Safe abortion: technical and policy guidance for health systems


Pro-abortion march

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

Annex 6

Post-abortion medical eligibility for contraceptive use, Medical eligibility criteria for contraceptive use, 4th ed. Geneva, World Health Organization, 2009

120

Annex 7

Core international and regional human rights treaties

122

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