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Int. J. Environ. Res. Public Health 2018, 15(2), 329; https://doi.org/10.3390/ijerph15020329

Factors Influencing Abortion Decision-Making Processes among Young Women

1
International Centre for Reproductive Health (ICRH), Ghent University, 9000 Gent, Belgium
2
Centro de Estudos Africanos, Universidade Eduardo Mondlane, C. P. 1993, Maputo, Mozambique
3
Department of Family Medicine and primary health care, Ghent University, 9000 Gent, Belgium
*
Author to whom correspondence should be addressed.
Received: 29 December 2017 / Revised: 10 February 2018 / Accepted: 11 February 2018 / Published: 13 February 2018
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Abstract

Background: Decision-making about if and how to terminate a pregnancy is a dilemma for young women experiencing an unwanted pregnancy. Those women are subject to sociocultural and economic barriers that limit their autonomy and make them vulnerable to pressures that influence or force decisions about abortion. Objective: The objective of this study was to explore the individual, interpersonal and environmental factors behind the abortion decision-making process among young Mozambican women. Methods: A qualitative study was conducted in Maputo and Quelimane. Participants were identified during a cross-sectional survey with women in the reproductive age (15–49). In total, 14 women aged 15 to 24 who had had an abortion participated in in-depth interviews. A thematic analysis was used. Results: The study found determinants at different levels, including the low degree of autonomy for women, the limited availability of health facilities providing abortion services and a lack of patient-centeredness of health services. Conclusions: Based on the results of the study, the authors suggest strategies to increase knowledge of abortion rights and services and to improve the quality and accessibility of abortion services in Mozambique. View Full-Text
Keywords: abortion; decision-making; young women; Maputo; Quelimane abortion; decision-making; young women; Maputo; Quelimane
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Frederico, M.; Michielsen, K.; Arnaldo, C.; Decat, P. Factors Influencing Abortion Decision-Making Processes among Young Women. Int. J. Environ. Res. Public Health 2018, 15, 329.

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