The Um Cirht Framework For Integrating Comprehensive Contraception And Abortion Care Competencies Into Health Professions Education
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The Um-Cirht Framework for Integrating Comprehensive Contraception and Abortion Care Competencies Into Health Professions Education by Solomon W. Beza,Bekalu M. Chekol,Munir K. Eshetu,Lia T. Gebremedhin,Berhanu G. Gebremeskel,Mengistu H. Damtew Pdf
This framework document describes the strategy used by the Center for International Reproductive Health Training at the University of Michigan (UM-CIRHT) to integrate preservice family planning and comprehensive abortion care training into health professional schools' curricula. The program is designed to ensure acquisition of requisite competencies so that partner schools can graduate competent health professionals able to deliver high-quality, comprehensive reproductive health services to women. The framework is intended to provide guidance on how the programmatic and operational strategies for family planning and comprehensive abortion care could be extended in countries or institutions that seek to replicate the UM-CIRHT model in their settings. It may be adapted to the local context of individual countries and institutions. This framework document is produced by UM-CIRHT with funding from an anonymous donor.
Author : World Health Organization Publisher : World Health Organization Page : 76 pages File Size : 40,7 Mb Release : 2022-12-14 Category : Medical ISBN : 9789240063884
Family planning and comprehensive abortion care toolkit for the primary health care workforce. Volume 1. Competencies by World Health Organization Pdf
The aim of the family planning and comprehensive abortion care (FP and CAC) competencies for the primary health care workforce is to advance improvements in FP and CAC service delivery by aligning health worker education approaches with population health needs and health system demands. This document, which describes these competencies in detail, is intended to: describe competencies that are relevant to current and future health practice; and enable widespread use of the competencies for curriculum development, for pre-service education, but also for in-service education, regulation, qualifications, quality assurance, personal development, performance evaluation, recruitment, management and career progression. The competencies can be used in many ways by the following target audiences: health workers and their managers, educators, policy makers and regulators. The most relevant uses for these FP and CAC competencies will be: to define the learning outcomes/objectives for education and training, to design curriculum and learning activities and to help identify learning needs/gaps (both knowledge and hands-on techniques), whether in the context of pre-service curricula, on-the-job training, or when working towards further qualifications; as performance standards for recruitment, compiling job descriptions, performance appraisal, and for optimizing roles within the health workforce.
Author : World Health Organization Publisher : World Health Organization Page : 144 pages File Size : 40,7 Mb Release : 2022-12-14 Category : Medical ISBN : 9789240063907
Family planning and comprehensive abortion care toolkit for the primary health care workforce. Volume 2. Programme and curriculum development guide by World Health Organization Pdf
The Programme and curriculum development guidance presents a systematic approach to developing programmes and curricula for implementation of the family planning (FP) and comprehensive abortion care (CAC) competencies, and the theory behind the approach. Specifically, the aim is for effective implementation of these competencies in the context of pre-service education and training, post-graduate studies and continuing professional development (CPD). This guidance is designed for programme and curriculum developers who are preparing or revising formal education and training programmes and curricula for the FP and CAC workforce. This guide proposes a new FP and CAC Educational Design Model for programme and curriculum development (PCD). This model can support competency-based education (CBE) for current and future FP and CAC services, with a pre-service training pathway of at least 12 months, and can also support in-service training. With this guide, various instruments have been developed to operationalize each step of the programme and curriculum development.
Author : World Health Organization Publisher : World Health Organization Page : 89 pages File Size : 51,5 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.
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.
Management of Unintended and Abnormal Pregnancy by Maureen Paul,Steve Lichtenberg,Lynn Borgatta,David A. Grimes,Phillip G. Stubblefield,Mitchell D. Creinin Pdf
Access to high quality abortion care is essential to women’s health, as evidenced by the dramatic decrease in pregnancy-related morbidity and mortality since the legalization of abortion in the United States, and by high rates of maternal death and complications in those countries where abortion is still provided under unsafe conditions. The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women’s health care. Abortion is an important option for pregnant women who have serious medical conditions or fetal abnormalities, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the textbook of the National Abortion Federation, and serves as the standard, evidence-based reference text in abortion care. This state-of-the-art textbook provides a comprehensive overview of the public health implications of unsafe abortion and reviews the best surgical and medical practices for pregnancy termination, as well as managing ectopic and other abnormal pregnancies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the leading source for a comprehensive understanding of issues related to unintended and abnormal pregnancy. This textbook: is authored by internationally-known leaders in women's health care; addresses unintended pregnancy and abortion from historical, legal, public health, clinical, and quality care perspectives; includes chapters on pregnancy loss, ectopic pregnancy, gestational trophoblastic disease, and multifetal pregnancy reduction; covers treatment of pregnancies in the first and second trimester by both medical and surgical techniques; and provides resources for clinical, scientific, and social support for the abortion provider and patient.
