Publication Cover
Global Public Health
An International Journal for Research, Policy and Practice
Volume 18, 2023 - Issue 1
1,240
Views
0
CrossRef citations to date
0
Altmetric
Research Article

Comparative situational analysis of comprehensive abortion care in four Southern African countries

ORCID Icon, , , &
Article: 2217442 | Received 14 Nov 2022, Accepted 18 May 2023, Published online: 05 Jun 2023

References

  • Aantjes, C. J., Gilmoor, A., Syurina, E. V., & Crankshaw, T. L. (2018). The status of provision of post abortion care services for women and girls in eastern and Southern Africa: A systematic review ⋆. Contraception, 98(2), 77–88. https://doi.org/10.1016/j.contraception.2018.03.014
  • Billings, D., & Mallett, J. G. (2009). Talking about abortion in Namibia. Sister Namibia, 12–13.
  • Botswana Ministry of Finance and Economic Development. (2017). National Development Plan 11.
  • Botswana Ministry of Health. (2013). Bostwana comprehensive post abortion care reference manual. Ministry of Health, Government of Botswana.
  • Botswana Ministry of Health. (2016). Comprehensive post abortion care trainer’s manual.
  • Botswana Ministry of Health. (2018a). Botswana integrated sexual, reproductive, maternal, newborn, child and adolescent health & nutrition (RMNCAH&N) strategy (Issue January).
  • Botswana Ministry of Health. (2018b). Botswana integrated sexual, reproductive, maternal, newborn, child and adolescent health & nutrition (RMNCAH&N) strategy.
  • Botswana Ministry of Health. (2019). Third national multi-sectoral HIV and AIDS response strategic framework 2018-2023.
  • Botswana Ministry of Nationality Immigration and Gender Affairs. (2018). Botswana national relationship study.
  • Centers for Disease Contol and Prevention (CDC). (2018). Research Brief: One in three girls in Swaziland experience sexual violence in childhood. Violence Prevention. https://www.cdc.gov/violenceprevention/childabuseandneglect/vacs/1in3girls-swaziland.html.
  • Darney, B. G., Kapp, N., Andersen, K., Baum, S. E., Blanchard, K., Gerdts, C., Montagu, D., Chakraborty, N. M., & Powell, B. (2019). Definitions, measurement and indicator selection for quality of care in abortion. Contraception, 100(5), 354–359. https://doi.org/10.1016/j.contraception.2019.07.006
  • Dema Moreno, S., Llorente-Marrón, M., Díaz-Fernández, M., & Méndez-Rodríguez, P. (2020). Induced abortion and gender (in)equality in Europe: A panel analysis. European Journal of Women’s Studies, 27(3), 250–266. https://doi.org/10.1177/1350506819893728
  • Department of Women’s Affairs and GenderLinks. (2012). Gender Based Violence Indicators Study Botswana: Key findings of the Gender Based Violence Indicators Study by the Women’s Affairs Department and Gender Links.
  • Doherty, K., Arena, K., Wynn, A., Offorjebe, O. A., Moshashane, N., Sickboy, O., Ramogola-Masire, D., Klausner, J. D., & Morroni, C. (2018). Unintended pregnancy in Gaborone. African Journal of Reproductive Health, 22(2), 77–82. https://doi.org/10.29063/ajrh2018/v22i2.8
  • Eswatini Central Statistical Office. (2017). The 2017 population and housing census preliminary results. Eswatini Central Statistical Office.
  • Eswatini Central Statistical Office and UNICEF. (2016). Swaziland multiple indicator cluster survey 2014: Final Report.
  • Eswatini Deputy Prime Minister’s Office and Department of Gender and Family Affairs. (2017). The National strategy to end violence in Swaziland 2017-2022. Eswatini Deputy Prime Minister’s Office.
  • Eswatini Ministry of Health. (2010). Essential health care package for Swaziland. Eswatini Ministry of Health.
