{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T16:06:36Z","timestamp":1779120396590,"version":"3.51.4"},"reference-count":60,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"unspecified","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000008","name":"David and Lucile Packard Foundation","doi-asserted-by":"publisher","award":["2021-72717"],"award-info":[{"award-number":["2021-72717"]}],"id":[{"id":"10.13039\/100000008","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2025,1,31]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>India was one of the first countries to codify the right to abortion care under specific conditions. Yet an estimated three-quarters of all abortions in India are self-managed medication abortion (SMA). We analysed individual experiences with SMA to inform programmes and policy in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From January to August 2022, we conducted in-depth interviews with people who had SMAs (N=43) between 2016 and 2021 and with individuals who supported someone in their family with SMA (N=11). We used community-based, facility-based and online recruitment to identify potential participants across six states in India. Interviews were conducted in English, Hindi or Tamil. Transcripts were analysed using thematic analysis. To facilitate usefulness for programme and policy-making, we mapped findings to four domains of the WHO\u2019s Enabling Environment framework for self-care: information; psychosocial support; health workforce and freedom from violence, stigma, coercion and discrimination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants described information gaps on recommended medication regimens, expectations of physical symptoms and identification of abortion completion or warning signs. Misinformation about physical symptoms or the safety of abortion medication was widespread. These issues caused emotional distress and uncertainty about care-seeking. Many SMA users received highly valued psychosocial support from friends or family. Participants had positive interactions with unlicensed local providers (LPs) or accredited social health activists along their entire abortion trajectory, while experiences with pharmacists or facility-based health workers, particularly at public facilities, were described negatively. Fear of being judged by their community left many feeling isolated and inhibited in care-seeking. Stigma towards unmarried women posed barriers to receiving medication. Some participants reported reproductive coercion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Abortion stigma in the health system, particularly within public facilities, must be addressed to create a more enabling self-care environment. Training community health workers to provide community-level comprehensive and accurate information about medication regimens, experiences and warning signs could improve abortion experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjgh-2023-014615","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T15:10:15Z","timestamp":1779117015000},"page":"e014615","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Ensuring an enabling environment for abortion self-care: individuals\u2019 experiences with self-managed abortion in India"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1274-1848","authenticated-orcid":false,"given":"Caila","family":"Brander","sequence":"first","affiliation":[{"name":"Ibis Reproductive Health, Cambridge, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"McKenna","sequence":"additional","affiliation":[{"name":"Ibis Reproductive Health, Oakland, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balasubramanian","family":"Palanisamy","sequence":"additional","affiliation":[{"name":"Rural Women\u2019s Social Education Centre, Kanchipuram, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2195-4319","authenticated-orcid":false,"given":"Anoop","family":"Jain","sequence":"additional","affiliation":[{"name":"Environmental Health, Boston University School of Public Health, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amita","family":"Dhanu","sequence":"additional","affiliation":[{"name":"Withheld"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usha","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Withheld"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0996-7408","authenticated-orcid":false,"given":"Laura","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Ibis Reproductive Health, Oakland, California, USA"},{"name":"OHSU-PSU School of Public Health, Portland, Oregon, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2144-265X","authenticated-orcid":false,"given":"Katherine","family":"Key","sequence":"additional","affiliation":[{"name":"Ibis Reproductive Health, Cambridge, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sruthi","family":"Chandrasekaran","sequence":"additional","affiliation":[{"name":"Ibis Reproductive Health, Cambridge, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0609-9892","authenticated-orcid":false,"given":"Ruvani T","family":"Jayaweera","sequence":"additional","affiliation":[{"name":"Ibis Reproductive Health, Oakland, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"2026051808100526000_11.5.e014615.1","unstructured":"Ministry of Health and Family Welfare, Government of India . The medical termination of pregnancy act, 1971. 