Article Text

Download PDFPDF
Seeking abortion accompaniment: experiences and self-managed abortion preferences of hotline callers after abortion legalisation in Argentina
  1. Brianna Keefe-Oates1,
  2. Sofia Filippa2,
  3. Elizabeth Janiak3,
  4. Ruth Zurbriggen4,
  5. Belén Grosso4,
  6. Jarvis T Chen1,
  7. Caitlin Gerdts5,
  8. Barbara Gottlieb1,6
    1. 1Department of Social and Behavioral Sciences, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA
    2. 2Ibis Reproductive Health, Cambridge, Massachusetts, USA
    3. 3Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts, USA
    4. 4La Revuelta Colectiva Feminista, Neuquén, Argentina
    5. 5Ibis Reproductive Health, Oakland, California, USA
    6. 6Harvard Medical School, Boston, Massachusetts, USA
    1. Correspondence to Dr Brianna Keefe-Oates, Social and Behavioral Sciences, Harvard University T H Chan School of Public Health, Boston, MA 02115, USA; bkeefeoates{at}gmail.com

    Abstract

    Background Until the legalisation of abortion in Argentina in 2021, the Socorristas en Red, a network of feminist collectives, provided support and information (‘accompaniment’) to people self-managing their abortion with medications. Following legalisation, the Socorristas continued accompanying people self-managing or accessing abortion through the healthcare system. We conducted a cross-sectional study to understand preferences, experiences and choices about abortion when contacting a Socorristas hotline after legalisation of abortion in Argentina.

    Methods We surveyed callers to the Socorristas’ hotline in Neuquén, Argentina about their demographics, pregnancy history, reasons for calling, and experiences seeking abortion through the hotline and the healthcare system. We assessed overall prevalence of these experiences, and analysed differences between people who contacted the health system before calling the hotline and those who first called the hotline for services.

    Results Of the 755 callers in the study, the majority (63.3%) contacted the Socorristas because they trusted them, and 21.7% called because they both trusted the Socorristas and did not want to go to the healthcare system. At the end of the call, most people (95.4%) chose to self-manage their abortion with accompaniment outside the healthcare system. People who called the healthcare system prior to contacting the hotline frequently reported being referred to the Socorristas, as well as challenges scheduling appointments.

    Conclusions After legalisation of abortion in Argentina there is continued demand for accompaniment. Globally, ensuring that accompaniment and self-management of abortion is legal and protected will provide individuals with the support and facilitated access to the abortion care they desire.

    • abortion
    • Health Services Accessibility
    • Patient Advocacy
    • Reproductive Health

    Data availability statement

    Data are available upon reasonable request. The study protocol, analysis plan and instruments are available upon request. All data requests should be submitted to the first author for consideration. Access to the anonymised data might be granted after review and approval of an investigator-initiated concept note by the all co-authors, and after the investigator signs a data access agreement.

    Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Data availability statement

    Data are available upon reasonable request. The study protocol, analysis plan and instruments are available upon request. All data requests should be submitted to the first author for consideration. Access to the anonymised data might be granted after review and approval of an investigator-initiated concept note by the all co-authors, and after the investigator signs a data access agreement.

    View Full Text

    Footnotes

    • Contributors BK-O conceived of, designed, analysed and is the guarantor of the study. SF designed and analysed the study. BGr and RZ designed the study and planned and conducted data collection. EJ, JTC, BGo and CG contributed to the design and analysis. All authors contributed to the interpretation of results, writing and reporting.

    • Funding Funding for dissemination of this study was received from Harvard University’s Rose Service Learning Fellowship and David Rockefeller Center for Latin American Studies.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.