{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T08:21:06Z","timestamp":1787473266258,"version":"build-2736575974"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Family Planning Australia"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Abortion has been decriminalised in New South Wales, Australia since 2019. Post-decriminalisation, non-government organisation Family Planning Australia commenced abortion services. This study used Normalisation Process Theory (NPT) to examine the implementation of abortion services at five clinic sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convergent mixed methods study was conducted with &gt;50% of staff and 43 clients during the implementation period. Quantitative data was described using descriptive statistics. Qualitative data were analysed deductively using NPT constructs, with data within each domain examined to identify patterns, similarities and differences across participants. Data were integrated and synthesised narratively to align with NPT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Abortion care was conceptualised by staff as an important service addition. More than a third of staff surveyed increased in that belief post-implementation, some staff also reported a diminished scope of practice. 92% of clients rated their care as very good or excellent. Staff reported challenges implementing the service, which occurred during the COVID-19 pandemic. Time and logistical constraints negatively impacted the implementation. Staff debriefing opportunities and client access to social workers had a positive influence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Key drivers of implementation were identified as shared staff values regarding abortion, and high client satisfaction. We make recommendations for new implementation or ongoing improvement of abortion services delivered in primary care contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261481606","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:15:02Z","timestamp":1787310902000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences and Lessons Learned Implementing Abortion Services at an Australian Sexual and Reproductive Health Service: A Mixed-Methods Study Using Normalisation Process Theory"],"prefix":"10.1177","volume":"17","author":[{"given":"Gianna M. L.","family":"Robbers","sequence":"first","affiliation":[{"name":"Family Planning Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yen Li","family":"Lim","sequence":"additional","affiliation":[{"name":"Family Planning Australia"},{"name":"South Eastern Sydney Local Health District"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Cheng","sequence":"additional","affiliation":[{"name":"University of Technology Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0371-2399","authenticated-orcid":false,"given":"Emmalee A.","family":"Ford","sequence":"additional","affiliation":[{"name":"Family Planning Australia"},{"name":"University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301204"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13716"},{"key":"e_1_3_9_4_2","volume-title":"Ending the postcode lottery: Addressing barriers to sexual, maternity and reproductive healthcare in Australia","author":"Community Affairs References Committee","year":"2023","unstructured":"Community Affairs References Committee. Ending the postcode lottery: Addressing barriers to sexual, maternity and reproductive healthcare in Australia. Canberra: Parliament of Australia; 2023."},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2023.2213899"},{"issue":"1","key":"e_1_3_9_6_2","first-page":"1","article-title":"Barriers around access to abortion experienced by rural women in New South Wales, Australia","volume":"16","author":"Doran FM","year":"2016","unstructured":"Doran FM, Hornibrook J. Barriers around access to abortion experienced by rural women in New South Wales, Australia. Rural and remote health. 2016;16(1):1-12.","journal-title":"Rural and remote health"},{"key":"e_1_3_9_7_2","unstructured":"Pratt A Biggs A Buckmaster L. How many abortions are there in Australia? A discussion of abortion statistics their limitations and options for improved statistical collection. In: Parliament of Australia; 2005; Canberra."},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51217"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2019-200487"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-017-0303-8"},{"key":"e_1_3_9_11_2","unstructured":"Aubusson K. Women turned away from public hospitals three years after abortion decriminalised in NSW. Sydney: The Sydney Morning Herald."},{"key":"e_1_3_9_12_2","unstructured":"Children by Choice. Australian Abortion Legislation. https:\/\/www.childrenbychoice.org.au\/organisational-information\/legislation\/. Accessed 23\/05\/2024."},{"key":"e_1_3_9_13_2","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-02-20-5223"},{"key":"e_1_3_9_14_2","unstructured":"New South Wales Government. Abortion Law Reform Act 2019 No 11. 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