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Project Citation: 

Andersen, Kathryn L. Nepal Medical Abortion. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2017-08-21. https://doi.org/10.3886/E100633V2

Project Description

Summary:  View help for Summary In Nepal, Ipas is working to expand medical abortion services as a promising strategy for providing safe abortion in low resource settings. Components of the successful provision of medical abortion (MA) include correct identification of gestational age, screening for eligibility, and assessment of successful MA. To provide a strategy for safely expanding MA availability to the lowest level of services, Ipas has developed a toolkit with tools for assessing medical abortion eligibility, as well as tools for assessing medical abortion success two weeks after the initial dose of mifepristone. This toolkit has been designed for use by female community health volunteers (FCHVs) and women themselves. The purpose of the proposed study is to examine the reliability of this toolkit in correctly assessing MA eligibility and success, when compared with comprehensive abortion care (CAC) providers offering standard care. Depending on the findings of this study, crucial evidence may be gained for safely introducing access to medical abortion at the community level and beyond the healthcare system either through FCHVs and/or independently by women.

Scope of Project

Subject Terms:  View help for Subject Terms medication abortion; self use; community health workers
Geographic Coverage:  View help for Geographic Coverage Nepal
Time Period(s):  View help for Time Period(s) 9/1/2013 – 2/28/2014
Collection Date(s):  View help for Collection Date(s) 9/1/2013 – 2/28/2014
Universe:  View help for Universe Literate women aged 16 or older seeking abortion from seven selected health facilities in six districts in Nepal (Kathmandu, Chitwan, Lalitpur, Rupendehi, Kasi, and Jhapa).
Data Type(s):  View help for Data Type(s) survey data

Methodology

Response Rate:  View help for Response Rate 100%
Sampling:  View help for Sampling A convenience sample of seven facilities was selected to represent different regions of Nepal. All women age ≥ 16 years who were able to read and write in Nepali, with a positive pregnancy test, who sought safe abortion at one of seven study facilities during the data collection period were eligible to participate. Literacy was assessed by women’s self-report and demonstrated ability to read and understand an item from the checklist.


Data Source:  View help for Data Source Primary data collection
Collection Mode(s):  View help for Collection Mode(s) face-to-face interview
Unit(s) of Observation:  View help for Unit(s) of Observation Woman, Female Community Health Volunteer
Geographic Unit:  View help for Geographic Unit District

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