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An investigation of the nature of termination of pregnancy counselling within the current system of licensed facilities


 
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1. Title Title of document An investigation of the nature of termination of pregnancy counselling within the current system of licensed facilities
 
2. Creator Author's name, affiliation, country Shelley Kirk; Lakes District Health Board; New Zealand
 
2. Creator Author's name, affiliation, country Liz Beddoe; University of Auckland; New Zealand
 
2. Creator Author's name, affiliation, country Shirley Anne Chinnery; University of Auckland; New Zealand
 
3. Subject Discipline(s)
 
3. Subject Keyword(s) Abortion; Termination of Pregnancy; Counselling; Social Work
 
4. Description Abstract

Introduction: Termination of pregnancy (ToP) service delivery in Aotearoa New Zealand occurs within a multi-dimensional system which is influenced and shaped by various philosophical, political and economic discourses, and is comprised of interconnected components. One component is the provision of counselling for women seeking a termination of pregnancy. This study aimed to explore how service managers and social work practitioners perceived how ToP services, particularly the counselling component therein, were being delivered nationally.

Methods: A concurrent, multi-level, mixed-methods research design was employed in the study. Two purposively selected sample groups comprising: 1) service managers responsible for the oversight of ToP service delivery; and 2) ToP counselling practitioners were recruited from 19 District Health Boards (DHBs) across Aotearoa New Zealand. Service managers (20) participated in interviews with a focus on capturing information about operational systems that supported or hindered the delivery of ToP and counselling services, while 26 social work and counselling practitioners participated in an electronic survey questionnaire. Qualitative data were thematically analysed and quantitative data were descriptively analysed using descriptive statistics.

Findings: Results from this mixed-methods study were integrated at the level of interpretation and linkage between the methods showed that practice within ToP licensed facilities varied markedly. Specifically, nine practice and systemic variations were identified that had implications for women receiving ToP services. Existing variations across licensed facilities were signalled as disconnects between components of the service delivery system.

Conclusions: Recommendations that address variations and systemic disconnects are offered to the New Zealand Abortion Supervisory Committee and Ministry of Health. Further research is suggested to obtain the perspective of service users as this was one limitation of this small exploratory study.

 
5. Publisher Organizing agency, location ANZASW
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2018-12-08
 
8. Type Status & genre Peer-reviewed Article
 
8. Type Type Mixed Methods
 
9. Format File format PDF
 
10. Identifier Uniform Resource Identifier https://anzswjournal.nz/anzsw/article/view/511
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.11157/anzswj-vol30iss3id511
 
11. Source Title; vol., no. (year) Aotearoa New Zealand Social Work; Vol 30, No 3 (2018)
 
12. Language English=en en
 
13. Relation Supp. Files
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c) 2018 Aotearoa New Zealand Association of Social Workers
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This work is licensed under a Creative Commons Attribution 4.0 International License.