{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:44:45Z","timestamp":1790811885338,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T00:00:00Z","timestamp":1638662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Despite evidence of acute and long\u2010term consequences of suboptimal experiences of care, standardized measurements across countries remain limited, particularly for postabortion care. We aimed to determine the proportion of women reporting negative experiences of care for abortion complications, identify risk factors, and assess the potential association with complication severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were sourced from the WHO Multi\u2010Country Survey on Abortion for women who received facility\u2010based care for abortion complications in 11 African countries. We measured women's experiences of care with eight questions from an audio computer\u2010assisted self\u2010interview related to respect, communication, and support. Multivariable generalized estimating equations were used for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 2918 women in the study sample and 1821 (62%) reported at least one negative experience of postabortion care. Participants who were aged under 30\u00a0years, single, of low socioeconomic status, and economically dependent had higher odds of negative experiences. Living in West or Central Africa, rather than East Africa, was also associated with reportedly worse care. The influence of complication severity on experience of care appeared significant, such that women with moderate and severe complications had 12% and 40% higher odds of reporting negative experiences, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There were widespread reports of negative experiences of care among women receiving treatment for abortion complications in health facilities. Our findings contribute to the scant understanding of the risk factors for negative experiences of postabortion care and highlight the need to address harmful provider biases and behaviors, alleviate health system constraints, and empower women in demanding better care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13987","type":"journal-article","created":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T06:49:46Z","timestamp":1638773386000},"page":"44-52","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Experiences of women seeking care for abortion complications in health facilities: Secondary analysis of the WHO Multi\u2010Country Survey on Abortion in 11 African countries"],"prefix":"10.1002","volume":"156","author":[{"given":"Philip","family":"Govule","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Disease Control School of Public Health University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"Baumann","sequence":"additional","affiliation":[{"name":"Department of Global Health Milken Institute School of Public Health The George Washington University  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Paul","family":"Dossou","sequence":"additional","affiliation":[{"name":"Centre de Recherche en Reproduction Humaine et en D\u00e9mographie (CERRHUD)  Cotonou B\u00e9nin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Calvert","sequence":"additional","affiliation":[{"name":"Centre for Global Health Usher Institute University of Edinburgh  Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sourou","family":"Goufodji","sequence":"additional","affiliation":[{"name":"Centre de Recherche en Reproduction Humaine et en D\u00e9mographie (CERRHUD)  Cotonou B\u00e9nin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hedieh","family":"Mehrtash","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zge","family":"Tuncalp","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research Development and Research Training in Human Reproduction (HRP) Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwame","family":"Adu\u2010Bonsaffoh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Ghana Medical School  Accra Ghana"},{"name":"Department of Obstetrics and Gynecology Korle\u2010Bu Teaching Hospital  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachidatou","family":"Compaor\u00e9","sequence":"additional","affiliation":[{"name":"Institut de Recherche en Sciences de la Sant\u00e9 (IRSS)  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Filippi","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Epidemiology London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30380-4"},{"key":"e_1_2_8_3_1","volume-title":"Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008","author":"\u00c5hman E","year":"2011"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31794-4"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.03.018"},{"key":"e_1_2_8_6_1","unstructured":"SinghS RemezL SedghG KowkL OndaT.Abortion Worldwide: Uneven Progress and Unequal Access. 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