Evidence map›Paper›PMID 34133733›Full record

ArticleHealth policy and planning2021

Abortion quality of care from the client perspective: a qualitative study in India and Kenya.

Sarah E Baum, Rebecca Wilkins, Muthoni Wachira, Deepesh Gupta, Shamala Dupte, Peter Ngugi, Shelly Makleff

Abstract read
In one paragraph

Article in Health policy and planning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Sexual and reproductive health matters · 2023
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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

7 authors.

Sarah E BaumIbis Reproductive Health, 1736 Franklin Street, Suite 600, Oakland, CA 94612, USA.
Rebecca WilkinsInternational Planned Parenthood Federation, 4 Newhams Row, London SE1 3UZ, UK.
Muthoni WachiraInternational Planned Parenthood Federation/Africa Regional Office, Lenana/Galana Road Junction, PO Box 30234, Nairobi, Kenya.
Deepesh GuptaInternational Planned Parenthood Federation/South Asia Regional Office, 231 Okhla Industrial Estate, Phase-3, New Dehli-110020, India.
Shamala DupteFamily Planning Association of India, Nariman Point, Mumbai 400 021, India.
Peter NgugiFamily Health of Kenya, Mai Mahiu Road, Nairobi, Kenya.
Shelly MakleffIbis Reproductive Health, 1736 Franklin Street, Suite 600, Oakland, CA 94612, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality healthcare is a key part of people's right to health and dignity, yet access to high-quality care can be limited by legal, social and economic contexts. There is limited consensus on what domains constitute quality in abortion care and the opinions of people seeking abortion have little representation in current abortion quality measures. In this qualitative study, we conducted 45 interviews with abortion clients in Mumbai, India, and in Eldoret and Thika, Kenya, to assess experiences with abortion care, definitions of quality and priorities for high-quality abortion care. Among the many aspects of care that mattered to clients, the client-provider relationships emerged as essential. Clients prioritized being treated with kindness, respect and dignity; receiving information and counselling that was personalized to their individual situation and reassurance and support from their provider throughout the entire abortion process, including follow-up after the abortion. Many clients also noted the importance of skilled providers and appropriate care. There were similarities across the two country contexts, yet there were some differences in how clients defined high-quality care; therefore, specific political and cultural influences must be considered when implementing measurement and improving person-centred quality of care. These domains, particularly interpersonal interactions, should be prioritized in India and Kenya when health systems, facilities and providers design person-centred measures for quality in abortion care.

Indexed as

Abortion, InducedFemaleHumansIndiaKenyaPregnancyQualitative ResearchQuality of Health Careabortiondoctor–patient relationshipqualitative researchQuality of carereproductive healthsatisfaction

Identifiers

PMID34133733
PMCPMC8505864

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.