title: Women's experiences of and perspectives on abortion at public facilities in Mexico City three years following decriminalization.
abstract: OBJECTIVE
  To understand the experiences of women undergoing legal first-trimester abortion through Mexico City's Ministry of Health (MOH) services. Aims included comparing satisfaction with medical and surgical abortion services; drawing evidence-based recommendations for program improvement; and measuring contraceptive uptake following abortion.
  
  
  METHODS
  A total of 350 women completed a 65-item survey questionnaire at 2 main MOH abortion facilities. Moreover, a subset of 20 participated in an in-depth interview. Multivariate analysis was performed to investigate satisfaction with abortion care and in-depth interview (IDI) data were analyzed.
  
  
  RESULTS
  The participants overwhelmingly reported satisfaction with the care they received, with no significant differences between the medical and surgical abortion groups. However, qualitative data revealed a need for a more sympathetic staff, reduced waiting times, more comprehensive information on surgical abortion, and counseling that includes psychosocial issues. Postabortion contraception uptake was high, with most women opting for the intrauterine device.
  
  
  CONCLUSIONS
  The quantitative analysis suggests that although most women were satisfied with the services, some areas were identified as requiring improvement. The IDI data suggest that women wanted counseling to better address psychosocial needs and allow for discussion on a wider range of contraceptive methods.
authors: Research Center for Health Population, National Institute of Public Health of Mexico, Mexico City, Mexico. colavarrieta@insp.mx
authors: Claudia Díaz
authors: CD
authors: Olavarrieta
authors: Sandra G
authors: SG
authors: Garcia
authors: Angélica
authors: A
authors: Arangure
authors: Vanessa
authors: V
authors: Cravioto
authors: Aremis
authors: A
authors: Villalobos
authors: Roula
authors: R
authors: AbiSamra
authors: Roger
authors: R
authors: Rochat
authors: Davida
authors: D
authors: Becker
mesh_terms: D000028:Abortion, Induced / Q000523:psychology / Q000592:standards* / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008800:Mexico; D009313:National Health Programs / Q000592:standards* / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011247:Pregnancy; D017064:Process Assessment, Health Care; D055815:Young Adult