Lived experience of healthcare professionals providing safe abortion in Rwanda

Q4 Medicine

Rwanda Medical Journal Pub Date : 2022-09-30 DOI:10.4314/rmj.v79i3.8

M. G. S. Musabwasoni, E. Ngoga, B. Sitini, J. Muganda, E. Kanyamanza, E. Nyiringango, O. Tengera, M. Uwimana, K. Muganwa, O. Bazirere, M. Mukeshimana, T. Uhawenimana

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引用次数: 0

Abstract

BACKGROUND: Various countries have ratified the law declaring that safe abortion is a fundamental women’s right. Rwanda has expanded legal grounds for abortion in Law n° 68/2018 of 30/08/2018, determining offenses and penalties in general. This study aimed to gain an in- depth understanding of how physicians, midwives and nurses perceive safe abortion service provision and their experience of providing the service in Rwanda. METHODS: A qualitative, descriptive phenomenological method with transcendental theory devised by Husserl Edmund was used to guide this study. A non-random purposive sampling recruited twenty-three informants, and a semi-structured interview guide was used to collect data. The data analysis used NVivo pro 12 software to categorize and code ideas, while the eight steps of transcendental descriptive phenomenology were used to generate the final themes. RESULTS: Four themes with ten sub-themes were generated: (1) personal feelings and beliefs (humiliation and stigma, guilty and wonder); (2) resilient mechanisms (Clients’ protection, institutional support, appreciation of the law); (3) training and (4) informants’ recommendations (integrated service, community awareness, psychological support, follow-up). CONCLUSION: Healthcare providers’ willingness to provide safe abortion services depend on the individual’s beliefs about abortion. Professionalism and resilient mechanisms are key to sustaining the safe abortion service provision in addition to the law determining offenses and penalties in general in Rwanda.

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保健专业人员在卢旺达提供安全堕胎的生活经验

背景：各国已批准法律，宣布安全堕胎是妇女的一项基本权利。卢旺达在2018年8月30日第68/2018号法律中扩大了堕胎的法律依据，确定了一般罪行和处罚。本研究旨在深入了解医生、助产士和护士如何看待安全堕胎服务的提供，以及他们在卢旺达提供堕胎服务的经验。方法：采用胡塞尔-埃德蒙提出的具有先验理论的定性、描述性现象学方法来指导本研究。非随机目的性抽样招募了23名线人，并使用半结构化访谈指南收集数据。数据分析使用NVivo pro 12软件对想法进行分类和编码，而先验描述性现象学的八个步骤用于生成最终主题。结果：产生了四个主题，共十个子主题：（1）个人情感和信仰（羞辱和耻辱、内疚和惊奇）；（2）弹性机制（客户保护、机构支持、法律欣赏）；（3）培训和（4）举报人的建议（综合服务、社区意识、心理支持、后续行动）。结论：医疗保健提供者提供安全堕胎服务的意愿取决于个人对堕胎的信念。专业性和弹性机制是维持安全堕胎服务的关键，也是卢旺达确定犯罪和惩罚的法律。

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

Rwanda Medical Journal Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

7 weeks

期刊介绍： The Rwanda Medical Journal (RMJ), is a Not-For-Profit scientific, medical, journal that is published entirely online in open-access electronic format. The RMJ is an interdisciplinary research journal for publication of original work in all the major health disciplines. Through a rigorous process of evaluation and peer review, The RMJ strives to publish original works of high quality for a diverse audience of healthcare professionals. The Journal seeks to deepen knowledge and advance scientific discovery to improve the quality of care of patients in Rwanda and internationally.