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Attitudes, experiences, and training on comprehensive abortion care: A nationwide survey of trainee physicians in Ghana

Emma R. Lawrence(1), Sarah G. Bell(2), Adu Appiah-Kubi(3), Tom O. Konney(4), Augustine Tawiah(5), Jody Lori(6), Sarah D. Compton(7),


(1) University of Michigan, Department of Obstetrics and Gynecology
(2) University of Michigan, Department of Obstetrics and Gynecology
(3) University of Health and Allied Sciences, Department of Obstetrics and Gynecology
(4) Komfo Anokye Teaching Hospital, Department of Obstetrics and Gynecology
(5) Komfo Anokye Teaching Hospital, Department of Obstetrics and Gynecology
(6) University of Michigan, School of Nursing
(7) University of Michigan, Department of Obstetrics and Gynecology
Corresponding Author

Abstract


This cross-sectional study assessed attitudes and experiences with abortion care among physician trainees in Ghana. Participants were 27 Obstetrics/Gynecology (OBGYN) residents and 138 house officers. An electronic survey evaluated attitudes, training, clinical experience, and technical skills with abortion care. The majority of participants believe that women should have access to safe abortion. However, only 51.6% of OBGYN residents and 40.9% of house officers want to currently perform abortions as a trainee, primarily due to religious or ethical beliefs. Among house officers, increased likelihood of performing abortions in their future practice is associated with greater exposure to abortion training, (OR 1.40, p=0.032), fewer years practicing medicine (OR 0.26, p=0.010), and believing abortion laws should be liberalized (OR 3.62, p=0.03). Overall, we demonstrate that only two-thirds of physician trainees in Ghana are likely to perform abortion care after completing training, and greater exposure to abortion training is associated with an increased likelihood of performing abortions. (Afr J Reprod Health 2022; 26[9]: 21-30).

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