Evidence map›Paper›PMID 31053129›Full record

ArticleBMC women's health2019

Contributing factors to unsafe abortion practices among women of reproductive age at selected district hospitals in the Ashanti region of Ghana.

Confidence Alorse Atakro, Stella Boatemaa Addo, Janet Sintim Aboagye, Awube Menlah, Isabella Garti, Kwaku Gyimah Amoa-Gyarteng, Theresa Sarpong, Peter Adatara, Kwasi Junior Kumah, Bernard Bediako Asare and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

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  14. Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Confidence Alorse AtakroQueensland University of Technology, Brisbane, Australia. caatakro@csuc.edu.gh.ORCID 0000-0002-9944-8619
Stella Boatemaa AddoScool of Nursing and Midwifery, Christian Service University College, Kumasi, Ghana.
Janet Sintim AboagyeScool of Nursing and Midwifery, Christian Service University College, Kumasi, Ghana.
Awube MenlahValley View University, Accra, Ghana.
Isabella GartiValley View University, Accra, Ghana.
Kwaku Gyimah Amoa-GyartengSuntreso Government Hospital, Kumasi, Ghana.
Theresa SarpongScool of Nursing and Midwifery, Christian Service University College, Kumasi, Ghana.
Peter AdataraSchool of Nursing, University of Health and Allied Sciences, Ho, Ghana.
Kwasi Junior KumahSeventh Day Adventist Hospital, Asamang, Ghana.
Bernard Bediako AsareScool of Nursing and Midwifery, Christian Service University College, Kumasi, Ghana.
Ami Korkor MensahScool of Nursing and Midwifery, Christian Service University College, Kumasi, Ghana.
Squiter Hans LutterodtScool of Nursing and Midwifery, Christian Service University College, Kumasi, Ghana.
George Sedinam BoniVolta Regional Hospital, Ho, Ghana.
Christian Service University College · GHValley View University · GHHo Technical University · GHQueensland University of Technology · AUUniversity of Health and Allied Sciences · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the existence of an abortion law and a safe abortion policy in Ghana, the Ghana Statistical Service found that 15% of all women in the reproductive age group (15-49 years) have practiced unsafe abortions. The objective of this study was to explore factors that contribute to the high incidence of unsafe abortion practices in the Ashanti Region of Ghana.

methodsA qualitative descriptive study design was used to assess factors that contribute to unsafe abortion practices. Purposive sampling technique was employed in selecting participants. Data were collected through key informant interviews and focus group discussions. One hundred and eleven participants were involved in the study. Data analysis was carried out through qualitative content analysis.

resultsSeven thematic categories were elicited from data collected. The categories are: a) Lack of knowledge of safe abortion services; b) Socio-economic conditions as a perceived influence for unsafe abortion practices; c) Safe abortion as a perceived religious and cultural taboo in Ghana; d) Stigma of unplanned pregnancy; e) A desire to bear children only after marriage; f) Avoiding parental/guardian disappointment and resentment; g) A desire to pursue education.

conclusionsEvidence available in this study suggests that several factors are responsible for unsafe abortion practices in Ghana. Lack of knowledge on safe abortion services, poor socio-economic conditions, cultural and religious beliefs, a stigma of unplanned pregnancy, a desire to bear children only after marriage, attempts to avoid parental/guardian disappointment and resentment, and a desire to pursue education were cited by participants as situations that contributed to unsafe abortion practices. Measures such as Aunty Jane, Ms. Rose and Women Help Women programmes can be publicised to reduce maternal morbidity and mortality that occur as a result of unsafe abortions in Ghana. Improvement in family planning education in educational institutions needs to be considered in order to reduce the rate of unwanted pregnancies among young women in school.

Indexed as

Social StigmaAbortion, InducedAdolescentAdultFemaleFocus GroupsGhanaHospitals, DistrictHumansPregnancyPregnancy, UnplannedPregnancy, UnwantedQualitative ResearchReligionYoung AdultAbortionAbortion policyAshantiGhanaLawStigmaTabooUnplannedUnsafe

Identifiers

PMID31053129
PMCPMC6500035
OpenAlexW2947587683

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.