Unsafe abortion is one of the primary causes of maternal deaths, especially in developing countries. Twenty-two million unsafe abortions are performed every year globally.
Worldwide, around 20 percent of all pregnancies end in induced abortion, and an estimated 13 percent of maternal mortality is attributed to unsafe abortion. Every year, 25,000 to 70,000 women die from unsafe abortion and an additional 5 million are hospitalized for related complications, which often result in permanent disabilities.
The majority of these women are from the poorest areas of developing countries, and their deaths have far reaching consequences for their children, families and communities.
We seek to save women’s lives and reduce the mortality and morbidity caused by unsafe abortion. Our network supplies quality contraceptives in order to enable women to avoid unintended pregnancies, estimated to be approximately 76 million in the developing world, annually.
In India, Cambodia and Nepal, where abortion is legal yet unsafe abortion practices continue, we increase access to World Health Organization-approved medical abortion drugs, distributing them and training providers to use them as part of comprehensive care. These drugs are a safe alternative to the dangerous abortion methods and products that lead to increased maternal morbidity and mortality in these countries. Lastly, our network also provides post-abortion contraceptive counseling and services.
- Medical abortion: We supply medications and train providers to give women safe, comprehensive medical abortion care and contraceptive services.
- Post-abortion contraception: We ensure that women are fully informed of their contraceptive options post abortion and are able to get the method they want immediately or as soon as is medically advised.
- Barrier and Triggers to Early Detection of Pregnancy Among Women of Reproductive Age (20-34 Years) in Three States of North India
In India, the Medical Termination of Pregnancy Act of 1971 permits medical abortion up to seven weeks (49 days) from the first day of the last menstrual period (LMP). Therefore, timely detection of pregnancy is essential for ensuring that a woman has enough time to make decisions regarding the pregnancy, such as registering for antenatal care or terminating the pregnancy through medical or surgical abortion. The Women’s Health Project (Pehel), aims to prevent unintended pregnancies by increasing women’s access to both voluntary contraceptive services and safe and legal termination of pregnancy through medical abortion. PSI/India designed an intervention to educate women about early detection of pregnancy (EDP). As part of that intervention, a qualitative study was conducted to understand women’s perspectives about EDP.
- Improving Provider Behavior Change Communication and IPC: Best Practices from the Women’s Health Project
This brief describes the challenges faced, strategies developed, and lessons learned by the Women's Health Project. It also proposes a set of best practices for improving productivity of interpersonal communications (IPC) agents and increasing providers' skills and motivation.
- Expanding Access to Critical HIV and Reproductive Health Services to Low Literacy Youth in Liberia
Following a lengthy civil war and in a context of pervasive poverty, Liberian youth face major challenges in making healthy decisions. Lack of education is a significant factor in determining HIV protective behaviors and family planning (FP) use and intention. HealthyActions, a collaboration between PSI Liberia and EDC’s Advancing Youth Project (AYP), is funded by USAID and launched in October 2012. This presentation discusses lessons learned around the topic of expanding access to reproductive health services to low literacy youth in Liberia.
- Awareness and Accessibility of Medication Abortions among Women in India
Although the Medical Termination of Pregnancy Act has been under implementation since 1972, unsafe abortions still account for 9% of maternal deaths in India. Medication abortion (MA) is a safe and effective means of early pregnancy termination that provides an alternative to a surgical abortion procedure.