Abortion-related research has been relatively neglected in global sexual and reproductive health research. Research, however, plays an essential role in paving the way for more informed dialogue on the nature of unsafe abortion and in facilitating changes in programs and policies. As an organization with a comprehensive mission to reduce the number of maternal deaths from unsafe abortion and advance women's reproductive rights, Ipas has made a strong commitment to research and evaluation.
With a multi-disciplinary research and evaluation staff based in Africa, Asia and the Americas, Ipas has a strong track record of using multiple methodologies to identify, describe and analyze abortion-related deaths and injuries, which are vastly underreported in most countries' routine health information systems, and to assess interventions to enable women to access safe abortion care. We work across disciplines, with researchers on staff who are trained in medicine, public health, epidemiology and biostatistics, as well as the social sciences — psychology, demography and anthropology.
A key principle of Ipas's research is our commitment to strong partnerships with major stakeholders at every stage, from project design through dissemination. Such partnerships have facilitated dissemination and utilization of the findings to strengthen programs, overcoming the long distance that often exists between research and action. To this end, we have developed active relationships with a range of local and international nongovernmental organizations (NGOs), universities and schools, professional societies, multilateral agencies and governmental institutions. As part of these collaborations, Ipas researchers have fostered the growth of in-country research expertise.
Ipas is a founding member and coordinator of the Consortium for Research on Unsafe Abortion in Africa. Comprised of three African-based and two international organizations, the Consortium supports a program of original research to improve understanding of the prevalence, causes and consequences of unsafe abortion in the region, provide evidence to reduce unwanted pregnancy and unsafe abortion, and increase women's access to comprehensive abortion care. The Consortium also focuses on communication of research findings to an array of audiences and supports capacity building for expanded abortion research in Africa.
Our research-and-evaluation program is supported by private foundations, bilateral donors and multilateral organizations. Ipas researchers have published in peer-reviewed journals, including:
- The Lancet,
- BJOG,
- International Perspectives on Sexual and Reproductive Health,
- Studies in Family Planning,
- Social Science and Medicine,
- Health Policy and Planning,
- Journal of the International Federation of Gynecologists and Obstetricians,
- Contraception,
- Human Resources for Health, and the
- International Journal of Midwifery and Women's Health.
- Ipas and country-based researchers have implemented nationally-representative health facility surveys of abortion cases in Kenya, Ethiopia and Cambodia, and a study in Malawi is underway. These data, along with supplementary facility information on abortion practice, are used to estimate the annual number of women treated for abortion complications in facilities, clinical severity of complications, numbers of abortion-related deaths, and clinical management of complications. In Ethiopia and Malawi, Ipas and partners have also estimated the national number and incidence of abortion. With national magnitude data collected in 2005 and 2010, Cambodia provides the first opportunity to assess national-level changes over time in the availability of safe abortion, and in the severity and number of abortion complications following training and service delivery inputs in the public sector.
- Ipas and WHO researchers have led the first phases of the Strategic Approach--- called Strategic Assessments --- on abortion in Ghana, Zambia, and Malawi, and a Strategic Assessment in Senegal began in 2010. Local teams of stakeholders conduct in-depth interviews and focus group discussions with health professionals, political, cultural and business leaders, young people, school teachers, clergy and others. These qualitative methods bring a detailed perspective to the often-stigmatized topic of abortion and highlight awareness of the devastating impact of abortion-related deaths and disabilities. Thus far, recommendations have led to new safe abortion services in Ghana and large-scale operations research to implement safe abortion in Zambia.
- Ipas conducts operations research to assess the quality, availability, acceptability and cost of abortion-related services. In Zambia, following on recommendations from the Strategic Assessment, Ipas and partners are evaluating the introduction of MVA and medical abortion services in 28 public hospitals and health centers in two regions. Ipas has assessed the uptake of misoprostol for treatment of incomplete abortion, along with client and provider acceptability of this new approach in Nigeria. A comparison of the performance of physician and nurse providers in Mozambique in the use of misoprostol for induced abortion has also been completed.
- Building on the long-used indicators for emergency obstetric care, Ipas has developed a set of facility monitoring indicators to assess the availability, utilization and quality of safe abortion care. The safe abortion care framework and indicators were published in a peer-reviewed journal, and a tool kit to share with providers and health system managers for local use is forthcoming (Reducing unsafe abortion in Ethiopia: Monitoring progress with the Safe Abortion Care (SAC) model in Tigray). These indicators have been successfully applied in public hospitals and health centers in Ethiopia , as well as in Bangladesh, to provide health systems needed information to improve abortion services.
