ArticlePloS one2022
Abortion policy implementation in Ireland: Lessons from the community model of care.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 38 citations in OpenAlex.
- Understanding barriers for refugees and migrants when accessing abortion care in Europe: a scoping review.BMC public health · 2026Article
- Progress in providing legal abortion services after law reform: A quantitative study in three provinces of Argentina.PLOS global public health · 2025Article
- Multinational physician perspectives on abortion care in the context of changing legislation.Frontiers in global women's health · 2025Article
- Choosing to Provide: Early Medical Abortion and Clinician Conscience in Ireland.Health care analysis : HCA : journal of health philosophy and policy · 2024Article
- Women's experiences of seeking healthcare for abdominal pain in Ireland: a qualitative study.BMC women's health · 2024Article
- Article
- Restrictive points of entry into abortion care in Ireland: a qualitative study of expectations and experiences with the service.Sexual and reproductive health matters · 2023Article
- Ongoing need for education in abortion care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services.SSM. Qualitative research in health · 2022Article
- Article
- Information flow as reproductive governance. Patient journey analysis of information barriers and facilitators to abortion care in the republic of Ireland.SSM - population health · 2022Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 4 countries.
Funding
Abstract
backgroundIn 2018, the right to lawful abortion in the Republic of Ireland significantly expanded, and service provision commenced on 1 January, 2019. Community provision of early medical abortion to 9 weeks plus 6 days gestation delivered by General Practitioners constitutes the backbone of the Irish abortion policy implementation. We conducted a study in 2020-2021 to examine the barriers and facilitators of the Irish abortion policy implementation.
methodsWe collected data using qualitative in-depth interviews (IDIs) which were conducted in-person or remotely. We coded and analysed interview transcripts following the grounded theory approach.
resultsWe collected 108 IDIs in Ireland from May 2020 to March 2021. This article draws on 79 IDIs with three participant samples directly relevant to the community model of care: (a) 27 key informants involved in the abortion policy development and implementation representing government healthcare administration, medical professionals, and advocacy organisations, (b) 22 healthcare providers involved in abortion provision in community settings, and (c) 30 service users who sought abortion services in 2020. Facilitators of community-based abortion provision have been: a collaborative approach between the Irish government and the medical community to develop the model of care, and strong support systems for providers. The MyOptions helpline for service users is a successful national referral model. The main barriers to provision are the mandatory 3-day wait, unclear or slow referral pathways from primary to hospital care, barriers for migrants, and a shortage and incomplete geographic distribution of providers, especially in rural areas.
conclusionsWe conclude that access to abortion care in Ireland has been greatly expanded since the policy implementation in 2019. The community delivery of care and the national helpline constitute key features of the Irish abortion policy implementation that could be duplicated in other contexts and countries. Several challenges to full abortion policy implementation remain.
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