Knowledge and attitudes towards abortion from health care providers and abortion experts in Zimbabwe: a cross sectional study.

Journal: The Pan African medical journal

Volume: 34

Issue: 

Year of Publication: 2020

Affiliated Institutions:  University of Zimbabwe, College of Health Science, Clinical Research Centre (UZCHS-CRC), Belgravia, Harare, Zimbabwe. Guttmacher Institute, New York, USA.

Abstract summary 

Abortion in Zimbabwe is allowed to preserve the physical health of the woman, or in cases of rape, incest, or fetal impairment. Access even under these conditions is difficult and rare. We aimed to understand knowledge of the abortion law and attitudes towards abortion amongst health care providers' and abortion experts in Zimbabwe as these can hinder access to safe legal abortion.In 2016, we conducted a Health Facility Survey (HFS) (n=227) among health care providers' knowledgeable about abortion services in their facility in a census of facilities offering Post Abortion Care (PAC), and a Health Professionals Survey (HPS) among 118 abortion experts.Twenty-five percent of providers and 47% of experts knew all four reasons under which abortion is legal in Zimbabwe. Amongst providers and experts, 31% and 50% respectively were misinformed about one or more legal criteria. Most providers and experts were in support of expanding the legal provision of abortion to cases when the woman's mental health is at risk (65% and 79%, respectively) and if the woman is mentally incapacitated (66% amongst all). Seventy-one percent of experts recommend liberalizing the abortion law in order to reduce unsafe abortions.There is incomplete and sometimes inaccurate knowledge on the legal provisions for performing abortions in Zimbabwe amongst both health care providers and abortion experts. Incomplete knowledge of the law may be further reducing abortion access, highlighting the urgent need for educating health care providers on the legal status of abortion.

Authors & Co-authors:  Madziyire Mugove Gerald MG Moore Ann A Riley Taylor T Sully Elizabeth E Chipato Tsungai T

Study Outcome 

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Statistics
Citations :  Termination of pregnancy ACT . Act No. 29 of 1977) (Chap. 15:10) Accessed 15 September 2018.
Authors :  5
Identifiers
Doi : 94
SSN : 1937-8688
Study Population
Male,Female
Mesh Terms
Abortion, Induced
Other Terms
Induced abortion;Post abortion care;Safe abortion;abortion law;unsafe abortion
Study Design
Cross Sectional Study
Study Approach
Country of Study
Zimbabwe
Publication Country
Uganda