1 / 17

Authors: Michelle Engelbrecht and Charles Ngwenya Ipas South Africa: Dr Makgoale Magwentshu

ACCESSING ABORTION SERVICES BY MINORS IN THE FREE STATE PROVINCE:BARRIERS AND POSSIBLE INTERVENTIONS. Authors: Michelle Engelbrecht and Charles Ngwenya Ipas South Africa: Dr Makgoale Magwentshu. Map of South Africa Background Aim and Objectives Methodology Main findings Conclusion.

oprah
Download Presentation

Authors: Michelle Engelbrecht and Charles Ngwenya Ipas South Africa: Dr Makgoale Magwentshu

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ACCESSING ABORTION SERVICES BY MINORS IN THE FREE STATEPROVINCE:BARRIERS AND POSSIBLE INTERVENTIONS Authors: Michelle Engelbrecht and Charles Ngwenya Ipas South Africa: Dr Makgoale Magwentshu

  2. Map of South Africa Background Aim and Objectives Methodology Main findings Conclusion Overview of the presentation

  3. Map of South Africa

  4. Implementing of the Choice on Termination of Pregnancy Act (CTOPA) 92 of 1996 Identifying of impediments that made accessing of CTOP facilities ,difficult in Free State Province; Commissioning The Centre for Health Systems Research & Development, University of the Free State. Background

  5. Aim of the study was to: Identify and describe barriers that minors face in accessing termination of pregnancy services in the Free State province Objectives of the study was to: Determine minors knowledge about reproduction, sexual health matters and right to termination of pregnancy Aim and Objectives

  6. Objectives of the study was to: • Identify problems with referrals to TOP facilities. • Investigate TOP facilities in terms of transport, open times, availability of staff, user-friendliness and counselling services. • Investigate attitudes and practices towards TOP and parental consent. Objectives (cont)

  7. Research design was explorative and descriptive. • Quantitative and qualitative methodologies were applied • Collecting and analyzing data from: -Minors who underwent TOP, -TOP providers at the four facilities. Methodology

  8. Sexual history and contraceptive use • Only 53% had received sexuality education and majority had been told about contraceptives. • Only 22.5% had been using a contraceptive, at the time of their first sexual debut. • Contraceptives not used when becoming pregnant with the baby that was terminated Main findings

  9. Lack of knowledge: Reasons for undergoing 2nd Trimester TOP Delay in confirming the signs of pregnancy Unfamiliar with the location of TOP facilities Confusion about which option to take Main findings (cont)

  10. Accessability of TOP facilities. • Long waiting period of 10 days or more • Relying on public transport to reach the TOP facility • Travelling for less than an hour to reach the TOP facility • Returning several times to the TOP facility Main findings (cont)

  11. User-friendliness of the TOP facility Generally the respondents were satisfied with treatment received from staff 56% viewed the service as youth friendly Few respondents found the opening times unsuitable Insufficient auditory and visual privacy in the counselling rooms and recovery area Main findings (cont)

  12. Service provided at TOP services • 23 percent of the minors reported that pre- counselling services were not available • 51.7 % of minors reported that post- counselling services were not available. • Parental approval sought before accessing TOP Main Findings (cont)

  13. Main barriers were: • Lack of information about SRH &R matters; • Poor knowledge about availability of TOP; • Uncertainty about parental consent as a prerequisite • Transport costs • Long waiting lists - Failure rates; unintended pregnacies; teen pregnancies; dual protection; EC; female initiated method and limited choices • Abortion has always been one means for women to take control of the lives • Abortion represents a moment of last resort Conclusion

  14. Unfriendly TOP nurses Lack of privacy at TOP facilities Lack of youth-friendly services Unavailability of counselling services Conclusion (cont)

  15. Implement youth-friendly strategies and structures that will make TOP facilities accessible to minors Way Forward

  16. MC Engelbrecht; CG Ngwenya and HCJ van Centre for Health System Research and Development Acknowledgement

  17. Contact Numbers: Ipas Tel: (011) 880 – 4104 Fax:(011) 447- 8599 Website: www.ipas.org E- Mail : admin@ipas.org.za Thank You

More Related