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INDUCED ABORTIONS IN PAKISTAN: EXPOSITIONS, DESTINATIONS AND REPERCUSSIONS. A QUALITATIVE DESCRIPTIVE STUDY IN RAWALPINDI DISTRICT

Published online by Cambridge University Press:  11 August 2015

Zaeema Naveed ,
Babar Tasneem Shaikh  and
Muhammad Asif Nawaz
Zaeema Naveed
Affiliation:
Health Systems & Policy Department, Health Services Academy, Islamabad, Pakistan
Babar Tasneem Shaikh*
Affiliation:
Health Systems & Policy Department, Health Services Academy, Islamabad, Pakistan
Muhammad Asif Nawaz
Affiliation:
Ayub Medical College, Abbottabad, Pakistan
*
1Corresponding author. Email: [email protected]
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Summary

Over 2 million abortions occur annually in Pakistan, mostly in a clandestine and unsafe environment. This is an area of grave concern for the reproductive health of women. A dearth of credible data and incomplete information make the problem more difficult to address. This qualitative study was conducted in semi-urban settings in Pakistan to record perceptions and practices concerning care seeking, experiences and outcomes regarding induced abortions and post-abortion care services. Women who had had induced abortions and abortion service providers were interviewed. Unwanted pregnancies and poverty were found to be the main reasons for seeking an abortion. Moreover, the unwanted pregnancies occurred due to low use of contraceptives, mainly due to a fear or past experience of their side-effects, unfamiliarity with correct usage and perceived inefficacy of the methods, especially condoms. There is an obvious need for practical and innovative interventions to address unmet need for birth spacing through improved access to contraceptives. Contraceptive providers should be provided with up-to-date and detailed training in family planning counselling, and perhaps allowed unrestricted provision of contraceptives. As a long-term measure, improvement in access to education and formal schooling could increase young girls’ and women’s knowledge of the benefits of family planning and the risks of unsafe abortion practices. Males must be involved in all the initiatives so that both partners are in agreement on correct and consistent contraceptive use.

Type
Research Article
Information
Journal of Biosocial Science , Volume 48 , Issue 5 , September 2016 , pp. 631 - 646
Copyright
Copyright © Cambridge University Press, 2015 

