| Support for provision of early medical abortion by mid-level providers in Bihar and Jharkhand, India. | |
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MedLine Citation:
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PMID: 19523584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medical abortion has the potential to increase the number, cadre and geographic distribution of providers offering safe abortion services in India. This study reports on a sample of family planning providers (263 mid-level providers, 54 obstetrician-gynaecologists and 88 general physicians) from a 2004 survey of health facilities and their staff in Bihar and Jharkhand, India. It identified factors associated with mid-level provider interest in training for early medical abortion provision, and examined whether obstetrician-gynaecologists and general physicians supported non-physicians being trained to provide early medical abortion and what factors influenced their attitudes. Findings demonstrate high levels of mid-level provider interest and reasonable physician support. Among mid-level providers, being male, having a more permissive attitude towards abortion and current provision of abortion using any pharmacological drugs were associated with greater interest in attending training. Mid-level providers based in private health facilities were less likely to show interest. More permissive attitude towards abortion and current medical abortion provision using mifepristone-misoprostol were inversely associated with obstetrician-gynaecologists' support for non-physician provision of medical abortion. General physicians based in private/other health facilities were less supportive than those in public facilities. Study findings strengthen the case for policymakers to expand the pool of cadres that can legally provide safe abortion care in India. |
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Authors:
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Lisa Patel; Trude A Bennett; Carolyn Tucker Halpern; Heidi Bart Johnston; Chirayath M Suchindran |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Reproductive health matters Volume: 17 ISSN: 1460-9576 ISO Abbreviation: Reprod Health Matters Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-06-15 Completed Date: 2009-09-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9420826 Medline TA: Reprod Health Matters Country: Netherlands |
Other Details:
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Languages: eng Pagination: 70-9 Citation Subset: IM |
Affiliation:
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Department of Maternal and Child Health, University of North Carolina, Gillings School of Global Public Health, Chapel Hill NC, USA. lispatel@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced* Adult Allied Health Personnel / education, supply & distribution* Female Health Care Surveys Humans India Middle Aged Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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