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In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for incomplete abortion are provided by facilities under the Directorate General of Health Services. The bifurcated health system results in reduced quality of care, particularly for postabortion care patients. This study evaluated the success of a pilot project that aimed to integrate menstrual regulation, postabortion care and family planning services across six Directorate General of Health Services and Directorate General of Family Planning facilities by training providers on woman-centered abortion care and adding family planning services at sites offering postabortion care.
This study looked at the socio-economic profile of women seeking abortion services in public health facilities across Madhya Pradesh state and at out of pocket cost accessing abortion services. In particular, it examined the level of access that poor women have to safe abortion services in Madhya Pradesh. Findings highlight that, overall, 57% of women who received abortion care at public health facilities were poor, followed by 21% moderate and 22% rich. Improved availability of safe abortion services at the primary level in Madhya Pradesh has helped meeting the need of safe abortion services among poor, which eventually will help reducing the maternal mortality and morbidity due to unsafe abortion.
This analysis aimed to estimate the costs and cost- effectiveness of providing first-trimester medication abortion and manual vacuum aspiration (MVA) services to inform planning for first-trimester service provision in South Africa and similar settings. It found that the cost per complete medication abortion was lower than the cost per complete MVA. This analysis supports the scale-up of medication abortion alongside existing MVA services in South Africa. Women can be offered a choice of methods, including medication abortion with MVA as a back-up, without increasing costs.
The Medical Abortion Study Guide, Second Edition, describes the use of medications for first-trimester abortion. It is intended to prepare health-care providers for the in-person skills training and clinical practicum portions of medical abortion training programs. It can also serve as a reference manual during training events and for future reference.
The Medical Abortion Training Guide, Second Edition, is designed for training providers on the delivery of high-quality, clinic-based, first-trimester medical abortion, particularly in limited-resource settings. It has been updated to reflect the latest evidence from the World Health Organization (WHO) and other important source documents. It includes current clinical evidence addressing the unique needs of young women and recommendations on ways to work with communities to improve information, social support and access to medical abortion.
Available Here Search Results This study examined the feasibility of introducing mifepristone-misoprostol medication abortion into existing public sector surgical abortion services in KwaZulu-Natal, South Africa. The sample included 1,167 women seeking …
Available Here Search Results Founded in 1994 by a group of white, male, hard-right conservative evangelical Christians, Alliance Defending Freedom (ADF)Â morphed from a modest outfit to the $40 million behemoth it is today. It was created out of concer …
Available Here Search Results President Obama, we call on you to stand up for vulnerable women and girls in Kenya and other parts of the developing world by allowing U.S. aid for abortion under the Helms Amendment.
Available Here Search Results As women’s health providers and advocates, obstetrician/gynecologists can support abortion access. By delivering high-quality, evidence-based care, supporting other providers who perform abortion, helping women who access …
Young, rural Indian women lack sexual and reproductive health (SRH) information and agency and are at risk of negative sexual and reproductive health outcomes. The objectives of this study were to assess young women’s sexual and reproductive health knowledge; describe their health-seeking behaviors; describe young women’s experiences with sexual and reproductive health issues, including unwanted pregnancy and abortion; and identify sources of information, including media sources.
Women receiving induced abortions or postabortion care are at high risk of subsequent unintended pregnancy, and intervals of less than six months between abortion and subsequent pregnancy may be associated with adverse outcomes. This study highlights the prevalence and attributes of postabortion contraceptive acceptance from 2,456 health facilities in six major Indian states, among 292,508 women who received abortion care services from July 2011 through June 2014.
This study estimates current health system costs of treating unsafe abortion complications and compares these findings with newly-projected costs for providing safe abortion in Malawi. It finds that transition to safe, legal abortion would yield an estimated cost reduction of 20-30 percent.
Available Here Search Results For more than 40 years, U.S. policies have been allowed to violate the human rights of women at home and abroad. Isn’t it time the United States makes its abortion funding policies, both national and international, consist …
This study sought to understand women’s experiences using medication for menstrual regulation in Bangladesh. In-depth interviews were conducted with 20 rural and urban women.The majority had had positive experiences with medication for menstrual regulation and successful outcomes. Continued efforts to improve counselling by providers about the dose, medication and side-effects of medication for menstrual regulation, along with education of the community about medication as an option for menstrual regulation, will help to de-stigmatise the procedure and the women who seek it.
From a public health and human rights perspective, what would be most helpful to women and communities significantly affected by the Zika outbreak is accurate and comprehensive information, and access to rapid diagnosis and counseling on the health risks. Furthermore, there needs to be a massive overhaul in national policies: Safe abortion should be a legal option for women.
Comprehensive abortion care services remain out of reach for many women in rural and remote areas of Nepal. This article describes a training and support strategy to train auxiliary nurse-midwives (ANMs), already certified as skilled birth attendants, as medical abortion providers and expand geographic access to safe abortion care to the community level in Nepal.
Medical students’ limited opportunities to train in abortion procedures are a major barrier to care. But as bad as the situation is in the United States for medical students, it’s actually much worse in many international settings.
Until recently, WHO operationally defined unsafe abortion as illegal abortion. In the past decade, however, the incidence of abortion by misoprostol administration has increased in countries with restrictive abortion laws. Access to safe surgical abortions has also increased in many such countries. An important effect of these trends has been that, even in an illegal environment, abortion is becoming safer, and an updated system for classifying abortion in accordance with safety is needed across categories of safety.
The Zika virus epidemic has reached more than 20 countries in the Americas and is the potential cause, with circumstantial evidence, for thousands of cases of microcephaly, in addition to other neurological consequences. This calls for a public debate on women’s right to interrupt the pregnancy if they so desire, as an issue of reproductive social justice.
Abortion has been legal in Nepal since 2002, and post-abortion care has been successfully integrated into hospitals. But that does not mean that women can easily obtain safe abortion services. The barriers are many, and women are often stigmatized for the decision to end a pregnancy.