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DELIVERING POST-ABORTION CARE THROUGH A COMMUNITY-BASED REPRODUCTIVE HEALTH VOLUNTEER PROGRAMME IN PAKISTAN

  • SYED KHURRAM AZMAT (a1), BABAR T SHAIKH (a1), GHULAM MUSTAFA (a1), WAQAS HAMEED (a1) and MOHSINA BILGRAMI (a1)...
Summary

This qualitative study was conducted in May–June 2010 with women using post-abortion care (PAC) services provided by the Marie Stopes Society in Pakistan during the six month period preceding the study, more than 70% of whom had been referred to the clinics by reproductive health volunteers (RHVs). The aim of the study was to establish the socio-demographic profile of clients, determine their preferred method of treatment, explore their perceptions of the barriers to accessing post-abortion services and to understand the challenges faced by RHVs. The sample women were selected from six randomly selected districts of Sindh and Punjab. Eight focus group discussions were conducted with PAC clients and fifteen in-depth interviews with RHVs. In addition, a quantitative exit interview questionnaire was administered to 76 clients. Medical, rather than surgical, treatment for incomplete and unsafe abortions was preferred because it was perceived to ‘cause less pain’, was ‘easy to employ’ and ‘having fewer complications’. Household economics influence women's decision-making on seeking post-abortion care. Other restraining factors include objection by husbands and in-laws, restrictions on female mobility, the views of religious clerics and a lack of transport. The involvement of all stakeholders could secure social approval and acceptance of the provision of safe post-abortion care services in Pakistan, and improve the quality of family planning services to the women who want to space their pregnancies.

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Barua, A. & Apt, H. (2007) Quality of abortion care: perspectives of clients and providers in Jharkhand. Economic & Political Weekly 42(48), December.
Belton, S., Whittaker, A. & Barclay, L. (2009) Maternal Mortality, Unplanned Pregnancy and Unsafe Abortion in Timor-Leste: A Situational Analysis. Alola & UNFPA.
Burket, M. K., Hainsworth, G. & Boyce, C. (2000) Saving Young Lives: Pathfinder International's Youth-Friendly Post-abortion Care Project. URL: http://www.pathfind.org/site/DocServer/YFPAC_final.pdf?docID=12601 (accessed 24th August 2011).
Cobb, L., Putney, P., Rochat, R., Solo, J., Buono, N., Dunlop, J. & Vandenbroucke, M. (2001) Global Evaluation of USAID's Post Abortion Care Program. Population Technical Assistance Project, Washington, DC.
Glaser, B. G. (1965) The constant comparative method of qualitative analysis. Social Problems 12(4), 436438.
Gulzar, J., Ali, M. & Kuroiwa, C. (2008) A social marketing approach to quality improvement in family planning services: a case study from Rawalpindi, Pakistan. Bioscience Trends 2(1), 1521.
Gupta, S. (1998) Early non-surgical abortion – give women the choice. Human Reproduction 13(9), 23792381.
Harvey, S. M., Beckman, L. J. & Satre, S. J. (2001) Choice of and satisfaction with methods of medical and surgical abortion among U.S. clinic patients. Family Planning Perspectives 33(5), 212216.
Hessini, L. (2007) Abortion and Islam: policies and practice in the Middle East and North Africa. Reproductive Health Matters 15, 7584.
Karen, O. & Tesfaye, S. (2007) Monitoring Safe Abortion Care Service Provision in Tigray, Ethiopia: Report of a Baseline Assessment in Public-Sector Facilities. Chapel Hill, NC.
National Institute of Population Studies & Macro International (2008) Pakistan Demographic and Health Survey 2006–07. Islamabad.
Postabortion Care Consortium, Community Task Force (2002) Essential Elements of Postabortion Care: An Expanded and Updated Model. URL: http://www.pac-consortium.org/site/DocServer/PAC_in_action-_September_2002-Insert-ENGLISH.pdf?docID=126 (accessed 20th August 2011).
Qureshi, A. M. (2010) Case study: does training of private networks of family planning clinicians in urban Pakistan affect service utilization? BMC International Health and Human Rights 10, 26.
Ramarao, S., Ottolenghi, E., Faye, Y., Diop, N. J. & Dieng, T. (2007) Assessment of the Extension of Post Abortion Care Services in Senegal. Centre for Training and Research in Reproductive Health (CEFOREP) and Population Council, Washington, DC.
Sathar, Z. A., Singh, S. & Fikree, F. F. (2007) Estimating the incidence of abortion in Pakistan. Studies in Family Planning 38, 1122.
Shaikh, B. T. (2010) Unmet need for family planning in Pakistan-PDHS 2006–7: it's time to re-examine déjà vu. Open Access Journal of Contraception 1, 113118.
Warriner, I. K. & Shah, I. H. (eds) (2006) Preventing Unsafe Abortion and its Consequences: Priorities for Research and Action. Guttmacher Institute, New York.
World Health Organization (1992) The Prevention and Management of Unsafe Abortion. Report of a Technical Working Group (WHO/MSM/92.5). WHO, Geneva, pp. 34.
World Health Organization (2011) Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008 (6th edition). WHO, Geneva.
World Population Foundation (2008) Safe Motherhood is a Woman's Ability to Have a Safe and Healthy Pregnancy and Delivery. World Population Foundation, Islamabad. URL: http://www.wpfpak.org/pdfs/Report_mothernight.pdf (accessed 11th August 2011).
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Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
  • URL: /core/journals/journal-of-biosocial-science
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