{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:13:39Z","timestamp":1790745219591,"version":"4.1.0"},"reference-count":58,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T00:00:00Z","timestamp":1595462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"DOI":"10.1371\/journal.pone.0235329","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T13:45:34Z","timestamp":1595511934000},"page":"e0235329","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":34,"title":["What has women\u2019s reproductive health decision-making capacity and other factors got to do with pregnancy termination in sub-Saharan Africa? evidence from 27 cross-sectional surveys"],"prefix":"10.1371","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9734-9054","authenticated-orcid":true,"given":"Abdul-Aziz","family":"Seidu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bright Opoku","family":"Ahinkorah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-237X","authenticated-orcid":true,"given":"Edward Kwabena","family":"Ameyaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0218-3843","authenticated-orcid":true,"given":"Amu","family":"Hubert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wonder","family":"Agbemavi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8694-6125","authenticated-orcid":true,"given":"Ebenezer Kwesi","family":"Armah-Ansah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene","family":"Budu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4245-7028","authenticated-orcid":true,"given":"Francis","family":"Sambah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian","family":"Tackie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2020,7,23]]},"reference":[{"key":"pone.0235329.ref001","volume-title":"Transforming our world: The 2030 Agenda","author":"United Nations","year":"2015"},{"issue":"1","key":"pone.0235329.ref002","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1590\/1806-93042018000100006","article-title":"Spontaneous and induced abortion trends and determinants in the Northeast semiarid region of Brazil: a transversal series","volume":"18","author":"LL Correia","year":"2018","journal-title":"Revista Brasileira de Sa\u00fade Materno Infantil"},{"key":"pone.0235329.ref003","unstructured":"WHO. Reproductive health. 2011. Retrieved from https:\/\/www.who.int\/westernpacific\/health-topics\/reproductive-health"},{"issue":"9","key":"pone.0235329.ref004","doi-asserted-by":"crossref","first-page":"644","DOI":"10.2471\/BLT.18.211607","article-title":"Gender, health and the 2030 agenda for sustainable development","volume":"96","author":"M Manandhar","year":"2018","journal-title":"Bulletin of the World Health Organization"},{"issue":"1","key":"pone.0235329.ref005","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1186\/s12884-018-2011-y","article-title":"Prevalence and factors associated with abortion and unsafe abortion in Nepal: a nationwide cross-sectional study","volume":"18","author":"A Yogi","year":"2018","journal-title":"BMC pregnancy and childbirth"},{"key":"pone.0235329.ref006","unstructured":"World Health Organization (WHO). Maternal Mortality. 2015. http:\/\/www.who.int\/mediacentre\/factsheets\/fs348\/en\/. Accessed 15 Nov 2016"},{"issue":"9550","key":"pone.0235329.ref007","doi-asserted-by":"crossref","first-page":"1908","DOI":"10.1016\/S0140-6736(06)69481-6","article-title":"Unsafe abortion: the preventable pandemic","volume":"368","author":"DA Grimes","year":"2006","journal-title":"The lancet"},{"issue":"1","key":"pone.0235329.ref008","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s12889-015-1502-2","article-title":"Health care providers\u2019 perceptions of and attitudes towards induced abortions in sub-Saharan Africa and Southeast Asia: a systematic literature review of qualitative and quantitative data.","volume":"15","author":"UR Loi","year":"2015","journal-title":"BMC public health"},{"issue":"10110","key":"pone.0235329.ref009","doi-asserted-by":"crossref","first-page":"2372","DOI":"10.1016\/S0140-6736(17)31794-4","article-title":"Global, regional, and subregional classification of abortions by safety, 2010\u201314: estimates from a Bayesian hierarchical model","volume":"2017390","author":"B Ganatra","journal-title":"The Lancet"},{"issue":"1","key":"pone.0235329.ref010","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1186\/s13643-018-0775-9","article-title":"Unsafe abortion and associated factors among reproductive aged women in Sub-Saharan Africa: a protocol for a systematic review and meta-analysis","volume":"7","author":"M Gebremedhin","year":"2018","journal-title":"Systematic reviews"},{"issue":"2","key":"pone.0235329.ref011","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/GRF.0b013e3181a2b756","article-title":"Complications of surgical abortion","volume":"52","author":"J