IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v200y2018icp199-210.html
   My bibliography  Save this article

Trajectories of women's abortion-related care: A conceptual framework

Author

Listed:
  • Coast, Ernestina
  • Norris, Alison H.
  • Moore, Ann M.
  • Freeman, Emily

Abstract

We present a new conceptual framework for studying trajectories to obtaining abortion-related care. It assembles for the first time all of the known factors influencing a trajectory and encourages readers to consider the ways these macro- and micro-level factors operate in multiple and sometimes conflicting ways. Based on presentation to and feedback from abortion experts (researchers, providers, funders, policymakers and advisors, advocates) (n = 325) between 03/06/2014 and 22/08/2015, and a systematic mapping of peer-reviewed literature (n = 424) published between 01/01/2011 and 30/10/2017, our framework synthesises the factors shaping abortion trajectories, grouped into three domains: abortion-specific experiences, individual contexts, and (inter)national and sub-national contexts. Our framework includes time-dependent processes involved in an individual trajectory, starting with timing of pregnancy awareness. This framework can be used to guide testable hypotheses about enabling and inhibiting influences on care-seeking behaviour and consideration about how abortion trajectories might be influenced by policy or practice. Research based on understanding of trajectories has the potential to improve women's experiences and outcomes of abortion-related care.

Suggested Citation

  • Coast, Ernestina & Norris, Alison H. & Moore, Ann M. & Freeman, Emily, 2018. "Trajectories of women's abortion-related care: A conceptual framework," Social Science & Medicine, Elsevier, vol. 200(C), pages 199-210.
    • Handle: RePEc:eee:socmed:v:200:y:2018:i:c:p:199-210
    DOI: 10.1016/j.socscimed.2018.01.035
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618300352
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2018.01.035?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gipson, J.D. & Hindin, M.J., 2008. ""Having another child would be a life or death situation for her": Understanding pregnancy termination among couples in rural Bangladesh," American Journal of Public Health, American Public Health Association, vol. 98(10), pages 1827-1832.
    2. Gerdts, C. & Hudaya, I., 2016. "Quality of care in a safe-Abortion hotline in Indonesia: Beyond harm reduction," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 2071-2075.
    3. Sarah K. Cowan, 2013. "Cohort Abortion Measures for the United States," Population and Development Review, The Population Council, Inc., vol. 39(2), pages 289-307, June.
    4. Mitchell, Ellen M.H. & Kwizera, Amata & Usta, Momade & Gebreselassie, Hailemichael, 2010. "Choosing early pregnancy termination methods in Urban Mozambique," Social Science & Medicine, Elsevier, vol. 71(1), pages 62-70, July.
    5. Caitlin Gerdts & Teresa DePiñeres & Selma Hajri & Jame Harries & Altaf Hossain & Mahesh Puri & Divya Vohra & Diana Greene Foster, "undated". "Denial of Abortion in Legal Settings," Mathematica Policy Research Reports d8edbc84081e4e8cbc703ee9c, Mathematica Policy Research.
    6. Coast, Ernestina & Murray, Susan F., 2016. "“These things are dangerous”: Understanding induced abortion trajectories in urban Zambia," Social Science & Medicine, Elsevier, vol. 153(C), pages 201-209.
    7. Palmer, Jennifer J. & Storeng, Katerini T., 2016. "Building the nation's body: The contested role of abortion and family planning in post-war South Sudan," Social Science & Medicine, Elsevier, vol. 168(C), pages 84-92.
    8. John Bongaarts & Christophe Z. Guilmoto, 2015. "How Many More Missing Women? Excess Female Mortality and Prenatal Sex Selection, 1970–2050," Population and Development Review, The Population Council, Inc., vol. 41(2), pages 241-269, June.
    9. Johnson-Hanks, Jennifer, 2002. "The lesser shame: abortion among educated women in southern Cameroon," Social Science & Medicine, Elsevier, vol. 55(8), pages 1337-1349, October.
