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Reprod Health. 2017 Oct 23;14(1):133. doi: 10.1186/s12978-017-0391-5.

'I felt the world crash down on me': Women's experiences being denied legal abortion in Colombia.

Author information

1
Fundación Oriéntame/ESAR, Bogotá, DC, Colombia.
2
Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco (UCSF), 1330 Broadway, Suite 1100, Oakland, CA, USA. Sarah.Raifman@ucsf.edu.
3
Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco (UCSF), 1330 Broadway, Suite 1100, Oakland, CA, USA.
4
Ibis Reproductive Health, 1330 Broadway, Suite 1100, Oakland, CA, USA.

Abstract

BACKGROUND:

In 2006, Colombia's constitutional court overturned a complete ban on abortion, liberalizing the procedure. Despite a relatively liberal new law, women still struggle to access safe and legal abortion services. We aimed to understand why women are denied services in Colombia, and what factors determine if and how they ultimately terminate pregnancies.

METHODS:

We recruited women denied abortion at a private facility in Bogota. Twenty-one participants completed an initial interview and eight completed a second longer interview. Two researchers documented themes and developed and applied a codebook to transcripts using ATLAS.ti.

RESULTS:

Participants faced barriers, such as lack of knowledge of service availability and delayed pregnancy recognition, leading to denial. Five out of eight participants ultimately received abortions in public hospitals, due to support from partners and a robust referral system; nevertheless, they received poor care. Those who continued pregnancies endured stigmatizing events and inaccurate medical counselling at referral facilities. Several women contemplated illegal abortion though were afraid to attempt it.

CONCLUSION:

We propose the following recommendations: 1) increase awareness about availability and legality of abortion services to prevent delay and consequent denial; 2) provide counseling and referral upon denial; and 3) train providers in interpersonal quality abortion care.

KEYWORDS:

Abortion; Colombia; Denial of abortion; Unsafe abortion

PMID:
29058629
PMCID:
PMC5651606
DOI:
10.1186/s12978-017-0391-5
[Indexed for MEDLINE]
Free PMC Article

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