Diedrich","year":"2009","journal-title":"Clinical obstetrics and gynecology"},{"key":"pone.0235329.ref012","unstructured":"Guttmacher Institute, \u201cAbortion in Africa: 2016 Fact sheet\u201d. Retrieved from Guttmacher institute website: https:\/\/www.guttmacher.org. 2016"},{"issue":"3","key":"pone.0235329.ref013","doi-asserted-by":"crossref","first-page":"22","DOI":"10.29063\/ajrh2016\/v20i3.3","article-title":"The imperative to expand provision, access and use of misoprostol for post-abortion care in sub-","volume":"20","author":"A Kulczycki","year":"2016","journal-title":"Saharan Africa. African journal of reproductive health"},{"key":"pone.0235329.ref014","first-page":"809","article-title":"Factors associated with induced abortion at selected hospitals in the Volta Region","volume":"6","author":"EE Klutsey","year":"2014","journal-title":"Ghana. International journal of women's health"},{"issue":"3","key":"pone.0235329.ref015","first-page":"17","article-title":"Abortion care in Ghana: a critical review of the literature","volume":"18","author":"SD Rominski","year":"2014","journal-title":"African journal of reproductive health"},{"issue":"9941","key":"pone.0235329.ref016","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1016\/S0140-6736(14)61190-9","article-title":"Sexual and reproductive health and rights: a global development, health, and human rights priority","volume":"384","author":"M Temmerman","year":"2014","journal-title":"The Lancet"},{"issue":"1","key":"pone.0235329.ref017","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1742-4755-7-15","article-title":"Women's autonomy in household decision-making: a demographic study in Nepal","volume":"7","author":"DR Acharya","year":"2010","journal-title":"Reproductive health"},{"issue":"1","key":"pone.0235329.ref018","doi-asserted-by":"crossref","first-page":"e0209985","DOI":"10.1371\/journal.pone.0209985","article-title":"Women\u2019s reproductive health decision-making: A multi-country analysis of demographic and health surveys in sub-Saharan Africa","volume":"14","author":"EK Darteh","year":"2019","journal-title":"PloS one"},{"key":"pone.0235329.ref019","unstructured":"United Nations General Assembly Economic and Social Council. 2016. Retrieved from https:\/\/www.un.org\/ecosoc\/en\/content\/2016"},{"issue":"1","key":"pone.0235329.ref020","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s13690-018-0253-9","article-title":"Women decision-making capacity and intimate partner violence among women in sub-Saharan Africa","volume":"76","author":"BO Ahinkorah","year":"2018","journal-title":"Archives of Public Health"},{"key":"pone.0235329.ref021","first-page":"1","article-title":"Reproductive health decision-making capacity and pregnancy termination among Ghanaian women: Analysis of the 2014 Ghana demographic and health survey","volume":"2019","author":"AA Seidu","journal-title":"Journal of Public Health"},{"issue":"1","key":"pone.0235329.ref022","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/1742-4755-11-23","article-title":"Reproductive health decision making among Ghanaian women","volume":"11","author":"EK Darteh","year":"2014","journal-title":"Reproductive health"},{"issue":"8","key":"pone.0235329.ref023","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0220970","article-title":"Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys","volume":"14","author":"EK Ameyaw","year":"2019","journal-title":"PloS one"},{"issue":"3","key":"pone.0235329.ref024","doi-asserted-by":"crossref","DOI":"10.4314\/ejhd.v20i3.46824","article-title":"Influence of women's autonomy on couple's contraception use in Jimma town, Ethiopia","volume":"20","author":"A Haile","year":"2006","journal-title":"Ethiopian journal of health development"},{"issue":"2","key":"pone.0235329.ref025","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1080\/09540121.2017.1363363","article-title":"Women\u2019s household decision-making autonomy and safer sex negotiation in Nigeria: an analysis of the Nigeria demographic and health survey","volume":"30","author":"Y Sano","year":"2018","journal-title":"AIDS care"},{"issue":"2","key":"pone.0235329.ref026","doi-asserted-by":"crossref","first-page":"329","DOI":"10.3390\/ijerph15020329","article-title":"Factors influencing abortion decision-making processes among young women","volume":"15","author":"M Frederico","year":"2018","journal-title":"International journal of environmental research and public health"},{"key":"pone.0235329.ref027","doi-asserted-by":"crossref","first-page":"45","DOI":"10.2147\/OAJC.S164736","article-title":"Abortion history and its association with current use of modern contraceptive methods in Luanda","volume":"9","author":"N Morris","year":"2018","journal-title":"Angola. Open access journal of