Topic: Postabortion Care (PAC)

Impact of COVID-19 Lockdown on Access to Safe Abortion in Nigeria

Sexual and reproductive health care is often neglected or difficult to access during a crisis, and this can in turn drive more people to seek unsafe abortions that risk their health and lives. For these reasons, Ipas Nigeria conducted a study to understand the impact of Nigeria’s COVID-19 lockdowns on access to safe abortion. Overall, study findings show that the lockdowns exacerbated the pandemic’s impact on women’s access to safe abortion services.

read more

Actualizaciones clínicas en salud reproductiva

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.

read more

Actualizações clínicas em saúde reprodutiva

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.

read more

Clinical updates in reproductive health

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.

read more

Soins complets d’avortement centrés sur la femme : Manuel du formateur (Deuxième Edition)

Le présent manuel est un ouvrage de référence destiné à toutes les personnes qui impartissent des cours de formation aux professionnels de santé qui dispensent l’ensemble des soins complets d’avortement centrés sur la femme, y compris des soins après avortement. Il comprend tous les enseignements ainsi que les matériaux didactiques nécessaires pour permettre aux participants de développer les connaissances et les compétences requises pour pratiquer des soins de qualité optimale.

read more

Induced Abortion and Postabortion Care in Ethiopia

This factsheet shares the results of a national study by the Guttmacher Institute and Ipas, in collaboration with the Ethiopian Society of Obstetricians and Gynecologists and the Ethiopian Public Health Association, and in conjunction with Ethiopia’s Federal Ministry of Health.

read more

Youth-friendly postabortion care supplemental training module

In 2006, the Youth-Friendly Task Force published technical guidance on youth-friendly postabortion care (YFPAC) with recommendations to improve the quality of and access to PAC services for adolescents. To complement the technical guidance on YFPAC and support the implementation of YFPAC, the PAC Consortium has developed this supplemental training module to train health care providers to provide YFPAC services to adolescents.

read more

Advocacy for access to safe legal abortion: Similarities in the impact of abortion’s illegality on women’s health and health care in Pernambuco, Bahia, Paraíba, Mato Grosso do Sul e Rio de Janeiro

This document gives a summary analysis of primary and secondary data documenting unsafe abortion and the impact of the criminalization of abortion on women’s lives and health and on health services in 5 Brazilian states: Mato Grosso do Sul, Rio de Janeiro, Bahía, Pernambuco, and Paraíba.

read more

Implementation of misoprostol for postabortion care in Kenya and Uganda: A qualitative evaluation

This study evaluates the implementation of misoprostol for postabortion care (MPAC) in two African countries, Kenya and Uganda. The Ministries of Health, local health centers and hospitals, and NGO staff developed evidence-based service delivery protocols to introduce MPAC in selected facilities; implementation extended from January 2009 to October 2010. RESULTS: In both countries, MPAC was easy to use, and freed up provider time and health facility resources traditionally necessary for provision of PAC with uterine aspiration. On-going support of providers following training ensured high quality of care. Providers perceived that many women preferred MPAC, as they avoided instrumentation of the uterus, hospital admission, cost, and stigma associated with abortion.

read more

Lessons learned from integration of postabortion care, menstrual regulation, and family planning services in Bangladesh

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).

read more

Salvando vidas, Respetando los derechos humanos. Material para difusión sobre la Guía de la OMS:guía técnica y de políticas para sistemas de salud, segunda edición

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.

read more

Saving lives, respecting rights. A dissemination packet for WHO safe abortion: Technical and policy guidance for health systems, Second edition

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.

read more

Second-trimester postabortion care for ruptured membranes, fetal demise, and incomplete abortion

Guidance for postabortion care (PAC) is established for the first trimester but limited in the second trimester. Objective: To establish evidence-based recommendations for PAC in the second trimester. Conclusion: Misoprostol with or without mifepristone is an effective treatment for second-trimester PAC. The minimum misoprostol dose is 200 μg vaginally, sublingually, or buccally every 6–12 hours.

read more

Woman-centered postabortion care: Reference manual, Second Edition

This manual is designed to prepare health-care workers to provide women with high-quality postabortion care services.  It is useful for a broad audience—including clinicians, trainers, program managers and outreach workers. It provides in-depth clinical information on safe, effective options for first-trimester uterine evacuation and addresses broader service delivery and access issues, including the rights of young women, client-provider communication, and monitoring to improve services. It may be used for countries where there are no legal indications for induced abortion or where there are significant restrictions on induced abortion.

read more

La atención postaborto centrada en la mujer: manual de referencia (segunda edición)

Este manual fue creado para preparar a profesionales de la salud para que proporcionen servicios de atención postaborto de alta calidad. Es útil para una audiencia general, que incluye personal clínico, capacitadores, gerentes de programas y personas que llevan a cabo actividades de extension comunitaria. Ofrece información clínica a fondo sobre opciones seguras y eficaces para la evacuación endouterina en el primer trimestre y aborda asuntos generales relacionados con la prestación de servicios y el acceso a estos, tales como  los derechos de las mujeres jóvenes, comunicación entre usuarias y prestadores de servicios, y monitoreo para mejorar los servicios. Puede ser utilizado en países donde no existen indicaciones legales para el aborto inducido o donde existen importantes restricciones al aborto inducido.

read more