Between Compassion and Controversy: Providers and Patients Navigating the Post-Abortion Care Labyrinth in Nongr-Massom Health District, Burkina Faso

Unsafe abortion remains a major contributor to maternal mortality, particularly in low-resource settings. In Burkina Faso, post-abortion care (PAC) was integrated into national health policy between 1997 and 1998, yet service uptake remains low. This qualitative study explores perceptions of PAC quality among healthcare providers and clients in the Nongr-Massom health district. We conducted 21 in-depth interviews—11 with providers and 10 with PAC recipients—and analyzed transcripts using thematic analysis. Most clients were aged 20–29, with half lacking formal education; providers were aged 40–49 and held higher education credentials. Providers described PAC delivery as structured and protocol-driven but acknowledged systemic limitations and the need for improvement. Clients reported mixed experiences, ranging from poor reception and confidentiality concerns to compassionate care and emotional support. Although some initially expressed dissatisfaction, many later emphasized provider empathy and encouragement during treatment. Findings reveal persistent barriers to high-quality PAC despite governmental efforts. While providers recognize their critical role, gaps in service delivery and client trust remain. Addressing these challenges is essential to improving maternal health outcomes and reducing unintended pregnancies.