Background
Methods
Study identification
Inclusion criteria
Criteria | |
---|---|
Aims
| General aims, specific objectives or research question clearly described. |
Background
| A comprehensive literature review included. Explanation and justification for the study. |
Context
| Context of the research adequately described. |
Sampling/recruitment
| Clear description of the sample, including the size and characteristics of the sample Selection procedure appropriate and clearly described Study units are representative of the target population Exclusions and refusals accounted for and described |
Data collection
| Suitable research design to address the aims of the research. Appropriate data collection instruments are used, piloted, pretested and described Clear description of the research methodology used Researcher - participation relationship adequately considered Ethical issues considered |
Data analysis
| Clear description of the data analysis method, process and findings. |
Data interpretation
| Clear discussion of the research findings. The study presents sufficient original data to support the findings, and to demonstrate that these and the conclusions are grounded in the data Clear integration of the data, interpretation and conclusions Study context and sample considered in the findings |
Reliability/validity
| Reliability and validity of the analysis has been addressed Rigorous data analysis |
Selection of studies
Assessment of the quality of the study and data extraction
Synthesis
Results
Description of the studies included in the review
Nr. | Country | Year of publication | Study period | Abortion law* | Aim | Sample size/characteristics | Data collection | Reference |
---|---|---|---|---|---|---|---|---|
1.
| Ethiopia | 2011 | March – April 2008 | A B D E H + | To answ er the questions; “what does perceptions on safe abortion look like among health care service providers?” “What are the factors which affect the perception of health providers towards safe abortion?” | 431 health providers | A structured, self-administered questionnaire | ABDI, J. et al. [32] |
2.
| Ghana | 2013 | No information | A B C D E H | To examine in in what ways provider attitudes and values affect the implementation of abortion policy. | 43 health professionals | In-depth interviews | ANITEYE, P. et al. [30] |
3.
| Timor Leste | 2009 | 2006 -2007 | A | To describe the socio-legal context of unsafe abortion in Timor-Leste | 21 doctors and midwives | In-depth interviews | BELTON, S. et al. [24] |
4.
| South Africa | 2000 | No Information | A B C D E F G -1st H | To investigate health care ethics regarding Termination of pregnancy | 1200 registered nurses | Questionnaires and Focus-group discussions | BOTES, A. [16] |
5.
| South Africa | 2002 | No Information | A B C D E F G -1st H | To assess attitudes of medical students to induced abortion | 247 medical students | Self-administered questionnaire | BUGA, G.A. [33] |
6.
| South Africa | 2005 | Nov. 2001 – March 2002 | A B C D E F G -1st H | To explore attitudes of health care providers towards medical abortion | 20 public health nurses and doctors | In-depth interviews | COOPER, D., et al. [25] |
7.
| Indonesia | 1993 | Oct. 1990 – April 1991 | A | To contribute to the search for ways to make pregnancy and childbirth safer | 28 Physicians, 16 Midwives,16 TBA 16 PLKB Total: 76 | In-depth interviews | DJOHAN, E., et al. [26] |
8.
| Nigeria | 2003 | No Information | A | To examine the knowledge, attitude and practice of private medical practitioners on abortion | 48 private practitioners | Structured questionnaire | ETUK, S.J. et al. [34] |
9.
| Mozambique | 2004 | 2002 | A B | To document the strengths and deficiencies of abortion care | 99 Midwives and nurses | Questionnaire | GALLO, M.F., et al. [35] |
10.
| South Africa | 2000 | No Information | A B C D E F G - 1st H | To explore and describe nurses’ experiences of being involved with abortion care | Nurses | Phenomenological interviews | GMEINER, A.C., et al. [31] |
11.
| South Africa | 2012 | July – October 2008 | A B C D E F G - 1st H | To explore health service providers’ perceptions of abortion services | 19 providers and hospital managers | In-depth interviews | HARRIES, J. et al. [27] |
12.
| South Africa | 2009 | 2006 - 2007 | A B C D E F G - 1st H | To explore knowledge, attitudes and opinions of health care providers’ attitude to abortion | 34 health care providers | In-depth interviews and one focus group discussion | HARRIES, J. et al. [53] |
13.
| South Africa | 2000 | No Information | A B C D E F G - 1st | To study attitudes and beliefs about abortion among nurses | 24 male and 114 female nurses In total 138 | Self administered questionnaire | HARRISON, A., et al. [36] |
14.
| Zimbabwe | 1999 | No Information | A B D E H | To determinate the attitudes of professional health workers to medically supervised abortion | 196 doctors, 1 053 nurses In total 1249 | Self administered anonymous questionnaire | KASULE, J., et al. [37] |
15.
| Kenya | 1992 | April 1991 | A | To determine nurses’ knowledge and attitudes towards abortion | 218 nurses | Self-administered questionnaire | KIDULA, N. A., et al. [38] |
16.