- A newer area of Ipas's programmatic work and research is testing interventions to reach women in their community with information and referrals about prevention of unwanted pregnancy and availability of safe abortion. Ipas and the Planned Parenthood Association of Zambia are implementing and assessing the effectiveness of health information activities carried out by community-based organizations. These interventions were preceded by a household survey of women and men living in the intervention areas about their knowledge of abortion laws and safe services and abortion perceptions and opinions. The community information activities will attempt to link women to newly-implemented abortion services in hospitals and health centers. In Nepal, Ipas has conducted an evaluation of the reach and effectiveness of a radio program on prevention of unintended pregnancy and unsafe abortion. Ipas India and local partners have conducted research to better understand the communications channels accessed by women in 250 villages in a district and analyze the results of training community members to support women to obtain safe abortion services with MVA and medical abortion.
- Using a conceptual model for evaluating abortion programs (Evaluating Abortion-care Programs: Old Challenges, New Directions), in 2006, Ipas developed a set of core indicators to capture progress across our program efforts in training, service delivery, technology introduction, policy and advocacy, and community education and mobilization.
- The backbone of Ipas's global monitoring system is the Global Exchange Monitoring (GEM) system, an online data base that is routinely updated by Ipas country teams with information on Ipas-organized events to train clinical providers, increase policymaker awareness and mobilize advocates. Begun in 2002, GEM data enable Ipas to track information on the location, length, thematic content, partners and participants in courses, workshops and other events.
- Ipas's clinical trainee tracking system enables Ipas to support providers trained to provide uterine evacuation services and postabortion contraception information and methods. Through routine check-ins and administration of standardized questionnaires, Ipas staff maintain supportive relationships with trainees, identify barriers to service provision, discuss technical updates, and obtain performance information on services offered.
- Ipas has implemented a system for the routine collection of data from health facilities in 13 countries in Africa, Asia and Latin America where site-level interventions have occurred. In partnership with Ministries of Health, Ipas makes annual visits to health facilities to collect standardized information on abortion-related service delivery. Findings from our array of monitoring data are used by Ipas to evaluate overall organizational performance and shared with key stakeholders.
- To capture the status of abortion service quality and functioning, Ipas has implemented in-depth facility assessments in Ethiopia, Ghana, Kenya, Mozambique, Nigeria, South Africa, India and Cambodia. Ipas has also conducted assessments of service quality in facilities where safe abortion services have been implemented following liberalization of the abortion law in Mexico City in 2007. All of these findings inform the design of provider training and service delivery efforts, and when combined with post-intervention surveys, enable Ipas and health system partners to track implementation progress and results.
Valerie Acre, Data Analyst (US) -
MHS in Population, Family and Reproductive Health, The Johns Hopkins University
Ms. Acre joined Ipas in 2011 to provide technical support to the Research and Evaluation Unit, including statistical analysis, data management, and technical writing. She currently works on research, monitoring and evaluation for Ipas's programs in Asia. Prior to joining Ipas, Ms. Acre's master's research focused on family planning referral systems in a teaching hospital in Ghana. Her past work also includes research in biomedical engineering focusing on medical instrument design and modeling. Her professional interests include reproductive health-care access, medical technologies for low income settings, and reproductive rights.
Kathryn Andersen, Senior Research and Evaluation Associate (US) –
MS in Biostatistics, Ph.D. in Maternal and Child Health, University of North Carolina at Chapel Hill.
Dr. Andersen provides technical support to the Research and Evaluation Unit on research methodologies, sampling, data management and statistical analysis. She currently works on research, monitoring and evaluation for Ipas's programs in Asia. Her professional interests include violence against women; reproductive health-care access and associated costs; and converting research into policy and practice. Her research has been published in Violence against Women, Women and Health, Contraception, the American Journal of Preventive Medicine, Studies in Family Planning, and the Journal of the Internal Federation of Gynecology and Obstetrics. Dr. Andersen is an adjunct assistant professor in the Department of Maternal and Child Health at the Gillings Global School of Public Health at the University of North Carolina at Chapel Hill. She also serves as the statistical methods editor for the Journal of Midwifery and Women's Health.
Paschal Awah, Senior Research Advisor, Africa (Cameroon) -
MA in Sociology, University of Yaounde I, Cameroon; M.Phil. and PhD in Medical Anthropology, University of Newcastle-upon-Tyne, United Kingdom
Dr. Awah has extensive research, health services, training and policy experience in chronic disease prevention and management in his home country of Cameroon and in others in Africa. He also has been a researcher with the WHO HRP Collaborating Centre in Cameroon, working on sexual and reproductive health, including abortion, and helped adapt national reproductive health policy to reflect the 1994 Cairo Conference agreements. He has significant background in the ethical review of research, has worked to establish research ethics committees in several African countries, and in 2008, completed a biomedical ethics fellowship with the University of Miami, University of Washington, Seattle, and the Western Institutional Review Board, Olympia, in Washington State (US). He is a member of the WHO/UNAIDS Ethics, Law and Human Rights Working Group of the African AIDS Vaccine Program. Dr. Awah has co-authored articles in many peer-reviewed journals, including Health Education Research, International Journal of Epidemiology, BMC Health Services Research, Africa, and the African Journal of Health Sciences, as well as books and monographs on malaria, reproductive health and other topics.
