n African Journal for Physical Health Education, Recreation and Dance - Attitudes of midwives towards the implementation of Choice on Termination of Pregnancy Act

Volume 20, Issue 1
  • ISSN : 1117-4315


The aim of this study was to explain and compare the attitudes of midwives towards the of implementation of Choice on Termination of Pregnancy Act (CTOP) at the Umtata General (UG) and St Lucy's (SH) Hospitals in Umtata in the O.R. Tambo District (ORTD), Eastern Cape Province, South Africa. The sample consisted of 60 randomly selected midwives from these hospitals. Data were collected with an 18-item Likert type questionnaire and analysed using SPSS 17.0 software for Windows. Independent t-test was used to analyse differences between the attitudes of the midwives at both hospitals towards the implementation of termination of pregnancy (TOP) services. The demographic characteristics of the participants were similar, excepting age (UG: 46. 3± 8.9 years; S39.3 ± 8.9; p < 0.5). The means of the combined attitude scores from both hospitals was 58.3 ±13.4 (UG: 57.6± 15.6; SL: 58.9 ±11.2; p > 0.05). Overall, the participants in this study had positive attitudes towards the implementation of the CTOP Act. It is recommended that the hospitals in the ORTD should be provided with both material and human resources. The midwives performing termination of pregnancy services should be encouraged to continue with the services by giving them some incentives, and through support by colleagues and the community. These strategies will, in turn, improve the quality of care rendered to patients who choose to terminate their pregnancies.

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