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Session: Post Abortion Care: Programming for Success
4308.0: Tuesday, November 9, 2004: 4:30 PM-6:00 PM
Post Abortion Care: Programming for Success
Unsafe abortion is one of the leading causes of maternal morbidity and mortality worldwide. In countries where women lack full access to family planning services, and where laws restrict access to abortion, unsafe abortion is likely to be especially high, along with associated high maternal mortality and other undesirable health outcomes. The International Conference on Population and Development in Cairo in 1994 called on nations to address unsafe abortion within the context of women’s rights and integrated reproductive health programs, including post-abortion care (PAC). Given that restrictive laws in many countries and in the US that have prevented full implementation of the Cairo agenda, PAC is sometimes the most effective or only intervention available to reproductive health program managers to save women’s lives and meet their post-abortion needs. This panel will discuss experience in implementing PAC programs in six developing countries in Africa and South America. Findings are presented on effectiveness of different types of providers, performance improvement following different training approaches, and qualitative evaluation of existing services. The discussions should assist programmers in understanding the magnitude of the need for PAC, factors that affect PAC quality, and successful programming approaches.
Learning Objectives: by the end of the session, participants will be able to: 1) describe the magnitude of unsafe abortion as a reproductive health problem 2) cite the main components of post-abortion care (PAC) as it is applied in development settings 3) cite different training approaches to improve PAC quality 4) articulate different ways to evaluate PAC quality 5) Identify key factors that facilitate or hinder private-sector PAC service sustainability
Moderator(s):Taylor A. Haas, MSc
4:30 PMCommunity-based abortion care: Final evaluation findings from Western Kenya  [ Recorded presentation ]
Rosemarie Muganda, Muadi Mukenge, MA, Jacob Ochieng, Kitche Magak, MA, Christine Ombaka, MA, Monica Oguttu, Solomon Orero, MD, Khama Rogo, MD, PhD, Innocentia Riker, MA
4:44 PMStrengthening postabortion care services in Burkina Faso and Guinea through the performance improvement approach  [ Recorded presentation ]
Rebecca Stoltzfus Dineen, MS, Amy Rial, RN/MPH, Tsigue Pleah, MD, Blandine Thiéba, MD, Paul S. Nebié, MD, Yolande Hyjazi, MD, Cheryl Treacy-Lenda
4:58 PM“Feast or famine”: Utilization of clinical skills after in-service training courses for PAC in Bolivia and Nigeria  [ Recorded presentation ]
Tamara Fetters, MPH, Janie Benson, DrPH, Victor Huapaya, MD, Akin Akiode, MSc, Rodolfo Gomez Ponce de Leon, MD, MPH
5:12 PMCommunity Surveillance of post-abortion care services
Jhony Juarez, MD, Miguel Gutierrez, MD, Enrique Guevara, MD, Alfonso Villacorta, MD
5:26 PMPrivate-sector postabortion care services offered by nurse-midwives in Kenya: How sustainable are they?
Stephen Musau, Maureen Corbett, MIA, Christine Ayuyo, Tom Omurwa, Elizabeth Fischer, MCRP
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Population, Family Planning, and Reproductive Health
Endorsed by:International Health; Public Health Nursing; Socialist Caucus; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA