{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T04:21:21Z","timestamp":1779164481461,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:00:00Z","timestamp":1343260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To understand how rural and other groups of marginalized women define safe abortion; their perspectives and concerns regarding medical abortion (MA); and what factors affect their access to safe abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Focus group discussions were held with various groups of rural and marginalized women in Tamil Nadu to understand their perspectives and concerns on abortion, especially MA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nearly a decade after mifepristone was approved for abortion in India, most study participants had never heard of MA. When they learned of the method, most preferred it over other methods of abortion. The women also had questions and concerns about the method and recommendations on how services should be provided. Their definition of a \u201csafe abortion\u201d included criteria beyond medical safety. They placed a high priority on \u201csocial safety,\u201d including confidentiality and privacy. In their view, factors affecting access to safe abortion and choice of provider included cost, assurance of secrecy, promptness of service provision, and absence of provider gatekeeping and provider\u2010imposed conditions for receiving services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women's preference for MA shows the potential of this technology to address the problem of unsafe abortion in India. Women need better access to information and services to realize this potential, however. Women's preferences regarding information dissemination and service provision need to be taken into account if policies and programs are to be truly responsive to the needs of marginalized women.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.05.008","type":"journal-article","created":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T07:13:46Z","timestamp":1343286826000},"source":"Crossref","is-referenced-by-count":16,"title":["Medical abortion: Understanding perspectives of rural and marginalized women from rural South India"],"prefix":"10.1002","volume":"118","author":[{"given":"B. Subha","family":"Sri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.K. Sundari","family":"Ravindran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,7,26]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"World Health Organization.Unsafe abortion: Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008 6th ed.http:\/\/www.who.int\/reproductivehealth\/publications\/unsafe_abortion\/9789241501118\/en\/. Accessed March 21 2012"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26199-2"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/17441690802551340"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24010-1"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24017-4"},{"key":"e_1_2_6_7_2","unstructured":"DuggalR. RamachandranV..Abortion Assessment Project India: Summary and Key Findings Centre for Enquiry Into Health and Allied Themes Web site.http:\/\/www.cehat.org\/go\/uploads\/Abortion\/Jharkhand.pdf.2004 Accessed April 11 2012"},{"key":"e_1_2_6_8_2","unstructured":"VisariaL. RamachandranV. GanatraB. KalyanwalaS..Abortion Assessment Project India: Abortion in India: emerging issues from the qualitative studies Centre for Enquiry Into Health and Allied Themes Web site.http:\/\/www.cehat.org\/go\/uploads\/AapIndia\/summary.pdf.2004 Accessed April 11 2012"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(97)90008-2"},{"key":"e_1_2_6_10_2","unstructured":"Addressing the needs of HIV positive women for safe abortion care International Community of Women living with HIV\/AIDS Web site.http:\/\/www.icw.org\/node\/338.2008 Accessed March 21 2012"},{"key":"e_1_2_6_11_2","unstructured":"Anandhi S. Women work and abortion. Economic and Political Weekly (India) 2007;42:12."},{"key":"e_1_2_6_12_2","volume-title":"Sexual Violence Within Marriage","author":"Khan M.E.","year":"1996"},{"key":"e_1_2_6_13_2","unstructured":"Jejeebhoy SJ. Wife\u2010beating in rural India: a husband's right? Economic and Political Weekly (India) 1998;23:588\u2013862."},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00309-8"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26215-8"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26195-5"},{"key":"e_1_2_6_17_2","unstructured":"World Bank.Promoting women's agency World Development Report.2012 Chapter 4. World Bank Web site.http:\/\/siteresources.worldbank.org\/INTWDR2012\/Resources\/7778105\u20101299699968583\/7786210\u20101315936222006\/chapter\u20104.pdf. 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