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. 2018 Nov;39(11):1163-1176.
doi: 10.1080/07399332.2017.1400034. Epub 2017 Dec 15.

Women's reproductive decision making and abortion experiences in Cape Town, South Africa: A qualitative study

Marie E Sullivan  1 , Abigail Harrison  1 , Jane Harries  2 , Namhla Sicwebu  2 , Rochelle K Rosen  1   3 , Omar Galárraga  1
Affiliations

Women's reproductive decision making and abortion experiences in Cape Town, South Africa: A qualitative study

Marie E Sullivan et al. Health Care Women Int. 2018 Nov.

Abstract

Unintended pregnancy is a significant public health issue in South Africa. Despite free services including contraception, women face structural and institutional barriers to accessing care. This qualitative study comprised interviews with 16 women aged 18 to 40 years and receiving post-abortion services at a public clinic in Cape Town. Data analysis revealed three main themes: personal journeys in seeking abortion, contraceptive experiences, and contrasting feelings of empowerment (in reproductive decision making) and disempowerment (in the health care system). Women perceived themselves as solely responsible for their reproductive health, but found it difficult to obtain adequate information or services.

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