- Title
- Comparative situational analysis of comprehensive abortion care in four Southern African countries
- Creator
- Macleod, Catriona I, Reuvers, Megan, Reynolds, John H, Lavelanet, Antonella, Delate, Richard
- Subject
- To be catalogued
- Date
- 2023
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/10962/441199
- Identifier
- vital:73865
- Identifier
- xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description
- We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
- Format
- computer, online resource, application/pdf, 1 online resource (20 pages), pdf
- Publisher
- Taylor and Francis
- Language
- English
- Relation
- Global public health, Macleod, C.I., Reuvers, M., Reynolds, J.H., Lavelanet, A. and Delate, R., 2023. Comparative situational analysis of comprehensive abortion care in four Southern African countries. Global public health, 18(1), p.2217442, Global public health volume 18 number 1 p. 2217442 2023 1744-1706
- Rights
- Publisher
- Rights
- Use of this resource is governed by the terms and conditions of the Taylor and Francis Online Terms and Conditions Statement (https://www.tandfonline.com/terms-and-conditions)
- Rights
- Open Access
- Hits: 4
- Visitors: 1
- Downloads: 0
Collections
Reynolds, John Dr
Macleod, Catriona Ida (Distinguished Professor)
RU Department of Sociology
RU DST/NRF SARChI for Critical Studies in Sexualities and Reproductions Research (CSSR) Programme
RU Department of Psychology
SDG 05. Gender Equality
SDG 10. Reduced Inequalities
SDG 03. Good Health and Well-Being
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| View Details | SOURCE1 | Comparative situational analysis of comprehensive abortion care in four Southern African countries.pdf | 2 MB | Adobe Acrobat PDF | View Details |