ArticleInternational journal of public health2020
"I wasn't ready": abortion decision-making pathways in Ouagadougou, Burkina Faso.
Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 30 citations in OpenAlex.
- Strengthening health system capacity for legal termination of pregnancy in Burkina Faso: A quasi-experimental evaluation in public health facilities.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Abortion care pathways in Addis Ababa healthcare facilities: a qualitative descriptive study.Reproductive health · 2026Article
- Article
- Navigating an ambiguous abortion terrain in Addis Ababa, Ethiopia: autonomy and relational dynamics in pregnancy termination.International journal for equity in health · 2026Article
- A qualitative study of abortion decision-making trajectories among pregnant women at their first antenatal care visit in Kampala, Uganda.Journal of global health · 2025Article
- Armed Conflict and Pregnancy Termination: Evidence from Burkina Faso.Spatial demography · 2024Article
- Developing a comprehensive abortion prevention program for couples based on I-change model: study protocol for a mixed method research.Reproductive health · 2024Article
- Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review.International journal of environmental research and public health · 2024Article
- Article
- Abortion decision-making process trajectories and determinants in low- and middle-income countries: A mixed-methods systematic review and meta-analysis.EClinicalMedicine · 2022Article
- Typologies of women's abortion trajectories in Burkina Faso: findings from a qualitative study.Reproductive health · 2022Article
- Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
objectivesThis study explores abortion decision-making trajectories in Ouagadougou, Burkina Faso, examining the spaces for decision making that young people manage to create for themselves within restrictive policy, gender norms and other constraints.
methodsThe study presents data collected from observations in three referral health facilities in Ouagadougou and interviews (with 31 young women (aged 17-25) who had sought abortions and five men (aged 20-25) whose partners had done so). Using inductive content analysis, we capture the different streams, actors and rationales in the decision-making process, as well as the pattern of negotiation.
resultsAbortion decision-making trajectories are complex and affected by a range of factors including fertility desires, relationship stability and financial stability. The process can include intense periods of negotiation between intimate partners when their rationales are discordant. Constraints on women's decision making include restrictive policy environment, coercion from partners (threats, emotional blackmail and even physical force) and pressure from people in and out of their social network.
conclusionsIn a context where legal abortion is highly restricted and women's decision-making power is constrained, the abortion decision making appears as collective, operates in an uncertain time frame, an unofficial social environment and has an unpredictable collaborative mechanism.
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Registered trials
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.