What shapes abortion decisions among young women in Mozambique?

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For young women experiencing an unwanted pregnancy, deciding whether and how to end the pregnancy can be a dilemma. Sociocultural and economic barriers can limit their autonomy and leave them vulnerable to pressures that influence or force abortion decisions.

The study aimed to explore the individual, interpersonal, and environmental factors behind abortion decision-making among young Mozambican women. Researchers conducted a qualitative study in Maputo and Quelimane. Participants were identified during a cross-sectional survey of women of reproductive age (15–49). In total, 14 women aged 15–24 who had had an abortion took part in in-depth interviews. The researchers used thematic analysis.

The study identified determinants at different levels: a low degree of autonomy for women, limited availability of health facilities providing abortion services, and a lack of patient-centeredness in health services.

Based on these results, the authors suggest strategies to increase knowledge of abortion rights and services and to improve the quality and accessibility of abortion services in Mozambique.