  • Eswatini Ministry of Health. (2012). Standard treatment guidelines and essential medicines list of common medical conditions in the Kingdom of Swaziland.
  • Eswatini Ministry of Health. (2015). The Second National health sector strategic plan 2014-2018 (Final Draft) (Issue March 2015).
  • Eswatini Ministry of Health. (2018). Sexual and reproductive health (SRH) Annual Program Report 2018.
  • Eswatini Ministry of Health. (2019a). Second quarter performance report for 2019-20 (Issue October).
  • Eswatini Ministry of Health. (2019b). Sexual, reproductive, maternal, newborn, child, adolescent health and nutrition (SRMNCAH and N) strategic plan 2019 to 2023.
  • Eswatini Ministry of Health & UNFPA. (2016). Socio-cultural factors influencing ASRH Service Utilization among Youth in Swaziland.
  • Gawaya, R. (2016). Mid-term Review: The multi-sectoral implementation of the National Gender-based Violence Plan of Action, 2012-2016 (Issue May 2014).
  • Government of Botswana. (2019). 2019/2020 Estimates of expenditure from the consolidated & development funds.
  • Government of Lesotho. (2018). National HIV & AIDS Strategic Plan 2018/19-2022/23. Government of Lesotho.
  • HEARD. (2016). Namibia unsafe abortion: Country factsheet. https://www.heard.org.za/wp-content/uploads/2016/06/namibia-country-factsheet-abortion-2016.pdf.
  • Heemelaar, S., Kabongo, L., Ithindi, T., Luboya, C., Munetsi, F., Bauer, A. K., Dammann, A., Drewes, A., Stekelenburg, J., van den Akker, T., & Mackenzie, S. (2019). Measuring maternal near-miss in a middle-income country: Assessing the use of WHO and sub-Saharan Africa maternal near-miss criteria in Namibia. Global Health Action, 12(1), 1. https://doi.org/10.1080/16549716.2019.1646036
  • Kgosiemang, B., & Blitz, J. (2018). Emergency contraceptive knowledge, attitudes and practices among female students at the university of Botswana: A descriptive survey. African Journal of Primary Health Care & Family Medicine, 10(1), 1–6. https://doi.org/10.4102/phcfm.v10i1.1674
  • Khau, M. (2007). ‘But he is my husband ! How can that be rape ?’: Exploring silences around date and marital rape in Lesotho. Agenda (Durban, South Africa), 21(74), 1295–1306. https://doi.org/10.1080/10130950.2007.9674876
  • Kingdom of Eswatini. (2015). National guidelines for maternal, perinatal and neonatal death surveillance and response (Issue March, pp. 1–65). Kingdom of Eswatini.
  • Kingdom of Lesotho. (2019). Budget estimates book for financial year 2019/2020.
  • Klingberg-Allvin, M., Atuhairwe, S., Cleeve, A., Byamugisha, J. K., Larsson, E. C., Makenzius, M., Oguttu, M., & Gemzell-Danielsson, K. (2018). Co-creation to scale up provision of simplified high-quality comprehensive abortion care in east central and Southern Africa. Global Health Action, 11(1), 1490106. https://doi.org/10.1080/16549716.2018.1490106
  • Leone, F., Wahlén, C., & Paul, D. (2017). Achieve gender equality to deliver the SDGs. IISD: SDG Knowledge HUB. http://sdg.iisd.org/commentary/policy-briefs/achieve-gender-equality-to-deliver-the-sdgs/.
  • Lesotho Bureau of Statistics. (2018). 2016 Lesotho population and housing census analytical report, volume IIIA population dynamics. Ministry of Development and Planning, Government of Lesotho.
  • Lesotho Ministry of Development Planning. (2012). National strategic development plan 2012/13-2016/17 (Issue June 2012). Ministry of Development and Planning, Government of Lesotho.
  • Lesotho Ministry of Development Planning. (2018). National Addis Ababa declaration on population and development (AADPD) Plus Five Review Report: Final Report. Government of Lesotho.
