Plain English Summary Unplanned pregnancies and terminationof pregnancies are common in countries were women who want to stop or delaychildbearing have limited access to contraceptives. Around 25 million unsafe abortions take placeworldwide each year.
InKenya, a country in East Africa, recent evidence suggests that nearly half amillion induced abortions happen every year. In this study, we used in-depth interviews to explore women´s decision-making preceding processleading to induced abortion when faced with an unintended pregnancy in Kisumu, Kenya. Thisstudy shows that the interviewed women decided to terminate the pregnancy dueto poverty, wrong time to have a child and absence of support from the malepartner. At the end, the maindecision maker was the male partner who pressed the woman to terminate thepregnancy indirectly through rejection of financial or social responsibilitiesor directly by forcing her to terminate the pregnancy. In some cases, the malepartner arranged an unsafe abortion without her knowing she was taken fortermination of pregnancy.
Women were affected by social stigma and carefullyselected whom to talk to about the abortion. This strategy was used as aprotection against abortion humiliation and shame. This contributed to aculture of silence around abortion and unplanned pregnancy, a fact that made women vulnerable to complications.