contraception"},{"issue":"3","key":"pone.0235329.ref028","doi-asserted-by":"crossref","first-page":"66","DOI":"10.11648\/j.sjph.20190703.11","article-title":"Prevalence and Associated Factors of Induced Abortion Among Women of Reproductive Age Group in Gondar Town, Northwest Ethiopia","volume":"7","author":"M Oumer","year":"2019","journal-title":"Science Journal of Public Health"},{"key":"pone.0235329.ref029","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1363\/3802312","article-title":"Women's empowerment and choice of contraceptive methods in selected African countries","volume":"1","author":"M Do","year":"2012","journal-title":"International perspectives on sexual and reproductive health"},{"issue":"3","key":"pone.0235329.ref030","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1186\/1472-698X-11-S3-S8","article-title":"Operationalising sexual and reproductive health and rights in sub-Saharan Africa: constraints, dilemmas and strategies","volume":"11","author":"RN Oronje","year":"2011","journal-title":"BMC international health and human rights"},{"key":"pone.0235329.ref031","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1363\/3807812","article-title":"Women's empowerment and ideal family size: an examination of DHS empowerment measures in Sub-Saharan Africa","volume":"1","author":"UD Upadhyay","year":"2012","journal-title":"International perspectives on sexual and reproductive health."},{"issue":"4","key":"pone.0235329.ref032","doi-asserted-by":"crossref","DOI":"10.4314\/ijhr.v1i4.55378","article-title":"Pregnancy termination in sub-Saharan Africa: the need for refined data","volume":"1","author":"L Ibisomi","year":"2008","journal-title":"International Journal of Health Research"},{"issue":"6","key":"pone.0235329.ref033","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1093\/ije\/dys184","article-title":"Demographic and health surveys: a profile","volume":"41","author":"DJ Corsi","year":"2012","journal-title":"International journal of epidemiology"},{"issue":"1","key":"pone.0235329.ref034","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s13690-018-0286-0","article-title":"Socio\u2013economic determinants of abortion among women in Mozambique and Ghana: evidence from demographic and health survey","volume":"76","author":"KS Dickson","year":"2018","journal-title":"Archives of Public Health"},{"issue":"1","key":"pone.0235329.ref035","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1186\/s12889-015-1572-1","article-title":"Predictors of abortions in rural Ghana: a cross-sectional study","volume":"15","author":"G Adjei","year":"2015","journal-title":"BMC public health"},{"issue":"2","key":"pone.0235329.ref036","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1186\/s12884-017-1490-6","article-title":"Women\u2019s empowerment related to pregnancy and childbirth: introduction to special issue","volume":"17","author":"N Prata","year":"2017","journal-title":"BMC pregnancy and childbirth"},{"issue":"1","key":"pone.0235329.ref037","article-title":"Human rights versus legal control over women\u2019s reproductive self-deter-mination","volume":"15","author":"D Uberoi","year":"2013","journal-title":"Health and human rights"},{"issue":"3","key":"pone.0235329.ref038","doi-asserted-by":"crossref","first-page":"e0172976","DOI":"10.1371\/journal.pone.0172976","article-title":"Characteristics of women obtaining induced abortions in selected low-and middle-income countries","volume":"12","author":"S. Chae","year":"2017","journal-title":"PloS one"},{"key":"pone.0235329.ref039","unstructured":"United Nations. Trends in Contraceptive Use Worldwide 2015 (ST\/ESA\/SER.A\/349)"},{"key":"pone.0235329.ref040","unstructured":"World population review. Countries Where Abortion Is Illegal 2019. http:\/\/worldpopulationreview.com\/countries\/countries-where-abortion-is-illegal\/"},{"issue":"2","key":"pone.0235329.ref041","doi-asserted-by":"crossref","first-page":"e000707","DOI":"10.1136\/bmjgh-2018-000707","article-title":"Prevalence and determinants of terminated and unintended pregnancies among married women: analysis of pooled cross-sectional surveys in Nigeria","volume":"3","author":"S Yaya","year":"2018","journal-title":"BMJ global health"},{"key":"pone.0235329.ref042","doi-asserted-by":"crossref","first-page":"33","DOI":"10.2174\/1874434600903010033","article-title":"A review of pregnancy in women over 35 years of age","volume":"3","author":"R Lampinen","year":"2009","journal-title":"The open nursing journal"},{"issue":"11","key":"pone.0235329.ref043","doi-asserted-by":"crossref","first-page":"2433","DOI":"10.1093\/humrep\/15.11.2433","article-title":"The risks associated with pregnancy in women aged 35 years or older","volume":"15","author":"M Jolly","year":"2000","journal-title":"Human reproduction"},{"issue":"3","key":"pone.0235329.ref044","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/AOG.0000000000002504","article-title":"Risk of adverse pregnancy outcomes at advanced maternal age","volume":"131","author":"LE Frederiksen","year":"2018","journal-title":"Obstetrics & Gynecology."