Abernathy, Marian; Rance, Susanna; Hernández, C.; Massardo, M.; Oses, J.; Celis, R.

Womens' and providers' views on abortion care in Bolivia and Chile
Abernathy, Marian; Rance, Susanna; Hernández, C.; Massardo, M.; Oses, J.; Celis, R. - 1994 - The 122nd Annual Meeting of the American Public Health Association [APHA], Washington D.C. (USA), 7, [1]

Palabras claves : aborto ilegal; aborto inducido; aborto legal; actitud del personal; actitudes; aspectos psicológicos; calidad de atención a la salud; comportamientos; control de la fecundidad; determinantes; educación en planificación familiar; factores psicológicos; hospital; mujer; planificación familiar; programas; programas de planificación familiar; programas postaborto; salud; servicios de atención al parto; servicios de salud
País : America del Sur; America Del Sur; América latina; Bolivia; Chile; Latina America; País en desarrollo; Sudamérica

Resumen : In order to break the cycle of unwanted pregnancy and unsafe abortion, IPAS developed an educational campaign to improve quality of care and encourage voluntary use of family planning after abortion. In Bolivia and Chile, female interviewers conducted semi-structured interviews with providers and patients about their perceptions of the quality of care as well as women's informational needs following treatment in the hospitals. In Chile, some follow-up interviews were conducted with women in their homes. In Temuco, Chile, a total of 106 patients and 16 providers were interviewed during March-June, 1993. In La Paz, Bolivia, 12 patients and 14 providers were interviewed during April-July, 1993. Researchers obtained basic demographic and qualitative data, including information on family structure, patient's experience in the hospital, medical complications, attitudes toward use of family planning, and history of and feelings about abortion/miscarriage. After the study, doctors, nurses, aides, and social workers in both countries began to examine their attitudes in order to suggest changes in hospital policies regarding abortion. In Bolivia, some hospital staff believed they were supposed to turn away patients with incomplete abortion. In one Chilean hospital, women suffering from abortion complications were reportedly forbidden to use the toilet unless they themselves washed the toilet with bleach after use. Soon after the study, 2 hospitals changed their policies. Patients in both Temuco and in La Paz communicated a desire for members of the health care team to be more caring and sympathetic. In addition, the women wanted more information about their clinical condition, the treatment, and type of anesthesia to be used. Many Bolivian women feared modern methods, preferring traditional methods. In Chile, most of the 106 women hospitalized for miscarriage were concerned about their future ability to conceive. As a major change the tertiary care hospital in Temuco, Chile, started to provide oral contraceptives to women who wanted them, while continuing to refer women to lower level facilities for other family planning methods.

Notes : Inglés/anglais/English, nbsp;Abstract : Popline (http://db.jhuccp.org/popinform/basic.html) - PIP 101579