  • Lesotho Ministry of Health. (2012). National quality standards for young people friendly health services in Lesotho. Ministry of Health, Government of Lesotho.
  • Lesotho Ministry of Health. (2014). Integrated management of pregnancy and childbirth. Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice.
  • Lesotho Ministry of Health. (2015a). Emergency obstetric and neonatal care: needs assessment. Ministry of Health.
  • Lesotho Ministry of Health. (2015b). Emergency Obstetric and Neonatal Care: Needs Assessment. Ministry of Health.
  • Lesotho Ministry of Health. (2016). Lesotho demographic and health survey 2014. www.DHSprogram.com.
  • Lesotho Ministry of Health. (2018). Health sector annual joint review 2017-2018 (Issue December).
  • Lesotho Ministry of Health. (2019). National sexual, reproductive, maternal, newborn, child and adolescent health and nutrition strategic plan 2018-2022.
  • Lesotho Penal Code Act. (2010). Lesotho Penal Code Act, 2010, 57 (2012).
  • Macleod, C. (2017). ‘Adolescent’ sexual and reproductive health: Controversies, rights, and justice. In A. L. Cherry, V. Baltag, & M. E. Dillon (Eds.), International handbook on adolescent health and development: The public health response (pp. 169–181). Springer International Publishing. https://doi.org/10.1007/978-3-319-40743-2_9
  • Macleod, C. (2019). Expanding reproductive justice through a supportability reparative justice framework: The case of abortion in South Africa. Culture, Health & Sexuality, 21(1), 46–62. https://doi.org/10.1080/13691058.2018.1447687
  • Macleod, C. I., & Feltham-King, T. (2020). Young pregnant women and public health: Introducing a critical reparative justice/care approach using South African case studies. Critical Public Health, 30(3), 319–329. https://doi.org/10.1080/09581596.2019.1573313
  • Macleod, C. I., & Reynolds, J. H. (2021). Reproductive health systems analyses and the reparative reproductive justice approach : a case study of unsafe abortion in Lesotho. Global Public Health, 0(0), 1–14. https://doi.org/10.1080/17441692.2021.1887317
  • Matshalaga, N., & Mehlo, M. (2022). Safe abortion policy provisions in the SADC region: Country responses, key barriers, main recommendations. Strengthening Health Systems (Southern African Journal of Public Health), 5(3), 68–76. https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159947226&lang=es&site=ehost-live&scope=site
  • Mavundla, S., & Ngwena, C. (2014). Access to legal abortion for rape as a reproductive health right: A commentary on the abortion regimes of Swaziland and Ethiopia. In C. Ngwena, & E. Durojaye (Eds.), Strengthening the protection of sexual and reproductive health through human rights in the African region (pp. 181–210). Pretoria University Law Press. http://www.academia.edu/download/38808804/Sexual_and_Reproductive_Rights_Africa.pdf#page=11
  • Mayondi, G. K., Wirth, K., Morroni, C., Moyo, S., Ajibola, G., Diseko, M., Sakoi, M., Dipuo Magetse, J., Moabi, K., Leidner, J., Makhema, J., Kammerer, B., & Lockman, S. (2015). Unintended pregnancy, contraceptive use, and childbearing desires among HIV-infected and HIV-uninfected women in Botswana: Across-sectional study. BMC Public Health, 16(1), 44. https://doi.org/10.1186/s12889-015-2498-3
  • Melese, T., Habte, D., Tsima, B. M., Mogobe, K. D., Chabaesele, K., Rankgoane, G., Keakabetse, T. R., Masweu, M., Mokotedi, M., Motana, M., & Moreri-Ntshabele, B. (2017). High levels of post-abortion complication in a setting where abortion service Is Not legalized. Plos One, 12(1), e0166287. https://doi.org/10.1371/journal.pone.0166287
  • Ministry of Nationality Immigration and Gender Affairs. (2018). Botswana National relationship study. Ministry of Nationality Immigration and Gender Affairs.