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References

Abrejo, F. G., Shaikh, B. T. & Rizvi, N. (2009) ‘And they kill me, only because I am a girl’… A review of sex selective abortions in South Asia. European Journal of Contraception & Reproductive Health Care 14(1), 10–16.Google Scholar
Angeles, G., Guilkey, D. K. & Mroz, T. (2005) The effects of education and family planning programs on fertility in Indonesia. Economic Development & Cultural Change 1(54), 165–201.Google Scholar
Arif, S. & Kamran, I. (2007) Exploring the Choices of Contraception and Abortion among Married Couples in Tret, Rural Punjab, Pakistan. Population Council, Islamabad.Google Scholar
Azmat, S. K., Bilgrami, M., Shaikh, B. T., Mustafa, G. & Hameed, W. (2012) Perceptions, interpretations and implications of abortions: a qualitative enquiry among the legal community of Pakistan. European Journal of Contraception & Reproductive Health Care 17(2), 155–163.CrossRefGoogle ScholarPubMed
Bonnen, K. I., Tuijje, D. N. & Rasch, V. (2014) Determinants of first and second trimester induced abortion – results from a cross-sectional study taken place 7 years after abortion law revisions in Ethiopia. BMC Pregnancy & Childbirth 14(1), 416.Google Scholar
Bose, S. & Trent, K. (2006) Socio-demographic determinants of abortion in India: a north–south comparison. Journal of Biosocial Science 38, 261–282.Google Scholar
Brauna, V. & Clarke, V. (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3(2), 77–101.Google Scholar
Casterline, J., Singh, S. & Sathar, Z. (2004) Unwanted Pregnancy and Post-Abortion Complications in Pakistan: Findings from a National Study. Population Council, Islamabad.Google Scholar
Dias, T. Z., Passini, R. Jr, Duarte, G. A., Sousa, M. H. & Faúndes, A. (2015) Association between educational level and access to safe abortion in a Brazilian population. International Journal of Gynaecology & Obstetrics 128(3), 224–227.CrossRefGoogle Scholar
Erfani, A. (2011) Induced abortion in Tehran, Iran: estimated rates and correlates. International Perspectives in Sexual & Reproductive Health 37(3), 134–142.CrossRefGoogle ScholarPubMed
Erlingsson, C. & Brysiewicz, P. (2013) Orientation among multiple truths: an introduction. African Journal of Emergency Medicine 3(2), 92–99.Google Scholar
Fikree, F. F., Ali, T., Durocher, J. M. & Rahbar, M. H. (2004) Health services utilization for perceived postpartum morbidity among poor women living in Karachi. Social Science & Medicine 59(4), 681–694.CrossRefGoogle ScholarPubMed
Gazdar, H., Khan, A. & Qureshi, S. (2012) Causes and Implications of Induced Abortions in Pakistan. Collective for Social Science Research, Karachi.Google Scholar
Hessini, L. (2007) Abortion and Islam: policies and practices in the Middle East and North Africa. Reproductive Health Matters 15(29), 75–84.Google Scholar
Hirve, S. S. (2004) Abortion law, policy and services in India: a critical review. Reproductive Health Matters 12(24), 114–121.CrossRefGoogle ScholarPubMed
Kamran, I., Arif, M. S. & Vassos, K. (2011) Concordance and discordance of couples living in a rural Pakistani village: perspective on contraception and abortion – a qualitative study. Global Public Health 6(1), 38–51.Google Scholar
Mumtaz, Z. & Salways, S. (2005) ‘I never go anywhere’: extricating the links between women's mobility and uptake of reproductive health services in Pakistan. Social Science & Medicine 60(8), 1751–1765.CrossRefGoogle ScholarPubMed
Naghma-e-Rehan (2011) Cost of the treatment of complications of unsafe abortion in public hospitals. Journal of Pakistan Medical Association 61(2), 169–172.Google Scholar
Population Council (2014) Induced Abortions and Unintended Pregnancies in Pakistan, 2012. Population Council, Islamabad.Google Scholar
Rashida, G., Shah, Z. H., Fikree, F. F., Faizunnissa, A. M. & Lauren, I. (2003) Abortion and Post Abortion Complications in Pakistan: Report from Health Care Professionals and Health Facilities. Population Council, Islamabad.Google Scholar
Rehan, N. (2003) Attitude of health care providers to induced abortion in Pakistan. Journal of the Pakistan Medical Association 53(7), 293–296.Google Scholar
Saleem, S. & Fikree, F. F. (2001) Induced abortions in low socio-economic settlements of Karachi, Pakistan: rates and women's perspectives. Journal of the Pakistan Medical Association 51(8), 275–279.Google ScholarPubMed
Sathar, Z. A., Singh, S. & Fikree, F. F. (2007) Estimating the incidence of abortion in Pakistan. Studies in Family Planning 1(38), 11–22.CrossRefGoogle Scholar
Sedgh, G., Henshaw, S. K., Singh, S., Ahman, A. & Shah, I. (2007) Induced abortion: estimated rates and trends worldwide. Lancet 370(9595), 1338–1345.CrossRefGoogle ScholarPubMed
Shaikh, B. T., Haran, D. & Hatcher, J. (2008) Women’s social position and health-seeking behaviors: is the health care system accessible and responsive in Pakistan? Health Care for Women International 29(8), 945–959.Google Scholar
Soomro, G. Y. (1994) Comments on contraceptive methods of choice in Pakistan: determined of predetermined. Pakistan Development Review 33(4), 798–800.Google ScholarPubMed
Sundstorm, K. (1993) Abortion – A Reproductive Health Issue. Background paper for a World Bank best practices paper on women’s health. World Bank, Washington DC.Google Scholar
Thapa, S., Sharma, S. K. & Khatiwada, N. (2014) Women’s knowledge of abortion law and availability of services in Nepal. Journal of Biosocial Science 46(2), 266–277.Google Scholar
Thomas, D. R. (2006) A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation 27(2), 237–246.Google Scholar
United Nations (1994) Report on the International Conference on Population and Development. United Nations, Cairo.Google Scholar
WHO (2004) Unsafe Abortion. Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2000. WHO, Geneva.Google Scholar
WHO (2008) The Global Burden of Disease, 2004 Update. WHO, Geneva.Google Scholar
WHO (2011) Unsafe Abortion. Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008. WHO, Geneva.Google Scholar
WHO (2012) Safe and Unsafe Induced Abortion . Global and Regional Levels in 2008, and Trends during 1995–2008. WHO, Geneva.Google Scholar