全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Research Priorities for Preventing Unsafe Abortions in the WHO Africa Region

DOI: 10.4236/arsci.2021.91003, PP. 24-32

Keywords: Unsafe Abortion, Post-Abortion Contraception, Sexual and Reproductive Health, Unplanned, Abortion

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. Methods: We adapted the Child Health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. Results: Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. Conclusions: Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area.

References

[1]  Bearak, J., Popinchalk, A., Ganatra, B., Moller, A.-B., Tunçalp, Ö., Beavin, C., Kwok, L. and Alkema, L. (2020) Unintended Pregnancy and Abortion by Income, Region, and the Legal Status of Abortion: Estimates from a Comprehensive Model for 1990-2019. The Lancet Global Health, 8, e1152-e1161.
https://doi.org/10.1016/S2214-109X(20)30315-6
[2]  World Health Organization (2004) Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2000. WHO, Geneva.
[3]  Say, L., Chou, D., Gemmill, A., et al. (2014) Global Causes of Maternal Death: A Who Systematic Analysis. The Lancet Global Health, 2, e323-e333.
[4]  World Health Organization (2009) Women and Health: Today’s Evidence, Tomorrow’s Agenda. Geneva.
[5]  Shah, I.H. and Åhman, E. (2012) Unsafe Abortion Differentials in 2008 by Age and Developing Country Region: High Burden among Young Women. Reproductive Health Matters, 20, 169-173.
https://doi.org/10.1016/S0968-8080(12)39598-0
[6]  World Health Organization (2015) Health Worker Roles in Providing Safe Abortion Care and Post-Abortion Contraception. World Health Organization, Geneva.
[7]  Ganatra, B., Gerdts, C., Rossier, C., Johnson Jr., B.R., Tuncalp, Ö., Assifi, A., Sedgh, G., Singh, S., Bankole, A., Popinchalk, A., Bearak, J., Kang, Z. and Alkema, L. (2017) Global, Regional, and Subregional Classification of Abortions by Safety, 2010-14: Estimates from a Bayesian Hierarchical Model. The Lancet, 390, 2372-2381.
https://doi.org/10.1016/S0140-6736(17)31794-4
[8]  Myers, J.E. and Seif, M.W. (2010) Global Perspective of Legal Abortion-Trends, Analysis and Accessibility. Best Practice and Research Clinical Obstetrics and Gynaecology, 24, 457-466.
https://doi.org/10.1016/j.bpobgyn.2010.04.002
[9]  World Health Organization (2012) Safe Abortion: Technical and Policy Guidance for Health Systems. World Health Organization, Geneva.
[10]  Bongaarts, J. (2011) Can Family Planning Programs Reduce High Desired Family Size in Sub-Saharan Africa? International Perspectives on Sexual and Reproductive Health, 37, 209-216.
https://doi.org/10.1363/3720911
[11]  Sedgh, G., Singh, S. and Hussain, R. (2014) Intended and Unintended Pregnancies Worldwide in 2012 and Recent Trends. Studies in Family Planning, 45, 301-314.
https://doi.org/10.1111/j.1728-4465.2014.00393.x
[12]  United Nations (2015) Transforming Our World: The 2030 Agenda for Sustainable Development. United Nations, New York.
[13]  Barnard, S., Kim, C., Park, M.H., et al. (2015) Doctors or Mid-Level Providers for Abortion. Cochrane Database of Systematic Reviews, No. 7, CD011242.
https://doi.org/10.1002/14651858.CD011242
[14]  United Nations (2015) Every Woman Every Child. Saving Lives, Protecting Futures: Progress Report on the Global Strategy for Women’s and Children’s Health. New York.
[15]  Fleurence, R.L. and Torgerson, D.J. (2004) Setting Priorities for Research. Health Policy, 69, 1-10.
https://doi.org/10.1016/j.healthpol.2003.11.002
[16]  Rudan, I., Chopra, M., Kapiriri, L., Gibson, J., Lansang, M.A., et al. (2008) Setting Priorities in Global Child Health Research Investments: Universal Challenges and Conceptual Framework. Croatian Medical Journal, 49, 398-408.
https://doi.org/10.3325/cmj.2008.3.307
[17]  Ali, M., Farron, M., Quedraogo, L., Mahaini, R.K., Miller, K. and Kabra, R. (2018) Research Gaps and Emerging Priorities in Sexual and Reproductive Health in Africa and Eastern Mediterranean Regions. Reproductive Health Journal, 15, 39.
https://doi.org/10.1186/s12978-018-0484-9
[18]  Mendis, S. and Alwan, A. (2011) Prioritized Research Agenda for Prevention and Control of Noncommunicable Diseases. World Health Organization, Geneva.
[19]  Souza, J.P., Widmer, M., Gülmezoglu, A.M., Lawrie, T.A., Adejuyigbe, E.A., Carroli, G., Crowther, C., Currie, S.M., Dowswell, T., Hofmeyr, J., et al. (2014) Maternal and Perinatal Health Research Priorities beyond 2015: An International Survey and Prioritization Exercise. Reproductive Health, 11, Article No. 61.
https://doi.org/10.1186/1742-4755-11-61
[20]  Grimes, D.A., Benson, J., Singh, S., Romero, M., Ganatra, B., Okonofua, F.E. and Shah, I.H. (2006) Unsafe Abortion: The Preventable Pandemic. The Lancet: Sexual and Reproductive Health, 368, 1908-1919.
https://doi.org/10.1016/S0140-6736(06)69481-6
[21]  Ministry of Health, Kenya (2013) Key Findings of a National Study: Incidence and Complications of Unsafe Abortion in Kenya. Women’s Lives Matter Preventing Unsafe Abortion in Kenya.
[22]  Faundes, A., Comendant, R., Dilbaz, B., Jaldesa, G., Leke, R., Mukherjee, B., de Gil, M.P. and Tavara, L. (2020) Preventing Unsafe Abortion: Achievements and Challenges of a Global FIGO Initiative. Best Practice and Research Clinical Obstetrics and Gynaecology, 62, 101-112.
https://doi.org/10.1016/j.bpobgyn.2019.05.016
[23]  Karpilow, Q., Manlove, J., Sawhill, I. and Thomas, A. (2013) The Role of Contraception in Preventing Abortion, Nonmarital Childbearing, and Child Poverty. Brookings (Blog).
https://www.brookings.edu/research/the-role-of-contraception-in-preventing-
abortion-nonmarital-childbearing-and-child-poverty

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413