Sushanta K. Banerjee, Senior Research and Evaluation Advisor (India) -
PhD and MPS in Population Studies, International Institute for Population Sciences, Mumbai, India; MA in Economics, University of Kalyani, Kalyani, India
Dr. Banerjee oversees the research and evaluation component for Ipas's country program in India. Before his association with Ipas in 2006, Dr. Banerjee worked as the Technical Director of Population Services International-India for more than three years. He has 14 years of experience in program monitoring and evaluation; study design; and guiding evidence-based behavior change communication strategies in reproductive health issues. Dr. Banerjee has led numerous cross-sectional & longitudinal program evaluations, large-scale demographic surveys in India, operations research and program monitoring, including the Demographic Health Survey (NFHS). He also has worked for a wide variety of international organizations, including Futures Group International, Taylor Nelson Sofres India and the International Institute for Population Sciences. His professional interests include program and policy evaluation, pathways of unsafe abortion, community intervention on medical abortion, postabortion family planning and demographic dynamics of abortion research. Dr. Banerjee has written many Ipas-published monographs, and has also authored/co-authored articles in numerous peer-reviewed journals, including Global Public Health, Asia-Pacific Population Journal/United Nations, Economic & Political Weekly, Aging & Society, Newborn-The Indian Journal of Pediatrics.
Janie Benson, Vice President, Research and Evaluation (US) -
MPH, The Johns Hopkins University; DrPH, University of North Carolina at Chapel Hill
Dr. Benson joined Ipas in 1990 and provides oversight for Ipas's Research and Evaluation Unit and leadership in the measurement of organizational strategic objectives and impact. During her tenure, she has overseen a significant expansion of Ipas's research and evaluation work in Africa, Asia and Latin America. Dr. Benson has written many Ipas-published monographs and manuals, and has also authored/co-authored articles in numerous peer-reviewed journals, including The Lancet, Studies in Family Planning, International Journal of Gynecology and Obstetrics, Social Science and Medicine, and Health Policy and Planning. Her research interests include postabortion family planning, service-delivery quality and access, costs of abortion care, and program evaluation. Dr. Benson is an adjunct assistant professor in the Department of Maternal and Child Health at the University of North Carolina at Chapel Hill's School of Public Health and serves on the Institutional Review Board (IRB) of the Schools of Public Health and Nursing at UNC-Chapel Hill.
Kamal Biswas, Monitoring and Evaluation Associate (Bangladesh) –
MBBS (Bachelor of Medicine and Surgery), Dhaka University, Dhaka, Bangladesh; MBA in Health, Population & Nutrition in Developing Countries, Keele University, England
Dr. Kamal Biswas provides technical support to the Research and Evaluation unit on research methodologies, statistical analysis and data management. He currently works on monitoring and evaluation for Ipas's country program Bangladesh. Prior to joining Ipas in 2011, Dr. Biswas served as a Monitoring and Evaluation Specialist for a large, national urban primary health-care initiative where he designed and supervised survey implementation, and analyzed and prepared the findings for publication. Previously, he served as a Health Systems Analyst for WHO and the World Bank, and consulted on a range of public health projects for other international and local organizations in Bangladesh including ICDDR,B, EngenderHealth and the MOHFW. Dr. Biswas has co-authored articles in Midwifery and the American College of Nurse Midwifery.
Tamara Fetters, Senior Research and Evaluation Associate (US) -
MPH, University of California at Los Angeles
Ms. Fetters joined Ipas in 2000 after serving as a University of Michigan Population Fellow with CARE in Zambia. She was also a Fullbright Scholar in Indonesia. At Ipas, Ms. Fetters provides technical support to several field offices in Africa and in Cambodia in research design and monitoring and evaluation. Her current research includes a province-wide introduction to medical abortion in KwaZulu-Natal, South Africa; large-scale introduction and evaluation of medical abortion in Zambia; the introduction of misoprostol for postabortion care services in three Nigerian hospitals, and the morbidity and mortality measurement due to unsafe abortion in Cambodia. Ms. Fetters has also acted as technical advisor for various meetings and study reviews for WHO, UNAIDS and the International Development Research Centre in Canada. Her professional interests include program and policy evaluation, measurement of abortion morbidity and mortality, participatory learning and action research, emergency obstetric care, and reproductive health for refugees. Ms. Fetters has co-authored articles in the BJOG, Studies in Family Planning, International Journal of Gynecology and Obstetrics, International Perspectives on Sexual and Reproductive Health, and Forced Migration Review.
Hailemichael Gebreselassie, Senior Research Advisor, Africa (Ethiopia) -
MD and MPH, Addis Ababa University, Ethiopia; PhD in Epidemiology and Biostatistics, McGill University, Canada.
