Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study

Abstract Background Abortion is a legally restricted, yet common reproductive life event among women in Burkina Faso; however, women’s abortion experiences vary greatly depending on their social and economic capital, partner involvement, and level of knowledge. We sought to classify women’s abortion...

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Main Authors: Fiacre Bazié, Haley L. Thomas, Meagan E. Byrne, Boukary Kindo, Suzanne O. Bell, Caroline Moreau
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-022-01526-3
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author Fiacre Bazié
Haley L. Thomas
Meagan E. Byrne
Boukary Kindo
Suzanne O. Bell
Caroline Moreau
author_facet Fiacre Bazié
Haley L. Thomas
Meagan E. Byrne
Boukary Kindo
Suzanne O. Bell
Caroline Moreau
author_sort Fiacre Bazié
collection DOAJ
description Abstract Background Abortion is a legally restricted, yet common reproductive life event among women in Burkina Faso; however, women’s abortion experiences vary greatly depending on their social and economic capital, partner involvement, and level of knowledge. We sought to classify women’s abortion care-seeking experiences across the life course and social conditions into typologies using qualitative data. Methods An initial quantitative survey among a nationally representative sample of women ages 15–49 years collected information on women’s induced abortion experiences. Women who reported an abortion in the last 10 years were asked if they would agree to participate in a subsequent in-depth interview (IDI) to learn more about their abortion experience. Twenty-five women, identified via purposive sampling, completed an IDI. Using a process of typology construction, we identified attributes of each woman’s condition at the time of her abortion and aspects of her abortion experience, created a matrix of attributes and cases, and identified emerging relationships. Three types were identified through this process. Results Twenty-three IDIs were analyzed, and women’s abortion experiences were grouped into three types: abortion to delay childbearing in adolescence; abortion to space childbirth among women in union; abortion to avoid childbearing among single mothers. Two cases were identified as outliers. Cases were grouped based on the context of their pregnancy, the reason for the abortion and involved decision-makers, and their patterns of care-seeking, including methods and sources used. Conclusion Structural inequities related to gender and wealth were prominent forces shaping women’s abortion experiences. Comprehensive sexuality education coupled with community-based interventions to promote gender-equitable relationships and address social stigma related to women’s sexuality could reduce reproductive coercion and unintended pregnancies.
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spelling doaj.art-3ce9e7dabc044e969cbe130bd078b2ab2022-12-22T02:48:39ZengBMCReproductive Health1742-47552022-11-0119111110.1186/s12978-022-01526-3Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative studyFiacre Bazié0Haley L. Thomas1Meagan E. Byrne2Boukary Kindo3Suzanne O. Bell4Caroline Moreau5Institut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-ZerboDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public HealthInstitut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-ZerboDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public HealthAbstract Background Abortion is a legally restricted, yet common reproductive life event among women in Burkina Faso; however, women’s abortion experiences vary greatly depending on their social and economic capital, partner involvement, and level of knowledge. We sought to classify women’s abortion care-seeking experiences across the life course and social conditions into typologies using qualitative data. Methods An initial quantitative survey among a nationally representative sample of women ages 15–49 years collected information on women’s induced abortion experiences. Women who reported an abortion in the last 10 years were asked if they would agree to participate in a subsequent in-depth interview (IDI) to learn more about their abortion experience. Twenty-five women, identified via purposive sampling, completed an IDI. Using a process of typology construction, we identified attributes of each woman’s condition at the time of her abortion and aspects of her abortion experience, created a matrix of attributes and cases, and identified emerging relationships. Three types were identified through this process. Results Twenty-three IDIs were analyzed, and women’s abortion experiences were grouped into three types: abortion to delay childbearing in adolescence; abortion to space childbirth among women in union; abortion to avoid childbearing among single mothers. Two cases were identified as outliers. Cases were grouped based on the context of their pregnancy, the reason for the abortion and involved decision-makers, and their patterns of care-seeking, including methods and sources used. Conclusion Structural inequities related to gender and wealth were prominent forces shaping women’s abortion experiences. Comprehensive sexuality education coupled with community-based interventions to promote gender-equitable relationships and address social stigma related to women’s sexuality could reduce reproductive coercion and unintended pregnancies.https://doi.org/10.1186/s12978-022-01526-3Burkina FasoAbortionPregnancy terminationReproductive healthQualitative research
spellingShingle Fiacre Bazié
Haley L. Thomas
Meagan E. Byrne
Boukary Kindo
Suzanne O. Bell
Caroline Moreau
Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study
Reproductive Health
Burkina Faso
Abortion
Pregnancy termination
Reproductive health
Qualitative research
title Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study
title_full Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study
title_fullStr Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study
title_full_unstemmed Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study
title_short Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study
title_sort typologies of women s abortion trajectories in burkina faso findings from a qualitative study
topic Burkina Faso
Abortion
Pregnancy termination
Reproductive health
Qualitative research
url https://doi.org/10.1186/s12978-022-01526-3
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