Exploring Healthcare Providers' and Reproductive-Age Women's Perspectives on The Practice of a Rights-Based Approach to Abortion Care and Its Barriers: A Qualitative Descriptive Study in Selected Public Health Centers, Addis Ababa, Ethiopia
| dc.contributor.advisor | Haweni Adugna | |
| dc.contributor.advisor | Tefera Mulugeta | |
| dc.contributor.author | Temesgen Shiferaw | |
| dc.date.accessioned | 2026-11-13T13:10:31Z | |
| dc.date.available | 2026-11-13T13:10:31Z | |
| dc.date.issued | 2026-06-15 | |
| dc.description.abstract | Background: Rights-Based Access to Abortion Care Is Crucial for Reproductive Health. Despite Policy Improvements in Ethiopia, Gaps Remain in Ensuring Care That Fully Respects Women’s Rights. This Study Aims to Address the Disconnect Between the Established Rights-Based Framework and The Lived Realities of Women Seeking Abortion Care. Objectives: To Explore Healthcare Providers' and Reproductive-Age Women's Perspectives Regarding the Practice of Rights-Based Approach to Abortion Care and Its Barriers Within Selected Public Health Centers in Addis Ababa, Ethiopia. Method: A Qualitative Descriptive Study Employing Inductive and Deductive Thematic Analysis Was Conducted from March 6 to April 24, 2026. Participants Were Purposively Sampled, With the Sample Size Of 24 Participants (11 Healthcare Providers And 13 Reproductive-Age Women) Determined by Data Saturation. Face-To-Face, In-Depth Interviews Were Conducted Using A Semi Structured, Open-Ended Interview Guide. Data Analysis Was Facilitated By ATLAS.Ti 9, Qualitative Data Analysis Software for Coding and Classification. Findings: The Study Identified Three Interrelated Themes: Perspectives on The Practice of Rights Based Care; Provider Experiences and Challenges in Delivering Such Care; And the Multilevel Barriers Hindering Its Implementation. While Some Providers Demonstrated Respectful, Rights Based Care Practices, Significant Gaps Persisted in Privacy, Accountability, And Nonjudgmental Care. Stigma and Structural Constraints, Such as Inadequate Infrastructure, Further Exacerbated These Issues. Furthermore, While Healthcare Providers Across All Disciplines Encounter Routine Professional Stressors, Those in Abortion Care Face Unique Stressors. Conclusion: This Study Reveals A Persistent Rights-Reality Gap Where A Convergence of Structural and Socio-Cultural Barriers Obstructs the Transition from Policy to Clinical Practice. The Practice of a Rights-Based Approach (RBA) Is Currently Fragmented and Fragile, Relying More on The Individual Resilience of Providers Than on A Robust Institutional System. Capacity Building" Must Move Beyond Clinical Skills to Address the Institutionalization of Rights. Background: Rights-Based Access to Abortion Care Is Crucial for Reproductive Health. Despite Policy Improvements in Ethiopia, Gaps Remain in Ensuring Care That Fully Respects Women’s Rights. This Study Aims to Address the Disconnect Between the Established Rights-Based Framework and The Lived Realities of Women Seeking Abortion Care. Objectives: To Explore Healthcare Providers' and Reproductive-Age Women's Perspectives Regarding the Practice of Rights-Based Approach to Abortion Care and Its Barriers Within Selected Public Health Centers in Addis Ababa, Ethiopia. Method: A Qualitative Descriptive Study Employing Inductive and Deductive Thematic Analysis Was Conducted from March 6 to April 24, 2026. Participants Were Purposively Sampled, With the Sample Size Of 24 Participants (11 Healthcare Providers And 13 Reproductive-Age Women) Determined by Data Saturation. Face-To-Face, In-Depth Interviews Were Conducted Using A Semi Structured, Open-Ended Interview Guide. Data Analysis Was Facilitated By ATLAS.Ti 9, Qualitative Data Analysis Software for Coding and Classification. Findings: The Study Identified Three Interrelated Themes: Perspectives on The Practice of Rights Based Care; Provider Experiences and Challenges in Delivering Such Care; And the Multilevel Barriers Hindering Its Implementation. While Some Providers Demonstrated Respectful, Rights Based Care Practices, Significant Gaps Persisted in Privacy, Accountability, And Nonjudgmental Care. Stigma and Structural Constraints, Such as Inadequate Infrastructure, Further Exacerbated These Issues. Furthermore, While Healthcare Providers Across All Disciplines Encounter Routine Professional Stressors, Those in Abortion Care Face Unique Stressors. Conclusion: This Study Reveals A Persistent Rights-Reality Gap Where A Convergence of Structural and Socio-Cultural Barriers Obstructs the Transition from Policy to Clinical Practice. The Practice of a Rights-Based Approach (RBA) Is Currently Fragmented and Fragile, Relying More on The Individual Resilience of Providers Than on A Robust Institutional System. Capacity Building" Must Move Beyond Clinical Skills to Address the Institutionalization of Rights. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/9578 | |
| dc.language.iso | en | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Rights-Based Approach | |
| dc.subject | Health Care Providers | |
| dc.subject | Reproductive-Age Women's Perspectives. | |
| dc.title | Exploring Healthcare Providers' and Reproductive-Age Women's Perspectives on The Practice of a Rights-Based Approach to Abortion Care and Its Barriers: A Qualitative Descriptive Study in Selected Public Health Centers, Addis Ababa, Ethiopia | |
| dc.type | Thesis |