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

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

SDG 10. Reduced Inequalities

SDG 03. Good Health and Well-Being

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