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The road to equity: from decriminalization to task-shifting.: A scoping review of abortion policies and health care practice developments in Sweden.
Dalarna University, School of Health and Welfare.
Dalarna University, School of Health and Welfare.
2021 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: The starting point for this study is that processes of decriminalization and deregulations have implicated that Sweden has one of the safest and most accessible abortion care services, globally, but that regulatory and health care practice barriers in access to abortion care persist nationally.Aim: The aim of this study is twofold: i) synthesize evidence on abortion policies and health care practice developments over time in Sweden, in order to provide a comprehensive mapping of the policy area and identify research gaps, and: ii) identify persisting regulatory and health care practice barriers in access to abortion care nationally, and possible entry points for advancements.Method: The study adopts a scoping review of primary data sources including peer reviewed articles and grey literature. Protocols for scoping reviews were followed, and the data was identified, reviewed and extracted iteratively and systematically. Data was analysed in a two-step approach, including data charting/mapping that generated a numeric summary on general characteristics of included studies. This was followed by a qualitative approach using inductive content analysis which generated a descriptive summary of the included data presented with categories and sub- categories.Results: The scoping review shows that task shifting/sharing and home abortions are efficient, safe, cost-effective and accepted, but that the Swedish Abortion Act, prevents full and formal implementation of task shifting/sharing, self-administration of drugs and tele-abortions. The clinical guidelines reveals that there are differences nationally, related to home abortions, midwifery led care and counselling services. The midwife/nurse perspective is well researched and the experience of physicians is less researched. Immigrants’ experience of abortion care is scarce, and the sexual identity perspective is absent. The study concludes that regulatory and health care practices barriers in accessibility persist and specifically that legislation is lagging evidence and practice.

Place, publisher, year, edition, pages
2021.
Keywords [en]
Scoping review, abortion Sweden, legislative and policy developments, service provision developments, accessibility.
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:du-37775OAI: oai:DiVA.org:du-37775DiVA, id: diva2:1580492
Subject / course
Sexual Reproductive Perinatal Health
Available from: 2021-07-14 Created: 2021-07-14

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • 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