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Clinical Practice Handbook for Safe Abortion by World Health Organization Pdf
The Clinical practice handbook for safe abortion care is intended to facilitate the practical application of the clinical recommendations from the second edition of Safe abortion: technical and policy guidance for health systems (World Health Organization [WHO] 2012). While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in both of these documents aim to enable evidence-based decision-making with respect to safe abortion care.
Author : World Health Organization Publisher : World Health Organization Page : 240 pages File Size : 50,5 Mb Release : 2010 Category : Medical ISBN : 9789241547628
Counselling for Maternal and Newborn Health Care by World Health Organization Pdf
The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.
Author : World Health Organization Publisher : World Health Organization Page : 89 pages File Size : 47,6 Mb Release : 2015-12-17 Category : Medical ISBN : 9789241549264
Health Worker Role in Providing Safe Abortion Care and Post Abortion Contraception by World Health Organization Pdf
Planned and regulated task shifting and task sharing can have a range of benefits. It can ensure a rational optimization of the available health workforce, address health system shortages of specialized health-care professionals, improve equity in access to health care and increase the acceptability of health services for those receiving them. This guideline provides a range of options for expanding of health worker roles in the provision of safe abortion care, the management of complications of abortion (also known as post-abortion care in some settings and provided as part of emergency obstetric care) and for post-abortion contraception provision.
Organisation mondiale de la santé,World Health Organization,WHO,World Health Organisation Staff
Author : Organisation mondiale de la santé,World Health Organization,WHO,World Health Organisation Staff Publisher : World Health Organization Page : 107 pages File Size : 45,9 Mb Release : 2003-05-13 Category : Medical ISBN : 9789241590341
Safe Abortion by Organisation mondiale de la santé,World Health Organization,WHO,World Health Organisation Staff Pdf
At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.
Meeting Women's Needs for Post-abortion Family Planning by Janie Benson Pdf
Although women who undergo abortion are at risk of subsequent unwanted pregnancies, abortion services in developing countries are rarely linked to family planning services. This neglect of post-abortion contraceptive services reflects both the low priority allotted to women's reproductive health needs and national and international policies that restrict abortion-related programming. Even when abortion providers refer women to a family planning center, the clinic is often inaccessible or insufficiently supplied with modern contraceptives. preferable is a model involving on-site delivery of initial counseling and contraceptive provision after abortion coupled with referral to and contraceptive provision after abortion coupled with referral to community sources for continuity of care and resupply. Since women who are not adequately counseled are at high risk of method discontinuation, all family planning options must be clearly presented. In all cases, respectful treatment of abortion patients and understanding of the situation that led them to seek abortion will improve the acceptability of services. In the majority of cases, unwanted pregnancies occur because family planning services are unavailable, inaccessible, ineffective, or culturally unacceptable to women. The inclusion of women in the design of post-abortion services can help to identify the obstacles to family planning use. Fortunately, there is growing concern about the effects of unsafe, clandestine abortion (up to 200,000 maternal deaths each year) and the momentum for change exists. Ways must be found, however, to reach women who induce abortions clandestinely and never enter the health care system.
Dying to Count explores how national and global population politics collide in Senegalese hospitals as health workers treat and document women who present with complications of abortion. Siri Suh's ethnography illustrates political, economic, professional, and technological factors that jeopardize quality of and access to obstetric care in public hospitals despite national and global commitments to reproductive health.
