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• W4239009103 abstract "Worldwide, 22 million unsafe abortions are done each year, which contributes substantially to the global burden of maternal mortality and morbidity. Most unsafe abortions occur in low-income countries, especially in Africa, in rural and remote areas, where the shortage of trained health-care providers is greatest and maternal mortality and morbidity is highest. The global deficit of skilled health-care professionals—midwives, nurses, and physicians—will be 12·9 million by 2035.To address this shortage in abortion care, WHO launched Health worker roles in providing safe abortion care and post-abortion contraception on July 29—its first guideline to give evidence-based recommendations on the safety, effectiveness, feasibility, and acceptability of involving a range of health workers in the delivery of effective interventions. The broad types of health workers include obstetrics and gynaecology non-specialist doctors, associate clinicians, midwives, nurses, auxiliary nurses and auxiliary nurse midwives, pharmacists, pharmacy workers, and lay health workers. The guideline also suggests empowering women who seek an abortion to manage their own care. Priority areas for future research are identified such as developing simple tests that can help the development of eligibility for early medical abortion or of abortion completeness by women themselves or by other community-based health workers, and identification of effective strategies to implement task shifting at scale in national and subnational programmes.Consistent evidence has shown many of the interventions for safe abortion and contraception can be provided in primary care settings, and task shifting and sharing is an important public health strategy. However, such an approach will need substantial investment, standardised training, supportive supervision, and certification and assessment. Furthermore, task shifting and sharing alone will not resolve the health workforce crisis in preventing unsafe abortions, and should be implemented alongside other strategies designed to reduce unintended pregnancy through contraception education and increase the total numbers of health workers in all cadres.For The Lancet Global Health Comment see The Lancet Glob Health 2015; published online July 29. http://dx.doi.org/10.1016/S2214-109X(15)00145-X Worldwide, 22 million unsafe abortions are done each year, which contributes substantially to the global burden of maternal mortality and morbidity. Most unsafe abortions occur in low-income countries, especially in Africa, in rural and remote areas, where the shortage of trained health-care providers is greatest and maternal mortality and morbidity is highest. The global deficit of skilled health-care professionals—midwives, nurses, and physicians—will be 12·9 million by 2035. To address this shortage in abortion care, WHO launched Health worker roles in providing safe abortion care and post-abortion contraception on July 29—its first guideline to give evidence-based recommendations on the safety, effectiveness, feasibility, and acceptability of involving a range of health workers in the delivery of effective interventions. The broad types of health workers include obstetrics and gynaecology non-specialist doctors, associate clinicians, midwives, nurses, auxiliary nurses and auxiliary nurse midwives, pharmacists, pharmacy workers, and lay health workers. The guideline also suggests empowering women who seek an abortion to manage their own care. Priority areas for future research are identified such as developing simple tests that can help the development of eligibility for early medical abortion or of abortion completeness by women themselves or by other community-based health workers, and identification of effective strategies to implement task shifting at scale in national and subnational programmes. Consistent evidence has shown many of the interventions for safe abortion and contraception can be provided in primary care settings, and task shifting and sharing is an important public health strategy. However, such an approach will need substantial investment, standardised training, supportive supervision, and certification and assessment. Furthermore, task shifting and sharing alone will not resolve the health workforce crisis in preventing unsafe abortions, and should be implemented alongside other strategies designed to reduce unintended pregnancy through contraception education and increase the total numbers of health workers in all cadres. For The Lancet Global Health Comment see The Lancet Glob Health 2015; published online July 29. http://dx.doi.org/10.1016/S2214-109X(15)00145-X For The Lancet Global Health Comment see The Lancet Glob Health 2015; published online July 29. http://dx.doi.org/10.1016/S2214-109X(15)00145-X For The Lancet Global Health Comment see The Lancet Glob Health 2015; published online July 29. http://dx.doi.org/10.1016/S2214-109X(15)00145-X Reducing unintended pregnancy through provider trainingAccess to family planning services allows women and families to plan pregnancies and achieve desired family size. These factors are crucial to health, wellbeing, and economic advancement. However, unintended (mistimed or unwanted) pregnancy remains a major public health challenge, accounting for nearly half of all pregnancies in the USA,1 and 85 million worldwide each year.2 Even where modern contraceptive methods are available, unintended pregnancy occurs through inconsistent or incorrect use. Unintended pregnancy has important health consequences, and its reduction is a component of the United Nations Millennium Development Goals to lower maternal mortality. Full-Text PDF Reductions in pregnancy rates in the USA with long-acting reversible contraception: a cluster randomised trialThe pregnancy rate can be reduced by provision of counselling on long-term reversible contraception and access to devices during family planning counselling visits. Full-Text PDF" @default.
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• W4239009103 date "2015-08-01" @default.
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• W4239009103 title "Preventing unsafe abortions through task shifting and sharing" @default.
• W4239009103 doi "https://doi.org/10.1016/s0140-6736(15)61461-1" @default.
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