Stigma associated with abortion is influencing choice to provide or sidestep abortion services

Asifa Khanum, Syed Kamal Shah, Nadeem Mehamood, Syed Mustafa Ali

Research output: Contribution to conferenceAbstractpeer-review

Abstract

There is little evidence available on the manifestation of abortion stigma in Pakistan. There is marginalisation of abortion services within medical settings through its negligible inclusion in curriculum, knowledge about abortion law in Pakistan, perceptions about abortion and religion, socio-cultural disapproval, etc. These factors all contribute in the decision of healthcare providers to provide or sidestep abortion services. A research study was designed to understand the expression of stigma associated with abortion by service providers providing abortion services and those not providing these services.
Methods: A mixed method exploratory study was designed to understand perspectives of both types of service providers. Due to restrictive abortion law and taboos that are stigmatising abortion services and its providers, data was collected from 40 providers providing abortion services and 40 non-providers of these services from reference facilities in 4 districts of Pakistan. Basic descriptive analysis was carried out using SPSS.

Results: It is evident from analytical findings that the knowledge base of service providers on abortion law in Pakistan, perceptions about its religious permissibility, internalisation of negative community perceptions about abortion service providers and stigmatisation of women seeking abortion services are pertinent attributes influencing provider choice of extending abortion services or not.

Conclusion: In an effort to de-stigmatise abortion, immediate measures are required at various levels such as: integration/institutionalisation of essential contraceptive services including safe abortion services, formal/informal education and knowledge about abortion laws as explained by Shariat Court of Pakistan, Value Clarification and Attitudes Transformation (VCAT) workshops for providers, and behaviour change communications and education strategies for sensitising communities.
Original languageEnglish
Publication statusPublished - 2016
EventFédération Internationale des Associés Professionnels de l'Avortement et de la Contraception: Improving women’s journeys through abortion - Culturgest, Lisbon, Portugal
Duration: 13 Oct 201615 Oct 2016
Conference number: 12th
https://fiapac.org/fr/program/20/lisbon-2016/

Conference

ConferenceFédération Internationale des Associés Professionnels de l'Avortement et de la Contraception
Abbreviated titleFIAPAC
Country/TerritoryPortugal
CityLisbon
Period13/10/1615/10/16
Internet address

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