"Of course I would tell a friend about self-management with pills": the role of hotlines in increasing access to self-managed abortion in Kenya.

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

African journal of reproductive health Pub Date : 2025-06-26 DOI:10.29063/ajrh2025/v29i6.10

Yves-Yvette Young, Lucía B Pizzarossa, Ibtehal Jastaniah, Margot Cohen, Sheilah Warindi, Samantha Ruggiero

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引用次数: 0

Abstract

Safe abortion hotlines operating in highly restrictive abortion settings provide critical information about safe self-managed medication abortion. The Mobilizing Activists around Medical Abortion (MAMA) Network has pioneered this model in the African region and supports various safe abortion hotlines across the continent. The aim of this study was to document the experiences of callers using a safe abortion hotline in Kenya and to better understand the role that safe abortion hotlines can play in facilitating access to abortion information. In this paper, we present findings from interviews with 19 hotline callers seeking information about medication abortion from a hotline in Kenya, between February and May 2019. Emergent themes included support from hotline counselors, readiness to self-manage, abortion experiences, preference for medication abortion, and the role of hotlines in reducing abortion stigma. Our findings shed light on important components related to the quality of the care provided by the hotlines and their role in destigmatizing abortion care, while serving as an example of the crucial work of feminist activists in expanding pregnant people's health and autonomy in highly restrictive abortion settings.

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“我当然会告诉一个朋友关于服药的自我管理”：在肯尼亚，热线在增加自我管理堕胎方面的作用。

在高度限制性流产环境中运行的安全流产热线提供有关安全自我管理药物流产的重要信息。“围绕药物流产动员积极分子”网络在非洲地区率先采用了这一模式，并支持整个非洲大陆的各种安全流产热线。本研究的目的是记录肯尼亚使用安全堕胎热线的呼叫者的经历，并更好地了解安全堕胎热线在促进获得堕胎信息方面可以发挥的作用。在本文中，我们介绍了2019年2月至5月期间对19名热线呼叫者的访谈结果，这些热线呼叫者在肯尼亚的一条热线上寻求有关药物流产的信息。新出现的主题包括热线咨询师的支持、自我管理的准备、流产经历、对药物流产的偏好以及热线在减少流产耻辱方面的作用。我们的研究结果揭示了与热线提供的护理质量相关的重要组成部分及其在消除堕胎护理的污名化方面的作用，同时也作为女权主义活动家在高度限制性堕胎环境中扩大孕妇健康和自主权的关键工作的一个例子。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

African journal of reproductive health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： The African Journal of Reproductive Health is a multidisciplinary and international journal that publishes original research, comprehensive review articles, short reports, and commentaries on reproductive heath in Africa. The journal strives to provide a forum for African authors, as well as others working in Africa, to share findings on all aspects of reproductive health, and to disseminate innovative, relevant and useful information on reproductive health throughout the continent.