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Sexual and Reproductive Health Matters Volume 31, 2023 - Issue 1
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Research Article

An assessment of facility readiness for comprehensive abortion care in 12 districts of Pakistan using the WHO Service Availability and Readiness Assessment tool

Palitha Gunarathna Mahipalaa WHO Representative & Head of Mission, World Health Organization Country Office, Islamabad, PakistanView further author information
,
Sabeen Afzalb Deputy Director Programs, Ministry of National Health Services, Regulation and Coordination, Islamabad, PakistanView further author information
,
Qudsia Uzmac Technical Officer RMNCAH, World Health Organization Country Office, Islamabad, Pakistan. Correspondence: [email protected]View further author information
,
Atiya Aabrood Deputy Director Programs, Ministry of National Health Services, Regulation and Coordination, Islamabad, PakistanView further author information
,
Nilmini Hemachandrae Technical Officer RMNCAH, World Health Organization Country Office for Myanmar, Yangon, MyanmarView further author information
,
Katy Footmanf Consultant, UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandView further author information
,
Heidi Bart Johnstong Technical Officer, UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandView further author information
,
Bela Ganatrah Unit Head, UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandView further author information
,
Tahira Ezra Rezai Director, Centre for Global Public Health-Pakistan, collaborative centre for Institute of Global Public Health, University of Manitoba, Islamabad, Pakistan; Technical Advisor, Health Services Academy, Islamabad, PakistanView further author information
,
Ahsan Maqbool Ahmadj Senior Technical Advisor, Ministry of National Health Services, Regulation and Coordination, Islamabad, Pakistan; Senior Technical Advisor, Centre for Global Public Health-Pakistan, collaborative centre for Institute of Global Public Health, University of Manitoba, Islamabad, Pakistan; Technical Advisor, Health Services Academy, Islamabad, PakistanView further author information
,
Hasan Bin Hamzak SRHR Advisor, Ministry of National Health Services, Regulation and Coordination, Islamabad, PakistanView further author information
,
Maida Umarl Statistician/ Data analyst, Health Services Academy, Islamabad, PakistanView further author information
,
Kauser Hanifm MNCH Specialist, Centre for Global Public Health-Pakistan, collaborative centre for Institute of Global Public Health, University of Manitoba, Islamabad, Pakistan; MNCH Specialist, Health Services Academy, Islamabad, PakistanView further author information
,
Sayema Awaisn SRHR Coordinator, Ministry of National Health Services, Regulation and Coordination, Islamabad, PakistanView further author information
,
Mariyam Sarfrazo Associate Professor, Health Services Academy, Islamabad, PakistanView further author information
&
Ellen Thomp Team Lead for Healthier Population Cluster, World Health Organization, Islamabad, PakistanView further author information
 show all
Article: 2178265 | Published online: 10 Mar 2023

