ArticleConflict and health2021
A qualitative study on health care providers' experiences of providing comprehensive abortion care in Cox's Bazar, Bangladesh.
Article in Conflict and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The sexual and reproductive healthcare challenges when dealing with female migrants and refugees in low and middle-income countries (a qualitative evidence synthesis).BMC public health · 2024Pooled it
- Addressing Barriers to Health Care Access and Their Impact on Social Cohesion Among Rohingya Refugees and Host Community in Cox's Bazar, Bangladesh: Protocol for a Qualitative Study.JMIR research protocols · 2026Article
- Women's perceptions of person-centered comprehensive abortion care and associated factors in Northern Ethiopia: a facility-based cross-sectional study in a humanitarian setting.Conflict and health · 2026Article
- Ethical issues in providing comprehensive abortion care to adolescents: a qualitative study of healthcare providers in the Eastern Region of Ghana.BMC medical ethics · 2026Article
- Assessing health systems' capacities to provide post-abortion care: insights from seven low- and middle-income countries.Journal of global health · 2025Article
- Sexual and reproductive health implementation research in humanitarian contexts: a scoping review.Reproductive health · 2024Article
- Providers' experiences with abortion care: A scoping review.PloS one · 2024Article
- A mixed-methods study exploring women's perceptions of terminology surrounding fertility and menstrual regulation in Côte d'Ivoire and Nigeria.Reproductive health · 2021Article
- Health providers' reasons for participating in abortion care: A scoping review.Women's health (London, England)Article
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Authors and funding
5 authors.
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Abstract
backgroundHumanitarian settings are characterised by limited access to comprehensive abortion care. At the same time, humanitarian settings can increase the vulnerability of women and girls to unintended pregnancies and unsafe abortions. Humanitarian actors and health care providers can play important roles in ensuring the availability and accessibility of abortion-related care. This study explores health care providers' perceptions and experiences of providing comprehensive abortion care in a humanitarian setting in Cox's Bazar, Bangladesh and identifies barriers and facilitators in service provision.
methodIn-depth interviews (n = 24) were conducted with health care providers (n = 19) providing comprehensive abortion care to Rohingya refugee women and with key informants (n = 5), who were employed by an organisation involved in the humanitarian response. Data were analysed using an inductive content analysis approach.
resultsThe national menstrual regulation policy provided a favourable legal environment and facilitated the provision of comprehensive abortion care, while the Mexico City policy created organisational barriers since it made organisations unable or unwilling to provide the full comprehensive abortion care package. Supplies were available, but a lack of space created a barrier to service provision. Although training from organisations had made the health care providers confident and competent and had facilitated the provision of services, their knowledge of the national abortion law and menstrual regulation policy was limited and created a barrier to comprehensive abortion services. Even though the health care providers were willing to provide comprehensive abortion care and had acquired skills and applied strategies to communicate with and provide care to Rohingya women, their personal beliefs and their perceptions of Rohingya women influenced their provision of care.
conclusionThe availability and accessibility of comprehensive abortion care was limited by unfavourable abortion policies, a lack of privacy, a lack of knowledge of abortion laws and policies, health care providers' personal beliefs and a lack of cultural safety. To ensure the accessibility and availability of quality services, a comprehensive approach to sexual and reproductive health and rights is needed. Organisations must ensure that health care providers have knowledge of abortion policies and the ability to provide quality care that is woman-centred and non-judgmental.
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