Sexual and Reproductive Health Matters最新文献

{"title":"Challenging choice: a media study of anti-abortion movements in India.","authors":"Ragini Bordoloi, Vinitha Jayaprakasan, Souvik Pyne, Alka Barua","doi":"10.1080/26410397.2026.2653891","DOIUrl":"10.1080/26410397.2026.2653891","url":null,"abstract":"<p><p>In recent years, the backlash against abortion and reproductive autonomy has grown, driven by authoritarian regimes and conservative ideologies. In 2023, CommonHealth conducted a study to identify key anti-choice entities in India, examine their global links, and analyse their narratives and strategies for shaping public opinion and influencing policy through media platforms (print and social) in three languages. Key findings were that these organisations are leveraging educational platforms and social media, co-opting campaigns against gender-based discrimination, and framing their arguments with moral and constitutional rhetoric. Their tactics include the manipulation of public perception and gaining trust by blending science, religion, and emotional appeals. Crisis helplines, educational outreach, social media campaigns, mass mobilisation efforts, and direct peer interactions are utilised to particularly influence youth and garner support against reproductive choice. The study also highlights the growing influence of international networks on these initiatives. The emerging narratives are increasingly focused on intertwining anti-abortion and broader anti-choice ideologies, emphasising fetal rights and the sanctity of life. These initiatives thus pose a significant threat to reproductive rights and autonomy by undermining access to safe and legal abortion services. To counter this evolving anti-abortion activism, it is crucial to develop context-specific interventions and strategies. This analysis aims to contribute to a nuanced understanding of the challenges, calling for interdisciplinary collaboration among stakeholders to safeguard and strengthen reproductive justice. Reconceiving abortion as a life-enhancing decision is therefore essential to advancing reproductive rights and autonomy amidst escalating anti-choice narratives.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2653891"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of the humanitarian roster system for sexual and reproductive health.","authors":"Alison Greer, Rima Pai, Mihoko Tanabe, Lara Martin, Nguyen Toan Tran","doi":"10.1080/26410397.2026.2686033","DOIUrl":"10.1080/26410397.2026.2686033","url":null,"abstract":"<p><p>Evidence suggests that the number, scale, and severity of emergencies exceed the international humanitarian system's existing capacity and available resources to meet humanitarian needs, especially for the health sector of which sexual and reproductive health (SRH) is an essential component. Since 1997, the Inter-Agency Working Group on Reproductive Health in Crises's Minimum Initial Service Package (MISP) for SRH has been the standard of care for SRH interventions in emergencies, aimed to protect the health, dignity, and rights of women and girls living in humanitarian emergencies. Humanitarian response organisations, national governments, and donors increasingly recognise the importance of MISP implementation at the onset of an emergency. However, an effective humanitarian response demands rapid mobilisation of resources, including the deployment of trained professionals capable of navigating complex scenarios. Roster systems are a human resource tool that maintains a diverse range of qualified professional profiles for emergency preparedness, response, and recovery efforts. Recent trends indicate a shift from a global to an increasingly geographic-specific roster management and recruitment model, which we argue is vital in localising and sustaining humanitarian response. Organisations should channel investments into further strengthening national and regional response capacities, including community-level readiness for SRH, and reconsider international standby roster models. As first responders, communities are best positioned to initiate community-based responses when integrated into all levels of health disaster risk management systems. Fostering robust partnerships between international, regional, national, sub-national, and community levels is critical to ensuring preparedness and response efforts for SRH, resilient recovery strategies, and building back better.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2686033"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring pharmacy provision of medication abortion pills in Nepal: a mixed-methods study of pharmacy workers' knowledge and practices.","authors":"Nished Rijal, Angel M Foster","doi":"10.1080/26410397.2026.2617716","DOIUrl":"10.1080/26410397.2026.2617716","url":null,"abstract":"<p><p>In Nepal, pharmacists are legally permitted to dispense medication abortion drugs with a prescription but provision of mifepristone/misoprostol without a prescription is prohibited. However, one in five Nepalese women seeking medication abortion pills do so directly from pharmacies. This mixed-methods study aimed to understand pharmacy workers' knowledge of and practices related to medication abortion care and the reasons behind their provision or non-provision of these pills with and without a prescription. We surveyed 489 pharmacy workers and conducted semi-structured interviews with 25 pharmacy workers in major cities in Nepal's Koshi province. Our survey findings revealed that pharmacy workers are knowledgeable about the legal status of medication abortion (<i>n</i> = 