Comparative situational analysis of comprehensive abortion care in four Southern African countries

Macleod, Catriona I; Reuvers, Megan; Reynolds, John H; Lavelanet, Antonella; Delate, Richard

Title: Comparative situational analysis of comprehensive abortion care in four Southern African countries
Creator: Macleod, Catriona I
Creator: Reuvers, Megan
Creator: Reynolds, John H
Creator: Lavelanet, Antonella
Creator: Delate, Richard
Subject: To be catalogued
Date Issued: 2023
Date: 2023
Type: text
Type: article
Identifier: http://hdl.handle.net/10962/441199
Identifier: vital:73865
Identifier: xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
Format: computer
Format: online resource
Format: application/pdf
Format: 1 online resource (20 pages)
Format: pdf
Publisher: Taylor and Francis
Language: English
Relation: Global public health
Relation: Macleod, C.I., Reuvers, M., Reynolds, J.H., Lavelanet, A. and Delate, R., 2023. Comparative situational analysis of comprehensive abortion care in four Southern African countries. Global public health, 18(1), p.2217442
Relation: Global public health volume 18 number 1 p. 2217442 2023 1744-1706
Rights: Publisher
Rights: Use of this resource is governed by the terms and conditions of the Taylor and Francis Online Terms and Conditions Statement (https://www.tandfonline.com/terms-and-conditions)
Rights: Open Access

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Collections

Gender Action Forum (GENACT)

Reynolds, John Dr

RU Department of Sociology

Macleod, Catriona Ida (Distinguished Professor)

SDG 05. Gender Equality

RU Department of Psychology

SDG 10. Reduced Inequalities

RU DST/NRF SARChI for Critical Studies in Sexualities and Reproductions Research (CSSR) Programme

SDG 03. Good Health and Well-Being

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