- 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
- 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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