Abortion in rural Ghana: Cultural norms, knowledge and attitudes

Tenley R. Klc, Stefanie Ames, Brooke Zollinger, Daniel Ansong, Owusu O. Asibey, Scott Benson, Ty T. Dickerson

Abstract

Using qualitative methodology, semi-structured questionnaires were administered to participants in the Barakese subdistrict of Ghana in order to understand the extent to which men and women have knowledge  of family planning services and in what ways cultural norms, practices, and attitudes toward abortion affect the decision to abort. Women in the community pursue abortion using unsafe methods, despite fear of shame, bleeding, infection, or death, as the perceived cost of maintaining the pregnancy is greater. Protective factors that were reported to dissuade women from pursuing unsafe abortion include fear of social disgrace, divine retribution, and death. Women reported the inability to control the timing of their pregnancies, despite harboring knowledge of family planning. Concerned about perceived side effects of modern family planning methods, respondents chose to use fertility awareness methods or to use no contraception. There remains a gap between knowledge of the benefits of and the actual use of family planning methods, leading to unwanted pregnancy and seeking unsafe abortion. Intensified health promotion and education regarding side effects to combat misconceptions related to contraception, as well as expanding alternative contraceptive options to all regions of Ghana, are critical to improve uptake. (Afr J Reprod Health 2020; 24[3]: 51-58).

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References

Tsui AO, McDonald-Mosley R and Burke AE.

Family planning and the burden of unintended pregnancies. Epidemiologic Reviews 2010; 32(1): 152-174.

World Health Organization. Preventing Unsafe

Abortion. World Health Organization 2016. Retrieved from http://www.who.int/mediacentre/factsheets/fs388/en/

Starbird, E, Norton, M, and Marcus, R. Investing in

Family Planning: key to achieving the sustainable development goals. Global Health: Science and Practice 2016; 4(2): 191–210.

Alkema L, Kantorova V, Menozzi C and Biddlecom,

A. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: A systematic and comprehensive analysis. The Lancet 2013; 381(9878): 1642–1652.

Morgan SP and Taylor MG. Low Fertility at the Turn

of the Twenty-First Century. Annual Review of Sociology 2006; 32(1): 375–399.

Ghana Statistical Service (GSS), Ghana Health

Service (GHS), and ICF International. Ghana Demographic and Health Survey 2014. Rockville, Maryland, USA: GSS, GHS, and ICF International.

Ghana Statistical Service (GSS), Ghana Health

Service (GHS), and Macro International. Ghana Demographic and Health Survey 2008. Accra, Ghana: GSS, GHS, and ICF Macro.

Sedgh G, Singh S, Shah I, Ahman E, Henshaw S and

Bankole A. Induced abortion: incidence and trends worldwide from 1995 to 2008. Lancet 2012; 379(9816): 625- 632.

Ghana Statistical Service (GSS), Ghana Health

Service (GHS), and Macro International. Ghana Maternal Health Survey 2007, Accra, Ghana: GSS and GHS; and Calverton, MD, USA: Macro International.

Sedgh G. Abortion in Ghana. Issues in Brief (Alan

Guttmacher Institute) 2010; (2): 1–4.

Morhee RA and Morhee ES. Overview of the law and

availability of abortion services in Ghana. Ghana Medical Journal 2010; 40(3).

Hill ZE, Tawiah-Agyemang C and Kirkwood B. The

Context of Informal Abortions in Rural Ghana. Journal of Women’s Health 2009; 18(12): 2017–2022.

Payne CM, Debbink CM, Steele EA, Buck CT, Martin

LA, Hassinger JA and Harris LH. Why women are dying from unsafe abortion: narratives of Ghanaian abortion providers. African Journal of Reproductive Health 2013; 17(2): 118-128.

Biney AA. Exploring contraceptive knowledge and

use among women experiencing induced abortion in the Greater Accra Region, Ghana. African Journal of Reproductive Health 2011; 15(1): 37–46.

Eliason S, Awoonor-Williams JK, Eiliason C,

Novignon J, Nonvignon J and Aikins

M. Determinants of modern family planning use among women of reproductive age in the Nkwanta district of Ghana: a case-control study. Reproductive Health 2014; 11(1): 65.

Apanga PA and Adam MA. Factors influencing the

uptake of family planning services in the Talensi district, Ghana. Pan African Medical Journal 2015; 20(10).

Wilson HE, Ameme DK and Ilesanmi OS.

Contraceptive Methods Accessed in Volta Region, Ghana, 2009–2014. International Scholarly Research Notices 2017; Article ID 7257042.

Aniteye P and Mayhew S. Attitudes and experiences

of women admitted to hospital with abortion complications in Ghana. African Journal of Reproductive Health 2011; 15(1): 47–56.

Rossier C and Corker J. Contemporary Use of

Traditional Contraception in sub- Saharan Africa. Population and Development Review 2017; 43: 192–215.

Staveteig S. Understanding unmet need in Ghana:

Results from a follow-up study to the 2014 Ghana Demographic and Health Survey. DHS Qualitative Research Studies 2016; (20). Rockville, MD: ICF International.

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