How task-sharing in abortion care became the norm in Sweden: a case study of historic and current determinants and events
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Authors
Endler, Margit
Cleeve, Amanda
Sääv, Ingrid
Gemzell-Danielsson, Kristina
Issue Date
2020-07-31
Type
Article
Language
en_US
Keywords
Task-Sharing , Abortion Care , Sweden , Case Study
Alternative Title
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.
Description
Citation
Endler, M., Cleeve, A., Sääv, I., & Gemzell-Danielsson, K. (2020). How task-sharing in abortion care became the norm in Sweden: A case study of historic and current determinants and events. International Journal of Gynecology and Obstetrics, 150(S1), 34–42. https://doi.org/10.1002/ijgo.13003
Publisher
International Journal of Gynecology & Obstetrics