Uganda – Allow girls to access to voluntary safe abortion to save lives

Allow girls to access to voluntary safe abortion to save lives
By DAVID MAFABI/PML Daily Reporter
Posted on May 27, 2018

SIRONKO: Jane Nakumiza, 17, lives in Nabidoko village in Sironko district and takes care of her nephew. Her mother died almost seven years ago following complications from a botched abortion.

She had reportedly become pregnant in a terrible gang rape during the ‘Kadodi’ dancing procession at night.

“She told us that she saw five men rape her and then she lost consciousness. She was just quiet most of the time after the rape; she didn’t want the baby and tried to abort two times, “says Nakumiza.

Continued: http://www.pmldaily.com/features/health/2018/05/87520483.html

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Senegal: The law, trials and imprisonment for abortion

FEATURE - Senegal: The law, trials and imprisonment for abortion
24 April 2018
International Campaign for Women's Right to Safe Abortion

by Nandini Archer, Alice Finden, Hannah Pearson
Edited by Marge Berer

Introduction

The law on abortion in Senegal is both restrictive and unclear. Although the country’s criminal code completely prohibits pregnancy termination, the Code of Medical Ethics allows an abortion if three doctors agree that the procedure is necessary to save the pregnant woman’s life. Given these circumstances, almost no abortions are legal and unsafe abortion leads to a high maternal mortality ratio. A combination of an inherited colonial penal code, and the influence of religion and social stigma, mean that despite continuing attempts by advocates to change the law, cases of sometimes prolonged pre-trial detention and imprisonment for illegal abortion and for infanticide among women unable to obtain an abortion, are rife, especially among poor and rural women.

This report looks at Senegal’s abortion law and policy, the prevalence of unsafe abortions, attempts to reform the law, the process of criminalisation of women, the extent of infanticide, and women’s stories, based on a range of published sources and valuable input from Senegalese human rights and women’s rights advocates.

Continued: https://mailchi.mp/safeabortionwomensright/feature-senegal-the-law-trials-and-imprisonment-for-abortion-24-april-2018?e=372dd34034

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USA – “Whatever’s your darkest question, you can ask me.”

“Whatever’s your darkest question, you can ask me.”
A secret network of women is working outside the law and the medical establishment to provide safe, cheap home abortions.

March 28, 2018
By Lizzie Presser

On a winter morning, Anna* walked the aisles of an herbal-medicine store, picked up a bottle each of blue cohosh and black cohosh, along with a plastic bag of pennyroyal tea, and drove to the topless bar on the edge of town where she worked. There, she met Jules, another dancer. They performed on a small stage with crystal curtains, the green light of an ATM flashing on their left, until 9 p.m. The women, both in their 20s, then drove to the Motel 6 where Jules lived and entered her dim room on the second floor, which smelled of grape cigars. Anna pulled out the tinctures and tea and explained the plan. She was going to help Jules try to have an abortion.

Continued: https://story.californiasunday.com/abortion-providers

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New Study Reveals 214 Million Women Have an Unmet Need for Modern Contraception

New Study Reveals 214 Million Women Have an Unmet Need for Modern Contraception

DKT International highlights World Contraception Day as increased education and access to reproductive health services remains crucial

Sep 25, 2017

WASHINGTON, Sept. 25, 2017 /PRNewswire/ -- New data released by The Guttmacher Institute shows that of the 885 million women living in developing countries hoping to avoid pregnancy, 214 million of those are not using contraception. DKT International, one of the largest providers of contraceptives and family planning services in the developing world, stresses the importance of World Contraception Day (September 26), held annually to raise awareness and improved access of contraceptives for women worldwide.

Continued at source: http://www.prnewswire.com/news-releases/new-study-reveals-214-million-women-have-an-unmet-need-for-modern-contraception-300525053.html

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Ipas and DKT International Partnership Expands Access to Safe Abortion and Reduces Associated Maternal Deaths for Millions in 100+ Countries Worldwide

Ipas and DKT International Partnership Expands Access to Safe Abortion and Reduces Associated Maternal Deaths for Millions in 100+ Countries Worldwide

Ipas Licenses Manual Vacuum Aspiration (MVA) Technology to DKT International

Washington, D.C (PRWEB) May 10, 2017

Ipas and DKT International are pleased to announce an exclusive partnership in which the Ipas Manual Vacuum Aspiration (MVA) technology will be licensed to DKT for global distribution, furthering their joint mission of providing safe and high-quality family planning and abortion care for the estimated 56 million women worldwide who choose to have an abortion each year. Formerly, distribution of the Ipas MVA technology was overseen by WomanCare Global.

“We look forward to expanding on the great work of Ipas and WomanCare Global, which have provided over 1 million reusable MVA kits and served more than 32 million women since 2009,” says Christopher Purdy, President and CEO of DKT International.

Continued at source: DKT International: http://www.prweb.com/releases/2017/05/prweb14321090.htm

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Abortion-related care is the 7th competency of midwives

Abortion-related care is the 7th competency of midwives
by International Campaign for Women's Right to Safe Abortion
May 5, 2017

In the International Confederation of Midwives’ handbook Essential Competencies for Basic Midwifery Practice, abortion-related care is mentioned briefly at the end of the section on Competency #5 on Post-partum care. It states that as an additional skill in providing post-partum care, the midwife should have the skill and/or ability to:

  • perform manual vacuum aspiration of the uterus for emergency treatment of late post-partum haemorrhage.

Thus, abortion is important as a form of emergency obstetric care, which should be available in case of need for every pregnant woman.

Competency #7 in the handbook is devoted to abortion-related care. The handbook says:

Midwives provide a range of individualised, culturally sensitive abortion-related care services for women requiring or experiencing pregnancy termination or loss that are congruent with applicable laws and regulations and in accord with national protocols.

