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Self-managed abortion in urban Haiti: a mixed-methods study.

Erin Nicole Berry-Bibee1, Clotilde Josamine St Jean2, Nathan M Nickerson2

  • 1Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia, USA.

BMJ Sexual & Reproductive Health
|July 5, 2018
PubMed
Summary

Awareness of abortion methods is high in urban Haiti, with misoprostol widely used for self-managed abortions. However, incomplete knowledge of the safest options highlights the need for improved access to safe abortion services to enhance maternal health.

Keywords:
haitimisoprostolmixed methodsself-induced abortionself-managed abortionunsafe abortion

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Area of Science:

  • Global Health
  • Reproductive Health
  • Sociology

Background:

  • Illegal abortion is prevalent in Haiti, but data on practices are scarce.
  • Understanding access, methods, and barriers to abortion care is crucial for public health initiatives.

Purpose of the Study:

  • To investigate illegal abortion access and methods in Haiti.
  • To identify barriers to abortion-related care.
  • To determine the proportion of unscheduled antepartum visits due to unsafe abortion in Cap Haitien.

Main Methods:

  • Eight focus groups with women (n=62) and 13 interviews with healthcare providers.
  • Survey administered to 255 pregnant or recently pregnant women (≤20 weeks gestation).
  • Data collected from May 2013 to January 2014 in Cap Haitien, Haiti.

Main Results:

  • Widespread knowledge of misoprostol for self-managed abortion was reported.
  • Men were involved in abortion decision-making and access to misoprostol.
  • 30% of surveyed women attempted induced abortion, with 85.1% using misoprostol.

Conclusions:

  • High awareness of abortion induction methods exists in urban Haiti, with widespread practice.
  • Incomplete knowledge of the safest self-managed abortion options persists.
  • Improving access to safer abortion services can significantly enhance maternal health outcomes in Haiti.