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Global Health: Science and Practice

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Table of Contents

August 2019 | Volume 7 | Number Supplement 2

Saving Women's Lives Through Emergency Obstetric Care and Voluntary Family Planning

EDITORIALS

  • Open Access
    Postabortion Care and the Voluntary Family Planning Component: Expanding Contraceptive Choices and Service Options
    Douglas Huber
    Global Health: Science and Practice August 2019, 7(Supplement 2):S207-S210; https://doi.org/10.9745/GHSP-D-19-00128

    Universal access to voluntary postabortion family planning is a critical and compelling component of postabortion care. Such access should be joined with postpartum family planning services in national programs, health information systems, and training programs. The same providers and facilities deliver both services, and integration could yield cost efficiencies and increased coverage for women receiving postabortion care.

  • Open Access
    Healthy Timing and Spacing of Pregnancy: Reducing Mortality Among Women and Their Children
    Ellen Starbird and Kathryn Crawford
    Global Health: Science and Practice August 2019, 7(Supplement 2):S211-S214; https://doi.org/10.9745/GHSP-D-19-00262

    Accessible, affordable, and high-quality postabortion care (PAC) can prevent maternal death and disability and provides an important opportunity to prevent future unintended pregnancies. This supplement offers learnings on PAC provision from the community of partners around the world, including service delivery and community engagement models, approaches to support facility-based providers, best practices in pre- and post-procedure counseling, and approaches to institutionalize PAC in public- and private-sector health systems.

VIEWPOINTS

  • Open Access
    Strengthening Social and Behavior Change in Postabortion Care: A Call to Action for Health Professionals
    Erin Mielke, Hope Hempstone and Ashlie Williams
    Global Health: Science and Practice August 2019, 7(Supplement 2):S215-S221; https://doi.org/10.9745/GHSP-D-18-00307

    Social and behavior change approaches have shown promise for addressing the demand- and supply-side challenges in postabortion care. As implementers seek to improve the quality of postabortion care, systematically integrating long-standing models and emerging approaches, including behavioral economics, human-centered design, and attribute-based models of behavior change, can promote positive health outcomes.

COMMENTARIES

  • Open Access
    Postabortion Family Planning Progress: The Role of Donors and Health Professional Associations
    Carolyn Curtis, Anibal Faundes, Ann Yates, Ingela Wiklund, Martha Bokosi and Maryjane Lacoste
    Global Health: Science and Practice August 2019, 7(Supplement 2):S222-S230; https://doi.org/10.9745/GHSP-D-18-00334

    Global leadership from donors and international professional associations has enabled postabortion family planning services to be scaled up worldwide through preservice education, clinical service delivery, and global health programming.

PROGRAMMATIC REVIEWS & ANALYSES

  • Open Access
    Postabortion Care in Humanitarian Emergencies: Improving Treatment and Reducing Recurrence
    Meghan Gallagher, Catherine Morris, Mariam Aldogani, Claire Eldred, Abdikani Hirsi Shire, Emily Monaghan, Sarah Ashraf, Janet Meyers and Ribka Amsalu
    Global Health: Science and Practice August 2019, 7(Supplement 2):S231-S246; https://doi.org/10.9745/GHSP-D-18-00400

    Despite the challenging environment of humanitarian emergencies, with focused programmatic attention, demand for quality postabortion care can be created and services delivered while voluntary contraceptive uptake for PAC clients can simultaneously increase substantially, even in settings where the use of contraception after abortion is often stigmatized. Greater representation of long-acting methods, as a proportion of the methods PAC clients chose, occurred in all 3 countries’ method mix, but at different rates.

ORIGINAL ARTICLES

  • Open Access
    Voluntary Contraceptive Uptake Among Postabortion Care Clients Treated With Misoprostol in Rwanda
    Catherine Packer, Allison P. Pack and Donna R. McCarraher
    Global Health: Science and Practice August 2019, 7(Supplement 2):S247-S257; https://doi.org/10.9745/GHSP-D-18-00399

    Voluntary contraceptive uptake among postabortion care clients treated with misoprostol in Rwanda was high and unhindered by the extended bleeding that sometimes occurs with misoprostol use. However, provider knowledge regarding return to fertility and contraceptive methods appropriate for postabortion care clients should be strengthened.

  • Open Access
    Reducing Barriers to Postabortion Contraception: The Role of Expanding Coverage of Postabortion Care in Dar es Salaam, Tanzania
    Benjamin Stephens, Isihaka Jossey Mwandalima, Amani Samma, Jean Lyatuu, Kathryn Mimno and Joseph Komwihangiro
    Global Health: Science and Practice August 2019, 7(Supplement 2):S258-S270; https://doi.org/10.9745/GHSP-D-19-00146

    Expanding postabortion care (PAC) coverage to 64 public facilities over 30 months in Dar es Salaam, Tanzania, contributed to >6,000 women voluntarily adopting a contraceptive method, for an overall acceptance rate of about 81% and 78% adopting a long-acting method. Key interventions included clinical training and follow-up mentorship; PAC service reorganization, equipment provision, and an expanded method mix offering; standardized PAC documentation tools; and community linkages and referrals.