1971. Available: https:\/\/main.mohfw.gov.in\/acts-rules-and-standards-health-sector\/acts\/mtp-act-1971 [Accessed 14 Aug 2023]."},{"key":"2026051808100526000_11.5.e014615.2","unstructured":"Ministry of Health and Family Welfare, Government of India . MTP regulations. 2023. Available: https:\/\/main.mohfw.gov.in\/acts-rules-and-standards-health-sector\/acts\/mtp-regulations [Accessed 14 Aug 2023]."},{"key":"2026051808100526000_11.5.e014615.3","doi-asserted-by":"crossref","first-page":"367","DOI":"10.4103\/ijcm.IJCM_468_20","article-title":"Medical Termination of Pregnancy (Amendment Bill, 2021): Is it Enough for Indian Women Regarding Comprehensive Abortion Care??","volume":"46","author":"Kumari","year":"2021","journal-title":"Indian J Community Med"},{"key":"2026051808100526000_11.5.e014615.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24017-4"},{"key":"2026051808100526000_11.5.e014615.5","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1111\/sifp.12140","article-title":"Induced Abortion Incidence and Safety in Rajasthan, India: Evidence that Expansion of Services is Needed","volume":"51","author":"Ahmad","year":"2020","journal-title":"Stud Fam Plann"},{"key":"2026051808100526000_11.5.e014615.6","doi-asserted-by":"crossref","first-page":"5473","DOI":"10.4103\/jfmpc.jfmpc_86_22","article-title":"Medical abortion in India - An imperative need for task sharing","volume":"11","author":"Arora","year":"2022","journal-title":"J Family Med Prim Care"},{"key":"2026051808100526000_11.5.e014615.7","doi-asserted-by":"crossref","DOI":"10.1080\/26410397.2021.1966218","article-title":"Running an obstacle-course: a qualitative study of women\u2019s experiences with abortion-seeking in Tamil Nadu, India","volume":"29","author":"Sunil","year":"2021","journal-title":"Sex Reprod Health Matters"},{"key":"2026051808100526000_11.5.e014615.8","doi-asserted-by":"crossref","first-page":"e111","DOI":"10.1016\/S2214-109X(17)30453-9","article-title":"The incidence of abortion and unintended pregnancy in India, 2015","volume":"6","author":"Singh","year":"2018","journal-title":"Lancet Glob Health"},{"key":"2026051808100526000_11.5.e014615.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01787.x"},{"key":"2026051808100526000_11.5.e014615.10","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.contraception.2017.06.006","article-title":"Community-based distribution of misoprostol for early abortion: evaluation of a program along the Thailand-Burma border","volume":"96","author":"Foster","year":"2017","journal-title":"Contraception"},{"key":"2026051808100526000_11.5.e014615.11","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.contraception.2022.01.005","article-title":"Community-based distribution of misoprostol for early abortion: Outcomes from a program in Sindh, Pakistan","volume":"109","author":"Foster","year":"2022","journal-title":"Contraception"},{"key":"2026051808100526000_11.5.e014615.12","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.contraception.2017.05.019","article-title":"Putting abortion pills into women\u2019s hands: realizing the full potential of medical abortion","volume":"97","author":"Jelinska","year":"2018","journal-title":"Contraception"},{"key":"2026051808100526000_11.5.e014615.13","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/09688080.2018.1511769","article-title":"Understandings of self-managed abortion as health inequity, harm reduction and social change","volume":"26","author":"Erdman","year":"2018","journal-title":"Reprod Health Matters"},{"key":"2026051808100526000_11.5.e014615.