ArticleFrontiers in global women's health2026
Determinants and dynamics of repeat unsafe abortion in Ghana-a mixed-method study at Tema General Hospital.
Article in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Unsafe abortion remains a significant driver of maternal morbidity and mortality in Ghana. Despite progressive policies, many women continue to bypass safe clinical pathways. This study aims to identify the socio-demographic factors and qualitative dynamics associated with repeat unsafe abortion among women presenting with unsafe abortion complications at Tema General Hospital. Method: The study targeted women aged 15-49 years who were admitted for complications arising from unsafe abortions. A total of 68 women participated in the analysis, providing both quantitative and qualitative data. Quantitative data were analysed using Fisher's exact and Chi-square tests for bivariate associations, followed by Firth's penalised logistic regression to identify independent predictors. Simultaneously, qualitative semi-structured interviews explored the underlying motivations and personal dynamics behind termination decisions. All statistical analyses were performed in R, with a significance level of 0.05. Results: Age at sexual debut was the strongest independent predictor of repeat unsafe abortion, with over 14-fold higher odds among women who debuted at 15-19 versus later (AOR = 14.35, 95% CI: 2.30-170.29, Conclusion: These findings underscore the urgent need for interventions to address the high rates of unsafe abortions in Ghana. There is a need for improved sexual education, promotion of contraceptive utilisation, and providing accurate information about safe and legal abortion options.
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