Abortion choices among women in Cambodia after introduction of a socially marketed medicated abortion product
| Autor: | Dianna Long, Paul D. Blumenthal, Gary Mundy, Khim Sotheary, Yasmin Madan |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent medicine.medical_treatment Abortion Choice Behavior 03 medical and health sciences Young Adult 0302 clinical medicine Unsafe abortion Pregnancy Surveys and Questionnaires medicine Humans 030212 general & internal medicine Misoprostol reproductive and urinary physiology Gynecology Vacuum aspiration Abortifacient Agents Nonsteroidal 030219 obstetrics & reproductive medicine business.industry Incidence (epidemiology) Obstetrics and Gynecology Abortion Induced General Medicine Middle Aged medicine.disease Medical abortion Social marketing Mifepristone Cross-Sectional Studies Maternal Mortality Vacuum Curettage Social Marketing Female business Cambodia Demography medicine.drug |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 136(2) |
| ISSN: | 1879-3479 |
| Popis: | Objective To assess whether a social marketing initiative focusing on medicated abortion via a mifepristone/misoprostol “combipack” has contributed to reducing unsafe abortion in Cambodia. Methods In a questionnaire-based cross-sectional study, annual household surveys were conducted across 13 Cambodian provinces in 2010, 2011, and 2012. One married woman of reproductive age who was not pregnant and did not wish to be within the next 2 years in each randomly selected household was approached for inclusion. Participants were interviewed using a structured questionnaire. Results The questionnaire was completed by 1843 women in 2010, 2068 in 2011, and 2059 in 2012. Manual vacuum aspiration was reported by 61 (72.6%) of 84 women surveyed in 2010 who reported an abortion in the previous 12 months, compared with only 28 (52.8%) of 53 in 2012 (P=0.001). The numbers of women undergoing medicated abortion increased from 22 (26.2%) of 84 in 2010 to 27 (49.1%) of 53 in 2012 (P=0.003), whereas the numbers undergoing unsafe abortion decreased from 4 (4.8%) in 2010 to 0 in 2012 (P=0.051). Conclusion Social marketing of medication abortion coupled with provider training in clinical and behavioral change could have contributed to a reduction in the prevalence of unsafe abortion and shifted the types of abortion performed in Cambodia, while not increasing the overall number of abortions. |
| Databáze: | OpenAIRE |
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