Training resources

This manual provides guidance to health-care personnel on improving the quality of care available to women seeking uterine evacuation services. It has been updated to be consistent with the World Health Organization’s Safe Abortion: Technical and policy guidance for health systems (2012) and other important evidence-based resource documents and articles. It explains the manual vacuum aspiration (MVA) uterine evacuation procedure in detail and also explains uterine evacuation methods that use the pills misoprostol and mifepristone (often called medical abortion). It is designed to be used as a participant’s manual during trainer-facilitated courses and as a as a learner’s resource to help refresh and strengthen skills. Special features include modules that address broader service delivery and access issues such as women’s sexual and reproductive rights, including the rights of young women; client-provider communication; provider and community partnerships; quality of care; and monitoring to improve services.

This manual is a resource for trainers who lead training courses for health-care workers delivering all elements of woman-centered, comprehensive abortion care, including postabortion care. It contains all of the instructions and materials needed to help participants develop the knowledge and skills necessary to provide high-quality care.

The Medical Abortion Study Guide, Second Edition, describes the use of medications for first-trimester abortion. It is intended to prepare health-care providers for the in-person skills training and clinical practicum portions of medical abortion training programs. It can also serve as a reference manual during training events and for future reference.

This reference guide provides information and recommendations based on evidence for dilatation and evacuation (D&E), a form of abortion that utilizes a combination of specialized forceps and vacuum aspiration to evacuate the uterus at or after 13 weeks gestation, for women who need either induced abortion, treatment of incomplete abortion or postabortion care. Health-care providers with previous experience providing high-quality, firsttrimester abortion services who want to expand their skills to care for women at or after 13 weeks gestation using uterine evacuation are the primary audience for this guide.

This guidance is designed for any health facility planning to expand its abortion services to include abortions in the second trimester of pregnancy. It provides the tools and resources necessary to successfully introduce and continue second-trimester abortion services and/or second-trimester postabortion care. The toolkit includes a description of key programming elements and a set of related tools and job aids.

This reference guide provides information and recommendations based on evidence for medical abortion at or after 13 weeks gestation, sometimes called induction abortion or termination in the second trimester, using misoprostol-based regimens (mifepristone plus misoprostol or misoprostol only) for women who need either induced abortion, treatment of incomplete abortion or postabortion care. Health-care providers with previous experience providing high-quality, first-trimester abortion services who want to expand their skills to care for women at or after 13 weeks gestation using medical abortion are the primary audience for this guide.

This toolkit is designed to help district or national-level clinicians, facility managers or program managers initiate the use of misoprostol as a medical treatment for incomplete abortion or integrate misoprostol into existing postabortion care services.

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.

This toolkit is a resource for trainers, program managers and technical advisors who organize or facilitate training events and advocacy workshops in the field of sexual and reproductive health. It provides experienced trainers with the background information, materials, instructions, and tips necessary to effectively facilitate abortion values clarification and attitude transformation interventions.

This manual is intended for use in training-of-trainers courses.

This guide is a resource for future health professionals who want to learn about and engage in abortion issues. Abortion is a critical but often neglected area of women’s rights, women’s health and health science education. The guide was developed for health sciences students—including students in medicine, nursing, midwifery, pharmacology, public health and other related fields—and can be adapted for other audiences too.

Organized in four parts, this training manual aims to foster an advocacy perspective in health-care providers who are involved in delivering abortion and/or postabortion care. The manual will help providers recognize their personal power as advocates and identify different circumstances and means to advocate for comprehensive abortion care to the full limits of the law.

This toolkit is designed to provide information and guidance on delivering and ensuring access to appropriate induced abortion care for young women (ages 10-24). It provides experienced trainers with the background information, materials, instructions and tips necessary to effectively facilitate training sessions. Since existing research demonstrates few differences in the clinical needs of young women compared to adults, the toolkit contains more on advocacy, partnerships and service delivery than clinical issues. It is a global resource for health care providers, trainers, administrators and technical advisors of abortion care programs, but some materials also can be used to engage young people, policymakers, community groups, donors, advocates and other stakeholders.

This training manual is for clinical mentors and others providing clinical and programmatic support to health-care providers offering abortion-related care. It includes content, activities and materials to improve their knowledge, attitudes and skills for clinical mentoring and provider support.