ArticleReproductive health2018
A qualitative study of safe abortion and post-abortion family planning service experiences of women attending private facilities in Kenya.
Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Experiences and self-reported outcomes of abortion care in Sub-Saharan countries: a mixed methods systematic review.Journal of health, population, and nutrition · 2026Pooled it
- "One's life becomes even more miserable when we hear all those hurtful words". A mixed methods systematic review of disrespect and abuse in abortion care.Frontiers in reproductive health · 2025Pooled it
- How, when and where? A systematic review on abortion decision making in legally restricted settings in sub-Saharan Africa, Latin America, and the Caribbean.BMC women's health · 2022Pooled it
- Disclosure to social network members among abortion-seeking women in low- and middle-income countries with restrictive access: a systematic review.Reproductive health · 2021Pooled it
- Abortion care pathways in Addis Ababa healthcare facilities: a qualitative descriptive study.Reproductive health · 2026Article
- The Non-Legal Barriers Experienced Among Adolescent Girls and Young Women in Selected Districts of Rwanda Seeking Safe Abortion Services.International journal of women's health · 2026Article
- Understanding women's physical and emotional experiences following medication abortion in china: a qualitative study using the writing express method.BMC women's health · 2025Article
- Evaluating the implementation of post-abortion care in Shanghai using the RE-AIM framework: a qualitative study of provider perspectives.Reproductive health · 2025Article
- Women's experiences and outcomes of abortion care in sub-Saharan countries: A mixed methods systematic review protocol.PloS one · 2025Article
- The Effect of Stigma on Family Planning and HIV Pre-exposure Prophylaxis Decisions of Young Women Accessing Post-Abortion Care in Kenya.AIDS and behavior · 2024Article
- Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review.International journal of environmental research and public health · 2024Article
- Abortion decision-making process trajectories and determinants in low- and middle-income countries: A mixed-methods systematic review and meta-analysis.EClinicalMedicine · 2022Article
- Contraceptive Use Before and After Abortion: A Cross-Sectional Study from Nigeria and Côte d'Ivoire.Studies in family planning · 2022Article
- A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya.Reproductive health · 2021Article
- Facilitating Uptake of Post-abortion Contraception for Young People in Kenya.Frontiers in global women's health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo inform improvements in safe abortion and post-abortion family planning (PAFP) services, this study aimed to explore the pathways, decision-making, experiences and preferences of women receiving safe abortion and post-abortion family planning (PAFP) at private clinics in western Kenya.
methodsWe conducted semi-structured interviews with 22 women who had recently used a safe abortion service from a private clinic. Interviews explored abortion-seeking behaviour and decision-making, abortion experience, use and knowledge of contraception, experience of PAFP counselling, and perceived facilitators of and challenges to family planning use.
resultsRespondents discovered their pregnancies due to physical symptoms, which were confirmed using pregnancy testing kits, often purchased from pharmacies. Respondents usually discussed their abortion decision with their partner, and, sometimes, carefully-selected friends or family members. Some reported being referred to private clinics for abortion services directly from other providers. Others had more complex pathways, first seeking care from unsafe providers, trying to self-induce abortion, being turned away from alternative safe facilities that were closed or too busy, or taking time to gather financial resources to pay for care. Participants wanted to use abortion services at facilities reputed for being accessible, clean, medically safe, and offering quick, respectful, private and courteous services. Awareness of reputable clinics was gained through personal experience, and recommendations from contacts and other health providers. Most participants had previously used contraception, with some reports of incorrect use and many reports of side effects. PAFP counselling was valued by clients, but some accounts suggested the counselling lacked comprehensive information. Many women chose contraception immediately following PAFP counselling; but others wanted to delay decision-making about contraception until the abortion was complete.
conclusionWomen's pathways to safe abortion care can be complex, including use of multiple abortion methods, delays due to financial barriers, and challenges accessing safe providers. Improvements in community knowledge of safe abortion care and accessibility of services are needed to reduce recourse to unsafe abortion. PAFP counselling is valued by clients but quality of counselling can be improved by exploring women's contraceptive histories, including information on more contraceptive methods, and inclusion of support for women who want to delay family planning uptake until their abortion is complete.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.