Quality of care in a safe-Abortion hotline in Indonesia: Beyond harm reduction

C. Gerdts and I. Hudaya

American Journal of Public Health, 2016, vol. 106, issue 11, 2071-2075

Abstract: Objectives. To examine services offered by safe-Abortion hotlines in contexts in which abortion is legally restricted and to document the experiences of women contacting a safe-Abortion hotline in Indonesia. Methods. We analyzed 1829 first-Time contacts to a safe-Abortion hotline in Indonesia as a part of routine service provision between January 1, 2012 and December 31, 2014. Results.Nearly one third (29.9%) of initial contacts reported their age as between 18 and 24 years, and most (51.2%) reported being unmarried. When asked about their reason for calling the hotline, the majority of initial contacts stated that they were pregnant and not ready to have a child.More than one third reported gestational ages below 12 weeks, and nearly one fifth (18.3%) reported a gestation of 13 weeks or greater. Conclusions. These unique data provide a window of understanding into who contacts safe-Abortion hotlines and why, and enable exploration of future directions for research on the role of safe-Abortion hotlines in women's access to safe abortion. Public Health Implications. Safe-Abortion hotlines should be evaluated not only for reducing harm but also for providing high-quality abortion care.

Keywords: adolescent; adult; female; gestational age; health care delivery; health care quality; hotline; human; Indonesia; induced abortion; marriage; socioeconomics; statistics and numerical data; young adult, Abortion, Induced; Adolescent; Adult; Female; Gestational Age; Health Services Accessibility; Hotlines; Humans; Indonesia; Marital Status; Quality of Health Care; Socioeconomic Factors; Young Adult (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303446_1

DOI: 10.2105/AJPH.2016.303446

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