{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:00:12Z","timestamp":1772132412719,"version":"3.50.1"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2011,11,17]],"date-time":"2011-11-17T00:00:00Z","timestamp":1321488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Biosoc. Sci."],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Around 25% of abortions in South Africa are performed in the second trimester. This study aimed to better understand what doctors, nurses and hospital managers involved in second trimester abortion care thought about these services and how they could be improved. Nineteen in-depth interviews with abortion-related service providers and managers in the Western Cape Province, South Africa, were undertaken. Data were analysed using a thematic analysis approach. Participants expressed resistance to the dilation and evacuation (D&amp;E) procedure, as this required more active provider involvement. Medical abortion was preferred as it required less provider involvement in the abortion process. A shortage of providers willing to perform D&amp;E resulted in most public sector services being outsourced to private sector doctors. Respondents noted an increased demand for services and a concomitant lack of infrastructure, physical space and personnel to respond to these demands, sometimes resulting in fragmented or poor quality care. At medical induction sites, most thought introducing the combined mifepristone\u2013misoprostol regimen would improve service capacity, although they were concerned about cost. Improving contraceptive services was also seen as a much-needed intervention to improve care and prevent abortion. Ongoing training, including values clarification, as well as emotional support and team-building for providers are needed to ensure sustainable, high-quality second trimester abortion services.<\/jats:p>","DOI":"10.1017\/s0021932011000678","type":"journal-article","created":{"date-parts":[[2011,11,17]],"date-time":"2011-11-17T16:19:24Z","timestamp":1321546764000},"page":"197-208","source":"Crossref","is-referenced-by-count":30,"title":["THE CHALLENGES OF OFFERING PUBLIC SECOND TRIMESTER ABORTION SERVICES IN SOUTH AFRICA: HEALTH CARE PROVIDERS' PERSPECTIVES"],"prefix":"10.1017","volume":"44","author":[{"given":"J.","family":"HARRIES","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"LINCE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"CONSTANT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"HARGEY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"GROSSMAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,11,17]]},"reference":[{"key":"S0021932011000678_ref25","volume-title":"Safe Abortion: Technical and Policy Guidance for Health Systems","year":"2004"},{"key":"S0021932011000678_ref24","doi-asserted-by":"publisher","DOI":"10.2307\/2648273"},{"key":"S0021932011000678_ref22","unstructured":"South African Department of Health (2005) Termination of Pregnancy Update Cumulative Statistics through 2004 . Department of Health, Pretoria."},{"key":"S0021932011000678_ref21","first-page":"1","article-title":"Centers for Disease Control and Prevention (CDC) Abortion surveillance \u2013 United States, 2006","volume":"58","author":"Pazol","year":"2009","journal-title":"MMWR Surveillance Summary"},{"key":"S0021932011000678_ref20","volume-title":"Accelerating the Pace of Progress in South Africa. An Evaluation of the Impact of Values Clarification Workshops on Termination of Pregnancy Access in Limpopo Province","author":"Mitchell","year":"2005"},{"key":"S0021932011000678_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00329-2"},{"key":"S0021932011000678_ref18","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000289577.32274.a5"},{"key":"S0021932011000678_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(79)90351-X"},{"key":"S0021932011000678_ref16","first-page":"250","article-title":"Dramatic decline in abortion related mortality due to the Choice on Termination of Pregnancy Act","volume":"95","author":"Jewkes","year":"2005","journal-title":"South African Medical Journal"},{"key":"S0021932011000678_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00697.x"},{"key":"S0021932011000678_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.05.018"},{"key":"S0021932011000678_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)31396-2"},{"key":"S0021932011000678_ref9","first-page":"719","article-title":"Clinicians who provide abortions: the thinning ranks","volume":"80","author":"Grimes","year":"1992","journal-title":"Obstetrics and Gynecology"},{"key":"S0021932011000678_ref7","unstructured":"Department of Health Statistical Bulletin England and Wales (2007) Department of Health Statistical Bulletin, Abortion Statistics . URL: http:\/\/www.dh.gov.uk\/prod_consum_dh\/groups\/dh_digitalassets\/documents\/digitalasset\/dh_116336.pdf (accessed 27th October 2011)."},{"key":"S0021932011000678_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)31390-1"},{"key":"S0021932011000678_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000116260.81570.60"},{"key":"S0021932011000678_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2003.09.006"},{"key":"S0021932011000678_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)31376-7"},{"key":"S0021932011000678_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-11-224"},{"key":"S0021932011000678_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)31389-5"},{"key":"S0021932011000678_ref4","volume-title":"Transforming Qualitative Information: Thematic Analysis and Code Development","author":"Boyatzis","year":"1998"},{"key":"S0021932011000678_ref5","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S0021932011000678_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000189095.32382.d0"},{"key":"S0021932011000678_ref14","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/15.4.424"},{"key":"S0021932011000678_ref11","article-title":"Delays in seeking an abortion in the second trimester: a qualitative study in South Africa","volume":"4","author":"Harries","year":"2007","journal-title":"BMC Reproductive Health"}],"container-title":["Journal of Biosocial Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0021932011000678","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T01:03:56Z","timestamp":1556240636000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0021932011000678\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,11,17]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["S0021932011000678"],"URL":"https:\/\/doi.org\/10.1017\/s0021932011000678","relation":{},"ISSN":["0021-9320","1469-7599"],"issn-type":[{"value":"0021-9320","type":"print"},{"value":"1469-7599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,11,17]]}}}