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Factors hindering access to abortion services

S K Henshaw1

  • 1Alan Guttmacher Institute, New York, USA.

Family Planning Perspectives
|March 1, 1995
PubMed
Summary
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Access to abortion services remains challenging for many women due to distance, cost, and limited gestational windows. Harassment of providers also impacts service availability.

Area of Science:

  • Reproductive Health
  • Public Health Policy
  • Healthcare Access

Background:

  • Abortion services are available in urban areas for those who can afford them.
  • Barriers such as distance, gestational limits, cost, and harassment affect access.
  • Previous data indicated challenges in accessing abortion care.

Purpose of the Study:

  • To assess current barriers to abortion service access in the U.S.
  • To examine factors including travel distance, gestational limits, costs, and provider harassment.
  • To provide updated statistics on abortion access challenges.

Main Methods:

  • A 1993 survey of U.S. abortion providers was conducted.
  • Data collected included information on patient travel, gestational limits, procedure costs, and provider harassment.
Keywords:
Abortion, InducedAmericasAnti-abortion GroupsDeveloped CountriesFamily PlanningFertility Control, PostconceptionInterest GroupsNorth AmericaNorthern AmericaPolitical FactorsProgram AccessibilityProgram EvaluationProgramsUnited States

Related Experiment Videos

  • Surveys focused on nonhospital abortion facilities.

    • Main Results:

    • 24% of women travel over 50 miles for nonhospital abortions.
    • Provider willingness to perform abortions decreases significantly after 8 weeks of gestation.
    • Average wait times from initial contact to procedure can exceed four days.
    • Costs for first-trimester abortions averaged $296 in 1993, increasing with gestation.
    • 86% of high-volume facilities experienced anti-abortion harassment between 1988-1992.

    Conclusions:

    • Significant barriers persist for women seeking abortion services, particularly related to travel, gestational limits, and cost.
    • Provider harassment is a prevalent issue affecting abortion facilities.
    • These factors collectively impede equitable access to essential reproductive healthcare services.