Table 2 Anticipated value and attitude change for abortion care for suggested by the different stakeholders after VCAT, and the strategies for action in line of changed values
Audience | What they should think | What they should feel in relation to values | What they should do |
|---|---|---|---|
Clients and patients | Need to appreciate the need for timely access to preventive and management services for abortion care | Should be aware of available services and what thy should expect and do in case of unwanted pregnancy or abortion complications | Access preventive measures of unwanted pregnancy Avoid risks of pregnancy termination Seek care for abortion complications |
Lay public | There are root causes of abortion that need to be addressed There are gaps in service delivery Abortion stigma is rife | Urgent need to address root causes of abortion Need to improve deficits in abortion care service delivery Abortion stigma is rife | Advocate for or address root causes of abortion Advocate for improved abortion care within the legal and policy climate Address stigma |
Tutors from academic institutions | Training curricula have gaps in content and competences that limit outcome-based training for service providers Training approaches are inadequate In-service training inadequate | Should identify a need to update training curricula to competence-based training Training approaches are inappropriate Trainees and providers lack competences | Should update training curricula to competence-based training Should improve training approaches Should assess competences |
Policy makers in Health Ministry | Gaps exist in service delivery for abortion Data on abortion is deficient, incomplete or not timely Policies are not up-to-date | The importance of having accessible quality abortion services in place Data on abortion should be sought to inform policy and practice | Fulfil responsibility to ensure patients and communities can access relevant and timely services Collect and use timely abortion data for evidence-informed policies and practice |
The Media | The importance of having the readers and viewers having information on abortion care that is not biased, accurate, empowering to clients representative and complete | Information on abortion is either not available, or if available, is biased, inaccurate, unrepresentative or incomplete | Ensure Information on abortion is available, and presented well, is unbiased, accurate, representative or complete Ensure abortion stigma is addressed |
Politicians | Policies and laws should be available to ensure communities access information on abortion care, and clients can access equitable services | Currently, policies and laws not available to ensure communities access information on abortion care, and clients can access equitable services | Identify and lobby for Policies and laws to be available to ensure communities access information on abortion care, and clients can access equitable services |
Healthcare providers | Need to appreciate the need for timely access to preventive and management services for abortion care, within the current legal and policy environment | Gaps in service delivery for timely access to preventive and management services for abortion care. Everyone needs a chance to be listened to, even if not supported | Their obligations and responsibilities to provide equitable, safe empowering services for the clients and patients, within the policy and legal framework |
Religious leaders | Awareness of the root causes of abortion and their consequences including unplanned pregnancy, are often beyond control of the affected individuals Gaps exist in service delivery for primary, secondary and tertiary prevention of morbidity and mortality from abortion Abortion is highly stigmatized, limiting access to postabortion care | Religious leaders have a role to play in ending abortion morbidity and mortality There are root causes of abortion that can be prevented or mitigated. There is need for value and attitude change to end stigmatizing beliefs and values bout abortion | All stakeholders have a role address root causes of abortion All stakeholders have a role to play in advocating for service delivery that ensures access to primary, secondary and tertiary prevention of morbidity and mortality from abortion, within the legal and regulatory framework All stakeholders can address abortion stigma |