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How Are Healthcare Providers Conscientiously Objecting to Abortion in Australia? A Qualitative Study
Bronwen Merner1, Casey M Haining1, Lindy Willmott2
1Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia.
Perspectives on Sexual and Reproductive Health
|February 11, 2026
Summary
Healthcare providers in Australia utilize conscientious objection flexibly, sometimes without referral or for non-conscience reasons. Education and destigmatization are needed to improve understanding and reduce refusals for abortion care.
Area of Science:
- Medical Ethics
- Healthcare Policy
- Reproductive Health Law
Background:
- Limited empirical research exists on conscientious objection to abortion care in Australia.
- Current regulatory mechanisms' effectiveness for all stakeholders is unknown.
Purpose of the Study:
- To explore how healthcare providers claim conscientious objection to abortion care in Australia.
- To assess the regulation of conscientious objection in abortion care.
Main Methods:
- Conducted semi-structured interviews with 41 stakeholders, including healthcare providers.
- Analyzed interview data using framework analysis.
Main Results:
- Healthcare providers' claims of conscientious objection varied, from partial provision to refusal without referral.
- Objection claims could change over time and were not always directly linked to religion.
- Some providers refused abortion care for reasons other than conscience.
Conclusions:
- Conscientious objection provisions offer flexibility for opting out of abortion care for various reasons.
- Improved education and guidelines can enhance provider understanding of objection provisions.
- Destigmatizing interventions may reduce non-conscience-based refusals for abortion care.
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