Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya

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Study Justification:
– Access to good quality abortion services and post-abortion care is crucial for women’s survival after unsafe abortion.
– Unsafe abortions contribute to high levels of maternal death in Kenya.
– The study aims to explore women’s experiences and perceptions of abortion and post-abortion care in Kenya through person-centred care.
Highlights:
– Qualitative study involving focus group discussions and in-depth interviews with women aged 18-35 who received safe abortion services at private clinics.
– Identified gaps in abortion care and person-centred domains that are important throughout the abortion process.
– Clear communication and personalized comprehensive information from healthcare providers led to more positive experiences and higher reproductive autonomy.
– Communication and supportive care during the post-abortion period, as well as social support, were highly valued.
– Further research is needed to design, implement, and test the feasibility and acceptability of person-centred abortion care interventions in community and clinical settings.
Recommendations:
– Improve communication between healthcare providers and women seeking abortion services.
– Provide personalized comprehensive information on abortion and post-abortion care.
– Enhance supportive care during the post-abortion period.
– Strengthen social support for women undergoing abortion.
– Conduct further research to develop and test person-centred abortion care interventions in community and clinical settings.
Key Role Players:
– Healthcare providers
– Private clinic owners and managers
– Government health officials
– Non-governmental organizations (NGOs) working in reproductive health
– Community leaders and influencers
– Women’s rights advocates
Cost Items for Planning Recommendations:
– Training programs for healthcare providers on person-centred abortion care
– Development and dissemination of educational materials on abortion and post-abortion care
– Implementation of supportive care programs for women during the post-abortion period
– Awareness campaigns and community outreach activities
– Research funding for the design and testing of person-centred abortion care interventions
– Monitoring and evaluation of the interventions’ effectiveness and impact

The strength of evidence for this abstract is 7 out of 10.
The evidence in the abstract is moderately strong. The study used qualitative methods to explore women’s experiences and perceptions of abortion and post-abortion care in Kenya. Thematic analysis was conducted to identify gaps in abortion care and person-centred domains. The findings suggest that clear communication, personalized comprehensive information, and supportive care can improve women’s experiences and reproductive autonomy. However, the evidence is based on qualitative data and further research is needed to design and test person-centred abortion care interventions. To improve the strength of the evidence, future studies could include larger sample sizes, quantitative measures, and randomized controlled trials to evaluate the effectiveness and acceptability of person-centred care interventions in different settings.

Globally, access to good quality abortion services and post-abortion care is a critical determinant for women’s survival after unsafe abortion. Unsafe abortions account for high levels of maternal death in Kenya. We explored women’s experiences and perceptions of their abortion and post-abortion care experiences in Kenya through person-centred care. This qualitative study included focus group discussions and in-depth interviews with women aged 18-35 who received safe abortion services at private clinics. Through thematic analyses of women’s testimonies, we identified gaps in the abortion care and person-centred domains which seemed to be important throughout the abortion process. When women received clear communication and personalised comprehensive information on abortion and post-abortion care from their healthcare providers, they reported more positive experiences overall and higher reproductive autonomy. Communication and supportive care were particularly valued during the post-abortion period, as was social support more generally. Further research is needed to design, implement and test the feasibility and acceptability of person-centred abortion care interventions in community and clinical settings with the goal of improving women’s abortion experiences and overall reproductive health outcomes.

The study recommends developing person-centred care interventions for abortion services in private facilities in Kenya. These interventions aim to improve women’s experiences and access to good quality abortion services and post-abortion care. The innovations include clear communication and personalised comprehensive information from healthcare providers, as well as supportive care and social support. Further research is needed to design, implement, and test the feasibility and acceptability of these person-centred care interventions in community and clinical settings to enhance women’s abortion experiences and overall reproductive health outcomes. The study was published in the journal Culture, Health and Sexuality in 2021.
AI Innovations Description
The recommendation from the study is to develop person-centred care interventions for abortion services in private facilities in Kenya. This innovation aims to improve women’s experiences and access to good quality abortion services and post-abortion care. The study found that clear communication and personalised comprehensive information from healthcare providers, as well as supportive care and social support, were important factors in improving women’s experiences and reproductive autonomy. Further research is needed to design, implement, and test the feasibility and acceptability of these person-centred care interventions in community and clinical settings to enhance women’s abortion experiences and overall reproductive health outcomes. The study was published in the journal Culture, Health and Sexuality in 2021.
AI Innovations Methodology
To simulate the impact of the main recommendations of this abstract on improving access to maternal health, a mixed-methods approach could be used. Here is a brief description of the methodology:

1. Quantitative Analysis:
– Conduct a survey among women who have sought abortion services in private facilities in Kenya.
– Collect data on their experiences and perceptions of the care received, including communication, information provision, supportive care, and social support.
– Analyze the survey data to identify patterns and correlations between the quality of care and women’s experiences and reproductive autonomy.
– Quantify the impact of person-centred care interventions on women’s experiences and access to good quality abortion services and post-abortion care.

2. Qualitative Analysis:
– Conduct focus group discussions and in-depth interviews with women who have received safe abortion services at private clinics in Kenya.
– Explore their experiences and perceptions of person-centred care interventions, including clear communication, personalised comprehensive information, supportive care, and social support.
– Analyze the qualitative data using thematic analysis to identify common themes and patterns related to the impact of person-centred care on women’s experiences and reproductive autonomy.

3. Integration of Findings:
– Compare and integrate the quantitative and qualitative findings to gain a comprehensive understanding of the impact of person-centred care interventions on improving access to maternal health.
– Identify key factors and strategies that contribute to positive experiences and improved reproductive health outcomes.
– Use the integrated findings to inform the design and implementation of person-centred care interventions in community and clinical settings.

4. Feasibility and Acceptability Testing:
– Develop and pilot test person-centred care interventions based on the identified recommendations.
– Implement the interventions in selected private facilities and community settings.
– Collect feedback from women who receive the interventions to assess their feasibility and acceptability.
– Modify and refine the interventions based on the feedback received.

5. Evaluation:
– Assess the impact of the person-centred care interventions on women’s experiences and reproductive health outcomes.
– Measure indicators such as satisfaction with care, reproductive autonomy, access to information, and overall reproductive health outcomes.
– Compare the outcomes of the intervention group with a control group that did not receive the interventions.
– Analyze the data to determine the effectiveness and potential scalability of the person-centred care interventions.

By following this methodology, researchers can gain insights into the impact of person-centred care interventions on improving access to maternal health in private facilities in Kenya. The findings can inform future interventions and policies aimed at enhancing women’s abortion experiences and overall reproductive health outcomes.

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