Since joining Ipas in 2000, Dr. Gebreselassie has served as an investigator on studies to assess postabortion care quality and access in public-sector health facilities in Ethiopia, Ghana and Mozambique; estimate the magnitude and severity of abortion complications treated in public health facilities in Kenya, Ethiopia and Malawi; and evaluate the performance of mid-level practitioners in provision of medical abortion in Mozambique. Using a methodology developed by the World Health Organization, Dr. Gebreselassie has led strategic assessments of abortion-related policies, programs and stakeholder perspectives in Zambia, Ghana, and Malawi. He currently serves as a co-principal investigator of an operations research project to introduce medical abortion services in Zambia. Dr. Gebreselassie has published articles in several peer-review journals, including the East Africa Medical Journal, the Ethiopia Journal of Health Development, Reproductive Health Matters, the BJOG, and International Perspectives on Sexual and Reproductive Health. His research interests include measurement of abortion incidence and magnitude, medical abortion, and evaluation of abortion service quality and availability. Dr. Gebreselassie previously served as deputy director of the Ethiopian Health and Nutrition Research Institute.
Keris KrennHrubec, Data Analyst (US) -
MPH in Epidemiology and International Health, University of Michigan - Ann Arbor
Ms. KrennHrubec provides technical support to the Research and Evaluation Unit, and provides backstopping support for research, monitoring and evaluation for Ipas's programs in Ethiopia, South Africa and Zambia. This portfolio includes data analysis support for an introduction to medical abortion in KwaZulu-Natal, South Africa, and a large-scale introduction and evaluation of medical abortion in Zambia. She has also provided data analysis and technical writing support for two studies to estimate public health facility costs of postabortion care in Nigeria and Malawi. Prior to joining Ipas in 2010, Ms. KrennHrubec's work focused on the biological aspects of public health. She worked on several clinical studies on gene mutations in pancreatic cancer patients, and her master's research focused on the prevalence of different genetic types and variants of HPV among cervical cancer cases in Tunisia. Her professional interests include sexual and reproductive health, STIs, virology, human rights and reproductive rights.
Brooke A. Levandowski, Senior Research and Evaluation Associate (US) -
MPA in Public Administration, Syracuse University; PhD in Epidemiology, University of North Carolina at Chapel Hill
Dr. Levandowski joined Ipas in 2008 and provides technical and management oversight for a multi-year grant for abortion research in Africa. This responsibility includes coordinating the Consortium for Research on Unsafe Abortion, a group of international and African organizations working on abortion research to facilitate changes in policies and practices in the region. Dr. Levandowski is currently co-Investigator of a national study to estimate the magnitude and severity of abortion complications, and the incidence of abortion in Malawi. She also provides technical support for research, monitoring and evaluation in Ipas's programs in Ghana, Kenya, and the Africa Alliance. Prior to joining Ipas, her international research centered upon behavior of youth related to STI/HIV infections in South Africa and Malawi, while her research in the United States has focused on racial, ethnic and income disparities in maternal child health and reproductive health among incarcerated individuals and youth. Dr. Levandowski was also a Peace Corps volunteer in Cameroon. Her peer-reviewed articles have been published in the International Journal of Epidemiology, AIDS, AIDS and Behavior, Journal of Adolescent Health, Journal of Public Health Management and Practice, and Medical Anthropology Quarterly.
Lauren Maxwell, Research and Evaluation Associate (US) -
MPH in Maternal and Child Health and certificate in field epidemiology, University of North Carolina at Chapel Hill, Gillings Global School of Public Health
Ms. Maxwell provides technical support to the Research and Evaluation Unit, acts as the backstop for Ipas's programs in Latin America, and conducts data analysis for African studies and monitoring and evaluation. Prior to joining Ipas in 2010, Ms. Maxwell worked for 6 years in qualitative and quantitative public health research with Latino populations in the United States and for several years in HIV, TB, and health access research with incarcerated and refugee populations in the US and the Middle East. Her master's paper focused on the intra-familial transmission of Hepatitis C virus in Egypt using the 2009 DHS datasets. Ms. Maxwell is fluent in Spanish and is an advanced speaker of the Yemeni and Egyptian dialects of Arabic. Her interests include field epidemiology, capacity building, and women's reproductive health in Latin America and the Middle East. Ms. Maxwell has co-authored articles in the Journal of Family Issues, the Journal of the American Psychiatric Nurses Association, and a chapter in the book, Immigration, Diversity, and Education.
Errol Nkonko, Research and Evaluation Coordinator (South Africa) –
BS in Statistics, Makerere University, Kampala, Uganda; Honours, Mathematical Statistics, University of Pretoria, South Africa
Errol Nkonko joined Ipas South Africa in 2006, bringing a background in statistical analysis, survey design and implementation, and applied economics. He has worked as a junior analyst in marketing research and in various social science and health fields, including child health and HIV. Mr. Nkonko provides technical assistance in the design and implementation of reproductive health research projects and monitoring and evaluation of country core programs for Ipas South Africa. His professional interests include biostatistics, experimental design, analysis of variance and cartography.
