Safe abortion: technical and policy guidance for health systems

The awaited “Safe abortion: technical and policy guidance for health systems“, the second edition of the WHO publication is available online now.

Find the pdf document online at: http://www.who.int/reproductivehealth/publications/unsafe_abortion/9789241548434/en/

The contents include:

CONTENTS
Executive summary	1
Process of guideline development	10
Background	10
Methods	10
Dissemination of the guidance document	12
Updating the guidelines	13
Chapter 1	16
Safe abortion care: the public health and human rights rationale	17
1.1 Background	17
1.2 Public health and human rights	18
1.3 Pregnancies and abortions	19
1.4 Health consequences of unsafe abortion	19
1.5 Contraceptive use, accidental pregnancies and unmet need for family planning	22
1.6 Regulatory and policy context	23
1.7 Economic costs of unsafe abortion	26
Chapter 2	30
Clinical care for women undergoing abortion	31
2.1 Pre-abortion care	32
2.2 Methods of abortion	37
2.3 Post-abortion care and follow-up	52
Chapter 3	62
Planning and managing safe abortion care	63
3.1 Introduction	64
3.2 Constellation of services	64
3.3 Evidence-based standards and guidelines	65
3.4 Equipping facilities and training health-care providers	69
3.5 Monitoring, evaluation and quality improvement	72
3.6 Financing	79
3.7 The process of planning and managing safe abortion care	80
viii Safe abortion: technical and policy guidance for health systems
Chapter 4	86
Legal and policy considerations	87
4.1 Women’s health and human rights	87
4.2 Laws and their implementation within the context of human rights	90
4.3. Creating an enabling environment	98
Annex 1	98
Research gaps identified at the technical consultation	105
Annex 2
Final GRADE questions and outcomes	106
Annex 3	106
Standard GRADE criteria for grading of evidence	109
Annex 4
Participants in the technical consultation	110
Annex 5	110
Recommendations from the technical consultation for the second edition of Safe abortion: technical and policy guidance for health systems	113
	113
Annex 6
Post-abortion medical eligibility for contraceptive use, Medical eligibility criteria for contraceptive use, 4th ed. Geneva, World Health Organization, 2009	120
	120
Annex 7
Core international and regional human rights treaties	122