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Table 2 Characteristics of the studies included in the review

From: Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data

Nr.

Country

Year of publication

Study period

Abortion law*

Aim

Sample size/characteristics

Data collection

Reference

1.

Ethiopia

2011

March – April 2008

A B D E H +

To answ er the questions; “what does perceptions on safe abortion look like among health care service providers?” “What are the factors which affect the perception of health providers towards safe abortion?”

431 health providers

A structured, self-administered questionnaire

ABDI, J. et al. [32]

2.

Ghana

2013

No information

A B C D E H

To examine in in what ways provider attitudes and values affect the implementation of abortion policy.

43 health professionals

In-depth interviews

ANITEYE, P. et al. [30]

3.

Timor Leste

2009

2006 -2007

A

To describe the socio-legal context of unsafe abortion in Timor-Leste

21 doctors and midwives

In-depth interviews

BELTON, S. et al. [24]

4.

South Africa

2000

No Information

A B C D E F G -1st H

To investigate health care ethics regarding Termination of pregnancy

1200 registered nurses

Questionnaires and Focus-group discussions

BOTES, A. [16]

5.

South Africa

2002

No Information

A B C D E F G -1st H

To assess attitudes of medical students to induced abortion

247 medical students

Self-administered questionnaire

BUGA, G.A. [33]

6.

South Africa

2005

Nov. 2001 – March 2002

A B C D E F G -1st H

To explore attitudes of health care providers towards medical abortion

20 public health nurses and doctors

In-depth interviews

COOPER, D., et al. [25]

7.

Indonesia

1993

Oct. 1990 – April 1991

A

To contribute to the search for ways to make pregnancy and childbirth safer

28 Physicians, 16 Midwives,16 TBA 16 PLKB Total: 76

In-depth interviews

DJOHAN, E., et al. [26]

8.

Nigeria

2003

No Information

A

To examine the knowledge, attitude and practice of private medical practitioners on abortion

48 private practitioners

Structured questionnaire

ETUK, S.J. et al. [34]

9.

Mozambique

2004

2002

A B

To document the strengths and deficiencies of abortion care

99 Midwives and nurses

Questionnaire

GALLO, M.F., et al. [35]

10.

South Africa

2000

No Information

A B C D E F G - 1st H

To explore and describe nurses’ experiences of being involved with abortion care

Nurses

Phenomenological interviews

GMEINER, A.C., et al. [31]

11.

South Africa

2012

July – October 2008

A B C D E F G - 1st H

To explore health service providers’ perceptions of abortion services

19 providers and hospital managers

In-depth interviews

HARRIES, J. et al. [27]

12.

South Africa

2009

2006 - 2007

A B C D E F G - 1st H

To explore knowledge, attitudes and opinions of health care providers’ attitude to abortion

34 health care providers

In-depth interviews and one focus group discussion

HARRIES, J. et al. [53]

13.

South Africa

2000

No Information

A B C D E F G - 1st

To study attitudes and beliefs about abortion among nurses

24 male and 114 female nurses In total 138

Self administered questionnaire

HARRISON, A., et al. [36]

14.

Zimbabwe

1999

No Information

A B D E H

To determinate the attitudes of professional health workers to medically supervised abortion

196 doctors, 1 053 nurses In total 1249

Self administered anonymous questionnaire

KASULE, J., et al. [37]

15.

Kenya

1992

April 1991

A

To determine nurses’ knowledge and attitudes towards abortion

218 nurses

Self-administered questionnaire

KIDULA, N. A., et al. [38]

16.

Vietnam

2006

March – April 2002

A B C D E F G

To explore the midwives’ perspectives on adolescent sexuality and abortion, and what they consider to be quality abortion care

40 Midwives; 28 doctors In total 68

Observations and focus-group discussions (FGD)

KLINGBERG-ALLVIN, M., et al. [54]

17.

Vietnam

2007

2003

A B C D E F G H

To investigate midwifery students’ values and attitudes towards adolescent sexuality, abortion and contraception

235 midwifery students

Quantitative survey complemented with 18 qualitative interviews

KLINGBERG-ALLVIN, M., et al. [55]

18.

South Africa

2005

No Information

A B C D E F G - 1st H

To explore the lived experience of midwives who assist with TOP

3 nurses

In-depth interviews

MAYERS, P.M. et al. [28]

19.

Swaziland

2008

January – March 2005

A B C D E H

To explore health workers’ perceptions of adolescent SRH services in Swaziland

56 midwives

Self-administered questionnaire

MNGADI, P. T., et al. [39]

20.

