Provider authorization

Journal articles and books

Renner RM, Brahmi D, Kapp N, Who can provide effective and safe termination of pregnancy care? A systematic review, BJOG: An International Journal of Obstetrics and Gynecology, Jan 2013 120(1):23-31.
Unsafe termination of pregnancy is a major contributor to maternal morbidity and mortality. Task sharing termination of pregnancy services between physicians and mid-level providers, a heterogeneous group of trained healthcare providers, such as nurses, midwives and physician assistants, has become a key strategy to increase access to safe pregnancy termination care.
Culwell KR, Vekemans M, de Silva U, Hurwitz M, Crane BB, Critical gaps in universal access to reproductive health: contraception and prevention of unsafe abortion, International Journal of Gynaecology and Obstetrics, July 2010:110 Suppl:S13-6.
Recommendations made on preventing maternal mortality during the Pre-congress Workshop held prior to the 2009 FIGO World Congress in Cape Town, South Africa, were part of a report that was adopted by the FIGO General Assembly. These recommendations address prevention of unsafe abortion and its consequences and support access to safe abortion care to the full extent allowed by national laws, along with 6 strategies for implementation, including integration of family planning into other reproductive health services, adequate training for providers, task-sharing with mid-level providers, and using evidence to discuss this issue with key stakeholders.
Yarnall J, Swica Y, Winikoff B. Non-physician clinicians can safely provide first trimester medical abortion, Reproductive Health Matters, May 2009: 17(33).
A substantial body of evidence exists demonstrating that mid-level providers, including nurses and midwives specialized in pregnancy-related care for women, are either already competently involved in providing medical abortions or have the requisite skills to expand their scope of practice to include medical abortion with a short course of additional training. Because mid-level clinicians often work in rural or remote areas where physicians are scarce or where there are few surgical facilities or equipment, the expansion of the medical abortion provider pool has the potential to greatly improve the reproductive health of women worldwide.
Marge Berer, Provision of Abortion by Mid-Level Providers: international policy, practice and perspectives,  Bulletin of the World Health Organization 2009;87:58-63.
This paper brings together published information from both developed and developing countries to gain an international perspective on the question of whether suitably trained mid-level health-care providers, including nurses, midwives and other non-physician clinicians, can safely provide first-trimester vacuum aspiration and medical abortions and treat incomplete first-trimester abortions. It covers policies on type of abortion provider, comparative studies of the safety of abortion with different types of abortion provider, provider perspectives and programmatic experience.