Overview of the law and availability of abortion services in Ghana

Abstract

SUMMARY Introduction: In Ghana unsafe abortion remains a major public health problem despite apparent lib-eralization of the law on abortion over two dec-ades. The contention is that the current law on abortion makes enforceability difficult and leaves room for untrained personnel to engage in danger-ous abortion procedures and that there is need for law reform. Objectives: To bring into focus how the current law affects the availability of safe abortion service in Ghana and to bring out suggestions that may be useful in future amendment of the law.
Methods: Using the information gathered from literature review the current law on abortion in Ghana and relevant sections of the criminal code were critically analyzed from medico-legal per-spective.
Findings: Since 1985 the Ghanaian law on abor-tion has changed from its preoccupation with pro-hibition and punishment towards liberalization of abortion but there has been delay in policy formu-lation and implementation to translate the law into services. Hence safe abortion services on medico-social grounds as permitted by the law are not readily available in national health institutions. Some aspects of the law still appear implicit and may hamper implementation of safe abortion ser-vice in the country. Conclusion: For clarity there is need for more amendments in the law in order to regulate abor-tion and to enhance the right of the woman to make a choice on her own. There is also the need to expedite action on development policy and standard guidelines for practitioners.