Abortion in South Africa
South Africa’s abortion framework is governed by the Choice on Termination of Pregnancy [1]. It permits abortion on request during the first 12 weeks of pregnancy, and allows termination up to 20 weeks under broader conditions, including threats to physical or mental health, fetal abnormalities, rape/incest, or socio‑economic hardship. Even after 20 weeks, abortion remains lawful in cases of serious maternal risk, fetal malformation, or fetal injury risk. Despite being one of the most liberal abortion laws globally, implementation gaps, provider shortages, and societal stigma persist. Legal access does not guarantee service access, many providers refuse care due to moral objection or uncertainty and clinics may be limited in rural areas [2].
Is abortion legal in South Africa?
Abortion is fully legal without reason up to 12 weeks. Between 13 and 20 weeks, it is permitted under specific conditions. After 20 weeks, only very limited medical circumstances allow termination. The Choice on Termination of Pregnancy Act provides clear gestational limits and criteria for abortion. Following legalization, South Africa has seen a significant decline in abortion-related maternal mortality, demonstrating the public health impact of accessible services [2]. However, many women face barriers including limited clinic availability, provider refusal due to conscientious objection, and stigma. Studies estimate that while the majority of abortions occur safely within the formal healthcare system, unsafe abortions still persist in marginalized communities. Ongoing challenges include ensuring equitable access and provider training to fully realize the law’s intent [3].
Abortion with pills in South Africa
In-clinic abortion in South Africa
Support and Resources in South Africa
Who can I contact for more information about abortion in South Africa?
Please contact the following organizations to access abortion services and information.
Abortion Support South Africa
Sexual and Reproductive Health Services, Abortion and Postabortion Care.
Marie Stopes South Africa
Sexual and Reproductive Health Services, Abortion and Postabortion Care.
Quad Care Medical Centres
Sexual and Reproductive Health Services, Abortion and Postabortion Care.
Hotline
+27 10 141 9500
Website
https://quadcare.co.za/Safer Sex
Sexual and Reproductive Health Services, Abortion and Postabortion Care.
Hotline
011 787 1222 / 886 2286
Website
https://www.safersex.co.za/