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Authors
Gbagbo, F. Y.
Publication Year
2019
Article Title
Women鈥檚 prior knowledge of the abortion law and decision-making on choice of place for abortion services in Accra, Ghana
Journal
Mathews Journal of Gynecology & Obstetrics
Volume
4
Issue Number
1
Page Numbers
1-10.
Abstract

Background:聽Despite less restrictive abortion laws in Ghana than in other African Countries, women still resort to unsafe abortions. This study examines the cross-sectional relationship between women鈥檚 prior knowledge of Ghana鈥檚 abortion law and the type of provider accessed in Accra, Ghana.

Methods:聽Women seeking induced abortion (320) and those being treated for post-abortion complications (81) were sampled from four purposive selected health facilities (2 public and 2 private). Bivariate and multivariable binary logistic regression models were estimated to test the study hypothesis that prior knowledge of abortion laws informs women鈥檚 decisions regarding options.

Results:聽Less than half of respondents knew abortion was legal in Ghana. In both bivariate (OR=4.959; 95% CI 3.418, 7.193) and multivariable (OR=6.45, 95% CI 4.25, 10.08) models, women who knew the legalities and those educated were more likely to seek safe abortions. The prospect of seeking safe abortions was lower among women reporting boyfriends/fianc茅s and teachers/bosses as those responsible for the index pregnancy.

Conclusions:聽Regardless of a woman鈥檚 background, knowledge of abortion laws influences decisions on the choice of place for services. Education on the law is therefore required for informed decisions in Ghana.

Keywords:聽Androgen-Independent Malignancy; Advanced Prostate Cancer; Cabergoline Treatment; Case Report.

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