Country: Pakistan

Expanding the Provider Base for Abortion Care: Findings and Recommendations from an Assessment of Pre-Service Training Needs and Opportunities in Pakistan

In 2012, Ipas undertook an assessment in Bangladesh, India, Nepal and Pakistan to determine the specific needs and gaps in the pre-service education systems for midlevel providers and to identify opportunities, strategies and recommendations for creating more equitable access to safe abortion care. Sources for the pre-service assessment include curricular review; government documents; key informant interviews; reports; assessments of provider performance and training; and site observation visits. The assessment results and recommendations in this report focus on Bangladesh.

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A coordinated approach to policy change and programmatic integration of safe uterine evacuation and postabortion care services in Punjab province, Pakistan

This brief describes the advocacy efforts, led by Ipas Pakistan and local partners, to integrate WHO-approved approaches (UE methods and training of additional cadres of providers) into the healthcare system. In particular, it details the work done to establish the Punjab Reproductive Health Technology Assessment Committee (PRHTAC)—a provincial body formed to review existing evidence on UE technologies, address concerns about stigma, examine a legal basis for clinical expansion to MLPs, consider the financial implications of new technologies, and, ultimately, to make recommendations/changes for the adoption of misoprostol and MVA into the local healthcare system.

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