Knowledge

The midwife has the knowledge and/or understanding of…

  • policies, protocols, laws and regulations related to abortion-care services
  • factors involved in decisions relating to unintended or mistimed pregnancies
  • family planning methods appropriate for use during the post-abortion period
  • medical eligibility criteria for all available abortion methods
  • care, information and support that is needed during and after miscarriage or abortion (physical and psychological) and services available in the community
  • normal process of involution and physical and emotional healing following miscarriage or abortion
  • signs and symptoms of sub-involution and/or incomplete abortion (e.g., persistent uterine bleeding)
  • signs and symptoms of abortion complications and life threatening conditions (e.g., persistent vaginal bleeding, infection)
  • pharmacotherapeutic basics of drugs recommended for use in medical abortion
  • principles of uterine evacuation via manual vacuum aspiration (MVA).

Basic skills and/or abilities

  • assess gestational period through query about first day of last menstrual period (LMP), bimanual examination and/or urine pregnancy testing
  • inform women who are considering abortion about available services for those keeping the pregnancy and for those proceeding with abortion, methods for obtaining abortion, and to support women in their choice
  • take a clinical and social history to identify contraindications to medication or aspiration abortion
  • educate and advise women (and family members, where appropriate), on sexuality and family planning post abortion
  • provide family planning services concurrently as an integral component of abortion-related services
  • assess for uterine involution; treat or refer as appropriate
  • educate mother on care of self, including rest and nutrition and on how to identify complications such as haemorrhage
  • identify indicators of abortion-related complications (including uterine perforation); treat or refer for treatment as appropriate.

Additional

  • prescribe, dispense, furnish or administer drugs (however authorized to do so in the jurisdiction of practice) in dosages appropriate to induce medical abortion
  • perform manual vacuum aspiration of the uterus up to 12 completed weeks of pregnancy.

SOURCE: Essential Competencies for Basic Midwifery Practice (2010, revised 2013)  Due for review in 2016.

PHOTO: http://asap-asia.org/blog/wp-content/uploads/2016/05/wwGRq9Ch_400x400.png

In the International Confederation of Midwives’ handbook on Standard Equipment List for Competency-Based Basic Skills Training in Midwifery Schools, the following are the only items listed in the various categories that are specific to abortion:

Medicines (as allowed per country-based Essential Medicines List)

  • Under uterotonics: misoprostol
  • Mifepristone (listed as optional)

Equipment

MVA kit (can obtain from Ipas as MVA Plus (reusable)

Books, Manuals and Videos

  • Woman Centered Abortion Care (W-CAC) and/or Woman Centered Post Abortion Care (W-PAC) manual (Contact Ipas)
  • Medical Abortion Training Curricula and IEC resources for providers and women (Contact Ipas) (optional/additional)

SOURCE: Kyei AA, Dennis-Antwi JA, Ibinga Koula R, Azfar P. (2012). ICM Standard Equipment List for Competency-Based Basic Skills Training in Midwifery Schools: A Reference Guide for practical skills teaching. ICM/UNFPA Investing in midwives and others with midwifery skills Programme (IMP). 2012.

Lastly, in the International Confederation of Midwives’ curriculum for midwifery training, in Level 2 of the curriculum, that is, in the second six months, midwives should receiving training in the following skills/abilities: unintended pregnancy, medical eligibility criteria for early termination of pregnancy, laws and regulations related to abortion care services, spontaneous abortion, incomplete abortion, uterine involution and sub-involution, pregnancy loss/bereavement, and in Level 3, in the third 3rd six months, training should cover complications, including complications of induced abortion. [Competency 7]

SOURCE: ICM Model Curriculum Outlines for Professional Midwifery Training, Resource Packet #2

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Source: International Campaign for Women's Right to Safe Abortion: http://www.safeabortionwomensright.org/abortion-related-care-is-the-7th-competency-of-midwives/

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India: Discourse: Returning women their body

Discourse: Returning women their body

DECCAN CHRONICLE. | AMBER SINHA
Published Apr 16, 2017,

India was one of the 15 countries that passed a liberal abortion law in 1971.

The Supreme Court has recently intervened in cases where women have sought abortion because the foetus is deformed, triggering demands to allow women to determine the course of their pregnancies. India was one of the 15 countries that passed a liberal abortion law in 1971. Today, the government must bring it in line with international standards and reflect both medical advances and the rights of women over their own bodies.

Continued at link: Deccan Chronicle: http://www.deccanchronicle.com/opinion/op-ed/160417/discourse-returning-women-their-body.html

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Malawi: Can incomplete abortion be treated more safely and less expensively?

Can incomplete abortion be treated more safely and less expensively?
March 22, 2017

Incomplete abortion is one of the main causes of obstetric complications in Malawi. Surgical management with curettage is the most common treatment, despite WHO’s recommendation to use manual vacuum aspiration (MVA). Researchers are looking to see whether training health personnel in MVA can increase the use of this method.

In Malawi today, abortion is generally illegal and punishable by up to 14 years’ imprisonment. Malawi is not alone, as access to abortions is limited in the majority of the world’s nations. In Malawi, abortion is permitted if the pregnancy poses a danger to the mother’s life. However, there is ongoing debate on expanding the law to allow for abortion in cases of rape and incest, if the pregnancy will cause severe psychological or physiological harm to the mother, or if the foetus is severely malformed. Nonetheless, due to conservative forces in Malawian society, general legalisation is not likely to be passed until far into the future.

Continued at source: Health Canal: https://www.healthcanal.com/pregnancy-childbirth/236217-can-incomplete-abortion-treated-safely-less-expensively.html

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