Topic: Postabortion Care (PAC)

Abortion Care Videos

A set of abortion care videos designed to better train health care providers to improve their abortion care and help women safely self-manage their abortion using pills. There are 11 videos for health workers and 3 videos for women. These videos were filmed in facilities in Africa and Asia and are consistent with the latest WHO and Ipas clinical guidance.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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).

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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.

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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.

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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.

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About Us

We work with partners around the world to advance reproductive justice by expanding access to abortion and contraception.

Our Work

The global movement for legal, accessible abortion is growing. Our staff and partners in countries as diverse as Bolivia, Malawi and India are working to ensure all people can access high-quality abortion care.

Where We Work

The global movement for legal, accessible abortion is growing. Our staff and partners in countries as diverse as Bolivia, Malawi and India are working to ensure all people can access high-quality abortion care.

Resources

Our materials are designed to help reproductive health advocates and professionals expand access to high-quality abortion care.

For health professionals

For advocates and decisionmakers

Training resources

For humanitarian settings

For researchers and program implementors