
La publicación de Ipas titulada Actualizaciones clínicas en salud reproductiva contiene recomendaciones clínicas actualizadas, basadas en evidencia, sobre la atención integral del aborto, así como nuevos temas y recursos agregados con regularidad. Actualizaciones clínicas en salud reproductiva ofrece información concisa y fácil de leer sobre los servicios de aborto, y combina las evidencias más recientes con lecciones aprendidas de profesionales de la salud a nivel mundial para producir recomendaciones clínicas pertinentes.

Clinical Updates in Reproductive Health (CURHs) are designed to provide Ipas staff, trainers, partners and other health-care providers with access to up-to-date, evidence-based recommendations. In general, the recommendations are the same as those in the World Health Organization's 2012 Safe Abortion: Technical and Policy Guidance for Health Systems, Second edition. In rare cases, the recommendations have been modified due to the settings where we work. In addition, if there is more current evidence to inform the recommendations, they will be updated here. Please note: Clinical Updates in Reproductive Health provides Ipas’s most up-to-date clinical guidance. Recommendations in this publication supersede any clinical guidance in Ipas curricula that differs from the guidance provided here.

As Actualizações clínicas em saúde reprodutiva foram concebidas para fornecer ao pessoal do Ipas, formadores, parceiros e outros provedores de serviços de saúde acesso a recomendações actualizadas e baseadas na evidência. Em geral, as recomendações são as mesmas que aquelas na edição de 2012 do guia da Organização Mundial da Saúde titulado Abortamento seguro: orientação técnica e de políticas para sistemas de saúde, Segunda edição. Em casos excepcionais, as recomendações foram modificadas de acordo com os contextos em que trabalhamos. Além disso, se houver evidência mais actualizada para informar as recomendações, estas serão actualizadas aqui.

Actualités cliniques dans le domaine de la santé reproductive vise à permettre aux membres du personnel d’Ipas, aux formateurs, à nos partenaires et aux autres professionnels de santé d’avoir accès aux recommandations basées sur des éléments factuels les plus récentes.

Since the liberalization of Nepal’s abortion law in 2002, intensive provider training and facility support have proven successful strategies for increasing the availability of comprehensive abortion care (CAC) services in the country. However, little is known about the pathways through which women access safe abortion services. This publication presents research on how women in Nepal access safe abortion information and services, including evidence-based recommendations indicating that increasing contraceptive education and access to female community health volunteers can improve women’s ability to manage their reproductive health.

This is the first in a series of fact sheets highlighting Zambia operations research study.

This is a fact sheet with statistical information on the sexual and reproductive health of adolescents in the Mexican state of Guerrero. It is meant to provide relevant information on sexual and reproductive health indicators to health and policy makers as well as recommendation for improving sexual and reproductive health services and access.

Elaborados después de una investigación realizada con jóvenes en la Ciudad de México y en Tlaxcala, Atrévete a pensar diferente es una serie de tres historietas —Embarazo, Anticonceptivos, y Relaciones afectivas—que ofrecen información a jóvenes de cómo prevenir un embarazo, cómo utilizar y negociar el uso anticonceptivos y cómo mantener un relación afectiva con equidad de género. Las historietas invitan a las y los jóvenes a pensar diferente sobre su sexualidad, su salud y sus derechos.

Elaborados después de una investigación realizada con jóvenes en la Ciudad de México y en Tlaxcala, Atrévete a pensar diferente es una serie de tres historietas —Embarazo, Anticonceptivos, y Relaciones afectivas—que ofrecen información a jóvenes de cómo prevenir un embarazo, cómo utilizar y negociar el uso anticonceptivos y cómo mantener un relación afectiva con equidad de género. Las historietas invitan a las y los jóvenes a pensar diferente sobre su sexualidad, su salud y sus derechos.

Elaborados después de una investigación realizada con jóvenes en la Ciudad de México y en Tlaxcala, Atrévete a pensar diferente es una serie de tres historietas —Embarazo, Anticonceptivos, y Relaciones afectivas—que ofrecen información a jóvenes de cómo prevenir un embarazo, cómo utilizar y negociar el uso anticonceptivos y cómo mantener un relación afectiva con equidad de género. Las historietas invitan a las y los jóvenes a pensar diferente sobre su sexualidad, su salud y sus derechos.
This is an adaptable trainers’ presentation to inform providers, advocates, government officials and colleagues of the updates in the Second edition of Safe abortion: technical and policy guidance for health systems. Fit with trainers’ notes, each slide can be used in entirety for a full training or individual slides for strategic updates.
This is an adaptable trainers’ presentation to inform providers, advocates, government officials and colleagues of the updates in the Second edition of Safe abortion: technical and policy guidance for health systems. Fit with trainers’ notes, each slide can be used in entirety for a full training or individual slides for strategic updates.

Lessons learned from integration of postabortion care, menstrual regulation, and family planning services in Bangladesh. This study recommended working toward improved post-procedure contraception delivery and evidence-based appropriate technology use for all procedures by improving collaboration and integration between Bangladesh’s Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP).
Unmet need for family planning is typically calculated for currently married women, but excluding husbands may result in misleading estimates of couples’ unmet need. This study builds on previous work and proposes a method of calculating couples’ unmet need for family planning based on spouses’ independent fertility intentions.
Logically, all women receiving abortion care should also receive contraceptive information, and a method if they wish one; likewise, family planning providers should be equipped to support women who have unintended pregnancies. However, integrating family planning and abortion care is often a challenge.

La publicación de Ipas titulada Actualizaciones clínicas en salud reproductiva contiene recomendaciones clínicas actualizadas, basadas en evidencia, sobre la atención integral del aborto, así como nuevos temas y recursos agregados con regularidad. Actualizaciones clínicas en salud reproductiva ofrece información concisa y fácil de leer sobre los servicios de aborto, y combina las evidencias más recientes con lecciones aprendidas de profesionales de la salud a nivel mundial para producir recomendaciones clínicas pertinentes.
The study investigated whether women with etonogestrel implant placement in the immediate postabortion period have similar continuation rates to women with interval placement.The risk of discontinuation in women with postabortion placement was higher but not statistically different than women with interval placement (unadjusted hazard ratio 1.79, 95% confidence interval 0.81-3.96). For women who want a contraceptive implant after an abortion, immediate placement should be available.

La publicación de Ipas titulada Actualizaciones clínicas en salud reproductiva contiene recomendaciones clínicas actualizadas, basadas en evidencia, sobre la atención integral del aborto, así como nuevos temas y recursos agregados con regularidad. Actualizaciones clínicas en salud reproductiva ofrece información concisa y fácil de leer sobre los servicios de aborto, y combina las evidencias más recientes con lecciones aprendidas de profesionales de la salud a nivel mundial para producir recomendaciones clínicas pertinentes.

Ipas’s mission to reduce deaths and injuries from unsafe abortion and to increase women’s ability to exercise their sexual and reproductive rights is comprehensive. This report provides a snapshot of the breadth of Ipas efforts, highlighting fiscal year 2014 (July 2013-June 2014) results.

This booklet describes Ipas’s work with youth to promote their sexual and reproductive health and rights. With facts and concise explanations—plus illustrative stories from Nepal, South Africa and Ecuador—the booklet highlights the challenges young people face and the opportunities for them to become leaders and work with adults to design policies and health services that are youth appropriate.
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