Goals and activities proposed by countries in seven regions of the world toward prevention of unsafe abortion

Mirembe, Florence; Karanja, Joseph; Hassan, Ezzeldin Osman; Faúndes, Aníbal

doi:10.1016/j.ijgo.2010.04.006

Cited by 13 publications

(14 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FIGO in its endeavor to assist nations toward achieving universal access to comprehensive sexual and reproductive health services prioritized unsafe abortion as one of the entry points toward improving women’s health and reducing maternal mortality and morbidity [98]. Unsafe abortion accounts for 13% of maternal mortality and results annually in nearly 70, 000 deaths worldwide; 99% of these occur in low-resource countries with only a few in high-resource regions of the world [61,99-101].…”

Section: Discussionmentioning

confidence: 99%

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Akbari

Ramezankhani

Pazargadi

2013

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundAt the 1994 International Conference on Population and Development (ICPD), held in Cairo, the global community agreed to the goal of achieving universal access to sexual and reproductive health (SRH) and rights by 2015. This research explores the accelerators and decelerators of achieving universal access to the sexual and reproductive health targets and accordingly makes some suggestions.MethodWe have critically reviewed the latest national reports and extracted the background data on each SRH indicator. The key stakeholders, both national and international, were visited and interviewed at two sites. A total of 55 in-depth interviews were conducted with religious leaders, policy-makers, senior managers, senior academics, and health care managers. Six focus-group discussions were also held among health care providers. The study was qualitative in nature.ResultsObstacles on the road to achieving universal access to SRH can be viewed from two perspectives. One gap exists between current achievements and the targets. The other gap arises due to age, marital status, and residency status. The most recently observed trends in the indicators of the universal access to SRH shows that the achievements in the “unmet need for family planning” have been poor. Unmet need for family planning could directly be translated to unwanted pregnancies and unwanted childbirths; the former calls for sexual education to underserved people, including adolescents; and the latter calls for access to safe abortion. Local religious leaders have not actively attended international goal-setting programs. Therefore, they usually do not presume a positive attitude towards these goals. Such negative attitudes seem to be the most important factors hindering the progress towards universal access to SRH. Lack of international donors to fund for SRH programs is also another barrier. In national levels both state and the society are interactively playing their roles. We have used a cascade model for presenting the barriers at the state levels from the strategic planning to implementation. Social factors are to be considered as a background for other factors at all stages.ConclusionAccelerating universal access to SRH requires adequate funding, firm political commitment, creative programming, and the involvement of diverse actors, including faith-based, civil society, and private sector partners.

show abstract

Section: Discussionmentioning

confidence: 99%

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Akbari

Ramezankhani

Pazargadi

2013

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The FIGO initiative was launched in 2007 to prevent the practice of unsafe abortion and its consequences [9]. Replacing the traditional use of sharp curettage with MVA for the treatment of incomplete abortion has been established as an objective in 26 of the 43 participating countries [10]. Honduras is one of these countries and by including this objective and using the allotted emergency funds to acquire the necessary MVA kits, it was possible to distribute MVA kits to 25 public hospitals located throughout the country.…”

Section: Discussionmentioning

confidence: 99%

Changes in the use of manual vacuum aspiration for postabortion care within the public healthcare service network in Honduras

Chinchilla¹,

Flores

Morales³

et al. 2014

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Honduras is one of the 17 priority countries included in the International Federation of Gynecology and Obstetrics (FIGO) Initiative for the Prevention of Unsafe Abortion and its Consequences. The priority category enables the country to request emergency funding to acquire services or commodities that could contribute toward achieving the objectives laid out in its plan of action. These objectives include improving postabortion care by increasing the use of manual vacuum aspiration (MVA) as an outpatient procedure with minimal human and material resources. Since the Ministry of Health lacked funding, use of the emergency fund was approved for the purchase and distribution of MVA kits nationwide to ensure continuity and the hope of increasing MVA use. Eleven hospitals participating in this initiative provided data for analysis of the outcome. These data show no increase in MVA use; however, as discussed in the article, further investigation provided valuable information on the reasons behind these results.

show abstract

“…Table 1 shows the objectives of the first plan of action and the proportion of countries working on each goal. Compared with countries in other areas of the world participating in this initiative, it is evident that there was greater interest in this region in working to obtain better data on abortion, in promoting or introducing sex education, introducing/improving postabortion care, and facilitating adoption procedures [7].…”

Section: Activities Involved In the Plans Of Action Of The Central Ammentioning

confidence: 99%

Contribution of the Central American and Caribbean obstetrics and gynecology societies to the prevention of unsafe abortion in the region

Gil¹

2014

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Unsafe abortion is a very important public health issue in the Central America and Caribbean region, where the use of modern contraceptive methods remains low and the restrictive legal framework reduces access to safe abortion. The International Federation of Gynecology and Obstetrics (FIGO) Initiative for the Prevention of Unsafe Abortion and its Consequences is contributing toward resolving this problem by strengthening collaboration between medical societies, representatives of each country's Ministry of Health, and local and international agencies. In the 8 countries that decided to join this initiative in 2008, progress has been achieved in improving access to modern contraceptive methods, increasing the use of manual vacuum aspiration and misoprostol, and updating guidelines on postabortion care.

show abstract

Goals and activities proposed by countries in seven regions of the world toward prevention of unsafe abortion

Cited by 13 publications

References 5 publications

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Changes in the use of manual vacuum aspiration for postabortion care within the public healthcare service network in Honduras

Contribution of the Central American and Caribbean obstetrics and gynecology societies to the prevention of unsafe abortion in the region

Contact Info

Product

Resources

About