  • Morison, T. (2023). Using reproductive justice as a theoretical frame up in qualitative research in psychology. Qualitative Research in Psychology, 20(1), 172–192. https://doi.org/10.1080/14780887.2022.2121236
  • Namibia Ministry of Health and Social Services. (2014). Namibia demographic and health survey 2013. https://dhsprogram.com/pubs/pdf/FR298/FR298.pdf.
  • Namibia Ministry of Health and Social Services. (2016). Report on emergency obstetric and newborn care needs assessment.
  • Namibia Ministry of Health and Social Services. (2018). Namibia national strategy for women, children, adolescents - health and nutrition (2018-2022).
  • Namibia Ministry of Health and Social Services. (2019). National guidelines on family planning (Issue August). http//www.healthnet.org.na.
  • Namibia Statistics Agency. (2017). Namibia inter-censal demographic survey 2016 Report. https://cms.my.na/assets/documents/NIDS_2016.pdf.
  • National Emergency Response Council on HIV and AIDS (NERCHA). (2018). National multisectoral HIV and AIDS strategic framework 2018-2023. Kingdom of Eswatini.
  • Ngalame, A. N., Tchounzou, R., Neng, H. T., Mangala, F. G. N., Inna, R. I., Kamden, D. M., Bilkissou, M., Dohbit, J. S., Justine, K. E., Noa, C. N., Lenka, B., Halle, G. E., Wekam, M. D., Delvaux, T., & Mboudou, E. T. (2020). Improving post abortion care (PAC) delivery in Sub-Saharan Africa: A literature review. Open Journal of Obstetrics and Gynecology, 10(9). https://doi.org/10.4236/ojog.2020.1090119
  • Niemeyer Hultstrand, J., Tydén, T., Jonsson, M., & Målqvist, M. (2019). Contraception use and unplanned pregnancies in a peri-urban area of eSwatini (Swaziland). Sexual and Reproductive Healthcare, 20(August 2018), 1–6. https://doi.org/10.1016/j.srhc.2019.01.004
  • Orner, P. J., de Bruyn, M., Barbosa, R. M., Boonstra, H., Gatsi-Mallet, J., & Cooper, D. D. (2011). Access to safe abortion: Building choices for women living with HIV and AIDS. Journal of the International AIDS Society, 14(1), 54. https://doi.org/10.1186/1758-2652-14-54
  • Owolabi, O. O., Biddlecom, A., & Whitehead, H. S. (2019). Health systems’ capacity to provide post-abortion care: A multicountry analysis using signal functions. The Lancet Global Health, 7(1), e110–e118. https://doi.org/10.1016/S2214-109X(18)30404-2
  • Penal Code (Amendment) Act. (1991). Penal Code (Amendment) Act of 11 October 1991.
  • Republic of Namibia. (1975). Abortion and Sterilization Act (Act 2 of 1975).
  • Ross, L. J., & Solinger, R. (2017). Reproductive justice: An introduction. California University Press.
  • Senderowicz, L. (2019). “I was obligated to accept”: A qualitative exploration of contraceptive coercion. Social Science & MedicineMedicine, 239(August), 112531. https://doi.org/10.1016/j.socscimed.2019.112531
  • Senderowicz, L. (2020). Contraceptive autonomy: Conceptions and measurement of a novel family planning indicator. Studies in Family Planning, 51(2), 161–176. https://doi.org/10.1111/sifp.12114
  • Shah, P. K., Afulukwe, O., & Millbank, J. (2021). Towards a gender-transformative approach to abortion: Legislative perspectives from South Asia and Sub-Saharan Africa. In R. Vijeyarasa (Ed.), International Women’s Rights Law and Gender Equality (pp. 54–71). Routledge.
