
This study describes the magnitude and severity of abortion-related complications in two referral hospitals located in two different types of fragile and conflict-affected settings and supported by Médecins Sans Frontières.


“For many people, seeking an abortion means facing isolation and judgement at every step toward getting the care they need. To dismantle abortion stigma, we must intervene not only at the individual level, but within the context of communities and societies.”

Conseils et ressources pour les formateurs et les agents de santé en première ligne sur les services d’avortement

Orientación y recursos para capacitadores y trabajadores de salud de primera línea en servicios de aborto.

Research has long shown that women and girls who experience gender-based violence at the hands of their husbands or sexual partners often experience poor reproductive health and unintended pregnancy. This issue is heightened in humanitarian settings, where women and girls are at increased risk of sexual and gender-based violence.

In June 2022, the United States Supreme Court overturned Roe v. Wade, which had guaranteed the constitutional right to abortion for almost 50 years. With this decision, the U.S. joined a handful of autocratic, anti-democratic countries bent on denying human rights and restricting abortion—while the rest of the world is expanding abortion access. Since then, many states have enacted new legal restrictions, in some cases extreme enough to effectively ban abortion entirely. While rights vary state by state, overall people in the U.S. now have less reproductive freedom—with Black, indigenous and people of color facing the greatest barriers to bodily autonomy.

This evidence brief summarizes key findings from the qualitative component of the AMoCo study, which aims to describe the access to care and treatment of women and girls hospitalized in Castors Maternity Hospital in Bangui for potentially life-threatening and near-miss abortion complications such as severe haemorrhage, severe sepsis, and uterine and intra-abdominal perforation.