Author : World Health Organization Publisher : World Health Organization Page : 210 pages File Size : 46,7 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.
Institute of Medicine,Board on Global Health,Global Forum on Innovation in Health Professional Education
Author : Institute of Medicine,Board on Global Health,Global Forum on Innovation in Health Professional Education Publisher : National Academies Press Page : 176 pages File Size : 46,8 Mb Release : 2014-04-07 Category : Medical ISBN : 9780309289047
Establishing Transdisciplinary Professionalism for Improving Health Outcomes by Institute of Medicine,Board on Global Health,Global Forum on Innovation in Health Professional Education Pdf
Establishing Transdisciplinary Professionalism for Improving Health Outcomes is a summary of a workshop convened by the Institute of Medicine Global Forum on Innovation in Health Professional Education to explore the possibility of whether different professions can come together and whether a dialogue with society on professionalism is possible. Most of the 59 members making up the Global Forum were present at the workshop and engaged with outside participants in active dialogue around issues related to professionalism and how the different professions might work effectively together and with society in creating a social contract. The structure of the workshop involved large plenary discussions, facilitated table conversations, and small-group breakout sessions. In this way, the members - representing multiple sectors, countries, health professions, and educational associations - had numerous opportunities to share their own perspectives on transdisciplinary professionalism as well as hear the opinions of subject matter experts and the general public. Efforts to improve patient care and population health are traditional tenets of all the health professions, as is a focus on professionalism. But in a time of rapidly changing environments and evolving technologies, health professionals and those who train them are being challenged to work beyond their traditional comfort zones, often in teams. A new professionalism might be a mechanism for achieving improved health outcomes by applying a transdisciplinary professionalism throughout health care and wellness that emphasizes crossdisciplinary responsibilities and accountability. Establishing Transdisciplinary Professionalism for Improving Health Outcomes discusses how shared understanding can be integrated into education and practice, ethical implications of and barriers to transdisciplinary professionalism, and the impact of an evolving professional context on patients, students, and others working within the health care system.
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 : 49,7 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.
Institute of Medicine,Board on Global Health,Global Forum on Innovation in Health Professional Education
Author : Institute of Medicine,Board on Global Health,Global Forum on Innovation in Health Professional Education Publisher : National Academies Press Page : 210 pages File Size : 41,6 Mb Release : 2015-04-20 Category : Medical ISBN : 9780309313902
Building Health Workforce Capacity Through Community-Based Health Professional Education by Institute of Medicine,Board on Global Health,Global Forum on Innovation in Health Professional Education Pdf
There is growing evidence from developed and developing countries that community-based approaches are effective in improving the health of individuals and populations. This is especially true when the social determinants of health are considered in the design of the community-based approach. With an aging population and an emphasis on health promotion, the United States is increasingly focusing on community-based health and health care. Preventing disease and promoting health calls for a holistic approach to health interventions that rely more heavily upon interprofessional collaborations. However, the financial and structural design of health professional education remains siloed and largely focused on academic health centers for training. Despite these challenges, there are good examples of interprofessional, community-based programs and curricula for educating health professionals. In May 2014, members of the Institute of Medicine's Global Forum on Innovation in Health Professional Education came together to substantively delve into issues affecting the scale-up and spread of health professional education in communities. Participants heard a wide variety of individual accounts from innovators about work they are undertaking and opportunities for education with communities. In presenting a variety of examples that range from student community service to computer modeling, the workshop aimed to stimulate discussions about how educators might better integrate education with practice in communities. Building Health Workforce Capacity Through Community-Based Health Professional Education summarizes the presentations and discussion of this event.
