"Abortion? That's for women!" Narratives and experiences of commercial motorbike riders in south-western Uganda.
Although constitutionally illegal, induced abortion is a vital reproductive health option in Uganda. This paper analyses men's narratives about meanings of, and experiences with, abortion. Men play significant roles in abortion as instigators, facilitators, collaborators, transporters, advisors, informers, supporters or punishment givers. Many participants were knowledgeable about abortion. Attitudes were ambivalent, with initial reactions of denial and relegation of abortion to women's private domains. Further exploration, however, revealed active support and involvement of men. Interpretations of abortion ranged from 'dependable saviour' to 'deceptive sin'. Though a private action, abortion is socially scripted and often collectively determined by wider social networks of kinsmen, the community, peers, law and religion. A disjuncture exists between dominant public health discourse and the reality of local men who interact with women and girls as wives, lovers, sex sellers, mothers, daughters and sisters. Interventions targeting men about abortion should include safe sex education, provide safe abortion services and create stronger social support mechanisms. Policy and law should incorporate local knowledge and practice.
Nyanzi
Stella
S
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT. snyanzi@yahoo.com
Nyanzi
Barbara
B
Bessie
Kalina
K
D000028:Abortion, Induced / Q000592:standards* / Q000639:trends; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D003906:Developing Countries; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008571:Men / Q000523:psychology*; D015541:Off-Road Motor Vehicles; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D018570:Risk Assessment; D012424:Rural Population; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014454:Uganda; D016387:Women's Health