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Author Mitchell, Ellen M. H. ♦ Kwizera, Amata ♦ Usta, Momade ♦ Gebreselassie, Hailemichael
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Philosophy & psychology ♦ Psychology ♦ Social sciences ♦ Social groups ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Chemistry & allied sciences ♦ Life sciences; biology ♦ Physiology & related subjects ♦ Biochemistry ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human physiology ♦ Incidence & prevention of disease ♦ Pharmacology and therapeutics ♦ Diseases ♦ Surgery & related medical specialties ♦ Management & auxiliary services ♦ General management ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Lipids ♦ Chemical Actions and Uses ♦ Chemicals and Drugs ♦ Therapeutics ♦ Surgical Procedures, Operative ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Psychological Phenomena and Processes ♦ Psychiatry and Psychology ♦ Reproductive and Urinary Physiological Phenomena ♦ Biological Sciences ♦ Natural Science Disciplines ♦ Physical Sciences ♦ Persons ♦ Persons ♦ Population Characteristics ♦ Health Care Facilities, Manpower, and Services ♦ Health Services Administration ♦ Health Care ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Medicine ♦ Abortion, Induced ♦ Methods ♦ Choice Behavior ♦ Pregnant Women ♦ Psychology ♦ Urban Population ♦ Statistics & Numerical Data ♦ Abortifacient Agents, Nonsteroidal ♦ Administration & Dosage ♦ Adolescent ♦ Adult ♦ Female ♦ Focus Groups ♦ Hospitals, Public ♦ Humans ♦ Interviews As Topic ♦ Middle Aged ♦ Misoprostol ♦ Mozambique ♦ Patient Satisfaction ♦ Pregnancy ♦ Pregnancy Trimester, First ♦ Qualitative Research ♦ Self Administration ♦ Vacuum Curettage ♦ Young Adult ♦ Journal Article
Abstract Little is known about who chooses medication abortion with misoprostol and why. Women seeking early abortion in 5 public hospitals in Maputo, Mozambique were recruited in 2005 and 2006 to explore decision-making strategies, method preferences and experiences with misoprostol and vacuum aspiration for early abortion. Client screenings (n=1799), structured clinical surveys (n=837), in-depth exit interviews (n=70), and nurse focus groups (n=2) were conducted. Triangulation of qualitative and quantitative data revealed seemingly contradictory findings. Choice of method reflected women's heightened concerns about privacy, pain, quality of home support, HIV infection risk, sexuality, and safety of research participation. Urban Mozambican women are highly motivated to find early pregnancy termination techniques that they deem socially and clinically low-risk. Although 42% found vaginal misoprostol self-administration challenging and 25% delayed care for over a week to amass funds for user fees, almost all (96%) reported adequate preparation and comfort with home management. Women reported satisfaction with all methods and quality of care, even if the initial method failed or pain management or postabortion contraception were not offered. A more nuanced understanding of what women value most can yield service delivery models that are responsive and effective in reducing maternal death and disability from unsafe abortion.
Spatial Coverage Mozambique
Description Country affiliation: Netherlands
Author Affiliation: Mitchell EM ( Academic Medical Center, University of Amsterdam, CINIMA, Amsterdam, Netherlands. mitchelle@kncvtbc.nl)
ISSN 02779536
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2010-07-01
Publisher Place Great Britain (UK)
e-ISSN 18735347
Journal Social Science & Medicine
Volume Number 71
Issue Number 1


Source: WHO-Global Index Medicus