    10. Timothy Powell-Jackson & Rajib Acharya & Veronique Filippi & Carine Ronsmans, 2015. "Delivering Medical Abortion at Scale: A Study of the Retail Market for Medical Abortion in Madhya Pradesh, India," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-14, March.
    11. Kerry MacQuarrie & Jeffrey Edmeades, 2015. "Whose Fertility Preferences Matter? Women, Husbands, In-laws, and Abortion in Madhya Pradesh, India," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 34(4), pages 615-639, August.
    12. Cecile Lefevre & Sophie Hohmann & Michel Garenne, 2014. "A framework for analyzing sex-selective abortion: the example of changing sex ratios in Southern Caucasus," Post-Print hal-01488773, HAL.
    13. Puri, Sunita & Adams, Vincanne & Ivey, Susan & Nachtigall, Robert D., 2011. ""There is such a thing as too many daughters, but not too many sons": A qualitative study of son preference and fetal sex selection among Indian immigrants in the United States," Social Science & Medicine, Elsevier, vol. 72(7), pages 1169-1176, April.
    14. Suh, Siri, 2014. "Rewriting abortion: Deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal," Social Science & Medicine, Elsevier, vol. 108(C), pages 20-33.
    15. Leone, Tiziana & Coast, Ernestina & Parmar, Divya & Vwalika, Bellington, 2016. "The individual level cost of pregnancy termination in Zambia: a comparison of safe and unsafe abortion," LSE Research Online Documents on Economics 64716, London School of Economics and Political Science, LSE Library.
    16. Izugbara, Chimaraoke O. & Egesa, Carolyne & Okelo, Rispah, 2015. "‘High profile health facilities can add to your trouble’: Women, stigma and un/safe abortion in Kenya," Social Science & Medicine, Elsevier, vol. 141(C), pages 9-18.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Strong, Joe & Lamptey, Nii Lartey Samuel & Quartey, Nii Kwartelai & Owoo, Nii Kwartei Richard, 2022. "“If I Am Ready”: Exploring the relationships between masculinities, pregnancy, and abortion among men in James Town, Ghana," Social Science & Medicine, Elsevier, vol. 314(C).
    2. Samantha R Lattof & Ernestina Coast & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2020. "The mesoeconomics of abortion: A scoping review and analysis of the economic effects of abortion on health systems," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-25, November.
    3. VandeVusse, Alicia J. & Mueller, Jennifer & Kirstein, Marielle & Strong, Joe & Lindberg, Laura D., 2023. "“Technically an abortion”: Understanding perceptions and definitions of abortion in the United States," Social Science & Medicine, Elsevier, vol. 335(C).
    4. Pleasants, Elizabeth & Parham, Lindsay & Weidert, Karen & Anderson, Emma & Dolgins, Eliza & Prata, Ndola & Upadhyay, Ushma D. & Marshall, Cassondra, 2024. "Waiting to start abortion: A qualitative exploration of narratives of waiting shared in a Reddit community for abortion post-Dobbs leak in 2022," Social Science & Medicine, Elsevier, vol. 349(C).
    5. Okine, Lucinda & Dako-Gyeke, Mavis, 2020. "Drivers of repeat pregnancy among teenage mothers in Accra, Ghana," Children and Youth Services Review, Elsevier, vol. 113(C).
    6. Ouedraogo, Ramatou & Juma, Kenneth, 2020. "From the shadows to light. Perceptions of women and healthcare providers of post-abortion care in Burkina Faso," Social Science & Medicine, Elsevier, vol. 260(C).
    7. Haaland, Marte E.S. & Mumba Zulu, Joseph & Moland, Karen Marie & Haukanes, Haldis & Astrid Blystad,, 2020. "When abortion becomes public - Everyday politics of reproduction in rural Zambia," Social Science & Medicine, Elsevier, vol. 265(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Solheim, I.H. & Moland, K.M. & Kahabuka, C. & Pembe, A.B. & Blystad, A., 2020. "Beyond the law: Misoprostol and medical abortion in Dar es Salaam, Tanzania," Social Science & Medicine, Elsevier, vol. 245(C).
    2. Haaland, Marte E.S. & Mumba Zulu, Joseph & Moland, Karen Marie & Haukanes, Haldis & Astrid Blystad,, 2020. "When abortion becomes public - Everyday politics of reproduction in rural Zambia," Social Science & Medicine, Elsevier, vol. 265(C).
