Evaluating the effectiveness, quality and impact of comprehensive abortion care interventions, including postabortion contraception

Ipas researchers have conducted a number of studies to evaluate Ipas-supported interventions to improve abortion care quality, availability, access, and impact. These findings have guided our program design and implementation, as well as provided evidence to facilitate changes in policies and practices.

Ipas assessed differing approaches to training midwives to offer postabortion care services in Ghana and Nigeria. Following development of a model to monitor safe abortion care (SAC), Ipas and local partners applied the approach to public health facilities in one region in Ethiopia where upgrades in provider training, commodities availability, recordkeeping and supervision had been implemented. The study focused on evaluation of abortion care availability, utilization and quality of services. A national-level application of the SAC model, conducted in Ethiopian public facilities, provided baseline evidence as induced abortion services began to be offered countrywide after legal reform in 2006.

Postabortion contraception is a vital part of high-quality abortion care. Ipas research findings have helped determine the effectiveness of a set of facility interventions to improve linkages between abortion and contraceptive counseling and method provision at the time of abortion care. A national study in Cambodia by Ipas and partners identified those facility-based factors that most contribute to contraceptive acceptance following abortion.

The expansion of our service delivery monitoring system has enabled Ipas to determine the contraceptive method types women are most likely to accept, and by which cadre of provider, in two very different settings in Ghana and India.