Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013.
<h4>Background</h4>The Medical Termination of Pregnancy (MTP) Act of 1971 liberalized abortion laws in India. This study examines changes in abortion service provision and characteristics of abortion providers in Bihar and Jharkhand states, India between 2004 and 2013.<h4>Methods&l...
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197300&type=printable |
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| author | Andreea A Creanga Kaushalendra K Singh Qingfeng Li Timothee Fruhauf Amy O Tsui |
| author_facet | Andreea A Creanga Kaushalendra K Singh Qingfeng Li Timothee Fruhauf Amy O Tsui |
| author_sort | Andreea A Creanga |
| collection | DOAJ |
| description | <h4>Background</h4>The Medical Termination of Pregnancy (MTP) Act of 1971 liberalized abortion laws in India. This study examines changes in abortion service provision and characteristics of abortion providers in Bihar and Jharkhand states, India between 2004 and 2013.<h4>Methods</h4>We used state-representative data from cross-sectional surveys of reproductive health service providers we conducted in 2004 (N = 1,323) and 2012/2013 (N = 1,020). We employed chi-squared tests to examine and compare abortion providers' characteristics, and fitted separate multivariate logistic regression models for provision of surgical, medical, and any abortion services, respectively, adjusting for potential confounders to identify factors associated with abortion service provision at the two survey time points.<h4>Results</h4>Of providers interviewed in 2004 and 2012/2013, 63.7% and 84.5%, respectively, offered abortion services. Among abortion providers, 21.1% offered surgical and 10.7% offered medical abortions in 2004; 15.8% and 94.1% did so, respectively, in 2012/2013. Private providers were more likely than public providers to offer abortion services at both time points. Compared to female providers, male providers were significantly less likely to provide both surgical and medical abortions in 2004, and significantly less likely to provide surgical abortions in 2012/2013. Pharmacists and community health workers played increasingly important roles in abortion service provision, especially medical abortion, during the period.<h4>Conclusion</h4>This study documents important changes in abortion provision in the two Indian states during 2004-2013. |
| format | Article |
| id | doaj-art-66534cb1a2ba4ba4b608c0a09a830aa9 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-66534cb1a2ba4ba4b608c0a09a830aa92025-08-20T02:03:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01136e019730010.1371/journal.pone.0197300Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013.Andreea A CreangaKaushalendra K SinghQingfeng LiTimothee FruhaufAmy O Tsui<h4>Background</h4>The Medical Termination of Pregnancy (MTP) Act of 1971 liberalized abortion laws in India. This study examines changes in abortion service provision and characteristics of abortion providers in Bihar and Jharkhand states, India between 2004 and 2013.<h4>Methods</h4>We used state-representative data from cross-sectional surveys of reproductive health service providers we conducted in 2004 (N = 1,323) and 2012/2013 (N = 1,020). We employed chi-squared tests to examine and compare abortion providers' characteristics, and fitted separate multivariate logistic regression models for provision of surgical, medical, and any abortion services, respectively, adjusting for potential confounders to identify factors associated with abortion service provision at the two survey time points.<h4>Results</h4>Of providers interviewed in 2004 and 2012/2013, 63.7% and 84.5%, respectively, offered abortion services. Among abortion providers, 21.1% offered surgical and 10.7% offered medical abortions in 2004; 15.8% and 94.1% did so, respectively, in 2012/2013. Private providers were more likely than public providers to offer abortion services at both time points. Compared to female providers, male providers were significantly less likely to provide both surgical and medical abortions in 2004, and significantly less likely to provide surgical abortions in 2012/2013. Pharmacists and community health workers played increasingly important roles in abortion service provision, especially medical abortion, during the period.<h4>Conclusion</h4>This study documents important changes in abortion provision in the two Indian states during 2004-2013.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197300&type=printable |
| spellingShingle | Andreea A Creanga Kaushalendra K Singh Qingfeng Li Timothee Fruhauf Amy O Tsui Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013. PLoS ONE |
| title | Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013. |
| title_full | Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013. |
| title_fullStr | Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013. |
| title_full_unstemmed | Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013. |
| title_short | Changes in abortion service provision in Bihar and Jharkhand states, India between 2004 and 2013. |
| title_sort | changes in abortion service provision in bihar and jharkhand states india between 2004 and 2013 |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197300&type=printable |
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