The DOI matches its Crossref record; 27 of the 29 references it cites were found in a registry or an index.
Provision of abortion by mid-level providers: international policy, practice and perspectives
Open accessAbstract
Based on articles found on the PubMed and Popline databases on the provision of first-trimester abortion by mid-level providers, this article describes policies on type of abortion provider, comparative studies of different types of abortion provider, provider perspectives, and programmatic experience in Bangladesh, Cambodia, France, Mozambique, South Africa, Sweden, the United States of America and Viet Nam. It shows that it is safe and beneficial for suitably trained mid-level health-care providers, including nurses, midwives and other non-physician clinicians, to provide first-trimester vacuum aspiration and medical abortions. Moreover, it finds that projects in Kenya, Myanmar and Uganda have successfully trained nurse-midwives to provide post-abortion care for incomplete abortion with manual vacuum aspiration, and that studies in Ethiopia and India have recommended that providers such as auxiliary nurse-midwives should be trained in abortion service delivery to ensure that they provide safe abortions for low-income women. The paper recommends the authorization of all qualified mid-level health-care providers to carry out first-trimester abortions, and it also recommends the integration of training in providing first-trimester abortion care into basic education and clinical training for all mid-level providers and medical students interested in obstetrics and gynaecology. Finally, it calls for documentation of the role of mid-level providers in managing second-trimester medical abortions to further inform policy and practice.
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“Studies from Kenya and Uganda have documented that nurse-midwives can be successfully trained to carry out postabortion care for complications of incomplete abortion using MVA (66)”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [66]
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Cites
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Physician Assistants as Providers of Surgically Induced Abortion Services
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- Yumkella F. Nurse-midwives role for the expansion of comprehensive post 22. abortion care services: the case of Kenya and Uganda. In: Third African population conference, Durban, South Africa, 6-10 December 1999. The African population in the 21st century. Vol. 3. Dakar: Union for African Population Studies; 1999. pp.193-209.
- Kaiser Family Foundation. Two national surveys: views of Americans and 30. health care providers on medical abortion: what they know, what they think they know and what they want. Menlo Park, CA: Henry J Kaiser Family Foundation;1998. In: Samora JB, Leslie N. The role of advanced practice clinicians in the availability of abortion services in the United States. J Obstet Gynecol Neonatal Nurs 2007;36:471-6. Advocating for nurse practitioners, nurse-midwives and physician assistants 31. as abortion providers [policy statements adopted by the Governing Council of the American Public Health Association]. Washington, DC: American Public Health Association; 1999.
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Sheinfeld, L. (2015) · uO Research (University of Ottawa) · doi:10.20381/ruor-1245
Behera, D., Bharat, S., Gawde, N. C., & Gawde, C. (2015)
MTP Amendment Bill, 2014: towards re-imagining abortion care
Krishnan, S. (2015) · Indian Journal of Medical Ethics · doi:10.20529/ijme.2015.010
Enabling choice: Addressing barriers to abortion services in rural British Columbia
Paradise, L. M. (2017) · Summit (Simon Fraser University)
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Bandali, S. (2018) · Global Journal of Reproductive Medicine · doi:10.19080/gjorm.2018.05.555668
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van Heemskerken, P., Broekhuizen, H., Gajewski, J., Brugha, R., & Bijlmakers, L. A. (2020) · Figshare · doi:10.6084/m9.figshare.12671375
van Heemskerken, P., Broekhuizen, H., Gajewski, J., Brugha, R., & Bijlmakers, L. A. (2020) · Figshare · doi:10.6084/m9.figshare.12671387
Metadata
- Authors
- Berer, M.
- Corresponding author
- Berer, Marge
- ORCID
- Berer, Marge
- Venue
- Bulletin of the World Health Organization
- Publisher
- WHO Press
- Published
- 2009-01-01
- Volume
- 87
- Issue
- 1
- Pages
- 58-63
- ISSN
- 0042-9686 (ISSN-L)
- PMC
- PMC2649591
- OpenAlex
- W2127362470
- Cited by
- 112
- References
- 29
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 12 · 2019: 9 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 14 · 2014: 10 · 2013: 8 · 2012: 5
- FWCI
- 8.40
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Bulletin of the World Health Organization (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Keywords
- abortion provision, mid-level providers, first-trimester abortion, vacuum aspiration, abortion pills, nurse-midwives, auxiliary nurse midwives, post-abortion care, incomplete abortion, abortion policy, abortion training, low-income women
- MeSH terms
- Abortion, Induced, Developing Countries, Female, Health Policy, Health Services Accessibility, Humans, Pregnancy, Developed Countries, Internationality
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