Plain the end, the main decision maker was

Plain English Summary

Unplanned pregnancies and termination
of pregnancies are common in countries were women who want to stop or delay
childbearing have limited access to contraceptives. Around 25 million unsafe abortions take place
worldwide each year. In
Kenya, a country in East Africa, recent evidence suggests that nearly half a
million induced abortions happen every year. In this study, we used in-depth interviews to explore women´s decision-making preceding process
leading to induced abortion when faced with an unintended pregnancy in Kisumu, Kenya.

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This
study shows that the interviewed women decided to terminate the pregnancy due
to poverty, wrong time to have a child and absence of support from the male
partner. At the end, the main
decision maker was the male partner who pressed the woman to terminate the
pregnancy indirectly through rejection of financial or social responsibilities
or directly by forcing her to terminate the pregnancy. In some cases, the male
partner arranged an unsafe abortion without her knowing she was taken for
termination of pregnancy. Women were affected by social stigma and carefully
selected whom to talk to about the abortion. This strategy was used as a
protection against abortion humiliation and shame. This contributed to a
culture of silence around abortion and unplanned pregnancy, a fact that made women vulnerable to complications.