Reproductive Health and Abortion in Antananarivo (Madagascar): Results of an Original Research. In Madagascar, voluntary termination of pregnancy is totally forbidden. However, many women resort to it, most especially in the capital, Antananarivo. These secret abortions are carried out not only by traditional birth attendants but also by private medical practitioners. This article presents the results of a research conducted on 193 women interviewed in 2005 when they came to consult a doctor and seek abortion. This first survey was complemented by qualitative data collected from students who had already had an abortion, but most especially the young ones, spinsters and those still in school. The latter try to delay the time of first childbirth in order to complete their studies, to find a first job and to get married. The young girls have a very limited access to contraception and their contraceptive choice yet depends on the willingness of their sexual partners (Afr. J. Reprod. Health 2010; 14[3]: 223-232). 

 

Résumé

 

A Madagascar, l’interruption volontaire de grossesse est totalement interdite. Toutefois, de nombreuses femmes y ont recours, tout particulièrement dans la capitale, Antananarivo. Ces avortements clandestins sont pratiqués par des matrones mais aussi par des médecins libéraux. Cet article présente les résultats d’une enquête menée auprès de 193 femmes interrogées en 2005 alors qu’elles viennent consulter un médecin pour demander un avortement. Cette première enquête a été complétée par des données qualitatives recueillies auprès d’étudiantes ayant déjà eu recours à l’avortement. L’analyse des données montrent que toutes les catégories de femmes semblent concernées par l’avortement mais plus particulièrement les plus jeunes, célibataires et en cours de scolarisation. Ces dernières cherchent à reculer le moment de la première naissance afin de terminer leurs études, de trouver un premier emploi et de se marier. Or ces jeunes filles ont un accès très limité à la contraception et leurs choix contraceptifs dépendent encore fortement de la volonté de leur partenaire sexuel (Afr. J. Reprod. Health 2010; 14[3]: 223-232). 

Key words: Madagascar, Reproductive Health, Abortion, Young People. 

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