; stigma associated with age or marital status; the decision-making process; and comfort and rapport with providers. Youth-centered abortion care should anticipate the distinct needs of younger clients. Supportive providers have an important role in offering a non-judgmental service that makes young clients feel comfortable and prepared.