References

  • Government of Pakistan. Pakistan Penal Code (Act XLV of 1860), Chapter XVI, Section 338(A)-(C). October 6 1860; [cited 2022 Sep 21].
  • Sathar Z, Rashida G, Shah Z, et al. Postabortion care in Pakistan. Issues Brief (Alan Guttmacher Inst). 2013;4:1–8. https://www.guttmacher.org/sites/default/files/report_pdf/postabortioncarepakistan.pdf.
  • Sathar Z, Singh S, Rashida G, et al. Induced abortions and unintended pregnancies in Pakistan. Stud Fam Plann. 2014;45(4):471–491. doi:10.1111/j.1728-4465.2014.00004.x.
  • Sharma AC, Dhillon J, Shabbir G, et al. Notes from the field: political norm change for abortion in Pakistan. Sex Reprod Health Matters. 2019;27(2):1–7. doi:10.1080/26410397.2019.1586819.
  • Ministry of National Health Services, Regulations and Coordination. National service delivery standards and guidelines for high-quality safe uterine evacuation/post-abortion care. Islamabad: Government of Pakistan; 2018.
  • Ministry of National Health Services, Regulations and Coordination. Universal Health Coverage Benefit Package of Pakistan: Essential Package of Health Services with Localized Evidence. Islamabad: Government of Pakistan; 2020.
  • Ferguson L, Jardell W, Lambert-Peck M, et al. Mind the Gap: understanding differences between sexual and reproductive health-related legal frameworks on paper and in practice. Front Glob Women's Health. 2022;3.
  • Foster AM, Messier K, Aslam M, et al. Community-based distribution of misoprostol for early abortion: outcomes from a program in Sindh, Pakistan. Contraception. 2022;109:49–51. doi:10.1016/j.contraception.2022.01.005.
  • Monga T, Bajracharya M, Aziz H, et al. Increasing safe abortion access through universal health care: promising signs from Nepal and Pakistan. Sex Reprod Health Matters. 2020;28(2):26–30. doi:10.1080/26410397.2020.1763008.
  • WHO. Service Availability and Readiness Assessment (SARA): An Annual Monitoring System for Service Delivery: Reference Manual. Geneva: World Health Organization; 2013.
  • Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the sustainable development goals era: time for a revolution. Lancet Glob Health. 2018;6(11):e1196–e1252.
  • Abdella A, Fetters T, Benson J, et al. Meeting the need for safe abortion care in Ethiopia: results of a national assessment in 2008. Glob Public Health. 2013;8(4):417–434. doi:10.1080/17441692.2013.778310.
  • Singh S, Sundaram A, Hossain A, et al. Abortion service provision in south Asia: a comparative study of four countries. Contraception. 2020;102(3):210–219. doi:10.1016/j.contraception.2020.05.015.
  • Pakistan Bureau of Statistics. Population Census District Wise Results / Tables (Census 2017) [cited 2022 Oct19]. Available from: https://www.pbs.gov.pk/census-2017-district-wise.
  • Bell SO, Zimmerman L, Choi Y, et al. Legal but limited? Abortion service availability and readiness assessment in Nepal. Health Policy Plan. 2018;33(1):99–106.
  • Healy J, Otsea K, Benson J. Counting abortions so that abortion counts: indicators for monitoring the availability and use of abortion care services. Int J Gynecol Obstet. 2006;95(2):209–220. doi:10.1016/j.ijgo.2006.08.002.
  • WHO. Abortion care guideline. Geneva: World Health Organization; 2022.
  • Mir AM, Shaikh MS, Rashida G, et al. To serve or to leave: a question faced by public sector healthcare providers in Pakistan. Health Res Policy Syst. 2015;13(1):85–91.
  • Huda FA, Ahmed A, Ford ER, et al. Strengthening health systems capacity to monitor and evaluate programmes targeted at reducing abortion-related maternal mortality in Jessore district, Bangladesh. BMC Health Serv Res. 2015;15(1):1–10. doi:10.1186/s12913-015-1115-6.
  • Chaturvedi S, Ali S, Randive B, et al. Availability and distribution of safe abortion services in rural areas: a facility assessment study in Madhya Pradesh, India. Glob. Health Action. 2015 Dec 1;8(1):26346.
  • SOGP. SOGP Guideline of management of spontaneous miscarriage. Society of Obstetricians and Gynaecologists Pakistan; 2022 [cited 2022 Sep 14]. https://www.sogp.org/assets/frontend/uploads/guidelines/3.management_of_spontaneous%20_miscarriage.pdf.
  • WHO. Harmonized health facility assessment (HHFA) combined questionnaire availability, readiness and management and finance: core questions only. Geneva: World Health Organization; 2022.
  • Bello FA, Fawole B, Oluborode B, et al. Trends in misoprostol use and abortion complications: a cross-sectional study from nine referral hospitals in Nigeria. PLoS One. 2018;13(12):e0209415.
  • Calvert C, Owolabi OO, Yeung F, et al. The magnitude and severity of abortion-related morbidity in settings with limited access to abortion services: a systematic review and meta-regression. BMJ Global Health. 2018;3(3):e000692.
  • Jayaweera RT, Moseson H, Gerdts C. Misoprostol in the era of COVID-19: a love letter to the original medical abortion pill. Sex Reprod Health Matters. 2020;28(1):1829406.
  • Zaidi S, Yasmin H, Hassan L, et al. Replacement of dilation and curettage/evacuation by manual vacuum aspiration and medical abortion, and the introduction of postabortion contraception in Pakistan. Int J Gynaecol Obstet. 2014;126:S40–S44.
  • Turner KL, Pearson E, George A, et al. Values clarification workshops to improve abortion knowledge, attitudes and intentions: a pre-post assessment in 12 countries. Reprod Health. 2018;15(1):1–11.
  • Khalid F, Raza W, Hotchkiss DR, et al. Health services utilization and out-of-pocket (OOP) expenditures in public and private facilities in Pakistan: an empirical analysis of the 2013–14 OOP health expenditure survey. BMC Health Serv Res. 2021;21(1):1–14.
  • Uzma Q, Hamid N, Chaudhri R, et al. The role of partners in promoting self-care for misoprostol and subcutaneous DMPA in Pakistan. Health Res Policy Syst. 2021;19(1):1–10.

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