  • Open Access
    Findings and Lessons Learned From Strengthening the Provision of Voluntary Long-Acting Reversible Contraceptives With Postabortion Care in Guinea
    Anne Pfitzer, Yolande Hyjazi, Bethany Arnold, Jacqueline Aribot, Reeti D. Hobson, Tsigue G. Pleah, Shani Turke, Benita O’Colmain and Sharon Arscott-Mills
    Global Health: Science and Practice August 2019, 7(Supplement 2):S271-S284; https://doi.org/10.9745/GHSP-D-18-00344

    Integrating voluntary long-acting reversible contraceptive (LARC) methods within postabortion care (PAC) in Guinea has increased LARC uptake among PAC clients, compared with non-PAC clients. With aid from government champions and leveraging of resources, Guinea has incorporated PAC into national policies and guidelines and trained providers on PAC and LARCs to expand service provision.

  • Open Access
    “They Love Their Patients”: Client Perceptions of Quality of Postabortion Care in North and South Kivu, the Democratic Republic of the Congo
    Julianne Deitch, Jean Pierre Amisi, Stephanie Martinez, Janet Meyers, Jean-Baptiste Muselemu, Jean Jose Nzau, Erin Wheeler and Sara E. Casey
    Global Health: Science and Practice August 2019, 7(Supplement 2):S285-S298; https://doi.org/10.9745/GHSP-D-18-00368

    Women who sought postabortion care (PAC) at supported health facilities reported positive experiences, particularly regarding client-provider interactions, demonstrating the feasibility of implementing good-quality, respectful PAC in a humanitarian setting.

  • Open Access
    Women’s Satisfaction With and Perceptions of the Quality of Postabortion Care at Public-Sector Facilities in Mainland Tanzania and in Zanzibar
    Colin Baynes, Erick Yegon, Grace Lusiola, Rehema Kahando, Esther Ngadaya and Justin Kahwa
    Global Health: Science and Practice August 2019, 7(Supplement 2):S299-S314; https://doi.org/10.9745/GHSP-D-19-00026

    Tanzanian women expressed greater satisfaction with postabortion care received at district hospitals and health centers, where they experienced shorter waiting times, more family planning counseling, and threefold greater voluntary uptake of family planning, than at regional hospitals. Continued decentralization to district hospitals would likely enhance client satisfaction with postabortion care.

  • Open Access
    The Quality of Postabortion Care in Tanzania: Service Provider Perspectives and Results From a Service Readiness Assessment
    Erick Yegon, Japheth Ominde, Colin Baynes, Esther Ngadaya, Rehema Kahando, Justin Kahwa and Grace Lusiola
    Global Health: Science and Practice August 2019, 7(Supplement 2):S315-S326; https://doi.org/10.9745/GHSP-D-19-00050

    Of the approximately 2,000 postabortion care (PAC) clients treated over 6 months in 2016, 55% chose a contraceptive method before discharge. Gaps in PAC availability and quality spanned multiple domains including human resource capacity and availability of supplies and contraceptives. While PAC providers generally expressed commitment to providing high-quality care, several facility and systems factors constrained their efforts, including limited training and facility space, lack of time, and supply chain challenges.

  • Open Access
    The Unit and Scale-Up Cost of Postabortion Care in Tanzania
    Colin Baynes, Erick Yegon, Godfather Kimaro, Grace Lusiola and Justin Kahwa
    Global Health: Science and Practice August 2019, 7(Supplement 2):S327-S341; https://doi.org/10.9745/GHSP-D-19-00035

    Given the high burden and cost of postabortion care (PAC) in Tanzania, health policy should strengthen voluntary family planning programs and the availability of a variety of contraceptive methods to PAC clients. A particular focus should be placed on decentralizing PAC to lower-level facilities, including health centers and dispensaries, which can provide safe, accessible, and appropriate PAC at the lowest cost including surgical or medical options.

FIELD ACTION REPORTS

  • Open Access
    Exploring Barriers: How to Overcome Roadblocks Impeding the Provision of Postabortion Care to Young People in Togo
    Stembile Mugore
    Global Health: Science and Practice August 2019, 7(Supplement 2):S342-S349; https://doi.org/10.9745/GHSP-D-18-00437

    Before providers were trained in offering youth-friendly postabortion care (PAC), including provision of voluntary contraceptive methods, no youth PAC client chose a modern method before leaving the facility. After training, over a 6-month period 41% of youth PAC clients chose a modern method, most commonly oral contraceptive pills followed by implants and injectables.

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Global Health: Science and Practice: 7 (Supplement 2)
Global Health: Science and Practice
Vol. 7, No. Supplement 2
August 22, 2019
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