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-019-4318-4","article-title":"Knowledge, provision of information and barriers to high quality medication abortion provision by pharmacists in Uttar Pradesh, India","volume":"19","author":"Diamond-Smith","year":"2019","journal-title":"BMC Health Serv Res"},{"key":"2026051808100526000_11.5.e014615.15","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0120637","article-title":"Delivering medical abortion at scale: a study of the retail market for medical abortion in Madhya Pradesh, India","volume":"10","author":"Powell-Jackson","year":"2015","journal-title":"PLoS One"},{"key":"2026051808100526000_11.5.e014615.16","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1363\/46e1420","article-title":"Abortion Self-Care: A Forward-Looking Solution To Inequitable Access","volume":"46","author":"V\u00e1zquez-Quesada","year":"2020","journal-title":"Int Perspect Sex Reprod Health"},{"key":"2026051808100526000_11.5.e014615.17","doi-asserted-by":"crossref","first-page":"e105","DOI":"10.1016\/S2214-109X(21)00461-7","article-title":"Effectiveness of self-managed medication abortion with accompaniment support in Argentina and Nigeria (SAFE): a prospective, observational cohort study and non-inferiority analysis with historical controls","volume":"10","author":"Moseson","year":"2022","journal-title":"Lancet Glob Health"},{"key":"2026051808100526000_11.5.e014615.18","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-034670","article-title":"Women\u2019s self-reported experiences using misoprostol obtained from drug sellers: a prospective cohort study in Lagos State, Nigeria","volume":"10","author":"Stillman","year":"2020","journal-title":"BMJ Open"},{"key":"2026051808100526000_11.5.e014615.19","unstructured":"World Health Organization . Self-care interventions for health. 2022. Available: https:\/\/www.who.int\/teams\/sexual-and-reproductive-health-and-research-(srh)\/areas-of-work\/self-care-interventions\/conceptual-framework [Accessed 08 Mar 2023]."},{"key":"2026051808100526000_11.5.e014615.20","unstructured":"World Health Organization . Abortion care guideline. 2022. Available: https:\/\/www.who.int\/publications-detail-redirect\/9789240039483 [Accessed 27 Jun 2023]."},{"key":"2026051808100526000_11.5.e014615.21","unstructured":"Boler T , Marston C , Corby N , et al . Medical abortion in India: a model for the rest of the world? London Marie Stopes International; 2009. Available: https:\/\/www.msichoices.org\/media\/2131\/medical-abortion-in-india.pdf [accessed 27 Jun 2023]"},{"key":"2026051808100526000_11.5.e014615.22","doi-asserted-by":"crossref","DOI":"10.1016\/j.xagr.2021.100025","article-title":"Differential treatment in the provision of medication abortion at pharmacies in Uttar Pradesh, India","volume":"1","author":"Percher","year":"2021","journal-title":"AJOG Glob Rep"},{"key":"2026051808100526000_11.5.e014615.23","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0216738","article-title":"Pathways to seeking medication abortion care: A qualitative research in Uttar Pradesh, India","volume":"14","author":"Srivastava","year":"2019","journal-title":"PLoS One"},{"key":"2026051808100526000_11.5.e014615.24","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-12-175","article-title":"Woman-centered research on access to safe abortion services and implications for behavioral change communication interventions: a cross-sectional study of women in Bihar and Jharkhand, India","volume":"12","author":"Banerjee","year":"2012","journal-title":"BMC Public Health"},{"key":"2026051808100526000_11.5.e014615.25","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26215-8"},{"key":"2026051808100526000_11.5.e014615.26","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1017\/S0021932019000701","article-title":"Abortion among married young women: findings from a community-based study in Rajasthan and Uttar Pradesh, India","volume":"52","author":"Zavier","year":"2020","journal-title":"J Biosoc Sci"},{"key":"2026051808100526000_11.5.e014615.27","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1363\/3606210","article-title":"Abortion experiences of unmarried young women in India: evidence from a facility-based study in Bihar and Jharkhand","volume":"36","author":"Kalyanwala","year":"2010","journal-title":"Int Perspect Sex Reprod Health"},{"key":"2026051808100526000_11.5.e014615.28","doi-asserted-by":"crossref","first-page":"539","DOI":"10.4103\/mjdrdypu.mjdrdypu_969_22","article-title":"Use of Abortion Pills as a Family Planning Method among Women Living in Urban Slum of North India \u2013 A Mixed-Method Study","volume":"17","author":"Rani","year":"2024","journal-title":"Medical Journal of Dr DY Patil Vidyapeeth"},{"key":"2026051808100526000_11.5.e014615.29","doi-asserted-by":"crossref","DOI":"10.1177\/23992026211027698","article-title":"\u201cIt\u2019s a walk of shame\u201d: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India","volume":"5","author":"Bowling","year":"2021","journal-title":"Med Access Point Care"},{"key":"2026051808100526000_11.5.e014615.30","unstructured":"International Institute for Population Sciences (IIPS) and ICF . National family health survey (NFHS-5), 2019-21 India report I. Ministry of Health and Family Welfare; 2022. Available: https:\/\/dhsprogram.com\/pubs\/pdf\/FR375\/FR375.pdf [accessed 26 Feb 2024]"},{"key":"2026051808100526000_11.5.e014615.31","unstructured":"National Institution for Transforming India . Incremental performance (health index). Health Performance: NITI Aayog, National Institution for Transforming India, Government of India; 2024. Available: https:\/\/social.niti.gov.in\/hlt-ranking [Accessed 14 Feb 2024]."