1 / 15

Medical Abortion in Ethiopia: Policy and Practice

Medical Abortion in Ethiopia: Policy and Practice. Africa Regional Meeting on Medical Abortion Johannesburg, South Africa March 11-13rd,2009. Over View. Some Demographic Indicators The Abortion Law of Ethiopia,2005

edward-velez
Download Presentation

Medical Abortion in Ethiopia: Policy and Practice

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Medical Abortion in Ethiopia: Policy and Practice Africa Regional Meeting on Medical Abortion Johannesburg, South Africa March 11-13rd,2009

  2. Over View • Some Demographic Indicators • The Abortion Law of Ethiopia,2005 • Technical & Procedural Guidelines for Safe Abortion • Current Status Of Medical Abortion • The Way Forward

  3. A. GENERAL Total population = 74 million (CSA,2007) 50% of the population under 18 years (CSA) Population growth rate = 2.6% (CSA) Primary health service coverage (MoH)≈70% Background Information on Ethiopia

  4. B. MAJOR RH ISSUES • TFR of 5.4 per woman (DHS,2005) • Low Contraceptive prevalence = 15% • High MMR ratio of 673/100,000 • 32% of maternal death is due to unsafe abortion • Unsafe abortion accounts for up to 60% of all gynecological admissions

  5. THE ABORTION LAW OF 2005 • Abortion still technically restricted but not punishable in cases of: • Rape and incest • Pregnancy endangering woman’s life and /or health • Indications of fetal abnormalities • Physically or mental deficiency • Minor :physically or psychologically unprepared to raise a child

  6. …(Continued) • MoH was mandated to issue a guideline • In the case of rape and incest, mere declaration by the woman is a sufficient condition for her to get abortion services (Article 552)

  7. TECHNICAL AND PROCEDURAL GUIDELINES FOR SAFE ABORTION SERVICES • Provides the official interpretation of the law • Details directions for health service providers and facilities: • TOP can be conducted either in public or private facility • A woman should get services within 3 working days

  8. (…Continued) All facilities with trained personnel, equipment can provide TOP up to 12 weeks TOP 13 to 28 weeks in a secondary or tertiary level Included alternative technologies like medical abortion Sanctions midlevel providers to perform MVA

  9. Medical Abortion Up to 9 completed weeks Mifspristone 200 milligrams orally, followed 36 to 48 hours later by Misoprostol 800 micrograms vaginally. Up to 7 weeks 400 ug misprostol orally

  10. Current Status of MA Drugs • Regulatory authority has included the drugs in the essential drugs list of the country • Process for registering the drugs going on since 2007 • 100,000 units of Medabon imported by DKT with pre-registration permit (2008)

  11. What has been done so far? • 42 lead trainers trained • Integrated MA in all Comprehensive Abortion Care training, since August /09 • 3,000 women received MA services in 102 (42 public + 20 MSIE clinics+40 private) facilities in 3 months • An introductory pilot study on process

  12. Preliminary Reflections Providers: Less work load Less risk of infections Women Provide privacy and less invasive Percieved less infection than surgical procedure

  13. The Way Forward: • Ensure registration of drugs/availability in Ethiopia • Complete pilot documentation study • Continue to integrate MA in all CAC trainings and services • Conduct MA stand alone trainings in selected facilities

  14. (…Continued) • Conduct targeted community/ women education on MA • Continue monitoring and supervision of services • Advocacy for the implementation of abortion care to the limits of the law with the leadership of MOH

  15. THANK YOU

More Related