Evidence map›Paper›PMID 39475477›Full record

ArticleGlobal health action2024

"When you provide abortion services, you are looked upon as a bad guy": experiences of abortion stigma by health providers in Nigeria.

Friday Okonofua, Lorretta Ntoimo, Louise Bury, Suzanna Bright, Lesley Hoggart

Abstract read
In one paragraph

Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Friday OkonofuaAfrican Centre of Excellence in Reproductive Health Innovation, University of Benin, Benin, Nigeria.ORCID 0000-0002-8777-2606
Lorretta NtoimoDepartment of Demography and Social Statistics, Federal University Oye-Ekiti, Oye-Ekiti, Nigeria.ORCID 0000-0002-3218-5535
Louise BuryIndependent Consultant, Colchester, UK.
Suzanna BrightRoyal College of Obstetricians and Gynaecologists, London, UK.ORCID 0009-0009-5794-7960
Lesley HoggartFaculty of Wellbeing and Language Studies, The Open University, Milton Keynes, UK.ORCID 0000-0002-4786-7950

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbortion stigma as reported globally has been inadequately documented empirically in Nigeria, Africa's most populous country with a restrictive abortion law and a high rate of unsafe abortions.

objectiveThe objectives of this study were to investigate the ways in which abortion stigma is experienced by Nigerian health professionals and how such experiences influence health professionals' practice of safe abortion and post-abortion care.

methodsThe study utilized qualitative research consisting of in-depth interviews with 10 abortion providers. We elicited information with an open-ended interview guide that investigated the understanding of participants' experiences of abortion stigma in Nigeria. The data were analysed qualitatively and thematically using Atlas.ti.

resultsThe themes centred on perceptions and experiences of stigma among the providers interviewed. Participants' experiences of abortion stigma included the following: being treated differently to other health professionals; experiencing disapproval and disrespect; name-calling and societal judgement; tagging and profiling of clinics by anti-abortionists; and social isolation. Participants attributed stigma to cultural and religious beliefs, the restrictive national abortion law, and pointed to hypocrisy. Some reported effects of stigma on providers included a feeling of insecurity, social exclusion, secrecy, and insincerity in clinical practice, discouragement, and guilt feelings. Despite the negative impacts, many respondents reported a sense of satisfaction stemming from their views that they were saving lives.

conclusionSystematic efforts to address these adverse factors could reduce the level of stigma experienced by providers, with a potential follow-through effect of improving women's access to safe abortion care in Nigeria.

Indexed as

Abortion, InducedAttitude of Health PersonnelHealth PersonnelQualitative ResearchSocial StigmaAdultFemaleHumansInterviews as TopicMaleMiddle AgedNigeriaPregnancyabortionhealth providersNigeriareproductive healthstigma

Identifiers

PMID39475477
PMCPMC11533241

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.