},{"key":"2026051808100526000_11.5.e014615.32","unstructured":"Balasubramanian P . Sexual and reproductive health of dalit women in Tamil Nadu: a short summary report. Chengalpattu District, Tamil Nadu RUWSEC and Common Health; 2022."},{"key":"2026051808100526000_11.5.e014615.33","doi-asserted-by":"crossref","first-page":"S33","DOI":"10.1016\/j.ijgo.2012.05.008","article-title":"Medical abortion: Understanding perspectives of rural and marginalized women from rural South India","volume":"118","author":"Sri","year":"2012","journal-title":"Intl J Gynecology & Obste"},{"key":"2026051808100526000_11.5.e014615.34","unstructured":"Chandrasekaran S , Jayaweera R , Atienzo EE , et al . Evidence on self-managed abortion in India: Overview of findings, identification of gaps, and recommendations for future research, 2021. Available: https:\/\/abortioncompendium.in\/index.php\/document\/58 [Accessed 24 May 2023]."},{"key":"2026051808100526000_11.5.e014615.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.01.035"},{"key":"2026051808100526000_11.5.e014615.36","doi-asserted-by":"crossref","first-page":"100","DOI":"10.5430\/jnep.v6n5p100","article-title":"Theme development in qualitative content analysis and thematic analysis","volume":"6","author":"Vaismoradi","year":"2016","journal-title":"JNEP"},{"key":"2026051808100526000_11.5.e014615.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.02.009"},{"key":"2026051808100526000_11.5.e014615.38","unstructured":"Cockrill K , Herold S , Upadhyay U , et al . Addressing abortion stigma through service delivery: a white paper. Sea Change Program; 2013. Available: https:\/\/www.ibisreproductivehealth.org\/sites\/default\/files\/files\/publications\/Addressing%20abortion%20stigma%20through%20service%20delivery.pdf [Accessed 23 Oct 2024]."},{"key":"2026051808100526000_11.5.e014615.39","doi-asserted-by":"crossref","unstructured":"Herek G . Sexual stigma and sexual prejudice in the United States: a conceptual framework. In: Contemporary Perspectives on Lesbian, Gay, and Bisexual Identities. SpringerLink, 2009: 65\u2013111. Available: https:\/\/link.springer.com\/chapter\/10.1007\/978-0-387-09556-1_4","DOI":"10.1007\/978-0-387-09556-1_4"},{"key":"2026051808100526000_11.5.e014615.40","doi-asserted-by":"crossref","unstructured":"Nandagiri R . I feel like some kind of namoona\u2019: examining sterilisation in women\u2019s abortion trajectories in India. In: Boydell V , Dow K , eds. Technologies of Reproduction Across the Lifecourse. Emerald Group Publishing Ltd, 2022: 29\u201347.","DOI":"10.1108\/978-1-80071-733-620221005"},{"key":"2026051808100526000_11.5.e014615.41","unstructured":"Ministry of Health and Family Welfare, Government of India . Comprehensive abortion care training and service delivery guidelines, third edition. 2023. Available: https:\/\/nhm.gov.in\/images\/pdf\/programmes\/maternal-health\/guidelines\/CAC_Training_&_Service_Guidelines_2023.pdf [Accessed 20 Nov 2023]."},{"key":"2026051808100526000_11.5.e014615.42","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1093\/heapol\/czab065","article-title":"Abortion quality of care from the client perspective: a qualitative study in India and Kenya","volume":"36","author":"Baum","year":"2021","journal-title":"Health Policy Plan"},{"key":"2026051808100526000_11.5.e014615.43","doi-asserted-by":"crossref","first-page":"100582","DOI":"10.1016\/j.srhc.2020.100582","article-title":"Women\u2019s experiences with information before medication abortion at home, support during the process and follow-up procedures - A qualitative study","volume":"27","author":"Aamlid","year":"2021","journal-title":"Sex Reprod Healthc"},{"key":"2026051808100526000_11.5.e014615.44","doi-asserted-by":"publisher","DOI":"10.1363\/3914213"},{"key":"2026051808100526000_11.5.e014615.45","doi-asserted-by":"crossref","first-page":"221","DOI":"10.18203\/2320-1770.ijrcog20215108","article-title":"Abortion care-seeking and reproductive rights violation in health facilities: evidence from six states of India","volume":"11","author":"Pradhan","year":"2022","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2026051808100526000_11.5.e014615.46","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)23133-0"},{"key":"2026051808100526000_11.5.e014615.47","doi-asserted-by":"crossref","DOI":"10.1016\/j.ssmph.2019.100484","article-title":"Reproductive