Are State Doctors in the Western Cape willing to implement the Choice of
Termination of Pregnancy Act of 1996?
An opinion survey conducted in the Western Cape in November 1997. In fulfillment for the requirements of the FCOG (S.A.) part 2.
Tables
Reproduced with permission
Table 1 - Results- Profiles 1
|
Responders |
Actual |
% age |
Spec |
26 |
42 |
62 |
Registrar |
23 |
40 |
58 |
MO |
61 |
103 |
59 |
GP |
48 |
123 |
39 |
Missing |
11 |
|
|
N = |
169 |
308 |
54.9 |
Table 2 - Profile 2- will this change in 1998?
Percentage of Respondents
|
Post Feb 97 |
Post Jan 98 |
Specialist |
100 |
96 |
Registrar |
91 |
96 |
Medical Officer |
69 |
74 |
Gen Prac |
96 |
98 |
Absolute Numbers of Respondents
|
Female |
Male |
Specialist |
6 |
20 |
Registrar |
7 |
16 |
Medical Officer |
24 |
37 |
Gen Prac |
5 |
43 |
Table 3 - Type of Institution
Absolute Numbers
|
3° |
2° |
1° |
Specialist |
15 |
9 |
2 |
Registrar |
20 |
1 |
2 |
Medical Officer |
15 |
31 |
12 |
Gen Prac |
1 |
13 |
33 |
Table 4 - TOP Training 1
% of Respondents (Missing 9)
|
Specialist |
Registrar |
Medical Officer |
Gen Prac |
TOP's |
81 |
70 |
31 |
25 |
MVA |
81 |
96 |
57 |
38 |
Cerv Rx |
88 |
92 |
33 |
27 |
Probs |
100 |
100 |
78 |
73 |
? Course |
22 |
22 |
25 |
27 |
Table 7 - TOP Training 2- Counselling
Percentage of Respondents
|
Specialist |
Registrar |
Medical Officer |
Gen Prac |
Pre-TOP |
62 |
30 |
10 |
6 |
Post-TOP |
65 |
17 |
8 |
6 |
Workshop Attendance? |
31 |
22 |
8 |
4 |
Table 8 - TOP Training 3- Training
|
0 |
<5 |
5-10 |
>10 |
Since Feb 97 |
7 |
131 |
17 |
5 |
Type of Institution |
3° |
2° |
1° |
|
Trainees now |
51 |
58 |
51 |
|
Table 9 - TOP Service Offered
n=31
|
3° |
2° |
1° |
Full |
2 |
7 |
0 |
Limted |
- |
3 |
4 |
Nil |
- |
8 |
7 |
Table 10- Out of Hospital Referrals for TOP
Private Sector |
20 |
NGO (Marie Stopes) |
26 |
State Hospital |
78 |
Crisis Preg Centres |
16 |
Not Referred |
26 |
|
23 Missing Results |
Percentage of Respondents
|
Male |
Female |
No TOP at hospital |
41 |
57 |
No TOP anywhere
|
11
|
11
|
Table 11 - Doctors Who Will Not Refer TOP Applicants
Percentage of respondents
Missing = 59
|
3° |
2° |
1° |
To another doctor |
12 |
17 |
25 |
Refuse to see |
13 |
14 |
11 |
Table 12 - Should TOP service have . . .
Percentage of Respondents
|
3° |
2° |
1° |
Separate venue? |
76 |
53 |
51 |
Separate staff? |
71 |
60 |
53 |
Table 13- Drs. Preparedness to do TOPs
Limited (Counselling only) 51%
|
Specialist |
Registrar |
Medical Officer |
GP
|
Full |
10
|
12
|
9
|
5
|
Limited |
14 |
8 |
33 |
29 |
Nil |
2 |
3 |
19 |
14 |
Totals |
26 |
23 |
61 |
28 |
Tables 14, 15 - Late TOPs 12-20 Weeks
Percentage of respondents willing to do TOPs
Table 14 |
Table 15 |
Willing |
Late > 12 Weeks TOPs Categories |
1. 77% |
Lethal congenital abnormalities (anencephaly) |
2. 50% |
Non-lethal correctable abnormalities (TOF) |
3. 50% |
Non-lethal uncorrectable abnormalities (Downs) |
4. 70% |
Rape |
5. 70% |
Incest |
6. 68% |
Psychiatric cases |
7. 81% |
Maternal death potential |
8. 70% |
Permanent maternal organ damage threat |
9. 30% |
Adverse socio-economic situations |
Table 16 - Doctors Who Will Continue a TOP Started by
Others
Percentage of Respondents (45 Missing)
|
3° |
2° |
1° |
Threatened |
58 |
33 |
44 |
Inevitable |
74 |
57 |
88 |
Incomplete |
92 |
59 |
85 |
Conserve Mx: 40% will admit, sedate and Rx pain!
Table 17 - Consultation Re: TOP Act of 1996
Percentage of Respondents
Ever consulted?
Missing = 6 |
24.5% |
Ever informed of rights to refuse?
Missing = 33 |
30.1% |