Women's reproductive decision making and abortion experiences in Cape Town,South Africa: A qualitative study |
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| Authors: | Marie E. Sullivan Jane Harries Namhla Sicwebu Rochelle K. Rosen Omar Galárraga |
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| Affiliation: | 1. Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA;2. Women's Health Research Unit School of Public Health &3. Family Medicine, University of Cape Town, Cape Town, South Africa;4. Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island, USA |
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| Abstract: | ABSTRACTUnintended 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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