Haile T. Debas,Peter Donkor,Atul Gawande,Dean T. Jamison,Margaret E. Kruk,Charles N. Mock
Author : Haile T. Debas,Peter Donkor,Atul Gawande,Dean T. Jamison,Margaret E. Kruk,Charles N. Mock Publisher : World Bank Publications Page : 445 pages File Size : 48,9 Mb Release : 2015-03-23 Category : Medical ISBN : 9781464803673
Disease Control Priorities, Third Edition (Volume 1) by Haile T. Debas,Peter Donkor,Atul Gawande,Dean T. Jamison,Margaret E. Kruk,Charles N. Mock Pdf
Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
Contraceptive counselling in abortion care by Helena Kilander Pdf
Introduction: Improving women’s knowledge about contraception, and their access to contraceptive methods, is central in order to strengthen their sexual and reproductive rights at the time of an abortion. Contraceptive counselling aims to support women’s reproductive control and prevent unintended pregnancies (UPs). It is unclear, however, how to provide contraceptive counselling and how to organise services at the time of an abortion, in order to achieve this. Aim: The overall aim was to study women’s choices and use of contraceptive methods post-abortion. The research also aimed to describe contraceptive counselling in the context of an abortion from women’s and health professionals’ (HP’s) perspectives. Initial studies informed subsequent improvement efforts, also evaluated in the thesis, regarding contraceptive counselling and services at the time of an abortion. Design and Methods: The studies in this thesis involve both quantitative (studies I and IV) and qualitative (studies II–IV) methods, performed at six departments in southeast Sweden. Study I had a quantitative and longitudinal design. The medical records of women (n=987) were reviewed regarding women’s choice of contraceptive method at the index abortion and the odds of repeat abortion within three to four years. Studies II and III were qualitative interview studies, in which 13 women (study II) and 21 healthcare professionals (HPs) (study III) described their experiences of contraceptive counselling at the time of an abortion. The interviews were analysed using interpretive phenomenology (study II) and conventional content analysis (study III). Study IV was a case study regarding a qualitative improvement collaborative (QIC), designed to improve contraceptive counselling and services. Three multi-professional teams involved in abortion care participated in the QIC and two women provided user-experience input. Both qualitative and quantitative data were collected and analysed. Results: The findings of the thesis are organised into three themes: I) Women and HPs described contraceptive counselling at the time of an abortion as an often - complex meeting. There was scepticism about contraceptive methods and limited receptivity to information among women. Respectful counselling facilitated women’s choice of contraceptive method even if they were sceptical and found the situation emotionally charged. II) Women’s choices, need for guidance and access to the contraceptive methods was described in the second theme. Choice of oral contraceptives (OC) dominated. Overall, 25% of the women experienced repeat abortion during followup. Women who chose long-acting reversible contraception (LARC) experienced fewer repeat abortions compared to women who chose OC. Both women and HPs reported barriers in access to LARC post-abortion. III) In a Quality Improvement Collaborative (QIC), two volunteering women provided user-experience input. HPs participating in this QIC reported strengthened skills in counselling and enhanced ability to evaluate their performance. Despite the team’s prediction that they would reach the QIC goal that ≥50% of women would start LARC within 30 days post-abortion, and the fact that a majority of the women in QIC units chose LARC, none of the teams managed to reach the goal, primarily due to insufficient capacity for timely initiation of LARC. Conclusion: The findings suggest that women need respectful counselling and guidance at the time of an abortion. Access to a range of contraceptive methods, particularly LARC, is important to prevent repeat UPs. There is room for further improvement in offering coordinated and timely access for women who choose LARC, and to evaluate counselling, in the present settings.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S.
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S. Publisher : National Academies Press Page : 223 pages File Size : 42,5 Mb Release : 2018-05-24 Category : Medical ISBN : 9780309468213
The Safety and Quality of Abortion Care in the United States by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S. Pdf
Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.
Author : World Health Organization Publisher : World Health Organization Page : 66 pages File Size : 44,5 Mb Release : 2023-06-19 Category : Medical ISBN : 9789240075207
Clinical practice handbook for quality abortion care by World Health Organization Pdf
The Clinical practice handbook for quality abortion care is intended to facilitate the practical application of the clinical recommendations from the Abortion care guideline (World Health Organization [WHO] 2022). While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in both of these documents aim to enable evidence-based decision-making with respect to quality abortion care. This handbook is oriented to health workers who already have the requisite skills and training necessary to provide safe abortion and/or treat complications of unsafe abortion. It is neither a substitute for formal training, nor a training manual. We hope this handbook will be useful to a range of health workers in different settings and in varying legal and health service contexts.
Author : World Health Organization Publisher : World Health Organization Page : 210 pages File Size : 49,8 Mb Release : 2022-03-09 Category : Medical ISBN : 9789240039483
Abortion care guideline by World Health Organization Pdf
The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion. While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in this document aim to enable evidence-based decision-making with respect to quality abortion care. This guideline updates and replaces the recommendations in all previous WHO guidelines on abortion care.
