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Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services

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  • May Sudhinaraset
  • Amanda Landrian
  • Dominic Montagu
  • Ziporah Mugwanga

Abstract

Little evidence exists on women’s experiences of care during abortion care, partly due to limitations in existing measures. Moreover, globally, the development and rapid growth in the availability of medication abortions (MA) has radically changed the options for safe abortions for women. It is therefore important to understand how women’s experiences of care may differ across medication and manual vacuum aspiration (MVA) abortions. This study uses a validated person-centered abortion care scale (categorized as low, medium, and high levels, with high levels representing the greatest level of person-centered care) to assess women’s experiences of care undergoing medication abortions vs. MVA. This paper reports on a cross-sectional study of 353 women undergoing abortions at one of six family planning clinics in Nairobi County, Kenya in 2018. Comparing abortion types, we found that the MVA sample was more likely to report “high” levels of person-centered abortion care compared to the MA sample (36.3% vs. 23.0%, p = 0.005). No differences were detected with respect to Respectful and Supportive Care; however, the MVA sample was significantly more likely to report “high” levels of Communication and Autonomy compared to the MA sample (23.6% vs. 11.2%, p

Suggested Citation

  • May Sudhinaraset & Amanda Landrian & Dominic Montagu & Ziporah Mugwanga, 2019. "Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-14, November.
    • Handle: RePEc:plo:pone00:0225333
    DOI: 10.1371/journal.pone.0225333
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    References listed on IDEAS

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    1. Gerdts, C. & Hudaya, I., 2016. "Quality of care in a safe-Abortion hotline in Indonesia: Beyond harm reduction," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 2071-2075.
    2. Kawachi, I. & Kennedy, B.P. & Glass, R., 1999. "Social capital and self-rated health: A contextual analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1187-1193.
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