    3. Ernestina Coast & Samantha R Lattof & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2021. "The microeconomics of abortion: A scoping review and analysis of the economic consequences for abortion care-seekers," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-21, June.
    4. Jaffré, Yannick & Suh, Siri, 2016. "Where the lay and the technical meet: Using an anthropology of interfaces to explain persistent reproductive health disparities in West Africa," Social Science & Medicine, Elsevier, vol. 156(C), pages 175-183.
    5. Haaland, Marte E.S. & Haukanes, Haldis & Zulu, Joseph Mumba & Moland, Karen Marie & Blystad, Astrid, 2020. "Silent politics and unknown numbers: Rural health bureaucrats and Zambian abortion policy," Social Science & Medicine, Elsevier, vol. 251(C).
    6. Hoque Nazmul & Boulier Bryan L., 2020. "Hi-tech Sexism? Evidence from Bangladesh," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 20(3), pages 1-39, July.
    7. Suh, Siri, 2020. "What post-abortion care indicators don't measure: Global abortion politics and obstetric practice in Senegal," Social Science & Medicine, Elsevier, vol. 254(C).
    8. Freeman, Emily & Coast, Ernestina, 2019. "Conscientious objection to abortion: Zambian healthcare practitioners' beliefs and practices," Social Science & Medicine, Elsevier, vol. 221(C), pages 106-114.
    9. Izugbara, Chimaraoke O. & Egesa, Carolyne & Okelo, Rispah, 2015. "‘High profile health facilities can add to your trouble’: Women, stigma and un/safe abortion in Kenya," Social Science & Medicine, Elsevier, vol. 141(C), pages 9-18.
    10. Kagaha, Alexander & Manderson, Lenore, 2020. "Medical technologies and abortion care in Eastern Uganda," Social Science & Medicine, Elsevier, vol. 247(C).
    11. Nandita Saikia & Moradhvaj & Jayanta Kumar Bora, 2016. "Gender Difference in Health-Care Expenditure: Evidence from India Human Development Survey," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-15, July.
    12. Manasvi Sharma, 2024. "Ethnic fertility and exposure to armed conflict: the case of Sri Lanka," Review of Economics of the Household, Springer, vol. 22(4), pages 1317-1351, December.
    13. Leah Ruppanner & Gosia Mikołajczak & Kelsy Kretschmer & Christopher T Stout, 2019. "Gender linked fate explains lower legal abortion support among white married women," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-16, October.
    14. Sivadasan, Jagadeesh & Xu, Wenjian, 2021. "Missing women in India: Gender-specific effects of early-life rainfall shocks," World Development, Elsevier, vol. 148(C).
    15. Melberg, Andrea & Diallo, Abdoulaye Hama & Storeng, Katerini T. & Tylleskär, Thorkild & Moland, Karen Marie, 2018. "Policy, paperwork and ‘postographs’: Global indicators and maternity care documentation in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 215(C), pages 28-35.
    16. Gaurav Datt & Cun Liu & Russell Smyth, 2022. "Missing Women in China and India over Seven Decades: An Analysis of Birth and Mortality Data from 1950 to 2020," Journal of Development Studies, Taylor & Francis Journals, vol. 58(9), pages 1807-1830, September.
    17. Sorhaindo, Annik Mahalia & Lavelanet, Antonella Francheska, 2022. "Why does abortion stigma matter? A scoping review and hybrid analysis of qualitative evidence illustrating the role of stigma in the quality of abortion care," Social Science & Medicine, Elsevier, vol. 311(C).
    18. Clarke, Damian & Mühlrad, Hanna, 2021. "Abortion laws and women’s health," Journal of Health Economics, Elsevier, vol. 76(C).
    19. Marie-Claire Robitaille & Ishita Chatterjee, 2013. "Mother-In-Law and Son Preference in India," Economics Discussion / Working Papers 13-04, The University of Western Australia, Department of Economics.
    20. Cogburn, Megan D., 2020. "Homebirth fines and health cards in rural Tanzania: On the push for numbers in maternal health," Social Science & Medicine, Elsevier, vol. 254(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:200:y:2018:i:c:p:199-210. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.