Cheri Poss, Research and Evaluation Associate (US) –
MSPH in Health Policy and Management, University of North Carolina – Chapel Hill
Ms. Poss provides technical support for monitoring and evaluation of clinical training, service delivery and policy interventions in Asia and Africa, synthesizes monitoring data, and contributes to donor reporting. Prior to joining Ipas in 2011, Ms. Poss provided management support and oversight for two global research grants focused on HIV/AIDS, family planning, and TB at FHI. Previously, she has worked in the area of program evaluation, contributing to an evaluation of a women's microenterprise project in Kenya. She also has experience in domestic health policy, supporting constituent outreach for veterans' health affairs. Her master's research compared contraceptive continuation rates between women in community based distribution networks and those accessing clinic-based care in Uganda. Her professional interests include program evaluation, health policy, sexual and reproductive health, reproductive rights, and health systems strengthening.
Sharad Kumar Sharma, Monitoring and Evaluation Associate (Nepal) –
M.Sc. in Statistics, Tribhuvan University, Kathmandu, Nepal; M.A. in Population and Reproductive Health Research, Ph.D. in Demography, Institute for Population and Social Research, Mahidol University, Thailand
Dr. Sharad Sharma provides technical support to the Research and Evaluation Unit on research methodologies, statistical analysis, data management and report writing. He currently works on monitoring and evaluation for Ipas's country program in Nepal. Dr. Sharma has over 15 years of experience in monitoring and evaluation of population, health and nutrition program in Nepal. Prior to joining Ipas in 2011, Dr. Sharma served as a Demographer for the Family Health Division, Department of Health Services, Ministry of Health and Population in Nepal. He also served as a Statistical Officer for the Mid-Western Regional Health Directorate in Nepal. Dr. Sharma has presented papers in national and international conferences and co-authored many evaluation studies. He has published articles in the Journal of Health Psychology, Journal of Population and Social Studies and Journal of Biosocial Science.
Amy Vincus, Senior Research and Evaluation Associate (US) –
MPH in Health Behavior and Health Education, University of North Carolina at Chapel Hill.
Ms. Vincus joined Ipas in 2011 where she provides technical expertise to the global monitoring & evaluation M&E) efforts. She is currently supporting the roll-out of Ipas' upgraded M&E data collection, analysis, and reporting system. Ms. Vincus has more than 15 year experience in public health research and evaluation, focusing on process and outcome evaluations of US programs in school-based substance use prevention, sexual violence, school safety, and adolescent health, and, recently, evaluation of water and sanitation interventions in Swaziland. She has also worked as an educator and evaluator of community-based programs to increase breast cancer screening among African American women in rural and urban North Carolina. Amy was a Peace Corps Volunteer in Morocco in the early 1990s. Prior to joining Ipas, Amy worked for the Pacific Institute for Research and Evaluation (PIRE) and for RTI International. She continues her relationship with the Department of Health Behavior and Health Education in the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill, where she has supervised graduate student practica and has been a guest lecturer in numerous classes. Amy has published extensively in peer-reviewed journals, including Prevention Science, the American Journal of Public Health, the Journal of Adolescent Health, and the Journal of Drug Education; she has presented evaluation results at multiple professional conferences.
Kristen M. Shellenberg, Senior Research and Evaluation Associate (US) –
MPH in Community Health Sciences, University of California at Los Angeles; PhD in Population, Family and Reproductive Health, Johns Hopkins University
Dr. Shellenberg joined Ipas in 2011 and provides technical assistance for research, monitoring and evaluation in Ipas's programs in Nigeria. She also supports global evaluation and research efforts on abortion stigma and community access to abortion. Prior to joining Ipas, Dr. Shellenberg spent three years as a doctoral fellow at the Guttmacher Institute where she conducted quantitative and qualitative research on the stigma of abortion in the United States. She has a strong background with community-based programs and research, especially on adolescent reproductive health in the United States and Latin America, working with such organizations as the Population Council in Guatemala and Planned Parenthood. She was also a Peace Corps volunteer in Ecuador, where she worked in rural public health. Dr. Shellenberg's professional interests include abortion, contraception, reproductive rights, and translating research into policy and practice.
Gertrude Voetagbe, Research and Evaluation Associate (Ghana) -
MSC in Medical Statistics, London School of Hygiene and Tropical Medicine, University of London, UK
Ms. Voetagbe joined Ipas Ghana in January 2007. She provides technical and managerial support for monitoring and evaluation of program implementation and performance. Her work current includes regular monitoring of health facilities supported by Ipas, post-training follow-up of trained clinical providers, and ensuring accurate and proper documentation of service provision. Ms. Voetagbe is the lead author of a 2010 article in Human Resources for Health on midwifery tutors' capacity and willingness to offer abortion care in pre-service training. Previously, Ms. Voetagbe worked in the Health Research Unit of the Ghana Health Service as statistician and data manager.