},{"issue":"6","key":"pone.0235329.ref045","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/GCO.0000000000000494","article-title":"Pregnancy outcome in mothers over the age of 35.","volume":"30","author":"AE Heazell","year":"2018","journal-title":"Current Opinion in Obstetrics and Gynecology"},{"issue":"10","key":"pone.0235329.ref046","doi-asserted-by":"crossref","first-page":"e0186287","DOI":"10.1371\/journal.pone.0186287","article-title":"Advanced maternal age and adverse pregnancy outcomes: A systematic review and meta-analysis","volume":"12","author":"SC Lean","year":"2017","journal-title":"PloS one"},{"issue":"1","key":"pone.0235329.ref047","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1186\/s12884-019-2239-1","article-title":"Evaluation of risk factors\u2019 importance on adverse pregnancy and neonatal outcomes in women aged 40 years or older","volume":"19","author":"G Sydsj\u00f6","year":"2019","journal-title":"BMC pregnancy and childbirth"},{"issue":"6","key":"pone.0235329.ref048","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1080\/07399330701334356","article-title":"First mothering over 35 years: questioning the association of maternal age and pregnancy risk","volume":"28","author":"M Carolan","year":"2007","journal-title":"Health Care for Women International"},{"issue":"4","key":"pone.0235329.ref049","article-title":"Factors associated with induced abortion among women in Hohoe, Ghana","volume":"14","author":"CV Mote","year":"2010","journal-title":"African journal of reproductive health"},{"issue":"3","key":"pone.0235329.ref050","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1080\/00324728.2015.1083608","article-title":"The association between education and induced abortion for three cohorts of adults in Finland","volume":"69","author":"H V\u00e4is\u00e4nen","year":"2015","journal-title":"Population studies"},{"issue":"4","key":"pone.0235329.ref051","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1093\/heapol\/czp061","article-title":"Exploring the determinants of unsafe abortion: improving the evidence base in Mexico","volume":"25","author":"A Sousa","year":"2009","journal-title":"Health Policy and Planning"},{"key":"pone.0235329.ref052","doi-asserted-by":"crossref","DOI":"10.1155\/2019\/9253650","article-title":"Predictors of Unsafe Induced Abortion among Women in Ghana","volume":"2019","author":"M Boah","year":"2019","journal-title":"Journal of pregnancy"},{"issue":"3","key":"pone.0235329.ref053","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1363\/4011914","article-title":"Pregnancy termination in Matlab, Bangladesh: trends and correlates of use of safer and less-safe methods","volume":"40","author":"J DaVanzo","year":"2014","journal-title":"International perspectives on sexual and reproductive health"},{"issue":"1","key":"pone.0235329.ref054","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12905-015-0175-4","article-title":"Marital status and abortion among young women in Rupandehi, Nepal","volume":"15","author":"KL Andersen","year":"2015","journal-title":"BMC women's health"},{"issue":"3","key":"pone.0235329.ref055","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/20786190.2017.1396790","article-title":"Factors associated with unintended pregnancy among women attending a public health facility in KwaZulu-Natal, South Africa","volume":"60","author":"F Haffejee","year":"2018","journal-title":"South African Family Practice"},{"key":"pone.0235329.ref056","first-page":"2019","article-title":"Unintended Pregnancy among Pregnant Women in Ghana: Prevalence and Predictors","author":"SH Nyarko","year":"2019","journal-title":"Journal of pregnancy"},{"issue":"8","key":"pone.0235329.ref057","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1093\/aje\/kwv184","article-title":"Induced abortions and the risk of preeclampsia among nulliparous women","volume":"182","author":"SE Parker","year":"2015","journal-title":"American journal of epidemiology"},{"key":"pone.0235329.ref058","author":"MP Sebastian","journal-title":"Unintended pregnancy and abortion in India: country profile report"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0235329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T13:48:17Z","timestamp":1595512097000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0235329"}},"subtitle":[],"editor":[{"given":"Frank T.","family":"Spradley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,7,23]]},"references-count":58,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7,23]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0235329","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,23]]}}}