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THE FIGO INITIATIVE FOR THE PREVENTION OF UNSAFE ABORTION

THE FIGO INITIATIVE FOR THE PREVENTION OF UNSAFE ABORTION. Dr Aníbal Faúndes Chisinau, Moldova, June 23rd-24th, 2011. Scope of the FIGO initiative.

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THE FIGO INITIATIVE FOR THE PREVENTION OF UNSAFE ABORTION

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  1. THE FIGO INITIATIVE FOR THE PREVENTION OF UNSAFE ABORTION Dr Aníbal Faúndes Chisinau, Moldova, June 23rd-24th, 2011

  2. Scope of the FIGO initiative 43 countries with high abortion/ unsafe abortion rate, with a plan of action approved by the Government and the Obstetrics and Gynecology Society

  3. FIGO INITIATIVE ON PREVENTION OF UNSAFE ABORTION

  4. CENTRAL AND EASTERN EUROPE & CENTRAL ASIA Moldova Georgia Kirghizstan Macedonia

  5. Goals of the initiative To contribute to the reduction of maternal mortality and morbidity associated with unsafe abortion To contribute to the reduction of the burden of induced abortion for women

  6. How to achieve those Goals? With the collaboration of Health and Education Governmental Agencies, IPPF MA, UNFPA, WHO, Ipas and other organizations

  7. How to reduce unsafe abortion and its consequences Primary Prevention: Less unintended pregnancies and abortions

  8. How to reduce unsafe abortion and its consequences Primary Prevention: Less unintended pregnancies and abortions Secondary Prevention: Non preventable abortions should be safe

  9. How to reduce unsafe abortion and its consequences Tertiary Prevention: Unsafe abortions do not complicate and kill the woman

  10. How to reduce unsafe abortion and its consequences Tertiary Prevention: Unsafe abortions do not complicate and kill the woman Quaternary Prevention: Post-abortion counseling and services to prevent repeated abortions

  11. Primary Prevention: Less unintended pregnancies and abortions Comprehensive sexual education

  12. Primary Prevention: Less unintended pregnancies and abortions Comprehensive sexual education Access to contraceptive information and services

  13. Y=0.7635x + 78.164 PORCENTAGE OF FERTIL AGE WOMEN IN UNION USING CONTRACEPTION AND ABORTION RATE IN SELECTED COUNTRIES Abortion rate per 1.000 women Fonte: Marston & Cleland, Int Fam Plann Perspec 2003, 29:6-13

  14. ABORTION RATE AND PERCENTAGE OF WOMEN USING IUD ACCORDING TOM YEARS AFTER FIRST BIRTH, SHANGAI, CHINA Abortion rate Use of IUD (%) Abortion rate prr 1000 women Years since first birth Fonte: Marston & Cleland, Int Fam Plann Perspec 2003, 29:6-13

  15. Primary Prevention: Less unintended pregnancies and abortions Comprehensive sexual education Access to contraceptive information and services Social protection of the pregnant woman and the mother

  16. Secondary Prevention: Non preventable abortions should be safe Providing access to safe abortion to women who fulfill with the legal conditions

  17. Secondary Prevention: Non preventable abortions should be safe Providing access to safe abortion to women who fulfill with the legal conditions Broadening the conditions on which abortion is legally allowed

  18. Tertiary Prevention: Unsafe abortions do not complicate and kill the woman `Good quality and non-discriminatory professional care of women consulting with abortion complications

  19. Good quality of care to women with abortion complications 1. Access to new technology (MVA, Misoprostol) 2. Training of health professionals 3. Atitude of providers

  20. “Physicians are not kind with people who try to abort… I hear a nurse who says, ‘You have to wait for your turn. If you die, is only your own fault." Fuente: Center for Reproductive Rights. Forsaken lives: The Harmful Impact of the Philippine Criminal Abortion Ban. United States: Center for Reproductive Rights, 2010. Ana, survival of unsafe abortion in the Philipines

  21. Good quality of care to women with abortion complications Discrimination of women with abortion complications increases the risk of: severe morbidity

  22. Good quality of care to women with abortion complications Discrimination of women with abortion complications increases the risk of: severe morbidity abortion related death

  23. Delay in providing care according to cause of maternal deathLibreville, Gabon, 2005 – 2007 Hours Source: Mayi-Tsonga S. et al. Delay in the provision of adequate care to women who died from abortion-related complications in the principal maternity hospital of Gabon. Reproductive Health Matters 2009;17(34):1–7

  24. Delay in providing care according to cause of maternal deathLibreville, Gabon, 2005 – 2007 Hours Source: Mayi-Tsonga S. et al. Delay in the provision of adequate care to women who died from abortion-related complications in the principal maternity hospital of Gabon. Reproductive Health Matters 2009;17(34):1–7

  25. Quaternary Prevention: Contraceptive counseling and services to prevent repeated abortions `Effective Family Planning counseling during admission and provision of contraceptive services, ideally before discharge

  26. ”If the woman we treat for post abortion complications is there because she could not get contraception, we have failed her. If she leaves without family planning we have failed her twice.” (FIGO, ICM, ICN consensus statement, 2009)

  27. Future of the FIGO initiative The FIGO Working Group will continue, at least until 2015, following the implementation of the plans of action and of its results

  28. Future of the FIGO initiative We expect that new societies from additional countries will participate in this FIGO Initiative within the next year.

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