- Benson, Janie, Kathryn Andersen, and Ghazaleh Samandari. Reductions in abortion-related mortality following policy reform: Evidence from Romania, South Africa and Bangladesh. Reproductive Health 2011, 8: 39.
- Benson, Janie. 2005. Evaluating abortion-care programs: Old challenges, new directions. Studies in Family Planning, 36(3): 189-202.
- Grimes, D. A., J. Benson, S. Singh, M. Romero, B. Ganatra, F. E. Okonofua, and I. H. Shah. 2006. Unsafe abortion: The preventable pandemic. Lancet, 368 (9550): 1908–1919.
- Halpern, Carolyn Tucker, Ellen M. H. Mitchell, Tilda Farhat, and Phil Bardsley. 2008. Effectiveness of web-based education on Kenyan and Brazilian adolescents' knowledge about HIV/AIDS, abortion law, and emergency contraception: Findings from TeenWeb. Social Science & Medicine, 67 (4): 628-637.
- Healy, Joan, Karen Otsea and Janie Benson. 2006. Counting abortion so that abortion counts: indicators for monitoring the availability and use of abortion care services. International Journal of Gynecology and Obstetrics, 95:209-220.
- Johnston, Heidi B., Maria F. Gallo, and Janie Benson. 2007 Reducing the costs to health systems of unsafe abortion: A comparison of four strategies. Journal of Family Planning and Reproductive Health Care, 33 (4): 250–257.
- Kumar, Anuradha, Leila Hessini, and Ellen M. H. Mitchell. 2009. Conceptualizing abortion stigma. Culture, Health and Sexuality, ePub before print.
- Martin, Sandra L., Siobhan K. Young, Deborah L. Billings and C. Cristopher Bross. 2007. Health care-based interventions for women who have experienced sexual violence. Trauma, Violence, and Abuse, 8(1):3-18.
- Miller, Suellen and Deborah L. Billings. 2005. Abortion and postabortion care: Ethical, legal, and policy issues in developing countries. Journal of Midwifery & Women's Health, 50(4): 341-343.
- Shellenberg, Kristen M., Ann M. Moore, Akinrinola Bankole, Fatima Juarez, Adekunbi Kehinde Omideyi, Nancy Palomino, Zeba Sathar, Susheela Singh and Amy O. Tsui. 2011. Social stigma and disclosure about induced abortion: Results from an exploratory study. Global Public Health, 6 (Suppl. 1): S111-S125
- Sherman, Jill E., and Tamara L. Fetters. 2007. Confidentiality concerns with mapping survey data in reproductive health research. Studies in Family Planning, 38 (4): 309-321.
- Tsui, Amy O., John Casterline, Susheela Singh, Akinrinola Bankole, Ann M. Moore, Adekunbi Kehinde Omideyi, Nancy Palomino, Zeba Sathar, Fatima Juarez & Kristen M. Shellenberg. 2011. Managing unplanned pregnancies in five countries: Perspectives on contraception and abortion decisions. Global Public Health, 6 (Suppl. 1): S1-S24.
- Akiode, Akinsewa, Tamara Fetters, Mathew Okoh, Talemoh Dah, Bridget Akwuba, Ejike Oji and Perpetus Ibekwe. 2010. The availability of misoprostol in pharmacies and patent medicine stores in two Nigerian cities. Ebonyi Medical Journal, 9 (2): 96-100.
- Akiode, Akinsewa, Tamara Fetters, Ramatu Daroda, Bridget Okeke, and Ejike Oji. 2010. An evaluation of a national intervention to improve the postabortion care content of midwifery education in Nigeria. International Journal of Gynecology and Obstetrics, 110:186-190.
- Billings, Deborah, and Jennifer Gatsi Mallet. 2009. Talking about abortion in Namibia. Sister Namibia, April 2009: 12-13.
- Clark, Kathryn Andersen, Ellen H. M. Mitchell, and Patrick Kuma Aboagye. 2010. Return on investment for essential obstetric care training in Ghana: Do trained public sector midwives deliver postabortion care? Journal of Midwifery and Women's Health, 55 (2): 153-161.
- Fetters, Tamara. 2006. Abortion care needs in Darfur and Chad. Forced Migration Review, 25:48-49.
- Fetters, Tamara, Solomon Tesfaye, and Kathryn Andersen Clark. 2008. An assessment of postabortion care in three regions of Ethiopia. International Journal of Gynecology and Obstetrics, 101 (1): 100-106.
- Gebreselassie, Hailemichael, Maria F. Gallo, Anthony Monyo, and Brooke R. Johnson. 2005. The magnitude of abortion complications in Kenya. BJOG, 112(9): 1229-1235.
