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Abortion as agentive action: reproductive agency among young women seeking post-abortion care in Uganda.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-8947-2949
2017 (English)In: Culture, Health and Sexuality, ISSN 1369-1058, E-ISSN 1464-5351, 1-15 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

Unsafe abortion in Africa continues to be a major contributor to the global maternal mortality which affects young women in particular. In Uganda, where abortion is legally restricted and stigmatised, unsafe abortion is a major public health issue. We explored reproductive agency in relation to unsafe abortion among young women seeking post-abortion care. Through in-depth interviews we found that reproductive agency was constrained by gender norms and power imbalances and strongly influenced by stigma. Lack of resources and the need for secrecy resulted in harmful abortion practices and delayed care-seeking. Women did not claim ownership of the abortion decision, but the underlying meaning in the narratives positioned abortion as an agentive action aiming to regain control over one's body and future. Women's experiences shaped contraceptive intentions and discourse, creating a window of opportunity that was often missed. This study provides unique insight into how young women negotiate and enact reproductive agency in Uganda. Health systems need to strengthen their efforts to meet young women's sexual and reproductive health needs and protect their rights. Enabling young women's agency through access to safe abortion and contraception is paramount.

Place, publisher, year, edition, pages
2017. 1-15 p.
Keyword [en]
Gender norms, Uganda, reproductive agency, unsafe abortion, young women
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-24707DOI: 10.1080/13691058.2017.1310297PubMedID: 28398161OAI: oai:DiVA.org:du-24707DiVA: diva2:1088567
Note

Open Access APC beslut 9/2017

Available from: 2017-04-13 Created: 2017-04-13 Last updated: 2017-05-10Bibliographically approved

Open Access in DiVA

fulltext(1419 kB)18 downloads
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File name FULLTEXT01.pdfFile size 1419 kBChecksum SHA-512
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Klingberg-Allvin, Marie
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf