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Healthcare workers experiences in providing comprehensive abortion care to adolescents in the Eastern region of Ghana: A qualitative study : 1School of public Health, university of Ghana - Legon, Accra, Ghana

Debuo Der A, Ganle JK

Reproductive health, 2025

Abstract

INTRODUCTION: Globally, less safe or least safe abortion among adolescents remains a public health concern. In Ghana, complications from less safe and least safe abortions result in approximately 43,000 facility-based post-abortion care cases annually, contributing significantly to the overall burden of maternal morbidity and mortality. Healthcare workers play a critical role in delivering comprehensive abortion care (CAC) services to address the challenges of less safe and least safe abortion. At the same, there is scanty literature in Ghana on the experiences of these healthcare workers. This study explored the experiences of healthcare workers in providing CAC to adolescents in the New Juaben Municipality in Eastern Region, Ghana. METHODS: A phenomenological qualitative study was conducted. Data were collected from November 2022 to January 2023 among 12 healthcare providers. Prior to data collection, ethical approval was obtained from the Ghana Health Service (GHS) Ethics Review Committee (GHS-ERC: 039/11/22). Participants who had provided CAC services for at least 6 months were purposively sampled. In-depth interviews were conducted and audio-recorded with permission from participants. The interviews were transcribed verbatim and inductive thematic analysis was done using ATLAS. ti. Results were presented using quotes. FINDINGS: Three main themes emerged, namely desire to minimize harm, attitudes and beliefs toward CAC provision for adolescents, and stigma and…

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