Overview of the law and availability of abortion services in ghana.

SUMMARY INTRODUCTION In Ghana unsafe abortion remains a major public health problem despite apparent liberalization of the law on abortion over two decades. The contention is that the current law on abortion makes enforceability difficult and leaves room for untrained personnel to engage in dangerous 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 perspective. FINDINGS Since 1985 the Ghanaian law on abortion has changed from its preoccupation with prohibition and punishment towards liberalization of abortion but there has been delay in policy formulation 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 service in the country. CONCLUSION For clarity there is need for more amendments in the law in order to regulate abortion 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.