How task-sharing in abortion care became the norm in Sweden: A case study of historic and current determinants and events

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Margit EndlerKristina Gemzell-Danielsson

Abstract

We performed a country case study using thematic analysis of interviews and existing grey and published literature to identify facilitators and barriers to the implementation of midwife-provided abortion care in Sweden. Identified facilitating factors were: (1) the historical role and high status of Swedish midwives; (2) Swedish research and development of medical abortion that enabled an enlarged clinical role for midwives; (3) collaborations between individual clinicians and researchers within the professional associations, and the autonomy of clinical units to implement changes in clinical practice; (4) a historic precedent of changes in abortion policy occurring without prior official or legal sanction; (5) a context of liberal abortion laws, secularity, gender equality, public support for abortion, trust in public institutions; and (6) an increasing global interest in task-shifting to increase access and reduce costs. Identified barriers/risks were: (1) the lack of systems for monitoring and evaluation; and (2) a loss of physician competence in abortion care.

References

Jul 31, 2004·American Journal of Public Health·Ulf Högberg
Oct 27, 2004·Contraception·Christian FialaKristina Gemzell-Danielsson
Dec 2, 2005·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·W H ClarkB Winikoff
Dec 3, 2010·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Ulf Högberg
Jun 7, 2013·PloS One·Jillian T HendersonPhilip D Darney
Mar 7, 2014·Contraception·Inga-Maj AnderssonKyllike Christensson
Dec 10, 2014·Ethiopian Journal of Health Sciences·Yifru Berhan, Asres Berhan
Aug 19, 2015·Reproductive Health Matters·Lori FreedmanMonica McLemore
Nov 14, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Kirti IyengarKristina Gemzell-Danielsson
Feb 4, 2016·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Christian FialaJoyce Arthur

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Citations

Nov 22, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Annik M Sorhaindo
Nov 22, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Annik M Sorhaindo, Bela Ganatra
Nov 4, 2021·Sexual and Reproductive Health Matters·Céline Miani

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Methods Mentioned

BETA
pregnancy test

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