Publications by authors named "Mercy Nana Akua Otsin"

Unsafe abortions contribute significantly to maternal mortality and morbidity in Ghana. To reduce this, in 1982 abortion laws in Ghana underwent reform to broaden the conditions under which abortion is accessed. Although, evidence in other contexts highlights the contribution of violence to women's experience of unwanted pregnancy and abortion, such evidence is limited within the Ghanaian abortion literature.

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Article Synopsis
  • Self-managed medical abortions are common in Ghana, despite the legality issues surrounding pharmacy provision of abortion pills, which often leads women to seek care in hospitals post-use.
  • Interviews with pharmacy workers and women revealed that the criminalization of abortion pills pushes their use underground, resulting in unregulated dispensing practices and misinformation about dosages.
  • The study suggests that, while legal access to medical abortion pills is ideal, a practical immediate solution is to provide pharmacy workers with better training to ensure safer practices for women seeking these services.
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Background: Unsafe abortion is an important public health problem in Ghana, making significant contributions to the morbidity and mortality of reproductive-aged women. Although mostly used in explaining mortality associated with perinatal care, recent calls for research on induced abortion in Africa suggest that the Three Delays Model could be used to enhance understanding of women's experiences and access to induced abortion care.

Methods: We conducted 47 face-to-face interviews with women who had experienced unsafe abortions, with formal abortion providers (abortion providers in hospitals) and with informal and non-legal abortion providers (pharmacy workers and herb sellers).

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Globally, abortion has emerged as a critical determinant of maternal morbidity and mortality. The Ghana government amended the country's abortion law in 1985 to promote safe abortion. This article discusses the findings of a qualitative study that explored the decision-making experiences of 28 female abortion seekers aged between 15 and 30 years in Ghana.

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