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Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation

In 2018, Ipas Bolivia launched an abortion self-care (ASC) community intervention with the goal of increasing access to supportive, well-informed abortion support provided by community agents (CAs). Between September 2019 and July 2020, Ipas conducted a mixed-methods evaluation to assess the reach,...

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Autores principales: Acre, Valerie N., Küng, Stephanie Andrea, Arce, Christiam, Yapu, Adela, Iriondo, Delmy, Morales, Malena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987779/
https://www.ncbi.nlm.nih.gov/pubmed/36867125
http://dx.doi.org/10.1080/26410397.2022.2139888
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author Acre, Valerie N.
Küng, Stephanie Andrea
Arce, Christiam
Yapu, Adela
Iriondo, Delmy
Morales, Malena
author_facet Acre, Valerie N.
Küng, Stephanie Andrea
Arce, Christiam
Yapu, Adela
Iriondo, Delmy
Morales, Malena
author_sort Acre, Valerie N.
collection PubMed
description In 2018, Ipas Bolivia launched an abortion self-care (ASC) community intervention with the goal of increasing access to supportive, well-informed abortion support provided by community agents (CAs). Between September 2019 and July 2020, Ipas conducted a mixed-methods evaluation to assess the reach, outcomes, and acceptability of the intervention. We used logbook data maintained by CAs to capture demographic characteristics and ASC outcomes of people supported. We also conducted in-depth interviews with 25 women who had received support and 22 CAs who had provided support. 530 people accessed ASC support through the intervention, most of whom were young, single, educated women accessing abortion in the first trimester. Among the 302 people who self-managed their abortions, 99% reported having a successful abortion. No women reported adverse events. All women interviewed expressed satisfaction with the support provided by the CA and, in particular, with the information, lack of judgement, and respect they felt from CAs. CAs spoke highly about their experience and viewed their participation as a way to increase people’s ability to exercise their reproductive rights. Obstacles included experiences of stigma, fears of legal repercussions, and difficulties dispelling misconceptions around abortion. Legal restrictions and abortion stigma continue to complicate access to safe abortion, and findings from this evaluation highlight important avenues for the effectiveness and expansion of ASC interventions, including legal support to people who have abortions and those who provide abortion support, building capacity of people as informed buyers, and ensuring that interventions reach rural and other often under-served people.
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spelling pubmed-99877792023-03-07 Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation Acre, Valerie N. Küng, Stephanie Andrea Arce, Christiam Yapu, Adela Iriondo, Delmy Morales, Malena Sex Reprod Health Matters Research Article In 2018, Ipas Bolivia launched an abortion self-care (ASC) community intervention with the goal of increasing access to supportive, well-informed abortion support provided by community agents (CAs). Between September 2019 and July 2020, Ipas conducted a mixed-methods evaluation to assess the reach, outcomes, and acceptability of the intervention. We used logbook data maintained by CAs to capture demographic characteristics and ASC outcomes of people supported. We also conducted in-depth interviews with 25 women who had received support and 22 CAs who had provided support. 530 people accessed ASC support through the intervention, most of whom were young, single, educated women accessing abortion in the first trimester. Among the 302 people who self-managed their abortions, 99% reported having a successful abortion. No women reported adverse events. All women interviewed expressed satisfaction with the support provided by the CA and, in particular, with the information, lack of judgement, and respect they felt from CAs. CAs spoke highly about their experience and viewed their participation as a way to increase people’s ability to exercise their reproductive rights. Obstacles included experiences of stigma, fears of legal repercussions, and difficulties dispelling misconceptions around abortion. Legal restrictions and abortion stigma continue to complicate access to safe abortion, and findings from this evaluation highlight important avenues for the effectiveness and expansion of ASC interventions, including legal support to people who have abortions and those who provide abortion support, building capacity of people as informed buyers, and ensuring that interventions reach rural and other often under-served people. Taylor & Francis 2023-03-03 /pmc/articles/PMC9987779/ /pubmed/36867125 http://dx.doi.org/10.1080/26410397.2022.2139888 Text en © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Acre, Valerie N.
Küng, Stephanie Andrea
Arce, Christiam
Yapu, Adela
Iriondo, Delmy
Morales, Malena
Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation
title Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation
title_full Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation
title_fullStr Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation
title_full_unstemmed Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation
title_short Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation
title_sort reach, experience, and acceptability of an abortion self-care intervention in bolivia: a mixed-methods evaluation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987779/
https://www.ncbi.nlm.nih.gov/pubmed/36867125
http://dx.doi.org/10.1080/26410397.2022.2139888
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