[DOWNLOAD] "Postabortion Care: Going to Scale (Comment) (Clinical Report)" by International Perspectives on Sexual and Reproductive Health " Book PDF Kindle ePub Free

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eBook details

• Title: Postabortion Care: Going to Scale (Comment) (Clinical Report)
• Author : International Perspectives on Sexual and Reproductive Health
• Release Date : January 01, 2011
• Genre: Family & Relationships,Books,Nonfiction,
• Pages : * pages
• Size : 246 KB

Description

Millennium Development Goal 5 aims to reduce the 1990 level of maternal mortality by 75% by 2015. The major direct causes of maternal mortality arc well documented: Most women die from severe bleeding, infections, eclampsia, obstructed labor or the consequences of unsafe abortion. (1) Evidence-based interventions exist to address each of these causes. Safe abortion where legal, family planning and postabortion care--the management of the patient once she presents to a health provider with complications caused by either a miscarriage or an induced abortion--are interventions that provide options for women to ensure that every child is a wanted child. Given that 13% of maternal deaths result from unsafe abortions, (2) Postabortion care has the potential to prevent maternal deaths. Postabortion care is especially relevant in countries where abortion is restricted, but is useful even in countries where abortion is legal but access to safe services is limited. For the past two decades, efforts have been made to design service delivery models that incorporate the specific elements that postabortion care programs should provide. (3-4) Currently, there are two main models--one developed by the PAC Consortium and one developed by the United Stales Agency for International Development (USAID); there are significant overlaps between the two. The model advocated by the PAC Consortium includes five elements: partnerships between communities and service providers; client-centered counseling at appropriate times during service delivery; treatment with emphasis on pain management; family planning; and links to reproductive and other health services. (3) The USAID model has three components: emergency treatment; family planning and STI and HIV services; and community empowerment via community awareness and mobilization. (4) Countries have been able to draw upon the two models when designing and implementing postabortion care services. Created to facilitate scale-up and increase access to postabortion care, the models provide guidance on how services could be designed and delivered; how postabortion care could be integrated with other health services, including family planning; and how to develop the partnerships required with the communities that are the ultimate beneficiaries of service improvements.

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