414, 85%), medication abortion in general (<i>n</i> = 404, 83%), and its timing for use (<i>n</i> = 347, 86%). About 16% of pharmacy workers (<i>n</i> = 77) reported stocking and selling medication abortion pills, all in the form of combination packages of mifepristone/misoprostol; the average price was Nepali Rupees 660 (USD5). Pharmacy workers who stocked and sold medication abortion pills reported doing so because of the legal permissibility of the practice and community demand; most required a prescription prior to dispensing the medications. Those who did not stock mifepristone/misoprostol cited lack of training, confusion regarding the legal status of medication abortion, business risks associated with provision, and the inconsistent supply of the combination packages. The role of small, community-based pharmacies as service delivery points for medication abortion as a means to expanding access to safe, effective, and accessible care merits further consideration by researchers and policy makers in Nepal.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2617716"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-care strategies that support PrEP adherence: a qualitative study with female sex workers in rural Uganda.","authors":"Lydia Jacenta Nakiganda, David Serwadda, Rosette Nakubulwa, Benjamin R Bavinton, Andrew E Grulich, Stephen Bell","doi":"10.1080/26410397.2025.2560175","DOIUrl":"10.1080/26410397.2025.2560175","url":null,"abstract":"<p><p>The World Health Organization (WHO) recently released revised guidelines on self-care interventions for health and well-being, which, in 2022, included recommendations supporting equitable access to information about and availability of pre-exposure prophylaxis (PrEP) as a self-care strategy. Successful implementation of PrEP as an HIV prevention strategy extends beyond providing access to medication. It hinges on individuals adopting self-care strategies to ensure adherence to PrEP in their daily lives. This paper aims to explore self-care strategies that bolster adherence to oral PrEP among female sex workers in two rural Ugandan settings. Through in-depth interviews with 20 female sex workers residing in fishing communities or Trans-Africa highway towns, we used deductive thematic analysis to explore people-centred and health system-centred perspectives on women's PrEP-related self-care strategies. A people-centred perspective on self-care illustrated a range of self-care strategies to support PrEP adherence conducted by women individually (medication reminders; pairing PrEP with daily habits), and with support from others in familial and social networks (verbal reminders to take tablets; information sharing; shared clinic visits; shared pill-taking routines). A health system-centred perspective illustrated the importance of support from health services and professionals. Examples included information provision; NGO clinics as friendly, safe, non-judgemental spaces; PrEP distribution through home-based care outreach strategies; in-bulk PrEP provision for work-related travel periods; formal integration of female sex workers into the system as peer health workers. By considering both person-centred and health system-centred perspectives on self-care, we can pinpoint strategies for health systems to assist female sex workers and their communities in preventing the acquisition and transmission of HIV.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2560175"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shaping the WHO Sexual Health Assessment of Practices and Experiences questionnaire: a descriptive study on the real-world example from Portugal.","authors":"Ana Luísa Patrão, Lianne Gonsalves, Vanessa Brizuela, Pedro Nobre","doi":"10.1080/26410397.2025.2554458","DOIUrl":"10.1080/26410397.2025.2554458","url":null,"abstract":"<p><p>Sexual health is a major dimension of global health and well-being. Yet, evidence regarding its assessment at a worldwide level is scarce. Most population-based studies are conducted in a limited number of countries from the Global North using specific measures that do not allow for country comparison. The World Health Organization (WHO) led a process to create a global survey called the Sexual Health Assessment of Practices and Experiences (SHAPE) to assess sexual practices and behaviours that impact on health. This article aims to describe the application and feasibility of this questionnaire in an extended real-world context. It presents the results of the implementation process in Portugal, the first country to use it with a nationally representative sample. This descriptive study was conducted between 14th June and 15th October 2023, involving a sample of 2,010 individuals (52% women) living in Portugal, aged 18-95 (mean = 49.6 years). 1,426 participants responded online and 584 by telephone. Overall response rate was 30.9% (79.5% online, 12.4% by telephone) and 94% of responses were valid. The original SHAPE questionnaire took 17.7 min to answer on average (16.6 min online and 20.3 min by telephone). Including module G (assessing sexual problems), average time was 29.2 minutes. The relatively short response time and choice of formats suggest this tool provides a comprehensive picture of sexual health. It is hoped that it will be widely used in different health and research contexts, to enhance the global evidence base for the development of policies that promote sexual health.This article aims to describe the application and feasibility of this questionnaire in an extended real-world context.