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Men's Roles in Women's Abortion Trajectories in Urban Zambia

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dc.contributor.author Freeman, Emily
dc.contributor.author Coast, Ernestina
dc.contributor.author Murray, Susan F.
dc.date.accessioned 2018-08-06T11:36:35Z
dc.date.available 2018-08-06T11:36:35Z
dc.date.issued 2017
dc.identifier.uri http://awdflibrary.org:8080/xmlui/handle/123456789/602
dc.description.abstract CONTEXT: Given that maternal morbidity and mortality from unsafe abortion persist, especially in Africa, there is a pressing need to understand the abortion decision-making process. However, little is known about men’s influence on and involvement in women’s abortion decision making and care seeking. METHODS: A qualitative study was conducted at the largest public provider of abortion-related care in Zambia. Thematic framework analysis was used to categorize and synthesize data from in-depth interviews conducted in 2013 with 71 women who received a safe abortion and 41 who received care following an incomplete (unsafe) abortion. RESULTS: Men influenced whether women sought a safe or unsafe abortion; their actions, lack of action and anticipated actions—negative and positive—reflected broader gender inequities. Abandonment by men, and the desire to avoid disclosing pregnancy to men because of fear of their reactions or interference, were important influences on some women’s decision to seek abortion, on the secrecy and urgency with which abortion was pursued and on the level of risk assumed. However, other women discussed men’s positive influences on their abortion care seeking. In this setting of low awareness of the legality and availability of abortion, some men used their greater social and economic resources to facilitate safe abortion by providing information and paying for care. CONCLUSIONS: Increasing knowledge about the legality and availability of safe abortion is vital not only among sexually active women, but also among those they confide in, including men. en_US
dc.language.iso en en_US
dc.relation.ispartofseries International Perspectives on Sexual and Reproductive Health;Vol. 43, No. 2 (June2017), pp. 89-98
dc.subject Women’s Abortion en_US
dc.subject Trajectories en_US
dc.subject Urban Zambia en_US
dc.subject Negative and Positive en_US
dc.subject Decision Making en_US
dc.subject Care Seeking en_US
dc.title Men's Roles in Women's Abortion Trajectories in Urban Zambia en_US
dc.type Article en_US


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