scholarly journals Post Abortion Contraception Model: A Comprehensive Package for Improving Safe Abortion Care in Developing Countries

2018 ◽  
Vol 1 (1) ◽  
pp. 12-21
Author(s):  
Fred Yao Gbagbo
Keyword(s):  
Developing Countries ◽  
Induced Abortion ◽  
Health Facilities ◽  
Capital City ◽  
Safe Abortion ◽  
Governmental Organization ◽  
Abortion Care ◽  
Care Services ◽  
Wide Availability ◽  
Post Abortion

Background: Despite liberal abortion laws and wide availability of contraceptives in Ghana, declining Post Abortion Contraception remains a public health challenge due to early unplanned pregnancies and recurrent abortions. The development of this model was therefore to address challenges of low contraception following induced abortion in health facilities within the capital city of Ghana. Method: The development of this model was an outcome of a nested study title: ‘decision making for induced abortion in Accra metropolis, Ghana’ in 2014. This model was piloted for four years using Marie Stopes, Ipas and Ghana Health Service trained abortion providers with family planning skills in one hundred purposively selected health facilities comprising 90 private and 10 Non-Governmental Organization mandated by law to provide safe abortion care services in the capital city of Ghana. The model mainly focused on contraceptive products, pricing, placement, promotion and people. Results: There was an increase (90% average) in Post Abortion Contraception across the selected facilities following the intervention using the model. Conclusion: The study concludes that an integration of products, pricing, placement, promotion and people with options counselling prior to an induced abortion are key considerations for an improved post abortion contraception uptake in developing countries.

scholarly journals The infrastructural capacity of Ghanaian health facilities to provide safe abortion and post-abortion care: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Onikepe Owolabi ◽  
Taylor Riley ◽  
Easmon Otupiri ◽  
Chelsea B. Polis ◽  
Roderick Larsen-Reindorf
Keyword(s):  
Scale Up ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Safe Abortion ◽  
Signal Functions ◽  
Rural Location ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Comprehensive Abortion Care ◽  
Post Abortion

Abstract Background Ghana is one of few countries in sub-Saharan Africa with relatively liberal abortion laws, but little is known about the availability and quality of abortion services nationally. The aim of this study was to describe the availability and capacity of health facilities to deliver essential PAC and SAC services in Ghana. Methods We utilized data from a nationally representative survey of Ghanaian health facilities capable of providing post-abortion care (PAC) and/or safe abortion care (SAC) (n = 539). We included 326 facilities that reported providing PAC (57%) or SAC (19%) in the preceding year. We utilized a signal functions approach to evaluate the infrastructural capacity of facilities to provide high quality basic and comprehensive care. We conducted descriptive analysis to estimate the proportion of primary and referral facilities with capacity to provide SAC and PAC and the proportion of SAC and PAC that took place in facilities with greater capacity, and fractional regression to explore factors associated with higher structural capacity for provision. Results Less than 20% of PAC and/or SAC providing facilities met all signal function criteria for basic or comprehensive PAC or for comprehensive SAC. Higher PAC caseloads and staff trained in vacuum aspiration was associated with higher capacity to provide PAC in primary and referral facilities, and private/faith-based ownership and rural location was associated with higher capacity to provide PAC in referral facilities. Primary facilities with a rural location were associated with lower basic SAC capacity. Discussion Overall very few public facilities have the infrastructural capacity to deliver all the signal functions for comprehensive abortion care in Ghana. There is potential to scale-up the delivery of safe abortion care by facilitating service provision all health facilities currently providing postabortion care. Conclusions SAC provision is much lower than PAC provision overall, yet there are persistent gaps in capacity to deliver basic PAC at primary facilities. These results highlight a need for the Ghana Ministry of Health to improve the infrastructural capability of health facilities to provide comprehensive abortion care.

scholarly journals Safe abortion service and post abortion care: Understanding complications

1970 ◽  
Vol 2 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Sudha Thapa ◽  
Indira Satyal ◽  
Kasturi Malla
Keyword(s):  
Induced Abortion ◽  
Abortion Rate ◽  
Uterine Perforation ◽  
Safe Abortion ◽  
Abortion Care ◽  
Vacuum Aspiration ◽  
Post Abortion Care ◽  
Manual Vacuum Aspiration ◽  
Comprehensive Abortion Care ◽  
Post Abortion

