| Summary |
This is the first review conducted in South Africa on research addressing the implementation of the Choice on Termination of Pregnancy Act. A systematic and detailed methodology was undertaken to identify published and on-going research. Of the 86 identified studies, 41 were reviewed, 13 were forthcoming studies, three were published but unavailable, 6 focused on the process of advocacy reform and 23 were excluded as they did not meet the inclusion criteria. A framework developed for the review looked service and community factors affecting access of potential and current abortion service users. |
| More Details |
While legalisation for abortion has made services more available, access for specific groups particularly women from peripheral areas and teenagers remain a problem.
Studies have mainly focused on assessing the service barriers of abortion care, with a minimal emphasis on understanding and addressing community-related barriers. Within the various components of quality of care of abortion services, technological advancement and provider competency have received greater if still a limited focus.
What is therefore required is a need for research to generate solutions for health services and community on how to: increase equity in access introduce curriculum into present training of health personnel, and transform and sustain attitudes of current gate-keepers of the service in order to institutionalise the delivery of abortion as a routine service at all levels of health care provide support for providers and users of the service increase information on ones own body and health rights push societys acceptance of human rights increase womens confidence in themselves and ensure male responsibility. |
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