Healthcare providers knowledge and attitudes toward abortion care in Ibadan, Nigeria

Authors

  • Amos M. Makelele Department of Reproductive Health, Pan African University Life and Earth Sciences Institute (Including Health and Agriculture), Ibadan, Oyo State, Nigeria https://orcid.org/0000-0002-1319-9106
  • Agness Shimilimo Department of Reproductive Health, Pan African University Life and Earth Sciences Institute (Including Health and Agriculture), Ibadan, Oyo State, Nigeria
  • Million T. Solomon Department of Reproductive Health, Pan African University Life and Earth Sciences Institute (Including Health and Agriculture), Ibadan, Oyo State, Nigeria
  • John L. R. Elioba Department of Obstetrics and Gynaecology, University of Ibadan, Nigeria
  • Gbolahan O. Obajimi Department of Obstetrics and Gynaecology, University of Ibadan, Nigeria
  • Oladapo Olayemi Department of Obstetrics and Gynaecology, University of Ibadan, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250848

Keywords:

Abortion care, Maternal health, Healthcare workers, Unsafe abortion

Abstract

Background: In settings with limited resources, abortion care plays a crucial role in reducing maternal mortality rates and ensuring comprehensive healthcare. In Sub-Saharan Africa, over 70% of abortions are classified as unsafe. In Nigeria, restrictive laws and social stigmas shape healthcare providers’ knowledge and attitudes toward abortion care.

Methods: This study employed a cross-sectional study design to assess healthcare providers’ knowledge, attitudes, and practices regarding abortion care at the University College Hospital, Ibadan-Nigeria’s first tertiary hospital. Data was analysed using IBM statistical package for the social sciences (SPSS) version 25. Descriptive statistics were generated and presented as frequency tables and pie charts. A p value of <0.05 was regarded as statistically significant.

Results: While 63% of providers demonstrated adequate knowledge of abortion care, significant gaps persisted, particularly regarding legal provisions and post-abortion care. Despite 86% supporting access to safe abortion under specific circumstances, personal and religious beliefs influenced their willingness to provide services.

Conclusions: Addressing knowledge gaps and mitigating personal biases through targeted training, policy advocacy, and community engagement is essential for improving abortion care, reducing unsafe procedures, and enhancing maternal health outcomes in Nigeria.

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References

Guttmacher Institute. Abortion in Sub-Saharan Africa. Guttmacher Fact Sheet. 2020. Available at: https://www.guttmacher.org/fact-sheet/abortion-subsaharan-africa. Accessed on 24 September 2024.

Muga W, Juma K, Athero S, Kimemia G, Bangha M, Ouedraogo R. Barriers to post-abortion care service provision: A cross-sectional analysis in Burkina Faso, Kenya and Nigeria. PLOS Global Public Health. 2024;4(3):e0001862. DOI: https://doi.org/10.1371/journal.pgph.0001862

Bell SO, Shankar M, Ahmed S, OlaOlorun F, Omoluabi E, Guiella G, et al. Postabortion care availability, facility readiness and accessibility in Nigeria and Côte d’Ivoire. Health Policy Plan. 2021;36(7):1077-89. DOI: https://doi.org/10.1093/heapol/czab068

Odo AN, Ofuebe JI, Anike AI, Samuel ES. Predictors of young people’s use of sexual and reproductive health services in Nigeria: a mixed-method approach. BMC Public Health. 2021;21(1):37. DOI: https://doi.org/10.1186/s12889-020-10022-x

Bankole A, Adewole IF, Hussain R, Awolude O, Singh S, Akinyemi JO. The Incidence of Abortion in Nigeria. Int Perspect Sex Reprod Health. 2015;41(04):170-81. DOI: https://doi.org/10.1363/4117015

Powell B, Chen H, Pasquier E, Owolabi OO, Fetters T, Williams TN. Knowledge, Attitudes, Practices, and Behaviors among Providers of Abortion-Related Care. MSF Science Portal. 2023. Available at: https://scienceportal.msf.org/assets/8340. Accessed on 24 September 2024.

Subasinghe AK, Deb S, Mazza D. Primary care providers' knowledge, attitudes and practices of medical abortion: a systematic review. BMJ Sex Reprod Health. 2019;200487. DOI: https://doi.org/10.1136/bmjsrh-2019-200487

Taddele T, Getachew T, Taye G, Getnet M, Defar A, Teklie H, et al. Factors associated with health care provider knowledge on abortion care in Ethiopia, a further analysis on emergency obstetric and newborn care assessment 2016 data. BMC Health Serv Res. 2019;19(1):1014. DOI: https://doi.org/10.1186/s12913-019-4857-8

Obure VA, Juma K, Athero S, Donzo V, Conteh-Khali N, Ouedraogo R, et al. Sometimes you have knowledge but lack the equipment to save a life: perspectives on health system barriers to post-abortion care in Liberia and Sierra Leone. Archives of Public Health. 2024;82(1):220. DOI: https://doi.org/10.1186/s13690-024-01446-7

Merner B, Haining CM, Willmott L, Savulescu J, Keogh LA. Health providers’ reasons for participating in abortion care: A scoping review. Women’s Health. 2024;20. DOI: https://doi.org/10.1177/17455057241233124

Loll D, Fleming PJ, Manu A, Morhe E, Stephenson R, King EJ, et al. Reproductive autonomy and pregnancy decision-making among young Ghanaian women. Glob Public Health. 2020;15(4):571-86. DOI: https://doi.org/10.1080/17441692.2019.1695871

Jonas K, Crutzen R, Krumeich A, Roman N, Van den Borne B, Reddy P. Healthcare workers’ beliefs, motivations and behaviours affecting adequate provision of sexual and reproductive healthcare services to adolescents in Cape Town, South Africa: a qualitative study. BMC Health Serv Res. 2018;18(1):109. DOI: https://doi.org/10.1186/s12913-018-2917-0

Bright S, Parnham E, Blaylock R, Bury L, Okonofua F, Mukwambo S, et al. 'Making abortion safe': abortion and post-abortion care providers' experiences of stigma in Rwanda, Zimbabwe, Sierra Leone and Nigeria. BMJ Sex Reprod Health. 2024;202495. DOI: https://doi.org/10.1136/bmjsrh-2024-202495

Kyilleh JM, Tabong PTN, Konlaan BB. Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC Int Health Hum Rights. 2018;18(1):6. DOI: https://doi.org/10.1186/s12914-018-0147-5

Mbadu Muanda F, Gahungu NP, Wood F, Bertrand JT. Attitudes toward sexual and reproductive health among adolescents and young people in urban and rural DR Congo. Reprod Health. 2018;15(1):74. DOI: https://doi.org/10.1186/s12978-018-0517-4

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Published

2025-03-27

How to Cite

Makelele, A. M., Shimilimo, A., Solomon, M. T., Elioba, J. L. R., Obajimi, G. O., & Olayemi, O. (2025). Healthcare providers knowledge and attitudes toward abortion care in Ibadan, Nigeria. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(4), 1086–1092. https://doi.org/10.18203/2320-1770.ijrcog20250848

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Original Research Articles