coercion in Uttar Pradesh, India: Prevalence and associations with partner violence and reproductive health","volume":"9","author":"Silverman","year":"2019","journal-title":"SSM Popul Health"},{"key":"2026051808100526000_11.5.e014615.48","doi-asserted-by":"publisher","DOI":"10.1363\/3813312"},{"key":"2026051808100526000_11.5.e014615.49","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1089\/jwh.2016.6144","article-title":"Building Bridges: A Case for Community Health Worker Provision of Misoprostol-Only Abortion in the First Trimester","volume":"27","author":"Tebbets","year":"2018","journal-title":"J Womens Health (Larchmt)"},{"key":"2026051808100526000_11.5.e014615.50","unstructured":"Stillman M , Frost JJ , Singh S , et al . Abortion in india: a literature review. Guttmacher Institute; 2014. Available: https:\/\/www.guttmacher.org\/sites\/default\/files\/pdfs\/pubs\/Abortion-India-Lit-Review.pdf [Accessed 27 Jun 2023]."},{"key":"2026051808100526000_11.5.e014615.51","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/1467-9566.13198","article-title":"Risk, trust and patients\u2019 strategic choices of healthcare practitioners","volume":"43","author":"Chauhan","year":"2021","journal-title":"Sociol Health Illn"},{"key":"2026051808100526000_11.5.e014615.52","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112525"},{"key":"2026051808100526000_11.5.e014615.53","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1016\/S2214-109X(17)30002-5","article-title":"Adapting global health aid in the face of climate change","volume":"5","author":"Gupta","year":"2017","journal-title":"Lancet Glob Health"},{"key":"2026051808100526000_11.5.e014615.54","doi-asserted-by":"crossref","DOI":"10.1126\/science.aaf7384","article-title":"The impact of training informal health care providers in India: A randomized controlled trial","volume":"354","author":"Das","year":"2016","journal-title":"Science"},{"key":"2026051808100526000_11.5.e014615.55","doi-asserted-by":"crossref","DOI":"10.1186\/s12978-024-01774-5","article-title":"Landscape assessment of the availability of medical abortion medicines in India","volume":"20","author":"Karna","year":"2024","journal-title":"Reprod Health"},{"key":"2026051808100526000_11.5.e014615.56","unstructured":"Chandrashekar V , Choudhuri D , Vajpeyi A . Availability of medical abortion drugs in the markets of six Indian states. FRHS India; 2020. Available: https:\/\/pratigyacampaign.org\/wp-content\/uploads\/2020\/09\/availability-of-medical-abortion-drugs-frhs-india-report-state-factsheets-tamil-nadu-web-version.pdf [Accessed 07 Nov 2024]."},{"key":"2026051808100526000_11.5.e014615.57","unstructured":"Ipas Development Foundation . Generating evidence for rebuilding SRH services for women and girls in India. 2021. Available: https:\/\/www.ipasdevelopmentfoundation.org\/wp-content\/uploads\/2021\/10\/GAC-Study-SRH-Services-Quantitative.pdf [Accessed 07 Nov 2024]."},{"key":"2026051808100526000_11.5.e014615.58","doi-asserted-by":"crossref","DOI":"10.1186\/s12960-015-0094-3","article-title":"Community health workers in rural India: analysing the opportunities and challenges Accredited Social Health Activists (ASHAs) face in realising their multiple roles","volume":"13","author":"Saprii","year":"2015","journal-title":"Hum Resour Health"},{"key":"2026051808100526000_11.5.e014615.59","first-page":"S40","article-title":"Knowledge, attitudes, and practices of certified providers of medical abortion: evidence from Bihar and Maharashtra, India","volume":"118 Suppl 1","author":"Acharya","year":"2012","journal-title":"Int J Gynaecol Obstet"},{"key":"2026051808100526000_11.5.e014615.60","first-page":"80","article-title":"Availability, Utilization, and Health Providers\u2019 Attitudes Towards Safe Abortion Services in Public Health Facilities of a District in West Bengal, India","volume":"1","author":"Pyne","year":"2020","journal-title":"Womens Health Rep (New Rochelle)"}],"container-title":["BMJ Global Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjgh-2023-014615","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T15:10:25Z","timestamp":1779117025000},"score":1,"resource":{"primary":{"URL":"https:\/\/gh.bmj.com\/lookup\/doi\/10.1136\/bmjgh-2023-014615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":60,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,18]]},"published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1136\/bmjgh-2023-014615"],"URL":"https:\/\/doi.org\/10.1136\/bmjgh-2023-014615","relation":{},"ISSN":["2059-7908"],"issn-type":[{"value":"2059-7908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}