Evidence map›Paper›PMID 39039469›Full record

ArticleBMC women's health2024

Post-abortion care services in Zambian health facilities: a qualitative study of users' experiences and perceptions.

Mwansa Ketty Lubeya, Margarate Nzala Munakampe, Meek Mwila, Musonda Makasa, Moses Mukosha, Choolwe Jacobs, Christabel Chigwe Phiri, Bellington Vwalika, Victor Sichone, Benedictus Mangala and 3 more

Abstract read
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In one paragraph

Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Mwansa Ketty LubeyaDepartment of Obstetrics and Gynecology, School of Medicine, University of Zambia, P/B RW1X, Nationalist Road, Lusaka, Zambia.
Margarate Nzala MunakampeDepartment of Health Policy and Management, School of Public Health, University of Zambia, Nationalist Road, Lusaka, Zambia. margarate.munakampe@unza.zm.
Meek MwilaYoung Emerging Scientists Zambia, Lusaka, Zambia.
Musonda MakasaDepartment of Obstetrics and Gynecology, School of Medicine, University of Zambia, P/B RW1X, Nationalist Road, Lusaka, Zambia.
Moses MukoshaSchool of Public Health, University of The Witwatersrand, Johannesburg, South Africa.
Choolwe JacobsDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, Lusaka, Zambia.
Christabel Chigwe PhiriYoung Emerging Scientists Zambia, Lusaka, Zambia.
Bellington VwalikaDepartment of Obstetrics and Gynecology, School of Medicine, University of Zambia, P/B RW1X, Nationalist Road, Lusaka, Zambia.
Victor SichoneDepartment of Obstetrics and Gynecology, Kitwe Teaching Hospital, Kitwe, Zambia.
Benedictus MangalaZambia Association of Gynecologists and Obstetricians, Lusaka, Zambia.
Melissa Mukalumamba HaketaYoung Emerging Scientists Zambia, Lusaka, Zambia.
Andrew KumwendaDepartment of Obstetrics and Gynecology, School of Medicine, University of Zambia, P/B RW1X, Nationalist Road, Lusaka, Zambia.
Patrick KaongaDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, Lusaka, Zambia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite attempts to increase Universal Health Coverage, availability, accessibility, acceptability, and quality-related challenges remain barriers to receiving essential services by women who need them. We aimed to explore the experiences and perceptions of women receiving post-abortal care services in Zambia, within a human-rights framework.

methodsA qualitative case study was conducted between August and September 2021 in Lusaka and Copperbelt provinces of Zambia. Fifteen (15) women seeking post-abortion care services were` interviewed using audio recorders; transcribed data was analyzed using thematic analysis. We report women's experiences and perceptions of the healthcare system, their experiences of abortion, and healthcare-seeking behaviour. We used the availability, accessibility, acceptability, and quality (AAAQ) framework to understand how women claimed their right to healthcare as they sought and utilized post-abortion care services.

resultsWomen who experienced spontaneous abortions delayed seeking health care by viewing symptoms as 'normal pregnancy symptoms' and not dangerous. Women also delayed seeking care because they feared the negative attitudes from their communities and the health care providers towards abortion in general, despite it being legal in Zambia. Some services were considered costly, impeding their right to access quality care.

conclusionsWomen delayed seeking care compounded by fear of negative attitudes from the community and healthcare providers. To ensure the provision and utilization of quality all abortion-related healthcare services, there is a need to increase awareness of the availability and legality of safe abortion services, the importance of seeking healthcare early for any abortion-related discomfort, and the provision and availability of free services at all levels of care should be emphasized.

Indexed as

Abortion, InducedHealth Services AccessibilityPatient Acceptance of Health CareQualitative ResearchAbortion, SpontaneousAdultFemaleHealth FacilitiesHumansPregnancyYoung AdultZambiaMiscarriagePost-abortion carePregnancyUnsafe abortionZambia

Identifiers

PMID39039469
PMCPMC11265459

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Registered trials

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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.