Aim: To see if unsafe abortions are getting lesser after the establishment of comprehensive abortion care (CAC) Unit since March 2004. Methods: Retrospective study of women admitted with complication of abortions [induced (medically/criminal) or spontaneous] during the entire ten years period after the inception of post abortion care (PAC) Unit 2095 May -2007 April; the last 3 years overlapping the service years of CAC Unit establishment. Result: CAC and PAC units both are using manual vacuum aspiration (MVA) to procure uterine evacuation. CAC clients in the last 3 years have reached to a little less than 10,000. This is close to MVA services provided in the PAC Unit in the last 10 years amounting to 11,519. But the number (n=3958) of service provided by the PAC Unit for a complete period of three years 2058-2060 (April 2001 - April 2004) showed a slight increase to (n=4323) as the CAC Unit became functional during the 2061-2063 (15th April 2004- 2007). The complications observed in PAC unit while providing MVA are much more than CAC unit (5.75%: 2%). But the nature of complication is much more serious in CAC Unit, 10 of them needing laparotomy for 20(0.02%) cases of uterine perforation. The induced abortion rate within the hospital, three years before and during CAC services is almost similar (4.07%: 4.34%). Seriousness of the problem has definitely reduced during recent 3 year's period (Baisakh 2061-2063 Chaitra) i.e. 52: 34 except for an unfortunate rise in uterine perforation from 8 to 29 cases, 10 being from the CAC Unit. Conclusion: Though the number of complicated cases of induced abortion seeking hospitalization has not changed much after inception of CAC services in the recent three years, there is definitely a decline in the admission of more serious complicated cases of induced abortion in the recent years with unfortunate rise in number of cases of uterine perforation.   doi:10.3126/njog.v2i1.1476 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 44 - 49 May -June 2007

scholarly journals Repeat induced abortion and associated factors among women seeking abortion care services at Debre Markos town health institutions, Amhara regional state, Ethiopia, 2017

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Mahlet Imana Waktola ◽  
Dawit Gebeyehu Mekonen ◽  
Tewodros Seyoum Nigussie ◽  
Endeshaw Adimasu Cherkose ◽  
Addisu Taye Abate
Keyword(s):  
Associated Factors ◽  
Induced Abortion ◽  
Abortion Care ◽  
Care Services ◽  
Regional State ◽  
Health Institutions ◽  
Debre Markos

scholarly journals Cost of abortions in Zambia: A comparison of safe abortion and post abortion care

2015 ◽  
Vol 12 (2) ◽  
pp. 236-249 ◽  
Author(s):  
Divya Parmar ◽  
Tiziana Leone ◽  
Ernestina Coast ◽  
Susan Fairley Murray ◽  
Eleanor Hukin ◽  
...  
Keyword(s):  
Safe Abortion ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Achievements of Implementing Post - Abortion Care Services in Sudan 2010 - 2014

2016 ◽  
Vol 52 (2) ◽  
pp. 54-60
Author(s):  
Taha U. Ahmed ◽  
Murwan I. Omer ◽  
Abd Allah Mahgoub
Keyword(s):  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion

Abortion views and practices among Danish family physicians

1976 ◽  
Vol 8 (3) ◽  
pp. 287-292 ◽  
Author(s):  
Michala Gammeltoft ◽  
Ronald L. Somers
Keyword(s):  
Significant Positive Correlation ◽  
Pregnancy Termination ◽  
Family Physicians ◽  
Induced Abortion ◽  
Abortion Care ◽  
Proper Role ◽  
Perceived Success ◽  
Contraceptive Services ◽  
Post Abortion ◽  
Danish Family

SummarySixty-seven GPs from a suburb of Copenhagen were interviewed regarding their experience with and opinion of induced abortion. The younger physicians in the sample were (a) significantly more experienced in areas of medical practice relating to abortion care, (b) significantly more positive in their attitude towards abortion, and (c) significantly more likely to emphasize the provision of contraceptive services to women undergoing pregnancy termination. Independent of the influence of age, a significant positive correlation was found between abortion attitude and the emphasis placed on providing contraception. A physician's self-perceived success in providing post-abortion contraception was found to relate in part to his/her view of the proper role to be played by a GP in abortion cases.

scholarly journals Incidence of Induced Abortion and Post-Abortion Care in Tanzania

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0133933 ◽  
Author(s):  
Sarah C. Keogh ◽  
Godfather Kimaro ◽  
Projestine Muganyizi ◽  
Jesse Philbin ◽  
Amos Kahwa ◽  
...  
Keyword(s):  
Induced Abortion ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion
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