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. 2024 Nov 13;82(1):211.
doi: 10.1186/s13690-024-01418-x.

Abortion Trajectory, Timing, and Access Study (ATTAS): study protocol

Anna Wallays  1 , Sarah Van de Velde  2
Affiliations

Abortion Trajectory, Timing, and Access Study (ATTAS): study protocol

Anna Wallays et al. Arch Public Health. .

Abstract

Background: This study protocol outlines the phased construction of a questionnaire, data collection, and a strategy for analysis within the framework of the ATTAS project. This study has two primary objectives. First, it allows us to map the duration of the various phases of the abortion trajectory for women presenting for abortion in Flanders, Belgium. Second, it identifies barriers that cause delays within these phases.

Methods: The questionnaire was distributed to all women seeking abortion care at one of the five Flemish abortion centers; specifically, the LUNA centers, which are located in Ostend, Ghent, Antwerp, and Hasselt, as is the VUB-Dilemma center in Brussels during the fall and winter of 2023-2024. Ethical clearance for the described research was obtained from the University of Antwerp's Ethics Committee for the Social Sciences and Humanities (reference numbers: SHW_2023_48_1 and SHW_2023_48_2).

Discussion: The collected data provide a dataset on the abortion trajectories of Flanders women who presented for abortion. This study protocol outlines the ATTAS project's rationale, phased development, and implementation of the questionnaire, as well as the upcoming data analyses. To our knowledge, this is the first study within the Flemish context to investigate abortion trajectories, timing, and access. Furthermore, this study protocol provides a phased and systematic approach to adapt validated research instruments to fit within diverse legal and cultural contexts. Building on this protocol, future research will seek to advance reproductive justice for all women in Belgium.

Keywords: Abortion; Barrier; Delay; Flanders; Legal limit; Trajectory.

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Conflict of interest statement

Declarations Ethics approval and consent to participate Ethical clearance was obtained from the University of Antwerp’s Ethics Committee for the Social Sciences and Humanities for the various steps described (reference numbers: SHW_2023_48_1 and SHW_2023_48_2). Consent for publication Not applicable. Competing interests The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Ideal type abortion trajectory
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References

    1. National Evaluation Committee on Termination of Pregnancy. Report for the benefit of Parliament January 1st 2020 - December 31th 2021. 2023.
    1. Kortsmit K, Nguyen AT, Mandel MG, Clark E, Hollier LM, Rodenhizer J, et al. Abortion Surveillance—United States 2020 MMWR Surveillance Summaries. 2022;71(10):1–27. - PMC - PubMed
    1. Van de Eekert VS, Van Assche N, Sommerland K, Wouters N. Characteristics of women who present for abortion beyond the legal limit in Flanders, Belgium. Perspect Sex Reproductive Health Health. 2019;51(3):175–83. - PubMed
    1. WHO. Abortion care guideline 2022 [ https://www.who.int/publications/i/item/9789240039483
    1. Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM. Timing of steps and reasons for delays in obtaining abortions in the United States. Contraception. 2006;74(4):334–44. - PubMed

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