Quality of care in a safe abortion hotline in Indonesia: beyond harm reduction

by Caitlin Gerdts, Inna HudayaAmerican Journal of Public Health 2016;(Nov)106(11):2071-75 DOI: 10.2105/AJPH.2016.303446ObjectivesTo examine services offered by safe abortion hotlines in contexts in which abortion is legally restricted and to document the experiences of women contacting a safe abortion hotline in Indonesia.MethodsWe analyzed 1,829 first-time contacts to a safe abortion hotline in Indonesia as a part of routine service provision between January 1, 2012 and December 31, 2014.ResultsNearly one third (29.9%) of initial contacts reported their age as between 18 and 24 years, and most (51.2%) reported being unmarried. When asked about their reason for calling the hotline, the majority of initial contacts stated that they were pregnant and not ready to have a child. More than one third reported gestational ages below 12 weeks, and nearly one fifth (18.3%) reported a gestation of 13 weeks or greater.ConclusionsThese unique data provide a window of understanding into who contacts safe abortion hotlines and why, and enable exploration of future directions for research on the role of safe abortion hotlines in women’s access to safe abortion.Public Health ImplicationsSafe abortion hotlines should be evaluated not only for reducing harm but also for providing high-quality abortion care.VISUAL Samsara Hotline