Towards safe abortion access: an exploratory study of medical abortion in Cambodia

被引:15
作者
Petitet, Pascale Hancart [1 ]
Ith, Leakhena [2 ,3 ]
Cockroft, Melissa [4 ]
Delvaux, Therese [5 ]
机构
[1] Inst Rech Dev, Montpellier, France
[2] Int Executive Serv Corps, Phnom Penh, Cambodia
[3] Royal Univ Phnom Penh, Phnom Penh, Cambodia
[4] Australian Natl Univ, Canberra, ACT, Australia
[5] Inst Trop Med, Dept Publ Hlth, B-2000 Antwerp, Belgium
关键词
medical abortion; misoprostol; mifepristone; abortion providers; Cambodia; CARE; SERVICES;
D O I
10.1016/S0968-8080(14)43826-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In 2010, following its approval by the Ministry of Health, the medical abortion combination pack Medabon (containing mifepristone and misoprostol) was made available at pharmacies and in a restricted number of health facilities in Cambodia. The qualitative study presented in this paper was conducted in 2012 as a follow-up to longer-term ethnographical research related to reproductive health and fertility regulation between 2008 and 2012. Observations were carried out at several clinic and pharmacy sites and in-depth interviews were conducted with a purposive sample of 20 women who attended two MSI Cambodia centres and 10 women identified through social networks; six men (women's male partners); eight health care providers at the two MSl centres and four pill sellers at private or informal pharmacies (who also provided health care services in private clinics). Although the level of training among the drug sellers and providers varied, their knowledge about medical abortion regimens, correct usage and common side effects was good. Overall, women were satisfied with the services provided. Medical abortion was not always a women-only process in this study as some male partners were also involved in the care process. The study illustrates positive steps forward being taken in making abortion safe and preventing and reducing unsafe abortion practices in Cambodia. (C) 2015 Reproductive Health Matters
引用
收藏
页码:47 / 55
页数:9
相关论文
共 18 条
[1]  
Bryant Amy G, 2014, Obstet Gynecol Surv, V69, P39, DOI 10.1097/OGX.0000000000000017
[2]  
Crochet S., 2001, ETUDE ETHNOGRAPHIQUE
[3]   The need for family planning and safe abortion services among women sex workers seeking STI care in Cambodia [J].
Delvaux, T ;
Crabbé, F ;
Seng, S ;
Laga, M .
REPRODUCTIVE HEALTH MATTERS, 2003, 11 (21) :88-95
[4]   Integration of comprehensive abortion-care services in a Maternal and Child Health clinic in Cambodia [J].
Delvaux, Therese ;
Saeur, Sophal ;
Rathavy, Tung ;
Crabbe, Francois ;
Buve, Anne .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2008, 13 (08) :962-969
[5]   Abortion-related complications in Cambodia [J].
Fetters, T. ;
Vonthanak, S. ;
Picardo, C. ;
Rathavyd, T. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2008, 115 (08) :957-967
[6]  
Hancart Petitet P., PILULE CHINOISE CAMB
[7]  
Hancart Petitet P., 2012, INT J SOCIAL SCI HUM, V2, P139
[8]  
Hancart Petitet P., 2010, REPROD HLTH HIV CAMB
[9]  
Hancart Petitet P., 2011, FEMMES EPREUVE VIH P, P179
[10]  
Hemmings J., 2008, ABORTION CAMBODIA CA