Person-centred care for abortion services in private facilities to improve women's experiences in Kenya

Cult Health Sex. 2021 Feb;23(2):224-239. doi: 10.1080/13691058.2019.1701083. Epub 2020 Feb 27.

Abstract

Globally, access to good quality abortion services and post-abortion care is a critical determinant for women's survival after unsafe abortion. Unsafe abortions account for high levels of maternal death in Kenya. We explored women's experiences and perceptions of their abortion and post-abortion care experiences in Kenya through person-centred care. This qualitative study included focus group discussions and in-depth interviews with women aged 18-35 who received safe abortion services at private clinics. Through thematic analyses of women's testimonies, we identified gaps in the abortion care and person-centred domains which seemed to be important throughout the abortion process. When women received clear communication and personalised comprehensive information on abortion and post-abortion care from their healthcare providers, they reported more positive experiences overall and higher reproductive autonomy. Communication and supportive care were particularly valued during the post-abortion period, as was social support more generally. Further research is needed to design, implement and test the feasibility and acceptability of person-centred abortion care interventions in community and clinical settings with the goal of improving women's abortion experiences and overall reproductive health outcomes.

Keywords: Abortion; Kenya; patient experience; person-centred care; post-abortion care; quality of care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Induced*
  • Female
  • Health Services Accessibility
  • Humans
  • Kenya
  • Patient-Centered Care
  • Pregnancy
  • Private Facilities*
  • Qualitative Research