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We sought to determine if female community health volunteers (FCHVs) and literate women in Nepal can accurately determine success of medical abortion (MA) using an 8-question symptom checklist. Women’s and FCHVs’ assessments were compared to experienced abortion providers using standard of care. Women’s self-assessment of MA success agreed with abortion providers’ determinations 85% of the time. Agreement between FCHVs and providers was 82%. We concluded that use of a checklist to determine MA success is a promising strategy. However, further refinement of such a tool, particularly for low-literacy settings, is needed before widespread use.
Governments, advocates, providers, policymakers and other stakeholders who want to fully support women’s rights to access abortion across the globe must address quality of care, in addition to efforts to change abortion laws, train providers and expand service provision. Documenting and working to improve the quality of abortion care is necessary in order to improve service delivery and health outcomes, expand access to safe abortion especially in legally restricted settings, and to ensure the human right to the highest attainable standard of health, as outlined by the WHO.
Women are central to families and communities, and their well-being is essential to global health and stability. Yet each year, 25 million unsafe abortions put women and girls at great risk of injury or even death. These deaths and injuries are entirely preventable. That’s why organizations like Ipas focus on making safe, high-quality abortion care and contraception available to anyone, whenever and wherever it is needed, as part of the full continuum of sexual and reproductive care.
The phrase is neither a legitimate academic term, nor a political movement. It is a theory drummed up by hard-right religious activists, who present it as a gay- and feminist-led movement out to upend the traditional family and the natural order of society. It’s a catchall phrase to sell a false narrative and justify discrimination against women and LGBT people. And it is winning elections.
This paper estimates the incidence of legal and clandestine abortions and the severity of abortion-related complications among adolescent and nonadolescent women in Ethiopia in 2014. We find no evidence that adolescents are more likely than older women to have clandestine abortions. However, the higher abortion and pregnancy rates among sexually active adolescents suggest that they face barriers in access to and use of contraceptive services. Further work is needed to address the persistence of clandestine abortions among adolescents in a context where safe and legal abortion is available.
Women’s access to abortion care is often denied or hampered due to a range of barriers, many of which are rooted in abortion stigma. Abortion values clarification and attitude transformation (VCAT) workshops are conducted with abortion providers, trainers, and policymakers and other stakeholders to mitigate the effects of abortion stigma and increase provision of and access to abortion care.
This study sought to identify socio-demographic factors associated with presenting for abortion services past the gestational age limit (12 weeks), and thus not receiving services, in Mexico City’s public sector first-trimester abortion program. We found that women living in Mexico City and with higher levels of education had lower odds of presenting past the gestational age limit. Adolescents at every level of education have significantly higher probabilities of not receiving an abortion due to presenting past the gestational age limit compared with adults.
During last year’s national exams, media reported alarming cases of girls who sat the papers in delivery rooms or went into labour in the exam room. These statistics show the need for urgent action and awareness to enable the youth to manage their own sexual and reproductive health. Estimates from developing countries indicate that pregnancy and delivery complications, including unsafe abortions, are the second leading causes of death for girls below 20 years.
Numerous instances have been reported where women have been denied termination of pregnancy services for pregnancies arising out of rape, incest and sexual violence. There is also the rising issue of women and girls being forced by the police to keep the pregnancy in cases of incest or rape to preserve the infant to be used to retrieve DNA for evidence while prosecuting the perpetrator.
This evaluation assesses the factors that influence contraceptive uptake among adolescents and young women seeking abortion care in health facilities. We analyzed client log book data from 921,918 abortion care cases in 4,881 health facilities in 10 countries from July 2011 through June 2015, and found that programmatic support to health systems, including provider training in contraceptive counseling and provision, was associated with women’s higher acceptance of postabortion contraception.
This study aimed to support the development of a mobile phone intervention to support postmenstrual regulation family planning use in Bangladesh. It explored what family planning information women want to receive after having a menstrual regulation procedure, whether they would like to receive this information via their mobile phone, and if so, what their preferences are for the way in which it is delivered. Participatory interviews were conducted with 24 menstrual regulation clients in Dhaka and Sylhet divisions in Bangladesh.
The Rohingya women and girls who have suffered sexual torture and humiliation and have now fled their homes most certainly deserve whatever care may alleviate some of their suffering. By not providing comprehensive reproductive health care, including contraception and safe abortion services, humanitarian agencies have taken a side, the side that opposes women’s human rights, the side that opposes science and common sense, the side that flies against established international agreements. Doing nothing speaks volumes.
This paper reports the results of an intervention with 3,471 abortion providers in India, Nepal and Nigeria. Following abortion care training, providers received in-person visits and virtual contacts by a clinical and programmatic support team for a 12-month period. The intervention also included technical assistance to and upgrades in facilities where the providers worked.
Training and monitoring providers can help ensure that all uterine evacuation clients have access to the full range of contraceptive information and services and that women’s choices, rather than service delivery factors, drive postabortion contraceptive use.
Ending the silent pandemic of unsafe abortion is an urgent public-health and human-rights imperative. As with other more visible global-health issues, this scourge threatens women throughout the developing world. Every year, about 19–20 million abortions are done by individuals without the requisite skills, or in environments below minimum medical standards, or both.
No Brasil, o abortamento é muito restringido, permitido apenas em casos de estupro ou para salvar a vida ou a saúde da mãe. As mulheres que desrespeitam a lei podem ser encarceradas por até tres anos. Ainda assim, a cada ano mais de um milhão de mulheres correm este risco; mais de 200 morrem e quase 250.000 são hospitalizadas com complicações. É justo? Vai pensando ai. https://www.ipas.org.br
La campaña Vai pensando aà de Ipas Brasil cuestiona las opiniones del público sobre la ley del aborto restrictiva en Brasil.
El documental Aborto sin Pena relata las historias de algunas mujeres y sus experiencias con el aborto en México. Ésta es la historia de Yojany.
El documental Aborto sin Pena relata las historias de algunas mujeres y sus experiencias con el aborto en México. Ésta es la historia de Valentina.
Esto es parte de una campaña de videos que busca desafiar la prohibición del aborto terapéutico en Nicaragua.