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2554458"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraceptive care and method use by sexual and gender minority status: insights from a longitudinal panel of sexual and reproductive healthcare patients in Wisconsin.","authors":"Ellie Leong, Christina E Geddes, Fiona Weeks, Megan L Kavanaugh","doi":"10.1080/26410397.2025.2544432","DOIUrl":"10.1080/26410397.2025.2544432","url":null,"abstract":"<p><p>Access to sexual and reproductive health (SRH) care is key for people to realise their reproductive goals, but sexual and gender minority (SGM) patients may experience different barriers or facilitators to access than their non-SGM counterparts. We analysed a panel dataset of 900 patients using publicly funded SRH services in Wisconsin in 2020-2023 and constructed conditional logistic regression models to explore barriers to contraceptive services and subsequent patient-centred contraceptive method use, stratified by SGM status. Experience of barriers to wanted contraception was strongly related to preferred contraceptive use (aOR = 0.36, CI: 0.20-0.64, <i>p</i> = 0.002) and method satisfaction (aOR = 0.39, CI: 0.20-0.77, <i>p</i> = 0.010). Barriers were also linked to lower use of LARC methods by patients preferring LARC methods, including affordability barriers (aOR = 0.09, CI: 0.01-0.85, <i>p</i> = 0.037). SGM patients were less likely to report preferred method use (aOR = 0.18, CI: 0.08-0.42, <i>p</i> = 0.001) and method satisfaction (aOR = 0.30, CI: 0.11-0.81, <i>p</i> = 0.022) after experiencing barriers. Those who experienced affordability barriers were also less likely to report preferred method use (aOR = 0.18, CI: 0.05-0.68, <i>p</i> = 0.015). For non-SGM patients, only experiencing a missed healthcare visit was related to lower method satisfaction (aOR = 0.48, CI: 0.25-0.92, <i>p</i> = 0.029). Our study highlights that barriers to contraceptive care can hamper people's ability to realise their contraceptive preferences. Furthermore, our differential findings by SGM status point to potential gaps in healthcare systems that are not adequately set up to serve all patients.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2544432"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global progress in abortion law reform: a comparative legal analysis since the International Conference on Population and Development (1994-2023).","authors":"Katy Mayall, Laurenne Ajayi, Caitlin Gruer","doi":"10.1080/26410397.2025.2499324","DOIUrl":"10.1080/26410397.2025.2499324","url":null,"abstract":"<p><p>As 2024 marked the 30th anniversary of the International Conference on Population and Development, which recognised unsafe abortion as a human rights and public health imperative, it is an apt time to assess global progress on abortion law reform. By mapping changes to abortion laws for 199 nations and semi-autonomous territories from 1994 to 2023 and coupling this with population data, this article demonstrates that the past three decades have been marked by an overwhelming trend towards the liberalisation of abortion laws across all regions, resulting in over 825 million women of reproductive age living under expanded grounds for legal abortion. Notably, a potential sea change has occurred in abortion law reform in the past five years, with countries increasingly liberalising their laws to permit abortion on request instead of adopting more incremental approaches. More countries have reformed their laws to permit abortion on request in the past five years than in the 25 preceding years. Yet, significant disparities continue to exist across regions. Countries banning abortion altogether or narrowly permitting abortion when the pregnant person's life is at risk are concentrated in Africa, Asia, and Latin America, including in resource-scarce contexts where abortion seekers are doubly disadvantaged by restrictive laws and limited access to healthcare, including post-abortion care. It is critical that law and policymakers and public health authorities recognise that restrictive abortion laws are out of step with global norms and support progress towards the liberalisation of abortion laws, particularly towards permitting abortion on request.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2499324"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of the <i>Dobbs v. Jackson</i> decision on abortion attitudes by abortion identity labels: a mixed-methods longitudinal study.","authors":"Xiana Bueno, Lucrecia Mena-Meléndez, Brandon L Crawford, Ronna C Turner, Wen-Juo Lo, Kristen N Jozkowski","doi":"10.1080/26410397.2025.2518669","DOIUrl":"10.1080/26410397.2025.2518669","url":null,"abstract":"<p><p>Landmark legislative events can shift public opinion. We conducted a longitudinal survey examining abortion attitudes before and after <i>Dobbs v. Jackson</i> which overturned <i>Roe v. Wade</i> in 2022. Wave 1 (<i>N</i> = 1,014) was conducted in June 2022, and Wave 2 (<i>N</i> = 792) in October-November 2022. Using bivariate analyses, we assessed people's attitudes towards the Dobbs decision and potential changes in abortion attitudes over time, across different abortion identity sub-groups (e.g. pro-life, pro-choice). Results indicate that people were informed about (90%) and disagreed (56%) with the decision, and did not report or experience a change in attitudes after the decision (68-73%). However, among those who did change, respondents were more inclined to endorse legal abortion after the decision (19-22%) than indicate abortion should not be legal (6-13%). Through analysing open-ended data, we found that participants