| Vietnam | 2006 | March – April 2002 | A B C D E F G | To explore the midwives’ perspectives on adolescent sexuality and abortion, and what they consider to be quality abortion care | 40 Midwives; 28 doctors In total 68 | Observations and focus-group discussions (FGD) | KLINGBERG-ALLVIN, M., et al. [54] |
17.
| Vietnam | 2007 | 2003 | A B C D E F G H | To investigate midwifery students’ values and attitudes towards adolescent sexuality, abortion and contraception | 235 midwifery students | Quantitative survey complemented with 18 qualitative interviews | KLINGBERG-ALLVIN, M., et al. [55] |
18.
| South Africa | 2005 | No Information | A B C D E F G - 1st H | To explore the lived experience of midwives who assist with TOP | 3 nurses | In-depth interviews | MAYERS, P.M. et al. [28] |
19.
| Swaziland | 2008 | January – March 2005 | A B C D E H | To explore health workers’ perceptions of adolescent SRH services in Swaziland | 56 midwives | Self-administered questionnaire | MNGADI, P. T., et al. [39] |
20.
| South Africa | 2008 | No information | A B C D E F G 1s tH | To investigate professional nurses’ attitudes towards abortion care | 25 nurses | Questionnaire | MOKGETHI, N. E. et al. [40] |
21.
| Ghana | 2007 | August 2003 | A B C D E H | To assess physician’s knowledge and attitude towards abortion | 74 physicians | Self-administered questionnaire | MORHE, E.S. et al. [41] |
22.
| Nigeria | 2005 | No information | A | To investigate the attitudes and practices of physicians towards abortion | 232 private practitioners | Structured questionnaire | OKONOFUA, F. E. et al. [42] |
23.
| Nigeria | 2011 | No information | A | To assess the attitudes of staff at reproductive health services | 136 senior practitioners | Questionnaire | OMO-AGHOJA, L.O. et al. [43] |
24.
| Nigeria | 2009 | 27 December 2005 to 25 March 2006 | A | To understand PAC services provided by private medical practitioners | 96 private medical practitioners | Questionnaire | ONAH, H. E. et al. [44] |
25.
| Uganda | 2014 | February - March 2012 | A | To explore physicians’ and midwives’ perceptions of PAC | 10 Doctors and 17 Midwives In total 27 | In-depth Interviews | PAUL, M., et al. [29] |
26.
| Ghana | 2013 | Fall 2009 | A B C D E H | To explore the reasons women continue to die from unsafe abortion | 4 Physicians | Open ended interviews and Focus-group discussion | PAYNE, M.C., et al. [51] |
27.
| Thailand | 1986 | 1980 - 1981 | A B C D E | To demonstrate health professionals’ attitudes toward abortion | 625 Doctors, Nurses and social workers | Self-administered questionnaire | PHUAPRADIT, W., et al. [45] |
28.
| South Africa | 1998 | No information | A B C D E F G - 1st H | To explore and describe nurses’ experience of abortion | 1200 nurses | Focus-group discussions, interviews and observations | POGGENPOEL, M., et al. [56] |
29.
| South Africa | 2004 | No information | A B C D E F G - 1st H | To compile a profile of the characteristics and/or beliefs held by nurses who choose to become abortion providers | 22 nurses | Focus-group discussion and deep-interviews | POTGIETER, C [57] |
30.
| Ghana | 2013 | March – April 2008 | A B C D E H | To understand pathways to induced abortion in Ghana and the role health care providers play | 11 Family planning nurses and 8 obstetricians/gynaecologists In total 19 | Focus-group discussion and in-depth interviews | SCHWANDT, H.M., et al. [51] |
31.
| Myanmar | 2012 | March – May 2011 | A | To find out medical students’ knowledge of and attitudes toward abortion | 1,060 Medical students | Questionnaire | TEY, N.P., et al. [50] |
32.
| Thailand | 1977 | No information | A B C D E | To evaluate the attitudes of medical students towards abortion | 318 medical students | Questionnaires | VARAKAMIN, S. et al. [46] |
33.
| Ghana | 2010 | February 2007 | A B C D E H | To assess the capacity and willingness of midwifery tutors to teach abortion care | 74 Midwifery tutors | Structured questionnaire | VOETAGBE, G. et al. [47] |
34.
| South Africa | 1995 | No information | A B C D E F G - 1st H | To explore the understandings and responses of nurses towards abortion | 35 Primary Health Care Nurses | Observations and interviews | WALKER, L. [58] |
35.
| Kenya and Zambia | 2006 | Sept. – Dec. 2001 | Kenya A Zambia A B C E F | To investigate attitudes among Kenyan and Zambian nurse-midwives toward adolescent SRH problems, in order to improve services for adolescents. | 322 Nurses from Kenya 385 Nurses from Zambia In total 707 Nurses | Questionnaires | WARENIUS, L. U., et al. [48] |
36.
| South Africa | 2012 | 2005 - 2007 | A B C D E F G - 1st H | To assess attitudes about abortion provision and future practice intentions of medical students | 1308 medical students | Self-administered questionnaire | WHEELER, S.B. et al. [49] |