Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries
Objective This qualitative study aimed to identify person-centred domains that would contribute to the definition and measurement of abortion quality of care based on the perceptions, experiences and priorities of people seeking abortion.Methods We conducted interviews with people seeking abortion a...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/9/e067513.full |
| _version_ | 1797669047087661056 |
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| author | Caitlin Gerdts Sarah E Baum Erin Pearson Sofia Filippa Chiara Bercu Belen Grosso Ruth Zurbriggen Osasuyi Dirisu Nirali M Chakraborty Ana Maria Ramirez Rezwana Chowdhury Laura Jacobson Anna Katz Ewenat Gebrehanna Tanzila Tabassum |
| author_facet | Caitlin Gerdts Sarah E Baum Erin Pearson Sofia Filippa Chiara Bercu Belen Grosso Ruth Zurbriggen Osasuyi Dirisu Nirali M Chakraborty Ana Maria Ramirez Rezwana Chowdhury Laura Jacobson Anna Katz Ewenat Gebrehanna Tanzila Tabassum |
| author_sort | Caitlin Gerdts |
| collection | DOAJ |
| description | Objective This qualitative study aimed to identify person-centred domains that would contribute to the definition and measurement of abortion quality of care based on the perceptions, experiences and priorities of people seeking abortion.Methods We conducted interviews with people seeking abortion aged 15–41 who obtained care in Argentina, Bangladesh, Ethiopia or Nigeria. Participants were recruited from hospitals, clinics, pharmacies, call centres and accompaniment models. We conducted thematic analysis and quantified key domains of quality identified by the participants.Results We identified six themes that contributed to high-quality abortion care from the clients’ perspective, with particular focus on interpersonal dynamics. These themes emerged as participants described their abortion experience, reflected on their interactions with providers and defined good and bad care. The six themes included (1) kindness and respect, (2) information exchange, (3) emotional support, (4) attentive care throughout the process, (5) privacy and confidentiality and (6) prepared for and able to cope with pain.Conclusions People seeking abortion across multiple country contexts and among various care models have confirmed the importance of interpersonal care in quality. These findings provide guidance on six priority areas which could be used to sharpen the definition of abortion quality, improve measurement, and design interventions to improve quality. |
| first_indexed | 2024-03-11T20:37:30Z |
| format | Article |
| id | doaj.art-96d2a394821c4c64a69acfe376404b32 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-11T20:37:30Z |
| publishDate | 2023-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-96d2a394821c4c64a69acfe376404b322023-10-02T05:00:06ZengBMJ Publishing GroupBMJ Open2044-60552023-09-0113910.1136/bmjopen-2022-067513Quality of care from the perspective of people obtaining abortion: a qualitative study in four countriesCaitlin Gerdts0Sarah E Baum1Erin Pearson2Sofia Filippa3Chiara Bercu4Belen Grosso5Ruth Zurbriggen6Osasuyi Dirisu7Nirali M Chakraborty8Ana Maria Ramirez9Rezwana Chowdhury10Laura Jacobson11Anna Katz12Ewenat Gebrehanna13Tanzila Tabassum14Ibis Reproductive Health, Oakland, California, USAIbis Reproductive Health, Oakland, California, USAIPAS, Chapel Hill, North Carolina, USAIbis Reproductive Health, Oakland, California, USAIbis Reproductive Health, Oakland, California, USAColectiva Feminista La Revuelta, Neuquen, ArgentinaColectiva Feminista La Revuelta, Neuquen, ArgentinaPolicy Innovation Centre, Abuja, NigeriaMetrics for Management, Oakland, California, USAIbis Reproductive Health, Oakland, California, USAIpas Bangladesh, Dhaka, BangladeshIbis Reproductive Health, Oakland, California, USAIbis Reproductive Health, Oakland, California, USASchool of Public Health, St Paul`s Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Anthropology, Dhaka University, Dhaka, BangladeshObjective This qualitative study aimed to identify person-centred domains that would contribute to the definition and measurement of abortion quality of care based on the perceptions, experiences and priorities of people seeking abortion.Methods We conducted interviews with people seeking abortion aged 15–41 who obtained care in Argentina, Bangladesh, Ethiopia or Nigeria. Participants were recruited from hospitals, clinics, pharmacies, call centres and accompaniment models. We conducted thematic analysis and quantified key domains of quality identified by the participants.Results We identified six themes that contributed to high-quality abortion care from the clients’ perspective, with particular focus on interpersonal dynamics. These themes emerged as participants described their abortion experience, reflected on their interactions with providers and defined good and bad care. The six themes included (1) kindness and respect, (2) information exchange, (3) emotional support, (4) attentive care throughout the process, (5) privacy and confidentiality and (6) prepared for and able to cope with pain.Conclusions People seeking abortion across multiple country contexts and among various care models have confirmed the importance of interpersonal care in quality. These findings provide guidance on six priority areas which could be used to sharpen the definition of abortion quality, improve measurement, and design interventions to improve quality.https://bmjopen.bmj.com/content/13/9/e067513.full |
| spellingShingle | Caitlin Gerdts Sarah E Baum Erin Pearson Sofia Filippa Chiara Bercu Belen Grosso Ruth Zurbriggen Osasuyi Dirisu Nirali M Chakraborty Ana Maria Ramirez Rezwana Chowdhury Laura Jacobson Anna Katz Ewenat Gebrehanna Tanzila Tabassum Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries BMJ Open |
| title | Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries |
| title_full | Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries |
| title_fullStr | Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries |
| title_full_unstemmed | Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries |
| title_short | Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries |
| title_sort | quality of care from the perspective of people obtaining abortion a qualitative study in four countries |
| url | https://bmjopen.bmj.com/content/13/9/e067513.full |
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