Intervening factors in health care professionals' attitudes and behaviours towards comprehensive abortion care in the workplace: a comparative case study of Tanzania and Ethiopia

Health care professionals' attitudes and behaviours play a fundamental role in the provision of timely comprehensive abortion care as a maternal health intervention and save hundreds of thousands of women's lives, annually. This study explores underlying factors influencing Tanzanian and E...

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Bibliographic Details
Published in:The European journal of contraception & reproductive health care 2022, Vol.27 (3), p.221-229
Main Authors: Munetsi, Dennis, Ugarte, William J.
Format: Article
Language:English
Subjects:
Abortion
Africa
Attitude of Health Personnel
Attitudes
behaviours
Care science
Case studies
comprehensive abortion care
Ethiopia
Female
Health Care Research
Health Personnel
healthcare professionals
Humans
Hälso- och sjukvårdsforskning
Mediation Analysis
Medical personnel
Pregnancy
Tanzania
Vårdvetenskap
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Summary:Health care professionals' attitudes and behaviours play a fundamental role in the provision of timely comprehensive abortion care as a maternal health intervention and save hundreds of thousands of women's lives, annually. This study explores underlying factors influencing Tanzanian and Ethiopian health care professionals' attitudes and behaviours towards comprehensive abortion care between 2015 and 2020. The study inductively explored Ethiopian and Tanzanian health care professionals' behaviours using a comparative case study design and a textual analytical approach. Published and unpublished literature, documents and newspapers were used as data sources. The two cases were selected because of their different approaches towards the governance of abortion care, one gradually legalising while the other persistently restricting. Results demonstrated that there are both subjective (beliefs, attitudes, images, pre-dispositions) and objective (institutional incapacity) factors that impact the actions of health care professionals in the work environment. The study concluded that the intervention of subjective factors results from the institutional failure to effectively bridge the divide between governance and accessibility of safe abortion care.
ISSN:1362-5187
1473-0782
1473-0782
DOI:10.1080/13625187.2022.2039910