Abortion Access

Transportation cost as a barrier to contraceptive use among women initiating treatment for HIV in Tanzania

Lauren A Hunter
Ndola Prata
Brenda Eskenazi
Prosper F Njau
Sandra I McCoy
2022

Transportation cost is a barrier to HIV treatment, yet no studies have examined its association with contraceptive use among women living with HIV. We analyzed cross-sectional data from women attending three public healthcare facilities in Shinyanga, Tanzania where they initiated antiretroviral therapy for HIV infection in the previous 90 days; all facilities offered free contraception. Women self-reported current contraceptive use and the round-trip cost of transportation to the facility. Among 421 women aged 18–49, 86 (20.4%) were using any modern contraceptive method, of which...

Availability of medical abortion medicines in eight countries: a descriptive analysis of key findings and opportunities.

Amy Grossman
Ndola Prata
Natalie Williams
Bela Ganatra
Antonella Lavelane
Laurence Läse
Chilanga Asmani
Hayfa Elamin
Leopold Ouedraogo
Mahmudur Rahman
Musu Julie Conneh‑Duworko
Bentoe Zoogley Tehoungue
Harriet Chanza
Henry Phiri9, Bharat Bhattara
Narayan Prasad Dhakal
Olumuyiwa Adesanya Ojo
Kayode Afolabi
Theopista John Kabuten
Binyam Getachew Hailu
Francis Moses
Sithembile Dlamini‑Nqeketo
Thembi Zulu
Ulrika Rehnström Loi
2023
Background

In recent years a growing number of manufacturers and medical abortion products have entered country markets and health systems, with varying degrees of quality and accessibility. An interplay of factors including pharmaceutical regulations, abortion laws, government policies and service delivery guidelines and provider’s knowledge and practices influence the availability of medical abortion medicines. We assessed the availability of medical abortion in eight countries to increase understanding among policymakers of the need to improve availability and affordability of quality-...

Abortion access barriers shared in “r/abortion” after Roe: a qualitative analysis of a Reddit community post-Dobbs decision leak in 2022

Elizabeth Pleasants
Karen Weidert
Lindsay Parham
Ndola Prata
Ushma Upadhyay
Eliza Dolgins
Emma Anderson
Coye Cheshire
Cassondra Marshall
2024

With drastic changes to abortion policy, the months following the Dobbs leak and subsequent decision in 2022 were a uniquely uncertain and difficult time for abortion access in the United States. To understand experiences of challenges to abortion access during that time, we used a hybrid inductive and
deductive thematic coding approach to analyse descriptions of barriers and their impacts shared in an abortion subreddit (r/abortion). A simple random sample of 10% of posts was obtained from those shared from 02 May 2022 through 23 December 2022; comments were purposively sampled during...

The association of experiences of medical mistrust and mistreatment and ever considering self-managing an abortion.

Aliza Adler
M Antonia Biggs
Shelly Kaller
Rosalyn Schroeder
Ndola Prata
Karen Scott
Lauren Ralph
2025

Objective: To assess the prevalence of ever considering self-managing an abortion (SMA) and its associations with experiences of medical mistrust and mistreatment in a nationally representative sample.

Study design: In 2021-22, we conducted a national, cross-sectional, online probability-based survey of US people assigned female at birth ages 15-49. Among those who had ever been pregnant, we ran weighted multivariable logistic regressions to examine whether having had difficulty trusting medical providers and/or experiencing medical mistreatment was...