title: The unmet need for safe abortion in Turkey: a role for medical abortion and training of medical students.
abstract: Abortion has been legal and safe in Turkey since 1983, but the unmet need for safe abortion services remains high. Many medical practitioners believe that the introduction of medical abortion would address this. However, since 2012 there has been political opposition to the provision of abortion services. The government has been threatening to restrict the law, and following an administrative change in booking of appointments, some hospital clinics that provided family planning and abortion services had to stop providing abortions. Thus, the availability of safe abortion depends not only on permissive legislation but also political support and the ability of health professionals to provide it. We conducted a study among university medical school students in three provinces on their knowledge of abortion and abortion methods, to try to understand their future practice intentions. Pre-tested, structured, self-administered questionnaires were answered by 209 final-year medical students. The students' level of knowledge of abortion and abortion methods was very low. More than three-quarters had heard of surgical abortion, but only 56% mentioned medical abortion. Although nearly 90% supported making abortion services available in Turkey, their willingness to provide surgical abortion (16%) or medical abortion (15%) was low, due to lack of knowledge. Abortion care, including medical abortion, needs to be included in the medical school curriculum in order to safeguard this women's health service.
authors.affiliation: Researcher, Woman-Child Health and Family Planning, Research and Implementation Center (BUWCRIC); and Lecturer, Department of Public Health, Medical Faculty, Başkent University, Ankara, Turkey. Electronic address: saremihciokur@gmail.com.
authors.forename: Sare
authors.initials: S
authors.lastname: Mihciokur
authors.affiliation: Director, Woman-Child Health and Family Planning, Research and Implementation Center (BUWCRIC); and Head of Department of Public Health, Medical Faculty, Başkent University, Ankara, Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Akin
authors.affiliation: Professor, Department of Public Health, Medical Faculty, Hacettepe University, Ankara, Turkey.
authors.forename: Bahar Guciz
authors.initials: BG
authors.lastname: Dogan
authors.affiliation: Director, Women's Research and Implementation Center; and Professor, Department of Public Health, Medical Faculty, Hacettepe University, Ankara, Turkey.
authors.forename: Sevkat Bahar
authors.initials: SB
authors.lastname: Ozvaris
mesh_terms: D000028:Abortion, Induced / Q000331:legislation & jurisprudence / Q000523:psychology*; D000029:Abortion, Legal / Q000523:psychology*; D000328:Adult; D001291:Attitude of Health Personnel; D004504:Education, Medical, Undergraduate; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D011057:Politics; D011247:Pregnancy; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D014421:Turkey; D055815:Young Adult
keywords: Turkey; abortion law and policy; abortion methods; medical abortion; medical education and curriculum; medical students