Perceived Determinants and Remedies for the Termination of Pregnancies: A Qualitative Study among Undergraduate Students in Edwin Clark University, Kiagbodo, Delta State, Nigeria

Abstract

Unsafe pregnancy termination significantly contributes to maternal morbidity and mortality in Nigeria, particularly impacting young women within academic settings. This investigation assessed the perceived determinants and solutions for pregnancy termination among female undergraduate students at Edwin Clark University, Kiagbodo, Delta State, Nigeria. It aimed to examine the socio-economic, academic, and socio-cultural factors affecting student choices, alongside identifying coping strategies and potential institutional interventions. A qualitative descriptive methodology was employed. Semi-structured interviews were conducted with 20 purposively chosen students (aged 18–25), and the data were subjected to thematic analysis. Results highlighted three primary factors: financial limitations and parental dependency, apprehension about academic interruption and potential expulsion, and social stigma coupled with parental disapproval. Proposed solutions from participants encompassed extensive reproductive health education, affordable contraceptive access, discreet counseling services, and a re-evaluation of stringent abortion legislation. The study concludes that unsafe abortion among students is motivated by interconnected socio-economic, academic, and cultural forces. It recommends that universities embed reproductive health curricula into academic programs, enhance confidential counseling support, and collaborate with health agencies to facilitate access to safe contraception. A holistic approach to these challenges can help reduce unsafe abortion practices and improve student reproductive health outcomes.