  • Smith, S. (2012). Perceptions of abortion in contemporary urban Botswana [University of York]. http://etheses.whiterose.ac.uk/2634/1/Perceptions_of_Abortion_in_Contemporary_Urban_Botswana.pdf.
  • Smith, S. S. (2013). The challenges procuring of safe abortion care in Botswana. African Journal of Reproductive Health December, 17(4), 43–55. https://www.ajol.info/index.php/ajrh/article/viewFile/98373/87659
  • Southern African Development Community. (2008). SADC protocol on gender and development.
  • Statistics Botswana. (2018). 2017 Botswana Demographic Survey Report. www.statsbots.org.bw.
  • Statistics Botswana. (2019). Botswana - Maternal Mortality Ratio 2017.
  • The Constitution of the Kingdom of Swaziland Act. (2005). The Constitution of the Kingdom of Swaziland Act, 1 (2005).
  • The World Bank. (2019). Namibia Public Expenditure Review. In The World Bank. https://doi.org/10.1007/978-3-030-12289-8_7
  • Titus, M., Hendricks, R., Ndemueda, J., McQuide, P., Ohadi, E., Kolehmainen-Aitken, R. L., & Katjivena, B. (2015). Namibia National WISN Report 2015: A Study of Workforce Estimates for Public Health Facilities in Nambia.
  • UNAIDS. (2021). Global HIV and AIDS statistics - fact sheet. https://www.unaids.org/en/resources/fact-sheet#:~:text = GLOBAL HIV STATISTICS&text = 37.7 million %5B30.2 million–45.1,AIDS-related illnesses in 2020.
  • United Nations. (2020). World Fertility and Family Planning 2020. In Department of Economic and Social Affairs Population Division. United Nations. https://www.un.org/en/development/desa/population/publications/pdf/family/World_Fertility_and_Family_Planning_2020_Highlights.pdf.
  • United Nations. (n.d.). Beijing Declaration and Platform of Action, adopted at the Fourth World Conference on Women, 27 October 1995. https://www.refworld.org/docid/3dde04324.html.
  • United Nations Development Programme. (2020). The Next Frontier: Human Development and the Anthropocene. In Human Development Report 2020. United Nations Development Progamme. http://hdr.undp.org/en/2020-report.
  • UN Women. (2022). SDG Indicator Dashboard. https://data.unwomen.org/data-portal/sdg.
  • Uzoigwe, C. (2017). Reduce inequality to reduce abortion. Nature, 544(7648), 35. https://www.nature.com/articles/544035d.pdf https://doi.org/10.1038/544035d
  • Verdeja, E. (2008). A critical theory of reparative justice. Constellations (Oxford, England), 15(2), 208–222. https://doi.org/10.1111/j.1467-8675.2008.00485.x
  • Warren, C. E., Abuya, T., & Askew, I. (2013). Family planning practices and pregnancy intentions among HIV-positive and HIV-negative postpartum women in Swaziland: A cross sectional survey. BMC Pregnancy and Childbirth, 13(1), 150. http://www.biomedcentral.com/1471-2393/13/150%5Cnhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed11&NEWS=N&AN=2013472730 https://doi.org/10.1186/1471-2393-13-150
  • World Bank. (2022a). Current health expenditure (% of GDP). https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.
  • World Bank. (2022b). Employment to population ratio. https://data.worldbank.org/indicator/SL.EMP.TOTL.SP.MA.NE.ZS.
  • World Bank. (2022c). Fertility rate, total (births per woman). Data.Worldbank.Org.
  • World Health Organization. (2012). Making health services adolescent friendly: Developing national quality standards for adolescent friendly health services. https://apps.who.int/iris/bitstream/handle/10665/75217/9789241503594_eng.pdf?sequence = 1.
  • World Health Organization (WHO). (2007). The WHO strategic approach to strengthening sexual and reproductive health policies and programmes. World Health Organization. https://apps.who.int/iris/handle/10665/69883.
  • World Health Organization (WHO). (2022). Abortion care guideline. World Health Organization.