South Africa

2008

No information

A B C D E F G 1s tH

To investigate professional nurses’ attitudes towards abortion care

25 nurses

Questionnaire

MOKGETHI, N. E. et al. [40]

21.

Ghana

2007

August 2003

A B C D E H

To assess physician’s knowledge and attitude towards abortion

74 physicians

Self-administered questionnaire

MORHE, E.S. et al. [41]

22.

Nigeria

2005

No information

A

To investigate the attitudes and practices of physicians towards abortion

232 private practitioners

Structured questionnaire

OKONOFUA, F. E. et al. [42]

23.

Nigeria

2011

No information

A

To assess the attitudes of staff at reproductive health services

136 senior practitioners

Questionnaire

OMO-AGHOJA, L.O. et al. [43]

24.

Nigeria

2009

27 December 2005 to 25 March 2006

A

To understand PAC services provided by private medical practitioners

96 private medical practitioners

Questionnaire

ONAH, H. E. et al. [44]

25.

Uganda

2014

February - March 2012

A

To explore physicians’ and midwives’ perceptions of PAC

10 Doctors and 17 Midwives In total 27

In-depth Interviews

PAUL, M., et al. [29]

26.

Ghana

2013

Fall 2009

A B C D E H

To explore the reasons women continue to die from unsafe abortion

4 Physicians

Open ended interviews and Focus-group discussion

PAYNE, M.C., et al. [51]

27.

Thailand

1986

1980 - 1981

A B C D E

To demonstrate health professionals’ attitudes toward abortion

625 Doctors, Nurses and social workers

Self-administered questionnaire

PHUAPRADIT, W., et al. [45]

28.

South Africa

1998

No information

A B C D E F G - 1st H

To explore and describe nurses’ experience of abortion

1200 nurses

Focus-group discussions, interviews and observations

POGGENPOEL, M., et al. [56]

29.

South Africa

2004

No information

A B C D E F G - 1st H

To compile a profile of the characteristics and/or beliefs held by nurses who choose to become abortion providers

22 nurses

Focus-group discussion and deep-interviews

POTGIETER, C [57]

30.

Ghana

2013

March – April 2008

A B C D E H

To understand pathways to induced abortion in Ghana and the role health care providers play

11 Family planning nurses and 8 obstetricians/gynaecologists In total 19

Focus-group discussion and in-depth interviews

SCHWANDT, H.M., et al. [51]

31.

Myanmar

2012

March – May 2011

A

To find out medical students’ knowledge of and attitudes toward abortion

1,060 Medical students

Questionnaire

TEY, N.P., et al. [50]

32.

Thailand

1977

No information

A B C D E

To evaluate the attitudes of medical students towards abortion

318 medical students

Questionnaires

VARAKAMIN, S. et al. [46]

33.

Ghana

2010

February 2007

A B C D E H

To assess the capacity and willingness of midwifery tutors to teach abortion care

74 Midwifery tutors

Structured questionnaire

VOETAGBE, G. et al. [47]

34.

South Africa

1995

No information

A B C D E F G - 1st H

To explore the understandings and responses of nurses towards abortion

35 Primary Health Care Nurses

Observations and interviews

WALKER, L. [58]

35.

Kenya and Zambia

2006

Sept. – Dec. 2001

Kenya A Zambia A B C E F

To investigate attitudes among Kenyan and Zambian nurse-midwives toward adolescent SRH problems, in order to improve services for adolescents.

322 Nurses from Kenya 385 Nurses from Zambia In total 707 Nurses

Questionnaires

WARENIUS, L. U., et al. [48]

36.

South Africa

2012

2005 - 2007

A B C D E F G - 1st H

To assess attitudes about abortion provision and future practice intentions of medical students

1308 medical students

Self-administered questionnaire

WHEELER, S.B. et al. [49]

  1. A = To protect woman’s life D = Rape G = On request 1st - First trimester only.
  2. B = Physical health E = Foetal defects H = Incest.
  3. C = Mental health F = Socio-economic factors.
  4. + = Abortion permitted on additional enumerated grounds relating to such factors as the woman’s age or capacity to care for a child.
  5. *Source: CENTER FOR REPRODUCTIVE RIGHTS (2009) World Abortion Laws 2009 Fact Sheet.
  6. http://reproductiverights.org/sites/crr.civicactions.net/files/documents/pub_fac_abortionlaws2009_WEB.pdf.