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To investigate women's decision-making on induced abortion. A multi-centre cross-sectional survey among 623 abortion-seeking women in Sweden (2021). The perceived difficulty to decide on abortion was measured using a 7-point Likert scale, and analysed with univariate and multivariate analysis (odds ratios [OR], 95% confidence intervals [CI]). About half (n = 322;52%) scored 1–4, suggesting the decision was perceived as easier compared to those (n = 292;48%) who scored 5–7. Reasons for the abortion were: poor economy (n = 166;27%), too early in the relationship (n = 154;25.1%), want to work first (n = 147;23.9%), want to study first (n = 132;21.5%), uncertain about the relationship (104;16.9%), and too young (n = 104;16.9%). Predictors for perceiving the decision as difficult: partner's hesitance (OR = 3.18, CI:1.76–5.73), being born outside the Nordic countries (OR = 2.23, CI:1.28–3.87), having discussed the decision with someone (OR = 2.42, CI:1.67–3.50), age ≥30 (OR = 2.22, CI:1.03–4.76), the Covid-19 pandemic (OR = 2.08, CI:1.20–3.59), and the desire to have children in the future (OR = 1.96, CI:1.18–3.28). After confirmed pregnancy, poor mental well-being was more common among those who scored 5–7 (n = 140;47.9%) compared to those who scored 1–4 (n = 122;37.9), p =.029. Women's decision-making on abortion is complex; in times of crises, the decision procedure may be even more difficult. This valuable knowledge could be used to improve and promote satisfactory counselling beyond medical routines. [ABSTRACT FROM AUTHOR]

The overarching goal of the Swedish public health policy is to create the right societal conditions for good and equitable health throughout the population and to reduce avoidable health inequalities within a generation. The objective of this article is to highlight the main findings of the Open Comparisons in Public Health (OCPH) 2019 study. The OCPH is a longitudinal indicator-based comparative study, encompassing 39 public health indicators with results from Sweden's 21 regions and 290 municipalities. Descriptive statistics and 95% confidence intervals were used to compare results between municipalities, regions and time points. Correlation analysis was used to study the strength of the relationship between the results of municipalities and their socio-economic conditions. Across the population, levels of health are good and have, in some areas, improved over recent decades. However, some significant health disparities remain according to neighbourhood, sex, age and educational background. Health disparities related to the level of education are often larger than those between women and men, and there are larger differences within a region than between regions. Health disparities have, in some cases, increased, such as for life expectancy. If health equity is to be achieved, leaders at all levels must collaborate and advocate for political action and local efficient public health interventions to eliminate health disparities as a result of neighbourhood and social conditions. • In Sweden, national health targets are met numerically; but less-privileged individuals are at a disadvantage. • Health disparities related to the level of education are greatest; differences within regions are larger than between regions. • Health disparities in Sweden have, in some cases, increased (e.g. life expectancy). • Leaders must collaborate for political action and local public health solutions to eliminate disparities in health. [ABSTRACT FROM AUTHOR]

Universal access to comprehensive abortion care (CAC) is a reproductive right and is essential to reduce preventable maternal mortality and morbidity. In East Africa, abortion rates are consistently high, and the vast majority of all abortions are unsafe, significantly contributing to unnecessary mortality and morbidity. The current debate article reflects and summarises key action points required to continue to speed the implementation of and expand access to CAC in the East, Central, and Southern African (ECSA) health community. To ensure universal access to quality CAC, a regional platform could facilitate the sharing of best practices and successful examples from the region, which would help to visualise opportunities. Such a platform could also identify innovative ways to secure women's access to quality care within legally restrictive environments and would provide information and capacity building through the sharing of recent scientific evidence, guidelines, and training programmes aimed at increasing women's access to CAC at the lowest effective level in the healthcare system. This type of infrastructure for exchanging information and developing co-creation could be crucial to advancing the Sustainable Development Goals 2030 agenda. [ABSTRACT FROM AUTHOR]