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Successful provision of medical abortion by rural
health extension workers, Ethiopia.
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| Article Type: | Brief article |
| Subject: |
Abortion services
(Laws, regulations and rules) Rural health services (Laws, regulations and rules) |
| Pub Date: | 05/01/2012 |
| Publication: | Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2012 Reproductive Health Matters ISSN: 0968-8080 |
| Issue: | Date: May, 2012 Source Volume: 20 Source Issue: 39 |
| Topic: | Event Code: 930 Government regulation; 940 Government regulation (cont); 980 Legal issues & crime; 970 Government domestic functions Advertising Code: 94 Legal/Government Regulation Computer Subject: Government regulation |
| Product: | Product Code: 8082000 Abortion Clinics NAICS Code: 621498 All Other Outpatient Care Centers SIC Code: 8093 Specialty outpatient clinics, not elsewhere classified |
| Geographic: | Geographic Scope: Ethiopia Geographic Name: Ethiopia; Ethiopia Geographic Code: 6ETHI Ethiopia |
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| Accession Number: | 296571590 |
| Full Text: |
In Ethiopia abortion has been permitted in cases of risk to the
woman's health, fetal abnormality after rape and for all girls
under 18 years since 2005. The Comprehensive Abortion Care project has
reduced unsafe abortion levels in the Tigray region through a rural
health extension worker-led programme. A five-year programme evaluation
found that unsafe abortion had stopped being the leading cause of
admission to the regional hospital, falling to 10th cause and with no
deaths or severe complications. 1,700 health extension workers working
in 20 health centres, who received 18 months' training, provide
medical abortion up to nine weeks and treat incomplete abortion with
misoprostol. Nurses and health officers in nine health centres provide
manual vacuum aspiration and medical abortion up to 12 weeks. Four
hospitals provide full abortion care up to 28 weeks. The failure rate
from oral use of misoprostol was 18%, which fell to 7% when treatment of
incomplete abortion was included. Women reported preferring medical to
surgical abortion. They sought help at a mean of nine weeks of
pregnancy. Of the women followed up during the programme, 90% received
contraceptive advice and almost half opted for injectables. Other
regions are now planning to replicate. (1) However, access to safe
abortion remains limited outside the capital; 30% of maternal deaths are
still a result of unsafe abortion. (1.) Prata N, Gessessew A, Campbell M, et al. "A new hope for women": medical abortion in a low-resource setting in Ethiopia. Journal of Family Planning and Reproductive Health Care 2011;37:196-97. Doi: 10.1016/S0968-8080(12)39628-6 |
| Gale Copyright: | Copyright 2012 Gale, Cengage Learning. All rights reserved. |