A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception

Abstract Background Most Ghanaian women who have undergone abortions were not using contraception at the time of pregnancy. This study explores the crosscutting perspectives among women with abortion experiences about the various ways in which their circumstances acted as barriers to their use of co...

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Main Author: Mercy Nana Akua Otsin
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Discover Social Science and Health
Subjects:
Online Access:https://doi.org/10.1007/s44155-025-00268-4
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author Mercy Nana Akua Otsin
author_facet Mercy Nana Akua Otsin
author_sort Mercy Nana Akua Otsin
collection DOAJ
description Abstract Background Most Ghanaian women who have undergone abortions were not using contraception at the time of pregnancy. This study explores the crosscutting perspectives among women with abortion experiences about the various ways in which their circumstances acted as barriers to their use of contraception. Methods This study is qualitative; it involved 14 women who underwent safe abortions in an NGO and a private hospital in the Ashanti region of Ghana. Semi-structured interviews were conducted and audio recorded with participants after terminations. Recorded interviews were transcribed and analysed thematically. Results Study results showed the influence of intimate partners on women’s contraceptive choices. Also emerging from the study was how community norms and expectations about beauty and secrecy around sex influenced participants’ contraceptive choices. Participants further mentioned deciding against contraceptive use due to the mandatory pregnancy test they had to undergo whenever they missed an appointment, fears about side effects and financial difficulties. Conclusion The study concludes on the need for empowering women to take charge of their contraceptive and sexual and reproductive health needs. It further suggests continuous and respectful engagement between various stakeholders to ensure an increase in contraception uptake and a reduction in method discontinuation.
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spelling doaj-art-34cf453221f549888e4b353648b481d72025-08-20T04:02:50ZengSpringerDiscover Social Science and Health2731-04692025-07-015111210.1007/s44155-025-00268-4A qualitative study on the reflections of Ghanaian women with abortion experiences on contraceptionMercy Nana Akua Otsin0Judith Lumley Centre for Mother, Infant and Family Health Research, La Trobe UniversityAbstract Background Most Ghanaian women who have undergone abortions were not using contraception at the time of pregnancy. This study explores the crosscutting perspectives among women with abortion experiences about the various ways in which their circumstances acted as barriers to their use of contraception. Methods This study is qualitative; it involved 14 women who underwent safe abortions in an NGO and a private hospital in the Ashanti region of Ghana. Semi-structured interviews were conducted and audio recorded with participants after terminations. Recorded interviews were transcribed and analysed thematically. Results Study results showed the influence of intimate partners on women’s contraceptive choices. Also emerging from the study was how community norms and expectations about beauty and secrecy around sex influenced participants’ contraceptive choices. Participants further mentioned deciding against contraceptive use due to the mandatory pregnancy test they had to undergo whenever they missed an appointment, fears about side effects and financial difficulties. Conclusion The study concludes on the need for empowering women to take charge of their contraceptive and sexual and reproductive health needs. It further suggests continuous and respectful engagement between various stakeholders to ensure an increase in contraception uptake and a reduction in method discontinuation.https://doi.org/10.1007/s44155-025-00268-4ContraceptionQualitative researchPhenomenologyInduced abortionGhana
spellingShingle Mercy Nana Akua Otsin
A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception
Discover Social Science and Health
Contraception
Qualitative research
Phenomenology
Induced abortion
Ghana
title A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception
title_full A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception
title_fullStr A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception
title_full_unstemmed A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception
title_short A qualitative study on the reflections of Ghanaian women with abortion experiences on contraception
title_sort qualitative study on the reflections of ghanaian women with abortion experiences on contraception
topic Contraception
Qualitative research
Phenomenology
Induced abortion
Ghana
url https://doi.org/10.1007/s44155-025-00268-4
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