247939 Health care professionals' experiences of providing legal abortion care in Mexico City's public facilities: Three years after decriminalization

Monday, October 31, 2011: 12:30 PM

Claudia Diaz, PhD , Research Center in Population and Health, National Institute of Public Health of Mexico, Mexico City, Mexico
Sandra Garcia, ScD, ScM , Mexico Office, Population Council, Mexico City, Mexico
Patricio Sanhueza Smith, MD , Reproductive Health Coordinator, Ministry of Health, Mexico City Government, Mexico City, Mexico
Vanessa Cravioto, BA , Research Center in Population and Health, National Institute of Public Health of Mexico, Mexico City, Mexico
Olimpia Gomez, BA , Research Center in Population and Health, National Institute of Public Health of Mexico, Mexico City, Mexico
Roula AbiSamra, MPH , Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA
Introduction: In April 2007, the Legislative Assembly in Mexico City reformed its penal code to legalize termination of pregnancy within the first twelve weeks of gestation. Over 50,000 procedures have since been provided in designated Mexico City Ministry of Health (MOH) facilities. Objective: The goal of this qualitative study was to understand the experiences of providers (physicians, nurses and social workers) with abortion in the MOH program. Specific aims were to (1) characterize providers' knowledge, attitudes and practices regarding abortion and its legal provision; (2) understand providers' perceptions of their own work and of the patients they serve; and (3) derive recommendations for improving the MOH program. Methods: Between February and July 2010 we conducted in-depth interviews (IDI) with 20 abortion care providers regarding their experiences. Most interview themes were identical across the three professions represented (physician, nurse, social worker). Microsoft Word 2003 and MAXQDA were chosen to store IDI data and conduct analysis using a grounded theory approach. Results: Of the 20 participants, 6 were physicians, 7 were nurses, and 7 were social workers. IDI analysis is underway and expected to be completed in late February. In addition to building international knowledge on the experiences of abortion care providers, our research will also yield recommendations for Mexico City Ministry of Health administrators and other key stakeholders.

Learning Areas:
Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health

Learning Objectives:
Describe the typical work-flow for abortion services in a Mexico City public facility. Name 3 challenges cited by health professionals working in Mexico City's program of public abortion provision. Compare strengths and challenges cited by different types of professionals working in the program (physician, nurse, social-worker/counselor).

Keywords: Abortion, Providers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as the Principal Investigator on the research informing this presentation, and I have worked with Ministry of Health officials, the Population Council Mexico, and others on past research into the progress of the MOH abortion program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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