Exploring the mechanisms of abortion values clarification (VCAT) for shifting healthcare worker behaviour

Abortion stigma is a well-established barrier to high-quality care. Yet there is a dearth of effective interventions to reduce abortion stigma. Among the few evaluated stigma-reduction interventions with healthcare workers, some demonstrate limited shifts in knowledge and attitudes, but there is little evidence of changes in stigma behaviours.

One abortion stigma reduction strategy that has been used globally is values clarification and attitude transformation (VCAT). VCAT workshops are designed to promote self-reflection among participants about their abortion-related values and behaviours, promote empathy and understanding of the diversity of reasons that people seek abortion care, and support participants to consider their professional responsibilities towards abortion seekers.

This qualitative study aims to build understanding of the mechanisms through which VCAT may influence stigmatising behaviours among healthcare workers in their interactions with abortion seekers. It does so through in-depth interviews with people who have designed, facilitated, or participated in VCAT globally. Findings can guide future research and inform refinements in the design of stigma reduction interventions. In doing so, this research contributes to improving equitable access to high-quality abortion care.