The perception of induced abortion and its ethical implication among women of reproductive age in Mtwara

Abstract

Background: Induced abortion in Tanzania is illegal and the culture and beliefs of the society prohibit its practice. However, it is commonly done and almost always in unsafe environment and sometimes by none professionals. Annually about 405,000 induced abortions are conducted in Tanzania that contribute to 17-21% of national Maternal Mortality Ratio (MMR) of 556 deaths per 100,000 live births annually. Objectives: This study aimed at exploring the perception of induced abortion and its ethical implication in Mtwara Region. Methodology: The exploratory study design guided the research study that was conducted in Mtwara urban District. Thirteen (13) in-depth interviews with women of reproductive age, who were conveniently recruited were conducted. NVivo 10 computer software guided the analysis of the data. Findings: The study reports women’s perceptions regarding socio-economic benefits, psychological experiences and ethical implications of induced abortion. Women perceived induced abortion to have some social economic benefits. Shame, anxiety, guilt feelings and depression were some of the psychological experiences of women following induced abortion. Further, women thought that abortion violates religious beliefs, customs and taboos and national abortion policy. Conclusion: Women of reproductive age perceived induced abortion to have socio-economic benefits. They though that induced abortion would make women free and able to care for their young children, it will enable students to complete studies and achieve their goals, couples will be able to provide support to other children. However, induced abortion made some women to experience psychological effects such as shame, fear, guilt feelings and depression. Moreover, participants knew that induced abortion was against religious teachings, custom and taboos and the national policy of abortion.