Determinants of women’s preferred and actual abortion provision locations in Nigeria

Plain language summary Many factors influence a woman’s pathway to obtaining an abortion, even in a setting with strict laws prohibiting the practice. This study aims to explore where women in Nigeria would prefer to and actually obtain their abortions, reasons why they could or could not use their...

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Autores principales:	Meagan E. Byrne, Elizabeth Omoluabi, Funmilola M. OlaOlorun, Caroline Moreau, Suzanne O. Bell
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Abortion Decision-making Nigeria Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/af972461beee41f0ae41141cfe18a780
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spelling	oai:doaj.org-article:af972461beee41f0ae41141cfe18a7802021-11-28T12:28:57ZDeterminants of women’s preferred and actual abortion provision locations in Nigeria10.1186/s12978-021-01290-w1742-4755https://doaj.org/article/af972461beee41f0ae41141cfe18a7802021-11-01T00:00:00Zhttps://doi.org/10.1186/s12978-021-01290-whttps://doaj.org/toc/1742-4755Plain language summary Many factors influence a woman’s pathway to obtaining an abortion, even in a setting with strict laws prohibiting the practice. This study aims to explore where women in Nigeria would prefer to and actually obtain their abortions, reasons why they could or could not use their preferred provider/location, and differences between women who were and were not able to use their preferred provider/location. The findings show that most women would opt to use a clinical source, such as a government or private hospital, especially among women who did not use their preferred source. Privacy/confidentiality, convenience, and recommendation from someone like a friend or partner drove women’s abortion care preferences, although these influences differed by type of provider/location (clinical, pharmacy/chemist, or other non-clinical). Issues like cost, distance, and lack of privacy were barriers that prevented women from using their preferred provider/location, instead obtaining their abortion from a less desired provider. However, the sociodemographic characteristics of women who did and did not use their preferred provider/location did not differ significantly, except by state. These findings provide insights on barriers to safe abortion care in Nigeria, suggesting social safety drives many women to seek care outside of the healthcare system, while cost and distance prevented many from seeking clinical services. Results also highlight the diversity of women’s abortion preferences in a setting where abortion is legally restricted.Meagan E. ByrneElizabeth OmoluabiFunmilola M. OlaOlorunCaroline MoreauSuzanne O. BellBMCarticleAbortionDecision-makingNigeriaGynecology and obstetricsRG1-991ENReproductive Health, Vol 18, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Abortion Decision-making Nigeria Gynecology and obstetrics RG1-991
spellingShingle	Abortion Decision-making Nigeria Gynecology and obstetrics RG1-991 Meagan E. Byrne Elizabeth Omoluabi Funmilola M. OlaOlorun Caroline Moreau Suzanne O. Bell Determinants of women’s preferred and actual abortion provision locations in Nigeria
description	Plain language summary Many factors influence a woman’s pathway to obtaining an abortion, even in a setting with strict laws prohibiting the practice. This study aims to explore where women in Nigeria would prefer to and actually obtain their abortions, reasons why they could or could not use their preferred provider/location, and differences between women who were and were not able to use their preferred provider/location. The findings show that most women would opt to use a clinical source, such as a government or private hospital, especially among women who did not use their preferred source. Privacy/confidentiality, convenience, and recommendation from someone like a friend or partner drove women’s abortion care preferences, although these influences differed by type of provider/location (clinical, pharmacy/chemist, or other non-clinical). Issues like cost, distance, and lack of privacy were barriers that prevented women from using their preferred provider/location, instead obtaining their abortion from a less desired provider. However, the sociodemographic characteristics of women who did and did not use their preferred provider/location did not differ significantly, except by state. These findings provide insights on barriers to safe abortion care in Nigeria, suggesting social safety drives many women to seek care outside of the healthcare system, while cost and distance prevented many from seeking clinical services. Results also highlight the diversity of women’s abortion preferences in a setting where abortion is legally restricted.
format	article
author	Meagan E. Byrne Elizabeth Omoluabi Funmilola M. OlaOlorun Caroline Moreau Suzanne O. Bell
author_facet	Meagan E. Byrne Elizabeth Omoluabi Funmilola M. OlaOlorun Caroline Moreau Suzanne O. Bell
author_sort	Meagan E. Byrne
title	Determinants of women’s preferred and actual abortion provision locations in Nigeria
title_short	Determinants of women’s preferred and actual abortion provision locations in Nigeria
title_full	Determinants of women’s preferred and actual abortion provision locations in Nigeria
title_fullStr	Determinants of women’s preferred and actual abortion provision locations in Nigeria
title_full_unstemmed	Determinants of women’s preferred and actual abortion provision locations in Nigeria
title_sort	determinants of women’s preferred and actual abortion provision locations in nigeria
publisher	BMC
publishDate	2021
url	https://doaj.org/article/af972461beee41f0ae41141cfe18a780
work_keys_str_mv	AT meaganebyrne determinantsofwomenspreferredandactualabortionprovisionlocationsinnigeria AT elizabethomoluabi determinantsofwomenspreferredandactualabortionprovisionlocationsinnigeria AT funmilolamolaolorun determinantsofwomenspreferredandactualabortionprovisionlocationsinnigeria AT carolinemoreau determinantsofwomenspreferredandactualabortionprovisionlocationsinnigeria AT suzanneobell determinantsofwomenspreferredandactualabortionprovisionlocationsinnigeria
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Determinants of women’s preferred and actual abortion provision locations in Nigeria

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