Young people face social and structural barriers when accessing abortions. High-quality, sexual and reproductive healthcare is needed; however, literature on youth-informed abortion services is limited. This study assesses accounts of youth who obtained an abortion in Argentina, Bangladesh, Ethiopia, and Nigeria and provides recommendations to improve person-centered aspects of abortion quality. We analyzed 48 semi-structured interviews with clients recruited from clinics, safe abortion hotlines, and patent and proprietary medicine vendors. We coded transcripts and conducted a thematic analysis. The mean age was 21 years (range 16–24), and the majority had a first trimester, medication abortion. Prominent themes included access to information; privacy; stigma associated with age or marital status; the decision-making process; and comfort and rapport with providers. Youth-centered abortion care should anticipate the distinct needs of younger clients. Supportive providers have an important role in offering a non-judgmental service that makes young clients feel comfortable and prepared.

年轻人在堕胎时面临社会和结构性障碍。需要高质量的性保健和生殖保健；但是，有关青年人提供的堕胎服务的文献有限。这项研究评估了在阿根廷，孟加拉国，埃塞俄比亚和尼日利亚获得堕胎的年轻人的情况，并提出了改善以人为本的堕胎质量方面的建议。我们对从诊所，安全堕胎热线以及专利和专有药品销售商招募的客户进行了48次半结构化访谈。我们对成绩单进行了编码，并进行了主题分析。平均年龄为21岁（范围16至24），并且大多数人处于孕早期，即药物流产。突出的主题包括获取信息；隐私; 与年龄或婚姻状况有关的污名；决策过程; 并与提供者保持舒适和融洽的关系。以青年为中心的堕胎护理应预见年轻服务对象的独特需求。支持服务提供商在提供非判断性服务方面起着重要作用，该服务可以使年轻客户感到舒适和有准备。