more inclined to endorse legal abortion described the ruling as eroding personal rights, government intrusion, and threatening access to healthcare. Participants less inclined to endorse legal abortion indicated the ruling reinforced their belief in defending fetal rights. While not necessarily advocating outright illegality, such participants favoured stricter regulations. Notably, people who identified as \"both/neither/prefer not to answer\" tended to disagree with the Dobbs decision and lean towards greater endorsement of legal abortion. Uncertainty regarding (dis)agreement with the Dobbs decision was also higher among people who identified as pro-life and \"both/neither/prefer not to answer\" than among those who identified as pro-choice. These findings highlight important nuances that exist in abortion attitudes beyond the perceived dichotomy of the pro-life/pro-choice spectrum.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2518669"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"<i>She was totally desperate\"</i>: understanding the pathway to abortion in Germany through a qualitative study among service providers in Berlin and Brandenburg.","authors":"Talia Meer, Mascha Kern, Alex Müller, Bornice Biomndo, Yagmur Demirpehlivan, Muhammad Helmi Barghouth, Stefanie Theuring","doi":"10.1080/26410397.2025.2534266","DOIUrl":"10.1080/26410397.2025.2534266","url":null,"abstract":"<p><p>Access to abortion is recognised as a key component of the right to healthcare. Yet, to this day, abortion in Germany without medical or criminal indication is illegal and treated under the penal code, although not punished if taking place in the first 12 gestational weeks and following a formalised process including mandatory counselling. Our study aimed to critically examine the pathway to abortion necessitated by the current criminalising legal framework in Germany. We conducted a qualitative study between November 2023 and July 2024, using 17 interviews to capture views of abortion-related service providers on barriers and enablers to abortion in Berlin and Brandenburg, applying a thematic analysis approach using MaxQDA. Our findings point to multiple individual barriers to abortion along the pathway, whose complexity itself presents a structural barrier. Even providers were sometimes insecure about how parts of the process worked and what they were or were not allowed to do. We identified a nine-step series of actions which most individuals seeking abortion must undergo to end an unwanted pregnancy, involving multiple health service visits and the repeated need to communicate their personal situation to different authorities. Our study illustrates that the pathway to abortion in Germany produces a state-induced barrier to a fundamental reproductive health service, and in this respect can be viewed as a form of structural violence against pregnant individuals in a critically decisive situation. Our findings support existing recommendations to decriminalise abortion, which would align Germany´s abortion policy with its international commitments and with international best practices as outlined by WHO.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2534266"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting self-managed abortion care in \"practice not premise\": a qualitative study of provider perspectives, roles, and information pathways to care in India.","authors":"Laura E Jacobson, Caila Brander, Balasubramanian Palanisamy, Sruthi Chandrasekaran, Blair G Darney, Julia M Goodman, Ruvani Jayaweera, Caitlin Gerdts","doi":"10.1080/26410397.2025.2531680","DOIUrl":"10.1080/26410397.2025.2531680","url":null,"abstract":"<p><p>This qualitative study explored provider perspectives on self-managed abortion (SMA) in India, their roles, and how they share information about pathways to both clinician- and self-managed abortion care. We conducted 33 semi-structured interviews with a range of providers (medical, community health, and pharmacy) in three states in India: Jharkhand, Bihar, and Tamil Nadu. Using thematic analysis, we examined provider perspectives on SMA, their involvement in abortion care, and how they contribute to information sharing around access pathways. We categorised findings by provider type, direction of care pathways, abortion modality (clinician-managed vs. SMA), and the kind of care delivered. Our findings showed most providers described abortion as conditionally acceptable and primarily encouraged clinician-managed care. Concerns about SMA safety and potential liability often led them to discourage SMA. Nonetheless, participants acknowledged three areas where providers played a role in SMA: providing information, dispensing medication, and providing support (i.e. managing pain). Pharmacy workers and local providers shared information with abortion seekers on pathways to access SMA care. Some community health workers directed clients to pharmacies, but more often only provided SMA information and support. Despite provider concerns, support for and pathways to SMA exist in India. Understanding the dynamics of provider perspectives and roles can inform improvements to comprehensive reproductive health policies and programmes in order to promote person-centred abortion care - including SMA - and address provider concerns. Synergies are needed between the formal health sector and SMA support networks to advance person experiences and reinforce quality abortion care as a human right.</p>","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2531680"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}