ArticleSexual and reproductive health matters2023
"Almost like it was really underground": a qualitative study of women's experiences locating services for unintended pregnancy in a rural Australian health system.
Article in Sexual and reproductive health matters, 2023. 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.
- Barriers and facilitators to women's access to sexual and reproductive health services in rural Australia: a systematic review.BMC health services research · 2024Pooled it
- Abortion care pathways in Addis Ababa healthcare facilities: a qualitative descriptive study.Reproductive health · 2026Article
- A New Era in Abortion Care in Western Australia-A Review of Women Accessing Abortion Care in a Tertiary Centre Following Legislative Change.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Reducing unprofessional practices in referrals to abortion care: proposing a minimum professional standard.The Medical journal of Australia · 2025Article
- An Acceptability and Feasibility Study of a Nurse-Led Model of Contraception and Abortion Care in Rural General Practice.Journal of advanced nursing · 2025Article
- Australian Preferences for Prenatal Screening: A Discrete Choice Experiment Comparing Metropolitan and Rural/Regional Areas.Applied health economics and health policy · 2025Article
- A nurse-led model of care to improve access to contraception and abortion in rural general practice: Co-design with consumers and providers.Journal of advanced nursing · 2025Article
- Experiences and Lessons Learned Implementing Abortion Services at an Australian Sexual and Reproductive Health Service: A Mixed-Methods Study Using Normalisation Process Theory.Journal of primary care & community healthArticle
- Non-Indigenous women's experiences of obstetric and gynaecological inequity in rural and remote South Australia: A feminist post-structuralist analysis.Women's health (London, England)Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rural women in Australia are more likely than urban women to experience unintended pregnancy, yet little is known about how this issue is managed in a rural health setting. To address this gap, we conducted in-depth interviews with 20 women from rural New South Wales (NSW) about their unintended pregnancy. Participants were asked about accessing healthcare services and what was uniquely rural about their experience. The framework method was used to conduct an inductive thematic analysis. Four themes emerged from the data: (1) fragmented and opaque healthcare pathways, (2) a limited number of willing rural practitioners, (3) small town culture and community ties and (4) interrelated challenges of distance, travel and money. Our findings highlight how pervasive structural issues related to accessibility of health services intersect with small-town culture to create compounding obstacles for rural women, especially those seeking an abortion. This study is relevant to other countries with similar geographies and models of rural healthcare. Our findings point to the necessity for comprehensive reproductive health services including abortion to be an essential - not optional - part of healthcare in rural Australia.
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