- Gebreselassie, Hailemichael, Tamara Fetters, Susheela Singh, Ahmed Abdella, Yirgu Gebrehiwot, Solomon Tesfaye, Takele Geressu, and Solomon Kumbi. 2010. Caring for women with abortion complications in Ethiopia: National estimates and future implications. International Perspectives on Sexual and Reproductive Health, 36 (1): 6-15.
- Harries, Jane, Phyllis Orner, Mosotho Gabriel and Ellen Mitchell. 2007. Delays in seeking an abortion until the second trimester: A qualitative study in South Africa. Reproductive Health, 4:7.
- Hord, Charlotte E., Janie Benson, Jennifer L. Potts and Deborah L. Billings. 2006. Unsafe abortion in Africa: An overview and recommendations for action. In Warriner, Ina K. and Iqbal H. Shah, eds. Preventing Unsafe Abortion and its Consequences: Priorities for Research and Action (pp.115-149). New York, Guttmacher Institute.
- Mitchell, Ellen M.H., Carolyn Tucker Halpern, Eva Muthuuri Kamthi and Shirley Owino. 2006. Social scripts and stark realities: Kenyan adolescents' abortion discourse. Culture, Health & Sexuality, 8(6):515-528.
- Mitchell, Ellen M. H., Hailemichael Gebreselassie, Patrick Aboagye, Gloria Quansah Asare, and Joseph Mills. 2007. Health workers and managers' perspectives on implementing comprehensive abortion care in Ghana. Medscape General Medicine, 9 (4): 30.
- Mitchell, Ellen M.H., Karen Trueman, Mosotho Gabriel and Lindsey Bickers-Bock. 2005. Building alliances from ambivalence: Evaluation of abortion values clarification workshops with stakeholders in South Africa. African Journal of Reproductive Health, 9(3):89-99.
- Otsea, Karen, Janie Benson, Tibebu Alemayehu, Erin Pearson, Joan Healy. 2011. Testing the safe abortion care model in Ethiopia to monitor service availability, use, and quality. International Journal of Gynecology and Obstetrics, in press.
- Singh, Susheela, Tamara Fetters, Hailemichael Gebreselassie, Ahmed Abdella, Yirgu Gebrehiwot, Solomon Kumbi, and Suzette Audam. 2010. The estimated incidence of induced abortion in Ethiopia, 2008. International Perspectives on Sexual and Reproductive Health, 36 (1): 16–25.
- Ustá, Momade Bay, Ellen M. H. Mitchell, Hailemichael Gebreselassie, Eunice Brookman-Amissah, and Amata Kwizera. 2008. Who is excluded when abortion access is restricted to twelve weeks? Evidence from Maputo, Mozambique. Reproductive Health Matters, 16 (31, Suppl.): 14-17.
- Voetagbe, Gertrude, Nathaniel Yellu, Joseph Mills, Ellen Mitchell, Amanda Adu-Amankwah, Koma Jehu-Appiah and Felix Nyante. 2010. Midwifery tutors' capacity and willingness to teach contraception, post-abortion care, and legal pregnancy termination in Ghana. Human Resources for Health, 8:2.
- Yotebieng, Marcel, Carolyn Tucker Halpern, Ellen M. H. Mitchell, and Ada Adimora. 2009. Correlates of condom use among sexually experienced secondary school male students in Nairobi, Kenya. Journal of Social Aspects of HIV/AIDS, 6 (1): 9-16.
- Ganatra, Bela, S. Kalyanwala, B. Elul, K. Coyaji, S. Tewari. 2009. Understanding women's experiences with medical abortion: In-depth interviews with women in two Indian clinics. Global Public Health, May 8: 1-12.
- Fetters, Tamara, Saphonn Vonthanak, Carla Picardo and Tung Rathavy. 2008. Abortion-related complications in Cambodia. BJOG: An International Journal of Obstetrics and Gynaecology, 115(8):957-68.
- Gallo, Maria F. and Nguyen C. Nghia. 2007. Real life is different: A qualitative study of why women delay abortion until the second trimester in Vietnam. Social Science & Medicine, 64: 1812-1822.
- Ganatra, Bela. 2008. Maintaining access to safe abortion and reducing sex ratio imbalances in Asia. Reproductive Health Matters, 16 (31, Suppl.): 90-98.
- Ganatra, Bela. 2006. Unsafe abortion in South and South-East Asia: a review of the evidence. In Warriner, Ina K. and Iqbal H. Shah, eds. Preventing Unsafe abortion and its Consequences: Priorities for Research and Action (pp.151-186). New York, Guttmacher Institute.
- Ganatra, Bela. 2003. Coercion, control, or choice? Seminar, 532.
- Ganatra, Bela, Vinoj Manning, and Suranjeen Prasad Pallipamulla. 2005. Availability of medication abortion pills and the role of chemists: A study from Bihar and Jharkhand, India. Reproductive Health Matters, 13(26): 65-74.
- McDougall, Janna, Tamara Fetters, Kathryn Andersen Clark, and Tung Rathavy. 2009. Determinants of contraceptive acceptance among Cambodian abortion patients.Studies in Family Planning, 40 (2): 123-132.
- Potdar, Rukmini, Tamara Fetters, and Lam Phirun. 2008. Initial loss of productive days and income among women seeking induced abortion in Cambodia. Journal of Midwifery and Women's Health, 53 (2): 123-129.
- Billings, Deborah L., Dilys Walker, Guadalupe Mainero del Paso, Kathryn Andersen Clark, and Ila Dayananda. 2009. Pharmacy worker practices related to use of misoprostol for abortion in one Mexican state. Contraception, 79 (6): 445-451.
- Billings, Deborah L. and Janie Benson. 2005. Postabortion care in Latin America: policy and service recommendations from a decade of operations research. Health Policy and Planning, 20: 158-166.
- Billings, Deborah L., Barbara B. Crane, Janie Benson, Julie Solo and Tamara Fetters. 2007. Scaling-up a public health innovation: A comparative study of postabortion care in Bolivia and Mexico. Social Science & Medicine, 64(11):2210–2222.
- Cohen, Jessica, Olivia Ortiz, Silvia Elena Llaguno, Lorelei Goodyear, Deborah Billings, Imelda Martinez. 2005. Reaching women with instructions on misoprostol use in a Latin American Country. Reproductive Health Matters, 13(26): 84-92.
- de León-Aguirre, González, Deyanira, Deborah L. Billings, and Ruben Ramírez-Sánchez. 2008. El aborto y la educación médica en México.Salud Pública de México, 41 (4): 582–590.
- Doubova, Svetlana Vladislavovna, Veronica Pámanes-González, Deborah L. Billings, and Laura del Pilar Torres-Arreola. 2007. Violencia de pareja en mujeres embarazadas en la Ciudad de México. Revista Saúde Pública, 50 (3): 258-267.
- Gómez Ponce de León, Rodolfo, Deborah L. Billings and Karina Barrionuevo. 2006. Women-centered post-abortion care in public hospitals in Tucumán, Argentina: assessing quality of care and its links to human rights. Journal of Health and Human Rights, 9(1):174-201.
- Lafaurie, María Mercedes, Daniel Grossman, Erika Troncoso, Deborah L Billings and Susana Chávez. 2005. Women's perspectives in medical abortion in Mexico, Colombia, Ecuador and Peru. Reproductive Heath Matters, 13(26): 75-83.
- McNaughton, Heathe Luz, Charlotte Hord and Ellen M.H. Mitchell. 2006. Invoking health and human rights arguments to ensure access to legal abortion: the case of a nine-year old girl from Nicaragua. Journal of Health and Human Rights, 9(2):2-26.
- McNaughton, Heathe Luz, Ellen M.H. Mitchell, Emilia G. Hernandez, Karen Padilla and Marta María Blandón. 2006. Patient privacy and conflicting legal and ethical obligations in El Salvador: reporting of unlawful abortions. American Journal of Public Health, 9(11):1927-1933.
- Palermo, Tia M., Kate S. Wilson, Sandra G. García, Claudia Díaz-Olavarrieta, 2010. Abortion and women's roles in society: Opinions from Tlaxcala, Mexico. Salud Pública de México, 52 (1): 52-60.
- Schiavon, Raffaela, Maria Elena Collado, Erika Troncoso, José Ezequiel Soto Sánchez, Gabriela Otero Zorrilla, and Tia Palermo. 2010. Characteristics of private abortion services in Mexico City after legalization. Reproductive Health Matters, 18 (36): 127-135.
- Schiavon, R., E. Troncoso, and D. L. Billings. 2007. El papel de la sociedad civil en la prevención de la violencia contra la mujer. Salud Pública de México, 49 (special issue): E337-E340.
- Silva, Martha, Deborah L. Billings, Sandra G. Garcia, and Diana Lara. 2009. Physicians' agreement with and willingness to provide abortion services in the case of pregnancy from rape in Mexico. Contraception, (79) 2: 56-64.
- Velazco Boza, Alejandro, Rodolfo Gómez Ponce de León, Luis Salas Castillo, Dania Rebeca Yi Mariño, and Ellen M. H. Mitchell. 2008. Misoprostol preferable to ethacridine lactate for abortions at 13-20 weeks of pregnancy: Cuban experience. Reproductive Health Matters,16 (31, Suppl.): 189-195
- Walker, Dilys M., Deborah Billings, Guadalupe Mainero, Ila Dayananda, and Raffaela Schiavon. 2007. The provision of medical abortifacients by pharmacies in Morelos, Mexico [abstract]. Contraception, 76 (2): 164.
